JIMMY BRICEÑO CONTRERAS

Passport No: AR723171 Expiry: 20/0CTOBER/2025/ of Colombia

Address: Avenida 16 # 29-47
Barrio: Aguas Calientes-La libertad POSTAL CODE: 540003 Cúcuta-Colombia
Mobile Phone: (+57)-3502889641
E-Mail: jimmybc562@gmail.com
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CLIENT INFORMATION SHEET

In accordance with Articles Two (2) through Five (5) of the Due Diligence Convention and the Federal Banking Commission
Circular of December 1998, concerning the prevention of money laundering, and Article 305 of the Swiss Criminal Code, the
following information may be supplied to banks and/or other financial institutions for the purpose of verification of identity
and activities of the investing Member, and the nature and origin of the funds which are to be utilized. All parties have an
obligation to respect professional secrecy and to take all appropriate precautions to protect the confidentiality of the
information each holds in respect of the other's activities. This legal obligation shall remain in full force and effect at ALL
times. Directions: This document should be completed in full. If a line item does not pertain, then insert the term: “N/A”
(non-applicable).

Corporate Information
Full Name of Corporation : N/A

Location of Address: Registered Address (Corporation)

Full Name of Corporation : N/A

Location of Address: Mailing Address (Corporation)

Full Name of Corporation : N/A

Contact Information (Corporation)

Telephone Number : N/A

Languages / Translator

Languages : N/A
Does the Signatory speak English? : N/A
If No, Name of Translator : N/A
Tel Number : N/A
Email Address : N/A

Legal Advisor
Full Name : N/A

Bank Information (Corporate)

Bank Name (where funds are currently on deposit) : N/A

Client Account where Profits to be paid

Bank Name : N/A
 JIMMY BRICEÑO CONTRERAS
Passport No: AR723171 Expiry: 20/0CTOBER/2025/ of Colombia
Address: Avenida 16 # 29-47
Barrio: Aguas Calientes-La libertad POSTAL CODE: 540003 Cúcuta-Colombia
Mobile Phone: (+57)-3502889641
E-Mail: jimmybc562@gmail.com
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Personal Information of the Transactional Signatory Authorized by Corporation

(Please attach copy of the corporate resolution adopted by the Board of Directors appointing and authorizing said
officer(s) below to represent and legally bind the corporation)

First Name : JIMMY

Middle Name : N/A
Last Name : BRICEÑO CONTRERAS
Gender : MALE
Date of Birth : 14 JULIO 1983
Social Security Number : N/A
Country of Citizenship : COLOMBIA
Languages : Spanish
Tel : (+57) 3502889641
E-mail : jimmybc562@gmail.com

Passport Information of Officers(s) of Corporation

*Please attach copy of photo and signature page of passport

Passport Number : AR723171

Date of Issue : 25 JOCTUBRE 2015
Date of Expiry : 25 JULIO 2025
Issuing Authorit : G. NORTE DE SANTANDER

Location of Address: Home-Legal Residence (Officer of Corporation)

Full Name of Officer : JIMMY BRICEÑO

Street Address : Avenida 16 # 29-47 Barrio: Aguas Calientes-La libertad
City : CUCUTA
State : NORTE DE SANTANDER
Country : COLOMBIA
Postal Code : 540003

(You may duplicate the section above for each Director involved in transaction)

Investment

Funds available for this transaction : N/A

Type of currency : N/A
Origin of funds : N/A
 JIMMY BRICEÑO CONTRERAS
Passport No: AR723171 Expiry: 20/0CTOBER/2025/ of Colombia
Address: Avenida 16 # 29-47
Barrio: Aguas Calientes-La libertad POSTAL CODE: 540003 Cúcuta-Colombia
Mobile Phone: (+57)-3502889641
E-Mail: jimmybc562@gmail.com
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Are these funds free and clear of all liens, encumbrances and third party interests:

1. I, JIMMY BRICEÑO CONTRERAS , hereby declare as the undersigned, having the full signatory power
to transfer, assign, pledge or reserve upon terms satisfactory to me, with full authority to execute all
documents and agreements relating to the same.

