EFTA01380001.pdf

Deutsche Bank Wealth Management Option Agreement and Approval Form Please Complete All Sections Account Number Account Name I N4Gfoot868 . ,'Jeffrey Epstein Account Type Account Registration ICash - 1 [Individual '_.1 Managed Account 0 Discretionary Account Other Nemeth) of persontelotlwr than account owners) authorized to place orders for the account: Account and Owner Information (Provkle requested Information for each account owner (Client). Mach SuPPlenlent to this Agreement necessal4 iHwry Belier, Darren Indyke Name bl2rffrey Epstein Address :coney k.Little Saint James, St Thomas Phone Number Number of Dependents Marital Stews IVIrgIn Islands, US Birthdam r-- I9 40) 776.2625 • l'e Single 01120/1953 lEmployer Otretheaa Phone Number Southern Financial LLC 1 Rum ns-zszts Business Address 15100 Red Hook Quarter, 83, St Thomas, Virgin Islands, USVI 00802 lype of Business Position YearsHeld F inance Present Brokerage Accounts with 1 [President __j 3446I gat_ Does the indlviduet or entity that controls this account have the power to control any other Option Account(*) with Deutsche Bank Securities Inc.? V. Yes H No Ilse& oleos' prokede the account numberfaX see attached list Client(s) Financial Information Aeoreemare A99109(46 Annual Income Sources of Ircomo (Approximate) TApproximate Aggregate Net Worth of Account Cvner(s) from Al Sources Less than $60,000 Selery/Bonus tfit Apra/note Net Vihrth Liquid Net Worth Excluding Principal Residence LI $30.000 -S99.999 InterestrDividends O Less than S50.000 O Less than $50,000 0 souse - $249,919 Other( ernel* U S250,000 - 3499.999 o ssesoo- $99,999 o $64000- 399,999 O 3500,000- $999,999 O $104000-$249,999 O $104000- S249,999 o SI•000.000 - S2.499,999 % I O $250,000 - 5499.999 o 3250.000 - 3499.999 $2.504000 - 34.999.999 _94 5600,000-3999,999 0 ssoaoco -5999,999 Ri 55.000.000 and over O 51.000,000- 52.499.999 O sLooaroo -32499.999 o SES00,000 - SA.999.999 o assure -S4,999.999 SS.003.000 and over 55.004000 and over • 'Deutsche Bank^ moans Deutsche Bade AG and its aff Slated compan,es. Deutsche Bank Wealth Management represents the wealth management activities condor-led by Deutsche Bank AG or ds subs•diarres. Clients are provided Deutsche Bank Wealth Management products or services by one or more legal entities that zee identtreo S to clients pursuant to the contract% agreements. oftenng materials ot ether documentation relevant to such products or services &Owns servicesere offered ;Menge) c ieS Deutsche Ban< SecuritiesInc- a brokerdealer and registered investment advises which conducts securities zetivites in the United States. Deutsche Bank Securities Inc awn, c is a member of CINRA NYSE and SIPC. Bethune and lexicang services are offered through Deutsche Bar* Trust Company Americas, member FDIC. and eche( members or the Deutsche Bank Gram EMS' C wM189768 010721.05101B Page t of 4 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0078045 CONFIDENTIAL SONY GM_00224229 EFTA01380001