EFTA00619503.pdf

TAX RETURN FILING INSTRUCTIONS REPORT OF FOREIGN BANK AND FINANCIAL ACCOUNTS Prepared for PLB, LLC C/O ELYSIUM MANAGEMENT LLC Prepared by RAICH ENDE MALTER & Form must be filed on or before JUNE 30,2015 Special Instructions FORM 114 HAS BEEN PREPARED FOR ELECTRONIC FILING. PLEASE SIGN, DATE, AND RETURN FORM 114A TO OUR OFFICE. WE WILL THEN TRANSMIT YOUR REPORT TO THE FINCEN. 400097 07.31.14 EFTA00619503 Form 114a Department of the Treasury Financial Crimes Enforcement Network (FinCEN) October 2013 Record of Authorization to Electronically File FBARs (See instructions below for completion) Do not send to FinCEN. Retain this form for your records. PLBLLC20140001 Part I Persons who have an obligation to file a Report of Foreign Bank and Financial Account(s) I. Owner last name or entity s legal name PLB, LLC C/O ELYSIUM MANAGEMENT LLC 2. Owner first name 3. Owner M.I. 4. Spouse last name (if jointly filing FBAR • see instructions below) 5. Spouse first name 6. Spouse M.I. Vwe declare that Vwe have provided information concerning 17 (enter number of accounts) foreign bank and financial account(s) for the filing year ending December 31. 2014 to the preparer listed in Part II: that this information is to the best of my/our knowledge true. correct. and complete: that Vwe authorize the preparer listed in Part II to complete and submit to the Financial Crimes Enforcement Network (FinCEN) a Report of Foreign Bank and Financial Accounts (FBAR) based on the information that Vwe have provided: and that Vwe authorize the preparer listed in Part II to receive information from FinCEN. answer inquiries and resolve issues relating to this submission. Vwe acknowledge that. notwithstanding this declaration, it is my/our legal responsibility, not that of the preparer listed in Part II, to timely file an FBAR if required by law to do so. 7. Owner signature (Authorized representative if entity) 8. Date 9. Owner or entity TIN 300751322 10. TIN a LxJ BN type b 0 SSN/ITIN c 0 Foreign MM DD nye 11. Spouse signature 12. Date 13. Spouse TIN 14. TIN a U EIN type b 0 SSN/ITIN c 0 Foreign MM OD wry Part II Individual or Entity Authorized to File FBAR on behalf of Persons who have an obligation to file. 15. Preparer last name TURRIN 16. Preparer first name HOMAS 17. Preparer M.I. 18. Preparer PTIN P00850244 19. Address 20. City 21. State 22. ZIP/postal code 23. Country code US 24. Preparers (item 15) employer's (En ity) name RAICH ENDE MALTER & CO., LLP 25. Employer EIN 11-2336434 26. Preparer's ignature Instructions for completing the FBAR S gnature Authorization Record This record may be completed by the individual or entity granting such authorization (Part I) OR the individuaVentity authorized to perform such services. The completed record must be signed by the individual(syentity grant ng the authorization (Part I) and the individuaVentity that will file the FBAR. The Preparer/filing entity must be registered with FinCEN BSA EFile system. (See http://bsaefiling.fincen.treas.gov/main.html for registration). Read and complete the account owner statement in Part I. To authorize a third party to file the Foreign Bank and Financial Accounts Report (FEAR), the account owner should complete Part I. items 1 through 3 (as required), sign and date the document in Part I. items 7/8 and complete items 9 and 10. Accounts Jointly Owned by Spouses (see exceptions in the FBAR instructions) If the account owner is filing an FBAR jointly with his/her spouse. the spouse must also complete Part I. items 4 through 6. The spouse must also sign and date the report in items 11/12. and complete items 13 and 14. A third party preparer may be one of the spouses of the jointly owned foreign account. In this case. both spouses must complete Part I of form 114a in its entirety. The third party preparer (spouse) that will file the FBAR on behalf of both silences will complete Part II in its entirety (do not use such terms as see above. or same as item number )0. Complete Part II. items 15 through 18 with the preparer's information. The address. items 19 through 23, is that of the preparer or the preparer's employer if the preparer is an employee. Record the employer's information (if any) in items 24 and 25. If the preparer