2. I, JIMMY BRICEÑO CONTRERAS, hereby grant permission to contact all parties and institutions named
within this document, including the authorization to verify these disclosures.

3. I, JIMMY BRICEÑO CONTRERAS, Hereby swear under penalty of perjury, that the information
provided herein is accurate and true as of this date: 27 May 2019.

4. I, JIMMY BRICEÑO CONTRERAS, above is accurate and true as of 27 May 2019.

Signature:
Name / Title : JIMMY BRICEÑO CONTRERAS
Passport No : AR723171
Date of Issue : 21 OCTUBRE 2015
Date of Expiry : 21 OCTUBRE 2025
Country of Issuance : G. NORTE DE SANTANDER

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 U.S.C. §§ 1367, 2510-2521, 2701-2710, 3121-3126. Also, see: http://www.ftc.gov/privacy/glbact/glbsub1.htm - Gramm-Leach-Bliley Act 15
USC, Subchapter I, 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, LOI, 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. If there’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 NCND, LOI, ICPO AND RWA OR BCL, FOR THIS IS A FEDERAL OFFENSE. It is important to transmit this to all clients that
work with providers that are members of the ICC, FBI and other international organizations, from this point forward, the international codes will be strictly
enforced to exclude all intruders that send out false information. Those who submit false NCND/IMFPA, LOI, 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.

EDT (Electronic Document Transmissions)

“Accepted and agreed without change (Electronic signature is valid and accepted as hand signature”
EDT (Electronic Document Transmissions) shall be deemed valid and enforceable in respect of any provisions of this Contract. As applicable, this agreement
shall be:
1. Incorporate U.S. Public Law 106-229, ‘‘Electronic Signatures in Global and National Commerce Act’’ or such other applicable law conforming to the
UNCITRAL Model Law on Electronic Signatures (2001) and
 JIMMY BRICEÑO CONTRERAS
Passport No: AR723171 Expiry: 20/0CTOBER/2025/ of Colombia
Address: Avenida 16 # 29-47
Barrio: Aguas Calientes-La libertad POSTAL CODE: 540003 Cúcuta-Colombia
Mobile Phone: (+57)-3502889641
E-Mail: jimmybc562@gmail.com
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2. ELECTRONIC COMMERCE AGREEMENT (ECE/TRADE/257, Geneva, May 2000) adopted by the United Nations Centre for Trade Facilitation and Electronic
Business (UN/CEFACT).
3 EDT documents shall be subject to European Community Directive No. 95/46/EEC, as applicable. Either Party may request hard copy of any document that
has been previously transmitted by electronic means provided however, that any such request shall in no manner delay the parties from performing their
respective obligations and duties under EDT instruments.

COPY PASSPORT
 JIMMY BRICEÑO CONTRERAS
Passport No: AR723171 Expiry: 20/0CTOBER/2025/ of Colombia
Address: Avenida 16 # 29-47
Barrio: Aguas Calientes-La libertad POSTAL CODE: 540003 Cúcuta-
Colombia
Mobile Phone: (+57)-3502889641
E-Mail: jimmybc562@gmail.com Pág. 5 de 7

COPY ID / C. C.
 JIMMY BRICEÑO CONTRERAS
Passport No: AR723171 Expiry: 20/0CTOBER/2025/ of Colombia
Address: Avenida 16 # 29-47
Barrio: Aguas Calientes-La libertad POSTAL CODE: 540003 Cúcuta-Colombia
Mobile Phone: (+57)-3502889641
E-Mail: jimmybc562@gmail.com
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Copy Receipt of Public Services

➢ Known as CIS, the (Client Information Sheet) is the document that identifies the investor with all its data.
➢ This document will be essential to be able to present the transaction in the office of the trader and thus
initiate a process of "Due Diligence" - DD.

--------- THE END DOCUMENT ----------

 JIMMY BRICEÑO CONTRERAS
Passport No: AR723171 Expiry: 20/0CTOBER/2025/ of Colombia
Address: Avenida 16 # 29-47
Barrio: Aguas Calientes-La libertad POSTAL CODE: 540003 Cúcuta-Colombia
Mobile Phone: (+57)-3502889641
E-Mail: jimmybc562@gmail.com
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