ss is transacted: USA Number of employees: 1 3D. Wealth Profile (Only for parties requiring source of wealth descnpaon as indicated in Se. i 2) Pnmary Country of solace of wealth/source of Funds? Pnmary industry of source of Wealth/Source of Funds? Provide Evidence of Corporate Assets (e.g. balance sheet

Details (Only for parties requiring source of wealth description as indicated ri Section 2) Nature of the Individual's Busness: Private investment Pnmary Country of source of wealth/source of Funds? United States Pnmary industry of sane of Wealth/Source of Funds? High Risk Frontlet Institutions Summarize S

Virgin Islands, US. Number of employees: 3 3D. Wealth Profile (Only for parties requiring source of wealth desaiptan as indicated in Section 2) Pnmary Country of soLrce of wealth/source of Fonds? United States Pnmary industry of source of Wealth/Source of Finds? High Risk Financial Institutions Provide

Details (Only for parties requiring source of wealth description as indicated ri Section 2) Nature of the Indmduats likeness: Private investments Pnmary Country of source of wealth/source of Funds? Pnmary industry of source of Wealth/Source of Funds? Summarize Sane of Wealth: 2 Business Owner 0 Salary/Eami

B. Wealth Details (Only for parties requinng source of wealth description as indicated in Section 2) Nature of the Individuals Business: homemaker Pnmary Country of source or wealth/source of Funds, Primary industry of source of Wealth/Source of Funds' Summarize Source of Wealth: 1 DOther: E Business Owner

Details (Only for parbes requiring source of wealth description as indicated in Section 2) Nature of the Individuars Business: Private investments Pnmary Country of source of wealth/source of Funds? Primary industry of source of Weakh/Source of Funds' Summarize Source of Wealth: Z Business Omer 0 Salary/Ear

th Details (Only for parbes requinng source of wealth description as indkated In Section 2) Nature of the Individuals Business: Pnvate investments Pnmary Country of source of wealth/source of Funds' Primary industry of source of Wealth/Source of Funds' Summarize Source of Wealth: DOther: Z Business Owner O

etails (Only for parties requiring source of wealth description as Indicated in Section 2) Nature of the Indvicluars Business: Private investments Pnmary Country of source of wealth/source of Funds? United States Primary industry of source of Wealth/Source of Funds? High Risk Frontlet Institutions Summariz

nsacted: USA, USV1 Number of employees: 3 3D. Wealth Profile (Only for parties requiring source of wealth description as indicated in Section 2) Pnmary Country of source of vrealth/scurce of Funds? Primary industry of source of Wealth/Scurce of Funds? Provide Evidence of Corporate Assets (e.g. balance shee

acted: USA, USVI Number of employees: N/A 3D. Wealth Profile (Only for parties requiring source of wealth description as indicated in Section 2) Pnmary Country of source of wealth/source of Funds? Pnmary industry of source of Wealth/Source of Funds? Provide Evidence d Corporate Assets (e.g. balance sheet o