EFTA01372905.pdf

7,15.2019 KYC Print One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar 3A. Individual Details (for all parties) Indrvkluars Name: Harry Bel'er Date of Birth: Country of Residence: USA Country of Citizenship: USA Has client resided outside of hisher country of nationality for yes 49 No Address of primary residence: 5 years or more? Profession/Occupation: Accountant Tax ID ; SSN: Current Employer: Position/Title/Rank: Address of employer: 575 Lexington Avenue, 4th Floor Monsey NY United States 10022 Does the person work as senior executive of a D6-recognized regulated entity In the financial ndustry> or an entity fisted on a DC-recognised exchange> (Not applicable for operating entities . Yes I f No Is the iitvidual a Politically Exposed Person (PEP)?(►trzt dente) Yes I. No To the best of your knowledge, Is the individual related to an employee of the DB grouplinamifY ' Family 1..... Friendship 1 None a Friendship, desofbe) To the best of your knowledge, is the individual party to a non-banking relationship wei Deutsche u it No Bank (e.g., external legal counsel, client referral source, supplier of goods or serrices)70/ Yes Yesdesolbe) Indicate where and when the dent meeting(s) took place: If applicable, indicate which bank officers have met the person: Client Private Client Place of Bank Officer Name(s) Bank Office: Other Location (specify): Date: pomkile: Business: (3 ii Wealth Details for this Individual are not filled in, because they are the same as for the following person: 38. Wealth Details (Only for parties requiring source of wealth description as indicated in Secton 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/F-amings . 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(S): Estimated amount of investable assets(f): Estimated Net Worth($): Amount of assess planned to invest wth PWM(S): Other Known F. anal Institutions: Institution: Country: Est. Assets Under Mgt: Institution: Country: Est. Assets Under Mgt: Institution: Country: Est. Assets Under Mgt: httpe:ildbforcepb.my.salesforce.comiserylet'servlet IntegratiorOlid=0 I N30000000D9D4eici.5003200001EHPpb&ict 1 &linkToken=vmpFPSx Na kF4T 25.43 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0066814 CONFIDENTIAL SDNY GM_00212998 EFTA01372905