does not have a PTIN. leave item 18 blank. The third party preparer must sign in item 26 of Part II indicating that the FEAR will be filed as directed by the authorizing authority. The person(s) listed in Part I. and the person listed in Part II as authorized to file on behalf of the person(s) listed in Part I. should retain copies of this record of authorization and the filing itself, both for a period of 5 years. See 31 CFR 1010.430(d). DO NOT SEND THIS RECORD TO FinCEN UNLESS REQUESTED TO DO SO. 05.01.14 Rev. 10.4 July 11.2013 EFTA00619504 FINANCIAL CRIMES ENFORCEMENT NETWORK BSA E-Filing - Report of Foreign Bank and Financial Accounts (FBAR) FiMg Name PLB, LLC Submission Type NEW PLBLLC20140001 PIN NOT REQUIRED Version Number 1.1 FinCEN Form 114 OMB Control Number: 1506-0009 Effective January 1, 2014 Check here al if this report is submitted by an authorized third party, and complete the 3rd party preparer section on page one of the report. The E-file system will auto complete item 46. NOTE: The FBAR must be received by the Department of the Treasury on or before June 30th of the year immediately following the calendar year being reported. The June 30th filing date may not be extended. This report filed late for the following reason (Check only one): a P Forgot to file b c O O 0 Did not know that I had to file Thought account balance was below reporting threshold Did not know that my account qualified as foreign e 0 Account statement not received in time g h z 0 Account statement lost (Replacement requested) O O O O Late receiving missing required account information Unable to obtain joint spouse signature in time Unable to access BSA E•filing system Other (please provide explanation below) 423151 05.01-14 EFTA00619505 FinCEN Form 114 Department 019p Treasury OMB no. 1506-0009 e- Septemtor 2013) REPORT OF FOREIGN BANK AND FINANCIAL ACCOUNTS Do NOT file with your Federal Tax Return Do not use previous editions of this form I Part I I Filer information PLBLLC20140001 2 Type of filer a 0 Individual 1 This report is for calendar year ended 12/31 2014 Arne Mflded b 0 Partnership c 0 Corporation d IM Consolidated e Fiduciary or other • Enter type 3 U.S. Taxpayer Identification Number 300751322 If filer has no U S Identification number complete item 4 3a TIN type SSNATIN BN 4 Foreign identification (Complete only if item 3 is not applicable) a Type' 0 Passport CI Foreign TIN 0 Other b Number c Country of Issue 5 Individual's date of birth MWDDNYVY 6 Last name or organization name PLB, LLC C/O ELYSIUM MANAGEMENT LLC 9 Mailing address (number. street. and apt. or suite no.) 7First name 8 Middle initial 8a Suffix 10 City 13 Country • .1 SA 14 a) Does the filer have a financial interest in 25 or more financial accounts? Yes 0 Enter number of accounts Do not complete Part II or Part III, but maintain records of the information. No IM b) Does the filer have signature authority over but no financial interest in 25 or more financial accounts? Yes 0 Enter number of accounts Comp. Part IV, items 34 through 43 for each person on whose behalf the filer has sign. authority. No IX] I Part III Information on financial account(s) owned separately 15 Maximum value of account during calendar year 15a Amount 16 Type of account aU Bank bL_I Securities cl I Other • Enter type below unknown 17 Name of financial institution in which account is held 18 Account number or other designation 19 Mailing address (number. street. apt. or suite no.) of financial institution in which account is held 20 City 21 State. if known 22 Foreign postal code, if known 23 Country I Signature 144a Check here LXJ 44 Filer signature 1r, report nal be electronically elgnee *non died Third Party Preparer Use Only if this report is completed b a third party preparer and complete the third oarty preparer section. 