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FULL POWER OF ATTORNEY (FPOA)


April 07, 2019

I, Mr. <first and last name>as the representative and director of "<company name>"
with the address: <address where registered>, holder of the passport number: xxxxxxx issued by xxxxx
grant this power of attorney as my Attorney-in-Fact ("Agent") to:

Ms Jadwiga Radwaniecka, Director of “Capital Solutions” entity of Fundacja Zielony Śląsk having
the address: ul. Gliwicka 4C, 47-445 Racibórz, Śląskie, Poland, holder of Polish passport number.:
EA3378955 , having a phone number:+48 606 287 909 and email: heidi.amex15@gmail.com

My Agent shall have full power and authority to act on my behalf. This power and authority shall
authorize my Agent to manage and conduct all of my affairs and to exercise all of my legal rights and
powers, including all rights and powers to undertake any factual and legal actions and to submit any
declarations of will related to:
1. the receipt of funds due to me from all tranches, to be downloaded via IP/IP protocol by the
“Foundcja Zielony Śląsk” (FZS), to the Agent’s nominated bank account in Poland. Upon my
written request the Agent will forward the funds received on my behalf to the account to be
nominated by me.
2. to use the downloading codes to be received from me to perform the download of funds via
IP/IP protocol by FZS.

The funds which this FPOA pertains to will be sent/downloaded from the following account:

BANK NAME :
BANK ADDRESS :
ACCO NT NAME :
ACCOUNT SIGNATORY NAME :
PASSPORT NO. :
IBAN NO. :
SWIFT/BIC CODE :
CASH ACCOUNT DEPOSIT :
BANK OFFICER NAME :
CLIENT NO. :
COMMON ACCOUNT NO. :

My Agent shall not be liable for any loss that results from a judgment error that was made in good
faith. However, my Agent shall be liable for willful misconduct or the failure to act in good faith while
acting under the authority of this Full Power of Attorney.
My Agent shall be entitled to reasonable compensation for any services provided as my Agent. My
Agent shall be entitled to reimbursement of all reasonable expenses incurred in connection with this
Full Power of Attorney.
My Agent shall provide an accounting for all funds handled and all acts performed as my Agent, if I so
request or if such a request is made by any authorized personal representative or fiduciary acting on
my behalf.

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This Full Power of Attorney shall become effective immediately and shall not be affected by
my disability or lack of mental competence, except as may be provided otherwise by an
applicable state statute. This Full Power of Attorney shall continue effective until completion
of the download of EURO funds.
This Full Power of Attorney may be revoked by me at any time by providing written notice to my
Agent.
Dated this 07th day of April 2019 in <city>, <country>,

I CERTIFY THAT I, <first and last name>EXECUTE THIS POA AS THE DIRECTOR OF THE
COMPANY

SIGNATURE: _______________________________________
NAME/TITLE:
COMPANY NAME :
PASSPORT NUMBER:
PASSPORT ISSUED:
PASSPORT EXPIRY:
COUNTRY OF ISSUE:

NOTARY:

SIGNED AND ACCEPTED BY THE AGENT

________________________________________
NAME/TITLE: Jadwiga Radwaniecka / Director
COMPANY: “Capital Solutions” of FZS
PASSPORT NUMBER: EA 3378955
DATE OF ISSUE: 17 November 2009
DATE OF EXPIRY: 17 November 2019
COUNTRY OF ISSUE: Poland

COPY OF SENDER’S PASSPORT

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