U. Certification of beneficial owner(s)
Persons opening an account on behalf of a legal entity must provide the following information:
a. Navne and Title It Natural Person Opening Account:
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b. Name, ot Legal Entity. 'Tiffin of Leg?! Ent4r. ancl AC-dmss OY Lcgal Entity foi kArr..•;Chi the Account iS Being Opened:
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fo”owino information for ea0h indivsduak. if any. who. direeey or Mdirectly. through arrf c.oritsr.f. arrarigerner:t
ur...lerw.te•5. •c •, ir•f".;r•Of Op or otherwise. owns 25percent or more of Ehe equity interests& Me legal entity lieted above:
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:1. The following Information for one Individual with significant responsibility for managing the legal entity listed 31.11.%fe,
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• An (fl .C,ItiV5 officer or serCor manager (e.g., Chief Executive Offictn. Chief Financial Officer. Chie€ Operating, Officer.
fvlanagin(f M9Mb-ail Gene4 Partner, President, Vice President, Treasurer): or
• Ar,, other ;ndividua who regularly pmfornmSettlar 'uncut-x:3,
(II appropriate. an individual listed tender secttn (*above may also be fisted in this section (d».
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Of:
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.. a of natural person opening the account). hereby certify. to the best of
Knot: ed `provided Nhn,re c.triplete and cfri^a..:t.
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CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0079832
CONFIDENTIAL SDNY_GM_00226016
EFTA01381085