EFTA Document EFTA01480591

This area is used to document individuals who DO NOT require a new CAS or SPN, but have authority over the entity or entities for which this DDR was created. Individuals documented within the above client hierarchy area do not need to be epeated in this section Name Goverment issued I.D Obtained Tax ID # Date of Birth Attention Address Line 1 Address Line 2 City State Zip Province Country Citizenship Approval Information Public/High Profile Figure No High Risk Jurisdiction N