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KYC Print Page 6 of 34
2. Account Ownership Summary
Aca. Number (if
Account Name: Jeepers Inc- Brokerage
available):
Account Manager: stewart oldfield
What is the purpose of the account (e.g. portfolio management, advisory account, custody services, long-term investment,
payment/expense account)? The purpose of the account is to manage the securities purchases of the company
Indicate from where the assets are expected to arrive?
,.6..Z
- DB Group: Same Booking Center (indicate account number): N4G024935
Li DEl Group: Other Booking Center (indicate DB location and account details):
Li Other Institution - (Indicate name & location):
....] Physical Deposits (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)?: 0/10 inflows/outflows of less than SSk a month
Mat is the expected volume of assets and currency for the 3169993 I Currency I usd
account approx. 90 days after opening?
What is the expected volume of assets and currency for the 3149993 I Currency I usd
account approx. one year after opening?
Does/will the client have Assets Under Management (AiiM) within El yes ?H
. No
DB under Eur. 3M?
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 (> 1 can be selected).
• If none of the check boxes apply, describe the party's relation to the account in the "Other" column.
• Always describe the relationship between the parties in the last column.
• Please drill down to the ultimate/underlying Beneficial Owner(s).
_egal Description AccounPIC Settlor of .fitimate Signatory_imitedFinancial Significant
Entityof Source Holder OwnerTrust / Beneficial or Full POA IntennediaryShareholderOther (please
of Wealth Founder of Owner POA (FIM) (> =25%) describe other
required Foundation Non-PIC roles and/or
entity ndlcate
(indicate relationship
, arties related ownership between
to this account 6/0) Parties)
1 2 2 Jeepers, Inc Rij E ti 0 ....] Li ❑
ffrey E.
2 0
❑ EJepstein 0 E 0 2 2 E .1
3 D fl Darren Indyke 0 E:I El II 2 0 El
Jean Anne
4 0 U Brennan L 1
Wiebracht
5 0 0 Harry Beller 0 0 0 0 2 0 ❑
https://dbforcepb.my.salesforce.com/servlet/senflet.Integration?lid=01N30000000D9Di... 8/2/2018
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0031444
CONFIDENTIAL SDNY_GM_00177628
EFTA01345226
ℹ️ Document Details
SHA-256
8abb5629e7c0c7918be8c4bc70341a633a0cf4933180936271af68f91235f612
Bates Number
EFTA01345226
Dataset
DataSet-10
Type
document
Pages
1
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