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Contents
Khrustalova Natalia Oleksiivna
2019, Annual
Position
Deputy Director of Internal Audit Department - Head of Department
Date of submission
May 4, 2020, 4:11 p.m.
Peculiarities
Has financial obligations not to banks, insurance or leasing companies, or pension funds
The name of the entity indebted to is checked against the list of names of banks and their USREOU codes. The description of liabilities is also checked for insurance or leasing companies and pension funds
2019, Annual
Type/Year
Annual, 2019
Position
Deputy Director of Internal Audit Department - Head of Department
Submitted
May 4, 2020, 4:11 p.m.
Declaration original
Monitor this request:
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1.    Type of declaration and the reporting period

2019

2.1.    Information about the declarant

Khrustalova
Natalia
Oleksiivna
[Confidential information]
[Confidential information]
[Confidential information]
[Confidential information]

Registered place of residence:
Ukraine
[Confidential information]
Kyiv, Ukraine
[Confidential information]
[Confidential information]
[Confidential information]
[Confidential information]
[Confidential information]

Place of actual residence or a postal address where the National Agency for Corruption Prevention can send correspondence to the declarant:

Place of work:
National Bank of Ukraine

Deputy Director of Internal Audit Department - Head of Department

Category of the official position (if applicable):
[Not applicable]
[Not applicable]

Head, deputy chief of staff or an independent structural subdivision of a government agency, with jurisdiction over all of Ukraine

No

No

2.2.   Information about the declarant's family members

Relationship with the declarant Full Name Citizenship Tax number: Series and passport number of Ukrainian citizen or ID card or birth certificate Unique entry number in the Unified State Demographic Register
daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:SerhiivnaDate of Birth:[Confidential information]Ukraine[Confidential information][Confidential information][Confidential information]

3.    Immovable property

General information Location Cost at the date of acquisition or at the latest monetary estimate Information about the rights to the object
Type of object:apartment Date of right acquisition:28.02.2012 Total area (m2): 83.4 Registration number (land cadastral number):[Confidential information]Country:Ukraine Postal code:[Confidential information] Locality:Kyiv, Ukraine Address:[Confidential information]1998272Type of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Type of object:apartment Date of right acquisition:20.09.2016 Total area (m2): 49.8 Registration number (land cadastral number):[Confidential information]Country:Ukraine Postal code:[Confidential information] Locality:Kyiv, Ukraine Address:[Confidential information]1080000Type of ownership:PropertyInterest rate, %:100Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna

4.    Objects of unfinished construction

The declarant or his family members have no objects for declaration in this section

5.    Valuable movable property (other than vehicles)

The declarant or his family members have no objects for declaration in this section

6.   Valuable movable property - vehicles

General information Character reference Cost at the date of acquisition, ownership or use or at the latest monetary valuation Information about the rights to property
Type of property:Passenger car Date of right acquisition:19.09.2009 Identification number (VIN code, chassis number):[Confidential information] Make:KIA Model:CEED Year of manufacture:2009 153000Type of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna

7.   Securities

The declarant or his family members have no objects for declaration in this section

8.   Corporate rights

The declarant or his family members have no objects for declaration in this section

9.   Legal entities, trusts or other similar legal entities, the ultimate beneficial owner (controller) of which is the declaring entity or his family members

The declarant or his family members have no objects for declaration in this section

10.   Intangible assets

The declarant or his family members have no objects for declaration in this section

11.   Revenues, including gifts

Source of revenue:Type of revenueSize (value)Information about the person concerned
Source of revenue:A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106Salary at main job:1419836Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106other: paid pension contributions204Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663other: investment profit25234Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663other: pension payments30075Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Interest1368daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
Source of revenue:A legal entity that is registered in UkraineName:dpi in the Pechersk district of the city of Dfs in the city of KievCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 39669867other: tax deduction for study9036Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570other: service of accumulation327daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

12.   Cash assets

The institution at which such accounts are opened or to which the corresponding contributions are made or by an individualType of assetSize of assetInformation about the rights to the object
other legal entityA legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663Otheramount of accumulated pension funds154138Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:pat "state savings bank of ukraine"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032129Funds placed in bank accounts18840Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Funds placed in bank accounts1625Currency:USDType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
other legal entityA legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Funds placed in bank accounts9Currency:UAHType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
[Not applicable]Cash money50000Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
[Not applicable]Cash money10000Currency:USDType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570Funds placed in bank accounts477Currency:UAHType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

12.1.   Banking and other financial institutions holding accounts of the declaring entity or his family

General informationInformation about a natural or legal person who has the right to dispose of such account or who has access to an individual bank safe (cells)Information about the natural or legal person who opened the account in the name of the declarant or his family membersInstitution where such accounts are opened or funds or other assets are storedInformation about the person concerned
Name of bank or other financial institution:pat "state savings bank of ukraine"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:pat "state savings bank of ukraine"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032129Last Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
Name of bank or other financial institution:Corporate Non-Governmental Pension Fund NbOAccount type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663Last Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
Name of bank or other financial institution:pat or "ukrgasbank"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
Name of bank or other financial institution:At Kb "Private Bank"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

13.   Financial obligations

General information The beneficiary of the obligation Size: Information about the guarantors and collateral security Information about the person concerned
Type of obligation:OtherWhat kind:The amount of money paid to the original amount of the loanDate of occurrence:26.01.2012A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106Size:395403Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Type of obligation:Insurance contract obligationsDate of occurrence:03.10.2019A legal entity that is registered in UkraineName:JSC "ARKS" ICCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 20474912Size:9700Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna

14.   Expenses and transactions of the declarant

The declarant or his family members have no objects for declaration in this section

15.    The concurrent job of the declarant

The declarant or his family members have no objects for declaration in this section

16.   Membership of the declarant in organizations and their bodies

The declarant or his family members have no objects for declaration in this section Membership in the organs of organizations.The declarant or his family members have no objects for declaration in this section

Document signed:

KHRUSTALOVA NATALIA OLEKSIIVNA

2.1.    Information about the declarant

Khrustalova
Natalia
Oleksiivna
[Confidential information]
[Confidential information]
[Confidential information]
[Confidential information]

Registered place of residence:
Ukraine
[Confidential information]
Kyiv, Ukraine
[Confidential information]
[Confidential information]
[Confidential information]
[Confidential information]
[Confidential information]

Place of actual residence or a postal address where the National Agency for Corruption Prevention can send correspondence to the declarant:

Place of work:
National Bank of Ukraine

Deputy Director of Internal Audit Department - Head of Department

Category of the official position (if applicable):
[Not applicable]
[Not applicable]

Head, deputy chief of staff or an independent structural subdivision of a government agency, with jurisdiction over all of Ukraine

No

No

2.2.   Information about the declarant's family members

Relationship with the declarant Full Name Citizenship Tax number: Series and passport number of Ukrainian citizen or ID card or birth certificate Unique entry number in the Unified State Demographic Register
daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:SerhiivnaDate of Birth:[Confidential information]Ukraine[Confidential information][Confidential information][Confidential information]

3.    Immovable property

General information Location Cost at the date of acquisition or at the latest monetary estimate Information about the rights to the object
Type of object:apartment Date of right acquisition:28.02.2012 Total area (m2): 83.4 Registration number (land cadastral number):[Confidential information]Country:Ukraine Postal code:[Confidential information] Locality:Kyiv, Ukraine Address:[Confidential information]1998272Type of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Type of object:apartment Date of right acquisition:20.09.2016 Total area (m2): 49.8 Registration number (land cadastral number):[Confidential information]Country:Ukraine Postal code:[Confidential information] Locality:Kyiv, Ukraine Address:[Confidential information]1080000Type of ownership:PropertyInterest rate, %:100Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna

4.    Objects of unfinished construction

The declarant or his family members have no objects for declaration in this section

5.    Valuable movable property (other than vehicles)

The declarant or his family members have no objects for declaration in this section

6.   Valuable movable property - vehicles

General information Character reference Cost at the date of acquisition, ownership or use or at the latest monetary valuation Information about the rights to property
Type of property:Passenger car Date of right acquisition:19.09.2009 Identification number (VIN code, chassis number):[Confidential information] Make:KIA Model:CEED Year of manufacture:2009 153000Type of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna

7.   Securities

The declarant or his family members have no objects for declaration in this section

8.   Corporate rights

The declarant or his family members have no objects for declaration in this section

9.   Legal entities, trusts or other similar legal entities, the ultimate beneficial owner (controller) of which is the declaring entity or his family members

The declarant or his family members have no objects for declaration in this section

10.   Intangible assets

The declarant or his family members have no objects for declaration in this section

11.   Revenues, including gifts

Source of revenue:Type of revenueSize (value)Information about the person concerned
Source of revenue:A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106Salary at main job:1419836Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106other: paid pension contributions204Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663other: investment profit25234Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663other: pension payments30075Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Interest1368daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
Source of revenue:A legal entity that is registered in UkraineName:dpi in the Pechersk district of the city of Dfs in the city of KievCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 39669867other: tax deduction for study9036Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570other: service of accumulation327daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

