Legal Beneficial Owners Confirmation

LEGAL BENEFICIAL OWNERS CONFIRMATION

This Legal Beneficial Owners Confirmation (the "Confirmation") is entered into by and between Company Name: , an entity organized as: Corporation LLC Partnership Trust Other , jurisdiction of organization: , principal address: (the "Company"), and Recipient Name: , with principal address: (the "Recipient").

RECITALS

WHEREAS, the Recipient requires confirmation of the beneficial ownership and control of the Company to satisfy anti-money laundering, counter-terrorism financing, and other compliance obligations; and

WHEREAS, the Company has agreed to provide accurate, complete and timely information regarding its beneficial owners and controlling persons; and

WHEREAS, the parties desire to set forth the representations, certifications, and obligations of the Company with respect to beneficial owner disclosure.

NOW, THEREFORE, in consideration of the mutual covenants and agreements contained herein and for other good and valuable consideration, the receipt and sufficiency of which are acknowledged, the parties agree as follows:

1. DEFINITIONS

1.1 "Beneficial Owner" means each natural person who, directly or indirectly, (a) owns 25% or more of the ownership interests of the Company, or (b) exercises significant control over the Company through senior executive officers, managerial authority, or other means, consistent with applicable standards governing beneficial ownership identification.

1.2 "Controlling Person" means any natural person who has authority to appoint, remove or direct the actions of senior management, or otherwise exercises control over the policies and operations of the Company.

2. IDENTIFICATION OF BENEFICIAL OWNERS

The Company hereby identifies the following Beneficial Owners and Controlling Persons. The Company represents that, to the best of its knowledge after reasonable inquiry, the information provided below is complete and correct as of the Effective Date.

Beneficial Owner 1

Beneficial Owner 2

3. REPRESENTATIONS AND WARRANTIES

The Company represents and warrants to the Recipient as follows:

3.1 The Company is duly organized, validly existing and in good standing under the laws of the jurisdiction stated above and has full power and authority to enter into this Confirmation and to perform its obligations hereunder.

3.2 The information provided in Section 2 (Identification of Beneficial Owners) is true, correct and complete in all material respects as of the Effective Date and was obtained from reliable sources. The Company has no knowledge of any material omission in the information provided.

3.3 The Company will maintain records and internal controls appropriate to verify and update beneficial ownership information and will provide additional documentation reasonably requested by the Recipient to substantiate the information provided.

4. CERTIFICATION

The authorized signatory of the Company hereby certifies, under penalty of perjury or other applicable statutory penalty to the fullest extent permitted by law, that the information contained in this Confirmation is accurate and complete as of the date signed and that the signatory is authorized to make this certification on behalf of the Company.

5. ONGOING OBLIGATIONS; NOTICE OF CHANGE

The Company agrees to notify the Recipient promptly and in writing upon becoming aware of any material changes to the information provided in this Confirmation, including but not limited to changes in beneficial ownership, control structure, or any new facts that would render the representations herein inaccurate.

6. CONFIDENTIALITY AND USE OF INFORMATION

The Recipient may use the information provided by the Company for compliance, regulatory reporting, recordkeeping, and law enforcement disclosure obligations. The Recipient shall maintain reasonable administrative, physical and technical safeguards to protect the confidentiality of nonpublic personal information consistent with its legal obligations; provided, however, that the Recipient may disclose such information where required by law, regulation, subpoena or regulatory authority.

7. NOTICES

All notices, requests, consents and other communications required or permitted under this Confirmation shall be in writing and delivered to the addresses below (or to such other address as a party may designate by notice in accordance with this Section).

8. AMENDMENTS; WAIVER; COUNTERPARTS

No amendment, modification or waiver of any provision of this Confirmation shall be effective unless in writing and signed by both parties. No failure or delay in exercising any right shall operate as a waiver. This Confirmation may be executed in counterparts, each of which shall constitute an original and all of which constitute one and the same instrument.

9. GOVERNING LAW; SEVERABILITY; ENTIRE AGREEMENT

This Confirmation shall be governed by and construed in accordance with the laws of the jurisdiction of organization specified above, without regard to conflicts of law principles. If any provision of this Confirmation is held invalid or unenforceable, the remaining provisions shall remain in full force and effect. This Confirmation constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior understandings and agreements, whether written or oral.

10. MISCELLANEOUS PROVISIONS

The parties acknowledge that false statements or omissions in connection with beneficial ownership information may carry civil or criminal penalties under applicable law. The Company agrees to provide all documentation reasonably requested by the Recipient to verify the identity of each Beneficial Owner or Controlling Person.

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