Professional Documents
Culture Documents
In accordance with Articles 2 through 5 of the Due Diligence Convention and the Federal Banking Commission Circular of
December 1998, and under the US Patriot Act of 2002, as amended in February 2003 concerning the prevention of money
laundering and 305 of the Swiss Criminal Code, the following information may be supplied to banks and/or other financial
institutions for purposes of verification of identity and activities of the Client described below, and the nature and origin of the
funds which are to be utilized. The foregoing is subject to agreement by all parties to whom this information is provided that
they are obligated to respect the privacy rights of the Client and all individuals described herein, as well as the generally
accepted professional standards relating to the maintenance of confidential information, and to take all appropriate precautions
to protect the confidentiality of the information contained herein, This legal obligation shall remain in full force indefinitely
without restriction.
Corporate Information
Full Name of Corporate Institution Destileria La Isabela Corp.
Registration Number 833191980
Date of Registration 01/17/2019
9066 SW 73 Court, 33156, Miami FL, Edificio
Domicile / Jurisdiction
Metropolis, Apartamento 1805
Postal Address -
Registration Address -
Physical Address (if different from 9066 SW 73 Court, 33156, Miami FL, Edificio
Registration Address) Metropolis, Apartamento 1805
Business Telephone Number 1 809 519 9286
Business Facsimile Number -
E-mail Address jmatos52@gmail.com
Website -
Corporate Officers and Titles -
Details of Signatory to Contract – Corporate and Individual
First Name José Altagracia
Last Name Matos Espinosa
Date and Place of Birth April/07/1952, Barahona, RD
Nationality Dominican
Passport Number SC5397280
Date of Issue of the Passport Junio/17/2015
Expiry Date of the Passport Junio/17/2021
Title Within the Corporation/Company CEO
Mobile Phone Number 1 809 519 9286
Home Address Calle Tireo No. 3, Los Cacicazgos
Home Phone Number 809 793 0552
CLIENT LETTERHEAD
Home Facsimile Number -
E-Mail Address jmatos52@gmail.com
Do you speak English? NO
If not, what language do you speak? Spanish
Translator’s Name Elizabeth Matos
Translator’s Address Calle Tireo No. 3, Los Cacicazgos
Translator’s Phone Number/s 1 849 855 5755
Translator’s Facsimile Number -
Translator’s E-mail Address eematos74@gmail.com
Declaration: I/we swear under penalty of perjury, that the information given above is both true and
accurate. I am the signatory on the aforementioned bank account. All assets engaged in this transaction
are derived from non-criminal origin: and are good, cleared. The origin of funds is in compliance with
Anti-Money-Laundering Policies as set forth by the Financial Action Task Force (FATF) 6/01
____________________________
For and on behalf of:
NAME OF COMPANY: DESTILERIA LA ISABELA
NAME OF SIGNATORY: JOSE A. MATOS ESPINOSA
TITLE OF SIGNATORY: CEO
CLIENT LETTERHEAD
PASSPORT COUNTRY AND NUMBER: DOMINICAN REPUBLIC, SC5397280