EFTA Document EFTA01379555

H. Certification of beneficial owner(s) Persons opening an account on behalf of a :egei entity must provide the following information: a. Name anti Titie of N-Mlif01 Person Open41.3 Account: TeGGrt są-toe. , ene s (4).a.c&I$ b. Woleli' Legal Itity. Type of Leosi Entity. xxi Address ur Legai Entity fte Which the Acco. UM: ie Being Opened! L \.)% v 3., (skat olt1 C0...1 N .r..4 G SOI Cc e r, Pa.?.(.catk-vo." 05Q k . C yr fotod e.taa 1.1020,4. , a 3 s St •nkoła....t, LIŚ•Ji ex>