Client InformationsSheet Geoproyect

CLIENT INFORMATION SHEET (CIS)
HOJA DE INFORMACION DEL CLIENTE (HIC)
In accordance with Articles 2 through 5 of the Due Diligence Convention and the Federal Banking
Commission Circular of December 1998, and under the US Patriot Act of 2002, as amended in February
2003 concerning the prevention of money laundering and 305 of the Swiss Criminal Code, the following
information may be supplied to banks and/or other financial institutions for purposes of verification of
identity and activities of the Client described below, and the nature and origin of the funds which are to
be utilized. The foregoing is subject to agreement by all parties to whom this information is provided
that they are obligated to respect the privacy rights of the Client and individuals described herein, as
well as the generally accepted professional standards relating to the maintenance of confidential
information, and to take all appropriate precautions to protect the confidentiality of the information
contained herein. This legal obligation shall remain in full force indefinitely without restriction.
Conforme a Artículos 2 a 5 de la Convención de Diligencia Debida y la Circular de Comisión Federal
Bancaria de diciembre de 1998, y conforme al Acta Patriota de los Estados Unidos de América de 2002,
en concordancia con la enmienda de febrero de 2003, concerniente a la prevención de lavado de dinero y
el articulo 305 del código Suizo Criminal, la información contenida y siguiente puede ser suministrada a
bancos y/o otras instituciones financieras para los objetivos de verificación de identidad y actividades del
Cliente descrito en el texto a continuación, así como la naturaleza y origen de los fondos que van a ser
utilizados. Lo anterior es sujeto al acuerdo de todas las partes a quienes se proporciona esta información,
sobre la obligación a respetar los derechos de intimidad del Cliente y todos los individuos descritos aquí,
así como las normas profesionales generalmente aceptadas que se relacionan con el respeto a la
confidencialidad de la información, y, en consecuencia, tomar todas las medidas y precauciones
apropiadas, para proteger el uso confidencial de la información contenida aquí. Esta obligación legal
permanecerá con fuerza legal plena indefinidamente y sin restricción.
Corporate Information
Full Name of Corporation: GEOPROYECT, C.A.

Date of Incorporation: 06/25/1998
Incorporated in (City/State/Country): Maracaibo, Zulia, Venezuela
Registration Number: Registry Number 22, File Number 28-A
Business Registration Tax: J30541130-1
Board of Directors (Name & Title): Pedro Emiro Machado / PRESIDENT
Officers (Name & Title): Luis Fernandez Torres / VICE-PRESIDENT
Shareholders: Pedro Emiro Machado, Luis Fernández Torres
Location of Address: Registered Address (Corporation)

Street Address: AV 2A CASA # 19F-92, SECTOR PUNTICA DE PIEDRA,
City: MARACAIBO
State: ZULIA
Country: VENEZUELA
Postal Code: 4002
Location of Address: Mailing Address (Corporation)

Street Address: AV 2A CASA # 19F-92, SECTOR PUNTICA DE PIEDRA
City: MARACAIBO
State: ZULIA
Country: VENEZUELA
Postal Code: 4002
Contact Information (Corporation)
Telephone Number: +58 261 7421452

Fax Number:
Mobile Number: +58 416 5032995 / +58 414 6314721
Email Address: geoproyec.ca@gmail.com
Languages / Translator
Languages: SPANISH
Does the Signatory speak English?: No
If No, Name of Translator: JUAN M LUJAN
Tel Number: +1 936 7185748
Email Address: juan.m.lujan@hotmail.com
Legal Advisor
Full Name: JOSE ANGEL CENTENO

Company: CENTENO TORRIVILLA & ASOCIADOS, C.A.
Address: AV AMERICO VESPUCIO, DORAL BEECH VILLAS, SUITE 382
City: LECHERIA
State: ANZOATEGUI
Country: VENEZUELA
Postal Code: 6016
Telephone Number: +58 212 3033830 / +58 412 1158349
Fax Number:
Email Address: centenoja.cgpic@gmail.com
Bank Information (Corporate)
Bank Name: BANCO OCCIDENTAL DE DESCUENTO (BOD)

Street Address: AV PCPAL DE EL ROSAL, TORRE BOD, PB, OFIC COMERCIAL,
City: CARACAS
State: MIRANDA
Country: VENEZUELA
Postal Code: 1060
Account Name: GEOPROYECT, C.A.
Account Number: 01160118910029775345
Sort Code ABA No.: XXX
SWIFT Code: XXX
Account Signatory (1): PEDRO EMIRO MACHADO
Account Signatory (2):
Bank Officer # 1 Name:
Telephone Number:
Fax Number:
Bank Information (Corporate)
Bank Name: BANCRECER S.A.

