📄 Extracted Text (9,939 words)
7/15/2019
KYC Print
DB PWM GLOBAL KYC/NCA: PART A
KYC Case # : 01977698
One sheet must be established per relationship - list all accounts included
in the relationship
1. Relationship Details
Relationship Name:
Relationship Manager:
SOUTHERN FINANCIAL RELATIONSHIP:00000483290
Stewart Oldfield
New PWM Relationship
Relationship to PWM:
If existing, please indicate since when the relationship exists, provide
reason for new profile and attach old profile: *** 2018
Periodic Review ***
Client Referral
How Was the Client(s)
Introduced? How long has the
RM personally known the
client?
Does Deutsche Bank pay a
retrocession or similar
compensation to a third party
for the introduction of this
relationship?
RM Prospect
Intermediary/FIM
Other Source (CIB, etc.)
Please provide details (e.g. name of referral source, how many years RM
personally has known client, etc.): Jeffrey Epstein
reached out to Stew Oldfield on 3/7/17 to have a new acct opened under this
relationship..
Last Approved KYC # - Butterfly Trust
1804531; Neptune, LLC - 1790739.
Yes
(If Yes, describe):
List all existing and new accounts involved in this relationship
Legal Entity
Account(s)
1
2
3
Account Name / Number
Karyna Shuliak-
Butterfly Trust -
Neptune LLC -
Who is the primary contact
person for the RM? (Note: This
person needs to have signatory
rights and/or information right
EFTA01417330
for the accounts.):
Opening Date (intended/actual)
12/13/2013
1/24/2014
10/18/2013
Preferred method of
contact(indicate phone no., fax
no., e-mail address, etc.):
No
Existing PWM Relationship
Booking Center:
New York
Status : 6. A proved
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One sheet must be established for each account to be opened
2. Account Ownership Summary
Account Name:
Account Mana er:
Karyna Shuliak- - DDA
Stewart Oldfield
What is the purpose of the account (e.g. portfolio management, advisory
account, custody services, long-term investment, payment/expense account)?
This is a
checking account for Individuals. They use the funds for daily expenses.
Indicate from where the assets are expected to arrive?
DB Group: Same Booking Center (indicate account number): Existing
DB Group: Other Booking Center (indicate DB location and account details):
Other Institution — (Indicate name & location):
Physical Deposits (specify cash, securities, cheques, ...):
What is the expected size and frequency of regular inflows and outflows for
the account (indicate estimated number and volume per month)?: 2-6/month; $1
$2000
What is the expected volume of assets and currency for the
account approx. 90 days after opening?
What is the expected volume of assets and currency for the
account approx. one year after opening?
Does/will the client have Assets Under Management (AuM)
within DB under Eur. 3M?
24,282.99
24,282.99
Yes No
Please list all parties related to the account.
For each party:
Check if a source of wealth description is required for the party.
Check the appropriate box to describe the relationship of the party to this
account (> 1 can be selected).
If none of the check boxes apply, describe the party's relation to the
account in the "Other" column.
Always describe the relationship between the parties in the last column.
Please drill down to the ultimate/underlying Beneficial Owner(s).
Legal
Entity
Description
of Source
of Wealth
required
Parties
related
to this
account
1
2
EFTA01417332
Ka ryna
Shuliak
r
Account
Holder
PIC
Owner
Settlor of
Trust /
Founder of
Foundation
Ultimate
Beneficial
Owner
Signatory
or Full
POA
Limited
POA
Financial
Intermediary
(FIM)
Currency
Currency
USD
USD
Acct. Number (if available):
Significant
Shareholder
(>=25%)NonPIC
entity
(indicate
ownership %)
Legal
Representative
Grantor/Settlor Founding
Donor
Other
(please
describe
other roles
and/or
indicate
relationship
between
parties)
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2. Account Ownership Summary
Account Name:
Account Manager:
Butterfly Trust
Stewart Oldfield
What is the purpose of the account (e.g. portfolio management, advisory
account, custody services, long-term investment, payment/expense account)?
This is a
money market deposit account to pay all expenses/ disbursements related to
the trust. Expenses are taxes, trust fee, etc
Indicate from where the assets are expected to arrive?
DB Group: Same Booking Center (indicate account number): Existing
DB Group: Other Booking Center (indicate DB location and account details):
Other Institution — (Indicate name & location):
Physical Deposits (specify cash, securities, cheques, ...):
What is the expected size and frequency of regular inflows and outflows for
the account (indicate estimated number and volume per month)?: 0-2/month; $0
$1000
What is the expected volume of assets and currency for the
account approx. 90 days after opening?
