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  • NEW - Source of Wealth-SOW

    Enviado por

    Fernando Garabedian
    92 visualizações2 páginas
    Source of Wealth Information / Documents Requested 1. Full Name of Deceased / Donor: 2. Cash Amount Received: 3. In-kind Property Received: 4. Detailed Information: 5. Supporting Documents: [e.g., deed, bank transfer, etc.] 6. Place of Origin of Wealth: 7. Date of Transfer of Wealth: 1. Type of Entity (Corporate, trust, etc.) 2. Location of Business (full operating address) 3. Consideration of transfer Cash: In-

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    NEW -Source of Wealth-SOW[1]

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    Source of Wealth Information / Documents Requested 1. Full Name of Deceased / Donor: 2. Cash Amount Received: 3. In-kind Property Received: 4. Detailed Information: 5. Supporting Documents: [e.g., deed, bank transfer, etc.] 6. Place of Origin of Wealth: 7. Date of Transfer of Wealth: 1. Type of Entity (Corporate, trust, etc.) 2. Location of Business (full operating address) 3. Consideration of transfer Cash: In-

    Direitos autorais:

    Attribution Non-Commercial (BY-NC)
    Baixe no formato DOC, PDF, TXT ou leia online no Scribd
    Sinalizar o conteúdo como inadequado
    92 visualizações2 páginas

    NEW - Source of Wealth-SOW

    Enviado por

    Fernando Garabedian
    Source of Wealth Information / Documents Requested 1. Full Name of Deceased / Donor: 2. Cash Amount Received: 3. In-kind Property Received: 4. Detailed Information: 5. Supporting Documents: [e.g., deed, bank transfer, etc.] 6. Place of Origin of Wealth: 7. Date of Transfer of Wealth: 1. Type of Entity (Corporate, trust, etc.) 2. Location of Business (full operating address) 3. Consideration of transfer Cash: In-

    Direitos autorais:

    Attribution Non-Commercial (BY-NC)
    Baixe no formato DOC, PDF, TXT ou leia online no Scribd
    Sinalizar o conteúdo como inadequado
    de 2

    CONFIRMATION OF SOURCE OF WEALTH / SOURCE OF FUNDS Full Name of Client/UBO: Passport Number: Current Residential Address: Origin of Funds

    to Be Used in the Object Company:


    (Please Be Specific)

    Atanasio Javier Aguirre Lussich 1358032-8 Country of Issuance:Uruguay Leyenda Patria 3132 Apto 202 Montevideo 11300 Uruguay

    Revenues produced by the channel Latinoamrica Televisin. Contracts with Alterna TV, Direct TV (USA), AT&T, Time Warner Ubi World (Oceania)

    Source of Wealth

    Information / Documents Requested 1. Full Name of Deceased/Donor: 2. Cash Amount Received: 3. In-kind Property Received: 4. Detailed Information: 5. Supporting Documents: [e.g., deed, bank transfer, etc.] 6. Place of Origin of Wealth: 7. Date of Transfer of Wealth: 1. Type of Entity (Corporate, trust, etc.): 2. Location of Business (full operating address): 3. Registered Office in Country of Incorporation: 4. Registered Number, if any (or appropriate): 5. Relevant Company Registry: 6. Short Description of Entity Purpose: 7. Position Held by UBO: 8. Entitys Website: A. If Asset / Share Transferred: 1. Asset: Details and Value 2. Share: Details and Value 3. Consideration of Transfer Cash: In-kind: [Fair/market value] 4. Place of Transfer: 5. Date of Transfer: B. Employment/Profession: C. Membership / Affiliation: D. Others:

    Specify Information / Attach Documents (All items below must be completed. If not applicable, please insert N/A) 1.Aureliano Aguirre Rodriguez Larreta 2. NA 3. Televisora Larraaga (Teledoce) stock 4. Local TV channel 5. Stocks 6. Montevideo 7. 1998 1. Anonimous Society, Coorporate 2. Colonia 1319 Montevideo 11100 3. Colonia 1319 Montevideo 11100 4. RUT 215054420017 5. N/A 6. Media: Intenational payed cable TV, Local TV, Political and Economy Magazine. 7. Presidente CEO, owner, of Cable TV, Member of the board of Local TV, stock holder, Presidente and Responsible Director Magazine 8. www.latele.tv, www.teledoce.com, www.busqueda.com.uy, EEl Pais SA National News paper (Shares sold) Microsisitemas SA Public telephones (Shares sold) Bestway Travel agency(Shares sold) A.

    Inheritance & Gift

    Current Business Activities

    Previous Business Activities

    Local Cable MSO (sold shares) Magazine (sold shares)


    B. DDirector El Pais

    Main Source of Income

    A. Business: Dividend: Directors Fees: B. Profession: Dividend: Fees: C. Employment: Salary: Bonus: Pension Scheme: D. Others: Other Sources Agents Commission: of Income Intellectual Property Royalties: Loan Principal / Interest: Securities: Lease Rents: Insurance: Others: Total Number of Attachments: Place of Issuance: Montevideo, Uruguay

    A. Dividends both cable TV and Local TV Directors fees in Local TV B. N/A C . Salary as CEO of cable TV and as Responsible Director of Magazine D. payments as teacher of University Institut (Communications) Non applicable.

    Total Number of Pages: 1 Date of Issuance: May, 11 2011.

    Signature: _____________________________________ Name: Atanasio Aguirre Lussich

    Name of Introducer: Is the Introducer supervised for ML legislation: YES / NO

    Atanasio Javier Aguirre Lussich

    Page 2 of 2

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