Person below. P10850 Continue on a separate sheet if necessary (and attach to this form). resligameRich Daroac ant 12/06/1972 CounagfCmanales of Tex Residence US Is Gangrening Person a non-US Beneficiary/non-US Beneficial Owner First Name J e ffrey Dale of Birth 01120/1953 CountryiCountiiin of Tax Resi