II. Certification of beneficial owner(s)
Persons opening an account on behalf of a legal entity must provide the following information:
a. twine and Title c£f Neo.iral Person r.7.9ening Account:
7
b. Name
:4.-C4
of
*a C. SA -4? -- I
ft; "s Ewing Onso;
7- 4.....P&-425 3:7....-it • a Cancnic•4-(td
(too £a Cao.s.rkve (CR
osvt CoVti
:J. Trt)i owir.q informazion for each irdeolduy through arty coni.r3cr. arrangement.
relationship or otherwise, °Wile. Pe."'cou I •C4 the equity interests of the legal entity listed above:
! !dt!s aarn£(iY Avs,xs:
Se:Lai:Sae:0V; ; :SetOr:4W Ou'aistrod
taimbto StaidBeturifo fithrocla •
41 1 OP ea& \-‘604e...Q.0..,.
stior v it
C. t (20 1c 3
♦
' v. `11 38 kite
kwHo:143S Nolant. tstasiss Sco4 FieC;Ifily 'A/Mtg. at NI:MX.It wi:P CA'Ner tr, of illoorwo. se oPos i rsalogiss SAW r4elltIN rosnbcr
.isel.u.04:, igne.plooM other wissitiroors • 44440 atuorneat estarmasirsnian'tio?ar rtudoese and besting ti phssoc.saph Or *tellile sitht4as iSsuld
tr4 wos!aed.
(If na tOU.0 tatins fait soi.lt:, e.ilinJ1•,,scite "sot .st•Vti:r.,k4fs.'1
d. The following information for one individual with s;gnifcant responsibility for managing the legal entity fisted above.
such es:
• An executive officer or :.•;eic>or 'nonage! (e.g.. Clt ,et EXEC.,..itiVe Officer, Chief Pinanciai Ott-cot. cruet Operating Omar,
Managing Member, Genet al Pechter, President, Vic.e Pre4Ident, Treeeuren: or
• Any other ;iviivklual who ieguloriy .3rtottris eirniar functions.
OF appropriate. :an Mthvidual listed under savhort (6 above. may gest) be listed in this section rd))
Oats s: LeTa Assess - et: VS. Pecw•:•t P:061.).S. hurt: 0):
Sipr.Ft”,. flP)thrgif
r.ilfribUr So<ail Shanty
itC41-4--k‘ E-1.44,n S -c 0
Sar Warr U.S. gerwsr, -6 ..> • StsurasSionw.or Pstw"...21 SPontswutliCerott 31 4riadIra en ii.ne-entllitathr sore:I:so:Ow. nouber
ate moray of frulant.. •,.,.i.".141Prtoss.at dytuttintli ,pviSiltinc411:1I;On4hi'i nr gondOlgA d tWatOin) a f'hutugrsrals: HnlWI safeei-na ihr•ge
iE pardat
_1-
i. nam , atural person opening the account), hereby, certify, to the best of
ior.i feAlctlat the
• Igo (hided at.ove is co. :there ar,d co• rect.
Uotaa'.4
told
‘14/1S olive aersibe (Carlaroll:
2.111,31.:socichs Sent JU.i. Ail tqllus : or Se. WM1O.W..1 0.25gliAS1
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0079831
CONFIDENTIAL SDNY GM_00228015
EFTA01381084