MÁRCIO PAULINO DE ARAÚJO

Rua Nilo Peçanha, Nº 45, Apto 21, Bairro Santa Paula, São Caetano do Sul, SP, CEP 09521-370
Fone: 55 62 98338-1170 E-mail address: marcio.fazenda76@gmail.com

CLIENT INFORMATION SHEET

Date: January/21/2019

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 MÁRCIO PAULINO DE ARAÚJO

Client Address Rua Nilo Peçanha, Nº 45 Apto 21, Bairro Santa
Paula, São Caetano do Sul, SP, CEP 09540-830

Client Cell Phone No. Celular = 55 62 98338-1170

Fixo = 55 11 4318-1030
Client Personal Email Address marcio.fazenda76@gmail.com
Nationality Brazil
Passport Number FR 627224
Issued By SR /DPF / SP
Issue Date 27/09/2016
Expiration Date 26/09/2026
Social Security Number CPF 898.104.494‐53
Drivers License No.
Date of Birth 21/03/11976
Place of Birth Goiania Brasil

Company Name N/A

Registered Office Address
Registered Number
Business Telephone
Mailing Address ( if different to registered office
address)
Email Address

Client Initials: Page 1of 4

 MÁRCIO PAULINO DE ARAÚJO
Rua Nilo Peçanha, Nº 45, Apto 21, Bairro Santa Paula, São Caetano do Sul, SP, CEP 09521-370
Fone: 55 11 4318-1030 / 55 62 98338-1170 E-mail address: marcio.fazenda76@gmail.com

Banking Coordinates For Client

BANK NAME: BANCO ITAÚ

BANK ADDRESS: Av. T-7, 892 - Quadra 34 - Lote 9 - St. Bueno - Setor Bueno -ZIP Code
74210-260
SWIFT CODE: ITAUBRSP
BANK OFFICER: Natalia Gonçalvez
BANK PHONE No: +55 062 3003-4828 - 0800 728 0728
BANK FAX No: +55 062 3003-4828
A/C NUMBER: Agency 4308 C/C 30.112-8
BANK ACCOUNT NAME: Marcio Paulino de Aráujo
EMAIL: Ag4308@itau-unibanco.com.br

I hereby swear under penalty of perjury that the information given above is accurate and true.

Any information, work or service conducted hereunder is that of a private placement transaction that is exempt
from the Securities Act and not intended for the general public but for Private Use Only.

Date: January/21/2019

MÁRCIO PAULINO DE ARAÚJO :

Passport: FR 627224
Country: Brazil

Client Initials: Page 2 of 5

 MÁRCIO PAULINO DE ARAÚJO
Rua Nilo Peçanha, Nº 45, Apto 21, Bairro Santa Paula, São Caetano do Sul, SP, CEP 09521-370
Fone: 55 11 4318-1030 / 55 62 98338-1170 E-mail address: marcio.fazenda76@gmail.com

Personal Identification Documentation

COPY OF BENEFICIARY
PASSPORT

Client Initials: Page 3 of 5

 MÁRCIO PAULINO DE ARAÚJO
Rua Nilo Peçanha, Nº 45, Apto 21, Bairro Santa Paula, São Caetano do Sul, SP, CEP 09521-370
Fone: 55 11 4318-1030 / 55 62 98338-1170 E-mail address: marcio.fazenda76@gmail.com

Client Initials: Page 4 of 5

 MÁRCIO PAULINO DE ARAÚJO
Rua Nilo Peçanha, Nº 45, Apto 21, Bairro Santa Paula, São Caetano do Sul, SP, CEP 09521-370
Fone: 55 11 4318-1030 / 55 62 98338-1170 E-mail address: marcio.fazenda76@gmail.com

Client Initials: Page 5 of 5