EFTA00169122.pdf

Ltutsche Asset • & Wealth Management DBTCA Deposit Account Opening Application Private Wealth PremiumP4 Private Wealth Premiumim Private Wealth Premi Elite Personal Accounts Elite Business Accounts Banking Services O Checking Acct. • Checking Acct. O Consumer Debitard O Elite Checking with Interest O Elite Checking with Interest O Joint Applicant (.obit Card a Acct. N Acct. N APY APY O Business Debit C:rd O Elite Money Market Deposit 0 Elite Money Market Deposit Acct. Acct. O Deluxe Checkbot Style I/ APY APY O Certificate of Deposit ❑ Certificate of Deposit O Name Only Acct. It Acct. 0 ❑ Name and A :kfress APY APY Term Term O Duplicate Statem .nt Addr ❑ DB AG NY Preferred O DB AG NY Preferred Certificate of Deposit Certificate of Deposit City Acct. N Acct. N State Zip Code APY APY O Mailing address ( 1 different) Term Term Name Promo term Promo term Add, f0BTCA deposit account required, (DBTCA deposit account required, along wen a DB AG Preferred Terms along with a D8 AG Profaned Terms City and Conditions] and Conditions( State Zi Code Private Wealth Premiums" O Cash Master Sweep Account Internet Banking Services Checking Acct. N ~iDB Private Wealth Online Plus Elite Money Market Deposit Link to Existing Online Relationship Acct. N )0.3(-) (User ColiD Number) APY Target Amount Trigger Amount Client Relationship o Individual Account ❑ Custody under NY UTMA O Corporation O Joint Tenants with Right O Foundation O Limited Liability C::mparty of Survivorship El Joint Tenants in Common ❑ Non-Protit Organization O Partnership O In Trust For/Payable on O Attorney Trust Escrow O Limited Liability P. irtnership Death/As Trustee for O Trust O Landlord Master Escrow ID Estate 13AWM4)101 NAOSO00001S6 S0400105135 013914032613 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) 16/490-btlig505 EFTA_000 19375 EFTA00169122  Account Trite and Joint Application Information Butterfly Trust Name of Account Title Joint Applicant last name first name, middle mitten or Business (last name, first name, middle initial) Social Security Number or Taxpayer ID Number Social Security Number or Taxpayer ID Number 6100 Red Hook_guarlar 83 Address Address _St. Thomas klaYlipisials.00802 City. State and Zip Code City. State and Zip Code • Ho Home Telephone Number Business Telephone Number Business Telephone Number Owe of Binh Date of Birth Name of Employer Name of Employer Address Address Not aoplIcable City. State and Zip Code City. State and by Cede Notice of Customer Identification Policy Important Information To help the government fight the funding of terrorism and money laundering activities, Federal law require; all finsncial institutions to obtain, verify, and record information that identifies each person who establishes an account investment or other business relationship with a financial institution. this means that we will ask for your name, address. and other information that will allow us to identify you. We may also ask to see identifying documents such as a cart ':cate of formation or good standing (legal entities) or a passport or other photo identification (individuals). 3rd EU Notice Governmental roles have also broadened the scope of the Bank's obligations to aid in the light against mo ley laundering and terrorist financing: these rules call for an active involvement of both asset management firms and thee client). For new and existing clients we currently have a legal obligation to ask our customers questions regarding the r identities, addresses, source of funds and, if necessary, legal representatives, authorized signatories, beneficial owne - i or control structures and to collect requisite documentation to substantiate the information. Also. enhanced anti•mor riy laundering requirements require that should any of the above personal or institutional information change. our clients .vould be obliged to immediately notify us of the changels) and provide us with relevant documentation to verify the.: changes. Telephone, Facsimile or Email Instructions By signing below, you agree that from time to limo you may give instructions by telephone, facsimile or en I ail regarding the above captioned account(s) (defined herein as "Verbal Instructions") It is understood that the risk of VI :bal Instructions being given by person or persons purported to be you is your own. Absent the gross negligent n or willful misconduct of Deusche Bank Trust Company Americas (DBTCA). you agree to indemnify and hold harmlesi.DOTCA for any claims. losses, expeosos. costs or attorneys' fees resulting from OBTCA's acting upon such misundeJS•tod arid unauthorized Verbal Instructions. You understand that DBTCA may. but shall not be required to, seek verifi :atinn 01 your verbal, facsimile or email instructions by call back. In case of doubt, DBTCA may in its sole discretion relus i to execute your Verbal Insrrucdnns or any part thereof, without I xurring any liabiity. OBTCA is under ne ebegation to execute your Verbal Instructions to transfer