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r (specify): LLC Purpose of Entity Other (specifyY Country of mcorpxation/registration: USA Date of Incorporation / regkgration: 12/14/1016 Volcker Status: Identified on Customer Profile Vokker Flag: No Address (city, street, post code): St. Thomas; USV1 00802 United U.S. States U.S. TIN/
rties) Indrruluats Plant. Wm.!, In:yko 001c4sn40S Dated Birth: Country of kr:seance: USA Country of Otizensh0: USA Address of pasty r Noce: Livingston 07039 United States itas client resded outside of ht/her country of nationality for 5 years or more' O yes la No Profession/Occupation: Lawyer
e' O yes la No Profession/Occupation: Lawyer Tax ID / SSN: Current Employer Southern Financial LLC Position/Title/Rank: Address of employer. Livingston NY United States 10022 Does the person work as senior executive of a Darecognited regulated entity in the financial nd ustry? or an entity listed o
/22/2016 %tacker Status: Determinabon Required Volcker Flag: No Address (city, street, post code): 6
on/Occupation: Lawyer Tax ID / SSN: Current Employer: Southern Financial LLC Position/Tide/Rank: Address of employer: 575 Lexington Ave, 4th A Livingston NY United States 10022 Is the individual a Poltically Exposed Person (PEP)?(if Yes. describe) O yes R No To the best of your knowledge, is the in
Date of incorporation / registrabon: 4/25/2012 Volcker Status: Estate or Charitable/Atlanta:tic Volcke
/Ocaipaten: Lawyer Tax ID/ SSN: Cirrent Employer: Southern Financial LLC Position/Title/Rank: Address of employer: S75 Lexington Avenue, 4th A Livingston NY United States 10022 Does the person work as senio executive of a DB-rexgnized regulated entity in the financial ndustry? or an entity listed on
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