EFTA00165675.pdf

Deutsche Asset & Wealth Management DBTCA Deposit Account Opening Application Private Wealth Premium"' Pnvate Wealth Pretniur sM Private Wealth Premium"' Elite Personal Accounts Elite Business Accounts Banking Services ❑ Checking Acct. • ❑i Checking Acct. # ❑ Consumer Debit Card a ❑ Elite Checking with Interest ❑ Elite Checking with Interest ❑ Joint Applicant Debit Card Acct. if Acct. APY APY ❑ Business Debit Card # ❑ Elite Money Market Deposit Elite Money Market Deposit Acct. It Acct. # ❑ Deluxe Checkbook Style if APY APY ❑ Certificate of Deposit ❑ Certificate of Deposit O Name Only Acct. if Acct. If ❑ Name and Address APY APY Term Term ❑ Duplicate Statement Addr ❑ OB AG NY Preferred ❑ 08 AG NY Preferred Certificate of Deposit Certificate of Deposit City Acct. 4 Acct. N State Zip Code APY APY ❑ Mailing address Of different) Term Term Name Promo term Promo term Addr (OBTCA deposit account required. (DBTCA depoStt aCODunt required. done with a DB AG Preferred Terms along with a 08 AG Preferred Terms City arid Conditions) end Conditions) State Zip Code Private•Weahh PremiumTM ❑ Cash Master Sweep Account Interact Banking Services Checking Acct. if R OB Private Wealth Online Plus link to Existing Online Relationship Elite Money Market Deposit Acct. # ❑ APY (UserlCo. ID Number) Target Amount Trigger Amount Client Relationship ❑ Individual Account ❑ Custody under NY UTMA ❑ Corporation Joint Tenants with Right ❑ Foundation ❑ Limited Liability Company of Survivorship ❑ Joint Tenants in Common ❑ Non-Profit Organization ❑ Partnership ❑ In Trust For/Payable on ❑ Attorney Trust Escrow ❑ Limited Liability Partnership Death/As Trustee for ❑ Trust ❑ Landlord Master Escrow ❑ Estate 13.AWM-0101 NAOSOD00014541-000102935 013959.0326t3 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001417 EFTA_00014891 EFTA00165675  Account Title and Joint Application Information The Haze Trust Name of Account Tale Joint Applicant (lam name, first name, middle initialtor Business (last name. first name. middle initial; Social Security Number or Taxpayer ID Number Social Security Number or Taxpayer ID Number 6100144.600k %attar B3 Address Address ..S.L.ThemalL - U.S. Virgin 001102 City, State and Zip Code City. State and Zip Code Home Telephone Number Nome Telephone Number !Less elepnone Business Telephone Number tie Of Birth One of Birth Nome of Employer Name of Employer Address Address Net applicable City. State and Zip Code City. State and Zip Cod. Notice of Customer Identification Policy Important Information To help the government fight the funding of terrorism and money laundering activities, Federal law requires 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 certificate of formation or good standing (legal entities) or a passport or other photo identification (individuals). 3rd EU Notice Governmental rules have also broadened the scope of the Bank's obligations to aid in the fight against money laundering and terrorist financing: those rules cantor an active involvement of both asset management firms and their clients. For new and existing clients we currently have a legal obligation to ask our customers questions regarding their 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.monoy laundering requirements require that should any of the above personal or institutional information change. our clients would be obliged to immediately notify us of the chancels) and provide us with relevant documentation to verily these changes. Telephone, Facsimile or Email Instructions By signing below, you agree that from time to time you may give instructions by telephone. facsimile or email regarding the above captioned account(s) (defined heroin as "Verbal instructions"). It is understood that the risk of Verbal Instructions being given by person or persons purported to be you is your own. Absent the gross negligence or willful misconduct of Deusche Bank Trust Company Americas (08TCA), you agree to indemnify and hold harmless DBTCA to: any claims, losses. expenses, costs or attorneys' fees resulting from DBTCA's acting upon such misunderstood and unauthorized Verbal Insuuctions. Yeu uoderstand that DBTCA may. but shall not be required to, seek verification of your verbal, facsimile or email instructions by call back. In case of doubt. DBTCA may in its sole discretion refuse to execute your Verbal Instructions or any part thereof, without incurring any