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relation to the client, hereby certify that the attached documents have been
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and Spanish and that, in our best judgement, the translated text truly reflects the
content, meaning, and style of the original text and constitutes in every respect a
complete an accurate translation of the original document.

This is to certify the correctness of the translation only. We do not guarantee that
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documents are true. Further, ​Florida Translate, LLC​ assumes no liability for the
way in which the translation is used by the customer or any third party, including
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A copy of the translation is attached to this certification.

_________________________________
Patrick Gligo, Translator
Florida Translate, LLC
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321-290-1810

__________________________________________________________________
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fomag
Generation number: IR20221016072846111471
Generation date: 10-16-2022 07:28:46

INCOME AND WITHHOLDING CERTIFICATE

FIDUPREVISORA S.A.
NATIONAL MAGISTERIUM SOCIAL BENEFITS
FUND

CERTIFIES:

The NATIONAL MAGISTERIUM SOCIAL BENEFITS FUND certifies that Mr(s). EULOGIO DEL ROSARIO CARRILLO
DE LA CRUZ identified with the type of document National Identity Card number 7591022, during the taxable year 2021,
withheld at the source, for the following concepts:

INCOME CONCEPTS

CONCEPT BASE OF WITHHOLDING WITHHOLDING AMOUNT

PENSION ALLOWANCES 9,006.02 0

LAYOFFS 38,474.68 0

Total 47,480.70

CONCEPT OF CONTRIBUTIONS/DISCOUNTS

CONCEPT AMOUNT OF WITHHOLDING

HEALTH CONTRIBUTIONS 1,080.72

OTHER DISCOUNTS 3,433.31

Additionally, it is reported that as of January 1st of 1998 and in accordance with article 135 numeral 5 of Law 100 of 1993
and article 206 numeral 5 of the Tax Statute, the pension allowances will be subject to withholding at the
source, only in the part of the monthly payment that exceeds 1,0000 UVT.

Main Office
Education is Mineducacion BOGOTA D.C.: CALLE 72 NO. 10-03
for everyone National Service Line: 01 8000 91 90 15
Customer Service Direct Line: +57 (1) 516 9031
www.fomag.gov.co
Fomag @FomagOficial

*All currency converted to USD at a rate of 1.00 USD = 4,678.40

Certificate of Translation 8 CFR 103.2(b)(3).

I, Patrick Gligo, attest that I am a competent translator, fluent in the languages of English and Spanish, and capable of rendering the foregoing translation as accurate and complete. Done on this 17th day of
October, 2022
fomag

Likewise, it is reported that in accordance with article 10 of Decree 836 of 1991, this certificate does not require the
autograph signature of the withholding agent.

This communication does not have the nature of an administrative act because Fiduprevisora ​S.A. does not have the
power to issue them.

In these terms, Fiduprevisora ​S.A., acting as spokesperson and administrator of the Autonomous Patrimony of the
National Fund for Social Benefits of Teachers, by virtue of the Public Mercantile Trust Agreement entered into between it
and the Nation, in accordance with the provisions of Article 1 of the Decree 1049 of 2006, responds to the request

Given at the request of the interested party on the 16th day of the month of October of the year 2022 07:28:46 AM.

Sincerely,

NATIONAL TEACHER SOCIAL BENEFITS FUND

Main Office
Education is Mineducacion BOGOTA D.C.: CALLE 72 NO. 10-03
for everyone National Service Line: 01 8000 91 90 15
Customer Service Direct Line: +57 (1) 516 9031
www.fomag.gov.co
Fomag @FomagOficial

Certificate of Translation 8 CFR 103.2(b)(3).

I, Patrick Gligo, attest that I am a competent translator, fluent in the languages of English and Spanish, and capable of rendering the foregoing translation as accurate and complete. Done on this 17th day of
October, 2022
DIAN 220
Certificate of Income and Withholdings for Income from Work and Pensions
Taxable year 2021

