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EFTA01381093

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legal Entan Ovidillier few. tlins7 II. Certification of beneficial owner(s) Persons opening an account on behalf of a legal entity must provide the following inforrnaton: a. Name and This of. NaIurei Person Opening Account: swit th I.. Sc>14.- (Kt (44D-eV b. Name otl- #a€ iyue r,f Lif2t2i Entict. and Address of Legal Entrzy for Which the Ac-etkin° Beim, C! 7-.4> rife Otte LL.c, L1SU1 Jrzec& LI (. kr cio-nri v-cii-s %Axe Co too .e.a.k fAciat‘ eboarktr1 63 S4 - ) usvk c. The fegov,ring information Ior e3ch II any eMo. directly or indirectly •.l'nuuein any contract} arrangement' trneferstand!ng, neationship or otherwise, owns 25 percent or Incite of the equity interests of the legal entity listed abc....e.. !lent :` nit tit it., f eleC1) ‘440ciL 6€rk-f, ‘iM&.3 was ogit 00%6). Far U.S de. sdnu: 3d:drgy. loanbaz ''nr retrAlt: • kOtrbb4d !N Nteicgart! I fl Sei:ul LOWed ai - 444- 38 4-e$- I:tirrsent. ali.tdon Socim 2tcuriry Nwlitral 2aimait ltinibet dith 20dino of ;nano., SC fikil kNillhib,.iteeblent•logribp. ; citdd anti ceantni or iiidasixd, M srw wily gewidutientiissunficx•un.ane udnencidia nyonallt•r as fealcano• antl namesp itodatagointi nr ~ay nlit5adid Or . wad..12d. tlf ne ~Mu& mead Ins p+nie ddl Itieraaolnatia-t d. The following information for one individual with significant responsibility for managing the legal entity listed above, such ea: • An L-)icectitive of hoer or senior 'reneger (e.g.. Chief Execuise Officer, Chief Financial Officer. Liti Operating ()firer. Managing fviember, Ganere! Partner, Presidam. Vice President. Treasurer): or • Any Ør individual who regularly caticarna tdrrtilar functions. (It appropriate, an individual listed under section (c) above may also be fisted in this section (d)). Data ai Nith i..edA Add! tad Qesb, cspt_ t4c,) ot_.) .nut U.S. i>e!sent.. SOW! 91%!;t1::‘ IbUilbtle< . . triad • fdninin t fwaldirdinws' Sni;b12tddiilti: /twined ' Fog uel s4es. .,Aziemittv; tn

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