EFTA01453160.pdf

Deutsche Bank Private Wealth Management Option Agreement and Approval Form Please Complete All Sections Account No. &COW NW* Account Type Account Registration El Managed Account 0 Discretionary Account 0 Other Name(s) of person(s) other than account owner(s) authorized to place orders for the account: Account and Owner Information (Provide requested information for each account owner ("Client"). Attach supplement to this Agreement if necessary.) fin IMO EMI MOM Bilk Tai NEMO INIMMIll Pr' fialPREMINIMP L) Car,` trn, i-taUtY Cu :.5`, io);;(.rItto! UP:10,1 06 Deut!,,:;..., dank Seucr;;Ies It ❑ Yes ❑ No If yes, please provide the account number(s): Client(s) Financial Information Aooroximaria Nor vvonn Less than $50,000 Salary/Bonus L qwd Net Wptn Excluding Ponca* Rosoclorco 8 % 550,000 - $99.999 Interest/Dividends oh, • Less than $50,000 0 Less than $50,000 0 $100.000 - 5249.999 0 $50,000 - $99.999 MI 550.000 - 599.999 Other (specify): 0 5250,000 - 5499,999 • 5100,000 - $249,999 0 5100,000 -$249.999 0 5500.000 - 5999.999 % 0 5250,000 - $499,999 • 5250,000 -$499,999 0 $1,000,000 - $2,499999 % • $500,000 - $999.999 ID S500,000 - $999,999 0 $2,500.000 - S4999.999 iya 0 SI,000,000 - $2,499,999 0 51,000,000 - 52,4999 0 55.000.000 and over - 0 $2.500.000 - $4,999.999 • $2,500,000 - $4,999.9-' • $5,000.000 and over . S5,000,000 and over Investment Experience of Account Owner(s) M ili tr ill n a Options MI Covered C3II Writing Stocks 0 Purchased Options Bonds 0 Option Spreads Commodities 0 Uncovered Put Writing listed Stock Index 0 Uncovered Call Writing OTC Derivatives 0 None Structured Products Other (Specify) Deutsche Bank Securities Inc., a subsidiary of Deutsche Bank AG, conducts investment banking and securities activities in the United Six 09-PWM-0127 OM 14 (05111) 006404 052711 CONFIDENTIAL — PURSUANT TO FED. R. GRIM. P. 6(e) DB-SDNY-0 110614 CONFIDENTIAL SDNY_GM_00256798 EFTA01453160