EFTA01372823.pdf

7 5 2019 1.YC Punt One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownersh Su rama r 3A. Individual Details (for all parties) Individual's Name: Richard D. Kahn Date of Birth: Country of Residence: United States Country of Citizenship: United States Has client resided outside of his/her country of nationality Yes ,° No Address of primary residence: for 5 years or more? Profession/Occupation: Accountant Tax ID / SSN: Current Employer: HBRK Associates, Inc Posibon/Teleffiank: Accountant Address of employer: 575 Lexington Ave, 4th A New York NY United States 10022 Does the person work as senior executive of a OB-recognized regulated entity in the financial ndustry? or an entity listed on a DB-recognised exchange? (Not applicable for operating entities ' Yes '''' No Is the individual a Politically Exposed Person (PEP)?(ff Yes, dernte) N/A Yes :•E No To the best of your knowledge, is the individual related to an employee of the DB group?O' : Family : friendship ''0, None Familyor Afendshlp, describe) N/A To the best of your knowledge, is the individual party to a non-banking relationship with Yes le No Deutsche Bank (e.g., external legal counsel, client referral source, supplier of goods or services)? (if Ya,desaibe) N/A Indicate where and when the client meeting(s) took place: If applicable, indicate which bank officers have met the person: Client Private Client Placed Bank Officer Name(s) Bank Office: Other Location (specify): Date: Domicile: Business: Wealth Details for this individual are not filled in, because they are the same as for the following person: 3B. Wealth Details (Only for parties requiring source of wealth description as indicated ki Section 2) Nature of the Indrvidualts Business: Primary Country of source of wealth/source af Funds? Primary industry d source of Wealth/Source of Funds? Summarize Source of Wealth: Business Owner Salary/Earnings —... Investment 1...i Inheritance/Gfts Other: Further Describe Source of Wealth /Detail the history of wealth for each of the sources: (e.g. For Mists, how did settler accumulate wealth? For inhentance, how did family accumulate wealth7For business owners, how long in business, how many employees, level of profitatelity? Indicate type of business, countries of major activities, important business partners.) Estimated Annual Income($): Estimated amount of investable assets(;): Estimated Net Worth(f): Amount of assets planned to invest with PWM(S): Other Known Financial Institutions: Institution: Country: Est. Assets Under Mgt: Institution: Country: Est. Assets Under Mgt: Institution: Country: Est. Assets Under Mgt: htips://dblomepb.my.salesforce.comiserviet/servlet.Integration?lid=01N30000000D9D4eid=5000e00001NOBxm&ic= I iliinkTokenevmpf PSxNakFcl. 3242 CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) DB-SDNY-0066710 CONFIDENTIAL SDNY GM_00212894 EFTA01372823