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> o "Z, c. he follorKing informat?un for each individuei, it ani, who. directly or kxgractiy. through arty contrnl, wf-arrant undemanding. relationship or °then...Asa, owns 2 oc 5 percent or me of the equity interests of the legal entity asted above: Ck;e Ln4 Aqtu.:c3 For etc P.N.teet: P:)( z4u-uxu: SZ:titd Settaity *er kr...e.%ht I tr,..rte, Nitten Suaiollf to Sorki SWality MtUra:4f0 For pry:et:I :led; jer ti a w.,,g:,G0r.,:,.0,4y r•juu:bsr cu 7r.J.01.x7 r..0:110.1.! tmcir,-;* INNI O11111 ;)14.11 Crer4 rigntim and tUrJltry 4.1 04101.0c. 0100v asw 40)..-eintiler.1-1534led 410Cutnee! 491.100!:k 9 t! 11.001111:? 0! retiden(te banns.) PIIDra3r.lyi Of wil.14.4:1.11.!gtAti/ tho:.4:1 bir>914ed. pt nb ira...10400g n:i!pf Vitt 04.116k.06.. pleni!teil 0 rot stoctitialit i d. The. Paoli/Mg information for one individual signikant responsibility rot managing the legal entity fisted tibiae:. ench es: • An ii+fittiLive affiatr or senior manager (e.g., Chief eceratitive. Ofiker. opiaFinancial Officer, Chief Operating Offr:er, Managing Member. farmera' Partner, President. Vice Pondem. Treasurer); or • Any other individual who r(if$darly DeffiCUTIII sinia& when:. (If appropriate. an inrVvidtra! listed tinder eection (c) above may ń5(3 be tinted in this aection (o)). 111.11110 04 te amot 1. futa AtienS3 ; ret 1.1.a P.4145406 trcrctteit% Nieb'? ret !try Peqc,. tSoe Entą met .1 twit!, orrtzt wet to Social SW:ult.. Num 0441 Wc-4-rtei cr;ii,n 4a I q-3 "col le4a4t 14,,,j( p" r ol o _44 . 05 a 38 a Est. 1-6.0,"0 i 4, 6 %) 000 tea Opv;);11..), )t,t4)j;)31 I-) 5t-jrłli F:e).,;;)). )jtj,•;i7 ; 11..; be, Veith C.10ntir? ETwAt.,:e. 21.:(111rA,Mik.)0C-n 4-301ralne)F. ra.elber mus : Cr t≤. 411).7.) of m: c.: t: u i:m...4 "muru nu:c: et:1210R., el f ess1 emot anO eeruv i pittogr. vows Lttop Snoutl I, P cli n y knowledge. that LI(* im; It Voiltitilf • 6/Cetn e Intr. m . prawe, (name ol naueal person opening the account). hereby certify. to tie best of ;_s etmplete and correct. 2C+Itt Deutiche 3.)/e. AG. na repeto esotwo, ŁĄM1e6 -36 :12.Crili).C•S1418 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0077147 CONFIDENTIAL PROT1 PROT0