EFTA Document EFTA01381915

II. Certification of beneficial owner(s) Persons opening an account on behalf of a legal entity must provide the following information: a. NRITIR end Title of Natural Person Opening Account; 17c '""`"" Cirsicet jal".rs tbae--i f 4S s 41-4 -k C ,r......... 3-01 wcalitv Entity. Type of Lege! Entity, and Address of Legal Einftity for Which the Accourn is Being Opened. • 4 e (..Lt,_ a Usu, tt.ia, Lta Ci o-th -41 Ca ta.., cfrO4 loo tea l-Lzte OL>emk-Pici 63 ff - fL.m g tJSJ( O Can--