II. Certification of beneficial owner(s) Persons opening an account on behalf of a legal entity must provide the following information: a. NRITIR and Titie of Natural Person Opening Account, `1. C 44 -et A ) (34.5 414-14.if 4S kt ts......te`i C , t40,4scv- ,.• Entity. Type of Legal Entity, and Address of Legal Einfrn for Which the Accourn is Being Opened • R....„( k.n„, 4, usu ; Jot (t Ca okioN ltoo cc-Lcc>C4 Ockwir ov-i (33 ff - Vinalva OS'( ODStt ) r2, foinwing information for each ;nclivithral. if an7, who, riirectiy nr indirectly, thro,4h any contract, airangerneim relaticns”p owns 25 percent o:' (awe of the equity interests of the legal entity listed above: v.a ;Nen, ' Poi Voo.U.S. Nolte's: 5111:4.70: :FoIrclo. 1 foF 111(4r3ittl": ?' AMIN" ta Social Stunts 1'4011600 Te4441 Etc-km I 4414 too ieah piedza,..ker, €3 sit OOeO). re,* 7,)4 ”1!1:34:11413.10-4Of,,O SCOU( 3447;;C:tit k0titrP4 ,r 'farbv lett Counter 4fri ILI, gine an lam vo:ndfration Card rumbe-_,:r 11angst and counter Or invonce eon/ totior oovenonoro-towsriotaitow.: evtIontleg og on.r..tonce end L.! Mktg 4 chO:CO.14tt NvIONI T.Step....1c) 1.1quid be p...11.Av45. 91 ro .r-44-dicmintoots %No ocOrition. Ovate Mite' Hot AOPUtoOlo.7 d. The following information for uneindividual with significant responsibility for managing Inc legal entity listed active. stet: as: • An executive 'Weer or senior manager (e.g., Chief Executive Of Chief Financial Officer, Chief Operatin (Miter. Managing Member. General Partner, President, Vice President, Treasurer); or • Any other individual who regularly mforms S;51a5 functions. (If appropriate, an individual listed under section (c) above [nay also be listed in thus iectInn Savart— ' F-or1:1,3.US 4ntiLtA. • of lila Vag Alec. 04o it of Solt Logy Moreso roe U.S. Poi oans. SOcul %nod", umbof For Non.t1.S. Person c.:34C flX901w i frtteit00M0oel to Soc-41Socotite FY" &' ilcef‘ at- M1Crebt- 1 '.e.4.1%b!SNii NI: mbe or