What is the expected volume of assets and currency for the
account approx. one year after opening?
Does/will the client have Assets Under Management (AuM)
within DB under Eur. 3M?
704,736.63
704,736.63
Yes No
Please list all parties related to the account.
For each party:
Check if a source of wealth description is required for the party.
Check the appropriate box to describe the relationship of the party to this
account (> 1 can be selected).
If none of the check boxes apply, describe the party's relation to the
account in the "Other" column.
Always describe the relationship between the parties in the last column.
Please drill down to the ultimate/underlying Beneficial Owner(s).
Legal
Entity
Description
of Source
of Wealth
required
Parties
related to
this
account
1
2
EFTA01417335
3
4
5
6
Butterfly
Trust
Harry
Beller
Erika
Kellerhals
Jeffrey E.
E stein
7
8
9
10
11
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Trustee:;
Trustee:;
Grantor of
Butterfly
Trust;
Account
Holder
PIC
Owner
Settlor of
Trust /
Founder of
Foundation
EFTA01417336
Ultimate
Beneficial
Owner
Signatory
or Full
POA
Limited
POA
Financial
Intermediary
(FIM)
Currency
Currency
USD
USD
Acct. Number (if available):
44130552
Significant
Shareholder
(>=25%)NonPIC
entity
(indicate
ownership %)
Legal
Representative
Grantor/Settlor Founding
Donor
Other
(please
describe
other roles
and/or
indicate
relationship
between
parties)
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12
KYC Print
13
14
15
16
Darren K.
Indyke
Karyna
Shuliak
Richard D.
Kahn
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2. Account Ownership Summary
Account Name:
Account Manager:
Neptune LLC -
Stewart Oldfield
What is the purpose of the account (e.g. portfolio management, advisory
account, custody services, long-term investment, payment/expense account)?
This is a
checking account to pay for all expenses (i.e. electric, maintenance, cable,
etc.) on Epstein's NYC home.
Indicate from where the assets are expected to arrive?
DB Group: Same Booking Center (indicate account number): Existing
DB Group: Other Booking Center (indicate DB location and account details):
Other Institution — (Indicate name & location):
Physical Deposits (specify cash, securities, cheques, ...):
What is the expected size and frequency of regular inflows and outflows for
the account (indicate estimated number and volume per month)?: 15-20/month;
$10 -
$10000
What is the expected volume of assets and currency for the
account approx. 90 days after opening?
What is the expected volume of assets and currency for the
account approx. one year after opening?
Does/will the client have Assets Under Management (AuM)
within DB under Eur. 3M?
207,814.91
207,814.91
Yes No
Please list all parties related to the account.
For each party:
Check if a source of wealth description is required for the party.
Check the appropriate box to describe the relationship of the party to this
account (> 1 can be selected).
If none of the check boxes apply, describe the party's relation to the
account in the "Other" column.
Always describe the relationship between the parties in the last column.
Please drill down to the ultimate/underlying Beneficial Owner(s).
Legal
Entity
Description
of Source
of Wealth
required
Parties
related to
this
account
Jeffrey
1
EFTA01417339
2
3
4
5
E.
Epstein
Harry
Beller
Darren
K. Indyke
Neptune,
LLC
Richard
D. Kahn
Manager
of Neptune
LLC;
Account
Holder
PIC
Owner
Settlor of
Trust /
Founder of
Foundation
Ultimate
Beneficial
Owner
Signatory
or Full
POA
Limited
POA
Financial
Intermediary
(FIM)
Currency
Currency
USD
USD
Acct. Number (if available):
Significant
Shareholder
(>=25%)NonPIC
entity
(indicate
ownership %)
Legal
Representative
Grantor/Settlor Founding
EFTA01417340
Donor
Other
(please
describe
other roles
and/or
indicate
relationship
between
parties)
Sole
Member of
Neptune
LLC;
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One sheet must be established for EACH INDIVIDUAL PARTY in Section 2.
Account Ownership Summary
3A. Individual Details (for all parties)
Individual's Name:
Country of Residence:
Address of primary residence:
Profession/Occupation:
Current Employer:
Address of em lo er:
N/A
N/A
Does the person work as senior executive of a DB-recognized regulated entity
in the financial
industry? or an entity listed on a DB-recognised exchange? (Not applicable
for operating entities
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe) N/A
To the best of your knowledge, is the individual related to an employee of
the DB group?(if
Family or Friendship, describe ) N/A
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 source,
supplier of goods or services)?
