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EFTA01381131

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H. Certification of beneficial owner(s) Persons opening an account on behalf of a legal entity must provide the folbeing information: a. Name and Tide of Waite a! Pe! son • • Zele•Pr-../ h. Name c.f legà Entity. Type ell Leoal E. • • Add! ets Lega: Em;ty freWhe.h the Account is Seine Openect: fete-, SzzÂle- Uit.e‘e•-•L -eV (i Ca-r -e-1 c. The folkmeMe, infernation for each indk:idual, if any, wtKi. directly indirefffly, thro:)h env coninc!;. arranajernern. understanding, relationship or otherwise, owns 25 percent or more of the equity interests of the legal entity listed above: TaZt“.. Ye t, ( ( .t) ç- 3 S - t ..11. LEV( alai> 'Of 714 amrone eleoideSteu...zo i.Seo focoteee I oireynoci. 0.unet ! Sock, Seoutilt 71Jinter: . g0c e‘ct.C...S t.e1cret. uodete toe "<tocOei Sete it", ora.ro.Uo s 7eIrtelf Citt•nclee with C;oor Gg 4;,Jame.an aihr:43emezince. nied ',urge!, C.; *erg»; enuoire seis:Jamb of amf oche goeecone.r.Istuto dotwooto eyo-O,nowoo name:eye cw caltienob and beam ig a ea.:opeh .31 tInoilor :salm/4M diottiln lto picee-td. td oindre000t rtlte anise: an. >tee. ver!to "Mot tentoc.»ti.") d. The following information for one individual with significant responsibility for managing the legal entity listed above, SVC% as: • An executive officer or sergor !nonage: (e.g.. Chief Exc-aitive Officer. Chief Financioi Officer. Chief Operating Ofrefer. Managing Member, General Panne:. President. Vice President. Treasurer); or • Any ether ?nt.i ividu& who reoutany performs sk*ar *function. (if appropriate, an individual listed under section (ra above may also be listed in this seotion (d)). .Xectt ci bird: Cep' Acie.e...3 eor V S. ikirtoott: &o:al Zoco.e;ty tomnbet Pfli aarr.‘. ,.an fen-sent i« ittetret‘i.r. re 5'v/14er:wit, ',mote; ;or Permrc itoorkirtion too Sr-"-:! stKowiietioriber rw t ›assfeet it-weber v:eittiasery of trminnw. ;et, e 2r zyd ramose, 'WO COVntri Crf icicclancc. e Cent i)C•rernilet,e.iii acci tc.iee

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