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One sheet must be established for EACH LEGAL ENTITY in Section 2. Account Summary
3C. Legal Entity Details (For all Legal Entities)
Legal Entity Name: Gratitude America - 00000499760
F Private Investment
F Foundation/Association r Trust F Company
Type of Entity: Purpose of Entity: F Philanthropic/Charitable
r Estate r Partnership F Commercial
Type of Entity Other Purpose of Entity
(specify): Other (specify):
Date of
Country of USVI 4/25/2012
incorporabon /
incorporation/registration:
registration:
Address (city, street, post 6100 Red Hook Quarter, B3 St. Thomas 00802 USVI U.S. TIN/E1N: 66-0789697
code):
Provide a description of the entity's organizational structure, its ownership structure nd its Top Management. For trusts/foundations, include
information about revocabil ty,settlor and beneficiaries,etc.:
501(c)3 foundation. Jeffrey Epstein is president, Darren Indyke is treasurer and Erik Kellerhals is Secretary
Please indicate how ownership of the legal entity is reflected: 501(c)3 foundation. Jeffrey Epstein is president, Darren Indyke 6 treasurer
and Erika Kellerhals is Secretary
F Special attention: Bearer Shares - Indicate where shares are custodied:
Describe the chain from the direct owner of the entity to the ultimate beneficial owner (ifnot Me same persons). 501(c)3 foundation.
Jeffrey Epstein is president, Darren Indyke is treasurer and Erika Kellerhals is Secretary
To the best of your knowledge, is the entity party to a non-banking relationship with
Deutsche Bank (e.g. external legal counsel, client referral source, supplier of goods Yes F No F
or services)?:
Describe Nature of Entity's Primary Business and Investment Activities
The foundation has not yet started distributing funds and is still determining what
Nature of the business: endeavors they will support. They hope to support a broad range of efforts including,
but not limited to, education, science, research, etc.
Countries where business is transacted: USA, USVI
Number of employees: 3
3D. Wealth Profile (Only for parties requiring source of wealth description as indicated in Section 2)
Provide Evidence of Corporate Assets (e.g. balance sheet or equivalent summary of assets/liabilities):
The foundation is to be funded by Jeffrey Epstein
Estimated gross receipts p.a.($):
Estimated net profit p.a. (s):
Estimated investable assets ($): $2 MM - 5 MM
Potential Amount to be invested with PWM ($): 200,000.00
Other Known Financial Institutions:
Institution: Country: Est. Assets Under Mgt:
Institution: Country: Est. Assets Under Mgt:
Institution: Country: Est. Assets Under Mgt:
Imps://dbforcepb my.salesforce.com/servlet/servlet.Integration?li d=01N30000000D9Di&ei ... 7/3/2015
CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) DB-SDNY-0089391
CONFIDENTIAL SDNY_GM_00235575
EFTA01387206
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