Street Address: AV PPAL DE LAS MERCEDES, RESD ARAGUANEY, PLANTA BAJA
City: CARACAS
State: DTTO CAPITAL
Country: VENEZUELA
Postal Code: 1060
Account Name: GEOPROYECT, C.A.
Account Number: 01680019855101109798
Sort Code ABA No.: XXX
SWIFT Code: XXX
Telephone Number: 0212-9914302 – 0212-9918910
Fax Number:
International Bank Information (Corporate) EUROS
Bank Name: BANCO PORTUGUES DE INVESTIMENTO (BPI)

Street Address: RUA TENENTE VALADIN, 284 – 4100-476
City: PORTO
State:
Postal Code: 4100-476
Account Name: PEDRO EMIRO MACHADO
Account Number: 2-5130022.015.001
Sort Code ABA No.: PT50 0010 0000 5130 0221 5013 9
SWIFT Code: BBPIPTPL
Telephone Number: +351 22 207 5000
Fax Number:
International Bank Information (Corporate) US DOLLAR
Bank Name: BANCO PORTUGUES DE INVESTIMENTO (BPI)

Street Address: RUA TENENTE VALADIN, 284 – 4100-476
City: PORTO
State:
Postal Code: 4100-476
Account Name: PEDRO EMIRO MACHADO
Account Number: 2-5130022.307.001
Sort Code ABA No.: PT50 0010 0000 5130 0221 5013 9
SWIFT Code: BBPIPTPL
Telephone Number: +351 22 207 5000
Fax Number:
Client Account where Profits to be paid
Bank Name:
Street Address:
City:
State:
Country:
Postal Code:
Account Name:
Account Number:
Sort Code ABA No.:
SWIFT Code:
Bank Officer Name:
Telephone Number:
Fax Number:
Personal Information of the Transactional Signatory Authorized by Corporation

(Please attach copy of the corporate resolution adopted by the Board of Directors
appointing and authorizing said officer(s) below to represent and legally bind the
corporation)
First Name: PEDRO

Middle Name: EMIRO
Last Name: MACHADO
Gender: MALE
Date of Birth: 05/25/1961
Social Security Number:
Country of Citizenship: VENEZUELA
Languages: SPANISH
Passport Information of Officers(s) of Corporation

*Please attach copy of photo and signature page of passport
Passport Number: 123100744

Date of Issue: 09 /15/ 2015
Date of Expiry: 09 /14/ 2020
Issuing Authority: SAIME
Location of Address: Home-Legal Residence (Officer of Corporation)
Full Name of Officer: PEDRO EMIRO MACHADO

Street Address: AV MILAGRO NORTE # 6, CONJUNTO RESIDENCIAL VILLA AITANA,
City: MARACAIBO
State: ZULIA
Country: VENEZUELA
Postal Code: 4001
(You may duplicate the section above for each Director involved in transaction)
Investment
Funds available for this transaction:
Type of currency: Bs. BOLIVARES AND US DOLLAR
Origin of funds: Consulting Services and Engineering Projects.
Are these funds free and clear of all liens, encumbrances and third party interests:
I, PEDRO EMIRO MACHADO, hereby swear under penalty of perjury, that the
information provided herein is accurate and true as of this date: APRIL 25, 2019
For and on behalf of GEOPROYECT, C.A.
Signature: __________________________________ SEAL OF COMPANY

Name / Title: PEDRO EMIRO MACHADO / PRESIDENT
Company: GEOPROYECT, C.A.
Passport Number: 123100744
Date of Issue: 09/15/2015
Date of Expiry: 09/14/2020
Country of Issuance: VENEZUELA

Client InformationsSheet Geoproyect

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CLIENT INFORMATION SHEET (CIS)

HOJA DE INFORMACION DEL CLIENTE (HIC)

Full Name of Corporation: GEOPROYECT, C.A.

Location of Address: Registered Address (Corporation)

Full Name of Corporation: GEOPROYECT, C.A.

Full Name of Corporation: GEOPROYECT, C.A.

Contact Information (Corporation)

Telephone Number: +58 261 7421452

Full Name: JOSE ANGEL CENTENO

Bank Information (Corporate)

Bank Name: BANCO OCCIDENTAL DE DESCUENTO (BOD)

Bank Information (Corporate)

Bank Name: BANCRECER S.A.

International Bank Information (Corporate) EUROS

Bank Name: BANCO PORTUGUES DE INVESTIMENTO (BPI)

Bank Name: BANCO PORTUGUES DE INVESTIMENTO (BPI)

Client Account where Profits to be paid

Personal Information of the Transactional Signatory Authorized by Corporation

First Name: PEDRO

Passport Information of Officers(s) of Corporation

Passport Number: 123100744

Location of Address: Home-Legal Residence (Officer of Corporation)

Full Name of Officer: PEDRO EMIRO MACHADO

Funds available for this transaction:

Type of currency: Bs. BOLIVARES AND US DOLLAR

Origin of funds: Consulting Services and Engineering Projects.

For and on behalf of GEOPROYECT, C.A.

Signature: __________________________________ SEAL OF COMPANY

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