EFTA00166849.pdf

KYC Print Page 1 of 14 DB PWM GLOBAL KYC/NCA: PART A VA KYC Case a : 01141315 Status : 6. Approved One sheet must be established per relationship - list all accounts included in the relationshi 1. Relationship Details Relationship Name: EPSTEIN, JEFFREY RELATIONSHIP Booking Center: New York Relationship Manager: Paul Marls 11 New PWM Relabonship 0 Existing PWM Relationship Relationship to MN: If existing, please indicate since when the relationship exists, provide reason for new profit and attach dd profile: Update of approved KYC 01121881. Update is ONLY to add addend authorized signer. Many Biller has already been KYC approved is case a01133624. Please rush as this is a simple update 0 Chent Referral R RM Prospect 0 Intermediary/PIM • Other Source (CIS, etc.) How Was the Client(s) Introduced' How long has the Please provide details (e.g. name of referral source, ow many years RN personally has known client, etc.): Jeffrey Epstein is RM personally known the a current client of the Bank. Wants to open a new account. Introduction details of Paul and Jeffrey: Jeffrey Epstein was a client client' of Paurs at JP Magan. Paul and Jeffrey Epstein had mutual friend/colleague who introduced them vAlle Paul was at JPMorgan. Over the course d a few meetings Paul was able to get Jeffrey to bring some of his funds over to Deutsche Bank Does Deutsche Bank pay a O Yes I0 No retrocession or similar compensation to a third party for the ntreducton of this al Yet, decnbel relationship> List all existing and new accounts involved in this relationship Legal Entity Account Name / Number Opening Date (ntenckdiactual) Accounts) 1 2I Jeepers Inc 9/18/2013 2 a Jeepers Inc 9/18/2013 Who Is the primary contact person a the PM> (Note: (iodic rveferred method of contact TM; person needs to have Jeffrey Epstein (indicate phone no„ fax no., signatory Nit and/or e-mail address, etc.): informaton right for the accounts.): https://dbforeepb.my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9DiSce... 7/30/2019 CONFIDENTIAL — PURSUANT TO FED. R. GRIM. P. 6(e) DB-SDNY-0002623 EFTA_00016097 EFTA00166849  KYC Print Page 2 ()I' 14 One sheet must be established for each account to be opened 2. Account Ownership Summary Account Name: lepers Inc Acct. Number (ai swailattle): Account Manager: Paul Morris What is the purpose of the account (e.g. portfolio management advisory account, custody services, long-term invesbnent, payment/expense account)? Checkhg account for letters Inc day liquiddy needs. Indicate from where the assets are expected to arrive? • DB Group: Same Booking Center (indicate account number): O DB Group: Other Booking Center (indicate DB location and account debits): RI Other Institution (Indicate name & location): 1PSIorgan Chase New York NY O Physical Deposits (specify cash, securities, cheques, ..,): What is the expected site and frequency of regular Inflows and outflows fa the account (indicate estimated number and volume per month)?: Roue* 5-10 Inflows and outflows per month ranging from $1,000 to $10,000 I Currency I USD What is the expected volume of assets and currency for the account approx. 90 days aft& opening? I 150,000 I Currency 1 USD What is the expected volume of assets and currency for the account approx. one year after opening? Does/will the client have Asset Under Management (Aual) within 08 under En 3M? I 0 Yes 7.4. 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 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/u denying Benefkia Owner(s . .egal liPtion IC Senior of Athlete Sgnatonna rancor Significant _eget antor/Settior Founding Other Entity of Source 'holder Dvniertrust / Beneficial& Full ?OA IntennediaryShareholdergepresentathe Donor (please of Wealth Founder of Owner POA (FIN) >=25%) describe required Foundation Yco-PIC other roles entity and/or Parties (Indicate ndicate related ownership relationship to this 20) between Account 3arties) IncperS, 0 O O 1 2 0 I El O O O O O O keriev " 0 0 0 0 2 0 Ed Epstein " ❑ O O O O 3 • • Harry O O O O 21 O O O O • Beller Jeanne 0 O O Brennan • O • O O OO O O O Imps://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid-0IN30000000D9Di&e... 7/30/2019 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0002624 EFTA_00016098 EFTA00166850  KYC Print Page 3 of 14 2. Account Ownership Summary Account Name: kePers Inc Acct. Number (If avadate): Account Manage: Paul Morris What is the purpose of the account (e.g. portfolio management advisory account custody services, long-term investment, payment/expense account)' Money Market account to hold kept's Ines cash. Indicate from where the assets are expected to arrive' C3 DB Group: Same Booking Center (indicate account number): O DB Group: Other Booking Center (indkate DB location and account deb's): 2 Other Institution (Indicate name A location): 1f+lorgan Chase. New York, NY O PhYskal 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)'. Roughly 1-2 inflows and outflows per month ranging from $1,000-$10,000 I Currency I USD What is the expected volume of assets and currency for the account approx. 