EFTA01353534.pdf

Deutsche Bank Wealth Management Option Agreement and Approval. Form Please Complete All Sections A:7 r.t Ni.r.ther N Jeffrey Epstein A.:couti ivpo Cash Individual Managed Account Discretionary Account Other Name(s) of person(s) other than acc..mnl VAT:er(5) authorized to Otte Ofden for the account: Acccunt ariO Owncy I nkx matkin lkovide I equested info' motion for each account owner (C. he":11- Attach supplement to !tar. Aer.?ement if neck" say?). Harry Beller, Darren Indyke • Jeffrey Epstein r;ci ntl, Little Saint James, St. Thomas Virgin Islands, US non, Ntir Ms.“_. it_ urgiudric (340) 775-2525 0 Single 01/20/1953 tiuz, ber Southern Financial LLC (340) 775-2525 6100 Red Hook Quarter, 83, St Thomas, Virgin Islands, USVI 00802 •'i;,• [34.1401:35 i‘.. Yearzt HOC! Finance President 5 Present Brokerage Accounts with JPMorgan Does the ind Widget or entity that controls Ihia fiCCOOrit have the power to control any other Option Accounts) with Deutsche Bank Sec k ies Inc.? Yes I No II ye, please provide Rte socount number(s): see attached list Client(s) Financial Information Approximate Aggregate Annual Income Sources of Imo,- s (Appraxirnate) Apprcoimate Aggregate Net Worth Account Owner(e) from All Sources Less than 550,000 Salary/Benue 50 Approximate Net Worth 550.000 -199.999 Interest/Dividends 50 Law Id Net Worth Excluding Principal Residence 5100.000- $249,339 Leas thkel $50.000 . less than $50,000 Other fepecif?): 5293,000 - 1499.999 sso.000 -599.999 $50,000 $99,999 5509.000 - 1999,999 $100,000 - 1249.999 $100.000 - $249,999 $tootwoo -12.499,999 $250,000- 5499,999 $250.000 - $499,999 52,500009 34,999.999 $500.000 - 5999,999 $500.000 - 3999.999 55.000.000 and ever $1,000.000 - 42,499,999 11,000.000- $2,499,999 52,500.000 - von 999 , $2.500,000 - 34,999.999 S5,000.000 and over ! $5.000,000 and over *Ikeirts4a, Bank' starts (NMAITtive Bank AG arxl Its offeatml companies. Deutsche Basle WWII] fatinaisment retwNients thewenith iNinacernenr activities oxiducted seem by Deutsche Bank AG er its SUbfielarieS. Clients are proMed Deutsche BankWealth Manageownt proOtxts or senrces Mrnaorratelegal entities. that are identified aims to dime.; pursuant to the ixolrad s, agreements, (tiering mkt/148.x other documentation relevant 10 31.01prodtx: (X V%VieS. Brolowage SentION bre eller(a) thl(M01 see 0- LICIFISdle Bank S'et'tle" Inc-. .1 taoker-k%aler urx) iggikterod investment adosix which conduct's securities activities in the tinned States. Deutsche BrA Securities is a member of FINRA. NYSE and SIPC. Banking and kn ing services see offered through Deutsche Bank Mina COM pany Arnences. member FDIC, and other members - in 01 the ()goodie Bank Group. W141139768 010721.051018 Page 1 of 4 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0037952 CONFIDENTIAL SDNY_GM_00184136 EFTA01353534