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EFTA01381919

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II. Certification of beneficial owner(s) Persona opening an account on behalf af a legal entity must provide the following information: a. Name and Title of Natural Person Opening Account. Te Aek Scic. iy frx •Which th n Account is Being Opened. LS T t—L-C_ t;•—, Lca (.4,/ Gu7O eel kdoot4 C:book-tr, 63 S+ us uN 00803- c. The following information for each individual, if any, v--ho. dlrecuy or indirectly. through any contract, arrangement, understanding, relationship or otherwise, owns 25 percent or MOM of the equity interests of the !ego' emirs listed above; :7›.:4 5 St: 7,n Uti. gyry.4 ix 544 rjPthU.S. 9 15,!": TY!. Messink-r3 Stogfty 6 t on ea Eicoteao...keres9 Sty. T1404.a‘juskit cx:)Sco... Fni tint, PnICPUL Ir. ;Water TO LB SO:1•115renatr Runt« n 0 Stuncin .itnnt,f win eta.7y nl h74.zni in? an Sion CunBfr.ltior. Cif it no/Abr.:, nankbol 1Ccl noun tn; of :ninand esi any Ott 9.mentnertArsurcl iStitunteC tetresncirg 11160111iN retkli:nce and Witting J 502:11.9{7.K.th v.* ~lb* 14f41-4-4 payåjvi. Uf en :njvidum (het+ tlbs cetinaka, pate knt 11. The following information for one individual with significant responsibility for n waging the legal entity listed above. such as: • An eXetutive cfriter or senior manager fag., Chief Executive Officer. Chief Financial Officer, °lief Operating Offiter. Managing Member, General Partner, President, Vice Presidera:, Treasurer) or • Any other ind:viduai who regularly pelicans ornmr funceloits. (If appropriate, an individual listed under section (c) above may also be iisted in this section d)), -3:44-(4-1/2c4r 1»st 4irlh kkkeis gee 441.0..,t _ Fro US 4er:1.5. 41 M•k5.1IS StOnStrairky deftte fr/51t~ 1 frx sitmativa4 *amber In Stool Sxu.kr ;umber) iscleAtxe w a Sa.ElSitc,me.v,,Exitim art, .hirgx)a. .Fointx# öi ias siren chntlficstlem, 1‘1, F1biN hfle 1,41,0:1y Or tWIZIPV? Pf L,v maM1 tittmiliabe..190400104:1G11.1100C wrotioncetvo eltIrproiliry t•• reulan‘e ant teNang 3 1.3X3O

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