(if Yes,describe ) N/A
Yes No
Yes
Family
No
Friendship
None
Date of Birth:
Country of Citizenship:
Has client resided outside of
his/her country of nationality
for 5 years or more?
Tax ID / SSN:
Position/Title/Rank:
N/A
Yes
No
If applicable, indicate which bank officers have met the person:
EFTA01417342
Bank Officer Name(s)
Indicate where and when the client meeting(s) took place:
Bank Office:
Client Private
Domicile:
Client Place of
Business:
Other Location (specify):
Date:
Wealth Details for this individual are not filled in, because they are the
same as for the following person:
3B. Wealth Details (Only for parties requiring source of wealth description
as indicated 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:
Homemaker. Solely relies on income from her wife who is a Interior Designer.
United States
Other
Business Owner
Salary/Earnings
Investment
Inheritance/Gifts
Other:
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 of profitability? Indicate type of business, countries
of major
activities important business partners.
Estimated Annual Income($):
Estimated Net Worth($):
<$1 MM
Other Known Financial Institutions:
Institution:
Institution:
Estimated amount of investable assets($):
Amount of assets planned to invest with PWM($):
<$1 MM
20,000.00
Country:
Country:
EFTA01417343
Est. Assets Under Mgt:
Est. Assets Under Mgt:
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KYC Print
Institution:
Country:
Est. Assets Under Mgt:
Please indicate the family situation of the individual (marital status,
other family members, etc.):
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KYC Print
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2.
Account Ownership Summary
3A. Individual Details (for all parties)
Individual's Name:
Country of Residence:
Address of primary residence:
Profession/Occupation:
Current Employer:
Address of employer:
Karyna Shuliak -
United States
Does the person work as senior executive of a DB-recognized regulated entity
in the financial
industry? or an entity listed on a DB-recognised exchange? (Not applicable
for operating entities
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe) N/A
To the best of your knowledge, is the individual related to an employee of
the DB group?(if
Family or Friendship, describe ) N/A
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 source,
supplier of goods or services)?
(if Yes,describe ) N/A
Yes No
Yes
Family
No
Friendship
None
Date of Birth:
Country of Citizenship:
Has client resided outside of
his/her country of nationality
for 5 years or more?
Tax ID / SSN:
Position/Title/Rank:
If applicable, indicate which bank officers have met the person:
EFTA01417346
Bank Officer Name(s)
Stewart Oldfield
Indicate where and when the client meeting(s) took place:
Bank Office:
Client Private
Domicile:
Client Place of
Business:
Other Location (specify):
Date:
6/23/2017
Wealth Details for this individual are not filled in, because they are the
same as for the following person:
3B. Wealth Details (Only for parties requiring source of wealth description
as indicated 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:
Interior Design
United States
Other
Business Owner
Salary/Earnings
Investment
Inheritance/Gifts
Other:
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 of profitability? Indicate type of business, countries
of major
activities, important business partners.)
Estimated Annual Income($):
Estimated Net Worth($):
150,000.00
<$1 MM
Other Known Financial Institutions:
Institution:
Institution:
Estimated amount of investable assets($):
Amount of assets planned to invest with PWM($):
<$1 MM
2,000.00
Country:
Est. Assets Under Mgt:
EFTA01417347
Country:
Est. Assets Under Mgt:
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Institution:
Country:
Est. Assets Under Mgt:
Please indicate the family situation of the individual (marital status,
other family members, etc.):
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One sheet must be established for EACH INDIVIDUAL PARTY in Section 2.
Account Ownership Summary
3A. Individual Details (for all parties)
Individual's Name:
Country of Residence:
Address of primary residence:
Profession/Occupation:
Current Employer:
Address of employer:
Jeffrey E. Epstein -
Virgin Islands, U.S.
Little Saint James Saint Thomas 00802 Virgin Islands, U.S.
Self Empolyed
Southern Trust Company Inc
6100 Red Hook Quarter B3 St. Thomas Virgin Islands, U.S. 00802
Does the person work as senior executive of a DB-recognized regulated entity
in the financial
industry? or an entity listed on a DB-recognised exchange? (Not applicable
for operating entities
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe)
Connection with Prince
Andrew and Bill Clinton
To the best of your knowledge, is the individual related to an employee of
the DB group?(if
Family or Friendship, describe ) N/A
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 source,
supplier of goods or services)?