90 days after opening' I 1150.000 I Currency I USD What is the expected volume of assets and currency for the account approx. one year after opening? Does/will the client have Asset Under Management (AuM) within DB under Eur. ? • Yes 9No Please list an parties Sated to the account. For each party: • Check If a source of wealth description is required for the party. • Check the appropriate box to desc be the relationship of the party to this account (> 1can be selected). • If none of the ch ck boxes apply, escribe the party relation to the account In the 'Other* column. • Always describe the relationship between he parties in the last column. • Please drill down to the ultimate/underlying Benefkial Ovmer(s . .egal Description accountbIC Senior of Jitimate Signatory‘imftedeinancial Sgnifcant _egai Srantor/Settlor Founding Other Entity of Source colder OvnierTrust / Benenciaax Full ?OA IntemiediarySharelidderetepresaitathe Donor (please I Wealth lounder of Owner POA (FIN) '>=2S9b) describe required Foundation Yon-PIC other roles entity and/or Parties 'ndicate othcate related ownership relabonshki to this "b) between account >etas) 1 2 2 3" Pent l2 Bic O O O O O O O O O Whey r-i O O O 5 O O O O O 2 O 5 Epstein " 3 • • Beller • • O O 2 • • O O O 4 LI Mnner-I OO O 9 El O O O O Breannan '—' O https://dbforcepb.my. sal esforce.com/seMet/servlet.Integration?lid=01N30000000D9Di&e 7/30/2019 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) D6-SDNY-0002625 EFTA_00016099 EFTA00166851  KYC Print Page 4 of 14 One sheet must be teabli‘hed for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summa 3A. Individual Details (rot at pait e,.) Individual's Name: Jeffrey Epstein - Date of Birth: 1/20/1953 Country of Residence: USW County of Obzenship: USA Has client resided outside of tette Saint James Saint Thomas 00802 US Virgin Islands Ns/her country of nationality O yes ®rye Address of primary residence: kr S years a more? ProfessionfOccupabon: Self Empolyed Tax ID / SSN: Current Employer: Southern Financial LLC Posibon/Trtle/Rank: President Address of employer: Does the person work as senior executive of a DB-recognized regulated entity In the financial r--, ndustry' or an entity listed on DB-recognised exchange' (Not applicable for operating entitles L..I Yes Z No Is the individual a Polibcally Exposed Person (PEPP(// Yes, cksente) O Yes Pi No To the best of your knovdedge, Is the individual related to an employee of the D8 group'Of 0 Family 0 Friendship 2 Nene FM* or Friendshs describe) 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, suppler of goods or • Yes EiNo senrkes)'(ar Yes,thrsarbe) If applicable, indicate which bank officers have met the Indicate where and %glen the client meetng(s) took place: person: Chent Private Client Place of Bank Officer Name(s) Bank Office: Other Location (seedy): Date: Domicile: Business: Paul Monis O • 0 80/2013 O D O 0 D ii 0 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 Section 2) Nature of the Individual's Business: Private hn 4buenta Primary Country of source of wealth/source of Funds' Primary industry of source of Wealth/Source of Funds' Summarize Source of Wealth: g Business owner 0Salary/Earnings investment 0 Inheritance/Gifts 0 Other: Further Describe Source of Wealth /Detail the history of marsh or each of the sources: (e.g. For trusts, how did settlor accumulate wealth' For inheritance, how did family accumulate wealthiFor business owners, how long in business, how many employees, level of profitability' Indicate type of business, countries of inkier 'Mutes, inportant business partners.) Epstein begs his financial career in 1976 as an options trader at Bear Steams and became a partneri n 1980. In 1982, Epstein founded his awn finance] management firm, 3. Epstein & Co., managing the assets of clients with more than a biluon In net worth. In 1996, Epstein changed the name of his firm to The Financial Trust Company and based it on the Island of St. Thomas in the US Virgin Islands. Al of his clients were anonymous except for the very wealthy businessman Leslie Wexner. its wealth has come from hit days at Bear Steams and his financial management firms Estimated Annual Income(i): 10,000,000.00 