liability. DBTCA is under no obligation to execute your Verbal Instructions to transfer funds or securities to any account(s) without written instructions bearing your original signature. Joint Account Disclosure You have opened a joint account with DBTCA and acknowledge receipt of the following information: This deposit and any additions to the account snail become the property of each owns: as joint tenants, and DB ICA may release the entire account to ahy owner during the lifetime of all owners. DBTCA may honor checks. orders or withdrawal requests from any owner during the lifetime of all owners The Bank may be required by service of legal process to remit funds held in the joint account to satisfy a Judgment entered against. Or other valid debt incurred by. any owner of the account. DBTCA may bOrier checks, orders or withdrawal requests from the survivor(s) after the death of any owner(s) and may treat the account as the sole property of the survivor(s) after the death of any ownerls) Unless MICA receives written notice signed by any owner not to pay or deliver any joint deposit or addition or accrual. OBTCA shall not be liable to any owner for continuing to honor checks, orders or withdrawal requests from any owner. After the receipt of the notice referred to in the previous sentence. DBTCA may require the written authorization of any or all joint owners for any further payments or deliveries. 2 13-AWM-0101 013359.032013 CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001418 EFTA_000 14892 EFTA00165676  ATM/Debit Service You agree that the retention or use of the ATM/Debit card constitutes acceptance of the terms and conditions of the Cardholder Agreement contained in the Terms and Conditions of Deposit Accounts. Internet Banking Service If you have selected to receive Internet Sinking Services, you understand that you will be required to enter ir.tn a separate Internet Banking Services Agreement with DBTCA betel(' you can access the Internet Banking Service. Acknowledgement of Receipt of Privacy Notice By signing below, you acknowledge receipt of DBTCA's Privacy Notice included in the Application Package. 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 duties applicable to you in any relevant jurisdictions that may arise in connection with assets, income or transactions in your account(s) and your business relationship with D8TCA. Non-US Organizations: Confirmation of Tax and Compliance Responsibilities. You confirm that it is your responsibility to fulfill any tax obligations and any other regulatory reporting duties applicable to it in any relevant jurisdictions that may arise in connection with assets, income or transactions in your accounts) and your business relationship with DBTCA. Furthermore. you confirm that the necessary information (to the best of your knowledge and capabilities) is made available no less than annually to the relevant beneficial owner(s), senior(s). benefiCiary(ies), panner(s), etc. to enable him/her/ them to fulfill any respective tax obligations that may arise for hirn/hed 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 to this Application and agree to be bound by them. In addition, you agree to notify immediately of any material change to the information provided by you on this Application. You represent and agrri-mthet all of the infer lion provided by you on this Application is accurate. • The Terms and Conditions for 0 Accoui -- t to change. Acceptance You understand that this se [ration is subject to a xgptance by OBTCA. / / .0NeeekintiiielderliPS.PWW 0Wcr 0 . . qi vcosewed Acs-aix•eItS "Ne.wW, IISC . 4 • ‘•• rgze tNattoe 'FferkTgatiretkle POASTA-4.40.44411 ..Tritr; go* A. V4 Cdr iCt9• • 1,1t*i& l- , ial*,-*D. ...aliZtait thi atr1/47Sitict7 Ottel f- '' Aersl';Nee—Pi icatzt../.:Le‘ A 3 13.aarvmonn 013959(O26Q CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001419 EFTA_000 14893 EFTA00165677  IN WITNESS WHEREOF, the undersigned, by and through its authorized officer, has caused this instrument to be executed on the date listed below. (FOR BUSINESS USERS) The Haze Trust Business Name/ Jetititylpallit NanielTina ) S5 Date O€UTC4E BANK TRUST COMPANY AMERICAS BY AA Cte I A.,d-C24. ' lite"( V Priv Nome 41 .14 13 — (FOR ALL OTHER USERS) Account Name Name/I-the Signature Date WM134827 2I 010186.1:40513 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001420 EFTA_000 14894 EFTA00165678