EFTA00165728.pdf

T Ltrutsche Asset Akto' (.2 etLioo • & Wealth Management DBTCA Deposit Account Opening Application Private Wealth Premium" Private Wealth Premium' Private Wealth Premi :m74 Elite Personal Accounts Elite Business Accounts Banking Services O Checking Acct. 0 Checking Acct. N O Consumer Debiti ard V2 (95 -115 Ci2 O Elite Checking with Interest ❑ Elite Checking with Interest O Joint Applicant (titbit Card a Acct. N Acct. APY APY O Business Debit Ci ,rd N ! O Elite Money Market Deposit O Elite Money Market Deposit Acct. ft Acct. 0 0113n5S -2, ❑ Deluxe Checkboriz Style a APY Apy O Certificate of Deposit ❑ Certificate of Deposit O Name Only Acct. N Acct. It O Name and A.: Ideas! APY APY Term Term O Duplicate Statem int Addr O DB AG NY Preferred O OB AG NY Preferred Certificate of Deposit Certificate of Deposit City Acct. N Acct. N State L p Coda APY APY D Mailing address ( I different) Term Term Name Promo term Promo term Addr (DBTCA deposit account required. (DBTCA deposit account required. along wan a 08 AG Preferred Terms along with a D8 AG Preferred Terms City and Conditions) and Conditions) State ZitrCodti Private Wealth Premium O Cash Master Sweep Account Internet Banking Services Checking Acct. II G6.0B Private Wealth Online Plus Erne Money Market Deposit O Link to Existing Online Relationship Acct. Din)(5 -0 APY Walk.° ID Number) Target Amount Trigger Amount Client Relationship O Individual Account 0 Custody under NY UTMA O Corporation O Joint Tenants with Right O Foundation O Limited Liability C ny of Survivorship O Joint Tenants in Common ❑ Non.Prof it Organization ❑ Partnership O In Trust For/Payable on O Attorney Trust Escrow O Limited Liability P, innership Death/As Trustee for O Trust O Landlord Master Escrow O Estate 13-AWM-0101 NAOSOD000156 SO-00010513S 0%3959.032613 CONFIDENTIAL - PURSUANT TO FED. R. CRI M. P. 6(e) DB-SDNY-0001470 EFTA_00014944 EFTA00165728  Account Title and Joint Application Information Butterfly Trust Name of Account Title -fifins Applicant Oast name. first name. middle initell or Business (lest name. first name, middle initial 264639711 Social Security Number or Taxpayer ID Number Social Security Number or Taxpayer ID Number 6100 Red HookStuartar B.1 Address Address _Si—Thomas U.S. Virgin Isle 00802 City, State and Zip Code City. State and Zip Code Zei) j3110) 41-c -F5-2s- HormaTateph Number Home Telephone Number (2{x)9 I " ‘,3 0 ( p Business Telephone Number Business Telephone Number 27/dect2006 Date of Birth Date of Binh Name of Employer Name of Employer Address Address Not applicable City. State and Zia Code City, State and Zip Code Notice of Customer Identification Policy Important Information To help the government fight the funding of terrorism and money laundering activities, Federal taw requirei all financial institutions to obtain, verify, and record information that identifies each person who establishes an account investment or other business relationship with a financial institution This means that we will ask for your name, address. 3nd other information that will allow us to identify you. We may also ask to see identifying documents such es a cont .:cat. of formation or good standing (legal entities) or a passport or other photo identification (individuals). 3rd EU Notice Governmental roles have also broadened the scope of the Bank's obligations to aid in the fight against mo ley laundering and terrorist financing: those rules call for an active involvement of both asset management firms and theit clients. For new and existing clients we currently have a legal obligation to ask our customers questions regarding the e identities, addresses, source of funds and, if necessary, legal representatives, authorized signatories, beneficial owne • 3 or control structures and to collect requisite documentation to substantiate the information. Also, enhanced antemor sly laundering requirements require that should any of the above personal or institutional information change, our clients ,vould be obliged to immediately notify us of the change(s) and provide us with relevant documentation to verify the:.a changes. Telephone, Facsimile or Email Instructions By signing below. you agree that from lime to time you may give instructions by telephone, facsimile or en oil regarding the above captioned accounts) (defined herein as 'Verbal Instructions"). It is understood that the risk of VI 'bal Instructions being given by person or persons purported to be you is your own. Absent the gross negligamn or willful misconduct of Deusche Bank Trust Company Americas (DBTCA). you agree to indemnify and hold harmless OBTCA for any claims, losses, expeosns. costs or attorneys' fees resulting from DBTCA's acting upon such nnisunders- iiod and unauthorized Verbal Instructions. You understand that DBTCA may. but shall not be required to, seek verifi :3tinn of your verbal. facsimile or email instructions by call back. In case of doubt. DBTCA