EFTA Document EFTA01380172

H. Certification of beneficial owner(s) Persons opening an account on behalf of a legal entity must provide the following information: a. Name anti Title of Natural Person Cipent.3 Account: -Terry., b. Warne Mi Legal Type of Lego' Entity. and Address ur Legal Entity fte- Which the Acro. unt is Being Opened, 1 9. L vs,r\c•In., N V X^ Is to, ,=.4G Sol c, erivaAti-e_ Va‘i...41LANie-, I k Cot e:, ena kkteig. ast iSt •-ktiata•siit, 1-.1 .‘) I OO% Tre. . follnr!int.; informatkm for ea