EFTA01387990.pdf

One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar 3A. Individual Details 'a ' a. cc': esi ndividualt Name: Date of Birth: Country of Residence Russan Federation Country of Citizenship: Russian Federation Has client resided outside Begovaya Street 24 Apt 3 Moscow NA Russ an of his/her country of Address of primary ceceration nationality for 5 years or CI Yes R No residence- more? Profession, °coupe; ion N A Tax ID: SSN 722993433 Current Employer: N A Position/Title( Rank NSA Address of employer: N A Does the person work as senior executive of a DB-recognized regulated entity in the financial Industry? or a entity listed on a OB-recognised exchange? (Not Oyes ri No applicable for operating entities is the individual a Politically Exposed Person (PEP)7(i( Yes. describe) N/A Yes a - No .4 To the best of your knowledge, lathe individual related to an employee of the DB I,,,,) Family O Friendship Vi None groupWif 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 O vas 10 No source, supplier of goods or services)?(if Yam/nate ) WA If applicable. indicate which bank officers have met Indicate where and when the client meeting(s) took place the person Client Client Place Bank Officer Narne(s) Bank Office Private of Business Other Location (soecifyi Dare Domicile. o I O • O O D O 0 nWealth Details for this individual are rot fixed n because they are :he same as for the following person. 38. Wealth Details (Only for parties 'eau., ng source of wea':h descrIption as Ind cated in Section 2) Nature of the Individual's Business: Primary Country of source of wealth/source of Funds? Primary fldustry of source of Wealth/Source of Funds? Summarize Source of Wealth: 1.11 Business Owner O Salary/Earnings • Investment O Inhentance/Glts J Other: CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0091294 CONFIDENTIAL SDNY GM_00237478 EFTA01387990