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re) D (38 Employee 0 DB Managed PIC 0 DB is Trustee/Co-Trustee 0 Bearer Shares 4. Attachments A. Type of Photo ID Provided 2 Drivers License 0 Passport 0 National/State ID • Other B. Checklist of names (individuals and/or entities) that were submitted for database searches is attached 2 Yes 0 No C. Please Indicate