EFTA01372895.pdf

DataSet-10 1 page 405 words document
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7/15:2019 KYC Print One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summary 3A. Individual Details (for all parties) Individual's Name: Date of Birth: Country of Residence: Country of Citizenship: Has client resided outside of 301 East 66th st Aptatew york NY 10065 United States his/her country of nationality for yes # No Address of primary residence: 5 years or more> Profession/Occupation: Tax ID ; SSN: Current Employer: Positionifitle'Rank: Address of employer: Does the person work as senior executive of a 06-recognized regulated entity in the financial ndusby> or an entity fisted on a DO-recognised exchange> (Not applicable for operating entities . Yes I No Is the individual a Politically Exposed Person (PEP)?(i Yet; dente) Yes I. No To the best of your knowledge, Is the individual related to an employee of the DB group-YrFamfee 1 Family i : Friendship ire. None a - Friendship, desofbe) To the best of your knowledge, is the individual party to a non-banking relationship wth Deutsche u it No Bank (e.g., edema! legal counsel, client referral source, supplier of goods or serinces)70/ Yes Yesdesolbe) Indicate where and when the dent mceting(s) took place: If applicable, indicate which bank officers have met the person: Client Private Client Place of Bank Officer Name(s) Bank Office: Other Location (specify): Date: Domkile: Business: (3 1.3 Wealth Deets for this Individual are not filled in, because they are the same as for the following person: 38. Wealth Details (Only for parties requiring source of wealth description as indicated in Secton 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: • . Business Owner Salary/F-amings . Investment • Inheritance/Gifts Other: Further Describe Source of Wealth /Detail the history of wealth for each of the sources: (e.g. For trusts, how did settlor 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, countries of major activities, important business partners.) Estimated Annual Income(S): Estimated amount of investable assets(S): Estimated Net Worth($): Amount of assets planned to invest wth PWM($): Other Known F. anal Institutions: Institution: Country: Est. Assets Under Mgt: Institution: Country: Est. Assets Under Mgt: Institution: Country: Est. Assets Under Mgt: https://dbforcepb.my.salesforce.comiserviet,servlet Integration?'id =01N30000000D9Di&eici.5003200001EHPpb&o=1edinkToken=VmpFPSxNakF4T 14.43 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0066800 CONFIDENTIAL SDNY GM_00212984 EFTA01372895
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941fc2377e63cec23dff513baea8f68a9f59cf20465e30e3709f79eaf13c9767
Bates Number
EFTA01372895
Dataset
DataSet-10
Type
document
Pages
1

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