1 First Bank Existing Account Number r\ICF:r2t‘s-n-iS Customer Due Diligence For Additional Signers on Individual Accounts or Authorized Signatures on Business Entities Accounts Account Number. which Is attached to the Signer Ian iaauto 1 Authorized S:gncr hirommtion Name: Cecile ____ Initial: Lai,' h Am. de.c '3' Data of Birth: _ Place of Birth USA _ Citizenship I MF 'form Pinne _ _ _ _ Physical Address: Mai :-.a Amin... Place of Employment Southern Comny Id. Occupation: - Red Hook Quarters Ste B3 SC Thomas. VI 00002 social other L- Work P Email: Relation ID 1- 1st and MVOS Typo DL peeved Employreent Address: Number COMM USVI USA FaplrationSCOAVY0 3,204017 5/17/201e 7 Income Recurrent Source: AnnualWome O Own Business 0 Private O Government O Gexe. seedy. O S0GI .350,001 0 550,001 - $150,000 O 050.001- $250.000 K Oner $250.000 Client Clasnifiratigri • "Jaw ameer:s its hra mad Care Worley atescont Ter ISM ttratiSaldhS rat vtl Otte elms reseed es *QUM it Pe Da Wawa : CneonshGAhreeFor tVrichek ce Etats ComdereclasHIV Pak ▪ tn. not r :0 Ci9,p, yea iiircivaton from the WS* Cadttl'OrSaSA Dindi is en Mel A. Irhficate whether the dent's a nonresident eeerc (NAJCS 5100000 R. C. Indict, whether the dent a a resklem alert: (NAILS 0200000) Indicate :whether the diem is dad to an decor of a foreigngovernment end dceummt the typo V relatkitship. (NAICSA, COCCOO) Yes No 0 0 0 4 ir en he alum Syhtem • ‘: e only ar. Cantu,' At e.a, r.tho.1 Name of the Representative who attimcled your call: Response to Social Sec Linty: Veer: Stare: Response on Ind astry Behavior. RcIPOnn0 on ID. 5 Account Opening Authonz atm n Approved ocameetollePolinetw EldmMd herd . j trtiet r eztur. Ibse ,leery -1 111 CONFIDENTIAL FirstBankPRO00838 SD NY_GM_000 13675 CONFIDENTIAL EFTA_00124318 EFTA01269485