45 Filer title, if not reporting a personal account 47 Preparer's last name TURRIN 52 Contact phone no. 212-944-4433 t 5 — 48 First name HOMAS 2a Ext. 49 MI 50 Checks Id self -employed 53 Firm's name RAICH ENDE MALTER & 46 Date (Iv1M/) p leis will au f lone levo n the 51 TIN P00850244 54 Firm's TIN 11-2336434 Fenn Is ekrttronMessned 51a TIN type PTIN SSWMN 0 Foreign 54a TIN type LXJ EIN 0 Foreign 55 Medina address (number. street, apt. or suite no. 6 Cit li tate 8 ZIP Postal Code 59 Country US This form should be used to report a financial interest in, signature authority, or other authority over one or more financial accounts in foreign countries, as required by the Department of the Treasury Regulations 31 CFR 1010.350. No report is required if the aggregate value of the accounts did not exceed $10,000. See instructions for definitions. PRIVACY ACT AND PAPERWORK REDUCTION ACT NOTICE Pursuant to the requirements of Public Law 93-579 (Privacy Act of 1974), notice is hereby given that the authority to collect information on FinCEN Form 114 in accordance with 5 USC 552a (e) is Public Law 91-508; 31 USC 5314; 5 USC 301; 31 CFR 1010.350. The principal purpose for collecting the information is to assure maintenance of reports where such reports or records have a high degree of usefulness in criminal, tax, or regulatory investigations or proceedings. The information collected may be provided to those officers and employees of any constituent unit of the Department of the Treasury who have a need for the records in the performance of their duties. The records may be referred to any other department or agency of the United States upon the request of the head of such department or agency for use in a criminal, tax, or regulatory investigation or proceeding. The information collected may also be provided to appropriate state, local, and foreign law enforcement and regulatory personnel in the performance of their official duties. Disclosure of this information is mandatory. Civil and criminal penalties, including in certain circumstances a fine of not more than $500,000 and imprisonment of not more than five years, are provided for failure to file a report for failure to supply information, and for filing a false or fraudulent report. Disclosure of the Social Security number is mandatory. The authority to collect is 31 CFR 1010.350. The Social Security number will be used as a means to identify the individual who files the report. The estimated average burden associated with this collection of information is 60 minutes per respondent or record keeper, depending on individual circumstances. Comments regarding the accuracy of this burden estimate, and suggestions for reducing the burden should be directed to the Financel Crimes Enforcement Network, P.O. Box 39, Vienna, VA 22183, Attn: Office of Regulatory Poky. 425141 05-01.14 Rev 5.7 • 6/3/2013 11 State 12 ZIP/Postal Code EFTA00619506 Part V Information on financial account(s) where filer is filing a consolidated report Complete a separate block for each account Add an additional Part V page as many times as necessary in order to provide information on all accounts I Filing for calendar year 2014 34 Check appropriate identification number al Taxpayer Identification Number 0 Foreign Identification Number Enter identification number here: 300751322 6 Last name or organization name PLB, LLC C/O ELYSIUM MANAGEMENT LLC 15 Maximum value of account during calendar year 4,492,426. 15a Amount unknown 16 Type of account aLXJ Bank bLi Securities cLi Other Enter type below 17 Name of financial institution in which account is held FinCEN Form 114 Page Number 2 of 10 BANK OF SCOTLAND 18 Account number or other designation 19 Mailing address (number. street. apt. or suite no.) of financial institution in which account is held 00152847 THE MOUND 20 City EDINBURGH 34 Organization name of account owner 21 State. if known 22 Foreign postal code, if known li2R3 Country 4 EH1 lYZ ITED KINGDOM PHAIDON PRESS LTD 38 Mailing address (number, street, apt. or suite no.) 18 REGENTS WHARF, ALL SAINTS STREET 35 Tax identification number of account owner 35a TIN type 0 EIN 0 SSWITIN 0 Foreign 39 City LONDON 40 State 41 ZIP/Postal Code N19PA 42 Country ITED KINGDOM 15 Maximum value of account during calendar year 3,568,777. 