12.   Cash assets

The institution at which such accounts are opened or to which the corresponding contributions are made or by an individualType of assetSize of assetInformation about the rights to the object
other legal entityA legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663Otheramount of accumulated pension funds154138Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:pat "state savings bank of ukraine"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032129Funds placed in bank accounts18840Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Funds placed in bank accounts1625Currency:USDType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
other legal entityA legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Funds placed in bank accounts9Currency:UAHType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
[Not applicable]Cash money50000Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
[Not applicable]Cash money10000Currency:USDType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570Funds placed in bank accounts477Currency:UAHType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

12.1.   Banking and other financial institutions holding accounts of the declaring entity or his family

General informationInformation about a natural or legal person who has the right to dispose of such account or who has access to an individual bank safe (cells)Information about the natural or legal person who opened the account in the name of the declarant or his family membersInstitution where such accounts are opened or funds or other assets are storedInformation about the person concerned
Name of bank or other financial institution:pat "state savings bank of ukraine"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:pat "state savings bank of ukraine"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032129Last Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
Name of bank or other financial institution:Corporate Non-Governmental Pension Fund NbOAccount type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663Last Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
Name of bank or other financial institution:pat or "ukrgasbank"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
Name of bank or other financial institution:At Kb "Private Bank"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

13.   Financial obligations

General information The beneficiary of the obligation Size: Information about the guarantors and collateral security Information about the person concerned
Type of obligation:OtherWhat kind:The amount of money paid to the original amount of the loanDate of occurrence:26.01.2012A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106Size:395403Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Type of obligation:Insurance contract obligationsDate of occurrence:03.10.2019A legal entity that is registered in UkraineName:JSC "ARKS" ICCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 20474912Size:9700Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna

14.   Expenses and transactions of the declarant

The declarant or his family members have no objects for declaration in this section

15.    The concurrent job of the declarant

The declarant or his family members have no objects for declaration in this section

16.   Membership of the declarant in organizations and their bodies

The declarant or his family members have no objects for declaration in this section Membership in the organs of organizations.The declarant or his family members have no objects for declaration in this section

Document signed:

KHRUSTALOVA NATALIA OLEKSIIVNA

2.2.   Information about the declarant's family members

Relationship with the declarant Full Name Citizenship Tax number: Series and passport number of Ukrainian citizen or ID card or birth certificate Unique entry number in the Unified State Demographic Register
daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:SerhiivnaDate of Birth:[Confidential information]Ukraine[Confidential information][Confidential information][Confidential information]

3.    Immovable property

General information Location Cost at the date of acquisition or at the latest monetary estimate Information about the rights to the object
Type of object:apartment Date of right acquisition:28.02.2012 Total area (m2): 83.4 Registration number (land cadastral number):[Confidential information]Country:Ukraine Postal code:[Confidential information] Locality:Kyiv, Ukraine Address:[Confidential information]1998272Type of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Type of object:apartment Date of right acquisition:20.09.2016 Total area (m2): 49.8 Registration number (land cadastral number):[Confidential information]Country:Ukraine Postal code:[Confidential information] Locality:Kyiv, Ukraine Address:[Confidential information]1080000Type of ownership:PropertyInterest rate, %:100Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna

4.    Objects of unfinished construction

The declarant or his family members have no objects for declaration in this section

5.    Valuable movable property (other than vehicles)

The declarant or his family members have no objects for declaration in this section

6.   Valuable movable property - vehicles

General information Character reference Cost at the date of acquisition, ownership or use or at the latest monetary valuation Information about the rights to property
Type of property:Passenger car Date of right acquisition:19.09.2009 Identification number (VIN code, chassis number):[Confidential information] Make:KIA Model:CEED Year of manufacture:2009 153000Type of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna

7.   Securities

The declarant or his family members have no objects for declaration in this section

8.   Corporate rights

The declarant or his family members have no objects for declaration in this section

9.   Legal entities, trusts or other similar legal entities, the ultimate beneficial owner (controller) of which is the declaring entity or his family members

The declarant or his family members have no objects for declaration in this section

10.   Intangible assets

The declarant or his family members have no objects for declaration in this section

11.   Revenues, including gifts

Source of revenue:Type of revenueSize (value)Information about the person concerned
Source of revenue:A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106Salary at main job:1419836Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106other: paid pension contributions204Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663other: investment profit25234Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663other: pension payments30075Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Interest1368daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
Source of revenue:A legal entity that is registered in UkraineName:dpi in the Pechersk district of the city of Dfs in the city of KievCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 39669867other: tax deduction for study9036Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570other: service of accumulation327daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

12.   Cash assets

The institution at which such accounts are opened or to which the corresponding contributions are made or by an individualType of assetSize of assetInformation about the rights to the object
other legal entityA legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663Otheramount of accumulated pension funds154138Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:pat "state savings bank of ukraine"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032129Funds placed in bank accounts18840Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Funds placed in bank accounts1625Currency:USDType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
other legal entityA legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Funds placed in bank accounts9Currency:UAHType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
[Not applicable]Cash money50000Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
[Not applicable]Cash money10000Currency:USDType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570Funds placed in bank accounts477Currency:UAHType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

12.1.   Banking and other financial institutions holding accounts of the declaring entity or his family

General informationInformation about a natural or legal person who has the right to dispose of such account or who has access to an individual bank safe (cells)Information about the natural or legal person who opened the account in the name of the declarant or his family membersInstitution where such accounts are opened or funds or other assets are storedInformation about the person concerned
Name of bank or other financial institution:pat "state savings bank of ukraine"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:pat "state savings bank of ukraine"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032129Last Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
Name of bank or other financial institution:Corporate Non-Governmental Pension Fund NbOAccount type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663Last Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
Name of bank or other financial institution:pat or "ukrgasbank"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
Name of bank or other financial institution:At Kb "Private Bank"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

13.   Financial obligations

General information The beneficiary of the obligation Size: Information about the guarantors and collateral security Information about the person concerned
Type of obligation:OtherWhat kind:The amount of money paid to the original amount of the loanDate of occurrence:26.01.2012A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106Size:395403Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Type of obligation:Insurance contract obligationsDate of occurrence:03.10.2019A legal entity that is registered in UkraineName:JSC "ARKS" ICCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 20474912Size:9700Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna

14.   Expenses and transactions of the declarant

The declarant or his family members have no objects for declaration in this section

15.    The concurrent job of the declarant

The declarant or his family members have no objects for declaration in this section

16.   Membership of the declarant in organizations and their bodies

The declarant or his family members have no objects for declaration in this section Membership in the organs of organizations.The declarant or his family members have no objects for declaration in this section

Document signed:

KHRUSTALOVA NATALIA OLEKSIIVNA

Relationship with the declarant Full Name Citizenship Tax number: Series and passport number of Ukrainian citizen or ID card or birth certificate Unique entry number in the Unified State Demographic Register
daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:SerhiivnaDate of Birth:[Confidential information]Ukraine[Confidential information][Confidential information][Confidential information]

3.    Immovable property

General information Location Cost at the date of acquisition or at the latest monetary estimate Information about the rights to the object
Type of object:apartment Date of right acquisition:28.02.2012 Total area (m2): 83.4 Registration number (land cadastral number):[Confidential information]Country:Ukraine Postal code:[Confidential information] Locality:Kyiv, Ukraine Address:[Confidential information]1998272Type of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Type of object:apartment Date of right acquisition:20.09.2016 Total area (m2): 49.8 Registration number (land cadastral number):[Confidential information]Country:Ukraine Postal code:[Confidential information] Locality:Kyiv, Ukraine Address:[Confidential information]1080000Type of ownership:PropertyInterest rate, %:100Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna

4.    Objects of unfinished construction

The declarant or his family members have no objects for declaration in this section

5.    Valuable movable property (other than vehicles)

The declarant or his family members have no objects for declaration in this section

6.   Valuable movable property - vehicles

General information Character reference Cost at the date of acquisition, ownership or use or at the latest monetary valuation Information about the rights to property
Type of property:Passenger car Date of right acquisition:19.09.2009 Identification number (VIN code, chassis number):[Confidential information] Make:KIA Model:CEED Year of manufacture:2009 153000Type of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna

7.   Securities

The declarant or his family members have no objects for declaration in this section

8.   Corporate rights

The declarant or his family members have no objects for declaration in this section

9.   Legal entities, trusts or other similar legal entities, the ultimate beneficial owner (controller) of which is the declaring entity or his family members

The declarant or his family members have no objects for declaration in this section

10.   Intangible assets

The declarant or his family members have no objects for declaration in this section

11.   Revenues, including gifts

Source of revenue:Type of revenueSize (value)Information about the person concerned
Source of revenue:A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106Salary at main job:1419836Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106other: paid pension contributions204Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663other: investment profit25234Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663other: pension payments30075Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Interest1368daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
Source of revenue:A legal entity that is registered in UkraineName:dpi in the Pechersk district of the city of Dfs in the city of KievCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 39669867other: tax deduction for study9036Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570other: service of accumulation327daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

12.   Cash assets

The institution at which such accounts are opened or to which the corresponding contributions are made or by an individualType of assetSize of assetInformation about the rights to the object
other legal entityA legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663Otheramount of accumulated pension funds154138Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:pat "state savings bank of ukraine"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032129Funds placed in bank accounts18840Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Funds placed in bank accounts1625Currency:USDType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
other legal entityA legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Funds placed in bank accounts9Currency:UAHType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
[Not applicable]Cash money50000Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
[Not applicable]Cash money10000Currency:USDType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570Funds placed in bank accounts477Currency:UAHType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

