Know Your Partner Form

Please complete this questionnaire as part of Luxel Corporation’s onboarding of customers and suppliers (“Company”). This applies to both current and new customers or suppliers.

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Email*

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1.) What is the legal name of your Company?*

2.) In what country was your Company incorporated?*

3.) What is your Company’s principal place of business? Please include the full address.*

4.) Does your Company have offices or employees in more than one country? If yes, list all countries where your Company has an office or employees and indicate if your Company operates with a different legal or business name at that location.*

5.) Does your Company have any parent entities? If so, please list all parent entities up to and including the ultimate parent entity and list the place of incorporation and principal place of business of each such entity.*

6.) Please indicate the ultimate beneficial owner(s) of the Company or ultimate parent entity. “Ultimate beneficial owners” means natural persons having 25% or more of the shares in the ultimate parent company. Enter N/A if no single natural person owns more than 25% of the (Company or Parent)*

7.) Please confirm that neither your Company, nor any of its parents, subsidiaries, affiliates, directors, officers, key employees, agents, or significant investors/owners are subject to sanctions by the U.S. Office of Foreign Assets Control (“OFAC”), including as Specially Designated Nationals and Blocked Persons (“SDNs”) or other restricted persons, regimes, or entities, or subject to sanctions imposed by the European Union, the United Kingdom, or Australia.*

8.) Please enter your name.*

9.) Please enter your position/title.*

Phone

This field is for validation purposes and should be left unchanged.

Please complete this questionnaire as part of Luxel Corporation’s onboarding of customers and suppliers (“Company”). This applies to both current and new customers or suppliers.

Know Your Partner Form

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