EFTA Document EFTA01379564

il. Certification of beneficial owner(s) Persons opening an account on belle of a legal ently must provide the following informaton: a. Name and 'nie e Nature! Person Openin9 Account: j;:er t.- s i t an 1. Sz-.)14.- (1‘4.4e b. Nenc oi la! i y:Je of Legei Entfrt. anti Aratfress of Legai Entity fer Vt.fhicil tne At-et:tint Beiml C! rife ete 1,_ e wt-e L.c. ()SUI t eem. Jr•gà te a.b. kr Wei (o 100 età 14.O-tz .C\ ktA.. s US v 1 CIO an_ c. The foloy..fing inforMatiOn ri," 83e ;riffretduai. ti 4ny vet10. direc th. or inereetly. th: vogh amy coritr t, arrangerai-nt understand!ng, t 2!ationship or OthetwetS, StanlY; 2S c[.;reent or more of the &luit,' interests of the legal entity listed abc-e: one :`tto ,,,1,:: . é...y.e,n t OO Otà giock 61.-41 63 SI. çt.eui tuaSj -> Oc Ut ‘0). Fe U.S. Pesa--u: e9t letr•rJ.S. reneet: `Lieue Steuree ',Set feotrate tor SurnOrs io :;oeial Seeramar %rertboi) `' 'ar Ntri .U.Se térrsont areszfea..*.? Soerte Securiry neAleet PiljeeCit ::.triro., Couette( Of ;Marica an 'den eSt ne:ratera coolmente. at ceste 3net ce,tintrIr of iestiscet ef srw orna' geverrubeni•inueretcloeUn.ant uereer,en tu:entrent or ernicattot and e earing splottogresti nr tends etinesol lorual Se Lier:tarte Of PO oniridu.- ffietat iliseart, cm. peine tek 1,:ceritoreftatkt "*: cl. Tho follavving information lor one individuel tue signiffoant responsitility lor menging Nie lega!entity listed M'ove, ste.:h as: • el.ri eicacutivs of boer a senior rnanager (e.g.. Chie! E%ecutive Office, Chief Financial Officer. Ch;ef Operating fiff ner. Maraging fviembee, Genets! Patiner. President. Vice President. Treasurer): or • AOY Ør irrivkhrni wild regtilafiy cartonne endar functiera. (If apprupriate an !ntfividual listed urecte,r section (c) abeve mai; a!so be tisted in thie section (d)). ?.411`à! Deb?co• Shch Couà Martin 7;4 -ei " esb`' cSPe_ 14) ot_.) Sosaelt .! t'Or Ne. US. C'eteaot zarst eiresPar (Zoo tapine.. I fa alsrerstotes' r‘utotkv Seraff Stlottte %motel w.,....i.r.Lieene.m.i.,;»,elee a tieee:4„ eer‘e,p, e.iweber t feenere Niinne; * or Crutaitec edinet-^2. 'men, exparr.-)ik.it raie retsecer ans redorer of a:nuance st any collet israerrtnera-aurtes tiocurnerri earenality a tert retrert and teariors a phorogresh e etadari.w.ealma shauei ba preaSec. 4•41n naine of naturel percion opening the ae.count), hareby to the eest of ni? info Mine" is Gootplere and cryreet. LegalEnlee «!notlem (Cimetina) 201..a Seutaahe Bank Ø. All et•ilflt roter ore ,h'all9SESS Sr/S(0Ø.051518 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0077157 CONFIDENTIAL SDNY_GM_00223341 EFTA01379564