12.1.   Banking and other financial institutions holding accounts of the declaring entity or his family

General informationInformation about a natural or legal person who has the right to dispose of such account or who has access to an individual bank safe (cells)Information about the natural or legal person who opened the account in the name of the declarant or his family membersInstitution where such accounts are opened or funds or other assets are storedInformation about the person concerned
Name of bank or other financial institution:pat "state savings bank of ukraine"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:pat "state savings bank of ukraine"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032129Last Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
Name of bank or other financial institution:Corporate Non-Governmental Pension Fund NbOAccount type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663Last Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
Name of bank or other financial institution:pat or "ukrgasbank"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
Name of bank or other financial institution:At Kb "Private Bank"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

13.   Financial obligations

General information The beneficiary of the obligation Size: Information about the guarantors and collateral security Information about the person concerned
Type of obligation:OtherWhat kind:The amount of money paid to the original amount of the loanDate of occurrence:26.01.2012A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106Size:395403Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Type of obligation:Insurance contract obligationsDate of occurrence:03.10.2019A legal entity that is registered in UkraineName:JSC "ARKS" ICCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 20474912Size:9700Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna

14.   Expenses and transactions of the declarant

The declarant or his family members have no objects for declaration in this section

15.    The concurrent job of the declarant

The declarant or his family members have no objects for declaration in this section

16.   Membership of the declarant in organizations and their bodies

The declarant or his family members have no objects for declaration in this section Membership in the organs of organizations.The declarant or his family members have no objects for declaration in this section

Document signed:

KHRUSTALOVA NATALIA OLEKSIIVNA

3.    Immovable property

General information Location Cost at the date of acquisition or at the latest monetary estimate Information about the rights to the object
Type of object:apartment Date of right acquisition:28.02.2012 Total area (m2): 83.4 Registration number (land cadastral number):[Confidential information]Country:Ukraine Postal code:[Confidential information] Locality:Kyiv, Ukraine Address:[Confidential information]1998272Type of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Type of object:apartment Date of right acquisition:20.09.2016 Total area (m2): 49.8 Registration number (land cadastral number):[Confidential information]Country:Ukraine Postal code:[Confidential information] Locality:Kyiv, Ukraine Address:[Confidential information]1080000Type of ownership:PropertyInterest rate, %:100Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna

4.    Objects of unfinished construction

The declarant or his family members have no objects for declaration in this section

5.    Valuable movable property (other than vehicles)

The declarant or his family members have no objects for declaration in this section

6.   Valuable movable property - vehicles

General information Character reference Cost at the date of acquisition, ownership or use or at the latest monetary valuation Information about the rights to property
Type of property:Passenger car Date of right acquisition:19.09.2009 Identification number (VIN code, chassis number):[Confidential information] Make:KIA Model:CEED Year of manufacture:2009 153000Type of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna

7.   Securities

The declarant or his family members have no objects for declaration in this section

8.   Corporate rights

The declarant or his family members have no objects for declaration in this section

9.   Legal entities, trusts or other similar legal entities, the ultimate beneficial owner (controller) of which is the declaring entity or his family members

The declarant or his family members have no objects for declaration in this section

10.   Intangible assets

The declarant or his family members have no objects for declaration in this section

11.   Revenues, including gifts

Source of revenue:Type of revenueSize (value)Information about the person concerned
Source of revenue:A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106Salary at main job:1419836Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106other: paid pension contributions204Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663other: investment profit25234Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663other: pension payments30075Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Interest1368daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
Source of revenue:A legal entity that is registered in UkraineName:dpi in the Pechersk district of the city of Dfs in the city of KievCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 39669867other: tax deduction for study9036Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570other: service of accumulation327daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

12.   Cash assets

The institution at which such accounts are opened or to which the corresponding contributions are made or by an individualType of assetSize of assetInformation about the rights to the object
other legal entityA legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663Otheramount of accumulated pension funds154138Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:pat "state savings bank of ukraine"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032129Funds placed in bank accounts18840Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Funds placed in bank accounts1625Currency:USDType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
other legal entityA legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Funds placed in bank accounts9Currency:UAHType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
[Not applicable]Cash money50000Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
[Not applicable]Cash money10000Currency:USDType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570Funds placed in bank accounts477Currency:UAHType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

12.1.   Banking and other financial institutions holding accounts of the declaring entity or his family

General informationInformation about a natural or legal person who has the right to dispose of such account or who has access to an individual bank safe (cells)Information about the natural or legal person who opened the account in the name of the declarant or his family membersInstitution where such accounts are opened or funds or other assets are storedInformation about the person concerned
Name of bank or other financial institution:pat "state savings bank of ukraine"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:pat "state savings bank of ukraine"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032129Last Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
Name of bank or other financial institution:Corporate Non-Governmental Pension Fund NbOAccount type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663Last Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
Name of bank or other financial institution:pat or "ukrgasbank"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
Name of bank or other financial institution:At Kb "Private Bank"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

13.   Financial obligations

General information The beneficiary of the obligation Size: Information about the guarantors and collateral security Information about the person concerned
Type of obligation:OtherWhat kind:The amount of money paid to the original amount of the loanDate of occurrence:26.01.2012A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106Size:395403Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Type of obligation:Insurance contract obligationsDate of occurrence:03.10.2019A legal entity that is registered in UkraineName:JSC "ARKS" ICCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 20474912Size:9700Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna

14.   Expenses and transactions of the declarant

The declarant or his family members have no objects for declaration in this section

15.    The concurrent job of the declarant

The declarant or his family members have no objects for declaration in this section

16.   Membership of the declarant in organizations and their bodies

The declarant or his family members have no objects for declaration in this section Membership in the organs of organizations.The declarant or his family members have no objects for declaration in this section

Document signed:

KHRUSTALOVA NATALIA OLEKSIIVNA

General information Location Cost at the date of acquisition or at the latest monetary estimate Information about the rights to the object
Type of object:apartment Date of right acquisition:28.02.2012 Total area (m2): 83.4 Registration number (land cadastral number):[Confidential information]Country:Ukraine Postal code:[Confidential information] Locality:Kyiv, Ukraine Address:[Confidential information]1998272Type of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Type of object:apartment Date of right acquisition:20.09.2016 Total area (m2): 49.8 Registration number (land cadastral number):[Confidential information]Country:Ukraine Postal code:[Confidential information] Locality:Kyiv, Ukraine Address:[Confidential information]1080000Type of ownership:PropertyInterest rate, %:100Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna

4.    Objects of unfinished construction

The declarant or his family members have no objects for declaration in this section

5.    Valuable movable property (other than vehicles)

The declarant or his family members have no objects for declaration in this section

6.   Valuable movable property - vehicles

General information Character reference Cost at the date of acquisition, ownership or use or at the latest monetary valuation Information about the rights to property
Type of property:Passenger car Date of right acquisition:19.09.2009 Identification number (VIN code, chassis number):[Confidential information] Make:KIA Model:CEED Year of manufacture:2009 153000Type of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna

7.   Securities

The declarant or his family members have no objects for declaration in this section

8.   Corporate rights

The declarant or his family members have no objects for declaration in this section

9.   Legal entities, trusts or other similar legal entities, the ultimate beneficial owner (controller) of which is the declaring entity or his family members

The declarant or his family members have no objects for declaration in this section

10.   Intangible assets

The declarant or his family members have no objects for declaration in this section

11.   Revenues, including gifts

Source of revenue:Type of revenueSize (value)Information about the person concerned
Source of revenue:A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106Salary at main job:1419836Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106other: paid pension contributions204Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663other: investment profit25234Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663other: pension payments30075Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Interest1368daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
Source of revenue:A legal entity that is registered in UkraineName:dpi in the Pechersk district of the city of Dfs in the city of KievCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 39669867other: tax deduction for study9036Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570other: service of accumulation327daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

12.   Cash assets

The institution at which such accounts are opened or to which the corresponding contributions are made or by an individualType of assetSize of assetInformation about the rights to the object
other legal entityA legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663Otheramount of accumulated pension funds154138Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:pat "state savings bank of ukraine"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032129Funds placed in bank accounts18840Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Funds placed in bank accounts1625Currency:USDType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
other legal entityA legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Funds placed in bank accounts9Currency:UAHType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
[Not applicable]Cash money50000Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
[Not applicable]Cash money10000Currency:USDType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570Funds placed in bank accounts477Currency:UAHType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

12.1.   Banking and other financial institutions holding accounts of the declaring entity or his family

General informationInformation about a natural or legal person who has the right to dispose of such account or who has access to an individual bank safe (cells)Information about the natural or legal person who opened the account in the name of the declarant or his family membersInstitution where such accounts are opened or funds or other assets are storedInformation about the person concerned
Name of bank or other financial institution:pat "state savings bank of ukraine"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:pat "state savings bank of ukraine"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032129Last Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
Name of bank or other financial institution:Corporate Non-Governmental Pension Fund NbOAccount type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663Last Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
Name of bank or other financial institution:pat or "ukrgasbank"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
Name of bank or other financial institution:At Kb "Private Bank"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

