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CIS-KYC For BJ GROUP HOLDING

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171 views4 pages

CIS-KYC For BJ GROUP HOLDING

Uploaded by

digitalmins2017
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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KYC/CLIENT INFORMATION SHEET (Corporate)

In accordance with Articles two (2) through five (5) of the Due Diligence Convention and the Federal
Marketing Commission Circular of December 1998, concerning the prevention of money laundering, the
following information may be supplied to banks and/or other Federal Institutions for purposes of
verification.

1 Date: Sunday, 11 February 2024


2 Name of Authorized Signatory RHONDA COPENNY MITCHELL
(by Board Resolution)
3 Citizenship : UNITED STATES OF AMERICA
4 Passport Number : 641159412
5 Passport Issue /Expire Date : 10 JAN 2020 / 09 JAN 2030
6 Place of Birth : United States
7 Date of Birth : 06 JANUARY 1953
8 Email Address / Telephone : [email protected]
9 Address : 950 EAGLES LANDING PARKWAY #988, STOCKBRIDGE. GA 30281
Business Name BJ GROUP HOLDING LTD.
11 Business Address : 5 GRESHAM LANDING, STOCKBRIDGE, GA 30281
12 Registered Office : 16192 COASTAL HIGHWAY, LEWES, DE 16192
13 Registration Number : 4815218
14 Business Fax Number : +1 770.506.9917
15 Business Phone Number : +1 678.346.8300
16 Email Address : [email protected]
17 BANK NAME Chase Bank
18 Branch and Branch Address : 3696 Peachtree Parkway, Suwanee, GA 30024
19 Bank Officer’s Name : Tahimana Ahmad, AVP
20 Telephone Number(s) : +1 770.476.8374
21 Fax Number : +1 833-668-1039
22 Bank Officer Email : [email protected]
23 Account Name : BJ Group Holding LTD
24 Account Signatory Name : Rhonda Mitchell
25 Account Number : 519269917
26 SWIFT CODE : CHASUS33
27 Earned Funds from : Corporate revenues
28 Are funds free and clear? : Yes
29 Lawyer Details (optional) : Kenneth A. Glenn, PC
30 Accountants Details (optional) : Michael Edwards, CPA

CIS –BJ GROUP HOLDING LTD. – RHONDA COPENNY MITCHELL, SIGNATORY 1


Declaration: The information provided herein is accurate and true. All monies engaged in this transaction are derived
from non-criminal origin; and, are good, clean and cleared. The origins of funds are in compliance with Anti-Money-
Laundering Policies as set forth by the Financial Action task Force (FATF) 6/01.

_____________________________
Signature

DATE: Sunday, 11 February 2024


Name: Mrs. Rhonda Copenny Mitchell
Title: Corporate Secretary
Passport Number: 641159412
Country of Issue: United States of America
Issue Date: 10 January 2020
Expiry Date: 9 January 2030

CIS –BJ GROUP HOLDING LTD. – RHONDA COPENNY MITCHELL, SIGNATORY 2


APPENDIX 1: AUTHORIZED/SIGNATORY’S PASSPORT

APPENDIX 2: SECOND FORM OF IDENTIFICATION


Valid Driver’s License OR Valid Country/Residency Identification Document/Identification Card

CIS –BJ GROUP HOLDING LTD. – RHONDA COPENNY MITCHELL, SIGNATORY 3


APPENDIX 3 - COMPANY INCORPORATION / REGISTRATION CERTIFICATE

CIS –BJ GROUP HOLDING LTD. – RHONDA COPENNY MITCHELL, SIGNATORY 4

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