👁 1
💬 0
📄 Extracted Text (330 words)
KYC Print Page 4 of 2)
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar
3A. Individual Details or all parties)
Individual's Name: David W Jelinek - Date of Birth.
Country of Residence' Country of Citizenship
Has client resided outsoe
of his/her country of
Address of primary
nationality for 5 years or O yes .V. No
residence-
more?
Professon, Occupation. Finance Tax ID; SSN
Current Onplayer ESM Management LLC PosItion/TitW Rank: Authorized Signer
Address of employer: 262 38TH STREET New York NY United States 10018
Does the person work as senior executive of a 0B-recognized regulated entity in
he financial industry? or a entity listed on a 0B-recognised exchange? (Not Oyes ri No
pplicable for operating entities
wr
is the individual a Politically Exposed Person (PEP)?(11 Yes, describe) O Yes ...1 No
To the best of your knowledge, lathe individual related to an employee of the DB [,,,)Family O Friendship Vi None
groupWif 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 D Yes
❑I 10 No
source, supplier of goods or services)?(if Yes,descrthe )
If applicable, indicate which bank officers have met Indicate where and when the client meeting(s) took place
the person:
Client
Giant Place
Bank Officer Name(s) Bank Office: Private Other Location (specify) Date
of Business
Domicile:
❑ O O
• O O
O • O
!Wealth Details for this individual are not filled in. because they are the same as for the following person:
3B. 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:
UBudness Owner O Salary/Earnings • Investment OInheritance/Gifts
O Other:
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid IN30000000D9Di&... 12/19/2018
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0042723
CONFIDENTIAL SDNY GM_00188907
EFTA01356718
ℹ️ Document Details
SHA-256
85280c8296c41da5c36288c227d82cbbb6b53d57108534b8a38003630737803a
Bates Number
EFTA01356718
Dataset
DataSet-10
Type
document
Pages
1
💬 Comments 0