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Financial Institution VALARTIS BANK AG

Filer Information

Filer Individual

Signature Authority

GSA

BSA

SSA

Filer Role Foreign

Account

Paris

U.S. Department

Street Address 6100

the Bank Secrecy Act

Street Address

Filer Date of Birth 01/20/1953

Filer

Filer Address Address Type Foreign

FBAR Transcript

Filer TIN Identification Type SSN

BOULEVARD DES ITALIANS - Enhanced City

Filer First Name

CFR

Treasury

Filer TIN Identification Type SSN/ITIN Identification Number Type of

U S C. 5311

Filing Information Filing Type(s