FOR A MORE HONEST COLOMBIA

Before filling out this form, carefully read the instructions 4. Form number

5. Tax Identification Number (NIT) 6. DV. 7. First surname 8. Second surname 9. First name 10. Other names
891780009 4
11. Company name
MAYOR’S OFFICE OF SANTA MARIA
24. Type of 25. Identification number 26. First surname 27. Second surname 28. First name 29 Other names
document
13 7591022 CARRILLO DE LA CRUZ EULOGIO DEL ROSARIO
Period of certification 32. Date of issue 33. Place where retention was made 34. Dept. 35. City/
Code Municipality Code
30. FROM: 01 01 2021 31. TO: 12 31 2021 SANTA MARTA (MAG) 47 001
Concepts of Income Value
Payments for salaries or ecclesiastical emoluments 36 14,719.56
Payment with electronic vouchers or service paper, checks, cards, vouchers, etc. 37 0.00
Payments for fees 38 0.00
Payments for services 39 0.00
Payments for commissions 40 0.00
Payments for social benefits 41 4,405.10
Payments for travel expenses 42 0.00
Payments for representation expenses 43 0. 00
Payments for compensation for cooperative associated work 44 0.00
Other payments 45 0.00
Severance payments and severance interest effectively paid to the employee 46 0.00
Severance payments consigned to the severance fund 47 0. 00
Retirement, old-age or disability pensions 48 0.00
Total gross income (Add 36 to 48) 49 19,124.66
Concept of contributions Value
Mandatory contributions for health by the worker 50 633.21
Mandatory contributions to pension funds and pension solidarity by the worker 51 796.68
Voluntary contributions to the individual savings scheme with solidarity - RAIS 52 0.00
Voluntary contributions to pension funds 53 0.00
Contributions to AFC accounts 54 0.00
Value of withholding at source for labor income and pensions 55 670.10
Name of the payer or withholding agent Art 10 Dec 836/91 No Autograph Signature Req 0.00
Data provided by the worker or pensioner
Concept of other income Value received Value withheld
Leases 56 63
Fees, commissions and services 57 64
Interest and financial returns 58 65
Disposal of fixed assets 59 66
Lotteries, raffles, bets and similar 60 67
Others 61 68
Totals: (Amount received: Add 57 to 61), (Amount retained: Add 63 to 68) 62 69
Total withholding taxable year 2021 (Add 55 + 69) 70
Item 71. Identification of assets and rights owned 72. Equity value
1
2
3
4
5
6
Current debts as of December 31st, 2021 73
Identification of the economic dependent according to paragraph 2 of article 387 of the Tax Statute
74. Document type 75. Document No. 76. Surnames and First names 77. Relationship

I certify that during taxable year 2021: Worker or Pensioner’s Signature

1. My gross assets did not exceed 4,500 UVT ($34,923.46).
2. My gross income was less than 1,400 UVT ($10,865.03).
3. I was not responsible for sales tax.
4. My consumption by credit card did not exceed the sum of 1,400 UVT ($10.865.03).
5. That the total of my purchases and consumptions did not exceed the sum of 1,400 UVT ($10,865.03).
6. That the total value of my bank appropriations, deposits or financial investments did not exceed 1,400 UVT ($10,865.03)

Therefore, I state that I am not required to file an income tax return and supplementary tax return for taxable year 2021.

Note: this certificate substitutes for all legal purposes the Income and Complementary declaration for the worker or pensioner who signs it.
For those independent workers who pay the unified tax, they must present the annual consolidated declaration of the Simple Tax Regimen (SIMPLE).

*All currency converted to USD at a rate of 1.00 USD = 4,678.40

Certificate of Translation 8 CFR 103.2(b)(3).