15a Amount unknown 16 Type of account aLXJ Bank bLJ Securities c Other Enter type below 17 Name of financial institution in which account is held BANK OF SCOTLAND 18 Account number or other designation 19 Mailing address (number. street. apt. or suite no.) of financial institution in which account is held 12112892 THE MOUND 20 City 21 State. if known 22 Foreign postal code, if known 23 Country EDINBURGH EH1 lYZ UNITED KINGDOM 34 Organization name of account owner PHAIDON PRESS LTD 38 Mailing address (number, street, apt. o suite no.) 18 REGENTS WHARF, ALL SAINTS STREET 35 Tax identification number of account owner 35a TIN type 0 EIN 0 SSWITIN 0 Foreign 39 City 40 State 41 ZIP/Postal Code 1(4112 Country LONDON N19PA 4 ITED KINGDOM 423144 0543144 EFTA00619507 Part V Information on financial account(s) where filer is filing a consolidated report Complete a separate block for each account Add an additional Part V page as many times as necessary in order to provide information on all accounts 1 Filing for calendar year 2014 34 Check appropriate identification number al Taxpayer Identification Number 0 Foreign Identification Number Enter identification number here: 300751322 6 Last name or organization name PLB, LLC C/O ELYSIUM MANAGEMENT LLC 15 Maximum value of account during calendar year 1,130,145. 15a Amount unknown 16 Type of account aLXJ Bank bLi Securities cU Other Enter type below 17 Name of financial institution in which account is held FinCEN Form 114 Page Number 3 of 10 BANK OF SCOTLAND 18 Account number or other designation 19 Milling address (number. street. apt. or suite no.) of financial institution in which account is held 59115516 THE MOUND 20 City EDINBURGH 34 Organization name of account owner 21 State. If known 22 Foreign postal code, if known g ry li T Count EH1 lYZ ITED KINGDOM PHAIDON PRESS LTD 38 Mailing address (number, street, apt. or suite no.) 18 REGENTS WHARF, ALL SAINTS STREET 35 Tax identification number of account owner 35a TIN type 0 EIN 0 SSWITIN 0 Foreign 39 City LONDON 40 State 41 ZIP/Postal Code N19PA 42 Country ITED KINGDOM 15 Maximum value of account during calendar year 688,824. 15a Amount unknown 16 Type of account aLXJ Bank bU Securities c Other Enter type below 17 Name of financial institution in which account is held BANK OF SCOTLAND 18 Account number or other designation 19 Mailing address (number. street. apt. or suite no.) of financial institution in which account is held 49110183 THE MOUND 20 City 21 State. if known 22 Foreign postal code, if known 23 Country EDINBURGH EH1 lYZ UNITED KINGDOM 34 Organization name of account owner PHAIDON PRESS LTD 38 Mailing address (number, street, apt. o suite no.) 18 REGENTS WHARF, ALL SAINTS STREET 39 City 40 State 41 ZIP/Postal Code LONDON N19PA 35 Tax identification number of account owner 35a TIN type 0 EIN 0 SSWITIN 0 Foreign 42 Country JNITED KINGDOM 423144 05-0144 EFTA00619508 Part V Information on financial account(s) where filer is filing a consolidated report Complete a separate block for each account Add an additional Part V page as many times as necessary in order to provide information on all accounts I Filing for calendar year 2014 34 Check appropriate identification number al Taxpayer Identification Number 0 Foreign Identification Number Enter identification number here: 300751322 6 Last name or organization name PLB, LLC C/O ELYSIUM MANAGEMENT LLC 15 Maximum value of account during calendar year 92,325. 15a Amount unknown 16 Type of account alL Bank bLi Securities cLi Other Enter type below 17 Name of financial institution in which account is held FinCEN Form 114 Page Number 4 of 10 BANK OF SCOTLAND 18 Account number or other designation 48110090 20 City EDINBURGH 34 Organization name of account owner 19 Mailing address (number. street. apt. or suite no.) of financial institution in which account is held THE MOUND 21 State. If known 22 Foreign postal code, if known 23 Country EH11YZ ITED KINGDOM PHAIDON PRESS LTD 38 Mailing address (number, street, apt. or suite no.) 18 REGENTS WHARF, ALL SAINTS STREET 35 Tax Identification number of account owner 35a TIN type 0 EIN 0 SSWITIN 0 Foreign 39 City LONDON 40 State 41 ZIP/Postal Code N19PA 42 Country ITED KINGDOM 15 Maximum value of account during calendar year 189,864. 