Błonie 01.09.
2024
CLIENT INFORMATION FORM
In accordance with Articles 2 through 5 of the Due Diligence Convention and the Federal Banking
Commission Circular of December 1998, and under the US Patriot Act of 2002, as amended in February
2003 concerning the prevention of money laundering and 305 of the Swiss Criminal Code, the following
information may be supplied to banks and/or other financial institutions for purposes of verification of
identity and activities of the Client described below, and the nature and origin of the funds which are to
be utilized. The foregoing is subject to agreement by all parties to whom this information is provided
that they are obligated to respect the privacy rights of the Client and all individuals described herein, as
well as the generally accepted professional standards relating to the maintenance of confidential
information, and to take all appropriate precautions to protect the confidentiality of the information
contained herein, This legal obligation shall remain in full force indefinitely without restriction. Details of
Signatory– Corporate & Individual
Legal form: Limited Lliability Company
Name: LTE Material Handling Sp. z o. o.
Address: ul. Modlińska 4A, 05-870 Błonie
District: Masovian district, Warsaw West
Registration authority: District Court for the Capital City of Warsaw. Warsaw,
Department: XIII Economic Department
Register number: KRS 0000517072
ID number Tax: NIP 5213675523,
Number in the REGON register: 47325640,
Date of establishment: 16/07/2014
First Name : Aleksander
Last Name : Tuszynski
Nationality : Polish
Passport Number : EU 9779051
Do you speak English? : YES
LTE Material Handling Sp. z o.o.
ul. Modlińska 4A, 05-870 Błonie
NIP 5213675523, REGON 147325640, KRS 0000517072 Sąd Rejonowy dla M. ST. Warszawy, XIII Wydział Gospodarczy KRS
The company has active bank accounts in PLN, USD and EUR in the following banks: We
only provide information in EUR.
( corporate account)
PEKAO S.A., ul. Żubra 1 01-066 Warszawa,
IBAN EUR: PL 51 1240 2164 1978 0010 5955 9840
BIC/SWIFT: PKOPPLPWXXX ( GPI, MT103, SEPA, TARGET2, Sorbnet2)
( corporate account)
BNP Paribas Bank Polska S.A. ul. Kasprzaka 2, 01-211 Warszawa
IBAN EUR: PL 88 1600 1462 1821 2910 4000 0002
BIC/SWIFT: PPABPLPKXXX ( MT103, SEPA, TARGET2, Sorbnet2)
( business account)
Santander Bank Polska S.A., ul. Jana Pawla II 17, 00-854 Warszawa
IBAN EUR: PL 54 1090 1043 0000 0001 4119 3370
BIC/SWIFT: WBKPPLPP ( GPI, MT103, SEPA, TARGET2, Sorbnet2)
( business account)
Credit Agricole Bank Polska SA, ul. Legnicka 48 bud. C-D, 54-202 Wrocław,
IBAN EUR: PL 79 1949 1076 3250 2855 0000 0000
BIC/SWIFT: AGRIPLPR ( GPI, MT103, SEPA, TARGET2, Sorbnet2)
( business account)
mBank S.A., ul. Senatorska 18, 00-950 Warszawa
IBAN EUR: PL 77 1140 2004 0000 3312 1313 7478
BIC/SWIFT: BREXPLPWMBK ( MT103, SEPA, TARGET2, Sorbnet2)
Western Union,
WESTERN UNION INTERNATIONAL BANK GmbH
The Icon Vienna Turm 24, Wiedner Gurtel 13, 1100 Vienna, Austria
Account: Aleksander Tuszynski
IBAN EUR: AT 07 1988 0143 9978 3501
BIC/SWIFT: WUIB AT WW XXX
IBAN USD: AT 12 1988 0145 9960 6903
BIC/SWIFT: WUIB AT WW XXX
IBAN PLN: AT 84 1988 0143 8761 5405
BIC/SWIFT: WUIB AT WW XXX
WU: 938 563 966
Card: 4348 5700 3614 0510
EXPIRY: 09/26
https://www.westernunion.com/us/en/web/send-money/start
https://www.westernunion.com/us/en/self-service/app/verifytransaction
LTE Material Handling Sp. z o.o.
ul. Modlińska 4A, 05-870 Błonie
NIP 5213675523, REGON 147325640, KRS 0000517072 Sąd Rejonowy dla M. ST. Warszawy, XIII Wydział Gospodarczy KRS
LTE Material Handling Sp. z o.o.
ul. Modlińska 4A, 05-870 Błonie
NIP 5213675523, REGON 147325640, KRS 0000517072 Sąd Rejonowy dla M. ST. Warszawy, XIII Wydział Gospodarczy KRS