Estimated amount of investable assels($): S50 MM - 100 MM Estimated Net Worth(i): $100 MM • SOO MM Anodic of assets planned to invest with PV/P1($): Other Known Financial Institutions: Institution: JPMorgan Chase Country: USA Est Assets Under Mgt: 20,000,000.00 https://dbforcepb.my. sal esforce.com/seMet/servlet.Integration?lid=01N30000000D9Di&e 7/30/2019 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) D6-SDNY-0002626 EFTA_00016100 EFTA00166852  KYC Print Page 5 of 14 Institution: Country: Est Asset Under Mgt: Institution: Counby: Eu Asset Under Mgt: Please indicate the lam?), situation of the individual (marital status, other family members, etc.): Single Imps://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid-OIN30000000D9Di&e... 7/30/2019 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SIDNY-0002627 EFTA_000I6101 EFTA00166853  KYC Print Page o of 14 One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summa 3A. Individual Details (for all parties) IndMduars Name: Harry Beller - Date of Birth. Country of Residence: USA Country d CAtenshlp: USA Has client resided outside of Ns/her county of nabonality El yes ®No Address of primary residence: for S years or more Profession/Occupabon: Accountant Tax ID / SSN: Current Employer HBRK Associates, Inc Position/Title/Rank: Address of employer: 575 Lexington Avenue, 4th Floor Monsey NY USA 10022 Does the person work as senior executive of a DB-recognized regulated entity In the financial r--i riclustry, or an entity listed on DB-recognised exchange' (Not applicable for operating entities L...t Yes Z No Is the individual a Politically Exposed Person (PEP)>(dYes, cksente) Oyes O NO To the best of your knovAedge, Is Me Individual related to an employee of the DB group'(d 0 Family 0 Hie:mist* 2 None FM* or Friendshs describe) To the best of your knowaedge, is the individual party to a non-banking relationship with Deutsche Bank (e.g., external legal counsel, client referral source, suppler of goods or • Yes Ei No services)'(/ Yes,decarbe) If applicable, indicate itch bank officers have met the Indicate where and when the client meeting(s) took place: person: Chent Private Client Place of Bank Officer Name(s) Bank Office: Other Location (specify): Date: Domicile: Business: Paul Morris gi • O 10/21/2013 O El • ID El • 0 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 Section 2) Nature of the IndlVduars Business: Primary Country of source of wealth/source of Funds' Primary industry of source of Wealth/Source of Funds' Summarize Source of Wealth: 0Business owner 0Salary/Earnings 0 Investment 0 Inheritance/Gifts 0 Other: Further Describe Source d Wealth /Detail the history of wealth or 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($): Estimated amount of investable assets($): Estimated Net Worth($): Amount of assets planned to invest with PWTI($): Other Known Enamel Institutions: Institution: Country: Est Assets Under Mgt: Institution: Country: Est Assets Under Mgt Institution: County: Est Assets Under Mgt: https://dbforcepb.my. sal esforce.com/seMet/servlet.Integration?lid=01N30000000D9Di&e 7/30/2019 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DS-SDNY-0002628 EFTA_00016102 EFTA00166854  KYC Print Page 7 of 14 Please indicate the family sltuabas of the individual (manta, status, other family members, etc.): Imps://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid-OIN30000000D9Di&e... 7/30/2019 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0002629 EFTA_00016103 EFTA00166855  KYC Print Page 8 of 14 One sheet must be established for EACH INDIVIDUAL PARTY In Section 2. Account Ownership Summa 3A. Individual Details (for all parties) Individual's Name: Jeanne Brennan - Date of Birth. Country of Residence: USVI Country d Citizenship: USVI Has client resided outside of Ns/her county of nationality El yes ®No Address of primary residence: far S years or more' Profession/Occupabon: Finance Tax ID / SSN: Current Employer Southern Rnancial, LLC Position/Title/Rank: Address of employer: 6100 Red Hock Quarter, B3 St Thomas USVI 00802 Does the person work as senor executive of a DRrecognized regulated entity in the financial r--i ridustry, or an entity Isted on DB-recognised exchange' (Not applicable for operating entitles Li Yes Z No Is the individual a Politically Exposed Person (PEP)>(dYes, cksente) Oyes Pi No To the best of your knoMedge, Is Me individual related to an employee of the D8 group'(f 0 Family 0 Frierxkhip 2 None FM* or Friendshs describe) To the best of your knowiedge, is the individual party to a non-banking relationship with Deutsche Bank (e.g., external legal counsel, client referral