13.   Financial obligations

General information The beneficiary of the obligation Size: Information about the guarantors and collateral security Information about the person concerned
Type of obligation:OtherWhat kind:The amount of money paid to the original amount of the loanDate of occurrence:26.01.2012A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106Size:395403Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Type of obligation:Insurance contract obligationsDate of occurrence:03.10.2019A legal entity that is registered in UkraineName:JSC "ARKS" ICCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 20474912Size:9700Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna

14.   Expenses and transactions of the declarant

The declarant or his family members have no objects for declaration in this section

15.    The concurrent job of the declarant

The declarant or his family members have no objects for declaration in this section

16.   Membership of the declarant in organizations and their bodies

The declarant or his family members have no objects for declaration in this section Membership in the organs of organizations.The declarant or his family members have no objects for declaration in this section

Document signed:

KHRUSTALOVA NATALIA OLEKSIIVNA

4.    Objects of unfinished construction

The declarant or his family members have no objects for declaration in this section

5.    Valuable movable property (other than vehicles)

The declarant or his family members have no objects for declaration in this section

6.   Valuable movable property - vehicles

General information Character reference Cost at the date of acquisition, ownership or use or at the latest monetary valuation Information about the rights to property
Type of property:Passenger car Date of right acquisition:19.09.2009 Identification number (VIN code, chassis number):[Confidential information] Make:KIA Model:CEED Year of manufacture:2009 153000Type of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna

7.   Securities

The declarant or his family members have no objects for declaration in this section

8.   Corporate rights

The declarant or his family members have no objects for declaration in this section

9.   Legal entities, trusts or other similar legal entities, the ultimate beneficial owner (controller) of which is the declaring entity or his family members

The declarant or his family members have no objects for declaration in this section

10.   Intangible assets

The declarant or his family members have no objects for declaration in this section

11.   Revenues, including gifts

Source of revenue:Type of revenueSize (value)Information about the person concerned
Source of revenue:A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106Salary at main job:1419836Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106other: paid pension contributions204Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663other: investment profit25234Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663other: pension payments30075Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Interest1368daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
Source of revenue:A legal entity that is registered in UkraineName:dpi in the Pechersk district of the city of Dfs in the city of KievCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 39669867other: tax deduction for study9036Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570other: service of accumulation327daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

12.   Cash assets

The institution at which such accounts are opened or to which the corresponding contributions are made or by an individualType of assetSize of assetInformation about the rights to the object
other legal entityA legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663Otheramount of accumulated pension funds154138Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:pat "state savings bank of ukraine"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032129Funds placed in bank accounts18840Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Funds placed in bank accounts1625Currency:USDType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
other legal entityA legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Funds placed in bank accounts9Currency:UAHType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
[Not applicable]Cash money50000Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
[Not applicable]Cash money10000Currency:USDType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570Funds placed in bank accounts477Currency:UAHType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

12.1.   Banking and other financial institutions holding accounts of the declaring entity or his family

General informationInformation about a natural or legal person who has the right to dispose of such account or who has access to an individual bank safe (cells)Information about the natural or legal person who opened the account in the name of the declarant or his family membersInstitution where such accounts are opened or funds or other assets are storedInformation about the person concerned
Name of bank or other financial institution:pat "state savings bank of ukraine"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:pat "state savings bank of ukraine"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032129Last Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
Name of bank or other financial institution:Corporate Non-Governmental Pension Fund NbOAccount type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663Last Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
Name of bank or other financial institution:pat or "ukrgasbank"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
Name of bank or other financial institution:At Kb "Private Bank"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

13.   Financial obligations

General information The beneficiary of the obligation Size: Information about the guarantors and collateral security Information about the person concerned
Type of obligation:OtherWhat kind:The amount of money paid to the original amount of the loanDate of occurrence:26.01.2012A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106Size:395403Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Type of obligation:Insurance contract obligationsDate of occurrence:03.10.2019A legal entity that is registered in UkraineName:JSC "ARKS" ICCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 20474912Size:9700Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna

14.   Expenses and transactions of the declarant

The declarant or his family members have no objects for declaration in this section

15.    The concurrent job of the declarant

The declarant or his family members have no objects for declaration in this section

16.   Membership of the declarant in organizations and their bodies

The declarant or his family members have no objects for declaration in this section Membership in the organs of organizations.The declarant or his family members have no objects for declaration in this section

Document signed:

KHRUSTALOVA NATALIA OLEKSIIVNA

The declarant or his family members have no objects for declaration in this section

5.    Valuable movable property (other than vehicles)

The declarant or his family members have no objects for declaration in this section

6.   Valuable movable property - vehicles

General information Character reference Cost at the date of acquisition, ownership or use or at the latest monetary valuation Information about the rights to property
Type of property:Passenger car Date of right acquisition:19.09.2009 Identification number (VIN code, chassis number):[Confidential information] Make:KIA Model:CEED Year of manufacture:2009 153000Type of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna

7.   Securities

The declarant or his family members have no objects for declaration in this section

8.   Corporate rights

The declarant or his family members have no objects for declaration in this section

9.   Legal entities, trusts or other similar legal entities, the ultimate beneficial owner (controller) of which is the declaring entity or his family members

The declarant or his family members have no objects for declaration in this section

10.   Intangible assets

The declarant or his family members have no objects for declaration in this section

11.   Revenues, including gifts

Source of revenue:Type of revenueSize (value)Information about the person concerned
Source of revenue:A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106Salary at main job:1419836Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106other: paid pension contributions204Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663other: investment profit25234Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663other: pension payments30075Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Interest1368daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
Source of revenue:A legal entity that is registered in UkraineName:dpi in the Pechersk district of the city of Dfs in the city of KievCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 39669867other: tax deduction for study9036Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570other: service of accumulation327daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

12.   Cash assets

The institution at which such accounts are opened or to which the corresponding contributions are made or by an individualType of assetSize of assetInformation about the rights to the object
other legal entityA legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663Otheramount of accumulated pension funds154138Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:pat "state savings bank of ukraine"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032129Funds placed in bank accounts18840Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Funds placed in bank accounts1625Currency:USDType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
other legal entityA legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Funds placed in bank accounts9Currency:UAHType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
[Not applicable]Cash money50000Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
[Not applicable]Cash money10000Currency:USDType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570Funds placed in bank accounts477Currency:UAHType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

12.1.   Banking and other financial institutions holding accounts of the declaring entity or his family

General informationInformation about a natural or legal person who has the right to dispose of such account or who has access to an individual bank safe (cells)Information about the natural or legal person who opened the account in the name of the declarant or his family membersInstitution where such accounts are opened or funds or other assets are storedInformation about the person concerned
Name of bank or other financial institution:pat "state savings bank of ukraine"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:pat "state savings bank of ukraine"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032129Last Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
Name of bank or other financial institution:Corporate Non-Governmental Pension Fund NbOAccount type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663Last Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
Name of bank or other financial institution:pat or "ukrgasbank"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
Name of bank or other financial institution:At Kb "Private Bank"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

13.   Financial obligations

General information The beneficiary of the obligation Size: Information about the guarantors and collateral security Information about the person concerned
Type of obligation:OtherWhat kind:The amount of money paid to the original amount of the loanDate of occurrence:26.01.2012A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106Size:395403Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Type of obligation:Insurance contract obligationsDate of occurrence:03.10.2019A legal entity that is registered in UkraineName:JSC "ARKS" ICCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 20474912Size:9700Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna

14.   Expenses and transactions of the declarant

The declarant or his family members have no objects for declaration in this section

15.    The concurrent job of the declarant

The declarant or his family members have no objects for declaration in this section

16.   Membership of the declarant in organizations and their bodies

The declarant or his family members have no objects for declaration in this section Membership in the organs of organizations.The declarant or his family members have no objects for declaration in this section

Document signed:

KHRUSTALOVA NATALIA OLEKSIIVNA

The declarant or his family members have no objects for declaration in this section

6.   Valuable movable property - vehicles

General information Character reference Cost at the date of acquisition, ownership or use or at the latest monetary valuation Information about the rights to property
Type of property:Passenger car Date of right acquisition:19.09.2009 Identification number (VIN code, chassis number):[Confidential information] Make:KIA Model:CEED Year of manufacture:2009 153000Type of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna

7.   Securities

The declarant or his family members have no objects for declaration in this section

8.   Corporate rights

The declarant or his family members have no objects for declaration in this section

9.   Legal entities, trusts or other similar legal entities, the ultimate beneficial owner (controller) of which is the declaring entity or his family members

The declarant or his family members have no objects for declaration in this section

10.   Intangible assets

The declarant or his family members have no objects for declaration in this section

11.   Revenues, including gifts

Source of revenue:Type of revenueSize (value)Information about the person concerned
Source of revenue:A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106Salary at main job:1419836Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106other: paid pension contributions204Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663other: investment profit25234Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663other: pension payments30075Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Interest1368daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
Source of revenue:A legal entity that is registered in UkraineName:dpi in the Pechersk district of the city of Dfs in the city of KievCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 39669867other: tax deduction for study9036Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570other: service of accumulation327daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

12.   Cash assets

The institution at which such accounts are opened or to which the corresponding contributions are made or by an individualType of assetSize of assetInformation about the rights to the object
other legal entityA legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663Otheramount of accumulated pension funds154138Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:pat "state savings bank of ukraine"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032129Funds placed in bank accounts18840Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Funds placed in bank accounts1625Currency:USDType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
other legal entityA legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Funds placed in bank accounts9Currency:UAHType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
[Not applicable]Cash money50000Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
[Not applicable]Cash money10000Currency:USDType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570Funds placed in bank accounts477Currency:UAHType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

12.1.   Banking and other financial institutions holding accounts of the declaring entity or his family

General informationInformation about a natural or legal person who has the right to dispose of such account or who has access to an individual bank safe (cells)Information about the natural or legal person who opened the account in the name of the declarant or his family membersInstitution where such accounts are opened or funds or other assets are storedInformation about the person concerned
Name of bank or other financial institution:pat "state savings bank of ukraine"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:pat "state savings bank of ukraine"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032129Last Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
Name of bank or other financial institution:Corporate Non-Governmental Pension Fund NbOAccount type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663Last Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
Name of bank or other financial institution:pat or "ukrgasbank"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
Name of bank or other financial institution:At Kb "Private Bank"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

13.   Financial obligations

General information The beneficiary of the obligation Size: Information about the guarantors and collateral security Information about the person concerned
Type of obligation:OtherWhat kind:The amount of money paid to the original amount of the loanDate of occurrence:26.01.2012A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106Size:395403Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Type of obligation:Insurance contract obligationsDate of occurrence:03.10.2019A legal entity that is registered in UkraineName:JSC "ARKS" ICCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 20474912Size:9700Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna

14.   Expenses and transactions of the declarant

The declarant or his family members have no objects for declaration in this section

15.    The concurrent job of the declarant

The declarant or his family members have no objects for declaration in this section

16.   Membership of the declarant in organizations and their bodies

The declarant or his family members have no objects for declaration in this section Membership in the organs of organizations.The declarant or his family members have no objects for declaration in this section

Document signed:

KHRUSTALOVA NATALIA OLEKSIIVNA

General information Character reference Cost at the date of acquisition, ownership or use or at the latest monetary valuation Information about the rights to property
Type of property:Passenger car Date of right acquisition:19.09.2009 Identification number (VIN code, chassis number):[Confidential information] Make:KIA Model:CEED Year of manufacture:2009 153000Type of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna

7.   Securities

The declarant or his family members have no objects for declaration in this section

8.   Corporate rights

The declarant or his family members have no objects for declaration in this section

9.   Legal entities, trusts or other similar legal entities, the ultimate beneficial owner (controller) of which is the declaring entity or his family members

The declarant or his family members have no objects for declaration in this section

10.   Intangible assets

The declarant or his family members have no objects for declaration in this section

11.   Revenues, including gifts

Source of revenue:Type of revenueSize (value)Information about the person concerned
Source of revenue:A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106Salary at main job:1419836Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106other: paid pension contributions204Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663other: investment profit25234Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663other: pension payments30075Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Interest1368daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
Source of revenue:A legal entity that is registered in UkraineName:dpi in the Pechersk district of the city of Dfs in the city of KievCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 39669867other: tax deduction for study9036Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570other: service of accumulation327daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

12.   Cash assets

The institution at which such accounts are opened or to which the corresponding contributions are made or by an individualType of assetSize of assetInformation about the rights to the object
other legal entityA legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663Otheramount of accumulated pension funds154138Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:pat "state savings bank of ukraine"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032129Funds placed in bank accounts18840Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Funds placed in bank accounts1625Currency:USDType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
other legal entityA legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Funds placed in bank accounts9Currency:UAHType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
[Not applicable]Cash money50000Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
[Not applicable]Cash money10000Currency:USDType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570Funds placed in bank accounts477Currency:UAHType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

12.1.   Banking and other financial institutions holding accounts of the declaring entity or his family

General informationInformation about a natural or legal person who has the right to dispose of such account or who has access to an individual bank safe (cells)Information about the natural or legal person who opened the account in the name of the declarant or his family membersInstitution where such accounts are opened or funds or other assets are storedInformation about the person concerned
Name of bank or other financial institution:pat "state savings bank of ukraine"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:pat "state savings bank of ukraine"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032129Last Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
Name of bank or other financial institution:Corporate Non-Governmental Pension Fund NbOAccount type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663Last Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
Name of bank or other financial institution:pat or "ukrgasbank"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
Name of bank or other financial institution:At Kb "Private Bank"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

13.   Financial obligations

General information The beneficiary of the obligation Size: Information about the guarantors and collateral security Information about the person concerned
Type of obligation:OtherWhat kind:The amount of money paid to the original amount of the loanDate of occurrence:26.01.2012A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106Size:395403Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Type of obligation:Insurance contract obligationsDate of occurrence:03.10.2019A legal entity that is registered in UkraineName:JSC "ARKS" ICCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 20474912Size:9700Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna

14.   Expenses and transactions of the declarant

The declarant or his family members have no objects for declaration in this section

15.    The concurrent job of the declarant

The declarant or his family members have no objects for declaration in this section

16.   Membership of the declarant in organizations and their bodies

The declarant or his family members have no objects for declaration in this section Membership in the organs of organizations.The declarant or his family members have no objects for declaration in this section

Document signed:

KHRUSTALOVA NATALIA OLEKSIIVNA

7.   Securities

The declarant or his family members have no objects for declaration in this section

8.   Corporate rights

The declarant or his family members have no objects for declaration in this section

9.   Legal entities, trusts or other similar legal entities, the ultimate beneficial owner (controller) of which is the declaring entity or his family members

The declarant or his family members have no objects for declaration in this section

10.   Intangible assets

The declarant or his family members have no objects for declaration in this section

11.   Revenues, including gifts

Source of revenue:Type of revenueSize (value)Information about the person concerned
Source of revenue:A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106Salary at main job:1419836Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106other: paid pension contributions204Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663other: investment profit25234Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663other: pension payments30075Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Interest1368daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
Source of revenue:A legal entity that is registered in UkraineName:dpi in the Pechersk district of the city of Dfs in the city of KievCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 39669867other: tax deduction for study9036Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570other: service of accumulation327daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

12.   Cash assets

The institution at which such accounts are opened or to which the corresponding contributions are made or by an individualType of assetSize of assetInformation about the rights to the object
other legal entityA legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663Otheramount of accumulated pension funds154138Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:pat "state savings bank of ukraine"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032129Funds placed in bank accounts18840Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Funds placed in bank accounts1625Currency:USDType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
other legal entityA legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Funds placed in bank accounts9Currency:UAHType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
[Not applicable]Cash money50000Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
[Not applicable]Cash money10000Currency:USDType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570Funds placed in bank accounts477Currency:UAHType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

12.1.   Banking and other financial institutions holding accounts of the declaring entity or his family

General informationInformation about a natural or legal person who has the right to dispose of such account or who has access to an individual bank safe (cells)Information about the natural or legal person who opened the account in the name of the declarant or his family membersInstitution where such accounts are opened or funds or other assets are storedInformation about the person concerned
Name of bank or other financial institution:pat "state savings bank of ukraine"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:pat "state savings bank of ukraine"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032129Last Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
Name of bank or other financial institution:Corporate Non-Governmental Pension Fund NbOAccount type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663Last Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
Name of bank or other financial institution:pat or "ukrgasbank"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
Name of bank or other financial institution:At Kb "Private Bank"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

13.   Financial obligations

General information The beneficiary of the obligation Size: Information about the guarantors and collateral security Information about the person concerned
Type of obligation:OtherWhat kind:The amount of money paid to the original amount of the loanDate of occurrence:26.01.2012A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106Size:395403Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Type of obligation:Insurance contract obligationsDate of occurrence:03.10.2019A legal entity that is registered in UkraineName:JSC "ARKS" ICCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 20474912Size:9700Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna

14.   Expenses and transactions of the declarant

The declarant or his family members have no objects for declaration in this section

15.    The concurrent job of the declarant

The declarant or his family members have no objects for declaration in this section

16.   Membership of the declarant in organizations and their bodies

The declarant or his family members have no objects for declaration in this section Membership in the organs of organizations.The declarant or his family members have no objects for declaration in this section

Document signed:

KHRUSTALOVA NATALIA OLEKSIIVNA

The declarant or his family members have no objects for declaration in this section

8.   Corporate rights

The declarant or his family members have no objects for declaration in this section

9.   Legal entities, trusts or other similar legal entities, the ultimate beneficial owner (controller) of which is the declaring entity or his family members

The declarant or his family members have no objects for declaration in this section

10.   Intangible assets

The declarant or his family members have no objects for declaration in this section

11.   Revenues, including gifts

Source of revenue:Type of revenueSize (value)Information about the person concerned
Source of revenue:A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106Salary at main job:1419836Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106other: paid pension contributions204Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663other: investment profit25234Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663other: pension payments30075Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Interest1368daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
Source of revenue:A legal entity that is registered in UkraineName:dpi in the Pechersk district of the city of Dfs in the city of KievCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 39669867other: tax deduction for study9036Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570other: service of accumulation327daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

12.   Cash assets

The institution at which such accounts are opened or to which the corresponding contributions are made or by an individualType of assetSize of assetInformation about the rights to the object
other legal entityA legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663Otheramount of accumulated pension funds154138Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:pat "state savings bank of ukraine"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032129Funds placed in bank accounts18840Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Funds placed in bank accounts1625Currency:USDType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
other legal entityA legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Funds placed in bank accounts9Currency:UAHType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
[Not applicable]Cash money50000Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
[Not applicable]Cash money10000Currency:USDType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570Funds placed in bank accounts477Currency:UAHType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

12.1.   Banking and other financial institutions holding accounts of the declaring entity or his family

General informationInformation about a natural or legal person who has the right to dispose of such account or who has access to an individual bank safe (cells)Information about the natural or legal person who opened the account in the name of the declarant or his family membersInstitution where such accounts are opened or funds or other assets are storedInformation about the person concerned
Name of bank or other financial institution:pat "state savings bank of ukraine"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:pat "state savings bank of ukraine"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032129Last Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
Name of bank or other financial institution:Corporate Non-Governmental Pension Fund NbOAccount type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663Last Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
Name of bank or other financial institution:pat or "ukrgasbank"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
Name of bank or other financial institution:At Kb "Private Bank"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

13.   Financial obligations

General information The beneficiary of the obligation Size: Information about the guarantors and collateral security Information about the person concerned
Type of obligation:OtherWhat kind:The amount of money paid to the original amount of the loanDate of occurrence:26.01.2012A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106Size:395403Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Type of obligation:Insurance contract obligationsDate of occurrence:03.10.2019A legal entity that is registered in UkraineName:JSC "ARKS" ICCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 20474912Size:9700Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna

14.   Expenses and transactions of the declarant

The declarant or his family members have no objects for declaration in this section

15.    The concurrent job of the declarant

The declarant or his family members have no objects for declaration in this section

16.   Membership of the declarant in organizations and their bodies

The declarant or his family members have no objects for declaration in this section Membership in the organs of organizations.The declarant or his family members have no objects for declaration in this section

Document signed:

KHRUSTALOVA NATALIA OLEKSIIVNA

The declarant or his family members have no objects for declaration in this section

9.   Legal entities, trusts or other similar legal entities, the ultimate beneficial owner (controller) of which is the declaring entity or his family members

The declarant or his family members have no objects for declaration in this section

10.   Intangible assets

The declarant or his family members have no objects for declaration in this section

11.   Revenues, including gifts

Source of revenue:Type of revenueSize (value)Information about the person concerned
Source of revenue:A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106Salary at main job:1419836Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106other: paid pension contributions204Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663other: investment profit25234Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663other: pension payments30075Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Interest1368daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
Source of revenue:A legal entity that is registered in UkraineName:dpi in the Pechersk district of the city of Dfs in the city of KievCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 39669867other: tax deduction for study9036Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570other: service of accumulation327daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

12.   Cash assets

The institution at which such accounts are opened or to which the corresponding contributions are made or by an individualType of assetSize of assetInformation about the rights to the object
other legal entityA legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663Otheramount of accumulated pension funds154138Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:pat "state savings bank of ukraine"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032129Funds placed in bank accounts18840Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Funds placed in bank accounts1625Currency:USDType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
other legal entityA legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Funds placed in bank accounts9Currency:UAHType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
[Not applicable]Cash money50000Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
[Not applicable]Cash money10000Currency:USDType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570Funds placed in bank accounts477Currency:UAHType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

12.1.   Banking and other financial institutions holding accounts of the declaring entity or his family

General informationInformation about a natural or legal person who has the right to dispose of such account or who has access to an individual bank safe (cells)Information about the natural or legal person who opened the account in the name of the declarant or his family membersInstitution where such accounts are opened or funds or other assets are storedInformation about the person concerned
Name of bank or other financial institution:pat "state savings bank of ukraine"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:pat "state savings bank of ukraine"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032129Last Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
Name of bank or other financial institution:Corporate Non-Governmental Pension Fund NbOAccount type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663Last Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
Name of bank or other financial institution:pat or "ukrgasbank"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
Name of bank or other financial institution:At Kb "Private Bank"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

13.   Financial obligations

General information The beneficiary of the obligation Size: Information about the guarantors and collateral security Information about the person concerned
Type of obligation:OtherWhat kind:The amount of money paid to the original amount of the loanDate of occurrence:26.01.2012A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106Size:395403Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Type of obligation:Insurance contract obligationsDate of occurrence:03.10.2019A legal entity that is registered in UkraineName:JSC "ARKS" ICCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 20474912Size:9700Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna

14.   Expenses and transactions of the declarant

The declarant or his family members have no objects for declaration in this section

15.    The concurrent job of the declarant

The declarant or his family members have no objects for declaration in this section

16.   Membership of the declarant in organizations and their bodies

The declarant or his family members have no objects for declaration in this section Membership in the organs of organizations.The declarant or his family members have no objects for declaration in this section

Document signed:

KHRUSTALOVA NATALIA OLEKSIIVNA

The declarant or his family members have no objects for declaration in this section

10.   Intangible assets

The declarant or his family members have no objects for declaration in this section

11.   Revenues, including gifts

Source of revenue:Type of revenueSize (value)Information about the person concerned
Source of revenue:A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106Salary at main job:1419836Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106other: paid pension contributions204Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663other: investment profit25234Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663other: pension payments30075Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Interest1368daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
Source of revenue:A legal entity that is registered in UkraineName:dpi in the Pechersk district of the city of Dfs in the city of KievCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 39669867other: tax deduction for study9036Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570other: service of accumulation327daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

12.   Cash assets

The institution at which such accounts are opened or to which the corresponding contributions are made or by an individualType of assetSize of assetInformation about the rights to the object
other legal entityA legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663Otheramount of accumulated pension funds154138Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:pat "state savings bank of ukraine"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032129Funds placed in bank accounts18840Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Funds placed in bank accounts1625Currency:USDType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
other legal entityA legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Funds placed in bank accounts9Currency:UAHType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
[Not applicable]Cash money50000Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
[Not applicable]Cash money10000Currency:USDType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570Funds placed in bank accounts477Currency:UAHType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

12.1.   Banking and other financial institutions holding accounts of the declaring entity or his family

General informationInformation about a natural or legal person who has the right to dispose of such account or who has access to an individual bank safe (cells)Information about the natural or legal person who opened the account in the name of the declarant or his family membersInstitution where such accounts are opened or funds or other assets are storedInformation about the person concerned
Name of bank or other financial institution:pat "state savings bank of ukraine"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:pat "state savings bank of ukraine"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032129Last Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
Name of bank or other financial institution:Corporate Non-Governmental Pension Fund NbOAccount type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663Last Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
Name of bank or other financial institution:pat or "ukrgasbank"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
Name of bank or other financial institution:At Kb "Private Bank"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

13.   Financial obligations

General information The beneficiary of the obligation Size: Information about the guarantors and collateral security Information about the person concerned
Type of obligation:OtherWhat kind:The amount of money paid to the original amount of the loanDate of occurrence:26.01.2012A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106Size:395403Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Type of obligation:Insurance contract obligationsDate of occurrence:03.10.2019A legal entity that is registered in UkraineName:JSC "ARKS" ICCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 20474912Size:9700Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna

14.   Expenses and transactions of the declarant

The declarant or his family members have no objects for declaration in this section

15.    The concurrent job of the declarant

The declarant or his family members have no objects for declaration in this section

16.   Membership of the declarant in organizations and their bodies

The declarant or his family members have no objects for declaration in this section Membership in the organs of organizations.The declarant or his family members have no objects for declaration in this section

Document signed:

KHRUSTALOVA NATALIA OLEKSIIVNA

The declarant or his family members have no objects for declaration in this section

11.   Revenues, including gifts

Source of revenue:Type of revenueSize (value)Information about the person concerned
Source of revenue:A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106Salary at main job:1419836Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106other: paid pension contributions204Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663other: investment profit25234Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663other: pension payments30075Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Interest1368daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
Source of revenue:A legal entity that is registered in UkraineName:dpi in the Pechersk district of the city of Dfs in the city of KievCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 39669867other: tax deduction for study9036Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570other: service of accumulation327daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

12.   Cash assets

The institution at which such accounts are opened or to which the corresponding contributions are made or by an individualType of assetSize of assetInformation about the rights to the object
other legal entityA legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663Otheramount of accumulated pension funds154138Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:pat "state savings bank of ukraine"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032129Funds placed in bank accounts18840Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Funds placed in bank accounts1625Currency:USDType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
other legal entityA legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Funds placed in bank accounts9Currency:UAHType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
[Not applicable]Cash money50000Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
[Not applicable]Cash money10000Currency:USDType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570Funds placed in bank accounts477Currency:UAHType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

12.1.   Banking and other financial institutions holding accounts of the declaring entity or his family

General informationInformation about a natural or legal person who has the right to dispose of such account or who has access to an individual bank safe (cells)Information about the natural or legal person who opened the account in the name of the declarant or his family membersInstitution where such accounts are opened or funds or other assets are storedInformation about the person concerned
Name of bank or other financial institution:pat "state savings bank of ukraine"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:pat "state savings bank of ukraine"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032129Last Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
Name of bank or other financial institution:Corporate Non-Governmental Pension Fund NbOAccount type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663Last Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
Name of bank or other financial institution:pat or "ukrgasbank"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
Name of bank or other financial institution:At Kb "Private Bank"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

13.   Financial obligations

General information The beneficiary of the obligation Size: Information about the guarantors and collateral security Information about the person concerned
Type of obligation:OtherWhat kind:The amount of money paid to the original amount of the loanDate of occurrence:26.01.2012A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106Size:395403Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Type of obligation:Insurance contract obligationsDate of occurrence:03.10.2019A legal entity that is registered in UkraineName:JSC "ARKS" ICCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 20474912Size:9700Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna

14.   Expenses and transactions of the declarant

The declarant or his family members have no objects for declaration in this section

15.    The concurrent job of the declarant

The declarant or his family members have no objects for declaration in this section

16.   Membership of the declarant in organizations and their bodies

The declarant or his family members have no objects for declaration in this section Membership in the organs of organizations.The declarant or his family members have no objects for declaration in this section

Document signed:

KHRUSTALOVA NATALIA OLEKSIIVNA

Source of revenue:Type of revenueSize (value)Information about the person concerned
Source of revenue:A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106Salary at main job:1419836Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106other: paid pension contributions204Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663other: investment profit25234Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663other: pension payments30075Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Interest1368daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
Source of revenue:A legal entity that is registered in UkraineName:dpi in the Pechersk district of the city of Dfs in the city of KievCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 39669867other: tax deduction for study9036Last Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Source of revenue:A legal entity that is registered in UkraineName:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570other: service of accumulation327daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

12.   Cash assets

The institution at which such accounts are opened or to which the corresponding contributions are made or by an individualType of assetSize of assetInformation about the rights to the object
other legal entityA legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663Otheramount of accumulated pension funds154138Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:pat "state savings bank of ukraine"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032129Funds placed in bank accounts18840Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Funds placed in bank accounts1625Currency:USDType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
other legal entityA legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Funds placed in bank accounts9Currency:UAHType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
[Not applicable]Cash money50000Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
[Not applicable]Cash money10000Currency:USDType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570Funds placed in bank accounts477Currency:UAHType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

12.1.   Banking and other financial institutions holding accounts of the declaring entity or his family

General informationInformation about a natural or legal person who has the right to dispose of such account or who has access to an individual bank safe (cells)Information about the natural or legal person who opened the account in the name of the declarant or his family membersInstitution where such accounts are opened or funds or other assets are storedInformation about the person concerned
Name of bank or other financial institution:pat "state savings bank of ukraine"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:pat "state savings bank of ukraine"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032129Last Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
Name of bank or other financial institution:Corporate Non-Governmental Pension Fund NbOAccount type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663Last Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
Name of bank or other financial institution:pat or "ukrgasbank"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
Name of bank or other financial institution:At Kb "Private Bank"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

13.   Financial obligations

General information The beneficiary of the obligation Size: Information about the guarantors and collateral security Information about the person concerned
Type of obligation:OtherWhat kind:The amount of money paid to the original amount of the loanDate of occurrence:26.01.2012A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106Size:395403Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Type of obligation:Insurance contract obligationsDate of occurrence:03.10.2019A legal entity that is registered in UkraineName:JSC "ARKS" ICCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 20474912Size:9700Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna

14.   Expenses and transactions of the declarant

The declarant or his family members have no objects for declaration in this section

15.    The concurrent job of the declarant

The declarant or his family members have no objects for declaration in this section

16.   Membership of the declarant in organizations and their bodies

The declarant or his family members have no objects for declaration in this section Membership in the organs of organizations.The declarant or his family members have no objects for declaration in this section

Document signed:

KHRUSTALOVA NATALIA OLEKSIIVNA

12.   Cash assets

The institution at which such accounts are opened or to which the corresponding contributions are made or by an individualType of assetSize of assetInformation about the rights to the object
other legal entityA legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663Otheramount of accumulated pension funds154138Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:pat "state savings bank of ukraine"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032129Funds placed in bank accounts18840Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Funds placed in bank accounts1625Currency:USDType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
other legal entityA legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Funds placed in bank accounts9Currency:UAHType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
[Not applicable]Cash money50000Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
[Not applicable]Cash money10000Currency:USDType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570Funds placed in bank accounts477Currency:UAHType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

12.1.   Banking and other financial institutions holding accounts of the declaring entity or his family

General informationInformation about a natural or legal person who has the right to dispose of such account or who has access to an individual bank safe (cells)Information about the natural or legal person who opened the account in the name of the declarant or his family membersInstitution where such accounts are opened or funds or other assets are storedInformation about the person concerned
Name of bank or other financial institution:pat "state savings bank of ukraine"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:pat "state savings bank of ukraine"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032129Last Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
Name of bank or other financial institution:Corporate Non-Governmental Pension Fund NbOAccount type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663Last Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
Name of bank or other financial institution:pat or "ukrgasbank"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
Name of bank or other financial institution:At Kb "Private Bank"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

13.   Financial obligations

General information The beneficiary of the obligation Size: Information about the guarantors and collateral security Information about the person concerned
Type of obligation:OtherWhat kind:The amount of money paid to the original amount of the loanDate of occurrence:26.01.2012A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106Size:395403Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Type of obligation:Insurance contract obligationsDate of occurrence:03.10.2019A legal entity that is registered in UkraineName:JSC "ARKS" ICCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 20474912Size:9700Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna

14.   Expenses and transactions of the declarant

The declarant or his family members have no objects for declaration in this section

15.    The concurrent job of the declarant

The declarant or his family members have no objects for declaration in this section

16.   Membership of the declarant in organizations and their bodies

The declarant or his family members have no objects for declaration in this section Membership in the organs of organizations.The declarant or his family members have no objects for declaration in this section

Document signed:

KHRUSTALOVA NATALIA OLEKSIIVNA

The institution at which such accounts are opened or to which the corresponding contributions are made or by an individualType of assetSize of assetInformation about the rights to the object
other legal entityA legal entity that is registered in UkraineName:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663Otheramount of accumulated pension funds154138Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:pat "state savings bank of ukraine"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032129Funds placed in bank accounts18840Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Funds placed in bank accounts1625Currency:USDType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
other legal entityA legal entity that is registered in UkraineName:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280Funds placed in bank accounts9Currency:UAHType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
[Not applicable]Cash money50000Currency:UAHType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
[Not applicable]Cash money10000Currency:USDType of ownership:PropertyLast Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
other legal entityA legal entity that is registered in UkraineName:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570Funds placed in bank accounts477Currency:UAHType of ownership:PropertydaughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

12.1.   Banking and other financial institutions holding accounts of the declaring entity or his family

General informationInformation about a natural or legal person who has the right to dispose of such account or who has access to an individual bank safe (cells)Information about the natural or legal person who opened the account in the name of the declarant or his family membersInstitution where such accounts are opened or funds or other assets are storedInformation about the person concerned
Name of bank or other financial institution:pat "state savings bank of ukraine"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:pat "state savings bank of ukraine"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032129Last Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
Name of bank or other financial institution:Corporate Non-Governmental Pension Fund NbOAccount type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663Last Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
Name of bank or other financial institution:pat or "ukrgasbank"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
Name of bank or other financial institution:At Kb "Private Bank"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

13.   Financial obligations

General information The beneficiary of the obligation Size: Information about the guarantors and collateral security Information about the person concerned
Type of obligation:OtherWhat kind:The amount of money paid to the original amount of the loanDate of occurrence:26.01.2012A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106Size:395403Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Type of obligation:Insurance contract obligationsDate of occurrence:03.10.2019A legal entity that is registered in UkraineName:JSC "ARKS" ICCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 20474912Size:9700Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna

14.   Expenses and transactions of the declarant

The declarant or his family members have no objects for declaration in this section

15.    The concurrent job of the declarant

The declarant or his family members have no objects for declaration in this section

16.   Membership of the declarant in organizations and their bodies

The declarant or his family members have no objects for declaration in this section Membership in the organs of organizations.The declarant or his family members have no objects for declaration in this section

Document signed:

KHRUSTALOVA NATALIA OLEKSIIVNA

12.1.   Banking and other financial institutions holding accounts of the declaring entity or his family

General informationInformation about a natural or legal person who has the right to dispose of such account or who has access to an individual bank safe (cells)Information about the natural or legal person who opened the account in the name of the declarant or his family membersInstitution where such accounts are opened or funds or other assets are storedInformation about the person concerned
Name of bank or other financial institution:pat "state savings bank of ukraine"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:pat "state savings bank of ukraine"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032129Last Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
Name of bank or other financial institution:Corporate Non-Governmental Pension Fund NbOAccount type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663Last Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
Name of bank or other financial institution:pat or "ukrgasbank"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
Name of bank or other financial institution:At Kb "Private Bank"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

13.   Financial obligations

General information The beneficiary of the obligation Size: Information about the guarantors and collateral security Information about the person concerned
Type of obligation:OtherWhat kind:The amount of money paid to the original amount of the loanDate of occurrence:26.01.2012A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106Size:395403Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Type of obligation:Insurance contract obligationsDate of occurrence:03.10.2019A legal entity that is registered in UkraineName:JSC "ARKS" ICCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 20474912Size:9700Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna

14.   Expenses and transactions of the declarant

The declarant or his family members have no objects for declaration in this section

15.    The concurrent job of the declarant

The declarant or his family members have no objects for declaration in this section

16.   Membership of the declarant in organizations and their bodies

The declarant or his family members have no objects for declaration in this section Membership in the organs of organizations.The declarant or his family members have no objects for declaration in this section

