3
Shared Docs
3
Same-Page
3 / 3
Mentions
in Witness Whereof I have hereunto signed my name on the Li I da 0 41 424r0 /1 .20 I4 (YOU SIGN HERE) igniuusetrPrIn_ al) ACKNOWLEDGEMENT IN NEW YORK STATE STATE OF NEW YORK COUNTY OF NI On the day ofWin the year efore me, the underdoned mervnally afrPeafediteg iCrey Gpsfittri personally known to m
e me, the underdoned mervnally afrPeafediteg iCrey Gpsfittri personally known to me or proved to me on the basis of satisfactory evidence to be the IndhAdual whose name is subscribed to the within instrument and acknowledged to me that he/she executed the same in his/her capacity, and that by his/her sig
Witness Whereof I have hereunto signed my name on the " Zia ,of iVirtMftA/1 20 I4 (YOU SIGN HERE) kmalusetrPrIn , lpal) ACKNOWLEDGEMENT IN NEW YORK STATE STATE OF NEW YORK COUNTY OF NI On the day ofWin the year efore me, the underdoned mervnally afrPeafecterrely Gpsfittri personally known to me o
fore me, the underdoned mervnally afrPeafecterrely Gpsfittri personally known to me or proved to me on the basis of satisfactory evidence to be the IndhAdual whose name is subscribed to the within Instrument and acknowledged to me that he/she executed the same in his/her capacity, and that by his/her sig
9/04/2019 Birth Date: Death Date: JJ- Sex: Mother's Maiden Name: SSN/TIN: SSN/TIN Type: In U.S. Person Flag: U.S. Person Current Employer: NEW YORK STATE/FEDERAL AGENCY Occupation: Curr Gross Mo Pay: Curl' Net Mo Pay: Curr Mo Pay Last Updated: Restricted Arriags: MBR Status: FInCEN Information:
Consumer Date: Use as Marketing Address* Identification 1; Documentary Flag 1: ID Type 1: ID Description 1: McouSaMe Domestic Not Specified IndhAdual Not in Active Duty Service JJ- JJ- JJ- Domestic address illiltSi YN NY 11207 08/15/2016 JJ- No override Individual 0.000% JJ- No override
Entities connected to both New York State and IndhAdual

New York City
LOCATION
Samantha Power
PERSON
Lesley Groff
PERSON
John F. Kennedy
PERSON
Nassau
LOCATIONInstrument
ORGANIZATION
Eric Holder
PERSONGpsfittri
PERSON