EFTA01356731.pdf

KYC Print Page 6 of 35 OMItsheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar 30. Individual Details or all parties) Individual's Name: Juan Fernando Belmont Anderson - Date of Birth. Country of Residence' Peru Country of Citizenship. Peru Has client resided outside of his/her country of nationality for 5 years or 0 Yes ,4 No Address of primary Lima 27 Peru residence- more? Professon, Occupation: Founder & Owner Tax ID SSN Current Employer: Corporation Yanbal International Position/Title/Rank: Chairman Address of employer: Calle Los Sauces 374, Torre Roja, Aso II, San Isidro ma Peru 27 Does the person work as senior executive of a 0B-recognized regulated entity in the financial Industry? or a entity listed on a OB-recognised exchange? (Not . Yes .'i No applicable for operating entities Is the individual a Politically Exposed Person (PEP/?(11 Yes, describe) Father of Janine Belmont and therefore father in law of Gonzalo Aguirre Arriz. one of the Yes III No founders of Coordinadora Nadonal de I ndependientes, a political party established in Peru. It changed name to Todos por el Peru. To the best of your knowledge, is the individual related to an employee of the DB 0Family 0 Friendship Vi None group7(11Family 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 No source, suppler of goods or services)?(if Yeadescribe ) If applicable, indicate which bank officers have met Indicate where and when the client meeting(s) took place: the person. Client Client Place Sank Office, Na—efsi Bank Office: Private Other Location (specty) Dare of Business- Domicile —1 0 F 0 0 0 • El 7 Wee t^ De:a s for :h s ^c vicLal a ,e rot 'i leo ^ beca...se t^ey re :r.e sa—e 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: Cosmetics company in Latin America. which follows the Avon busness mooe Primary Country of source of wealth/source of Funds? Peru Primary industry of source of WealthiSource of Goods Funds? . Business Owner 7 Salary/Earnings • Investment • Inheritance..Gifts Summarize Source of Wealth TI 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-0042746 CONFIDENTIAL SDNY GM_00168930 EFTA01356731