📄 Extracted Text (1,566 words)
T
Orutsche Asset /MO'. TA (o 9L100
& Wealth Management
DBTCA Deposit Account Opening Application
Private Wealth Premiums"' Private Wealth Premium TM Private Wealth Premi .:mTm
Elite Personal Accounts Elite Business Accounts Banking Services
O Checking Acct. 8 0 Checking Acct. 0 Consume( Debit Card
VMS -4O(o Co
O Elite Checking with Interest Elite Checking with Interest O Joint Applicant (iebit Card II
Acct. N Acct.
APY APY Business Debit Card N •
0
O Elite Money Market Deposit Elite Money Market Deposit
Acct. 0 Acct. N 0203 c-CS2, Deluxe Checkboi Style
APY APY
O Certificate of Deposit 0 Certificate of Deposit ❑ Name Only
Acct. Acct. N O Name and A :Idress
APY APY
Term Term O Duplicate Statem
Addr
O DB AG NY Preferred DB AG NY Preferred
Certificate of Deposit Certificate of Deposit City
Acct. I Acct. State E p Coda
APY APY Ei Mailing address ( I different)
Term Term Name
Promo term Promo term
Addr
(DBTCA deposit account required. (DBTCA deposit account required,
along writ. a DB AG Prefened Terms along with a D8 AG Preferred Terms City
and Conditions) and Conenionsf State Zi Code
Private Wealth Premiumn. 0 Cash Master Sweep Account
Internet Banking Services Checking Acct.
gc ..DB Private Wealth Online Plus Elite Money Market Deposit
01 Link to Existing Online Relationship Acct.
APY
l4Peillo
r .V (Number) Target Amount
Trigger Amount
Client Relationship
❑ Individual Account O Custody under NY UTMA ❑ Corporation
❑ Joint Tenants with Right O Foundation ❑ Limited Liability C::mpary
of Survivorship
❑ Joint Tenants in Common O Non-Profit Organisation O Partnership
❑ In Trust For/Payable on O Attorney Trust Escrow O Limited Liability Pi innership
Death/As Trustee for
O Trust O Landlord Master Escrow
O Estate
13.AWM4101
NAOSOD0001S6 S0400105135
0139!5.037613
SDNY_GM_00038646
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001470
EFTA (()149255
EFTA01283024
Account Title and Joint Application Information
Butterfly Trust
Name of Account Tele Joint Applicant
(last name, first name, middle initial) or Business test name. first name, middle initial
2686397/1
Social Security Number or Taxpayer ID Number Social Searity Number or Taxpayer ID Number
6100 Red floctitchriNer
Address Address
_SL.Thomas U.S. Virgin Islekol)802
City. State and Zip Code City. State and Zip Code
2.(2) q - 13ct‘, 1.3tio")
Nome Teleph e Number Home Telephone Number
2- ctil I3o
Business Telephone umber Business Telephone Number
27fdec2O06
Date of Birth Date of Birth
Name of Employer Name of Employer
Address Address
Not applicable
City. State end Zip Code City. State and Zip Code
Notice of Customer Identification Policy
Important Information
To help the government fight the funding of terrorism and money laundering activities, Federal law requirt all financial
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 corn '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 fight against moo lay laundering
and terrorist financing; these rules call for an active involvement of both asset management firms and thou' clients. 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 owners; or control
structures and to collect requisite documentation to substantiate the information. Also, enhanced anti-mor iry laundering
requirements require that should any of the above personal or institutional information change, our clients .vould bo
obliged to immediately notify us of tho change(s) and provide us with relevant documentation to verify the:.a changes.
Telephone, Facsimile or Email Instructions
By signing below, you agree that from time to time you may give instructions by telephone, facsimile or en oil regarding
the above captioned account(s) (defined herein as "Verbal Instructions") It is understood that the risk of VI tat
Instructions being given by person or persons purported to be you is your own. Absent the gross negligent r, or willful
misconduct of Dousche Bank Trust Company Americas (DBTCA), you agree to indemnify and hold harmless DBTCA for
any claims, losses, expeosns. costs or attorneys' fees resulting from OBTCA's acting upon such misundersood and
unauthorized Verbal instructions. You understand that DBTCA may. but shall not be required to, seek verifi :stint .31 your
verbal, facsimile or email instructions by call back. In case of doubt. DBTCA may in its sole discretion fetus 3 to execute
your Verbal Instrucdnns or airy pert thereof, without incurring any liability. OBTCA is under ne &legation to axoeute your
Verbal Instructions to transfer funds or securities to any account(s) without written instructions bearing yet r original
signature.
