📄 Extracted Text (1,512 words)
brutsche Asset Akio' 7A c2 cicioo
• & Wealth Management
DBTCA Deposit Account Opening Application
Private Wealth Premium" Private Wealth Premium" Private Wealth Premi
Elite Personal Accounts Elite Business Accounts Banking Services
O Checking Acct. SI ▪ C O Consumer Debit ,:tard
O Elite Checking with Interest ❑ Elite Checking with Interest O Joint Applicant ( +Alit Cud H
Acct. Acct
Are APY El Business Debit C:ril #
❑ Elite Money Market Deposit O Elite Money Market Deposit
Acct. 0 Acct. O Deluxe Checkborl: Style
APY APY
O Certificate of Deposit O Certificate or Deposit ❑ Name Only
Acct. N Acct. 0 O Name and .4.:Idress
1
APY APY
Term Term O Duplicate Statem .nt
Addr
O DB AG NY Preferred O DB AG NY Preferred
Certificate of Deposit Certificate of Deposit City I
Acct. 0 Acct. N State Z p Coda
APY APY O Mailing address different)
Term Term Name
Promo term Promo term
Addr
(08TCA deposit account required, fOBTCA deposit account required,
along with a 08 AG Preferred Terms along with a 08 AG Preferred Terms City
and Conditions) and Conditional State Zi:rCodti
Private Weahh Premium" O Cash Master Sweep Account
Internet Banking Services Checking Acct. 0
II / OB Private Wealth Online Plus Elite Money Market Deposit
g Relationship Acct.
APY
Target Amount
Trigger Amount
Client Relationship
O Individual Account O Custody under NY UTMA O Corporation
O Joint Tenants with Right O Foundation O Limited Liability C::mpany
of Survivorship
O Joint Tenants in Common O Non-Profit Organization O Partnership
O In Trust For/Payable on O Attorney Trust Escrow O Limited Liability Partnership
Death/As Trustee for
O Trust ❑ Landlord Master Escrow
❑ Estate
13.Awmotot
NAOSOD 000156 W000105135
0139!9037613
SDNY_GM_00037681
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0000505
EFTA_00148290
EFTA01282278
Account Tide and Joint Application Information
Butterfly Trust
Name of Account Title Joint Applicant
(last name, first name. middle Initial' or Business Oast name, first name, middle initial
264639711
Social Security Number or Taxpayer ID Number Social Securny Number or Taxpayer ID Number
6150 Red NookSROP:RtUID
Address Address
.St_Thomas U.S. Vimin Isle' 00802
City. State and Zip Code City, State and Zip Code
Home Telephone Number
Name of Employer Name of Employer
Address Address
Not apyllcabte
City, State and Zip Code City. Stale and Zip Code
Notice of Customer Identification Policy
Important Information
To help the government tight the funding of terrorism and money laundering activities, Federal law require all financial
institutions to obtain, verify, and record information that identifies each person who establishes an account investment or
other business relationship with a financial institution. Ibis means that we will ask for your name, address, and other
information that will allow us to identify you. We may also ask to see identifying documents such as a certi'.cate of
formation or good standing (legal entities) or a passport or other photo identification (individuals).
3rd EU Notice
Governmental roles have also broadened the scope of the Bank's obligations to aid in the fight against mo ley laundering
and terrorist financing: these rules call for an active involvement of both asset management firms and theh client;. For
new and existing clients we currently have a legal obligation to ask our customers questions regarding the identities,
addresses, source of funds and, if necessary, legal representatives. authorized signatories, beneficial owns • ; or control
structures and to collect requisite documentation to substantiate the information. Also, enhanced anti-mor cry laundering
requirements require that should any of the above personal or institutional information change, our clients .vould be
obliged to immediately notify us of the changels) and provide us with relevant documentation to verify the: .3 changes.
Telephone, Facsimile or Email Instructions
By signing below, you agree that from time to time you may give instructions by telephone, facsimile or en i id regarding
the above captioned aCCOunt(s) (defined herein as "Verbal Instructions") It is understood that the risk of Vi :bat
Instructions being given by person or persons purported to be you is your own. Absent the gross negligent si or willful
misconduct of Dcusche Bank Trust Company Americas (DBTCA). you agree to indemnify and hold harmles OBTCA for
any claims. losses, expeosos. costs or attorneys' tees resulting from DBTCA's acting upon such misunders ood and
unauthorized Verbal Instructions. You understand that DBTCA may. but Shall not be required to, seek verifi :item at your
verbal, facsimile or email instructions by call back. In case of doubt, DBTCA may in its sole discretion refus to execute
your Verbal Instrucdnns or airy pert thereof, without incurring any liabdity. DBTCA is under ne &legation to 'mature your
Verbal Instructions to transfer funds or securities to any accounts) without written instructions bearing yet I original
signature.
