EFTA01387280.pdf

One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar 3A. Individual Details (for all parties) Individual's Name: Groff, Lesley - Date of Birth Country of Residence. USA Country of Otizer•sh 0 USA Has client resdeo ou:sioe United of his/her country of Address of primary Yes ,V. No Rates nationality for 5 years or 0 residence- more? Profession' Occupation. Attorney Tax ID: SSN Current Employer: Darren K lndyke PLLC Position: Title' Rank Attorney Address of employer: new york NY United Sates 10022 Does the person work as senior executive of a DB-recognized regulated entity in he financial Industry? or an entity listed on a 0B-recognised exchange? (Not 0Yes tri No callable for operating entities Ns' Is the individual a Politically Exposed Person (F£P)?(If Yes, describe) 0 Yes h.4 No To the best of your knowledge, is the individual related to an employee of the DB DFamily 0 Friendship g None groupWif Family or Friendship, describe ) To the best of your knowledge, lathe Individual party to a non-banking relationship with Deutsche Bank (e.g., external legal counsel, client referral ❑0 Yes 10 No source, supplier of goods or services)?(if Yes,describe ) If applicable. indicate which bank officers have met Indicate where and when the client meetings) took place the person. Client Client Place Bank Officer Name(s) Bank Office Private Other Location (soecilyi Dare of Business Domicile o • 0 • 0 0 D 0 0 L....iWealth Derails for this individual are not filed ri because they are :he same as for :he following person. 3B. Wealth Details (Only for parties recur, ng source of wea :h oescription as tad ceed in Section 2) Nature of the Individual's Business: Primary Country of source of wealth/source of Funds? Primary rdustry of source of Wealth/Source of Funds? Summarize Source of Wealth: 0 Budness Owner 0 Salary/Earnings • Investment 0 Inhentance/Gfts 0 Other CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0089541 CONFIDENTIAL SDNY GM_00235725 EFTA01387280