Scribd
Upload
317 views7 pages

CIS HSBC UK - CBS Actualizado

The document provides a client information summary for Jefferson Refinery USA LLC, detailing the company's address, registration number, CEO's personal information, and banking details. It includes annexes for a copy of the client's passport, tax registration, and certificate of incorporation. Additionally, it contains an acknowledgment and attestation regarding compliance with anti-money laundering policies.

Uploaded by

rajabov78
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
317 views7 pages

CIS HSBC UK - CBS Actualizado

The document provides a client information summary for Jefferson Refinery USA LLC, detailing the company's address, registration number, CEO's personal information, and banking details. It includes annexes for a copy of the client's passport, tax registration, and certificate of incorporation. Additionally, it contains an acknowledgment and attestation regarding compliance with anti-money laundering policies.

Uploaded by

rajabov78
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 7

JEFFERSON REFINERY USA LLC.

7408 Quail Ridge Drive, Charlotte, NC, 28226. U.S.A.


Telephone: + 1-980- . Email: @gmail.com

CLIENT INFORMATION SUMMARY

Company Full Name JEFFERSON REFINERY USA LLC


Business Address 7408 – QUAIL RIDGE DRIVE- CHARLOTTE – NC, 28226 EEUU.
Business Reg. Number (RUC) 45-3735797
CEO/ Chairman Name CARLOS FERNANDO BARRIA SARAVIA
Nationality UNITED STATES OF AMERICA
Passport Number : 545258714
Passport Issue Data : MAY 11- 2016
Passport Exipiration Date : MAY 10- 2026
Date And Place of Birth : JUL 19 1956 CHILE
Home Address : 7408 QUAIL RIDGE DRIVE
Cellular Phone Number :
E-MAIL : cbarrias@gmail.com
BANK INFORMATION
Bank Name HSBC UK BANK PLC
Bank Address 1 CENTURY SQUARE, BIRMINGHAM
Bank Tel. Number +44 (0) 20 7991 7414
Account Name CARLOS FERNANDO BARRIA SARAVIA
Account Number 90978795
SWIFT Code HBUKGB4196B
IBAN GB71HBUK40126290978795
SORT CODE 401262
JEFFERSON REFINERY USA LLC.
7408 Quail Ridge Drive, Charlotte, NC, 28226. U.S.A.
Telephone: + 1-980- . Email: @gmail.com

ANNEX A:
COPY COLOR OF CLIENT PASSPORT
JEFFERSON REFINERY USA LLC.
7408 Quail Ridge Drive, Charlotte, NC, 28226. U.S.A.
Telephone: + 1-980- . Email: @gmail.com

ANNEX B:
TAX REGISTRATION COPY. (IRS)
(IRS).
JEFFERSON REFINERY USA LLC.
7408 Quail Ridge Drive, Charlotte, NC, 28226. U.S.A.
Telephone: + 1-980- . Email: @gmail.com
JEFFERSON REFINERY USA LLC.
7408 Quail Ridge Drive, Charlotte, NC, 28226. U.S.A.
Telephone: + 1-980- . Email: @gmail.com

ANNEX D:
CERTIFICATE OF INCORPORATION
JEFFERSON REFINERY USA LLC.
7408 Quail Ridge Drive, Charlotte, NC, 28226. U.S.A.
Telephone: + 1-980- . Email: @gmail.com
JEFFERSON REFINERY USA LLC.
7408 Quail Ridge Drive, Charlotte, NC, 28226. U.S.A.
Telephone: + 1-980- . Email: @gmail.com

Acknowledgement & Attestation


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 JEFFERSON REFINERY USA LLC, and the
nature and origin of the financial transactions, securities, banking instruments, and funds that 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 others’ activities. This legal
obligation shall remain in full force and effect at all times.

It is agreed that facsimile or electronic copies of this Client Information Summary, or any other associated
documents to this transaction, are as valid and legal as delivered originals.

I Hereby Swear under penalty of perjury, that the information given above is accurate and true. I am the
signatory on the aforementioned bank account. All monies engaged in any transaction are derived from non-
criminal origin; and, are good, clean and cleared. The origin of fund is in compliance with Anti-Money-
Laundering Policies as set forth by the Financial Action task Force (FATF) 6/01.

So declared and attested this day: April, 08 2020

For and On behalf of:


JEFFERSON REFINERY USA LLC
Chairman, Board of Directors and CEO
CARLOS FERDINANDO BARRIA SARAVIA

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy