<?xml version="1.0" encoding="UTF-8"?>
<!-- edited with XMLSpy v2025 (x64) (https://www.altova.com) by  (SMALS) -->
<CRHC001 xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:noNamespaceSchemaLocation="CRHC001_20262.xsd">
	<Form>
		<Identification>CRHC001</Identification>
		<FormCreationDate>2022-08-11</FormCreationDate>
		<FormCreationHour>09:22:58.082</FormCreationHour>
		<AttestationStatus>0</AttestationStatus>
		<TypeForm>SU</TypeForm>
		<Reference>
			<ReferenceType>1</ReferenceType>
			<ReferenceOrigin>1</ReferenceOrigin>
			<ReferenceNbr>LEGK0000000000010001</ReferenceNbr>
		</Reference>
		<CBSSInformation>
			<KindOfTreatment>M</KindOfTreatment>
			<InvolvedPartner>
				<PartnerRole>1</PartnerRole>
				<SectorCode>031</SectorCode>
				<InstitutionType>002</InstitutionType>
				<KindOfDossierCBSS>010</KindOfDossierCBSS>
				<INSSUser>00903100187</INSSUser>
				<DateSubmission>2013-07-05</DateSubmission>
				<HourSubmission>15:00:11.000</HourSubmission>
				<StartingDateRepository>2012-01-01</StartingDateRepository>
				<EndingDateRepository>2012-12-31</EndingDateRepository>
			</InvolvedPartner>
		</CBSSInformation>
		<NaturalPerson>
			<NaturalPersonSequenceNbr>278837</NaturalPersonSequenceNbr>
			<INSS>74101199805</INSS>
		</NaturalPerson>
		<CardRightHolder>
			<RightNotion>1</RightNotion>
			<CardNbr>003245</CardNbr>
			<GivenCredit>60</GivenCredit>
			<CardYear>2012</CardYear>
		</CardRightHolder>
		<ReferencePeriod>
			<RefStartingDate>2012-10-01</RefStartingDate>
			<RefEndingDate>2013-09-30</RefEndingDate>
		</ReferencePeriod>
	</Form>
</CRHC001>