EFTA01357587
EFTA01357588 DataSet-10
EFTA01357589

EFTA01357588.pdf

DataSet-10 1 page 385 words document
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Beneficial Owner's Information Please complete if owner is NOT an authorized person. Name: OR Entity Name: DOB or Date of Establishment: SSN or TIN: Legal Address: City: State: Zip/Postal Code: Country: Country of Citizenship: If not U.S. (check one): O Resident Alien O Non-Resident Alien Employment Status: O Employed O Self-Employed O Retired O Unemployed O Homemaker O Student Occupation and Position: Employer's Name: Employer's Address: City: State: Zip/Postal Code: Length of Employment: Home Phone Number: Business Phone Number: Email Address: Investment Experience Investment Type Experience Annual Activity Level (Select one) (Required) None Limited Moderate High Years of No history (1-5 transactions (6-15 (Over 15 Investing of any per year) transactions transactions transactions per year) per year) Equities Options Fixed Income Mutual Funds Exchange Traded Funds (Eifel Real Estate Property (excluding Primary Residence) Variable Annuities Alternative Investments (Hedge Funds, Private Equity) Structured Products Foreign Currency FINRA/Broker Dealer Affiliations (Please Answer All Questions) Is any owner for person with a beneficial interest in the account) either (1) a senior military. governmental, or political official of any country, or (2) closely associated with or an immediate family member of such an official? O Yes ❑ No Are any of the following employed by Deutsche Bank, its subsidiaries or affiliates. employed by a member firm or registered broker-dealer, or employed by FINRA or any other self-regulatory organization? O Yes O No Yes, please complete below) Accounts owners? O Yes O No Any member of the same household as the account owner? O Yes O No Any person who materially supports the account owner? O Yes O No Any immediate family member of the account owner? O Yes O No Any person materially supported by the account owner? O Yes O No If you answered YES to ANY of the above, please provide the following: Name of Employee: Relationship to Account Owner. Name of Employer: Is any owner now, or has any owner ever been, a senior corporate officer or director, or does any owner own 10% or more of any publicly-traded company's stock? O Yes O No If YES, provide name of company: Will anyone else be entering orders: O Yes O No If YES, please list name(s) (additional paperwork will be required). 12-PWM-0355 011224.062212 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0044215 CONFIDENTIAL SDNY_GM_00190399 EFTA01357588
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7d0a3d09c94e319f59b74c8f7aff0f54c87246d35fc8731a393b28d5eaf8d13f
Bates Number
EFTA01357588
Dataset
DataSet-10
Document Type
document
Pages
1

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