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EXHIBIT C - CONTINUED

CLIENT DUE DILIGENCE FORM (CDD Form)

B. Information required on shareholder(s) / UBO(s) (THIS SECTION NOT APPLICABLE IF
STOCK LISTED)

B1. Shareholder and UBO (natural person)

Shareholder Shareholder %: ____*
UBO
Names
Surname(s)

Address

Phone number

E-mail
Dual
Nationality
nationality
Date of birth Place of birth

Would you consider yourself,
spouse or close family Yes / No
member a Politically
Exposed Person
3
(PEP )?

If yes, please explain:
* if not 100% shareholder, provide same information for the other shareholder(s)

B2. Shareholder and UBO (Corporate)
X UBO x Shareholder Shareholder %: 100 *

Company name ONE MIL MANAGEMENT N.V.
Jurisdiction ARUBA

Business address STA HELENASTR 9 Business telephone 582-4838

Business e-mail reservations@firstclassaruba.com
Name contact ANGELIQUE DE CUBA E-mail angelique@firstclassaruba.com
person
Phone number 297-7308066
* if not 100% shareholder, provide same information for the other shareholder(s)

NOTE:
Duplicate this page as many times as needed in order to provide same information for other
Shareholders or Ultimate Beneficiary Owners (UBO’s). The end goal is to provide information on
the UBO’s being natural persons. If UBO’s are foundations then a letter of wishes or a certified
document/declaration (verklaring) that states where the proceeds/funds go.

3 A person who holds or held a prominent public position, as well as direct family members and direct associates of
such a person.