Are any of the individuals listed above also owners of the legal entity Yes No seeking to open this account? If you selected above, please provide the following information for each individual, who owns 25% or more in the “Yes” equity interests of the legal entity seeking to open this account. For Non-U.S. Persons: For U.S. Passport Number Persons: Date of and Country of Ownership Name Address Social Birth Issuance, or other % Security similar Number identification number
Are any of the individuals listed above also owners of the legal entity seeking to open this account? Yes No If you selected “Yes” above, please provide the following information for each individual, who owns 25% or more in the equity interests of the legal entity seeking to open this account. Name Date of Birth Address For U.S. Persons: Social Security Number For Non-U.S. Persons: Passport Number and Country of Issuance, or other similar identification number Ownership %
Beneficial-Ownership-Certification-Form-Updated-April-2018.docx