<?xml version='1.0' encoding='UTF-8'?>
<CRHC501 xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:noNamespaceSchemaLocation="CRHC501_20261.xsd">
	<Form>
		<Identification>CRHC501</Identification>
		<FormCreationDate>2022-08-11</FormCreationDate>
		<FormCreationHour>09:22:58.082</FormCreationHour>
		<AttestationStatus>0</AttestationStatus>
		<TypeForm>SU</TypeForm>
		<HandledOriginalForm>
			<Identification>CRHC001</Identification>
			<FormCreationDate>2013-07-03</FormCreationDate>
			<FormCreationHour>15:12:13.000</FormCreationHour>
			<AttestationStatus>0</AttestationStatus>
			<TypeForm>SU</TypeForm>
		</HandledOriginalForm>
		<Reference>
			<ReferenceType>1</ReferenceType>
			<ReferenceOrigin>1</ReferenceOrigin>
			<ReferenceNbr>LEGK0000000000010001</ReferenceNbr>
		</Reference>
		<HandledReference>
			<ReferenceType>1</ReferenceType>
			<ReferenceOrigin>2</ReferenceOrigin>
			<ReferenceNbr>340000EUPZ00X</ReferenceNbr>
		</HandledReference>
		<CBSSInformation>
			<KindOfTreatment>M</KindOfTreatment>
			<InternalRefCBSS>5CuEd000CRHC3</InternalRefCBSS>
			<InvolvedPartner>
				<PartnerRole>1</PartnerRole>
				<SectorCode>031</SectorCode>
				<InstitutionType>002</InstitutionType>
				<KindOfDossierCBSS>010</KindOfDossierCBSS>
				<INSSUser>00903100187</INSSUser>
				<DateSubmission>2013-07-03</DateSubmission>
				<HourSubmission>15:00:11.000</HourSubmission>
				<StartingDateRepository>2012-01-01</StartingDateRepository>
				<EndingDateRepository>2012-12-31</EndingDateRepository>
			</InvolvedPartner>
			<InvolvedPartner>
				<PartnerRole>0</PartnerRole>
				<SectorCode>025</SectorCode>
				<InstitutionType>000</InstitutionType>
				<DateSubmission>2012-08-19</DateSubmission>
				<HourSubmission>09:06:29.370</HourSubmission>
			</InvolvedPartner>
		</CBSSInformation>
		<NaturalPerson>
			<NaturalPersonSequenceNbr>0278837</NaturalPersonSequenceNbr>
			<INSS>74101199805</INSS>
			<HandledNaturalPerson>
				<NaturalPersonSequenceNbr>0000001</NaturalPersonSequenceNbr>
				<INSS>47102836546</INSS>
				<WorkerName>BROGNO</WorkerName>
				<WorkerFirstName>JAN LUDO</WorkerFirstName>
				<WorkerBirthdate>1947-10-18</WorkerBirthdate>
				<WorkerSex>1</WorkerSex>
				<Nationality>00150</Nationality>
				<OriolusSuccessCode>1</OriolusSuccessCode>
				<OriolusSubStatusRip>0</OriolusSubStatusRip>
				<BisFlagIndication>0</BisFlagIndication>
			</HandledNaturalPerson>
			<HandledOccupationLink>
				<OccupationStartingDate>2003-01-01</OccupationStartingDate>
				<JointCommissionNbr>124</JointCommissionNbr>
				<InternalOccupationNbr>340000CXTQ001</InternalOccupationNbr>
			</HandledOccupationLink>
			<HandledOccupationLink>
				<OccupationStartingDate>2003-04-01</OccupationStartingDate>
				<JointCommissionNbr>124</JointCommissionNbr>
				<InternalOccupationNbr>340000CXTR00A</InternalOccupationNbr>
			</HandledOccupationLink>
			<HandledOccupationLink>
				<OccupationStartingDate>2003-07-01</OccupationStartingDate>
				<JointCommissionNbr>124</JointCommissionNbr>
				<InternalOccupationNbr>340000CXTS00K</InternalOccupationNbr>
			</HandledOccupationLink>
			<HandledOccupationLink>
				<OccupationStartingDate>2003-08-23</OccupationStartingDate>
				<JointCommissionNbr>124</JointCommissionNbr>
				<InternalOccupationNbr>340000CXTT00U</InternalOccupationNbr>
			</HandledOccupationLink>
			<HandledOccupationLink>
				<OccupationStartingDate>2003-10-01</OccupationStartingDate>
				<JointCommissionNbr>124</JointCommissionNbr>
				<InternalOccupationNbr>340000CXTU006</InternalOccupationNbr>
			</HandledOccupationLink>
			<HandledOccupationLink>
				<OccupationStartingDate>2004-01-01</OccupationStartingDate>
				<JointCommissionNbr>124</JointCommissionNbr>
				<InternalOccupationNbr>340000CXTV00F</InternalOccupationNbr>
			</HandledOccupationLink>
			<HandledOccupationLink>
				<OccupationStartingDate>2004-03-26</OccupationStartingDate>
				<JointCommissionNbr>124</JointCommissionNbr>
				<InternalOccupationNbr>340000CXTW00Q</InternalOccupationNbr>
			</HandledOccupationLink>
			<HandledOccupationLink>
				<OccupationStartingDate>2004-04-01</OccupationStartingDate>
				<JointCommissionNbr>124</JointCommissionNbr>
				<InternalOccupationNbr>340000CXTX002</InternalOccupationNbr>
			</HandledOccupationLink>
			<HandledOccupationLink>
				<OccupationStartingDate>2000-03-01</OccupationStartingDate>
				<JointCommissionNbr>124</JointCommissionNbr>
				<InternalOccupationNbr>340000CXTY00B</InternalOccupationNbr>
			</HandledOccupationLink>
			<HandledServiceData>
				<DimonaNbr>000362110797</DimonaNbr>
				<ServiceEntryDate>2000-03-01</ServiceEntryDate>
			</HandledServiceData>
		</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>
</CRHC501>