EFTA01345236.pdf

KYC Print Page 19 of 34 One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summa 3A. Individual Details (for all parties) Individual's Name: Jeffrey E. Epstein Date of Birth: Country of Residence: USVI Country of Citizenship: USA Has client resided Address of primary Litte Saint James Saint Thomas 00802 outside of his/her country of nationality for Li Yes iA No residence: 5 years or more? Profession/Occupation: Self Empolyed Tax ID / SSN: Current Employer: Southern Financial LLC Posibon/litle/Rank: President Address of employer: 6100 Red Hook Quarter B3 St. Thomas United States 00802 Does the person work as senior executive of a DB-recognized regulated entity in the financial industry? (Not applicable for operating entities) L_I Yes 1,1 1 No Is the individual a Politically Exposed Person (PEP)?(it Yes, describe) close 1,;M Yes —...i No relationship with Bill Clinton and Prince Andrew. To the best of your knowledge, is the individual related to an employee of the 0 Family 0 Friendship frrA None DB group7(if Family or friendship, describe ) To the best of your knowledge, is the individual party to a non-banking relationship with Deutsche Bank (e.g., external legal counsel, client referral 0 Yes WI No source, supplier of goods or services)?(if Yesclescnbe) If applicable, indicate which bank officers have met Indicate where and when the client meeting(s) took place: the person: Client Client Place Bank Officer Name(s) Bank Office: Private Other Location (specify): Date: of Business: Domicile: stew oidielf Li 0 O 6/28/2017 0 0 1.1 El 0 0 Wealth Details for this individual are not filled in, because they are the same as for the following person: 3D. Wealth Details (Only for parties requiring source of wealth description as indicated in Section 2) Nature of the Individual's Business: Primary Country of source of wealth/source of Funds? Primary industry of source of Wealth/Source of Funds? Summarize Source of Wealth: 0 Business Owner 0 Salary/Eamings 0 Investment II Inheritance/Gifts 11 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(g): (S): Estimated Net Worth(;): Amount of assets planned to invest with PWM(1,): https://dbforcepb.my.salesforce.com/servlet/senflet.Integration?lid=01N30000000D9Di... 8/2/2018 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0031457 CONFIDENTIAL SDNY_GM_00177641 EFTA01345236