📄 Extracted Text (2,682 words)
KYC Print Page 1 of 11
DB PWM GLOBAL KYC/NCA: PART A
rA
KYC Case * : 01161376 Status : Approved
One sheet must be established per relationship list all accounts included in the relationshi
1. Relationship Details
Relationship Name: SOUTHERN FINANCIAL RELATIONSHW:0000O493290 Esser ing Center. New York
Relationship Manager: Paul Monis
2 New PWM Relationship O Existing PWM Relationship
Relationship to AVM:
If edging, please indicate since when the relationship exists, provide reason for nev profile and attach otd profile:
0 Client Referral O RM Prospect O Interrnediary/FIM O Other Source (CIB, etc.)
now Was the Oient(s)
Introduced'
:II: How long has the
RN personally known the nt, etc.)
c t
Does Deutsche Bank pay. Dyes I W No
retrocession or similar
compensation to a tiled party
for the Introduction cif fhb pt Yes, desolbel.
relabonsho7
list all exisbng and new accou is involved in this relationship
Legal Entity Account Name / Number Opening Date (intended/actual)
Account(s)
1 El _ -aril 12/16/2013
(J and Money Market 12/16/2013
Who d the primary to tact
person for the Rtil> (Note:
Preferred method of contact
This person needs to h ye
(indicate phone no., fax no.,
sgnatory rights and/or
e-mail address, etc.):
information right for the
accounts.):
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CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. Is) DB-SDNT-0002661
EFTA_00016135
EFTA00166887
KYC Print Page 2 of I I
One sheet must be established for each account to be opened
2. Account Ownership Summary
Account Name: an. Acct. Number (davailaiwe)
Account Manager: Paul Morris
What is the purpose of the account (e.g. portfolo man et_admory account custody services, long-term investment payment/expense
account)) Checkng account for the daily use of and M
Indicate from where the assets are expected to arrive'
O DB Group: Same Booking Center (Indicate account number):
0 06 Group: Other Booking Center (indicate DB location and account details):
66 Other Institution (Indicate name & location): 1PMorgan. New York
El Physcal Deposils (specify cash, securities, cheques, ...):
What is the xpected size and frequency of regular inflows and outflows for the account (indicate estimated number and volume per month)' Rough), 10
inflows and outfloivs per month ranging from $100 to $10,000
What Is the expected volume of assets and currency for the account approx. 90 days after 1 10000 I Currency I USO
opening'
What s the expected volume of assets and currency for the account approx. one year after 1 10000 'Currency I USD
opening'
..
Does/wi the client have Assets Under Management (AuM) within DB under Eur. 3M' L.) Yes IsA Pio
Please list all parties related to the account.
For each party:
• Check If a source of wealth description is required for the party.
• Check the appropriate box to describe the relationship of the party to this account (> 1can be selected).
• If none of the check boxes apply, describe the partys relation to the account In the "Other" column.
• Always describe the relationship between the parties in the last column.
• Please drill dorm to the unsmate/underlyng Beneficial Owner(s).
_egal Description accounWIC Seen/ of Jltimate Sunatornimitedrinancial Bunrficant -egal Grantor/Settlor Founthng Other
inbtytif Source Holder OwnerTrust / Beneficialor Full POA Intermediary Sharehoklerftepresentabve :Anna( 'please
of Wealth Founder of Owner POA (F1M) ( > 25%) describe
required Foundation ion-PIC 'User roles
entity and/or
Parses indicate nclicate
*elated YnneiShip elancriship
mes
coua A-.) en
setv
rbeees)
O El ~® O O O Pi OO f-- El
2 O ® a O • O a O O c E
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CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. Be) DB-SDNY-0002662
EFTA_00016136
EFTA00166888
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2. Amount Ownerahlp Summary
Account Name: and - Money Market Acct Number Of ava.laYei
Account Manager: Paul Morris
What Is the purpose of the account (e.g. portfolio management, advisory account custody SCIVKCS, long-term investment payment/expense account)' money
Market account to hold their Joint funds and earn interest
Indicate from where the assets are expected to arrive,
O DB Group: Same Booking Center (indicate account number):
El DB Group: Other Booking Center (indicate DB location and account details):
Ed Other Institution (Indicate name & location): )PMorgan. New York
O Physical Deposit (specify cash, securities, cheques, ...):
What Is the expected size and frequency of regular inflows and outflows for the account (indicate estimated number and volume per month)': Roughly 1.3
Inflows and outflows per month ranging from $100 to $14000
What is the expected volume of assets and currency for the account approx. 90 days after 1 10000 'Currency
opening' I USD
What is the expected volume of assets and currency for the account approx. one year after 1 10000 'Currency
opening' I USD
Does/wethe client have Assets Under Management (Awl) within DB under Eur. 3M' O yes 5 No
Please list all parties related to the account.
