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EFTA01381085

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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: .3-e-Wqrc•-f fs‘ År•et," i Panic iå -ea..-* b. Name, ot Legal Entity. 'Tiffin of Leg?! Ent4r. ancl AC-dmss OY Lcgal Entity foi kArr..•;Chi the Account iS Being Opened: TEGE. c.. ‘be( rn (ot Or-) lamb kAticA.c. .4-t sr, 83 "1/41".e.m...O.c t os,„It tØ"2_ 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: r 5.:fins For i n.U.S.Por....”fr s..,x.o;Sorofc, : 1,?SsfaeXifi.lutrM secti itl:7,;/alitnt eXJ, C>lt:(O eat k4...105)..).trier, 93 6 -‘zlick,1 /4 qud C3 u.a ) °cut 00loa. "POI f%rol.f.S.torocm. no"thzinf..).)^:ittIti "lunibef C. PI AJOVOIT .•ttr'nbevtitilerWIltl'r of ;Para ItiMIXFX-1;iCM cord roonba. ar frimtor af4 COUIII, of Broom:4c( mrf :sow tiov~nenWstind d"rument evid!firdf; IMUOMabIr a MIELkIel/OIMXIMIMIIIQ,11Xfmogript; or tinttar '3)Mrpinl sbatiltS (If no a'W4dual mi/St nila iulirttcr.. cane m;!. 'No! Appotobk• :1. The following Information for one Individual with significant responsibility for managing the legal entity listed 31.11.%fe, i;t1O1 3B. • 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». : ti'31uh tvi ttacric-Is 1err.14 esa- FM! LE S. ;MXMIf:... R$I itraz”:: ;SC! tstirfion, 1 iro. pitnanues %titntp,t IQ Sor.I.O Secono; g r rtr.s‘n ;:* A'AdiQt": to a 'SAY:.94:= NXiIMM ,tgbCr,-,mirt sif Mi~iIbeinfermcir twk, itIro

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