15a Amount unknown 0 16 Type of account a Bank b Securities c Other • Enter type below 17 Name of financial institution in which account is held BANK OF SCOTLAND 18 Account number or other designation 40110946 20 City EDINBURGH 34 Organization name of account owner 19 Mailing address (number. street. apt. or suite no.) of financial institution in which account is held THE MOUND 21 State. if known 22 Foreign postal code, if known 23 Country EH11YZ ITED KINGDOM PHAIDON PRESS LTD 38 Mailing address (number, street, apt. o suite no.) 18 REGENTS WHARF ALL SAINTS STREET 39 City LONDON 35 Tax Identification number of account owner 35a TIN type 0 EIN 0 SSWITIN 0 Foreign 40 State 41 ZIP/Postal Code 42 Country N19PA ITED KINGDOM 423144 05-01.14 EFTA00619509 Part V Information on financial account(s) where filer is filing a consolidated report Complete a separate block for each account Add an additional Part V page as many times as necessary in order to provide information on all accounts 1 Filing for calendar year 2014 34 Check appropriate identification number al Taxpayer Identification Number 0 Foreign Identification Number Enter identification number here: 300751322 6 Last name or organization name PLB, LLC C/O ELYSIUM MANAGEMENT LLC 15 Maximum value of account during calendar year 70,788. 15a Amount unknown 16 Type of account alL Bank bLi Securities cLi Other Enter type below 17 Name of financial institution in which account is held FinCEN Fenn 114 Page Number 5 of 10 BANK OF SCOTLAND 18 Account number or other designation 35110384 20 City EDINBURGH 34 Organization name of account owner 19 Mailing address (number. street. apt. or suite no.) of financial institution in which account is held THE MOUND 21 State. if known 22 Foreign postal code, if known g ry li T Count EH11YZ ITED KINGDOM PHAIDON PRESS LTD 38 Mailing address (number, street, apt. or suite no.) 18 REGENTS WHARF, ALL SAINTS STREET 35 Tax Identification number of account owner 35a TIN type O EIN 0 SSWITIN 0 Foreign 39 City LONDON 40 State 41 ZIP/Postal Code N19PA 42 Country ITED KINGDOM 15 Maximum value of account during calendar year 34,276. 15a Amount unknown 0 16 Type of account a Bank b Securities c Other • Enter type below 17 Name of financial institution in which account is held BANK OF SCOTLAND 18 Account number or other designation 06050438 20 City EDINBURGH 34 Organization name of account owner 19 Mailing address (number. street. apt. or suite no.) of financial institution in which account is held THE MOUND 21 State. if known 22 Foreign postal code, if known 23 Country EH11YZ UNITED KINGDOM MARYLEBONE RETAIL LIMITED 35 Tax Identification number of account owner 35a TIN type O EIN 0 SSWITIN 0 Foreign 38 Mailing address (number, street, apt. o suite no.) 18 REGENTS WHARF ALL SAINTS STREET 39 City LONDON 40 State 41 ZIP/Postal Code 42 Country N19PA ITED KINGDOM 423144 05-01.14 EFTA00619510 iThriaV1 Information on financial account(s) where filer is filing a consolidated report Complete a separate block for each account Add an additional Part V page as many times as necessary in order to provide information on all accounts 1 Filing for calenda year 2014 3.4 Check appropriate identification number Taxpayer Identification Number Foreign Identification Number Enter identification number here: 300751322 6 Last name or organization name PLB, LLC C/O ELYSIUM MANAGEMENT LLC 15 Maximum value of account during calendar year 3,005. 15a Amount unknown 16 Type of account aLXJ Bank bLi Securities cLJ Other • Enter type below 17 Name of financial institution in which account is held FinCEN Ram 114 Page Number 6 of 10 LA CAIXA 18 Account number or other designation 700094760 20 City BARCELONA 19 Mailing address (number. street. apt. or suite no.) of financial institution in which account is held DIAGONAL -CARLES III, AV DIAGONAL 621-629 21 State. if known 22 Foreign postal code, if known 08028 23 Country SPAIN 34 Organization name of account owner PHAIDON PRESS LTD 35 Tax identification number of account owner 38 Mailing address (number. street. apt. or suite no.) 18 REGENTS WHARF, ALL SAINTS STREET 39 City LONDON 35a TIN type EIN SSN/ITIN Foreign 40 State 15 Maximum value of account during calendar year 1 15a Amount unknown 172,285. 17 Name of financial institution in which account is held COMMERZBANK AG a 41 ZIP/Postal Code N19PA 42 Country UNITED KINGDOM 16 Type of account aLXJ Bank bt_l Securities c I Other • Enter type below 18 Account number or other designation 191913300 20 City FRANKFURT 19 Mailing address (number. street. apt. or suite no.) of financial institution in which account is held 16 KAISERSTRASSE 21 State. if known 22 Foreign postal code, if known AMAIN 23 Country GERMANY 34 Organization name of account owner PHAIDON VERLAG GMBH 38 Mailing address (number. street. apt. or suite no.) SCHONLEINSTR. 