EFTA Document EFTA01375823

II. Certification of beneficial owner(s) Persons opening an account on behalf of a legal entity must provide the following information: a Name and Title It Natural Person Conning Account: Te-Wqrc•-f fi‘ket," PerieZ b. Name or Legal EntitY 'Tiffin of Leotti ntft. ancl AC-dmss Lcgal 5.ntity toi vdtkil the ActOunt iS Being Opened: TE G E- , c.. ‘be. I 0,..›are_Cs, (cot Or-) lamb kAticA.c. a-csri 93 SA-- \ --Le Lea.0 "fte foeowino information jot ea0h indiinduat. if any. who. direeey Or 'i.direiCti'yt through am( c:orittat.t. arrangement urder5v.te•5. 'o •,::it)t..;r, I lip or otherwise. owrot 25percent or more of the equity interests e.:1 the legal entity Mixed Abovw. r r 5.:fins For : jthtil !tanner k4. C>lt:(O eat ..1O5)..).trier, 93 6-‘zlick,1/4 tiso1C3 s3/4-ritt,1/2, 5 )1/4.xut oc>toa. " r%^.1J.S.ttratim. n:s-"thzin n åtti "Itffilbef C. PI I'll0Voit .'t.enbe; titil COL/Ott Q ;Para ccar 4 rAwnba..0 af6 COUllt, Beaueratief !arr yin« tawkneneleintne dnrument evelareepe Its.1.01taky a fliftel,01.3I,I1 V.Inatlf slH.gnni Watilt5 ?It ,Iff kW. (U no ~dui meet I lilt lubrttcr.. pane wee 'No! Apot:ultik!') :1. The following Information for one Individual with significant responsibilhy for managing the legal entity bytal 31.1t,e, i;tioh 3B. • An executive officer or Ser: or ruamter (e.g., Chief Executive Offictn. Chief Financial Officer. Chief Operating Officer. Managing M9MbOil Generki Partner, President, Vita President, Trassorer): or • An= other individue, who regularly f).rforms Smilar tuna:it-1e (II appropriate. an individual listed tender sectX:in (c) above may also be listed in this section cd». : 5slir Cnit:h t.fj ACICIfff I 1err.14 esa- Pyl Li S. ;)IIISIff RI, Nai.u-S. tsnrnon, pitryrnanues %ognOtt IQ $4cLid Soeuntk ',Iurf•ben: Vtrsy: A'AdiQt": lo a 'SIX94If • ,tgb Comic/ sif k.11~ r"" i=zobet nornt+ff arcr COLII‘Ire of baffle» nf any new ‘phstenleerekiteelIkelanCo!•••luenusni ludic:audit," r,r,nøam.:eara [Wring a ennieer.rar..)t bolds ntigultel .-----(ttar a of natural person opening the account). hereby certify. to the best of kn0w!edg ovided ObOVe is Ltriplets and ctrl %; imit.i.snety,caintrarriopoona t ft 4,‘ 20ai EiN:t;,,,,,..nse.A. AO. Ad si.?ht,t WM18966'6 coats I a eft I 319 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0071446 CONFIDENTIAL SDNY_GM_00217630 EFTA01375823