source, suppler of goods or • Yes Ei No services)'(/ Yes,thrsarbe) If applicable, indicate itch bank officers have met the Indicate where and when the client meeting(s) took place: person: Client Private Client Placed Bank Officer Name(s) Bank Office: Other Location (specify): Date: Domicile: Business: O • O O o • ID El a 0 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 Section 2) Nature of the IndlVduars Business: Primary Country of source of wealth/source of Funds' Primary industry of source of Wealth/Source d Funds' Summarize Source of Wealth: 0Business owner 0 salary/Earnings 0 Investment 0 Inheritance/Gifts 0 Other: Further Describe Source d Wealth /Detail the history of wealth or 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($): Estimated amount of investable assets($): Estimated Net Worth($): Amount of assets planned to invest with PWTI($): Other Known Enamel Institutions: Institution: Country: Est Assets Under Mgt: Institution: Country: Est Assets Under Mgt Institution: Country: Est Assets Under Mgt: https://dbforcepb.my. sal esforce.com/seMet/servl et. Integration?lid=01N30000000D9Di &e 7/30/2019 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) D6-SDNY-0002630 EFTA 00016104 EFTA00166856  KYC Print Page 9 of 14 Please indicate the family situation of the individual (marital status, other family members, etc.): One sheet must be established for EACH LEGAL ENTITY In Seddon 2. Account Summa I 3C. Legal Entity Details (For al Legal EntItks) Legal Entity Name: Jeepers, Inc - 0 Foundation/Association El Trust RI Company 0 Estate R1Private Investment • Type of Entity: Purpose of Entity: phunguppic/charaabk 0 0 Partnership Commercial Purpose of Entity Type of Entity Other (specify): Other (specify): Date of County of United States Virgin Island 8/18/2003 incorporatisi on: / incorporabon/registrabon: registrab Vokker Status: Vokker tug: Address (city, street, post 6100 Red Hook Quarter 83 St, Thomas 0(802 USVI US. TIN/EIN: code): Provide a description of the entity's organizational structure, its ownership structure and its Top Management For trusts/foundatIons, include information about renxability,settlor and benefici ries.etc.: Jeffrey Epstein is the sole char holder of Jeepers Inc Please Indicate how ownership of the legal entity is reflected: • Special attention: Bearer Shares - Indicate inhere shares are custodied: Descnbe the chain from the direct owner of the entity to the ultimate beneficial owner (i/not me samepersona To the best of your knowledge, h the entity party to a non-banking relationship with Deutsche yes — Bank (e.g. external legal counsel, client r*nal source, supplier of goods or services)? U No Fa Describe Nabre of Entity's Primary Business and Imrestment Activities Nature of the business: Jeepers Inc Is a private company that holds Investments of Its owner, Jeffrey Epstein. Countries where business Is transacted: USA, USVI Number of employees: 3 3D. Wealth Profile (Only for parties requiring source of wealth descripbon as indicated in Section 2) Primary County of source d wealth/source of Funds/ Primary industry of source of Wealth/Source of Funds/ Provide Evidence of Corporate Assets (e.g. balance sheet or equivalent summary of assets/liabilhes): /tapers Inc was started to hold the personal Investments of Jeffrey Epstein. The company began with 2,000 shares of common stock at no par value. Its revenue comes from the gains of the investments it holds. Estimated gross receipts p.a.(5): 400,000.00 Estimated net profit pa. ($): 200,000.00 Estimated Investable assets ($): $20 MM - 50 MM Potential Amount to be invested with MUM (5): 200,000.00 Other Known Fruncial Instttutions: Institution: JP Morgan Chase County: USA Est. Assets Under Mgt 28,000,000.00 Institution: Country: Est. Assets Under Mgt Institution: County: Est. Assets Under Mgt https://dbforcepb.my. sal esforce.com/seMet/servl et.Integration?lid=01N30000000D9Di&e 7/30/2019 CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) DB-SONY-0002631 EFTA_00016105 EFTA00166857  KYC Print Page 10 of 14 Imps://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid-OIN30000000D9Di&e... 7/30/2019 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0002632 EFTA_00016106 EFTA00166858  KYC Print Page 11 of 14 DB PWM GLOBAL KYC/NCA: US/LatAm/Int'l PART B rA Relationship Name EPSTEIN, JEFFREY RELATIONSHIP Risk Rating Comment: • Booking Center NY C Offshore IF "r4ente 5 High Risk Michael Vila 5 NY/Offshore isk (Compliance Signature) CIDB Employee ON Managed PIC O DB is Trustee/CO-Trustee • Bearer Shares 4. AttadwrieMs A. Type of Photo ID Provided EZDthers License O Passport O Nabonal/State ID O