Customer profile

Companies, associations and foundations

DateOrg.no

According to the Money Laundering Act, it is required for the Bank to apply customer due diligence “Know-Your-Customer”. It is necessary for the Bank to collect information about all customers and their intended purpose of the banking relation. We kindly ask you to provide information in this form and furthermore the Bank is obliged to demand additional documentation upon need. According to the regulations in FATCA and CRS (Common Reporting Standard – international Tax reporting) banks are committed to collect information about tax residence country and Tax Identification Number (TIN).

The Bank may not establish a new customer relationship until the documentation is collected. The Bank is obliged to maintain updated information and documentation about customers

Name, address etc. / Name
Postal address / Postal number and city
Business address (according to certificate of registration) / Postal number and city
Visiting address (if other than above) / Postal number and city
NACE-code (industry code) / Customer´s e-mail address
Telephone / Customer´s web address
Is the company listed on a stock exchange?
YesNo / If yes, which stock exchange is the company listed on?
Tax matters / Tax recidence country / Tax recidence country / Tax recidence country
Tax Identification Number (TIN) / Tax Identification Number (TIN) / Tax Identification Number (TIN)
Tax recidence country / Tax recidence country
Tax Identification Number (TIN) / Tax Identification Number (TIN)
Purpose of the entity / Purpose
Does the customer offer payment processing services or act as an agent for payment processing companies? Yes No
Does the customer trade with virtual currency, like Bitcoin etc.?Yes No (ifYes,specify below)
Type and purpose / Expected monthly amount in NOK / Expected monthly amount sold

Nordea Bank AB (publ), filial i Norge, Essendrops gate 7, PO box 1166 Sentrum, 0107 Oslo, Norway, 983 258 344 MVA (Norwegian Register of Business Enterprises)
Nordea Bank AB (publ), Stockholm, Sweden, 516406-0120 (Swedish Companies Registration Office)

Customer profile

Companies, associations and foundations

DateOrg.no


Purpose of the banking relationship / Account for payment transactions and liquidity / insurance
Currency account – state the currency(ies):
Account for tax payments
Cash transactions (deposits and withdrawals)
Savings products
Company card
Netbank
Loan/Credit
Capital Markets Services
Trade Finance Products(Remburs, Guarantee etc.)
Cash pool
/ Will the company transfer money abroad?Yes No
If yes, please specify which country(ies) / Expected monthly amount / Purpose
Will the company receive money from abroad?Yes No
If yes, please specify which country(ies) / Expected monthly amount / Purpose
Origin of funds / Source of funds
Products sold / Services sold / Payments from suppliers
Subsidies / No regular income
Description:
Source of capital
Trading profits / Return on investments / Gift/subsidy / Loan from shareholder
Capital injections / Real estate sold / Business sold / Disposal of assets
Loan from financial institutions / No wealth
Description:
Ownership structure / Is the company fully or partially owned by another company? YesNo

Nordea Bank AB (publ), filial i Norge, Essendrops gate 7, PO box 1166 Sentrum, 0107 Oslo, Norway, 983 258 344 MVA (Norwegian Register of Business Enterprises)
Nordea Bank AB (publ), Stockholm, Sweden, 516406-0120 (Swedish Companies Registration Office)

Customer profile

Companies, associations and foundations

DateOrg.no

In which countries are the company's operations conducted?

Nordea Bank AB (publ), filial i Norge, Essendrops gate 7, PO box 1166 Sentrum, 0107 Oslo, Norway, 983 258 344 MVA (Norwegian Register of Business Enterprises)
Nordea Bank AB (publ), Stockholm, Sweden, 516406-0120 (Swedish Companies Registration Office)

Customer profile

Companies, associations and foundations

DateOrg.no

Beneficial owners and other related actors / Are there any beneficial owners?
YesNo
Please provide information below regarding beneficial owners, board members, CEO and Authorized signatories. Mark the relevant role(s), and whether the person is a Political Exposed Person or not (ref appendix).
Name / Personal ID No / Date of birth / Role
Beneficial owner
Postal address / Nationality(ies) / Country of birth / Board member
Postal number and city / Country / CEO
Authorized signatories
Stock or number of voting rights in %
Describe controlling influence (if less than < 25 % ownership)
PoliticalExposure
Does the person have a prominent public function (position) in a foreign country now or within the last 12 months?
YesNo
If yes, please specify:
Comments
Relasjon til den nærstående
Fødselsdato
PoliticalExposure – (Relative/Close Assoiate)
Does the person have an immediate family member or close associate holding a prominent public function (position) in a foreign country now or within the last 12 months?
YesNo
If yes, please specify:
Comments
Relasjon til den nærstående
Fødselsdato

