EFTA Document EFTA01379159

IL Certification of beneficial owner(s) Persons opening an account on behalf of a legal entity must provide ti's following information: a. Name and Title of Natural Person Oiyeriing Account: P-Ge A- ‘-es' ire frt ) Re 5 h. Name of €eca! Entity. Ty Of Leto! Entity, and Address [if !seal tridi tic r,....,Acc B el(tZ, Ope„ C.„-j CY) cw4) 7E~ tiS1/41t Cewirinfna (rak o 0 eel 4044 045,, ‘tv e S `Now-c.c t evt ooec»._ 0. The 10Wong information for each 9‘dMcitiai, if any. who, 6:rooth