I, Patrick Gligo, attest that I am a competent translator, fluent in the languages of English and Spanish, and capable of rendering the foregoing translation as accurate and complete. Done on this 17th day of
October, 2022
 INSTRUCTIONS FOR COMPLETING THE
CERTIFICATE OF INCOME AND WITHHOLDINGS FOR WORK INCOME
Taxable year 2021
Important: these instructions are a general guideline for completing the form and do
not exempt from the obligation to apply, in each particular case, the legal regulations
that regulate the issue of withholdings at the source for payments of Income from Work
and Pensions.
Remember that the data related to the identification of the withholding agent must
correspond to those reported in the Unique Tax Registry - RUT. Any modification to
them must be previously updated in said registry.
For the purpose of completing the totals within each of the sections of the form, the
numbers indicated refer to the box number.
The values ​filled out in the boxes of this certificate that must be reported by the
withholding agent and the worker or pensioner must be expressed in Colombian pesos
and approximated to the nearest multiple of one thousand (1000). In the event that
there is no value to register in any box, write zero (0).
Withholding agent information
4 Form number: fill in this box the number assigned by the natural or legal person
that issues the certification.
5 Tax Identification Number (NIT): write the Tax Identification Number assigned to
the withholding agent by the DIAN, without the verification digit, as it appears in
box 5 of the main page of the updated Unique Tax Registry (RUT). If there is none
enter periods, hyphens or letters.
6 DV.: write the number that is separate in your NIT, called "Verification Digit" (DV),
as it appears in box 6 of the main page of the updated RUT.
7 First surname: if the withholding agent is a natural person, write the first
surname, as it appears on the identification document, which must match the one
registered in box 31 of the main sheet of the updated RUT, if it does not match,
update the RUT before issuing the certificate.
8 Second surname: if the withholding agent is a natural person, write the second
surname, as it appears on the identification document, which must match the one
registered in box 32 of the main sheet of the updated RUT, if it does not match,
update the RUT before issuing the certificate.
9
First name: if the withholding agent is a natural person, write the first name, as it
appears on the identification document, which must match the one registered in
box 33 of the main sheet of the updated RUT, if it does not match, update the RUT
before issuing the certificate.
10 Other names: if the withholding agent is a natural person, write the second name
(or other names), as it appears in the identification document, which must coincide
with those registered in box 34 of the main sheet of the updated RUT, if it does not
match, update the RUT, before issuing the certificate.
11 Company name: if the withholding agent is a legal person or de facto company,
write the complete company name, which must match the one registered in box
35 of the main sheet of the updated RUT, if it does not match, update the RUT
before issuing the certificate. When the person issuing the certificate is a natural
person, this box should not be filled out.
Data of the worker or pensioner
24 Type of document: write in this box the code that corresponds to the type of
identification document of the worker or pensioner, namely:
12. Identity card 22. Immigration Identification Card
13. National Identity Card 31. NIT
21. Foreigner Card 41. Passport
25 Identification number: write the identification number of the worker or pensioner
as it appears on the identity document.
Surnames and first names
26 First surname: write the first surname, as it appears on the identification
document.
27 Second surname: write the second surname, as it appears on the identification
document.
28 First name: write the first name as it appears on the identification document.
29
Other names: write the second first name (or other names), as it appears on the
identification document.
30 Certification period, FROM: write in its order the year, month, day, in which the
certified period begins.
31
Period of certification, TO: write in its order the year, month, day, in which the
period that is certified ends.
Certificate of Translation 8 CFR 103.2(b)(3).
I, Patrick Gligo, attest that I am a competent translator, fluent in the languages of English and Spanish, and capable of rendering the foregoing translation as accurate and complete. Done on this 17th day of
October, 2022
32 Date of issue: write in its order the year, month, day of the date of issue of the
certificate.
33 Place where the withholding was made: write the place (City/Municipality) where
the withholding was made.
34 Dept. Cod.: write the code corresponding to the department of the place where the
withholding was made, for this purpose, use the “Department Code” tables generated
by DANE.
35 City/Municipality Code: Write the code corresponding to the city/municipality of the
place where the withholding was made. For this purpose, use the “Municipality Code”
tables generated by DANE.
Concept of income
36 Payments for salaries or ecclesiastical emoluments: enter the total value of payments