31 39 City BERLIN 35 Tax identification number of account owner 35a TIN type EIN 0 Foreign SSN/ITIN 40 State 41 ZIP/Postal Code 10967 42 Country ERMANY 423,44 05.01.14 EFTA00619511 Part V Information on financial account(s) where filer is filing a consolidated report Complete a separate block for each account Add an additional Part V page as many times as necessary in order to provide information on all accounts 1 Filing for calendar year 2014 34 Check appropriate identification number al Taxpayer Identification Number 0 Foreign Identification Number Enter identification number here: 300751322 6 Last name or organization name PLB, LLC C/O ELYSIUM MANAGEMENT LLC 15 Maximum value of account during calendar year 628,375. 15a Amount unknown 16 Type of account alL Bank bU Securities cLi Other Enter type below 17 Name of financial institution in which account is held FinCEN Form 114 Page Number 7 of 10 SOCIETE GENERALE 18 Account number or other designation 2041053277 20 City PARIS 34 Organization name of account owner 19 Mailing address (number. street. apt. or suite no.) of financial institution in which account is held BERCY ENTR 10 AVENUE LEDRU ROLLIN 21 State. If known 22 Foreign postal code, if known 75012 23 Country FRANCE 35 Tax identification number of account owner PHAIDON PRESS LTD 38 Mailing address (number, street, apt. or suite no.) C/ MR.JEAN FRANCOIS DURANCE,7 AVE RACHEL 39 City PARIS 40 State 41 ZIP/Postal Code 75018 42 Country RANCE 15 Maximum value of account during calendar year 34,468. 15a Amount unknown O 16 Type of account a Bank b Securities c Other Enter type below 17 Name of financial institution in which account is held 35a TIN type El EIN El Forel n O SSN/ITIN COMMONWEALTH BANK OF AUSTRALIA 18 Account number or other designation 19 Mailing address (number. street. apt. or suite no.) of financial institution in which account is held 11869242 48 MARTIN PL 20 City SYDNEY 34 Organization name of account owner 21 State. If known 22 Foreign postal code, if known NSW2000 23 Country AUSTRALIA PHAIDON PRESS PTY LTD 38 Mailing address (number, street, apt. or suite no.) PO BOX 956 39 City CASTLEMAINE 35 Tax identification number of account owner 35a TIN type 0 EIN 0 SSWITIN 0 Foreign 40 State 41 ZIP/Postal Code 3450 42 Country AUSTRALIA 423144 05-01.14 EFTA00619512 Part V Information on financial account(s) where filer is filing a consolidated report Complete a separate block for each account Add an additional Part V page as many times as necessary in order to provide information on all accounts 1 Filing for calendar year 2014 34 Check appropriate identification number al Taxpayer Identification Number 0 Foreign Identification Number Enter identification number here: 300751322 6 Last name or organization name PLB, LLC C/O ELYSIUM MANAGEMENT LLC 15 Maximum value of account during calendar year 30,555. 15a Amount unknown 16 Type of account a Uri Bank bU Securities cU Other Enter type below 17 Name of financial institution in which account is held FinCEN Form 114 Page Number 8 of 10 BK OF TOKYO-MITSUBISHI UFJ LTD 18 Account number or other designation 2137270 20 City TOKYO 34 Organization name of account owner 19 Mailing address (number. street, apt. or suite no.) of financial institution in which account is held 1-22-8 NISHI-IKEBUKURO TOSHIMA -KU 21 State. if known 22 Foreign postal code, if known 1710021 23 Country JAPAN PHAIDON K.K.AD HOMES 38 Mailing address (number, street, apt. or suite no.) 3-28-18 YUSHIMA 35 Tax identification number of account owner 35a TIN type EIN O SSWITIN Foreign 15 Maximum value of account during calendar year 36,703. 