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EFTA01381087

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II. Certification of beneficial owner(s) Persons opening an account on behalf of a legal entity must provide the following information: e. Nacre Mid Tine of Natural Person Opening Account. Te t SicA-c S T L) LL-C. • -t: -::i.,t.;:ry fcd- Which the Account is Being Opened. CA. Do Vol) 4.741 S+ t.'s c. 08 0.1- c. The following information for each individual, if any, who. directly or indirectiy. through any contract, arrangement, understanding, relationship or otherwise, owns 25 percent or mood of the equity interests of the legal entity listed above: g Se: . %on.U.S.Pamits: ,.iertt, • ..ywire St.r.oTT;; ;F:itt fontrete 1!;, gleregitn sAirobet tOatr0.111:it(00:Ty f0sabbl: Eton at) t-lcolLQ40., 7---&1€-.414-6`a °t • Tlro...as)usvi COSC3- RN NCI' rtrianti.ir•adags ,o,, Socloi Secontr Runty, tel r. Stkr2pati ,341101,f win C:C04Ftry of h70 Mir? an Phan Cuntiftcgion catUrtlinbe'.:, 0:00t,01 ,ecl country of :stuanca et any *Pet liutentotre.41ineci iteaten tetrAcnclrg attiOraint'i Qe Cattitl1:11CR and treating .., 1/40$0,10,E1.4f41-41‘n4;;A, tern .r0Nio001 (sett+ th4Chthrtait)0. 00%0 arip ;102 itirDliag•40.1 It The following intormdtion for one individual with significant responsibility for n ',merino the legal entity listed above. Such as: • An e.Xecutivo officer or senior manager fe,g., Oiled Executive Officer. Chef Financial Officer, iThlef Operating Offiter. Managing Member, General Partner, President, vice President, Treasurea or • Any other old;VidUai kyho regularly performs similar functions. Of appropriate, an individual listed under section (c) above may also be listed in Mis section (c1)). %am-, rem, ....•:!*th% ;AO ASksrs5 a nalLY•An k PC3 Sec jejjanc"j&- Fr% Pi.wrros. Foi Vo.r..I.IS Sam.' Sm,...irk/ iSte fr."10,N4' 1 telia•gr.10.WE4 tf-J0sbef 11/S0001 SX:r. kr ;Iimborl r:0f hot -!.4 S oegve.3. e!itlevii:110 a Sector Spoartv,o;citei or s .131-AXWE'kuirtX4*,°4.1t..ourt.) of ,LsTiarct lin kloo ton] taam.bee. Poo ,venire

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