for salaries actually made during the period to any natural person residing in the
country whose income comes from a labor or legal and regulatory relationship.
According to article 127 of the Substantive Labor Code (hereinafter CST), not only
ordinary, fixed or variable remuneration, but also everything that the worker receives
in money or in kind as direct consideration for the service, whatever the form or
denomination that is adopted, such as bonuses, usual bonuses, value of
supplementary work or overtime, value of work on mandatory rest days, percentages
of sales and commissions. Ecclesiastical emoluments are considered to be payments
or credits in account, whether in money or in kind, that are made directly or indirectly
with the purpose of compensating or rewarding the personal service of the minister of
worship, without distinction of the way in which it is called and of the orientation or
religious creed that they profess.
In this box, do not include the values ​corresponding to the concepts included in
boxes 38 to 45.
37 Payments made with electronic or paper service vouchers, checks, cards,
vouchers, etc: write the total value of payments made with electronic or paper
service vouchers, checks, cards, vouchers, etc.
In the case of payments made by employers in favor of third parties, for the food of
the worker or their family, or for the provision of food for them in their own or
third-party restaurants, as well as payments for the purchase of vouchers or tickets
for the acquisition of food for the worker or their family, are deductible for the
employer and do not constitute income for the worker, but for the third party that
supplies the food or provides the restaurant service, subject to withholding in the
corresponding source at the head of the latter, provided that the beneficiary worker's
salary does not exceed 310 UVT. The foregoing without prejudice to the provisions
on salary matters by the CST.
When the payments in the month for the benefit of the worker or their family, referred
to in the previous paragraph, exceed the sum of 41 UVT, the excess constitutes tax
income of the worker, subject to withholding at the source for labor income. The
provisions of this subsection do not apply to the representation expenses of the
companies, which are deductible for them.
Note: do not include in this box income that was reported in box 36 (Payments for
salaries or ecclesiastical emoluments.).
38 Payments for fees: write in this box the total value of payments for fees made to
natural persons who provide services, in which the intellectual factor predominates
over the technical, material, manual or mechanical factor; in general, these types of
services are provided by people with a professional degree, or with great experience
and skill in a specific area of ​knowledge.
39 Payments for services: write in this box the value of the payments or credits to the
account made for services. Services are understood to be an activity or work
provided by a legal or natural person without a labor dependency relationship with
the person who contracts its execution and that is specified in an obligation to do in
which the intellectual factor does not predominate, in which the technical and the
manual prevail over the intellect, that is to say, where a great mental and intellectual
skill is not needed to lend it and a consideration in money or kind is generated.
40 Payments for commissions: write in this box the value of the payments or credits to
the account made for commissions. Commissions are understood to be
remuneration for activities that involve the execution of acts, operations,
management, commissions, mandates, businesses, sales, etc., in their own name,
but on behalf of another, whether or not they have the character of commercial acts,
executed by legal or natural persons
41 Payments for social benefits: write in this box the value of the payments or credits
to the account made for social benefits, other than those corresponding to severance
payments and interest on severance payments actually paid to the employee or
credited to the severance fund and that must be be registered
1
in boxes 46 and 47 respectively. Social benefits are additional legal benefits to the
ordinary salary that the employer pays to its workers bound by an employment contract
for their services. This money must be recognized to the worker to meet needs or cover
risks arising during the development of their work activity. Within the social benefits are
the following concepts that have been expressly considered by the labor law: the service
premium, the severance pay and severance pay interest actually paid to the employee
(to be included in box 46), Severance payments consigned to the severance fund (to be
included in box 47), vacations and endowments, among others.
42 Payments for travel expenses: enter the total value of payments for travel
expenses made during the period to workers to cover the expenses they incur in
carrying out their duties outside the usual place of work: mainly recognizing
transportation expenses, maintenance and lodging of the worker. (Concept 23959 of
the Ministry of Labor of February 13th, 2013).
43 Payments for representation expenses: write the total value of the payments
