EFTA01387988.pdf

One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summary 30. Individual Details 'or all part es. Individual's Name: Date of Birth, Country of Residence Country of Ofizensho Has client resided out sce of his/her country of Address of primary nationality for 5 years or Dyes!. No residence- more? Professor , Occupat ion N A Tax ID .' SSN Current Employer: N A Position/Title' Rank NSA 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-ratogn iced exchange? (Not ElYes tri No pplicable for operating entities Is the individual a Politically Exposed Person (P€P))?(if Yes, describe) N/A O Yes ..Al r No To the best of your knowledge, is the individual related to an employee of the DB O Family O Friendship P1None groupWit Family or Friendship, describe) NIA To the best of your knowledge, lathe individual party to a non-banking relationship with Deutsche Bank (e.g., external legal counsel, client referral ID Yes .w" 4 No source, supplier of goods or services)?(if Yes,describe ) NIA 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 of Business Other Location (soecityi Date Domicile: O ❑ O • O O D O O nWealth Details for this individual are rot filed ri because they are the Sate as for the following person. 38. Wealth Details (Only for parties recur, ng source of weaTh oescroticr as rad cated 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: DBusness Owner O Salary/Earnings • Investment LiInhentance/Gifts JOther. CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0091290 CONFIDENTIAL SDNY GM_00237474 EFTA01387988