This document is a declaration form for non-Israeli residents and Israeli brokers to establish their eligibility for an exemption from Israeli withholding tax on shares of Mobileye N.V. It includes sections for identification, shareholder type, and shareholding details.
doj/DataSet10/EFTA01383712.pdf
{"title":"Declaration of Status for Israeli Income Tax Purposes","document_type":"financial","key_locations":["Israel"],"document_subtype":"tax declaration form","key_organizations":["Mobileye N.V."],"reference_numbers":["DB-SDNY-0083506","SDNY_GM_00229690","EFTA01383712"]}