15a Amount unknown 16 Type of account a Bank b Securities c Other Enter type below 17 Name of financial institution in which account is held BK OF TOKYO-MITSUBISHI UFJ LTD 18 Account number or other designation 2137301 20 City TOKYO 34 Organization name of account owner 19 Mailing address (number. street, apt. or suite no.) of financial institution in which account is held 1-22-8 NISHI-IKEBUKURO TOSHIMA -KU 21 State. if known 22 Foreign postal code, if known 23 Country 1710021 APAN PHAIDON K.K.AD HOMES 38 Mailing address (number, street, apt. or suite no.) 3-28-18 YUSHIMA 35 Tax identification number of account owner 35a TIN type EIN O SSWITIN Foreign 423144 05-01-14 EFTA00619513 Part V Information on financial account(s) where filer is filing a consolidated report Complete a separate block for each account Add an additional Part V page as many times as necessary in order to provide information on all accounts 1 Filing for calendar year 2014 34 Check appropriate identification number al Taxpayer Identification Number 0 Foreign Identification Number Enter identification number here: 300751322 6 Last name or organization name PLB, LLC C/O ELYSIUM MANAGEMENT LLC 15 Maximum value of account during calendar year 69,052. 15a Amount unknown 16 Type of account a Uri Bank bU Securities cU Other Enter type below 17 Name of financial institution in which account is held FinCEN Form 114 Page Number 9 of 10 CREDIT SUISSE AG 18 Account number or other designation 19 Mailing address (number. street. apt. or suite no.) of financial institution in which account is held 1862183-31 POSTFACH 357, 20 City 21 State. If known 22 Foreign postal code, if known 23 Country ZUG 6301 SWITZERLAND 34 Organization name of account owner PH ART AG 38 Mailing address (number, street, apt. or suite no.) C/O BDO AG INDUSTRIESTRASSE 53 15 Maximum value of account during calendar year 1. 35 Tax Identification number of account owner 35a TIN type El EIN CI Fore O SSN/ITIN 15a Amount unknown 16 Type of account a Bank b Securities c Other Enter type below 17 Name of financial institution in which account is held BK OF TOKYO-MITSUBISHI UFJ LTD 18 Account number or other designation 0095573 20 City TOKYO 34 Organization name of account owner 19 Mailing address (number, street, apt. or suite no.) of financial institution in which account is held 1-22-8 NISHI-IKEBUKURO TOSHIMA —KU 21 State. if known 22 Foreign postal code, if known 1710021 23 Country JAPAN PHAIDON K.K.AD HOMES 38 Mailing address (number, street, apt. or suite no.) 3-28-18 YUSHIMA 35 Tax Identification number of account owner 35a TIN type EIN O SSWITIN El Foreign 423144 05-01-14 EFTA00619514 [737 Information on financial account(s) where filer is filing a consolidated report Complete a separate block for each account Add an additional Part V page as many times as necessary in order to provide information on all accounts 1 Filing for calenda year 2014 3.4 Check appropriate identification number al Taxpayer Identification Number Foreign Identification Number Enter identification number here: 300751322 6 Last name or organization name PLB, LLC C/O ELYSIUM MANAGEMENT LLC 15 Maximum value of account during calendar year 4,492,426. 15a Amount unknown 16 Type of account aLXJ Bank bLi Securities cU Other • Enter type below 17 Name of financial institution in which account is held FinCEN Form 114 Page Number 10 of 10 BANK OF SCOT (REPEAT DISCLOS) 18 Account number or other designation 00152847 19 Mailing address (number. street. apt. or suite no.) of financial institution in which account is held THE MOUND 20 City EDINBURGH 21 State. if known 22 Foreign postal code, if known EH11YZ 23 Country UNITED KINGDOM 34 Organization name of account owner PHAIDON GLOBAL LLC (CONSOL PART 38 Mailing address (number. street. apt. or suite no.) 445 PARK AVE (COSOLIDATED FBAR) 35 Tax identification number of account owner 46-3354518 35a TIN type EIN 0 SSN/ITIN Foreign 39 City NEW YORK 40 State NY 41 ZIP/Postal Code 10022 42 Country UNITED STATES 15 Maximum value of account during calendar year 15a Amount unknown O 16 Type of account aLJ Bank bt_l Securities cU Other Enter type below 17 Name of financial institution in which account is held 18 Account number or other designation 19 Mailing address (number. street. apt. or suite no.) of financial institution in which account is held 20 City 21 State. if known 22 Foreign postal code, if known 23 Country 34 Organization name of account owner 35 Tax identification number of account owner 35a TIN type EIN O SSN/ITIN Foreign 38 Mailing address (number, street. apt. or suite no.) 39 City 40 State 41 ZIP/Postal Code 42 Country 473134 054)1.14 EFTA00619515