(if Yes,describe ) N/A
Yes No
Yes
Family
No
Friendship
None
Date of Birth:
Country of Citizenship:
Has client resided outside of
his/her country of nationality
for 5 years or more?
Tax ID / SSN:
iiiiiiiiiiitle/Rank:
United States
Yes No
President
Yes
EFTA01417350
No
If applicable, indicate which bank officers have met the person:
Bank Officer Name(s)
Stewart Oldfield
Indicate where and when the client meeting(s) took place:
Bank Office:
Client Private
Domicile:
Client Place of
Business:
Other Location (specify):
Date:
6/28/2017
Wealth Details for this individual are not filled in, because they are the
same as for the following person:
3B. Wealth Details (Only for parties requiring source of wealth description
as indicated 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:
Private investments
United States
High Risk Financial Institutions
Business Owner
Salary/Earnings
Investment
Inheritance/Gifts
Other:
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 of profitability? Indicate type of business, countries
of major
activities, important business partners.) Jeffrey Edward Epstein (born
is an American financier and registered sex offender in
the United States.
He worked at Bear Stearns early in his career and then formed his own firm,
J. Epstein & Co. He lives in the US Virgin Islands. Epstein taught calculus
and physics
at the Dalton School in Manhattan from 1973 to 1975. Among his students was
a son of Alan C. Greenberg, chairman of Bear Stearns.
In 1976, Epstein started work as an options trader at Bear Stearns where he
worked in the special products division, advising high-net-worth clients on
tax
strategies. Proving successful in his financial career, in 1980 Epstein
became a partner at Bear Stearns.
In 1982, Epstein founded his own financial management firm, J. Epstein &
Co., managing the assets of clients with more than $1 billion in net worth.
In 1987,
EFTA01417351
Leslie Wexner, founder and chairman of Ohio-based The Limited chain of
women's clothing stores, became a well-known client. Wexner acquired
Abercrombie &
Fitch the following year. In 1992 he converted a private school on the Upper
East Side into an enormous residence. Epstein later bought that property, in
the
wealthiest part of Manhattan. In 1996, Epstein changed the name of his firm
to the Financial Trust Company and, for tax advantages, based it on the
island of St.
Thomas in the U.S. Virgin Islands.
In 2003, Epstein bid to acquire New York magazine. Other bidders were
advertising executive Donny Deutsch, investor Nelson Peltz, media mogul and
publisher
Mortimer Zuckerman, who had the New York Daily News, and film producer
Harvey Weinstein. They were ultimately outbid by Bruce Wasserstein, a
longtime Wall
Street investor, who paid $55 million.
In 2004, Epstein and Zuckerman committed up to $25 million to finance Radar
a celebrity and pop culture magazine founded by Maer Roshan. Epstein and
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Zuckerman were equal partners in the venture. Roshan, as its editor-in -
chief, retained a small ownership stake.
Presently, Mr. Epstein founded Southern Trust Company Inc, a private
consulting company that invests the assets of their clients and gets their
revenue from the
return of these investments. Southern Trust invests in different portfolios
catered to their clients and makes their revenue based on the returns and
the fees
associated with managing their client's assets.
Estimated Annual Income($):
Estimated Net Worth($):
10,000,000.00
$500 MM +
Other Known Financial Institutions:
Institution:
Institution:
Institution:
Estimated amount of investable assets($):
Amount of assets planned to invest with PWM($):
$50 MM - 100 MM
2,300,000.00
Country:
Est. Assets Under Mgt:
Country:
Country:
Please indicate the family situation of the individual (marital status,
other family members, etc.): N/A
Est. Assets Under Mgt:
Est. Assets Under Mgt:
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One sheet must be established for EACH INDIVIDUAL PARTY in Section 2.
Account Ownership Summary
3A. Individual Details (for all parties)
Individual's Name:
Country of Residence:
Address of primary residence:
Profession/Occupation:
Current Employer:
Address of emplo er:
Harry Beller -
United States
Accountant
HBRK Associates, Inc
Does the person work as senior executive of a DB-recognized regulated entity
in the financial
industry? or an entity listed on a DB-recognised exchange? (Not applicable
for operating entities
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe) N/A
To the best of your knowledge, is the individual related to an employee of
the DB group?(if
Family or Friendship, describe ) N/A
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 source,
supplier of goods or services)?
