EFTA00169183.pdf

Wealth Manager Services r' -s Custody New Account Opening Form Deutsche Bank A‘` STATE STREET Private Wealth Management for {yr eythr try You IIPVC,I Account Record Account O Is Owner a US Tax Payer? 0 External Custody O Federal Tax ID (SSN/TIN/EIN) 0 Account MIA Type 8701 PERSONAL CUSTODY Ed Acct Short/Long Name JEFFREY EPSTEIN Enter Name for Sorting: JEFFREY EPSTEIN Date Opened 4/10/2014 0 Branch 38: DB NY DOMESTIC - CUSTODY ACCT [E214730 0 State Domicile 54 U.S. Virgin Islands 0 Administrative Law 32 New York Acct Legal Name JEFFREY EPSTEIN Next Fiscal 12/31 of the current year OR If ERISA Account Enter Plan Year End For Client Service Use Only Tax Prep Service 1 Tax Servicer 2 Production Group 5 OCountry of Residency 209 United States 0 Acquired by 0 Account Capacity 20 CUSTODIAN Fee Agrmt Date 4/10/14 0 Date of Agreement 4/9/14 0 Date of Apptment 4/9/14 0 Group Code 1 DEUTSCHE BANK TR CO AMERICAS 0 Team Code 5 DOMESTIC CUSTODY 0 Base Currency 22 US DOLLAR 0 Premium Tax Service Client? Yes O If an ERISA Account is 5500 Reporting Required? No 0 Is account owner a tax exempt recipient? No 0 Is this an IRA Account? No 0 US Tax Class 1 US RESIDENT (TAX DUTY) 0 Country Situs 209 United States 0 State Situs 54 U.S. Virgin Islands Valid Forms Rf Status 0 Start Date W-9 2 certified 4/10/2014 (mmiddryyyy) W-8 (minfdd/yyyy) Form 1001 (mmtddiyyyy) Treaty Eligible Field 8 Special Withholding Instruction field should only be used for NRA clients submitting W-8Ben forms Treaty Eligible? I No Withholding Special Instructions if Not Using Treaty Eligible Rates CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) aariAbbil8566 EFTA_000 19436 EFTA00169183  Tax Record Address The following address must be added to Global Plus for the official mailing address of the client. If the account owner is a non US taxpayer, enter the address to which the 1099, 1042 or other mailings should be sent. For US taxpayers this may or may not be the same as the owner affiliation address. 0 Client Name JEFFREY E. EPSTEIN Et Street Number 16100 I Street Name Red Hook Quarter, B3 0 City St. Thomas 0 State 54 U.S. Virgin Islands 0 Zip Code 00802 0 Country 209 United States 0 IRS Control Name Affiliation - Owner If owner has an existing client record on Global Plus select Yes in the option below and provide the existing Internal client #. No other Information Is required. If No Is selected owner Information will populate based on tax record information provided. This address information below should reflect the legal/permanent address of the account owner. May be different than mailing address above. 0 Is the owner an existing client record on Global Plus No Internal Client It If new client complete the appropriate information for the owner affiliation: Client Title First Name Last Name Individual Client Name JEFFREY IEPSTEIN Name Extension Field or Corporate Name Street # 6100 1 Street Name Red Hook Quarter, 83 Address Line 2 Mailing Info City St. Thomas State 54 U.S. Virgin Islands Zip Code 00802 I Country 209 United States Name Type 7 individual SSN or TIN Date of Birth Mandatory for IRA Account 0 Select Yes to also use this owner for the following account affiliation types. These are mandatory affiliation setups except for Daily Advice Recipient. If not the owner, complete the additional affiliation setup section. These affiliations types will be setup using the tax record address/mailing address. If that address should not be used select No here and setup in the affiliation section. If Daily Advice is to be setup, select which type: Yes Yes 56 - Proxy Voter 137 TAX LETTER RECIPIENT 1 36 - Advice Recipient #N/A N 1042S Recipient (applicable to non-domestic accounts only) 0 Affiliation Type 152 - Corporate Action Representative Client/EE Number Arthur Tendler EMP # Affiliation Type 200 - Strategic Wealth Advisor Client/EE Number Paul Morris EMP# 0 Affiliation Type 228 - Custody Officer Client/EE Number Arthur Tendler EMP # 0 Affiliation Type 2 - Investment Officer Client/EE Number Arthur Tendler EMP # 0 Affiliation Type 4 - Account Assistant Client/EE Number Katy cheng EMP# CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) 9S-1&567 EFTA_000 19437 EFTA00169184 0 Affiliation Type 23 - Tax Officer Client/EE Number State Street [E:TAXST] Affiliation Type 218 - Employee Account Client/EE Number Affiliation Type 260 - Interested Party Client/EE Number Affiliation Type 270 Hirtle Callahan Affiliation IMandatory if opening a Hirtle Account Client/EE Number Affiliation Type Client/EE Number Currency 22 USD US DOLLAR Type of Portfolio Principal Portfolio Name JEFFREY EPSTEIN CUSTODY USD Att. Portfolio # . USD P 199 Type of Portfolio N/A Portfolio Name JEFFREY EPSTEIN CUSTODY USD Alt. Portfolio # . USD N 199 Date Opened 4/10/2014 21:21 Capacity Code 20 CUSTODIAN 0 Investment Authority 6 NO RESPONSIBILITY Acct Code Exten 0 Investment Objective 199 - CUSTODY 199 0 Voting Authority 2 CUSTOMER VOTES If #1 selected, do not add Proxy affiliation 0 Taxlot Sale Method 4 highest cost (maximum loss) Setup Sweep Yes 0 Sweep Strategy 143 - DWS GOVT CASH FUND [999010GC11 Affiliation Adds Affiliation Type 1251 MUTUAL FUND REPORT RECIPIENT Is the affiliation an existing client record on Global Plus INO Ilnternal Client # If new client complete the appropriate information for the owner affiliation: Client Title Fist Name Last Name Individual Client Name I Name Extension Field or Corporate Name SAME AS OWNER Street # I Street Namel Address Line 1 Mailing Info City I State Zip Code I Country Name Type SSN Date of Birth Mandatory for IRA Account Branch 38: DB NY DOMESTIC - CUSTODY ACCT (B214730] Identify any other affiliati n types this 231 MUTUAL FUND PROXY RECIPIENT client may be on this acc ura: 252 CORPORATE ACTION RECIPIENT CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) tiMUNa58568 EFTA_00019438 EFTA00169185  Affiliation Adds Affiliation Type Is the affiliation an existing client record on Global Plus I No 'Internal Client # If new client complete the appropriate information for the owner affiliation: Client Trtle Fist Name Last Name Individual Client Name I Name Extension Field or Corporate Name Street # Street Name I Address Line 1 City State Zip Code I Country Name Type SSN Date of Birth Mandatory for IRA Account Branch Identify any other affiliation types this client may be on this account: Affiliation Adds Affiliation Type Is the affiliation an existing client record on Global Plus I No !Internal Client it If new client complete the appropriate information for the owner affiliation: Client Title Fist Name Last Name Individual Client Name I Name Extension Field or Corporate Name Street # Street Namel I Address Line 1 Mailing Info City 'State Zip Code I Country Name Type SSN Date of Birth Mandatory for IRA Account Branch Identify any other affiliate n types this client may be on this acc tint: Affiliation Adds Affiliation Type Is the affiliation an existing client record on Global Plus 'Internal Client # I If new client complete the appropriate information for the owner affiliation: Client Title Fist Name Last Name Individual Client Name (Langer Name Extension Field or Corporate Name Street # Street Namel Address Line 1 Mailing Info City State Zip Code Country Name Type SSN CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) A9X‘1-bbg569 EFTA_000 19439 EFTA00169186 Date of Birth Mandat • for IRA Account Branch Identify any other affiliation types this client may be on this account: Affiliation Type Is the affiliation an existing client record on Global Plus Internal Client If new client complete the appropriate information for the owner affiliation: Client Title Fist Name Last Name Individual Client Name Name Extension Field or Corporate Name Street # I Street Name' Address Line 1 Mailing Info City I State Zip Code I Country Name Type SSN Date of Birth Mandatory for IRA Account i Branch Identify any other affiliati n types this client may be on this aco tint: Affiliation Adds Affiliation Type Is the affiliation an existing client record on Global Plus ntemal Client # If new client complete the appropriate information for the owner affiliation: Client Title Fist Name Last Name Individual Client Name Name Extension Field or Corporate Name Street # Street Name Address Line 1 Mailing Info City I State Zip Code I Country Name Type SSN Date of Birth Mandatory for IRA Account Branch Identify any other affiliation types this client may be on this account: CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) DMUTIa0570 EFTA_000 19440 EFTA00169187  Affiliation Adds Affiliation Type Is the affiliation an existing client record on Global Plus nternal Client If new client complete the appropriate information for the owner affiliation. Client Title Fist Name Last Name Individual Client Name Name Extension Field or Corporate Name Street # Street Name Address Line 1 Mailing Info City State Zip Code Country Name Type SSN Date of Birth Mandatory for IRA Account Branch Identify any other affiliation types this client may be on this account: REVIEWED By mahpras at 11:57 am, Apr 10, 2014., PRASHANT MAHENDRU 4/10/2014 Name Date DHRUV YADAV Name APPROVED 4/10/2014 Date 14/ By yadadhr at 9:25 pm, Apr 10, 2014 CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) tiDWW-1&571 EFTA_00019441 EFTA00169188