beneficial owners): (i) Each individual, if any, who owns, directly or indirectly, 25 percent or more of the equity interests of the legal entity customer (e.g., each natural person that owns 25 percent or more of the shares of a corporation); and (ii) An individual with significant responsibility for managing the legal entity customer (e.g., a . At a minimum, the bank must obtain the following identifying . The Company will deliver to each Underwriter, on the date of execution of this Agreement, a properly completed and executed Certifi. Certification Regarding Beneficial Owners of Legal Entity Customers (PDF) certifies the beneficial owners for business customers operating as a legal entity. To help the government fight financial crime, Federal regulation requires certain financial institutions to obtain, verify, and record information about the beneficial owners of legal entity customers. Certification Regarding Beneficial Owners of Legal Entity Customers . I. record information about the beneficial owners of legal entity customers. This form is not required for Sole Proprietorships. Legal entities can be abused to disguise involvement in terrorist financing, money laundering, tax evasion, corruption, fraud, and other financial crimes. Verification is required to be . State or similar office, a general partnership, and any similar business entity formed in the United States or a foreign country. . All rights . . Chief among them is the opportunity to participate in the decision making process that ultimately establishes loan market standards, develops market practices, and influences the market's direction. If no individual meets this If II. 31 CFR 1020.230 CERTIFICATION REGARDING BENEFICIAL OWNERS OF LEGAL ENTITY CUSTOMERS I. GENERALINSTRUCTIONS This is an optional form provided for your convenience.

Name of Natural Person Opening Account Title b. To help the government fight financial crime, federal regulation requires certain financial institutions to obtain, verify, and record information about the beneficial owners of legal entity customers. DO NOT SEND TO FinCEN. Certification Regarding Beneficial Owners of Legal Entity Customers. individuals (i.e., the beneficial owners): (i) Each individual, if any, who owns, directly or indirectly, 25 percent or more of the equity interests of the legal entity customer ( e.g., each natural person that owns 25 percent or more of the shares of a corporation); and (ii) An individual with significant responsibility for managing the legal . Requiring the disclosure of key individuals who own or control a legal entity (i.e., the beneficial owners) helps law Requiring the disclosure of key individuals who own or control legal entity helps law enforcement investigate and prosecute those crimes. Beneficial owners are: (1)Each individual, if any, who owns, directly or indirectly, 25 percent or more of the equity interests of the legal entity customer (e.g., each natural person that owns 25 percent or more of the shares of a corporation; and (2)An individual with significant responsibility for managing the legal entity customer (e.g., a . information about the beneficial owners of legal entity customers.

record information about the beneficial owners of legal entity customers. I. Name of Legal Entity Entity Type Legal Entity Street Address City, State and ZIP/Postal Code c. When the bank should file a SAR in accordance with applicable law and regulation. GENERAL INSTRUCTIONS. Certification Regarding Beneficial Owners of Legal Entity Customers (PDF) certifies the beneficial owners for business customers operating as a legal entity. CERTIFICATION OF BENEFICIAL OWNER(S) Persons authorized to act on behalf of an excluded legal entity shall provide the following information: 1(a). C. The following information for each individual, if any, who, directly or indirectly, through any contract, arrangement, understanding, relationship or otherwise, owns 25 percent or more of the equity interests of the legal entity listed above.