(if Yes,describe ) N/A
Yes No
Yes
Family
No
Friendship
None
Date of Birth:
Country of Citizenship:
Has client resided outside of
his/her country of nationality
for 5 years or more?
Tax ID / SSN:
Position/Title/Rank:
Accountant
Yes
No
If applicable, indicate which bank officers have met the person:
EFTA01417354
Bank Officer Name(s)
Indicate where and when the client meeting(s) took place:
Bank Office:
Client Private
Domicile:
Client Place of
Business:
Other Location (specify):
Date:
Wealth Details for this individual are not filled in, because they are the
same as for the following person:
3B. Wealth Details (Only for parties requiring source of wealth description
as indicated 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:
Business Owner
Salary/Earnings
Investment
Inheritance/Gifts
Other:
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 of profitability? Indicate type of business, countries
of major
activities, important business partners.)
Estimated Annual Income($):
Estimated Net Worth($):
Other Known Financial Institutions:
Institution:
Institution:
Institution:
Estimated amount of investable assets($):
Amount of assets planned to invest with PWM($):
Country:
Est. Assets Under Mgt:
Country:
Country:
Est. Assets Under Mgt:
Est. Assets Under Mgt:
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Please indicate the family situation of the individual (marital status,
other family members, etc.):
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One sheet must be established for EACH INDIVIDUAL PARTY in Section 2.
Account Ownership Summary
3A. Individual Details (for all parties)
Individual's Name:
Country of Residence:
Address of primary residence:
Profession/Occupation:
Current Employer:
Address of employer:
Erika Kellerhals -
Vir in Islands. U.S.
Attorney
Kellerhals Ferguson Kroblin PLLC
Date of Birth:
Country of Citizenship:
Has client resided outside of
his/her country of nationality
for 5 years or more?
Tax ID / SSN:
Position/Title/Rank:
Does the person work as senior executive of a DB-recognized regulated entity
in the financial
industry? or an entity listed on a DB-recognised exchange? (Not applicable
for operating entities
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe) N/A
To the best of your knowledge, is the individual related to an employee of
the DB group?(if
Family or Friendship, describe ) N/A
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 source,
supplier of goods or services)?
(if Yes,describe ) N/A
Yes No
Yes
Family
No
Friendship
None
Attorney
Yes
No
EFTA01417357
If applicable, indicate which bank officers have met the person:
Bank Officer Name(s)
Indicate where and when the client meeting(s) took place:
Bank Office:
Client Private
Domicile:
Client Place of
Business:
Other Location (specify):
Date:
Wealth Details for this individual are not filled in, because they are the
same as for the following person:
3B. Wealth Details (Only for parties requiring source of wealth description
as indicated 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:
Business Owner
Salary/Earnings
Investment
Inheritance/Gifts
Other:
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 of profitability? Indicate type of business, countries
of major
activities, important business partners.)
Estimated Annual Income($):
Estimated Net Worth($):
Other Known Financial Institutions:
Institution:
Institution:
Institution:
Estimated amount of investable assets($):
Amount of assets planned to invest with PWM($):
Country:
Est. Assets Under Mgt:
Country:
Country:
Est. Assets Under Mgt:
Est. Assets Under Mgt:
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5000e00001NOBxm&ic=lainkToken=VmpFPSxNakF4... 14/42
EFTA01417358
7/15/2019
KYC Print
Please indicate the family situation of the individual (marital status,
other family members, etc.):
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5000e00001NOBxm&ic=lainkToken=VmpFPSxNakF4... 15/42
EFTA01417359
7/15/2019
KYC Print
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2.
Account Ownership Summary
3A. Individual Details (for all parties)
Individual's Name:
Country of Residence:
Address of primary residence:
Profession/Occupation:
Current Employer:
Address of em lo er:
N/A
N/A
N/A
Does the person work as senior executive of a DB-recognized regulated entity
in the financial
industry? or an entity listed on a DB-recognised exchange? (Not applicable
for operating entities
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe) N/A
To the best of your knowledge, is the individual related to an employee of
the DB group?(if
Family or Friendship, describe ) N/A
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 source,
supplier of goods or services)?
(if Yes,describe ) N/A
Yes No
Yes
Family
No
Friendship
None
Date of Birth:
Country of Citizenship:
Has client resided outside of
his/her country of nationality
for 5 years or more?
