EFTA00616059.pdf

72)61 Page 2 of la v Schedule A • Cash in Banks _ ~App6ut Lean D. Bala I Pianki),**Icy's a resephope a .rumait4Frarymp . i Accent_ Date- __ Account I 0 al MnenCial Ineinion U.S. inn-WM of America Private Wean Marogenwa Leon O. Ellin 2/31/2005 Checking 0.05% yU $39662.00 P. O. Boa 25116 Data Bap Tape. Ft 52522 MTh 556-2171 Oen Raider Black Personal Money 39.597.551.00 .554.00 U. S. Trust- Banal America Private veal 4/27/1990 der 640/24 CA)ApelloMannenem Market Management Bonen U. S. Trust - Bank 0 Amain num Munn 24213Proncions. Int a 447/2035 In 6404012 516.0W00 Checking Management Leon D. Black Emend U.S Dust- Ent Of Anna Rival. Wealth 745/2503 0.05% 6002012 S2.2041303.00 Detre link finning Manager U. S. Tfust -ntBank M Anna PrivateWean ORB 5/112406 Dusan" Ma" 020% 640/2012 11760.905M Produckat Inc. ; Market Managene U.S Trust -Bank a/America Pihrate Wean Dueness imereat 020% 6/300012 $27,336.494.00 Managernara Black Family Fannin L P Maommee }Minna V. S 7nest - Barn ol Anna Privas Wean N/A 6/30/2012 520.06160600 a t LW Holdings LLC Advantage Checeng U. S. Trust - Bee olAMelica Private %beim Bunn. Mein 020% 6/302012 576.05500 Management LBPhedrigs LLC 9252006 Maurn er Enhanced 596.105.00 U. S. Treat-Bak of America Pine Dean LC6Feuxtelen s 0.05% 640/3012 Glan Manner Ennead 222.173.371.03 V. S. Tnnt - EWA of Arnica Penne Weal Bieck Fun/ 1997 Trust 7/16/2503 Chang 305% 8/30/2012 Manenethe Leon Back Warn U. S. Time- Bank 05Nnerica Private Went Oinking 0.06% 6130/2012 $9162.53 Mannenew1 Elobra Black U. S. Tryst - Bank of America Pone VVeaim Ove:king NIA 41,40.2012 5000 Mack Farrily Panners LP Manneenel U. S. Trust- Bark of America Awn Wealth Gannon Partner. GP en12000 Checking NIA 6/30/2012 52305.924.00 Management U. S. Trust - Bank ol Anent.* Noce Neal Black Family 2000 Trust 12/1/2506 Deprea WA swam woo mennement V. S. Tryst -Bank of Amenca %nee %inn 24/2039 ha ducking .06% 6/302012 533.003.00 Leen It Oen Bad Manannes - JP Masan °tan Diem Black Cutt kir Ana °WW16 0.20% 600/2012 547.064.00 EfinUTMA nein Pasts Elan Get for Viaixi Money real 6/304012 536.554.17 JP Morgan Crate 020% Belek UTIA4 saengs US Tnnt - Bank 01Amillea Private %Wale, Buenas nen 30.00% 6004012 $1.310.531.03 Managernent LBF Mildew Maanuar US Dom- Bank at AMP'S Pflv10 Wean Black Fenn 1997 GST E Monn MAC 0.20% 6404012 53.006.634.00 Uanagement Tnet SIVINS US Trust - Bark Of Arnerica Private Mean Leon 0 Blan/Debra Black Chning in 6004012 112326800 Management In Pay Acid US Trust -Bank of Anima Pnvate Weal) Leon D EafiCk WeemsnMarkel Mcsi 0.20% 6002012 512657.201.00 Mae9e0 Org Debra Bin BuSineSS US Trust Bank of Arnencas Pnvata Wen 020% 50012012 5147.179.00 84AV Manne Economy Malle9ornani Checking US Trust Ban of Amens Prnme Wean Leon Black Fenn FOuntlazi Suwon aileron Na 6/30.2012 5672 management Inc Mininuar Pm/non us Trust Bonk of Americas Private Woman %dada Such 0.05% 640/2012 _ 5772950 Checking Management _ --- - $1112.626.1169.91 ----___— ....... . --- EFTA00616059  Page 3 of 16 Schedule B - Accounts & Notes Receivable I Applicant: Leon D. Black Name, Address & Telephone_ Date Orl Mal Un id Interest Maturity Collateral Securinji Number of Debtor Incurred Amount Balance • Rate Date Purpose Account or Note None TOTAL: $0.00 EFTA00616060  