CLIENT INFORMATION SHEET

FOR PAYMASTER SERVICES

DATE: July 10, 2018

In accordance with Articles 2 and 5 of the due diligence and federal banking commission
circular of December 1999, concerning the prevention of money laundering, and Article 305 of
the Swiss Criminal Code, the following information may be supplied to banks and to financial
institutions for purposes of verification of identity and activities of the investing member, and
the nature and origin of the funds which are to be utilized.

Client Full Name MARILDA RODRIGUES

Nationality BRAZILIAN
Passport Number FT321449
Issued By SR/DPF/RJ
Issue Date 01 JUNHO 2017
Expiration Date 31 MAIO 2027
Social Security Number (MEDICARE NO:) if N/A
any
LICENCES HELD(IF ANY) N/A
Phone no +55 21 96500 7875
E mail address Matilda1@hotmail.com
Skype address N/A
Date of Birth 02 OUTUBRO 1960
Place of Birth RIO DE JANEIRO/ RJ

Attorney ( if you have one)

Address
Telephone
Fax
Mobile
Email Address

Origin Of Funds re this activity

Are Funds Free and Clear
Brief Corporate Activity

Facilitator and/or Intermediary for

transactions between groups and/or Buyers
and Sellers of:

Commodities/Banking
Instruments/Bonds/Currency Exchange

CLASSIFIED AND CONFIDENTIAL

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