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EFTA01381922

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II. Certification of beneficial owner(s) Persons opening an account on behalf of a legal entity must provide the foaming information: a. Name UM Title of Naha ai Pelson adenine ccotrt r e're.....1 b. Nadia of (Aida! Ernity. Type o...1 Legal Entltv, and Addi errs of Lena) fiNlty *ex What the Acsoimt is Being Opened: S tA,e- kktie %AAA, -tv L C. LA-L. lc.tt-tA (colt, t. 41 k OO 'act? Pac;olz. 0.)., a2 LaSV1 °et c. The folks/vine, infermation for each ;or:Ka:foal, if any, who. directly or indirectly, thro;x3t1 any contract 3rrangement. understanding, relationship or otherwise, owns 25 percent or more of the equity interests of the legal entity fisted above: Dr" 5iCt!, Irgr A;L:, f70. ( / le ( c—z 6( 00 tack WoolCCliseireg3 S - Cttus-O9. Oceen 'or S PdotOr, SirariSts:oti:s i'surobsie 714 %W.:US aMiln11; iSaelitatra aet tiati; re Swim 7ijIYItet!t: ;cn ti',.i.J.51 Crinn)n... n J•Jelnin to n itoessiSetnncv itnn.;xn 01 4 ;:i:c1470: NOViel With COMI,ly la,RMO. no Oho bernthnanClf • Mid DtattAit a gi:IMbt: 4NArow:ire oeirasirJo or 31, Oche goratenser.motu-xl losiOnent esiollawis) nation:Ali. or I ersienos one hen ig a plowasigthoi similar :Wigiv,' sinilc pic,,,e-ht Woo irsr•moiat nisse los atlaniVlo. ONO. yell)" 4.pplse.)60.1 0. The foikming Information for one individual with significant responsibility for managing the legal entity listed above, auch as: • An executi•te officer or senlor manager kg.. Chief Exc-anive Officer. Chief Financial Officer. Chief Operating °freer. Managing Member, General Partner. President. Vice President. Treasurer); or • Any other 'individual who regularly padonna itinctinna (If appropriate, an individual listed Under section (rd Mauve may also be listed in this section (d)). :)ao? of bill, t Acie.thss U-SCuel E. Etch., S.,. i44::tr3 32— kw V S. Airsone: rn. fr-ltrAs II iCe text* , r.* VC'S Strstrit, %.11titA; rror NunALS, Pet-Axrc arsddion to a Z.4tr-A SN:inivnuolbtr ',ascot; .*-7,1bIsr oral,

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