Parr 4 of 14 Sclwdule C • Stocks. Bonds Notes 4 Debonlures Arecant Lens 0. Sea j i /of None al foveae Company 2I9e of No. et %.f_.. Putchase Conso of Nona M Anneal !.. Owing ;, Pony/Pledge On% ti se Ckesensa.Mews NweNallis ' Owner* Paco I - Parma *kb Hell i Weer Yams Ores R. teack Vann Vitae vW0u$ Various Dere era WA WA inforgan 1049-3246511 9/30/2012. Lem Sack Varies Various vandal Varese 11400. Bask WA WA JPSaslan /049.514341 3312012 Way J. Cohen CS Varies VanWS Wakes Varian Alexander Sack WA WA Alexander Sock LIGINVIIY ! (047.101331 04 341/2012, Bony CohenCA Vidor% Vanes Various vinWS VenouS Vane Beck WA WA /Moron Stack VG/MAW 1047401551 3/31/2012 Tent lot °flame '02 Vales Varian vanes. Venous Benjamin Went WA WA SPISorgan (047.101901 3/)1/2012. fl agen Tan, for lookuel32 Varies Various valet. Vs** Joshua Beck WA WA 100.1019Z 341/201 mans' Taal for raunert92 Varlet Valais vats Various Merankr Baca WA WA /047.101821 3.31/2012. JOMonean ToniIce Vieloda 92 Varies Various various VanOus Vidor Back WA WA /047.101911 3/31/2017 J014onsan Trot la Barri* '80 Vanes Various slesSuS Vanes, Bairn Bleak WA WA 1047401911 3312012 fl own Taal let Joshua 10 Vries Vinous anus Vanous rear Beck WA WA /047.101931 341/2012 snag* Tar for Alexander 'Se Vanes Variant vaesSua Vaisya Mearakx Beck WA WA 9)47401611 381=12 JiNeargan Tone let Wiens ISO Verna View, "Sea Vflus Vieleda auk WA WA $047.1019:e 3/31/2012, "WNW Aloe Back LITIMMY Vanes Various Vinous Veneto Naanleg Bark WA WA (04134300341 3414012 01,09 00 infrace Thai OTD12 Varies Veneta Wrest Versa Leon 0. Bea WA WA 5049.513301 3$31/2011 Jra042641 Black Fr* 1997 Toni Vales Various earkosa Vailesn Mack Fordo 1991 WA WA /0494290B Trust 3414012 US Twat • Banta, Amen LW 14oldings LLC Vanes Various various Varian Leon 0 an WA WA lia3110054120403) 3/31/201Z US Toni . Bat of Anoka I" il ddnils1J.0 Varies Varkus various ' WM* Leon O. Marc WA WA 14101W60200491 34112012 US Tani • Bank of America Black Fairy Peres Varies Venous various Various Leon a Eark WA WA 141(1114054743053 Limbed 3.01009% JP Monwi Chew Bark LBF Horror LLC Vanes Various various Valor Leon a Sack WA WA (01645900?) 371/2012 JP Yowl Chew Bra Br* Emily Palma IP Vales Various various Venous Loon a Berk WA WA (0224620001 3414012 lieuberpr Berman. LLC Managed Eosin Vries Various various Varkus Back Feta* WA WA AC 955.00292 3/31/21)1a "WOW Loco Sack Fanny Vanes Varese varietal Various Loon 0 Black WA WA 04961903 Ferrara, 341/2012 Sock Vinous varbs Ursa Leon 0 Bleck WA WA AP Arm*, Asset. IP 3/31,201% Stock Oren *It $0 buy kns Man Various Verso Leon a BOW WA WA San Swine BadeInt 1% 3/302012 Cannon Slack Dass than Varkus Vanes* Leon 0 Neck WA WA 54%n NIS Rear kr 1% 3/30201S wows Valor Sack Fel* 2011 WA LC43 2011 LLC 1 1.2" ) - n , Tashi 3/314012 i- r i._____ - - T--- F TOTAL: EFTA00616061  Page 6 of 16 Schedule D - Real Estate Address Owner of 4 Property : Purchase (Applicant: Leon D. Black Annual % of Current Value Names of Other S C & St P / •it Record T Price / Dato Encumbrances Income I Ownership of % Owned Owners & % Owned. Leon D. Black Co-op None Does not apply 100.00% None Leon D. Black Co-op None Does not apply 100.00% None Leon D. Black House None Does not apply 100.00% None Leon D. Black House None Does not apply 