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lling: Person ' US Is Controlling Person a non-US Beneficiary/non-US Beneficial Owner? 1/' No Yes (complete Appendix 2) First Name Last Name Richard Kahn Controlling Person Type/Role Treasurer, Director Date of Birth Controlling ' Person ! Country/Countiies of Tax Residence US is Controlling Per
lete Appendix 2) First Name Last Name Richard Kahn Controlling Person Type/Role Treasurer, Director
Note: Please indicate the capacity in which you are signing the form (for example Trustee, Corporate/Individual Director, etc.) Account Number(s): INTERNAL USE ONLY: WM167679 023611.041518 Page 2 of 5 Entity Self-Certification Form Appendix 1: Controlling Persons Appendix 1 must be completed for eac
or ID- ,ejejele Results) Ur <- E 'wine Ricnaid Kahn !bc. Jar• °eters/se account II lint MLH 1401
ejele Results) Ur <- E 'wine Ricnaid Kahn !bc. Jar• °eters/se account II lint MLH 1401 (Web Client) test Leg a O.K. 10/05/2006 0 11:160 FOR INTERNAL USE ONLY hops•itwww.pnvateclientjrnorgan.convinolappmgeroolportatimvdalctop?_nfpbartruar.M... 5/2/2007 Confidential Treatment Requested by JPMorga
Lac Trans Type NYM Western Union NYM Western Union NYM Western Union Amount Sender Nm • $200.00 TALL GULNORA $300.00 INDYKE, DARRENK $200.00 KAHN. RICHARD City BK BOCA RATON St Zip Phone NY 11223 FL 33496 ■ NEWYORK NY 10021 User ID: TF14688 Page 1 of 1 EFTA00055516 Date: 06,19/20
Removed] SS 8/4 12:00 B.' 8/4 12:25 ;4141 6/5 08:34 9 NORTH 8 Annual Leave <Unassigned> (Inserted Ncsi (Sick/Annual] SHU N2 (Inserted RCS( INTERNAL 8 <Unassigned> 2 <Unassigned> (Sick / Annual) RW 8/5 08:34 [Sick/Annual( RW 8/5 08:35 [Sick / Annual( RW 8/5 08:36 10/2019 10:46:56 AM EF
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