This document is a declaration form for non-Israeli residents and Israeli brokers to substantiate eligibility for exemption from Israeli withholding tax on shares of Mobileye N.V. It includes identification details of the shareholder, Southern Financial, LLC, and specifies the shareholder's permanent address, contact details, and shareholding status.
documents/vol00010-efta01369090-pdf.pdf
{"title":"Declaration of Status for Israeli Income Tax Purposes","key_people":["Richard Koln"],"document_type":"financial","key_locations":["U.S. Virgin Islands","St. Thomas"],"document_subtype":"tax declaration","key_organizations":["Mobileye N.V.","Southern Financial, LLC","Deutsche Bank"],"reference_numbers":["Corp. No. 583164"]}