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sd-10-EFTA01379563Dept. of JusticeOther

EFTA Document EFTA01379563

II. Certification of beneficial owner(s) Persons opening an account on Oohed of a legal entity must provide the following information: a. Name and Title of Nature; Person Opening ACCOurit: el .3"-Cg:cle E. ‘-filS4lt NV.7% ) e artea&ogt.,,r— b. l'43ine Or l.." ild Enthy. .ri.n, Ol i.aga: Entity, and Qtiii:;ss ,-ii i 9,..;ai Entity fes Wnich lt 9 ketiticit iS Being Opened. Su() Way*" -‘4,..^1^C.•«.( ) LL -C. ) l3SVk kb‘stAL1-a tt 0 e (Cabe R i Cackputetti l a tåtab<GI0CLVIC.ein 43

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Dept. of Justice
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sd-10-EFTA01379563
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II. Certification of beneficial owner(s) Persons opening an account on Oohed of a legal entity must provide the following information: a. Name and Title of Nature; Person Opening ACCOurit: el .3"-Cg:cle E. ‘-filS4lt NV.7% ) e artea&ogt.,,r— b. l'43ine Or l.." ild Enthy. .ri.n, Ol i.aga: Entity, and Qtiii:;ss ,-ii i 9,..;ai Entity fes Wnich lt 9 ketiticit iS Being Opened. Su() Way*" -‘4,..^1^C.•«.( ) LL -C. ) l3SVk kb‘stAL1-a tt 0 e (Cabe R i Cackputetti l a tåtab<GI0CLVIC.ein 43

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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
II. Certification of beneficial owner(s) Persons opening an account on Oohed of a legal entity must provide the following information: a. Name and Title of Nature; Person Opening ACCOurit: el .3"-Cg:cle E. '-filS4lt NV.7% ) e artea&ogt.,,r - b. l'43ine Or l.." ild Enthy. .ri.n, Ol i.aga: Entity, and Qtiii:;ss ,-ii i 9,..;ai Entity fes Wnich lt 9 ketiticit iS Being Opened. Su() Way*" -'4,..^1^C.•«.( ) LL -C. ) l3SVk kb'stAL1-a tt 0 e (Cabe R i Cackputetti l a tåtab<GI0CLVIC.ein 433 Sk `\o %,~. S\3' (-)%O1 (-. TN- :On 21t ineny or irSectly, wire,u9h any cembact . arrangement . ,.inCeraZar.(W19, relationship x "theriMse. owns 25 ourtent or rtinise of the «why interests of the legal entity listed above• Ers U.S. !:et base...VS. Peiwn: s.rnisesurity tsae ton:~ fry. tie:Tisives N.intesee &Wm Swimire >ion Awn Q,Loo e,...41/4JootL eri i tSlt ctn. ' F.& Nan •tl S. l'ictrniat. :0 a 51441 St:Wily ^lumber or a P&I.&7&t *CI', COO:M.:of inaittICIL idaCtrfitte.0/1.•&d rxinnw. >r nYINiY and ~M.& 41+...&& iff.rwo'lwOOistifilWrittinkistin ~en; ~wig ntiitar.iiiity Dr in:Vinyl!, Orin aEJriny hl>th, thn, hPh ^r hhhihn ShEeSt-hhi ni-ivinociz.i. %If na ii vievai net. n :no Ckitiiiii<Ift. D5C&S.rer.10 1 01 cl. The following information kit one indrvidual with significant responsibility for managing the legal entity listed above, such as: • An exwarthre officer or senior manager lag, Chief Executive Officer, Chlei Financial Officer, C.,l'Unt Operatint; (3ff:car, Managing Member, General Partner, President, Vice President, Treasurerr or • Any otter individual who regularly perfoins siin ar functions. (If appropriate, an individual listed untie? section (c) above may also be listed in this section "Zit Cekk 0.1&å With Leg 1 %-\:cio•-) && 11 <F0rsØ41: t&Stre,l. PX ri k!! etna et, rt& Sz-z--tl Smithy Not or t P-estowt ',Wane Clo..,Wiy !swine°. ,.:VC rant's? fa:fib& .1..1 i 0dn'ry0 ~in..., of &Pr 011W inef:inn J.1Clunglit ayieeneire min Diann; e ~cueing, M &Mel& llaf&pled ifb0.4d Ot iett knowledge, Ilvit &tans:nit !..I.:).41Cigits. ~miner icii fer ± 's complete am:l COnfit . (name of natural peril.On opening t le account), neveby certify, to the bast of 2018 Dams:lie Nitril: AO. AO di)lits rineri.,,d. ?Ali %WC 070619 0.518.1S co 1 5-1 t$ CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0077156 CONFIDENTIAL PROT1 PROT0

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