II. Certification of beneficial owner(s)
Persons opening an account on behalf of a legal entity must provide the foaming Information:
a. Nance and Title of Natal a1 Pei son Oonnine cccu•a.
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b. Name of t.egal Ernity. Type Legal Entav, and Adthess of Lege: fiN;ty *ex Which the Acsoimt is Being Opened:
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Tha foikmeing infexmation for each inds.:ititial, if any, or !ndirectly, through any cc, ntract. 3rrangemeat.
understanding, relationship or otherwise, owns 25 percent or more of the equity interests of the legal entity fisted above:
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o;t1("vilify ofr,wmD. of amf Othr go.oxenstedsotu-xf dononem esiomainq nancrohlv or ieddenos sod Nom to a 04NOSIKS! of s4nibv Isd /gaol Monde:
be.
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0. The toilowing Information for one individual with significant responsibility for managing the legal 4ntny listed abo.a,
auch as:
• An executive officer or senor menage: kg.. Chief Exc-anive Officer. Chief Financiai Officer. Chief Operating °freer.
Managing Member, General Partner. President. Vice President. Treasurer); Or
• Any other Mdividua! who regulany performs sk.,Ilar function-4.
(If appropriate, an individual listed under section (n) Mauve may also be listed in this section (d)).
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(name St natural person opening the account), hereby Cei dry. to toe heat of
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2918 Cannon ears AG MI opmvterattnto 'it/MIK/66e 0631)051314
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0078397
CONFIDENTIAL SDNY_GM_00224581
EFTA01380176