EFTA01387985
EFTA01387986 DataSet-10
EFTA01387987

EFTA01387986.pdf

DataSet-10 1 page 347 words document
P17 V15 D1 P23
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One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar 3A. Individual Details (for all parties) Individual's Name: Harry Be'kw - 00000487202 Date of Birth 5.9. 1956 Country of Residence. United States Country of Otizenship: United States Has client resided outside of his/her country of Address of primary 12 Golan Drive Monsey NY 10952 United States nationality for 5 years or 0 Yes [1: No residence- more? Profession' Occupation. Accountant Tax ID: SSN 081-52-0727 Current Employer: HBRK Associates, Inc Position. Title. Rank Accountant Address of employer: 575 Lexington Avenue, 4th Floor Monsey NY United St les 10022 Does the person work as senior executive of a OB-recognized regulated entity in he financial Industry? or an entity listed on a 0B-recognised exchange? (Not 0 Yes R; No callable for operating entities wr No ...4 Is the individual a Politically Exposed Person (F£P)?(11 Yes, desaibe) N/A 0 Yes n To the best of your knowledge, is the individual related to an employee of the DB L.:IFamily 0 Friendship g None groupyd Family or Friendship, dewily) NIA To the best of your knowledge, is the 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)7(d Yes,deseribe ) N/A 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 (weary: Dare of Business Domicile o • 0 • 0 0 D 0 0 L...1Wealth Details for this individual are rot 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 co:ad in Section 2) Nature of the Individual's Business: Primary Country of source of wealth/source of Funds? Primary industry of source of Wealth/Source of Funds? Summarize Source of Wealth: 0 Budness Owner 0 Salary/Earnings • Investment 0 Inhentance/Ofts 0 Other: CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0091284 CONFIDENTIAL SONY GM_00237488 EFTA01387986
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EFTA01387986
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DataSet-10
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document
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1

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