EFTA01387995.pdf

One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar 3A. Individual Details (for all parties) Individual's Name: 00000565313 Date of Birth. Country of Residence- United Sates Country of afar sh 0 &tee Saes Has client resdeo oo:sioe of his/her country of Address of primary Yes V No nationality for 5 years or 0 residence- more? Professon' Occupation. N A Tax D SSN Current Employer: Poston Tt.e Ra^4 N A Address of employer: N A Does the person work as senior executive of a DB-recognized regulated entity in he financial Industry? or an entity listed on a OB-recognised exchange? (Not 0Yes tri No callable for operating entities sr No ..41 Is the individual a Politically Exposed Person (F£P)?(11 Yes, desaibe) N/A 0 Yes To the best of your knowledge, lathe individual related to an employee of the DB 0Family 0 Friendship g None group?(if Family or Friendship, dewily) NIA To the best of your knowledge, is the Individual party to a non-banking relationship with Deutsche Bank (e.g., external legal counsel, client referral ❑0 Yes 10 No source, supplier of goods or services)7(d Yes,deseribe ) N/A If applicable. indicate which bank officers have met Indicate where and when the client meetings) took place the person. Client Client Place Bank Officer Name(s) Bank Office Private Other Location (specify! Dare of Business Domicile o • 0 • 0 0 D 0 0 L....iWealth Details for this individual are not filed n because they are :he same as for :he following person. 35. Wealth Details (Only for parties reowr ng source of wea :h oescr.pticr as tad ceed in Section 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: 0 Budnaas Owner 0 Salary/Earnings • Investment Li Inhentance/Ofts 0 Other: CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0091300 CONFIDENTIAL SONY GM_00237484 EFTA01387995