Tax ID / SSN:
Position/Title/Rank:
If applicable, indicate which bank officers have met the person:
EFTA01417360
Bank Officer Name(s)
Indicate where and when the client meeting(s) took place:
Bank Office:
Client Private
Domicile:
Client Place of
Business:
Other Location (specify):
Date:
Wealth Details for this individual are not filled in, because they are the
same as for the following person:
3B. Wealth Details (Only for parties requiring source of wealth description
as indicated 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:
Business Owner
Salary/Earnings
Investment
Inheritance/Gifts
Other:
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 of profitability? Indicate type of business, countries
of major
activities, important business partners.)
Estimated Annual Income($):
Estimated Net Worth($):
Other Known Financial Institutions:
Institution:
Institution:
Institution:
Estimated amount of investable assets($):
Amount of assets planned to invest with PWM($):
Country:
Est. Assets Under Mgt:
Country:
Country:
Est. Assets Under Mgt:
Est. Assets Under Mgt:
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5000e00001NOBxm&ic=lainkToken=VmpFPSxNakF4... 16/42
EFTA01417361
7/15/2019
KYC Print
Please indicate the family situation of the individual (marital status,
other family members, etc.):
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5000e00001NOBxm&ic=lainkToken=VmpFPSxNakF4... 17/42
EFTA01417362
7/15/2019
KYC Print
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2.
Account Ownership Summary
3A. Individual Details (for all parties)
Individual's Name:
Country of Residence:
Address of primary residence:
Profession/Occupation:
Current Employer:
Address of em lo er:
N/A
N/A
N/A
Does the person work as senior executive of a DB-recognized regulated entity
in the financial
industry? or an entity listed on a DB-recognised exchange? (Not applicable
for operating entities
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe) N/A
To the best of your knowledge, is the individual related to an employee of
the DB group?(if
Family or Friendship, describe ) N/A
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 source,
supplier of goods or services)?
(if Yes,describe ) N/A
Yes No
Yes
Family
No
Friendship
None
Date of Birth:
Country of Citizenship:
Has client resided outside of
his/her country of nationality
for 5 years or more?
Tax ID / SSN:
Position/Title/Rank:
If applicable, indicate which bank officers have met the person:
EFTA01417363
Bank Officer Name(s)
Indicate where and when the client meeting(s) took place:
Bank Office:
Client Private
Domicile:
Client Place of
Business:
Other Location (specify):
Date:
Wealth Details for this individual are not filled in, because they are the
same as for the following person:
3B. Wealth Details (Only for parties requiring source of wealth description
as indicated 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:
Business Owner
Salary/Earnings
Investment
Inheritance/Gifts
Other:
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 of profitability? Indicate type of business, countries
of major
activities, important business partners.)
Estimated Annual Income($):
Estimated Net Worth($):
Other Known Financial Institutions:
Institution:
Institution:
Institution:
Estimated amount of investable assets($):
Amount of assets planned to invest with PWM($):
Country:
Est. Assets Under Mgt:
Country:
Country:
Est. Assets Under Mgt:
Est. Assets Under Mgt:
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5000e00001NOBxm&ic=lainkToken=VmpFPSxNakF4... 18/42
EFTA01417364
7/15/2019
KYC Print
Please indicate the family situation of the individual (marital status,
other family members, etc.):
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5000e00001NOBxm&ic=lainkToken=VmpFPSxNakF4... 19/42
EFTA01417365
7/15/2019
KYC Print
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2.
Account Ownership Summary
3A. Individual Details (for all parties)
Individual's Name:
Country of Residence:
Address of primary residence:
Profession/Occupation:
Current Employer:
Address of em lo er:
N/A
N/A
N/A
Does the person work as senior executive of a DB-recognized regulated entity
in the financial
industry? or an entity listed on a DB-recognised exchange? (Not applicable
for operating entities
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe) N/A
To the best of your knowledge, is the individual related to an employee of
the DB group?(if
Family or Friendship, describe ) N/A
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 source,
supplier of goods or services)?
(if Yes,describe ) N/A
Yes No
Yes
Family
No
Friendship
None
Date of Birth:
Country of Citizenship:
Has client resided outside of
his/her country of nationality
for 5 years or more?