For each party:
• Check If a source of wealth description Is required for the party.
• Check the appropriate box to desc be the relationship of the party to this account (> Ian be selected).
• f none of the check boxes apply, escribe the palls relation to the account In the -Other column.
• Always describe the relationship between the parties in the last column.
• Please drill dorm to the ulbrnate/underlyng Beneficial Owner(s).
_egal Descripti accounWIC Senior of Jkimate Signabornimitednancial 'Significant egal Grantor/Settlorkunding Other
Intitrof Source *older OvmerTrust / Beneficialor Full POA Intermediary iharehcaderktePresentabYe Donor (Please
of Wealth founder of Owner POA (9M) >=25%) describe
reputed foundation ion-PlC other roles
entry and/or
arbes indicate nthcate
kited ownership elabonshp
this k) 5etween
count oodles)
I • El (O O O N .
..1 O El D (7 El
2 ID RI zi OD O Ed OO O • O
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CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. Ike) DB-SONY-0002663
EFTA_00016137
EFTA00166889
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One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summa
3A. Individual Details (for all parties)
IndMduars Name. Date of Birth:
Country of Residence: Country of Citizenship:
Has client resided outside of
Address of ',ornery residence:
his/her country of nallonalty Oyes 5 No
for 5 years or riscre,
Profession/Occupation: Tax ID / SSW
Current Employer: Pose:Ion/Title/Rank:
Address of employer:
Does the person work as senio executive of a 08-recognized regulated entity in the financial
ndustryi or an enbty listed on a CB-recognised exchange' (Not applicable for operating O yes Wino
nutlet
Is the individual a Politically Exposed Person (PEP)'(/ Yes, describe) O Yes 0 No
To the best of your knowledge, IS the Individual related to an employee of the D8 group"(W 0 Family 0 Friendship RINone
Faint or FnencIsixA describe )
To the best of your knowledge, is the individual party to a non-banking relabcnshp with
Deutsche Bank (e.g., external legal counsel, client referral source, supplier of goods or O Yes N No
services)'at Pas, desrnbe I
If applicable, Satiate which bank officers have met the Indicate where and Wien the client meet4(s) took place:
person:
Client Prtrate Client Place of
Bank Officer Name(s) Bank Office: Other locabon (specify): Date:
Domicile: Business:
Paul Morris O O 0 12/3/2013
O O O
O O LI
OWealth Debts for this individual are not filled in, because they are the same as for the following person:
38. Wealth Details (Only for parbes requiring source of wealth description as indicated in Section 2)
Nature of the Individual's Business: LIC
Primary Country of source of wealth/source of Funds,
Primary industry of source of Wealth/Source of Funds'
Summarize Source of Wealth: OBusiness Owner [0 Salary/Eamings Investment O Inheritance/Gifts 00ther:
iii
Further Deurbe Source of Wealth /Detail the history of weath for each of Me sources: (e.g. Far STUStS, how did settla 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
Estmated Annual Income($): 150,000.00 Estmated amount of Investable assets(s): <$1 MM
Estimated Net Worth($): <S1 KM Amount of assets planned to invest wth PWM(S) 20,000.00
Other Known Flianclal Institutions:
InsbtutIon: I JPHorgan Country. I USA 'Est. Assets Under Mgt: 160,000.00
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CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0002664
EFTA_00016 138
EFTA00166890
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lnsbtubon: Country Est Assets Under Mgt
Institution: Country: Est Assets Under Mgt
Please indicate the family situabon of the individual (marital status. other family members, etc.)'. Manned to Karyna Shuliak
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CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. le) DB-SDNY-0002665
EFTA_00016139
EFTA00166891
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One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summa
34. Individual Details (for all parties)
Individuars Name. Date of Birth:
Country of Residence: USA Country of Citizenship:
Has dent resided outside of
his/her country of nationalty O yes 'IA No
Address ii prenary residence:
for 5 years or mete?
