II. Certification of beneficial owner(s)
Persons opening an account on behalf of a legal entity must provide the following information:
a. NRITIR and Titie of Natural Person Opening Account;
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;9%31 Entity. Type of Legal Entity, and Address of Legal Einirn ler 'Which the Accourn is Being Opened.
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c Tea fc4hw;ng information for each lnewidoal. if eny, who, clirectiy or indirectly, threugh any contract, atrang:wile:it:
tr-de.:Ft relaticns?•;no' care-.i.se. owns 25 oercenr o:' (flora, of the equity interests of the legal entity listen above:
!O. r44 : For f000•liS. Notoos:
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!Ind ciuntry Of inulince eurzytiltitr griernMent-aivtd dotastiftn: eVOOMIty inc$10X:e end nanny t chOtOgi.iii
be pt,Indic5.
Of no .4-4rodwo moots %hag ochretion. Meow write 'Hot Arteritves.1
d. The following information for uneindivIdual with significant reaponsibility for managing Inc legal entity lined above.
stmt.: as:
• An executive'Weer or senkX manager (e.g., Chief Execufiva Officer. Chief Financial Officer, Chief Operating Ofliter.
Managing Member. General Partner, President, Vice President, Treasurer); or
• Any other individual who regularly mforms S;51a5 functions.
(If appropriate, an individual tiste.d under section (c) above [nay also tie listed In thus section (0)i.
Horn. 040 it of Solt .tern Artorow ror half:tsars. For Non.u.S flown
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Kuinber to Sowl tt000ltet.ofroon
7.4ieowte Sows-t—
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end Lit.* .of lila f oth 'm gent :muor F4. rle,..SN mientiet n <et:dente find tooneg a ohcogi aft or Orep...2iz Nuald
be F
(na of nacurai person opening the account) hereby certify, to the best of
my utowiedge, vlat the n4tion prowled above complete and correct
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'Min; :delgelll (0PtI0nal.)
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CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0076467
CONFIDENTIAL SDNY_GM_00222651
EFTA01379153