Nordea Bank AB (publ), filial i Norge, Essendrops gate 7, PO box 1166 Sentrum, 0107 Oslo, Norway, 983 258 344 MVA (Norwegian Register of Business Enterprises)
Nordea Bank AB (publ), Stockholm, Sweden, 516406-0120 (Swedish Companies Registration Office)

Customer profile

Companies, associations and foundations

DateOrg.no

Beneficial owners and other related actors / Are there any beneficial owners?
YesNo
Please provide information below regarding beneficial owners, board members, CEO and Authorized signatories. Mark the relevant role(s), and whether the person is a Political Exposed Person or not (ref appendix).
Name / Personal ID No / Date of birth / Role
Beneficial owner
Postal address / Nationality(ies) / Country of birth / Board member
Postal number and city / Country / CEO
Authorized signatories
Stock or number of voting rights in %
Describe controlling influence (if less than < 25 % ownership)
PoliticalExposure
Does the person have a prominent public function (position) in a foreign country now or within the last 12 months?
YesNo
If yes, please specify:
Comments
Relasjon til den nærstående
Fødselsdato
PoliticalExposure – (Relative/Close Assoiate)
Does the person have an immediate family member or close associate holding a prominent public function (position) in a foreign country now or within the last 12 months?
YesNo
If yes, please specify:
Comments
Relasjon til den nærstående
Fødselsdato

Nordea Bank AB (publ), filial i Norge, Essendrops gate 7, PO box 1166 Sentrum, 0107 Oslo, Norway, 983 258 344 MVA (Norwegian Register of Business Enterprises)
Nordea Bank AB (publ), Stockholm, Sweden, 516406-0120 (Swedish Companies Registration Office)

Customer profile

Companies, associations and foundations

DateOrg.no

Beneficial owners and other related actors / Are there any beneficial owners?
YesNo
Please provide information below regarding beneficial owners, board members, CEO and Authorized signatories. Mark the relevant role(s), and whether the person is a Political Exposed Person or not (ref appendix).
Name / Personal ID No / Date of birth / Role
Beneficial owner
Postal address / Nationality(ies) / Country of birth / Board member
Postal number and city / Country / CEO
Authorized signatories
Stock or number of voting rights in %
Describe controlling influence (if less than < 25 % ownership)
PoliticalExposure
Does the person have a prominent public function (position) in a foreign country now or within the last 12 months?
YesNo
If yes, please specify:
Comments
Relasjon til den nærstående
Fødselsdato
PoliticalExposure – (Relative/Close Assoiate)
Does the person have an immediate family member or close associate holding a prominent public function (position) in a foreign country now or within the last 12 months?
YesNo
If yes, please specify:
Comments
Relasjon til den nærstående
Fødselsdato

Nordea Bank AB (publ), filial i Norge, Essendrops gate 7, PO box 1166 Sentrum, 0107 Oslo, Norway, 983 258 344 MVA (Norwegian Register of Business Enterprises)
Nordea Bank AB (publ), Stockholm, Sweden, 516406-0120 (Swedish Companies Registration Office)

Customer profile

Companies, associations and foundations

DateOrg.no

Beneficial owners and other related actors / Are there any beneficial owners?
YesNo
Please provide information below regarding beneficial owners, board members, CEO and Authorized signatories. Mark the relevant role(s), and whether the person is a Political Exposed Person or not (ref appendix).
Name / Personal ID No / Date of birth / Role
Beneficial owner
Postal address / Nationality(ies) / Country of birth / Board member
Postal number and city / Country / CEO
Authorized signatories
Stock or number of voting rights in %
Describe controlling influence (if less than < 25 % ownership)
PoliticalExposure
Does the person have a prominent public function (position) in a foreign country now or within the last 12 months?
YesNo
If yes, please specify:
Comments
Relasjon til den nærstående
Fødselsdato
PoliticalExposure – (Relative/Close Assoiate)
Does the person have an immediate family member or close associate holding a prominent public function (position) in a foreign country now or within the last 12 months?
YesNo
If yes, please specify:
Comments
Relasjon til den nærstående
Fødselsdato

