nnaire and attest that it is accurate to the best of my knowledge based upon the information and documentation provided to me by the banking team.' Signature of Individual completing form from the Center of ExcellencerGBSA Questionnaire Preparation Team Nowt, iirw Rowena Thomas Ceti-2044M ti11.04.10 Name of Individ

nfidential Investor Questionnaire Page 10 of II EFTA_R1_01520538 EFTA02444183 ENTITIES: INDIVIDUALS: Dated: Dated: (Print Name of Entity) (Signature of Individual) By: (Signature of Authorized Person) (Print Name of Individual) (Print Name of Authorized Person) (Print Name of Spouse or Joint Tenant, If Any