EFTA01372816.pdf

7 5 2019 I\YC Punt One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar 3A. Individual Details (for all parties) Individual's Name: Date of Birth: Country of Residence: United States Country of Citizenship: United States Has client resided outside of his/her country of nationality Yes I No Address of primary residence: for 5 years or more? Profession/Occupation: N/A Tax ID / SSN: Current Employer: N/A Posibon/Tdeffiank: N/A Address of employer: N/A Does the person work as senior executive of a 0B-recognized regulated entity in the financial ndustry? or an entity listed on a DB-recognised exchange? (Not applicable for operating entities ' Yes 1 N° Yes I. No Is the indMclual a Politically Exposed Person (PEP)?(ff Yes, descrte) N/A To the best of your knowledge, is the individual related to an employee of the DB group?(b . Family Friendship A None Familyor Afendshlp, describe) N/A 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 source, supplier of goods or services)? ' . Yes (if Ya,desaibe) N/A Indicate where and when the client meeting(s) took place: If applicable, indicate which bank officers have met the person: Client Private Client Placed Bank Officer Name(s) Bank Office: Other Location (specify): Date: Domicile: Business: 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 ki Seddon 2) Nature of the Indrvidualts Business: Primary Country of source of wealth/source af Funds? Primary industry d source of Wealth/Source of Funds? Summarize Source of Wealth: Business Owner Salary/Earnings —... Investment 1...i Inheritance/Gfts Other: Further Describe Source of Wealth /Detail the history of wealth for each of the sources: (e.g. Fa trusts, how did senior accumulate wealth? For inhentance, how did family accumulate wealth'For business owners, hew 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(;): Estimated Net Worth(f): Amount of assets planned to invest with PWM(S): Other Known Financial Institutions: Institution: Country: Est. Assets Under Mgt: Institution: Country: Est. Assets Under Mgt: Institution: Country: Est. Assets Under Mgt: https://dbforcepb.my.salesforce.comiserviet/servletIntegration?lid=01N3000000009Dkawd=5000e00001NOBxm&ie= I aiinkToken=vmpf PSxNakF4. 24142 CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) DB-SDNY-0066702 CONFIDENTIAL SDNY GM_00212886 EFTA01372816