SAIDI MILENA PINEDA PALOMINO

I.D No.: 63.474.351 by COLOMBIA

Address: Carrera 33 # 35-12, Barrancabermeja Santander, Colombia
Mobile: +573184076052 e-Mail: milepineda24@gmail.com

CLIENT INFORMATION SHEET

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 al/ appropriate precautions to protect the
confidentiality of the information contained herein, This legal obligation shall remain in full force
indefinitely without restriction.

DETAILS OF SIGNA TORY (SUB-FEE BENEFICIARY) –INDIVIDUAL

First Name: SAIDI

Middle Name: MILENA
Last Name: PINEDA PALOMINO
Gender: FEMENINO
Date of Birth: 24/09/1978
Social Security Number: 19.197.173
Country of Citizenship: BARRANCABERMEJA, COLOMBIA
Languages: SPANISH
Email: milepineda24@gmail.com
Telephone: +573184076052

PASSPORT INFORMATION OF OFFICERS(S) OF CORPORATION

*Please attach copy of photo and signature page of passport

Passport Number : EN PROCESO
Date of Issue :
Date of Expiry :
Issuing Authority :

l, SAIDI MILENA PINEDA PALOMINO, hereby declare with full personal and corporate
responsibility under penalty of perjury that the information given above is accurate and true,
as of this date:

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 SAIDI MILENA PINEDA PALOMINO
I.D No.: 63.474.351 by COLOMBIA
Adress: Carrera 33 # 35-12, Barrancabermeja Santander, Colombia
Mobile: +573184076052 e-Mail: milepineda24@gmail.com

Signature: Fingerprint________________

NAME: SAIDI MILENA PINEDA PALOMINO.

NUMBER: 63.474.351 de Barrancabermeja.
Passport Number: En proceso
Date of Issue:
Date of Expiry:
Issuing Authority:
Country of Issuance:

PRIVATE AND CONFIDENTIAL INFORMATION

This communication may contain information that is legally privileged, confidential or exempt from
disclosure. The information transmitted is intended only for the person(s) or entity to which it is
addressed. Any review, retransmission, dissemination or other use of, or taking of any action in
reliance upon, this information by persons or entities other than the intended recipient(s) is strictly
prohibited. If you received this message in error, please contact the sender and delete the materials
from any computer. This electronic communication is covered by the Electronic Communications
Privacy Act of 1986, Codified at 18 USC 1367, 2510-2521, 2701-2710, and 3121-3126. Also, see:
http://www.ftc.gov/privacy/g/bact/glbsubl.htm - Gramm-Leach-B/i/ey Act 15 USC, Subchapter l, Sec.
6801-6809.

INFORMATION SELLER AND BUYER / ICC WARNING (ICC Commercial Crime Services) This is a
very important message to anyone involved in the commodities industry on the new measures with
respect to the Buyers and Sellers conducting old and other commodities transactions. If an ICPO,
1.01, RWA or BCL is issued and the documents are not real, the Buyer will be able to inform the FBI,
ICC and INTERPOL. In addition, after an FCO is sent to the Buyer, there should be a formal answer to
the Seller from the Buyer. Ifthere's no response from the Buyer in a timely manner, the buying
company will be reported to the FBI, ICC and INTERPOL. If this action is repeated by the sellers, they
will also be reported because of abuse of the NCNDA, LOI, ICPO AND RWA OR BCL, and FOR THIS IS A
FEDERAL OFFENSE. It is important to transmit this to all clients that wotk with providers that are
members of the ICC, FBI and other international organizations, From this point fonvard, the
international codes will be strictly enforceð to exclude all intruders that send out false information.
Those who submit false NCNDA/IMFPA 1.01, ICPO, RWA OR BCL OR FCO, as well as FALSE PROOF OF
PRODUCT (POP), WILL BE CHARGED WITH A CRIME. This went into effect November 15, 2008 after a
meeting was held between the Federal Reserve, European Central Bank, Interpol, Federal Bureau of
Investigation and Central Intelligence Agency.

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 SAIDI MILENA PINEDA PALOMINO
I.D No.: 63.474.351 by COLOMBIA
Adress: Carrera 33 # 35-12, Barrancabermeja Santander, Colombia
Mobile: +573184076052 e-Mail: milepineda24@gmail.com

COLOR COPY OF IDPASSPORT

PRIVATE & CONFIDENTIAL - NOT FOR CIRCULATION

This document (and any enclosures or attachments) are intended only for the parties named on this
agreement or their Bank's and contains confidential and legally privileged info. January 11, 2023.
END OF DOCUMENT

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