II. Certification of beneficial owner(s)
Persons opening an account on behalf of a legal entity must provide the following information:
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The. to!..v6m; ;flfarrnati-a for one 'ncla.;Mi4p signilichm iesporstr,,ty to:* manang the iajaian.:..v :;5:00 '.G,e.
such es-
• M. awcucive olfcer er lemor manager (a.g., Chef Fir4lVtiA• 0ttnel. CM-at Octera:;rg i)th: et
it ielagMg Gertlefil: Paltrflf. Prit tr, ‘140. pre.tr4r,.r4. Twin:;rpir; Or
• Any mh,r innlvklua: 1/4"41.1 regular iv peri:tims iumnuni..
ai: I;szeduruel abi!ve w :icriej 4! t4fs sce..7ion art
0as Filra 4:41a.jO U S. ai:t1.•:•t-
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many) pr natural person ookning the 3ccaumi cc' riy. "i) rre
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Signature v
•. Ae..; All • pro , CWItti
/
Name "t):
Title: Vi
Date:
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0064058
CONFIDENTIAL SDNY_GM_00210242
EFTA01370954