Profession/Occupation: Tax ID / 5511:
Current Employer: N/A Position/Title/Rank: N/A
Address of employer:
Does the person work as senio executive of a CO-recognized regulated entity in the financial
ndustry' or an enbty listed on a 0B-recognised exchange' (Not applicable for operating Li Yes WiNo
nutlet
Is the ndividual a Politically Exposed Person (PEP)'(/ Yes, describe) O Yes S6 No
To the best of your knowledge, is the Individual related to an employee of the D8 group/(r/ 0 Family 0 Friendship Ri None
Faint or (nenCsmA describe )
To the best of your knowledge, is the individual party to a non-banking relabonshp with
Deutsche Bank (e.g., external legal counsel, client referral source, supplier of goods or O Yes r./ No
services)'at Yes, describe)
If applicable, indicate which bank officers have met the Indicate where and Wien the client meet:4(s) took place:
Person:
Client PrNate Client Place of
Bank Officer Name(s) Bank Office: Other locabon (specify): Date:
Domicile: Business:
Paul Morris O O 0 12/3/2013
O O O
El O u
OWealfh Debits for this individual are not filled in, because they are the same as for the following person:
38. Wealth Details (Only for parbes requiring source of wealth description as indicated in Section 2)
Nature of the Individual's Business: Student
Primary Country of source of wealth/source of Funds,
Primary industry of source of Wealth/Source of Funds'
Summarize Source of Wealth: O Business Owner O Salary/Eamings il Investment O Inheritance/Gifts ElOther:
Further Descrte Source of We Rh /Detail the history of weath for each of the sources: (e.g. For trusts, how did senior accumulate wealth, For inheritance,
now did family accumulate we Ith7for business owners, h I ill 7 n
countries of major acbvitles, important business partners.)
Estimated Annual Incorne(f): Estmated amount of investable assets($): <$1 Pim
Estimated Net WortMS): Amount of assets planned to invest with PWH(S):
Other Known Financial Institutor':
Institution: I Country. Est Assets Under Mgt
Insbtubon: Country. Est Assets Under Mgt.
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CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. Be) DB-SDNY-0002666
EFTA_00016140
EFTA00166892
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Institution: Country: Est. Assets Under Mgt
Please indicate the family slbabon of the rdIvidual (marital flatus, other (amity members, etc.): •
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CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. le) DB-SDNY-0002667
EFfA_00O16141
EFTA00166893
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DB PWM GLOBAL KYC/NCA: US/LatAm/Int'l PART'
Relationship Name SOUTHERN FINANCIAL RELATIONSHIP
Risk Rating Comments:
ry NY
Booking Center ..I
NY/Offshore
C Offshore Risk
°Moderate 2 High Risk
(Compliance Signature)
O DB Employee O DB Managed PIC 7 DB is Trustee/Co-Trustee O Bearer Shares
4. Attachments
A. Type of Photo ID Provided 74 Drivers License • Passport • Nabonalffitate ID O Other
I Checklist of names (individuals and/cr entities) that were submitted for database searches is
attached • YeS LT. No
C. Please Indicate the results ci the database searches performed
RDC searches complete 2 Yes • No negative results found O Yes la No
PCR checks complete El Yes O No negative results found O Yes ®No
OfAC checks complete ®Yes O No negative results found O Yes ®No
BIS searches cornpkte (Lexis/Nexis, Factla, Reuters, Dow Jones, MI Ores • No negative results found • Yes 0 No
Denial Orders checks complete RI Yes Duo negative results found 0 Yes 0 No
Martindale-Hubbell searched (Lawyers/Law Firms only) 0 yes E No negative results found • Yes 0 No
Please summarize any negative results from the database searches indicated above:
No Negative Media
No Court Cases
D. MIIIIIa
No Negative
No Court Cases
E. To the best of your knowledge, has the client ever been convicted of a criminal offense? O Yes Ea No
To the best of your knowledge, has the customer ever been involved in any past litigation against
Deutsche Bank AG or any of es subsidiaries or is the customer threatening Itigabon against
F. O Yes @No
Deutsche Bank AG or any of its subsidianes? (If Yes, provide dela& belay and contact Geary
MO. (LatAmantVor the Regulatory Control Group andnotify Compeance hwed4tely)
Does the client or related party have any financial or other association / interactions within
G' countries or regimes sanctioned by the Office of Foreign Assets Control (MAC), • Yes @No
Does the client or related party have any flnaxial or other associabon/ interactions within high • yes E No
H.
