❑ a Fledging Individual ECP
❑ Guarantor qualifies as an "eligible contact participant" pursuant to Lk tL Letter No. 12-17, Please
describe on a separate sheet of paper.
❑ Guarantor has been designated by the CFTC as an "eligible contact participant" by rule, regulation or
order. Please describe on a separate sheet of paper.
Name of Guarantor:
Authorized Signatory Signature:
Name:
Title:
Date:
6395998
3
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0060161
CONFIDENTIAL SDNY_GM_00206345
EFTA01368426