made to the worker in the period as representation expenses.
44 Payments for compensation for cooperative associate work: write the total
value of the payments made in the period for compensation made for cooperative
associate work. Compensations for cooperative associated work is the money
received by a worker associated with an associated work cooperative, provided that
the respective compensation and work regimen is duly registered in the Ministry of
Labor, and that the respective contributions are also made to social Security.
45 Other payments: write the value of the other payments actually made in the period
for concepts other than those registered in the previous boxes, as long as they have
originated in the labor or legal and regulatory relationship or of any other nature that
constitute income from work or pensions, including compensation for personal
services.
46 Severance payments and interest on severance payments actually paid to the
employee: write in this box the value that the employer has actually paid in the
taxable year 2021 to the worker for severance pay and interest on severance pay
and the value of the severance aid recognized in the period of those workers of the
traditional CST regime, contained in Chapter VII, Title VIII Part One . The foregoing
in accordance with article 1.2.1.20.7 of Sole Regulatory Decree 1625 of 2016 in Tax
Matters.
47 Severance payments consigned to the severance fund: include the value of the
severance payments that the employer has paid on behalf of the worker in the
severance fund in taxable year 2021.
48 Retirement, old-age or disability pensions: enter the value of the payments made
to the pensioner during the period for retirement, old-age or disability pensions.
49 Total gross income: write the result of adding the values ​in boxes 36
to 48.
Concept of contributions
50 Mandatory health contributions paid by the worker: write the amount that has
actually been deducted from the worker's labor income for mandatory health
contributions.
51 Mandatory contributions to pension funds and pension solidarity by the
worker: Write the value that has been effectively deducted from the worker's labor
income for mandatory pension contributions and pension solidarity fund.
52 Voluntary contributions to the individual savings scheme with solidarity -
RAIS: include the value that has actually been deducted from labor income for
voluntary contributions to the Individual Savings Scheme with Solidarity to the
General Pension System - RAIS, which is dealt with in the article 55 of the Tax
Statute and article 1.2.1.12.9 of Sole Regulatory Decree 1625 of 2016 in Tax
Matters.
53 Voluntary contributions to pension funds: write the value that has actually been
deducted from labor income on behalf of the worker, for voluntary contributions to
voluntary pension funds, which is dealt with in article 126-1 of the Tax Statute and
article 1.2 .1.22.41 of Sole Regulatory Decree 1625 of 2016 in Tax Matters.
54 Contributions to AFC accounts: write the amount that has actually been deducted
from labor income in the name of the worker to entities, such as programmed
savings for home purchase to AFC accounts.
55 Value of the withholding at the source for work income and pensions: write in
this box the total withholdings at source for income tax made to the worker or
pensioner in the period.
Name of the payer or withholding agent: person who certifies that the information
entered is true, that there is no other payment or compensation in favor of the worker or
pensioner for the period referred to in the certificate and that the payments and
withholdings stated have been made in accordance with the pertinent regulations. Data
in charge of the worker or pensioner.
Certificate of Translation 8 CFR 103.2(b)(3).
I, Patrick Gligo, attest that I am a competent translator, fluent in the languages of English and Spanish, and capable of rendering the foregoing translation as accurate and complete. Done on this 17th day of
October, 2022
Important: this section should only be completed by that worker or pensioner who is not
required to declare income and complementary tax, for whom this certificate will replace
their declaration for said concept. (See requirements at the end of the instructions).
Concept of other income
Note: in this section, the column corresponding to "Value received" (Boxes 56 to 61)
must be filled out simultaneously with the one for "Value withheld" (Boxes 63 to 68),
according to the indications given for each box.
56 and 63. Leases: write in box 56 the value that you actually received during the
taxable year for leases of real or personal property. If withholding was applied at
the source for this concept, you must record this value in box 63.
57 and 64. Fees, commissions and services: write in box 57 the value effectively
received during the taxable year for fees, commissions or services, without
including the value of the withholding at source that was made for these concepts,
which you must record in box 64.
58 and 65. Interest and financial returns: write in box 58 the value certified by the
financial entities for interest and other financial returns received during the period.
Do not include the value of the withholdings at the source made for this concept,
which must be recorded in box 65.
