EFTA Document EFTA01379556

Pre 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 Attomatt: ‘ A- -t e b. Name, or Legal EntitY. 'TVOn Cif Le.2ai Entfrr. anti Ad-drttss Logal E.Mity to, Whitth the Account it? Being Opened: T E G E-, c.. ‘be. I 0,..›are_ (ot Or-) lamb kAticA.c. a -tv-i 93 t.3S+Jt tØaL 1,ne fo”owing information for ea0h individual if any. who. direeey or .i.direiCtly th