100.00% None Leon D. Black House None Does not apply 100.00% None Leon D. Black Condo None Does not apply 100.00% None 1 1 1 TOTAL EFTA00616062  Page 7 of 16 Schedule E - Life Insurance Applicant: Leon D. Black • Name, Address & Telephona# _, _ Policy Date Face Annual _ Cash Surrender _.._. of Insurance Carrier Issued I Beneficia ies Value Premium Prudential 9/1/1999 Leon D. Black Insurance Trust #1 AXA Equitable 9/1/1999 Leon D. Black Insurance Trust #1 Security Life of Denver 9/1/1999 Leon 0 Black Insurance Trust #1 Prudential 4/26/1999 Leon D. Black Insurance Trust #2 New York Life 4/28/1999 Leon D. Black Insurance Trust #2 Pacific Life 4/28/1999 Leon D. Black Insurance Trust #2 John Hancock 4/28/1999 Leon D. Black Insurance Trust #2 AXA Equitable 4/28/1999 Leon D. Black Insurance Trust #2 I T i h TOTAL: EFTA00616063  Page 8 of 16 Schedule F - Pension / Retirement Funds !Applicant: Leon D. Black Name Appearing Type of Type of Securities Name & Address of Account / Fund Employee Employer Current on Account / Fund Account I Fund Held by Account / Fund Employer / Institution Number r Contributions Contributions Value Leon Black IRA Brokerage Account J.P. Morgan N/A N/A 383 Madison Avenue New York, NY 10179 Debra Black IRA Brokerage Account J.P. Morgan N/A WA 383 Madison Avenue New York, NY 10179 • TOTAL: EFTA00616064  Page 9 of 16 Schedule G - Vehicles (Applicant: Leon D. Black I Specify if Date of Purchase I Model Make & Model Purchase Price/ Current Market Value Type of Vehicle Owned/Leased or Lease Agreement Year of Vehicle I Cost of Lease If Owned Chevrolet Silverado Pick Up Truck Owned 2010 2011 LS 1500 pickup Chevrolet Avalanche Pick Up Truck Owned 2005 2005 2500 LT Luxury Sedan Owned 2004 2004 Mercedes Benz S 600 Mercedes Benz 560 Luxury Sports Car Owned 1989 1989 SL 2dr Chevrolet Tahoe 4dr Sports Utility Vehicle Owned 2001 2001 Lt Sedan Owned 2004 2004 Acura TL 4dr Sports Utility Vehicle Owned 2011 2012 Mercedes R350 Sports Utility Vehicle Owned 2009 2009 Honda Pilot Bentley Continental Luxury Sedan 2007 2007 GT Sports Utility Vehicle Owned 2008 2008 Jeep Patriot 4WD 4dr Sports Car Owned 2008 2008 Audi A4 4dr TOTAL: EFTA00616065  Page 10 of 16 Schedule H - Other Assets 'Applicant: Leon D. Black Date of Purchase % of Current Market Other Type of Asset Purchase Price Ownership • • °. • . • • Information Art: LDB and DRB Various Various 100.00% Approximate market value. Art: Held in Trust Various Various 100.00% Approximate market value. Chinese Bronze Various Various 100.00% Approximate market value. Books Various Various 100.00% Approximate market value. Jewel Various Various 100.00% A..roximate market value. Contents of Various Various 100.00% Based on insurance valuation. Contents of Various Various 100.00% Based on insurance valuation. Contents of Various Various 100.00% Based on insurance valuation. Contents of Various Various 100.00% Based on insurance valuation. Contents of Various Various 100.00% Based on insurance valuation. •—• I TOTAL: EFTA00616066  EFTA00616067 Pep tee • ,... _ . SS Se Mick . . • _- .— —_. _ .. . _ .. . __ . _ _ Isamu buss Pa ems Sas ' ass _JSMaa ebi sonna a LP SAP Pabisioni Nero.. LI Duna SW MP Peel (SI .LIM IS Pala I* SI AS SS». 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