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sd-10-EFTA01381092Dept. of JusticeOther

EFTA Document EFTA01381092

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 AfZ'oufir. Tc'Xz e ‘• \ stir fri ) Cl"&Chj it Name of. I a M Ent;t7. Eno!, and Ac",:;:ts I E nifty fe.f With ;jig .14CCA:Ur't ie Effelg Liper!?.rt S.%) kt. e ~Inc ) -3 U Vevx. 4- erS/ ( a b. (.[..T C.wai* tit ti t tzt. t a ea tåttetb<CA.oew4e,-) 433 Sk - \Lc ticaSt v.S\3,0 0%02 (-. (}2r _1.t .r

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Dept. of Justice
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sd-10-EFTA01381092
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Summary

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 AfZ'oufir. Tc'Xz e ‘• \ stir fri ) Cl"&Chj it Name of. I a M Ent;t7. Eno!, and Ac",:;:ts I E nifty fe.f With ;jig .14CCA:Ur't ie Effelg Liper!?.rt S.%) kt. e ~Inc ) -3 U Vevx. 4- erS/ ( a b. (.[..T C.wai* tit ti t tzt. t a ea tåttetb<CA.oew4e,-) 433 Sk - \Lc ticaSt v.S\3,0 0%02 (-. (}2r _1.t .r

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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 AfZ'oufir. Tc'Xz e '• \ stir fri ) Cl"&Chj it Name of. I a M Ent;t7. Eno!, and Ac",:;:ts I E nifty fe.f With ;jig .14CCA:Ur't ie Effelg Liper!?.rt S.%) kt. e ~Inc ) -3 U Vevx. 4- erS/ ( a b. (.[..T C.wai* tit ti t tzt. t a ea tåttetb<CA.oew4e,-) 433 Sk - \Lc ticaSt v.S\3,0 0%02 (-. (}2r _1.t .r Vih), rfiflCi.ty IrSectly, through any cogit! act. arrangement. .,nuerstanang, relation ship Or "ther..vise.. owns 25 ourc:ent nr rtinise of the equity' interests of the legal entity listed above' nttet! Nita .11.44 6 efisEetk,k ',13, sa moo es& 1/410011 ,ei B3 Lal I Ctn For u.S. ;),~s: Per'::-:1: 'De.ority z.S.€ for.D7.4;e'S ttirT:auies IC. &vial Swimere >WO Awl o tto - - 3 "et fian•U S. 1>er.loat. T 4,1:WilY, :0 e SOCkfl ^lumber 3r 1 P'bIla?Xt 1%1ITII)Ci' Courgr; of i33;iittICIL lAiint trfittei0/1 rxinitv. r IV:VW and 0)%3ettri 01 4.1+.4nr* al.in3olisrf)Outtf:1141Mt•sfti!) att'Sjel1Cn!, ~wig ntatar.slitv or Indrery!!...SD:)DtsdrY ShEeSt,"4 G"'^vviaez.3. f If no iii vievai net. n :no Ckltiitli<Ift. fl ns,,wr.0 •>Åi AnfiCatbkt. cl. The following information kit one indrvidual with significant responsibility for managing the legal entity listed above, such as: • An ex.eartnce ofhcer or senior manager lag, Chief Executive Officer, Ch€ef Financial Officer, Chat Opeating Officer, Managing Member; General Partner, President, Vice President, Treasurer or • Any otter i',dividual who reguiady perfoins surbisn functions. (If appropriate, an individual listed untie section (c) above may also be listed in this section ji(rri • Cekk 0.1%.4t With S Leg t\i±fermi 1%-\:c.o.4 Ftq U.S r'irwna 5,:)( Wrn.U.S. al.nrsn. %Ng Socurrncy :$e* t.xntic, t, .1 ice f.:teg f•cgh-21 :funbr« ri''Xiairse,,a ":4(11tx•I; ret3s.e.,, • Sz-z--th3er.trb y Nut Paupcit Nvent.eri:ilf.f..1.o.., :v0f !slum:cairn rast f. ',tab?! arti Mttf''r, ,Pt,,anr," Of !lily Otter genef:enn etrel•i%14.)6 drrCmnitY cnineneirk)nrAtonsliwte toarau.<": min Diann; n ~turn mph rx tanAdt lesdN'iled irtlnW Ot i:tt.,;;;.`t ≥<nevHed{FT•. thl! &tans:nit t..ey,ICntitt, ~Wow fr..4..hon.-: fer ± 's complete aivi (note . (name of natural ptf6Cni opening rMr le account), no( E certify, to the best of Cols a S.2018 Ciaatielie Sur.P. AO. AO ri.)1+ts riner,.+W. ?Ali SMOG 070619 0.51812 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0079839 CONFIDENTIAL PROT1 PROT0

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