may In its sole discretion talus Ti to execute your Verbal Instrucdnns or airy port thereof, without incurring any liability. DBTCA is under ne obligation to execute your Verbal Instructions to transfer funds or securities to any account(s) without written instructions bearing yot r original signature. Joint Account Disclosure You have opened a joint account with DBTCA and acknowledge receipt of the following inlormation: This c °posit and any additions to the account shell become the property of each owner as joint tenants, and DBTCA may relent tha entire account to any owner during the lifetime of all owners. DBTCA may honor checks, orders or withdrawal re( nests Iron, any owner during the lifetime of all owners. The Bank may be required by service of legal process to remit funds field In the joint aecount to satisfy a judgment onteied against, or other valid debt Incurred by, any owner of the at count. DBTCA may honor checks, orders or withdrawal requests from the survivor(s) after the death of any owner(s) and r • ay treat the account as the sole property of the survivor(s) after the death of any owner(s). Unless DBTCA receives wrist 'n notice signed by any owner not to pay or deliver any joint deposit or addition or atonal, DBTCA shall not be lastile 'to any owner for continuing to honor checks, orders or withdrawal requests from any owner. After the receipt of the noti. refeiled to in the previous sentence. OBTCA may require the written authorization of any or all joint owners for any fur her payments or deliveries. 2 11*W/4.0101 013959.032813 CONFIDENTIAL - PURSUANT TO FED. R. CRI M. P. 6(e) DB-SDNY-0001471 EFTA_00014945 EFTA00165729  ATM/Debit Service You agree that the retention or use of the ATM/Debit card constitutes acceptance of the terms and Condit ms of the Cardholder Agreement contained in the Terms and Conditions of Deposit Accounts. Internet Banking Service If you have selected to receive Internet Banking Services, you understand that you will be required to eon into a separate Internet Banking Services Agreement with DBTCA before you can access the Internet Banking S !mice. Acknowledgement of Receipt of Privacy Notice By signing below, you acknowledge receipt of DBTCA's Privacy Notice included in the Application Packer Non-US Individuals: Confirmation of Tax and Compliance Responsibilities.. You confirm that it is your responsibility to fulfill any tax obligations and any other regulatory reporting du _es applicable to you in any relevant jurisdictions that may arise in connection with assets, income or transactions in yet r account(s) and your business relationship with DBTCA. Non-US Organizations: Confirmation of Tax and Compliance Responsibilii ies. You confirm that it is your responsibility to fulfill any tax obligations and any other regulatory reporting du '.es applicable to it in any relevant jurisdictions that may anse in connection with assets, income or transactions in yours xourills) and your business relationship with DBTCA. Furthermore, you confirm that the necessary information (to the t of your knowledge and capabilities) is made available no less than annually to the relevant beneficial owner(s), se Ilor(s), beneficiary(ies), partner(s). etc. to enebte him/her/ them to fulfill any respective tax obligations that may al se for him/her/ them in connection with your business relationship with OBTCA. Please complete and attach separate W-8 or W-9 documentation as applicable. Terms and Conditions and Representations By signing below, you acknowledge receipt of the Terms and Conditions for Deposit Accounts attached a this Application and agree to be bound by them. In addition, you agree to notify us immediately of any materii I change to the information provided by you on this Application. You represent and warrant that all of me information provided by you on this Application is accurate. . The Terms and Conditions for Deposit Accounts lie subject to change. Acceptance You understand that this applicat IC — Helder:T:SitNril eo17' ; (Iwo' )ALIned iblel4 14 / 2 0 1, ';lointlAccbunt Itelder'S.Sighatuie pore' minizse.74-,"..Tnomf Ora* ,cf-wpios T4M,44.,Wargr 3. ,k '4" '26.11?7,311 •Ce One "g i t.N 0). M a tiges' "rsr.t•Vele Ali:" .. a -Remo • h 44n,wrkiP* avizatxtreg, iStli ;;:tsv,tarre-svizsi. i ,4NE.p." r-;:traWsld.?a: ff/A. Mr.: Org. 13.PWM-0101 013959 032613 CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001472 EFTA_000 14946 EFTA00165730  IN WITNESS WHEREOF, the undersigned, by and through its authorized officer, has caused this ins trument to be executed on the date listed below. ]FOR BUSINESS USERS' Butterfly Trust .O9erneSSN kink, Darren Indyke/ Trustee Richard KahrdTrus ..m tame/Ties: /I toM hig*. 404! OEUTSCti6 BANK TRUST COMPANY AMERICAS Print Name/Title la i Da (FOR ALL OTHER USERS] Account Name Nanienitle gnature OsU WMI34667 21 0%01%O30613 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001473 EFTA 00014947 EFTA00165731