FOUROSIX TRADING LLC

CUSTOMER INFORMATION SHEET

(CIS)

FOUROSIX TRADING LLC

COMPANY NAME:
FOUROSIX TRADING LLC
COMPANY ADDRESS: 320 NORTH LAST CHANCE GULCH HELENA,
MT 59601
COMPANY REGISTER NO.: 15318993
REPRESENTED BY: SUGAM KUMAR BHUSAL
NATIONALITY: USA
ID NUMBER: B21443685
DATE OF ISSUE: 03/27/2019
DATE OF EXPIRY: 03/28/2029

BANK NAME: HSBC TRINKAUS & BURKHARDT

BANK ADDRESS: HANSAALLEE 3, 40549 DÜSSELDORF,
GERMANY
SWIFT CODE: TUBDDEDDXXX
ACCOUNT NUMBER / IBAN: 3654986546
DE79300308803654986546
ACCOUNT NAME: FOUROSIX TRADING LLC
BANK OFFICER NAME: TBA
BANK OFFICER PHONE: TBA
BANK OFFICER E-MAIL: TBA

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 FOUROSIX TRADING LLC

ID NO / DRIVER’S LICENSE

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PROOF OF REGISTRATION OF THE

COMPANY

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