Document signed:

KHRUSTALOVA NATALIA OLEKSIIVNA

General informationInformation about a natural or legal person who has the right to dispose of such account or who has access to an individual bank safe (cells)Information about the natural or legal person who opened the account in the name of the declarant or his family membersInstitution where such accounts are opened or funds or other assets are storedInformation about the person concerned
Name of bank or other financial institution:pat "state savings bank of ukraine"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:pat "state savings bank of ukraine"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032129Last Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
Name of bank or other financial institution:Corporate Non-Governmental Pension Fund NbOAccount type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:Corporate Non-Governmental Pension Fund NbOCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 34880663Last Name: KhrustalovaFirst Name: NataliaPatronymic:OleksiivnaTax ID number:[Confidential information]
Name of bank or other financial institution:pat or "ukrgasbank"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:pat or "ukrgasbank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 23697280daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna
Name of bank or other financial institution:At Kb "Private Bank"Account type:[Confidential information]Account number:[Confidential information][Not applicable][Not applicable]Name:At Kb "Private Bank"Code in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 14360570daughterLast Name: KhrustalovaFirst Name:Yuliia Patronymic:Serhiivna

13.   Financial obligations

General information The beneficiary of the obligation Size: Information about the guarantors and collateral security Information about the person concerned
Type of obligation:OtherWhat kind:The amount of money paid to the original amount of the loanDate of occurrence:26.01.2012A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106Size:395403Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Type of obligation:Insurance contract obligationsDate of occurrence:03.10.2019A legal entity that is registered in UkraineName:JSC "ARKS" ICCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 20474912Size:9700Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna

14.   Expenses and transactions of the declarant

The declarant or his family members have no objects for declaration in this section

15.    The concurrent job of the declarant

The declarant or his family members have no objects for declaration in this section

16.   Membership of the declarant in organizations and their bodies

The declarant or his family members have no objects for declaration in this section Membership in the organs of organizations.The declarant or his family members have no objects for declaration in this section

Document signed:

KHRUSTALOVA NATALIA OLEKSIIVNA

13.   Financial obligations

General information The beneficiary of the obligation Size: Information about the guarantors and collateral security Information about the person concerned
Type of obligation:OtherWhat kind:The amount of money paid to the original amount of the loanDate of occurrence:26.01.2012A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106Size:395403Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Type of obligation:Insurance contract obligationsDate of occurrence:03.10.2019A legal entity that is registered in UkraineName:JSC "ARKS" ICCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 20474912Size:9700Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna

14.   Expenses and transactions of the declarant

The declarant or his family members have no objects for declaration in this section

15.    The concurrent job of the declarant

The declarant or his family members have no objects for declaration in this section

16.   Membership of the declarant in organizations and their bodies

The declarant or his family members have no objects for declaration in this section Membership in the organs of organizations.The declarant or his family members have no objects for declaration in this section

Document signed:

KHRUSTALOVA NATALIA OLEKSIIVNA

General information The beneficiary of the obligation Size: Information about the guarantors and collateral security Information about the person concerned
Type of obligation:OtherWhat kind:The amount of money paid to the original amount of the loanDate of occurrence:26.01.2012A legal entity that is registered in UkraineName:National Bank of UkraineCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 00032106Size:395403Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna
Type of obligation:Insurance contract obligationsDate of occurrence:03.10.2019A legal entity that is registered in UkraineName:JSC "ARKS" ICCode in the United State Register of Legal Entities, Individual Entrepreneurs and Public Organizations: 20474912Size:9700Currency:UAHLast Name: KhrustalovaFirst Name: NataliaPatronymic:Oleksiivna

14.   Expenses and transactions of the declarant

The declarant or his family members have no objects for declaration in this section

15.    The concurrent job of the declarant

The declarant or his family members have no objects for declaration in this section

16.   Membership of the declarant in organizations and their bodies

The declarant or his family members have no objects for declaration in this section Membership in the organs of organizations.The declarant or his family members have no objects for declaration in this section

Document signed:

KHRUSTALOVA NATALIA OLEKSIIVNA

14.   Expenses and transactions of the declarant

The declarant or his family members have no objects for declaration in this section

15.    The concurrent job of the declarant

The declarant or his family members have no objects for declaration in this section

16.   Membership of the declarant in organizations and their bodies

The declarant or his family members have no objects for declaration in this section Membership in the organs of organizations.The declarant or his family members have no objects for declaration in this section

Document signed:

KHRUSTALOVA NATALIA OLEKSIIVNA

The declarant or his family members have no objects for declaration in this section

15.    The concurrent job of the declarant

The declarant or his family members have no objects for declaration in this section

16.   Membership of the declarant in organizations and their bodies

The declarant or his family members have no objects for declaration in this section Membership in the organs of organizations.The declarant or his family members have no objects for declaration in this section

Document signed:

KHRUSTALOVA NATALIA OLEKSIIVNA

The declarant or his family members have no objects for declaration in this section

16.   Membership of the declarant in organizations and their bodies

The declarant or his family members have no objects for declaration in this section Membership in the organs of organizations.The declarant or his family members have no objects for declaration in this section

Document signed:

KHRUSTALOVA NATALIA OLEKSIIVNA

The declarant or his family members have no objects for declaration in this section Membership in the organs of organizations.The declarant or his family members have no objects for declaration in this section

Document signed:

KHRUSTALOVA NATALIA OLEKSIIVNA

Membership in the organs of organizations.The declarant or his family members have no objects for declaration in this section

Document signed:

KHRUSTALOVA NATALIA OLEKSIIVNA

The declarant or his family members have no objects for declaration in this section

Document signed:

KHRUSTALOVA NATALIA OLEKSIIVNA

KHRUSTALOVA NATALIA OLEKSIIVNA

Full name in other languages

Khrustalova Natalia Oleksiivna, Khrustal'ova Natalja Oleksijivna, Хрусталева Наталья Алексеевна, Hrustaleva Natalia Alekseevna, Khrustal'ova Natalia Olecsiivna, Khrustal'ova Natalja Oleksiyivna, Chrustalowa Natalja Oleksijiwna, Khrustal'ova Natalya Oleksiyivna, Hrustaleva Natal'ja Alekseevna, Khrustaleva Natalia Alekseevna, Khrustalova Natalya Oleksiyivna, Hrustal'ova Natalja Oleksiivna, Khrustaleva Natal'ya Alekseevna, Hrustaleva Natal'ia Alekseevna, Khroustalova Natalia Oleksiïvna, Khrustalova Natalia Olexiivna, Hrustal′ova Natalâ Oleksìïvna, Khrustal'ova Natalia Oleksiivna, Hrustaleva Natal'ia Alexeevna, Xrustalʹova Natalja Oleksijivna, Хрустальова Наталя Олексіївна

Other declarations of this declarant

2015, Annual
Type/Year
Annual, 2015
Position
Deputy Director of the Internal Audit Department - Head of the Audit of Regulatory Policy and Supervisory Functions
Submitted
Oct. 28, 2016, 10:03 a.m.
2018, Annual
Type/Year
Annual, 2018
Position
Deputy Director of the Internal Audit Department - Head of the Audit of Regulatory Policy and Supervisory Functions
Submitted
March 14, 2019, 9:17 a.m.
2016, Annual
Type/Year
Annual, 2016
Position
Deputy Director of the Internal Audit Department - Head of the Audit of Regulatory Policy and Supervisory Functions
Submitted
March 29, 2017, 7:32 a.m.
2017, Annual
Type/Year
Annual, 2017
Position
Deputy Director of the Internal Audit Department - Head of the Audit of Regulatory Policy and Supervisory Functions
Submitted
March 12, 2018, 10:20 a.m.
2017, Notification of substantial changes
Type/Year
Notification of substantial changes, 2017
Submitted
Feb. 3, 2017, 3:56 p.m.
2018, Notification of substantial changes
Type/Year
Notification of substantial changes, 2018
Position
Deputy Director of Internal Audit Department - Head of Department
Submitted
Jan. 4, 2018, 5:19 p.m.
2017, Notification of substantial changes
Type/Year
Notification of substantial changes, 2017
Position
Deputy Director of the Internal Audit Department - Head of the Department
Submitted
Aug. 9, 2017, 12:02 p.m.
2018, Notification of substantial changes
Type/Year
Notification of substantial changes, 2018
Position
Deputy Director of the Internal Audit Department - Initial Management
Submitted
March 22, 2018, 3:07 p.m.
2020, Notification of substantial changes
Type/Year
Notification of substantial changes, 2020
Position
Deputy Director of Internal Audit Department - Head of Department
Submitted
Feb. 27, 2020, 11:30 a.m.
2017, Notification of substantial changes
Type/Year
Notification of substantial changes, 2017
Position
Deputy Director of Internal Audit Department - Head of Department
Submitted
April 5, 2017, 8:42 a.m.
2019, Notification of substantial changes
Type/Year
Notification of substantial changes, 2019
Position
Deputy Director of Internal Audit Department - Head of Department
Submitted
Feb. 27, 2019, 8:54 a.m.

Other declarations found by this full name «Khrustalova Natalia Oleksiivna»

2014
Type/Year
2014
Position
Director of the Audit Department of the National Bank of Ukraine