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