risk countries'
I. Corporate Documentation Attached (Legal Entitks Only) Yes O No O Not Applicable
3. Undisclosed Principal Form Complete (Intermediaries Only) O Yes O No 0 Not Applicable
K. If Lexis/Nexis Search Results, Corporate Documents or Other Supporting Documentation is not in English, please provide an English summary or the
nature/contents of the non-English Documentation:
L Special Risk Factors
Does the account have Nexus to Special Risk Countries> 0 Yes 2 No
Is the account structure unusually complex> O Yes LTA No
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CONFIDENTIAL — PURSUANT TO FED. R. GRIM. P. le) DB-SDNY-0002668
EFTA_00016142
EFTA00166894
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Is there any indication the client set up a non operating occipany Oyes No
expressly for the purpose of transferring shares to third patties'
Is there any bxlicabon this could be a prohibited business relationship? Oyes Ono
Me the bearer shares kkribfied subject to acceptable controls? Dyes IRINo
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CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. le) DB-SDNY-0002669
EFTA_00016143
EFTA00166895
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M. Case Comments
Created By Date Comments
Janice Franklin 12/13/113 1 27 PM Please see KYC 1082293 for informabon regarding Mr. Epstein, a current PB
t *tsa Venegas 12/13/113 12:39 AM
ONSHORE APPROVALS
Client Facing Professional (CFP): Paul Monn •;Slgnatire) 12/10/2013
aaul Morris
Office Ditector/Business Head: Brian M. Biggar ;Signature) 12/10/2013
Brian M. Biggar
Regional Office Director (Signature)
NIL Business Risk:
(Signature)
Melsa Veneto, MOW Venegas 12/13/2013
NIL Compliance:
($ .nature)
J Rankle, o/b/o J. Lghtbody .1 Franklin (AV° 3. Lghtbody 12 13 22;13
LATAM/INTERNATIONAL APPROVALS
Cl ient Fac rig Preessional (CEP) (Signature)
Account Manager. (Signature)
Global Market Team mead (Signature)
(GAITI-1)/Sub-Market Team Mead
(SMTN):
NIL Business Risk.
(Signature)
NIL Compliance
(SrinAturt)
PRIVATE WEALTH MANAGEMENT POLICY STATEMENT,• Deutsche Rank Private Wealth Management
(I> WM) worldwide is committed to professionally serve the interests of its clients. To do so, Client Facing
Professionals!(1) (CFP's)should establish and maintain business relationships only with persons who satisfy ono•
high standards ofsuitability. background and character. Due diligence obtained on the client must be appropriately
doc-umented by the CFP. It is the responsibility ofCFP's to demonstrate that they know their client both at the
inception ofa relationship and on an ongoing basis.
DECLARATION FOR ALL SIGNERS OF THIS FORM:• To the best ofmy knowledge and belief the above
information is correct and up to date. I confirm that I have no suspicions relating to the money laundering or
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CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. Be) DB-SDNY-0002670
EFTA_00016144
EFTA00166896
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unethical activities on the pan ofthe client(s) and that have followed all the procedures relating to account opening
as described in the PWMAmericas Procedures and the PWMGlobal KYC Policy
(I) Client Facing Professionals (CFP's) include: Relationship Managers, Wealth Advisors, Product Officers.
Brokers. Client Managers, etc.
Deutsche Bank Americas New York rA
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CONFIDENTIAL — PURSUANT TO FED. R. GRIM. P. Ike) DB-SDNY-0002671
EFTA_00016145
EFTA00166897
ℹ️ Document Details
SHA-256
8742da793f21a627b67473d402915252f3dcbcac03a8d39f8f46da2def33bdb8
Bates Number
EFTA00166887
Dataset
DataSet-9
Document Type
document
Pages
11
Comments 0