CERTIFICATE OF DONATION

THE REPUBLIC OF FRANCE

MINISTER OF JUSTICE FOR LEGISLATION OF HUMAN RIGHTS

TRIBUNAL OF THE FIRST INSTANCE OF PARIS

GREFFIER EN CHEF

BENEFICIARY IDENTIFICATION FORM

NAME AND FIRST NAME OF BENEFICIARY

ORIGINAL
…….............…….…..…….…Vervloet Wesley ……………………………………………….

FULL ADDRESS

……………………….. Belgium (Ekeren, antwerpen, pater strackestraat 9 b33 )…………………………

………………………………………………………………………………………………………………………………………….

AUTHORIZATION

… Court of First Instance of Paris by the legal act N'8II2-024 M.H.0.H / TPE …….

(REGIS CHIEF (CIC (CREDIT INDUSTRIAL AND CERMMERCIAL) BANKING FINANCE AND FOREIGN AFFAIRS VISA
MINISTRY OF FINANCE)

NB: This form must be returned within 24 hours accompanied by a deposit of 495 euros urgently requested by the
bank in charge of the protection of 198.580 euros.

Made in Paris ... .The 05/06/2019

Mme Linda Vandenberk P'ET. The Registrar BENEFICIARY'S SIGNATURE