Control Prong. The following information for one individual with significant responsibility for managing the Issuer/Borrower/Selling Securityholder legal entity customer listed above, such as: ☐ An executive officer or senior manager (e.g., Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, Managing Member, General Partner, President, Vice President, Treasurer); or ☐ Any other individual who regularly performs similar functions. Name/Title Date of Birth Address (Residential or Business Street Address) For U.S. Persons: Social Security Number For Non-U.S. Persons: Social Security Number, Passport Number and Country of Issuance, or other similar identification number19 Please attach copies of a driver’s license, passport or other identifying document for each individual listed above.
Appears in 2 contracts
Samples: Counterpart Agreement (DoorDash, Inc.), Counterpart Agreement (DoorDash, Inc.)
Control Prong. The following information for one individual with significant responsibility for managing the Issuer/Borrower/Selling Securityholder legal entity customer listed above, such as: ☐ An executive officer or senior manager (e.g., Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, Managing Member, General Partner, President, Vice President, Treasurer); or ☐ Any other individual who regularly performs similar functions. Name/Title Date of Birth Address (Residential or Business Street Address) For U.S. Persons: Social Security Number For Non-U.S. Persons: Social Security Number, Passport Number and Country of Issuance, or other similar identification number19 number1 Please attach copies of a driver’s license, passport or other identifying document for each individual listed above.
Appears in 2 contracts
Samples: Counterpart Agreement (DoorDash Inc), Counterpart Agreement (DoorDash Inc)
Control Prong. The following information for one individual with significant responsibility for managing the Issuer/Borrower/Selling Securityholder legal entity customer listed above, such as: ☐ o An executive officer or senior manager (e.g., Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, Managing Member, General Partner, President, Vice President, Treasurer); or ☐ o Any other individual who regularly performs similar functions. Name/Title Date of Birth Address (Residential or Business Street Address) For U.S. Persons: Social Security Number For Non-U.S. Persons: Social Security Number, Passport Number and Country of Issuance, or other similar identification number19 Please attach copies of a driver’s license, passport or other identifying document for each individual listed above.
Appears in 2 contracts
Samples: Counterpart Agreement (Coupang, Inc.), Counterpart Agreement (Coupang, Inc.)