EFTA01356216.pdf

KYC Print Page 6 of 22 One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar 3A. Individual Details or all parties) Individual's Name: Harry Beller Date of Birth. Country of Residence USA Country of Ohzensh o LISA Address of primary 12 Golar Drive Monsey NY 10952 United States residence' Professor. Occupation Aomori:ant Tax D SS4 Current Empbyer: HBRK Associates. Inc Position/Title/Rank: Address of employer: w Is the individual a Politically Exposed Person (PEP)flif Yes, describe) OYes ..4 No To the best cif your knowledge, lathe individual related to an employee of the DB r.„,iFamily O Friendship 11 . 'fore group?(if Family or Friendship, describe ) 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 ❑ Yes RI No source, supplier of goods or services)7(if Yes,describe ) If applicable, indicate which bank officers have met Indicate where and when the client meeting(s) took place: the person: Client Client Place Bank Officer Name(s) Bank Office Private Other Location (specify) Date. of Business: Domicile: Paul Morris 0 O O 10/21/2013 I O O O O O O • Wealth Details for this Individual are not filled in, because they are the same as for the following person: 36. Wealth Details (Only for parties requiring source of wealth description as indicated in Section 2) Nature of the Individual's Business: O Busness Owner El Salary/Earnings I:Investment O Inhenlancei G Its Summarize Source of Wealth: 0 CIher Further Describe Source of Wealth (Detail the history of wealth for each of the sources (e.g. For trusts, how did settlor accumulate wealth? For inheritance. how did family accumulate wealth?For business owners. how long in business, how many employees. level o' profitability? Indicate type of business, countries of m jor activities. important business partners.) Estimated Annual Income Estimated amour: of nves:aot assets(S) ($): Estimated Net Worth(S). Amount of assets planned to invest with PWM(S) Other Known Financial Institutions: hups://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid IN30000000D9Di&e... I/1 1/2018 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0041954 CONFIDENTIAL SDNY_ GM_00188138 EFTA01356216