Joint Account Disclosure
You have opened a joint account with DBTCA and acknowledge receipt of the following information: This c posit and any
additions to the account shell become the property of each owner as joint tenants, sod DBTCA may Tersest tha entire
account to any owner during the lifetime of all owners. DBTCA may honor checks, orders or withdrawal rer nests Irom
any owner during the lifetime of all owners. The Bank may be required by service of legal process to remit !kinds held in
the joint account to satisfy a judgmunt onteied against, nr other valid debt Incurred by, any ownet of the ac count. OBTCA
may honor checks, orders or withdrawal requests from the survivor(sl atter the death of any owners) and r •ay treat the
account as the sole property of the survivor(s) atter the death of any owner(s). Unless DBTCA receives writt to notice
signed by any owner not to pay or deliver any joint deposit or addition or accrual, DBTCA shall not be liable to any owner
for continuing to honor checks, orders or withdrawal requests from any owner. After the receipt of the noti:z referred to
in the previous sentence. DBTCA may require the written authorization of any or all joint owners for any fur ter payments
or deliveries.
2 13.AWM.0101
013959.032613
SDNY_GPA_00037682
CONFIDENTIAL
CONFIDENTIAL — PURSUANT TO FED. R CRIM. P. 6(e) DB-SONY-0000506
EFTA_00148291
EFTA01282279
ATM/Debit Service
You agree that the retention or use of the ATM/Debit card constitutes acceptance of the terms and condit Ins of the
Cardholder Agreement contained in the Terms and Conditions of Deposit Accounts.
Internet Banking Service
If you have selected to reeerve Internet Banking Services, yon underetand that you will be required to eat( into it
separate Internet Banking Services Agreement with DBTCA before you can access the Internet Banking S
Acknowledgement of Receipt of Privacy Notice
By signing below. you acknowledge receipt of OBTC.A's Privacy Notice included in the Application Packer it.
Non-US Individuals: Confirmation of Tax and Compliance Responsibilities.
You confirm that it is your responsibility to fulfill any tax obligations and any other regulatory reporting dues applicable
to you in any relevant jurisdictions that may arise in connection with assets, income or transactions in yot r account(s)
and your business relationship with DBTCA.
Non-US Organizations: Confirmation of Tax and Compliance Responsibilii ies.
You confirm that it is your responsibility to fulfill any tax obligations and any other regulatory reporting du %es applicable
to it in any relevant jurisdictions that may arise in connection with assets, income or transactions in your i :count(s) and
your business relationship with DBTCA furthermore, you confirm that the necessary information (to the t ost of your
knowledge and capabilities) is made available no less than annually to the relevant beneficial owner(s), se' Ilona),
beneliciandies), panner(s), etc. to enable him/her/ them to fulfill any respective tax obligations that may al :a for him/her/
them in connection with your business relationship with OBTCA.
Please complete and attach separate W-8 or W-9 documentation as applicable.
Terms and Conditions and Representations
By signing below, you acknowledge receipt of the Terms and Conditions for Deposit Accounts attached k this
Application and agree to be bound by them. In addition, you agree to notify us immediately of any materir I champ) to
the information provided by you on this Application.
You represent and warrant that all of the information provided by you on this Application is accurate. •
The Terms and Conditions for Deposit Accounts ate subject to change.
Acceptance
You understand that this applicat su eptance by DBTCA
atiCA-e-4-•••-1 ": 9 /xi /3
t!0490:e•0100011kr0. .Date-
'ttoinriAccetinfHolderliSignande tare
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13-AW1.90101
013%9.032613
SDNY_GM_00037683
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P.
CONFIDENTIAL
6(e) DB-SDNY-0000507
EFTA_00 148292
EFTA01282280
IN WITNESS WHEREOF. the undersigned. by and through its authorized officer. has caused this int Irumen to be
executed on the date fisted below.
IFOR BUSINESS USERSI
Butterfly Trust
119sleSsANan19
Darren Indyker Trustee Richard Kahn/Trust:is:,
'Planteniqa
ki -Aft cke Q NeCitk— i Italtdi KittAl (Vi tiliVO
Siprutiira 'Pete:
DEUTSCHE BANK TRUST COMPANY AMERICAS
•
[FOR AU, OTHER USERSI
Account Name
Namennle
Signature Date
WM136667
21 010198 030613
SDNY_GM_00037684
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SONY-0000508
EFTA O0148293
EFTA01282281
ℹ️ Document Details
SHA-256
002e4a4c9f7daf902f13bdc1828d9636e23e822be9ba5bf06c5f1c435d87a56b
Bates Number
EFTA01282278
Dataset
DataSet-10
Document Type
document
Pages
4
Comments 0