Download as pdf
Download as pdf
You are on page 1of 2
egy Appendix A Declaration for US Persons Re: Dorado Asset Management Lid. (the “Entity") |, Pedro Pablo Kuczynski, citizen/resident of the United Stated, with passport number 449872007, as a US Person hereby declare under oath the following: 1. That I have requisite knowledge and/or have been advised in relation to U.S.A. and international taxation by duly qualified professionals in foreign related investments and transactions regarding my legal and tax responsibilities, and know my obligati under the federal and state laws of the United States for being a director, officer, attomey-in-fact, sharcholder and/or beneficiary of the Entity, which I am committed to comply; 2. That Overseas Management Company (“OMC”) or any affiliated company of OMC has not been my advisor regarding my condition as director, officer, attorney: fact. shareholder and/or beneficiary of the Entity; 3. hereby release OMC, its directors, officers, employees, nominees, agents, representatives and any affiliated company of OMC from all liability, be it judicial or extrajudicial, as a consequence of any actions or omissions related with the incorporation of the Entity, and any services, Likewise, I will hold harmless and indemnify OMC, its directors, officers, employees, nominees, agents, representatives and any affiliated company of OMC from any legal fees, expenses, compensations and damages arising from any judicial or extra-judicial claim that may be presented by third parties or competent government authorities against OMC, its directors, officers, employees, nominees, agents, representatives and any affiliated company of OMC as a consequence of their actions or omissions related with the Av, Vietor Andrés Boliiande H4Z, Fittt’ Real Thos, OCMO!, San Isidro, Lima 27 Pers ado Palle Kucgyrske 4. That OMC is hereby authorized, without incurring in any kind of liability, to provide and disclose any information to any United States government authority when requested, be it through local competent authorities or not. , State of NOTARY SEAL, (Commission expiration date) ANIBAL CORVETTO ROMERO, NOTARIO DE LIMA CERTIFICO: QUE LA FIRMA QUE ANTECEDE DE PEDRO PABLO KUCZYNSKI GODARD IDENTIFICADO CON NI. N° 06477277 ES AUTENTICA LA MISMA QUE LEGALIZO. LIMA, 07 DE OCTUBRE DEL 2,013 Av. Vitor Andis Balheancde ID, Fitit: Real Thos, OFUO!, San Istdee, Lima 2F Pasi

You might also like