EFTA01387997.pdf

One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar 30. Individual Details (for all parties) Individual's Name: Date of Birth. Country of Residence Country of Citizenship: Has client resided outside of his/her country of Address of primary yes J nationality for 5 years or 0 No residence- morel Professor), Occupat ion. NA Tax D ESN Current Employer: N A Position Tit:e. Rank N A Address of employer: N A 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 ales kw/. No pplicable for operating entities sr No ..A1 Is the individual a Politically Exposed Person (F£P)?(11 Yes, desaibe) N/A 0 Yes To the best of your knowledge, lathe individual related to an employee of the DB 0 Family 0 Friendship P3 None groupyd Family or Friendship, dewily) NIA 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)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 (soeciryt Dare of Business Domicile o • 0 • 0 0 D 0 0 Li Wealth Details for this individual are not filed ri because they are :he same as for :he following person. 35. Wealth Details (Only for parties retuning source of wea :h oesc-ption as tad cated 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 LI Inhentance/Gfts 0 Other: CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0091306 CONFIDENTIAL SDNY GM_00237490 EFTA01387997