Other Checklist of names (indtricluals and/or entries) that were submitted for database searches is B. attached J Yes • No C. Please indicate the results of the database searches performed ROC searches complete 2 Yes 0 No negative results found Dyes 2 reo PCR checks complete 21Yes O No negative results found Oyes @ No OFAC checks complete n Yes • No negative results found Oyes 2 No BIS searches complete (Lees/Nexls, Factra, Reuters, Dow Jones, D&B) izi yes O No negative results found • Yes 0 No Denial Ciders checks complete WI Yes I: No negative results found Oyes 0 No MartindaleHubbel searched (Leverets/Law Firms only) 0 Yes 5 No negative results found • yes 0 No Please summarize any negative results from the database searches indicated abort: HARRY BELLER: KYC approved In case 801133624 JEANNE BRENNAN: No Never.* media No Cowl Cases D. JEFFREY EPSTEIN: Jeffrey was approved in KYC 801062233 His PCR/ROC alerts and clearances and al documentation is contained in the above mentioned KYC JEEPERS, INC No Negative Media MI court cases are not our dent. The court cases refer to a _teepees Inc in Arizona and one in North Carolina. Our client Is based wi the US Viten Islands E. To the best of your knowledge, has the client ever been convicted of a seminal offense' @Yes 0 No To the best of your knovAedge, has the customer ever been involved In any past 'Usher, against Deutuhe Bank AG or any of Its subsidiaries or is the customer threatening litigation against F. Deutsche Bank AG or any of ha subsidiaries? (77 Yes, provide details below andcontact pearfrigt Ores Web fiatemfirrt7)or the Reprdatwy ControlProp andnatty Compiacer in ) Does the Brent or related party have any financial or other association / interactions within G. countries or regimes sanctioned by the Pike of Foreign Assets Control (OFAC), O Yes n No H. Does the dent or related party have any financial or other association/ interactions within high risk D yes 2 No ccuntries> I. Corporate Documentation Attached (Legal Entities Only) RI Yes • No O Not Applicable J. Undisclosed Principal Form Complete (Intermediaries Only) 0 Yes 0 No 5 Not Applicable K. If Lexis/Nexis Search Results, Corporate Documents or Other Supporting Documentation is not in English, please provide an English summory of the nature/contents of the non-English Documentation: 1- Special Risk Factors Does the account have Nexus to Special Risk Countries> El ves Elmo https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e... 7/30/2019 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0002633 EFTA_00016107 EFTA00166859  KYC Print Page 12 of 14 Is the account structure unusually complex' ❑Yes No Is there any indicabcn the client set up a non operating company expressly for the purpose of transferring shares to third pates', ❑ Yes E No Is that any indkabcn this could be a prohibited business relationship' ❑yes Esse Are the bearer shares identified subject to acceptable controls' ❑Yes gNo Imps://dbforcepb.my.salesforce.com/serylet/serylet.Integration?lid-OIN30000000D9Di&e... 7/30/2019 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0002634 EFTA_00016108 EFTA00166860  KYC Print Page 13 of 14 M. Case Comments Created By Date Comments Acquaint Lighttody 10/29/113 1:38 PM There Is no change in the r6k rang for this update. Therefore, a new risk calculator not required. ONSHORE APPROVALS Client Facing Professional (CFP). Paul Morris (Signature) 10/24/2013 Paul Morris Office DrectoriBusiness Head: Brian M. Biggar (Signature) 10/24/2013 /Brian M. Biggar Regional Office Director: (Signature) All Business Risk: (Signature) NIL Compliance: (Signature) Jacqueline Ughtbody Jacqueline Laghtbody 10/29/2013 Michael Vila Michael Vila 10/29/2013 LATAM/INTERNATIONAL APPROVALS Client Facing Professional (CFP): (Signature) Account Manager: (Signature) Global Market Team Head (Signature) i(GliTTH)/Subialarket Team Head 'Sarni): Alit Business Risk: (Signature) AML Compliance: (Signature) PRIVATE WEALTHMANAGEMENTPOLICY STATEMENT: Deutsche Bank Private Wealth Management (PWM) worldwide is committed to professionally serve the interests ofits clients. lb do so, Client Facing Professionalsl(I) (CFP's) should establish andmaintain business relationships only with persons who satisfy our high standards ofsuitabllity, background and character. Due diligence obtained on the client must be appropriately documented by the CFP. It is the responsibility ofCFP's to demonstrate that they know their client both at the inception ofa relationship and on an ongoing basis. DECLARATION FOR ALL SIGNERS OF THIS FORM: To the best ofmy knowledge and beliefthe above information is correct and up to date