EFTA01389094.pdf

SWAP ADDENDUM ANNEX CLIENT INFORMATION FORM 1. Please provide the following information regarding Client. Legal Name of Client Sap Vehicle: Legal Address: Email Address: Principal Occupation / Business: CFTC Interim Compliant Identifier or Legal Emits, Identifier 2. Does Client have a Swap Agent? ❑ YES ❑ NO If yes, then please provide the following information regarding the Swap Agent. Name: Address: Email: Phone: Each Swap Agent must also complete the Swap Agent Statement provided in Part 5 of this Protocol and return the completed Statement to DB. 3. Will Client's swaps be guaranteed by another entity? ❑ YES ❑ NO If yes, then please provide the following information regarding Client's guarantor. Legal Name: Legal Address: Each Guarantor must also complete the ECP Questionnaire for Guarantors provided in Part 6 of this Protocol and return the completed Questionnaire to DB. The CFTC Interim compliant Identifier (or "cicn, which will ultimately he replaced by a Legal Entity Identifier (or "Len, is a unique customer identification number used by swap dealers as part of their reporting obligations under the CFTC Regulations. 6:9599$ PART B — PAGE 16 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0093376 CONFIDENTIAL SDNY GM_00239560 EFTA01389094