59 and 66. Disposal of fixed assets: write in box 59 the value received in the period
for the sale of assets that are not part of those that you usually sell, such as
houses, apartments, vehicles, farms, furniture and fixtures, etc., which are called
fixed assets. If you were subject to withholding at source for these sales, do not
include in this box their value, which must be recorded in box 66.
60 and 67. Lotteries, raffles, bets and the like: write in box 60 the total prizes
received from lotteries, raffles, bets and the like that you have won during the year.
Do not include the value of the withholding at the source, which must be recorded
in box 67.
61 and 68. Others: write in box 61 the value of the gross income received during
the reported period for concepts other than those stated above. Do not include the
value of the withholdings at the source that were made for these concepts, which
must be recorded in box 68.
62 and 69. Totals: Write in box 62 the sum of the amounts received recorded in
boxes 56 to 61, and in box 69, the sum of the amounts withheld recorded in boxes
63 to 68.
70 Total withholdings for taxable year 2021: write the value obtained by adding
boxes 55 and 69.
71 and 72. Identification of assets and rights owned and Equity value: write in
items 1 to 8 of box 72, the assets and rights appreciable in money owned as of
December 31st, 2021 and in box 72 the equity value of these assets, including
assets owned abroad. For this purpose, the following are cited as examples: cash,
bank deposits in any capacity, shares and social contributions, investments,
credits in favor, fiduciary rights, fixed assets (furniture, real estate, vehicles, etc.).
73 Current debts as of December 31st, 2021: write in this box the total value of
debts in national or foreign currency payable by the taxpayer as of December 31st,
2021.
Identification of the economic dependent in accordance with paragraph 2 of article
387 of the Tax Statute.
These boxes must be filled out by the employer in the event that the worker has
reported the information corresponding to the economic dependent for the purpose
of reducing the monthly withholding tax base for income.
74 Type of document: write in this box the type of document through which the
person who legally depends financially on the worker during the 2021 taxable
period is identified.
75 Document No.: write the number of the document that corresponds to the type of
document registered in box 74.
76 Surnames and first names: write in this box the surnames and first names of one
of the people who legally depended economically on the worker during the taxable
period 2021.
77 Relationship: write in this box the type of relationship of the dependent person to
the worker, listed in box 76.
Signature of the worker or pensioner: space destined for the signature of the worker
or pensioner in proof of the veracity of the certified data in their charge. Remember that
the "Certificate of Income and Withholdings" filled out by the employer and by the worker
or pensioner not required to declare, substitutes for all legal purposes the income
statement and its supplement.
2
Individuals who meet all of the following requirements are not required to file an c) The worker must keep in his or her possession the certificates of withholding at the
income tax return and a supplementary statement: source issued by the withholding agents and display them when the Management of
National Taxes and Customs -DIAN so requires.
1 My gross assets did not exceed 4,500 UVT ($34,923.46). The income and complementary tax payable by workers or pensioners not required to
2
file an income and complementary tax return, is equivalent to the total withholdings at
My gross income was less than 1,400 UVT ($10,865.03).
the source applied to the payments or credits in account made during the taxable year
3 I was not responsible for sales tax. 2021 for all concepts, which appear in box 70 "Total withholdings taxable year 2021"
4 My consumption by credit card did not exceed the sum of 1,400 UVT of this certificate.
($10,865.03).
Workers or pensioners can file an income statement with the purpose of requesting the
5 That the total of my purchases and consumption did not exceed the sum of 1,400 balance in favor of the values ​withheld.
UVT ($10,865.03).
6 That the total value of my bank deposits, deposits or financial investments did not Workers or pensioners obliged to declare
exceed 1,400 UVT ($10,865.03).
When the particular situation does not meet one of the requirements noted for workers
Notes: or pensioners not obliged to declare, they must present the income and
a) The income used as the basis for the calculation should not include those complementary declaration. Therefore, they will not have to fill out the lower section of
corresponding to the sale of fixed assets or those from lotteries, raffles, bets or the the certificate called "Data in charge of the worker or pensioner".
like. (Paragraph 2 of article 593 of the ET).
IN EITHER OF THE TWO SITUATIONS, KEEP THIS CERTIFICATE AS A
b) Tax returns filed by those not required to declare will create legal consequences. SUBSTITUTE OR SUPPORT FOR YOUR TAX RETURN. THE NATIONAL TAX AND
(Article 6 of the E.T. Voluntary return of income tax). CUSTOMS DIRECTORATE MAY REQUIRE IT.

