II. Certification of beneficial owner(s)
Persons opening an account on behalf of a legal entity must provide the following information:
a. Herne end Titie of Natural Parson Opening Account;
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Logei Entity. Type of Legal Entity, and Address of Legal EnV;y1nr Wilith the Account is Being Opened
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Tha fcenyling information for each individeal if any, who, !!:redlyit,' indirectly, thry..mh any minicar!, air:Irv-men%
reiaticne.,n v r.:!ne•:"e. owns 25 Percenr 0:. more of the equity interests of the legal entity listen above:
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and wuovy*, is.uoince eon/Whet clovenunon-atured dobion.O±vtdontley Ot /*Wane end terstog 4 oho:moot or airOur
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of ro .nzpviclu-v ntcon th•G fletrititet. Orate write' Hot Argitvtati
d. The following information for uneindividuai with significant responsibility for managing rho legal entity listed above.
such as:
• An executive 'Weer or Senk:ir manager (e.g., Chief Executive Officer. Chief Financial Officer, Chief Operatin Ofliter.
Managing Member. General Partner, President, Vice President, Treasurer); or
• Any other individual who regularly mforms S;51a5 functions.
(If appropriate, an individual listed under section (c) above [nay also he listed in this iectinn
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.e.•M•e1 (na or natural person opening the account) hereby certify, to the best of
my ulowieoge, hat the T141i0O prowled above complete and correct
h itattirrt
Mini 'Ifni,: :delgellt (OPtiOnal.)
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CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) DB-SDNY-0078388
CONFIDENTIAL SDNY_GM_00224572
EFTA01380170