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ide of his/her cony of rationality for 5 years a more? O yes 0 No Profession/Occupation: Attorney Tax ID / 5511: Current Employer: Kellerhals Ferguson Kroblin PLLC Positonfhtle/Rank: Address of employer: 9100 Pat of Sale Mall, Ste 15 St. Thanes VI Unted States 00802 Does the person work as senior execut
r Status: Identined on Profile Volcker Flag: No Address (city, street, post code): 6100 Red Hook Quarter 83 St, Thomas 00802 Unwed States US. TIN/EIN: Provide a description of the entity's orgartaatiorel structure, its ownership structure and its Top Management For trustsffoundatIons, include info
e: USA Country of Citizenship: USA Address of primary residence: Profession/Occupation: Attorney Tax ID / SSN: Current Employer: Kellerhals Ferguson Kroblin PLLC Position/Tide/Rank: Address of employer: Is the individual a Politically Exposed Person (PEP)?(if yes, descnbe) F Yes F No To the best of
USA Date of incorporation / registration: 12/27/2006 Address (city, street, post Code): 6100 Red Hook Quarter B3 St, Thomas 00802 USVI U.S. TIN/EIN: 26-6639711 Provide a description of the entity's organizational structure, its ownership structure and its Top Management. For trusts/foundations,
e of his/her country of nationality for 5 years or more? 0 yes n No Profession/Occupation: Attorney Tax ID / SSN: Current Employer: Kellerhals Ferguson Kroblin PLLC Position/Title/Rank: Attorney Address of employer: 9100 Port of Sale Mall, Ste 15 St. Thomas Virgin Islands, U.S. 00802 Does the person wor
ied on Customer Profile Volcker Flag: No Address (city, street, post code): 6100 Red Hook Quarter B3 St, Thomas 00802 Virgin Islands, U.S. U.S. TIN/EIN: 26-6639711 Provide a description of the entity's organizational structure, its ownership structure and its Top Management. For trusts foundations,
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