3
*All currency converted to USD at a rate of 1.00 USD = 4,678.40

Certificate of Translation 8 CFR 103.2(b)(3).

I, Patrick Gligo, attest that I am a competent translator, fluent in the languages of English and Spanish, and capable of rendering the foregoing translation as accurate and complete. Done on this 17th day of
October, 2022
 Product protected by
Fogafin Deposit Insurance
Security for your money www.fogafin.gov.co

Bancolombia
ACCOUNT STATEMENT
MEDINA PIANOS FROM: 08/31/2022 TO: 09/30/2022
CL 33 20 52 SAVINGS ACCOUNT
$$BOGOTA D.C. BOGOTA D.C. NUMBER 3100069627
FINANCIAL CENTER BRANCH

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Summary

PREVIOUS BALANCE $ 16,482.80 AVERAGE BALANCE $ 20,020.92

TOTAL PAYMENTS $ 9,595.76 ACCOUNTS RECEIVABLE $ .00
TOTAL CHARGES $ 3,313.56 VALUE OF INTERESTS PAID $ 3.93
CURRENT BALANCE $ 22,765.00 RESOURCE $ .00

DATE DESCRIPTION BRANCH DCTO. VALUE BALANCE

09/1 SAVINGS INTEREST PAYMENT 0.09 16,482.89

09/2 SAVINGS INTEREST PAYMENT 0.089 16,482.98
09/2 4X1000 GOVERNMENT TAX -0.63 16,482.35
09/2 VIRTUAL BRANCH ACCOUNT TRANSFER -157.32 16,325.03
09/3 4X1000 GOVERNMENT TAX -0.05 16,324.98
09/3 PSE Rappi SAS PAYMENT -7.21 16,317.76
09/3 VIRTUAL BRANCH ACCOUNT TRANSFER -5.34 16,312.42
09/4 SAVINGS INTEREST PAYMENT 0.18 16,312.60
09/5 4X1000 GOVERNMENT TAX -0.11 16,312.49
09/5 PSE NU COLOMBIA SA PAYMENT -27.01 16,285.48
09/6 SAVINGS INTEREST PAYMENT 0.18 16,285.66
09/7 VIRTUAL BRANCH ACCOUNT TRANSFER 213.75 16,499.41
09/7 SAVINGS INTEREST PAYMENT 0.09 16,499.50
09/7 4X1000 GOVERNMENT TAX -0.13 16,499.37
09/7 VIRTUAL BRANCH ACCOUNT TRANSFER -32.06 16,467.31
09/8 LOCAL CASH CONSIGNATION FINANCIAL CENTER 2,778.73 19,246.04
09/8 SAVINGS INTEREST PAYMENT 0.11 19,246.14
09/8 TRANSFER TO NEQUI -12.82 19,233.32
09/8 TRANSFER TO NEQUI -21.37 19,211.94
09/8 4X1000 GOVERNMENT TAX -0.14 19,211.81
09/9 SAVINGS INTEREST PAYMENT 0.11 19,211.91
09/9 TRANSFER TO NEQUI -17.10 19,194.81
09/10 4X1000 GOVERNMENT TAX -0.068 19,194.74
09/10 SAVINGS INTEREST PAYMENT 0.10 19,194.84
09/10 TRANSFER TO NEQUI -74.81 19,120.03
09/10 4X1000 GOVERNMENT TAX -3.29 19,116.74
09/10 TRANSFER TO OTHER BANKS -748.12 18,368.62
09/10 DB SAVINGS INTEREST ADJUSTMENT -0.0000085 18,368.62
09/10 COMMISSION TRANSFER TO OTHER BANKS -1.38 18,367.24
09/10 VAT COMMISSION TRANSFER TO OTHER BANKS -0.26 18,366.98
09/11 SAVINGS INTEREST PAYMENT 0.10 18,367.08
09/11 4X1000 GOVERNMENT TAX -0.0055 18,367.08
09/12 4X1000 GOVERNMENT TAX -0.30 18,366.78

Financial Consumer Ombudsman: Juan F. Celi M defender@bancolombia.com.co CR.43A#1A SUR188 OF.709 MEDELLIN. Phone 018000522622
*All currency converted to USD at a rate of 1.00 USD = 4,678.40 PAGE: 1

Certificate of Translation 8 CFR 103.2(b)(3).

I, Patrick Gligo, attest that I am a competent translator, fluent in the languages of English and Spanish, and capable of rendering the foregoing translation as accurate and complete. Done on this 17th day of
October, 2022
 Bancolombia
ACCOUNT STATEMENT
MEDINA PIANOS FROM: 08/31/2022 TO: 09/30/2022
CL 33 20 52 SAVINGS ACCOUNT
$$BOGOTA D.C. BOGOTA D.C. NUMBER 3100069627
CENTRO INTERNACIONAL BRANCH