Nordea Bank AB (publ), filial i Norge, Essendrops gate 7, PO box 1166 Sentrum, 0107 Oslo, Norway, 983 258 344 MVA (Norwegian Register of Business Enterprises)
Nordea Bank AB (publ), Stockholm, Sweden, 516406-0120 (Swedish Companies Registration Office)

Customer profile

Companies, associations and foundations

DateOrg.no

Beneficial owners and other related actors / Are there any beneficial owners?
YesNo
Please provide information below regarding beneficial owners, board members, CEO and Authorized signatories. Mark the relevant role(s), and whether the person is a Political Exposed Person or not (ref appendix).
Name / Personal ID No / Date of birth / Role
Beneficial owner
Postal address / Nationality(ies) / Country of birth / Board member
Postal number and city / Country / CEO
Authorized signatories
Stock or number of voting rights in %
Describe controlling influence (if less than < 25 % ownership)
PoliticalExposure
Does the person have a prominent public function (position) in a foreign country now or within the last 12 months?
YesNo
If yes, please specify:
Comments
Relasjon til den nærstående
Fødselsdato
PoliticalExposure – (Relative/Close Assoiate)
Does the person have an immediate family member or close associate holding a prominent public function (position) in a foreign country now or within the last 12 months?
YesNo
If yes, please specify:
Comments
Relasjon til den nærstående
Fødselsdato

Nordea Bank AB (publ), filial i Norge, Essendrops gate 7, PO box 1166 Sentrum, 0107 Oslo, Norway, 983 258 344 MVA (Norwegian Register of Business Enterprises)
Nordea Bank AB (publ), Stockholm, Sweden, 516406-0120 (Swedish Companies Registration Office)

Customer profile

Companies, associations and foundations

DateOrg.no

Beneficial owners and other related actors / Are there any beneficial owners?
YesNo
Please provide information below regarding beneficial owners, board members, CEO and Authorized signatories. Mark the relevant role(s), and whether the person is a Political Exposed Person or not (ref appendix).
Name / Personal ID No / Date of birth / Role
Beneficial owner
Postal address / Nationality(ies) / Country of birth / Board member
Postal number and city / Country / CEO
Authorized signatories
Stock or number of voting rights in %
Describe controlling influence (if less than < 25 % ownership)
Political Exposure
Does the person have a prominent public function (position) in a foreign country now or within the last 12 months?
YesNo
If yes, please specify:
Comments
Relasjon til den nærstående
Fødselsdato
Political Exposure – (Relative/Close Assoiate)
Does the person have an immediate family member or close associate holding a prominent public function (position) in a foreign country now or within the last 12 months?
YesNo
If yes, please specify:
Comments
Relasjon til den nærstående
Fødselsdato

Nordea Bank AB (publ), filial i Norge, Essendrops gate 7, PO box 1166 Sentrum, 0107 Oslo, Norway, 983 258 344 MVA (Norwegian Register of Business Enterprises)
Nordea Bank AB (publ), Stockholm, Sweden, 516406-0120 (Swedish Companies Registration Office)

Customer profile

Companies, associations and foundations

DateOrg.no

Nordea Bank AB (publ), filial i Norge, Essendrops gate 7, PO box 1166 Sentrum, 0107 Oslo, Norway, 983 258 344 MVA (Norwegian Register of Business Enterprises)
Nordea Bank AB (publ), Stockholm, Sweden, 516406-0120 (Swedish Companies Registration Office)

Customer profile

Companies, associations and foundations

DateOrg.no

Relation to the US / The investment company is more than 50 % US owned
The customer (the company) consider itself as a US resident, e.g.
-The customer (the company) belongs to the US law, or
-The customer is an agent or a department of a non-American company, and localised in the US
Attached original or notarised documents / Certificate of registration(not older than 3 months)
Formation documents
Document providing elected/appointed
management / Documentation regarding beneficial owners
Valid identification of authorised signatories
Date / Completed by (name/position):
Signature
For bank use only / Controlled by / Date / AC-no
Completed form (and attachments) to be returned to Nordea.