funds or securities to any account(s) without written instructions bearing yon • original signature. Joint Account Disclosure You have opened a pint account with DBTCA and acknowledge receipt of the following information: This c 'posit and any additions to the account shell become the prooeny of each owner as joint tenants, and DBTCA may release the entire account to any owner during the lifetime of all owners. DBTCA may honor checks, orders or withdrawal ref nests Imm any owner during the lifetime of all owners. The Bank may be required by service of legal process to remit kinds held in the joint aecount to satisfy a judgment onteied against. nr other valid debt Incurred by, any owner of the ac vunt. DBTCA may honor checks, orders or withdrawal requests from the survivors) after the death of any owner(s) and r -ay treat the account as the sole property of the survivorisl after the death of any owner(s). Unless DBTCA receives writs sn notice signed by any owner not to pay or deliver any joint deposit or addition or accrual. DBTCA shaN not be liable •-ci any owner for continuing to honor checks, orders or withdrawal requests from any owner. After the receipt of the noti.:a referred to in the previous sentence. OBTCA may require the written authorization of any or all joint owners for any fur -ler payments or deliveries. 2 11PWW010; 013959.032613 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) tiCiltS90-0)88506 EFTA_000 19376 EFTA00169123  ATM/Debit Service You agree that the retention cc use of the ATM/Debit Card constitutes acceptance of the terms and condil ms of the Cardholder Agreement contained in the Terms and Conditions of Deposit Accounts. Internet Banking Service It you have selected to reserve Internet Banking Services, you understand that you will be required to soh into a separate Internet Banking Services Agreement with DBTCA before you can access the Internet Banking S trvite. Acknowledgement of Receipt of Privacy Notice By signing below, you acknowledge receipt of DINCA's Privacy Notice included in the Application Packajii. Non-US Individuals: Confirmation of Tax and Compliance Responsibilities. You confirm that it is your responsibility to fulfill any tax obligations and any other regulatory reporting du :es applicable to you in any relevant jurisdictions that may arise in connection with assets, income or transactions in ym r account(s) and your business relationship with DBTCA. Non-US Organizations: Confirmation of Tax and Compliance Responsibilii ies. You confirm that it is your responsibility to fulfill any tax obligations and any other regulatory reporting du 113s applicable to it in any relevant jurisdictions that may arise in connection with assets. income or transactions in your i :count(s) and your business relationship with DBTCA. Furthermore, you confirm that the necessary information (to the t ust of your knowledge and capabilities) is made available no less than annually to the relevant beneficial owneqs), se' SorlS), beneficiaryties), partneqs), etc. to enable him/her/ them to fulfill any respective tax obligations that may al re for him/her/ them in connection with your business relationship with DBTCA. Please complete and attach separate W-8 or W-9 documentation as applicable. Terms and Conditions and Representations By signing below, you acknowledge receipt of the Terms and Conditions for Deposit Accounts attached tc this Application and agree to be bound by them. In addition, you agree to notify us immediately of any materii I change to the information provided by you on this Application. You represent and warrant that all of the information provided by you on this Application is accurate. The Terms and Conditions for Deposit Accounts are subject to change. Acceptance You understand that this apoficat. -is su apiaries by DBTCA Eiosso,.41.4iiirioktipaT )1111:44/liimi 9/Z-1/ 201) :c.lisirianciorint.HoldsO,SigeaurCe 11:004. ,.WWL nivii131/0710.101312r rir.4:7 kW! . NerneAapiWae/Sliaa, . se. tze ;ca. Nue- ' 't>rigirrazXa i-4*-Ziasda.74:;:r472‘. 14c. Owe r AN.? pricc sw (135(4‘ istR" Etihke. IMEMONSIWkragiipStMaitt",,, mgri&APATIVrialnkrt-' I , .. 1O13.mlSt- ., ,61 ,N .:;;: n. " teVtAierac,.‘ II54" te lay rTIR-`4‘..yrg-' CAccem Cr" cri 46> f..?; S z f 'amen e• i t Attc-tg* it 'vekai,ve';•/..wfafr. p5*-,,Rem .ts- / ,;k.,)kie k.trvg;istk-...povir-;t , NOC, A - igi tiritanenfeaf At a 3 13-AWIA.0101 01393$ 032613 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) Laa6O-M507 EFTA_000 19377 EFTA00169124  IN WfTNESS WHEREOF, the undersigned. by and through its authorized officer, has caused this int trurnant to be executed on the date fisted below. [FOR BUSINESS USERS' Butterfly Trust Muness...etfte Dairen Indykel Trustee Richard KahnfTnrstrai. 'Name/Dee k t( 29 61•Uladi Skti, • DEUTSC BANK TRUST COMPANY AMERICAS • [FOR ALL OTHER USERS) Account Name Name/11Oe Signature Date 9991134667 21 010198 000613 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DS 60-8000508 EFTA_000 19378 EFTA00169125