Tax ID / SSN:
Position/Title/Rank:
If applicable, indicate which bank officers have met the person:
EFTA01417366
Bank Officer Name(s)
Indicate where and when the client meeting(s) took place:
Bank Office:
Client Private
Domicile:
Client Place of
Business:
Other Location (specify):
Date:
Wealth Details for this individual are not filled in, because they are the
same as for the following person:
3B. Wealth Details (Only for parties requiring source of wealth description
as indicated 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:
Business Owner
Salary/Earnings
Investment
Inheritance/Gifts
Other:
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 of profitability? Indicate type of business, countries
of major
activities, important business partners.)
Estimated Annual Income($):
Estimated Net Worth($):
Other Known Financial Institutions:
Institution:
Institution:
Institution:
Estimated amount of investable assets($):
Amount of assets planned to invest with PWM($):
Country:
Est. Assets Under Mgt:
Country:
Country:
Est. Assets Under Mgt:
Est. Assets Under Mgt:
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5000e00001NOBxm&ic=lainkToken=VmpFPSxNakF4... 20/42
EFTA01417367
7/15/2019
KYC Print
Please indicate the family situation of the individual (marital status,
other family members, etc.):
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5000e00001NOBxm&ic=lainkToken=VmpFPSxNakF4... 21/42
EFTA01417368
7/15/2019
KYC Print
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2.
Account Ownership Summary
3A. Individual Details (for all parties)
Individual's Name:
Country of Residence:
Address of primary residence:
Profession/Occupation:
Current Employer:
Address of em lo er:
N/A
N/A
N/A
Does the person work as senior executive of a DB-recognized regulated entity
in the financial
industry? or an entity listed on a DB-recognised exchange? (Not applicable
for operating entities
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe) N/A
To the best of your knowledge, is the individual related to an employee of
the DB group?(if
Family or Friendship, describe ) N/A
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 source,
supplier of goods or services)?
(if Yes,describe ) N/A
Yes No
Yes
Family
No
Friendship
None
Date of Birth:
Country of Citizenship:
Has client resided outside of
his/her country of nationality
for 5 years or more?
Tax ID / SSN:
Position/Title/Rank:
If applicable, indicate which bank officers have met the person:
EFTA01417369
Bank Officer Name(s)
Indicate where and when the client meeting(s) took place:
Bank Office:
Client Private
Domicile:
Client Place of
Business:
Other Location (specify):
Date:
Wealth Details for this individual are not filled in, because they are the
same as for the following person:
3B. Wealth Details (Only for parties requiring source of wealth description
as indicated 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:
Business Owner
Salary/Earnings
Investment
Inheritance/Gifts
Other:
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 of profitability? Indicate type of business, countries
of major
activities, important business partners.)
Estimated Annual Income($):
Estimated Net Worth($):
Other Known Financial Institutions:
Institution:
Institution:
Institution:
Estimated amount of investable assets($):
Amount of assets planned to invest with PWM($):
Country:
Est. Assets Under Mgt:
Country:
Country:
Est. Assets Under Mgt:
Est. Assets Under Mgt:
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5000e00001NOBxm&ic=lainkToken=VmpFPSxNakF4... 22/42
EFTA01417370
7/15/2019
KYC Print
Please indicate the family situation of the individual (marital status,
other family members, etc.):
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5000e00001NOBxm&ic=lainkToken=VmpFPSxNakF4... 23/42
EFTA01417371
7/15/2019
KYC Print
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2.
Account Ownership Summary
3A. Individual Details (for all parties)
Individual's Name:
Country of Residence:
Address of primary residence:
Profession/Occupation:
Current Employer:
Address of em lo er:
N/A
N/A
N/A
Does the person work as senior executive of a DB-recognized regulated entity
in the financial
industry? or an entity listed on a DB-recognised exchange? (Not applicable
for operating entities
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe) N/A
To the best of your knowledge, is the individual related to an employee of
the DB group?(if
Family or Friendship, describe ) N/A
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 source,
supplier of goods or services)?
(if Yes,describe ) N/A
Yes No
Yes
Family
No
Friendship
None
Date of Birth:
Country of Citizenship:
Has client resided outside of
his/her country of nationality
for 5 years or more?
Tax ID / SSN:
Position/Title/Rank:
EFTA01417372
If applicable, indicate which bank officers have met the person:
Bank Officer Name(s)
Indicate where and when the client meeting(s) took place:
Bank Office:
Client Private
Domicile:
Client Place of
Business:
Other Location (specify):
Date:
Wealth Details for this individual are not filled in, because they are the
same as for the following person:
3B. Wealth Details (Only for parties requiring source of wealth description
as indicated 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:
Business Owner
Salary/Earnings
Investment
Inheritance/Gifts
Other:
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 of profitability? Indicate type of business, countries
of major
activities, important business partners.)