Joint Account Disclosure
You have opened a joint account with DBTCA and acknowledge receipt of the following information: This c 'posit and any
additions to the account shell become the prooeity of each owner as joint tenants, acid DBTCA may ideas( the entire
account to any owner during the lifetime of all owners. DBTCA may honor checks. orders or withdrawal rei nests from
any owner during the lifetime of all owners. The Bank may be required by service of legal process to remit iiinds held in
the joint account to satisfy a judgment onteied against, nr other valid debt Incurred by, any owner of the ac, zount. OBTCA
may honor checks, orders or withdrawal requests from the survivor(s) after the death of any owner(s) and r •ay treat the
account as the sole property of the survivor(s) after the death of any owner(s). Unless MICA receives writs In notice
signed by any owner not to pay or deliver any joint deposit or addition or acorual. DBTCA shall not be liable lo any owner
for continuing to honor checks, orders or withdrawal requests from any owner. After the receipt of the noti.:3 referred to
in the previous sentence. DBTCA May require the written authorization of any or all joint owners for any fur ler payments
or deliveries.
2 iSawhi.010t
013356.032613
SDNY_GM_00038647
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001471
EFTA_00 I 49256
EFTA01283025
ATM/Debit Service
You agree that the retention or use of the ATM/Debit card constitutes acceptance of the terms arid condit ms of the
Cardholder Agreement contained in the Terms and Conditions of Deposit Accounts.
Internet Banking Service
If you have selected to receive Internet Banking Services, you understand that you will be required to *Ent into n
separate Internet Banking Services Agreement with DBTCA before you can access the Internet Banking S
Acknowledgement of Receipt of Privacy Notice
By signing below, you acknowledge receipt of DBTCA's Privacy Notice included in the Application Packat
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:As applicable
to you in any relevant jurisdictions that may arise in connection with assets. income or transactions in yot r account(s)
and your business relationship with (MICA
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 'MS applicable
to it in any relevant jurisdictions that may arise in connection with assets, income or transactions in your i tcount(s) and
your business relationship with DBTCA Furthermore, you confirm that the necessary information (to the [1st of your
knowledge and capabilities) is made available no less than annually to the relevant beneficial owner(sl. se' Sorts},
bentificiarylies). partnet(s). etc. to enable him/her/ them to fulfill any respective tax obligations that may ai ie for him/herr
them in connection with your business relationship with OBTCA.
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 u this
Application and agree to be bound by them. In addition, you agree to notify us immediately of any materit 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 ripper-at ptance by DBTCA.
,Pffife‘
,..lotrutAccbuntliolderlaSignature Dote
IneIrM 74
a.
vI
k411?-", •
it
"(Wm 1Z.A
kitie 44-MfgraPaKr 0.}
‘va SittiSi7X
Kee 4.1;t• 4Z14
rt.
friafft,„ 40 ate/
t am
5-
r itterra PSA
‘ i tt%; ltir AC?
r"!C741 friff^:,,ItSnti htq '
14, 0 13iMin,
t .`,Z. );S/AO•riOre,:
ira t
4?"
261
en ”ot
.i
...ilhaimr24 •
N
reg b • ,sfatt
13,awmOtel
013%9.032813
SDNY GM_00038648
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001472
EFTA_00149257
EFTA01283026
IN WITNESS WHEREOF. the undersigned. by and through its authorized officer, has caused this int irument to be
executed on the date listed below.
(FOR BUSINESS USERS)
Butterfly Trust
BMsoMsT:Hente
Owen Indyke! Trustee Richard KahnfTrust
Ilepeffitte.
Vir9114*CLQ°104A---
41P UM
DEUTSC i BANK TRUST COMPANY AMERICAS
Print Marne/Tale
I
I
Os
IFOR ALL OTHER USERS)
Account Nan*
Name/Title
Signature Oats
YVM i34667
21 0 tOis9 080613
SDNY_GM_00038649
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED R CRIM. P 6(e) DB-SDNY-0001473
EFTA_00149258
EFTA01283027
ℹ️ Document Details
SHA-256
a8e91819d75b05945bc9fc7146d7f570be31d64e8422c762f27e0b5742571044
Bates Number
EFTA01283024
Dataset
DataSet-10
Document Type
document
Pages
4
Comments 0