Nordea Bank AB (publ), filial i Norge, Essendrops gate 7, PO box 1166 Sentrum, 0107 Oslo, Norway, 983 258 344 MVA (Norwegian Register of Business Enterprises)
Nordea Bank AB (publ), Stockholm, Sweden, 516406-0120 (Swedish Companies Registration Office)

Customer profile

Companies, associations and foundations

DateOrg.no


Appendix

Beneficial owners

By beneficial owners are meant natural persons who ultimately own or control the customer and/or on whose behalf a transaction or activity is being carried out, e.g. if the person concerned:

a)directly or indirectly owns or controls more than 25 percent of the shares or voting rights in a company, with the exception of companies that have financial instruments listed on a regulated market in an EEA state or are subject to disclosure requirements consistent with those that apply to listing on a regulated market in an EEA state,

b)exercises control over the management of a legal entity in a manner other than that referred to in (a),

c)according to statutes or other basis is the beneficiary of 25 percent or more of the assets of a foundation, trust or corresponding legal arrangement or entity,

d)has the main interest in the establishment or operation of a foundation, trust or corresponding legal arrangement or entity, or

e)exercises control of more than 25 percent of the assets of a foundation, trust or corresponding legal arrangement or entity.

Please enclose documentation regarding the structure of ownership and control of the legal entity, any beneficiaries or further interests as described under a)-e) above, including for example a shareholders' agreement stating the new shareholder structure. Please state date of birth, nationality and passport no for persons without a Norwegian personal identification number.

Politically exposed person
By politically exposed person is meant a natural person who:
1.Holds or during the last year has held a high public office or post in a state. By a high public office or post is meant:
1.1a Head of State, Head of Government, Minister or Deputy Minister,
1.2a member of a national assembly,
1.3a member of a higher court that makes decisions that only exceptionally may be appealed,
1.4a member of the board of an auditor general, court of auditors or central bank,
1.5an ambassador, chargé d’affaires or high ranking military officer,
1.6a member of an administrative, managerial or controlling body in a state-owned undertaking,
1.7a holder of a corresponding office or post as referred to in 1.1 – 1.5 above in an international organization.
2.Is an immediate family member of a person as referred to in (1). By an immediate family member is meant:
2.1a spouse or a partner who pursuant to national legislation is equivalent to a spouse,
2.2a child,
2.3a spouse or a partner of a child,
2.4a parent.
3.Is known to be a close associate of a person as referred to in (1) or (2). By a close associate is meant a natural person who is known to:
3.1be a beneficial owner in a legal arrangement or entity jointly with such person,
3.2have a close business connection to such person,
3.3be the only beneficial owner in a legal arrangement or entity that in reality was established for the benefit of such person
Information about the customer data processing
When establishing a customer relationship with Nordea Bank AB (publ), filial i Norge, the customer is entered in the Nordea Group’s central customer register.
In connection with the customer relationship Nordea will obtain and register information about the natural person(s) acting on behalf of the customer and any beneficial owners. Such personal data may be obtained either directly from the customer, Nordea’s own customer register or from other external register. Section 8 b) and section 20(2) a) of the Norwegian Personal Data Act applies hereto.
The information will be used for managing the customer relationship, meet the bank’s obligations in connection with the service, meet regulatory requirements and as a basis for following up the customer relationship in the best possible way. Personal data may be transferred to others only when this is necessary to maintain the customer’s or Nordea’s rights and obligations in connection with the customer relationship, or to carry out the services.
Any registered person may at any time request access to the information registered and demand rectification of incorrect or misleading data. Such request shall be in writing and sent to Nordea Bank AB (publ), filial i Norge, P.O.Box 1166 Sentrum, N-0107 Oslo.

Nordea Bank AB (publ), filial i Norge, Essendrops gate 7, PO box 1166 Sentrum, 0107 Oslo, Norway, 983 258 344 MVA (Norwegian Register of Business Enterprises)
Nordea Bank AB (publ), Stockholm, Sweden, 516406-0120 (Swedish Companies Registration Office)