Estimated Annual Income($):
Estimated Net Worth($):
Other Known Financial Institutions:
Institution:
Institution:
Institution:
Estimated amount of investable assets($):
Amount of assets planned to invest with PWM($):
Country:
Est. Assets Under Mgt:
Country:
Country:
Est. Assets Under Mgt:
Est. Assets Under Mgt:
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5000e00001NOBxm&ic=lainkToken=VmpFPSxNakF4... 24/42
EFTA01417373
7/15/2019
KYC Print
Please indicate the family situation of the individual (marital status,
other family members, etc.):
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5000e00001NOBxm&ic=lainkToken=VmpFPSxNakF4... 25/42
EFTA01417374
7/15/2019
KYC Print
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2.
Account Ownership Summary
3A. Individual Details (for all parties)
Individual's Name:
Country of Residence:
Address of primary residence:
Profession/Occupation:
Current Employer:
Address of em lo er:
N/A
N/A
N/A
Does the person work as senior executive of a DB-recognized regulated entity
in the financial
industry? or an entity listed on a DB-recognised exchange? (Not applicable
for operating entities
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe) N/A
To the best of your knowledge, is the individual related to an employee of
the DB group?(if
Family or Friendship, describe ) N/A
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 source,
supplier of goods or services)?
(if Yes,describe ) N/A
Yes No
Yes
Family
No
Friendship
None
Date of Birth:
Country of Citizenship:
Has client resided outside of
his/her country of nationality
for 5 years or more?
Tax ID / SSN:
Position/Title/Rank:
If applicable, indicate which bank officers have met the person:
EFTA01417375
Bank Officer Name(s)
Indicate where and when the client meeting(s) took place:
Bank Office:
Client Private
Domicile:
Client Place of
Business:
Other Location (specify):
Date:
Wealth Details for this individual are not filled in, because they are the
same as for the following person:
3B. Wealth Details (Only for parties requiring source of wealth description
as indicated 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:
Business Owner
Salary/Earnings
Investment
Inheritance/Gifts
Other:
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 of profitability? Indicate type of business, countries
of major
activities, important business partners.)
Estimated Annual Income($):
Estimated Net Worth($):
Other Known Financial Institutions:
Institution:
Institution:
Institution:
Estimated amount of investable assets($):
Amount of assets planned to invest with PWM($):
Country:
Est. Assets Under Mgt:
Country:
Country:
Est. Assets Under Mgt:
Est. Assets Under Mgt:
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5000e00001NOBxm&ic=lainkToken=VmpFPSxNakF4... 26/42
EFTA01417376
7/15/2019
KYC Print
Please indicate the family situation of the individual (marital status,
other family members, etc.):
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5000e00001NOBxm&ic=lainkToken=VmpFPSxNakF4... 27/42
EFTA01417377
7/15/2019
KYC Print
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2.
Account Ownership Summary
3A. Individual Details (for all parties)
Individual's Name:
Country of Residence:
Address of primary residence:
Profession/Occupation:
Current Employer:
Address of employer:
N/A
N/A
N/A
Does the person work as senior executive of a DB-recognized regulated entity
in the financial
industry? or an entity listed on a DB-recognised exchange? (Not applicable
for operating entities
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe) N/A
To the best of your knowledge, is the individual related to an employee of
the DB group?(if
Family or Friendship, describe ) N/A
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 source,
supplier of goods or services)?
(if Yes,describe ) N/A
Yes No
Yes
Family
No
Friendship
None
Date of Birth:
Country of Citizenship:
Has client resided outside of
his/her country of nationality
for 5 years or more?
Tax ID / SSN:
Position/Title/Rank:
If applicable, indicate which bank officers have met the person:
EFTA01417378
Bank Officer Name(s)
Indicate where and when the client meeting(s) took place:
Bank Office:
Client Private
Domicile:
Client Place of
Business:
Other Location (specify):
Date:
Wealth Details for this individual are not filled in, because they are the
same as for the following person:
3B. Wealth Details (Only for parties requiring source of wealth description
as indicated 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:
Bus
ℹ️ Document Details
SHA-256
277917e0d2ca118c9a90cbc2230508aa3eb0c02fb122c9a0b3ae7ae1d8f61765
Bates Number
EFTA01417330
Dataset
DataSet-10
Document Type
document
Pages
74
Comments 0