HRB 68648 ISO 2012/2262/INI PROJECT Lei "Ellinon Politeia"
NEW GLOBAL OPEN WEB E BANKING MARKET HANDLING INTERNATIONAL GREEK CHARGES GR0112005674 Name und Anschrift des Leistenden Name/Unternehmen E.D.GOUTOS SA Postleitzahl 21300 Ort PORTOCHELI GREECE Staat Vereinigte Staaten von Amerika Steuernummer/USt-IdNr. 93172860596 Sitz des Geldinstitutes GREECE Bankleitzahl (Sortcode) 20122262 Bank Identification Code (BIC) HRB68648
1. Power of attorney for an authorised third party to apply for an LEI (Legal Entity
Identifier)
Authorised third parties (“Agents”) wishing to apply for an LEI for their customers, i.e. for companies / institutions
requiring an LEI for themselves or for their administrated independent investment asset pools (“Customer”), must
submit a letter of power of attorney granted by such customer. We therefore require further information from you as
the representative of the customer. You will also hereby grant the Agent and a responsible contact person power of
attorney for LEI application.
Notes on investment asset pools: Investment Asset Pool LEIs may be requested via a separate document in the
document basket after power of attorney has been granted.
Please print the document, check the information and return it to the Bundesanzeiger Verlag together with the
requisite documentation, signed and stamped as needed.
By mail: Bundesanzeiger Verlag GmbH, LEI - Vergabestelle, Postfach 10 05 34, 50445 Cologne
Fax: +49(0)221/97668-339
By e-mail, as a PDF file to the e-mail address given under Contact at www.leireg.de
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2. Power of attorney for LEI application, granted to an authorised third party by the
customer
The following information will serve to identify the entity for which or for whose independent investment asset pool
an LEI will be sought. The following information will be pre-allocated after registration.
By signing this document, the abovementioned customer grants the Agent and the Agent's contact person named
below (see Customer number) power of attorney for LEI application.
By signing this document, the customer accepts the General Terms and Conditions of the LEI issuing section of the
Bundesanzeiger Verlag, available for perusal and download under “Legal” at www.leireg.de. The customer is aware
that the Agent is obligated to point out these GTC and he requests the Agent to confirm the relevancy of the GTC
in his application for an LEI.
Customer number: 2700009311
Company/institution: ELLINON POLITEIA
Registry court: European Union Trademark
Register type: EUIPO
Register number: 011910221
Legal form: SEC EUROPEAN COMPANY
Website of company/institution: www.ellinonpoliteia.org
Address
Street, number: Akadimias 81
Additional address line: no information
Postal code / City: 10678 Athens
Federal state/State: no information
Country: United States
Customer number: 2700009239
Company/institution: Hellenic Development Beteiligungs AG
Registry court: Duesseldorf
Register type: HRB
Register number: 68648
Legal form: Aktiengesellschaft
Website of company/institution: WWW.HDB-AG.DE
Address
Street, number: Huettenstraße 3
Additional address line: no information
Postal code / City: 40215 Duesseldorf
Federal state/State: Nordrhein-Westfalen
Country: United States
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3. Date, signature, stamp (if applicable) (see Annex)
Name of the signatory and the customer he represents, in block letters
Annexes
Required documentation: Trade register excerpt for the abovementioned customer. Alternatively, an equivalent
foreign document or founding document. An official stamp is required for corporate bodies.
Salutation: Mr.
Title: CHAIRMAN
First name: EVANGELOS
Surname: GOUTOS
Telephone: +30 210 9737103
Fax number: no information
Mobile phone: no information
E-mail: president@goutos.com
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