ate the family situation of the individual (mantal Status, other family members, etc.): Single SDNY_GM_00064899 littps://na4.salesforce.com/servle ntliDEN/TpACE/D9Diateid=50060... 10/30/2013 CONFIDENTIAL - PURSUANT TO FED_ R. DB-SDNY-0027724 EFTA_00175399 EFTA01299191 KYC Print Page 6 of IS One sheet