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sd-10-EFTA01381123Dept. of JusticeOther

EFTA Document EFTA01381123

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 of Natural Persian Opening Account, C Cleasiret A ) ( 3 4.5 b 4S s4 "-. kt t s.' ,...te`ISA .. s .6.1e OJOI sfl 4444tailer Entity. Type of Lege! Entity, and Address of Legal EnViy for Which the Accoure is Being Clouted • R.-,4 4 LL-C Usk)( (c 0-tat (, 4, uo, cfrJek too ea ate OLximle4v-i 63 ff - VtA 4,0..a 'JO tan-- h,3 fc

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Dept. of Justice
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sd-10-EFTA01381123
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Summary

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 of Natural Persian Opening Account, C Cleasiret A ) ( 3 4.5 b 4S s4 "-. kt t s.' ,...te`ISA .. s .6.1e OJOI sfl 4444tailer Entity. Type of Lege! Entity, and Address of Legal EnViy for Which the Accoure is Being Clouted • R.-,4 4 LL-C Usk)( (c 0-tat (, 4, uo, cfrJek too ea ate OLximle4v-i 63 ff - VtA 4,0..a 'JO tan-- h,3 fc

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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 behalf of a legal entity must provide the following information: a. Name and Title of Natural Persian Opening Account, C Cleasiret A ) ( 3 4.5 b 4S s4 "-. kt t s.' ,...te`ISA s .6.1e OJOI sfl 4444tailer Entity. Type of Lege! Entity, and Address of Legal EnViy for Which the Accoure is Being Clouted • R.-,4 4 LL-C Usk)( (c 0-tat (, 4, uo, cfrJek too ea ate OLximle4v-i 63 ff - VtA 4,0..a 'JO tan-h,3 fc,!!owing information tot each individeal. any, who, cilrect!y eldirestly, thry4h any motor!, air:myelin% lr`do: relaticns?•:p v c!ae• Fe. owns 25 oercenr 'I . more of the equity interests of the legal entity listed above: ;:er ;Nen, : For voh•lta. 7-veie 07•re ffrobrla 1 ft-5 all(orhitst t.tilribes SOtial Slarots tarot:dr) TeWnaci tkolvz coke. ie....Li) Pit:alto...A, in - usu( °oleo). Caro gird•••••C'3 Pr. Erre* 7.3 :o,f...;) "orszea ,,t;t4ter,,o !`).000 ''i;:f!`tn1 d Pupa doirdldl odtheour4TT of gine dr lamcr:nt3holtion rombd_ 3.3i0d3 nae rawer is wane 01 tiny 01P itr cr3r0,0013" - atured rfr, e-oodo!'ool000tkilr',:jelThil`t ietatbnce anti tanekig 1.040:09, Ai 04 arnilow 1.novits be pr"..uvrs. 111 to r•aredo0 meats thin tic:Vega pica to write' hot Ar 23.d3td3 1 d. The folinwing information for one:individual with significant reaponsibility for managing Inc iegal entity listed abwe stet: as: • An executive officer or senkar manager (e.g., Chief Executive Officer. Chief Financial Officer, Chief Operas n Offiter. Managing Member. General Partner, President, Vice President, Treasurer); or • Any other individual who regularly mforms shnii€a; funztions. (If appropriate, an individual listed under nection (c) above may dISO too listed in thus ieeton 1-41esswe Drwirc4-• if 1. lotd",•• • th, ,Oec. Lep* Arkires3 hOdolon tsa Sorb! Shcii aw No lobe Cw 3 0.43300r ?Mr*: L.: On' g(r.t rOzt.,,,,,,tie.Zi Olt P.,:leSnj rot, • , I, JJ c:M•e-1 (na my•ulowie(!ge, Ina; an> nation provided above b'Ir.btarr '.7400 Erma :ctngdil ((030rath fig us. Ffwa•ans. a.lcui %hurt", dumb!, tw-Nou•t)S Petvrt c•tiqe i erfaene,!••,;,. ,..o•nror F r d,r4••• fih•cflece of IldrUfbi person opening the account) oreby certify. to the best of complete and correct. () 291E Oneida Sank 46.' rigs lestnti, lieesSeatle 02$819.Coiala CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0079891 CONFIDENTIAL PROT1 PROT0

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