EFTA01380175.pdf
dataset_10 PDF 124.9 KB • Feb 4, 2026 • 1 pages
II, Certification of beneficial owner(s)
Persons opening an account on behalf of a legal entity must provide ti's following information:
a. Name and Title of Natural Person Opening Account:
-Tec-cel ‘-es-gre t tet tditi-ci-
h. Name of €oge! Entity, itp0 of Legs! EntAy, and Address0i r..0031 Enrlty Ny :), l.e in;:
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Tile foRoenot information for each mdi rluai, if atty. veflu, directh or indirectly. &trough ely contract. strangemmt.
understandin), r.?!ark)ntlhin or orlrere.ise. ;owns 25 percent or more of the equity interests of the legal entity listed above:
Fix US.P!!rs.cs. Far Nr,n-US.Persto.r.
So:OA Srtrortr; ("Stir 1-AtoOtt 4 kr nitorrAti-a•
Number to SMial SiCildt!iNorotrrel
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rim: country or isimoroar JI.NH one. groeulonent4oneed fIC410114AZ•ttcler.ring orthoo,mity or resrcknee roe bearing o photograph et stilts! tateguthd
tett
ni> lutryitstku *nets the deltogion. it&NM AppCoabro. :,
d. The) following information for one individual with significant responsibility for rnanaging the legal entity listed above.
such as:
• An exervthe officer or sen)or manager Chia! Executive (3fficer. Chief Financial Officer, Chief Operating Otticar,
Managino Member, General Partner. President, Vice President, Treasurerk or
" Vrher regbiorlY !Vann?: sinsilar functions.
(If appropriate, an individual listed under section (c) above may also tat listed in this sootier! KI)).
Nano :ON,' or Sir:r! t..rcrAAOrrs..tso Ff,e U.S. rirrroefrt. Cot Non•Lr.S, Pors...ro.
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number toSariel CS:cuitt, ;
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and country. of i hr.°, of .inv utile* utennut•ntlott.-e.7 fr.:W.1107V IlltiWahly fir ritlikflta wd inntril a PhaLliallOil ar a rA.0 lafilltaG X.:alei
be prMided.
taxa(' .ratuf(11 person opening th • account), hereby certify. to the bast of
y snowiedgeltlstt the !tVraliove 's cc )pletiand correct
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2018 I/watt:he eack G.Anlicirm.itsoryto. 1:0:11(4066 O4,919.i)SISIS
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0078395
CONFIDENTIAL SDNY_GM_00224579
EFTA01380175
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- Document ID
- 15b4e247-c910-443c-a668-01242e45dda6
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- dataset_10/f609/EFTA01380175.pdf
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- f609e6ce2ad5c9e59a499db1c0b350c7
- Created
- Feb 4, 2026