States and localities may require the filing of a certificate to register a "doing business as" (DBA) namealso known as a trade name, fictitious name or . Beneficial Owner: Each individual with 25% or more equity interest in the legal entity, whether directly or indirectly. Legal entities can be abused to disguise involvement in terrorist financing, money laundering, tax evasion, corruption, fraud, and other financial crimes. Legal entities can be abused to disguise involvement in terrorist inancing, money . When opening an account at Fifth Third Bank, National Assocation, the Beneficial Ownership Form must be completed by the NAP. (a) In general. An individual with significant responsibility for managing the legal entity customer (e.g., a Chief Executive The financial institution may also ask to see a copy of a driver's license or other identifying document for each beneficial owner listed on this form. Rule,1 a bank must establish and maintain written procedures that are reasonably designed to identify and verify beneficial owner(s) of . Certification Regarding Beneficial Owners of Legal Entity Customers For TD Personnel use only Account Number: Date: TD Bank Representative Name: TD Bank Representative Phone: RC Code (if applicable): Store Number (if applicable): Account Opening/Maintenance Information APPENDIX A -- CERTIFICATION REGARDING BENEFICIAL OWNERS OF LEGAL ENTITY CUSTOMERS. To help the government fight financial crime, federal regulation requires certain financial institutions to obtain, verify, and record information about the beneficial owners of legal entity customers. and record information about the beneficial owners of legal entity customers. 3. ** A beneficial owner is defined by the following: a. verify the identity of the beneficial owner(s) of a legal entity customer. Principal Business Address of Legal Entity: 2. record information about the beneficial owners of legal entity customers. Legal entities can be abused to disguise involvement in terrorist financing, money laundering, tax evasion, corruption, fraud, and other financial crimes. Legal entities can be abused to disguise involvement in terrorist financing, money laundering, tax evasion, corruption, fraud, and other financial crimes. All rights . . The people who have ownership of the legal entity (business). When the bank should close an account, after attempts to verify the identity of the beneficial owner(s) of a legal entity customer have failed. Certication Regarding Benecial Owners of Legal Entity Customers Bank Name: Branch Name: Banker Name: Oice/Portfolio Number: Date: . Beneficial Owners (e.g., each natural person that owns 25 percent or more of the shares of a corporation); and (ii) An individual with significant responsibility for managing the legal entity customer - the No Individual owns 25% or more of the Legal Entity Customer . Beneficial Owners are those who own, directly or indirectly, 25% or more of the equity interests of the business.

Legal name, Social Security Number, Date of Birth, Address, Citizenship, Percent of Ownership A legal entity will have a minimum of one and a maximum of five beneficial owners. Requiring the disclosure of key in dividuals who own or control a legal entity (i.e., the beneficial owners) helps law . Covered financial institutions are required to establish and maintain written procedures that are reasonably designed to identify and verify beneficial owners of legal entity customers and to include such procedures in their anti-money laundering compliance program required under 31 U.S.C. II. (i) Each individual, if any, who owns, directly or indirectly, 25 percent or more of the equity interests of the legal entity customer - the . The list below will help you quickly and easily determine the documents needed. Based on your business type, you will need one of the . Become a Member. Ultimate Beneficial Owner #1: _____ % ownership Individual is an FHB Customer (provide the name and last 4 digits of their SSN below). . At a minimum, the bank must obtain the following identifying . Requiring the disclosure of key individuals who own or control a legal entity (i.e., the beneficial owners) helps law . Legal entities can be abused to disguise involvement in terrorist financing, money laundering, tax evasion, corruption, fraud, and other financial crimes. (i.e., the beneficial owners): a. To help the government fight financial crime, federal regulation requires certain financial institutions to obtain, verify, and record information about the beneficial owners of legal entity customers. Certification Regarding Beneficial Owners of Legal Entity Customers CRBOLEC9/2021 Page 3 of 3 Signature: Date D. The following information for one individual with significant responsibility for managing the legal entity listed above, such as: An executive officer or senior manager (e.g., Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, Under section (i), depending on the factual circumstances, up to four individuals (but as few as zero) may need to be identified. When completed, this form is provided to the financial. View Current Members. This form is not required for Sole Proprietorships. Legal entities can be abused to disguise involvement in terrorist financing, money laundering, tax evasion, corruption, fraud, and other financial crimes. For the purposes of this form, a legal entity includes a corporation, limited liability company, or other entity that is created by a filing of a public document with a Secretary of State or similar office, a general partnership, and any similar business . To assist in identifying beneficial owners, the rule includes a model Certification Regarding Beneficial Owners of Legal Entity Customers; however, institutions are permitted to collect the required information by another means, provided they have the individual certify the accuracy of the information. Instructions for Store Team Members: Scan and email to Account, AMCB CIF Account Maintenance Docs . One individual who has significant responsibility for managing the legal entity (business). . T he required information maybe provided in other formats.

10 See 31 CFR 1010.230, Appendix A, Certification Regarding Beneficial Owners of Legal Entity Customers (2016) 11 FinCEN, FIN-2018-G001, . Requiring the disclosure of key individuals who ultimately own or control a legal entity (i.e., the beneficial owners) helps law . Legal ntity Beneficial Owner(s) Certification CNFINIA Santander Bank, N.A. For the purposes of this form, a legal entity includes a corporation, limited liability company, or other entity that is created by a filing of a public document with a Secretary of State or similar office, a general partnership, and any similar business .