DATE DESCRIPTION BRANCH DCTO. VALUE BALANCE

12/09 VIRTUAL BRANCH ACCOUNT TRANSFER -74.81 18,291.97

13/09 SAVINGS INTEREST PAYMENT 0.20 18,292.17
14/09 SAVINGS INTEREST PAYMENT 0.10 18,292.27
14/09 4X1000 GOVERNMENT TAX -0.011 18,292.25
14/09 DEBIT CARD HANDLING FEE -2.78 18,289.48
15/09 VIRTUAL BRANCH ACCOUNT TRANSFER 1,282.49 19,571.97
15/09 SAVINGS INTEREST PAYMENT 0.11 19,572.07
16/09 INVERS FUND MOVEMENT 1,496.24 21,068.31
16/09 4X1000 GOVERNMENT TAX -0.077 21,068.24
16/09 VIRTUAL BRANCH ACCOUNT TRANSFER -19.22 21,049.02
18/09 SAVINGS INTEREST PAYMENT 0.35 21,049.37
19/09 SAVINGS INTEREST PAYMENT 0.11 21,049.48
19/09 4X1000 GOVERNMENT TAX -0.55 21,048.93
19/09 TRANSFER TO OTHER BANKS -136.25 20,912.68
19/09 DB SAVINGS INTEREST ADJUSTMENT -0.0000085 20,912.68
19/09 COMMISSION TRANSFER TO OTHER BANKS -1.38 20,911.30
19/09 VAT COMMISSION TRANSFER TO OTHER BANKS -0.26 20,911.04
20/09 SAVINGS INTEREST PAYMENT 0.11 20,911.16
20/09 4X1000 GOVERNMENT TAX -0.0055 20,911.15
21/09 INTERBANC UNIVERSIDAD EXT PAYMENT 190.12 21,101.27
21/09 VIRTUAL BRANCH ACCOUNT TRANSFER 267.19 21,368.46
21/09 VIRTUAL BRANCH ACCOUNT TRANSFER 2,584.22 23,952.67
21/09 4X1000 GOVERNMENT TAX -0.29 23,952.39
21/09 VIRTUAL BRANCH ACCOUNT TRANSFER -71.61 23,880.78
22/09 SAVINGS INTEREST PAYMENT 0.39 23,881.18
23/09 SAVINGS INTEREST PAYMENT 0.19 23,881.37
23/09 TRANSFER TO NEQUI -29.92 23,851.45
23/09 4X1000 GOVERNMENT TAX -0.63 23,850.81
23/09 VIRTUAL BRANCH ACCOUNT TRANSFER -64.12 23,786.69
23/09 VIRTUAL BRANCH ACCOUNT TRANSFER -64.12 23,722.56
24/09 VIRTUAL BRANCH ACCOUNT TRANSFER 267.19 23,989.75
24/09 SAVINGS INTEREST PAYMENT 0.20 23,989.95
25/09 SAVINGS INTEREST PAYMENT 0.20 23,990.14
25/09 TRANSFER TO NEQUI -21.37 23,968.77
25/09 TRANSFER TO NEQUI -4.27 23,964.49
25/09 4X1000 GOVERNMENT TAX -0.10 23,964.39
26/09 4X1000 GOVERNMENT TAX -6.37 23,958.02
26/09 PSE DAVIVIEND BROKERS PAYMENT -983.24 22,974.78
26/09 PSE A Toda Hora SA PAYMENT -34.76 22,940.02
26/09 VIRTUAL BRANCH ACCOUNT TRANSFER -575.20 22,364.82
27/09 SAVINGS INTEREST PAYMENT 0.37 22,365.19
28/09 4X1000 GOVERNMENT TAX -0.13 22,365.06
28/09 VIRTUAL BRANCH ACCOUNT TRANSFER -32.06 22,333.00
29/09 SAVINGS INTEREST PAYMENT 0.37 22,333.36
30/09 INTERBANC JESUS SEBASTIAN PAYMENT 56.64 22,390.01
30/09 TRANSFERENCIA CTA CAJERO 455.28 22,845.29
30/09 SAVINGS INTEREST PAYMENT 0.19 22,845.48
30/09 TRANSFER TO NEQUI -5.34 22,840.13
30/09 TRANSFER TO NEQUI -10.69 22,829.45
30/09 4X1000 GOVERNMENT TAX -0.32 22,829.13
30/09 VIRTUAL BRANCH ACCOUNT TRANSFER -64.12 22,765.00
END OF ACCOUNT STATEMENT

Financial Consumer Ombudsman: Juan F. Celi M defender@bancolombia.com.co CR.43A#1A SUR188 OF.709 MEDELLIN. Phone 018000522622
*All currency converted to USD at a rate of 1.00 USD = 4,678.40 PAGE: 2

Certificate of Translation 8 CFR 103.2(b)(3).

I, Patrick Gligo, attest that I am a competent translator, fluent in the languages of English and Spanish, and capable of rendering the foregoing translation as accurate and complete. Done on this 17th day of
October, 2022