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KYC Print Page 6 of 13
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summary
3A. Individual Details (for all parties)
Individual's Name: Darren Indyke - Date of Birth:
Country of Residence: USA Country of Citizenship: USA
Address of primary USA
residence:
Profession/Occupation: Lawyer Tax ID / SSN:
Current Employer: Southern Financial LLC Position/Tide/Rank:
Address of employer: 575 Lexington Avenue, 4th Fl Livingston NY USA 10022
Is the individual a Politically Exposed Person (PEP)?(i, Yes, describe) F Yes 17 No
To the best of your knowledge, is the individual related to an employee of the DB r Family r Friendship 17 None
group?(ifFamily or Ffiendshp, describe)
To the best of your knowledge, is the individual party to a non-banking relationship r
with Deutsche Bank (e.g., external legal counsel, client referral source, supplier of Yes F No
goods or services)?(if Yes,describe)
If applicable, indicate which bank officers have met the Indicate whe e and when the client meeting(s) took place:
person:
Client Private Client Place
Bank Officer Name(s) Bank Office: Domicile: of Business: Other Location (specify): Date:
r r r
r r r
r r r
F Wealth Details for this individual are not filled in, because they are the same as for the following person:
36. Wealth Details (Only for parties requiring source of wealth description as indicated in Section 2)
Nature of the Individual's Business:
F Business Owner r Salary/Earnings F Investment F Inheritance/Gifts
Summarize Source of Wealth:
F Other:
Further Describe Source of wealth /Detail the history of wealth for each of the sources: (e.g. For trusts, how did senior 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($): Amount of assets planned to invest with PWM($):
Other Known Financial Institutions:
Institution: I I Country: I I Est. Assets Under Mgt:
hups://dbforcepb my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&ei... 7/3/2015
CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) DB-SDNY-0057276
CONFIDENTIAL SDNY_GM_00203460
EFTA01365903
ℹ️ Document Details
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6d4b6a20284b7c889d4ffe735833859d12bbd12c80443c74813fdcffb0a03485
Bates Number
EFTA01365903
Dataset
DataSet-10
Type
document
Pages
1
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