EFTA01345273.pdf

KYC Print Page 5 of 19 One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summary 3A. Individual Details (for all parties) Individual's Name: - 00000486405 Date of Birth. Country of Residence- USA Country of Citizenship. USA Has client resided outside of his/her country of Address of primary Livingston NJ 07039 United States nationality for 5 years or O Yes Y. No residence- more? Professon' Occupat ion. Lawyer Tax ID .' SSN Current Employer: Southern Financial LLC Pcsmon'Title:Rank Address of employer: 575 Lexington Avenue, 4th Fl Livingston NY United Slates 10022 Does the person work as senior executive of a DB-recognized regulated entity in O yes g6 No he financial industry? (Not applicable for operating entities) Is the Individual a Poltioally Exposed Person (F£P)?(If Yes, describe) OYes ®No To the best of your knowledge, is the individual related to an employee of the DB OFamily O Friendship None group7(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, dent referral OYes 66 No source, supplier of goods or services)?(if Yes,describe ) If applicable, indicate which bank officers have met Indicate where and when the client meeting(s) took place: the person: Client Oient Place Bank Officer Name(s) Bank Office Prvate Other Location (specify): Date of Business: Domicile. El O o O O E O O 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 Mclustry of source of Wealth/Source of Funds? O Business Owner O Salary/Earnings El I treatment i nneritance,G Its Summarize Source of Wealth: O 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 a' profitability? Indicate type of business, countries of major activities, important business partners.) https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid IN30000000D9Di&e... 7/30/2018 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0031525 CONFIDENTIAL SONY GM_00177709 EFTA01345273