📄 Extracted Text (10,141 words)
7/15/2019
KYC Print
DB PWM GLOBAL KYC/NCA: PART A
KYC Case # : 01804531
One sheet must be established per relationship - list all accounts included
in the relationship
1. Relationship Details
Relationship Name:
Relationship Manager:
EPSTEIN, JEFFREY RELATIONSHIP:00000483290
Stewart Oldfield
New PWM Relationship
Relationship to PWM:
Existing PWM Relationship
If existing, please indicate since when the relationship exists, provide
reason for new profile and attach old profile: ***This KYC is
a periodic review for high risk remediation***
Original KYC1121946
Client Referral
How Was the Client(s)
Introduced? How long has the
RM personally known the
client?
Does Deutsche Bank pay a
retrocession or similar
compensation to a third party
for the introduction of this
relationship?
RM Prospect
Intermediary/FIM
Other Source (CIB, etc.)
Please provide details (e.g. name of referral source, how many years RM
personally has known client, etc.): Jeffrey Epstein
reached out to Stew Oldfield on 3/7/17 to have a new acct opened under Zorro
Management LLC and add two new signors to this
new acct only.
Yes
(If Yes, describe):
List all existing and new accounts involved in this relationship
Legal Entity
Account(s)
1
2
3
Account Name / Number
The Haze Trust - Deposit-
Butterfly Trust - Deposit-
The 2007 Jeffrey E. Epstein Insurance Trust #3 - Deposit-
Who is the primary contact
person for the RM? (Note: This
person needs to have signatory
EFTA01417521
rights and/or information right
for the accounts.):
Opening Date (intended/actual)
2/27/2017
1/24/2014
10/16/2013
Darren Indyke
Preferred method of
contact(indicate phone no., fax
no., e-mail address, etc.):
No
Booking Center:
New York
Status : 6. Approved
212-971-1307
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5003200001EHPpb&ic=lainkToken=VmpFPSxNakF4T1m 1/43
EFTA01417522
7/15/2019
KYC Print
One sheet must be established for each account to be opened
2. Account Ownership Summary
Account Name:
Account Manager:
The Haze Trust - Deposit
stewart oldfield
What is the purpose of the account (e.g. portfolio management, advisory
account, custody services, long-term investment, payment/expense account)?
this is a
deposit account to hold cash for the trust
Indicate from where the assets are expected to arrive?
DB Group: Same Booking Center (indicate account number):
DB Group: Other Booking Center (indicate DB location and account details):
Other Institution — (Indicate name & location):
Physical Deposits (specify cash, securities, cheques, ...):
What is the expected size and frequency of regular inflows and outflows for
the account (indicate estimated number and volume per month)?: collecting
interest on
current balance...no inflows/outflows
What is the expected volume of assets and currency for the
account approx. 90 days after opening?
What is the expected volume of assets and currency for the
account approx. one year after opening?
Does/will the client have Assets Under Management (AuM) within
DB under Eur. 3M?
21,063,409.16
21,077711.01
Yes No
Please list all parties related to the account.
For each party:
Check if a source of wealth description is required for the party.
Check the appropriate box to describe the relationship of the party to this
account (> 1 can be selected).
If none of the check boxes apply, describe the party's relation to the
account in the "Other" column.
Always describe the relationship between the parties in the last column.
Please drill down to the ultimate/underlying Beneficial Owner(s).
Legal
Entity
Description
of Source
of Wealth
required
Account
Holder
Parties
related
to this
account
EFTA01417523
Jeffrey
1
2
3
E.
Epstein
The
Haze
Trust
Darren
Indyke
Trustee:;
PIC
Owner
Settlor of
Trust /
Founder of
Foundation
Ultimate
Beneficial
Owner
Signatory
or Full
POA
Limited
POA
Financial
Intermediary
(FIM)
Currency
Currency
USD
USD
Acct. Number (if available):
Significant
Shareholder
(>=25%)NonPIC
entity
(indicate
ownership %)
Legal
Representative
Grantor/Settlor Founding
Donor
Other (please
describe other
roles and/or
indicate
relationship
between parties)
EFTA01417524
OTH:beneficiary
of The Haze
Trust;
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5003200001EHPpb&ic=lainkToken=VmpFPSxNakF4T1... 2/43
EFTA01417525
7/15/2019
KYC Print
2. Account Ownership Summary
Account Name:
Account Manager:
Butterfly Trust - Deposit
stewart oldfield
What is the purpose of the account (e.g. portfolio management, advisory
account, custody services, long-term investment, payment/expense account)?
This is a
deposit account to hold funds for the trust.
Indicate from where the assets are expected to arrive?
DB Group: Same Booking Center (indicate account number):
DB Group: Other Booking Center (indicate DB location and account details):
Other Institution — (Indicate name & location):
Physical Deposits (specify cash, securities, cheques, ...):
What is the expected size and frequency of regular inflows and outflows for
the account (indicate estimated number and volume per month)?: no inflows/-
outflows
What is the expected volume of assets and currency for the
account approx. 90 days after opening?
What is the expected volume of assets and currency for the
account approx. one year after opening?
Does/will the client have Assets Under Management (AuM) within
DB under Eur. 3M?
2.99
2.99
Yes No
Please list all parties related to the account.
For each party:
Check if a source of wealth description is required for the party.
Check the appropriate box to describe the relationship of the party to this
account (> 1 can be selected).
If none of the check boxes apply, describe the party's relation to the
account in the "Other" column.
Always describe the relationship between the parties in the last column.
Please drill down to the ultimate/underlying Beneficial Owner(s).
Legal
Entity
Description
of Source
of Wealth
required
Parties
related to
this
account
1
Karyna
Shuliak
2
EFTA01417526
3
Richard D.
Kahn
4
5
6
7
Darren
Indyke
8
Beneficiary
of Butterfly
Trust;
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5003200001EHPpb&ic=lainkToken=VmpFPSxNakF4T1... 3/43
Account
Holder
PIC
Owner
Settlor of
Trust /
Founder of
Foundation
Ultimate
Beneficial
Owner
Signatory
or Full
POA
Limited
POA
Financial
Intermediary
(FIM)
Currency
Currency
usd
EFTA01417527
usd
Acct. Number (if available):
Significant
Shareholder
(>=25%)NonPIC
entity
(indicate
ownership %)
Legal
Representative
Grantor/Settlor Founding
Donor
Other
(please
describe
other roles
and/or
indicate
relationship
between
parties)
beneficiary
of the
butterfly
trust;
beneficiary
of the
butterfly
trust;
beneficiary
of the
butterfly
trust;
beneficiary
of the
butterfly
trust;
beneficiary
of the
butterfly
trust;
Beneficiary
of Butterfly
Trust;
Beneficiary
of Butterfly
Trust;
EFTA01417528
7/15/2019
9
KYC Print
10
11
12
13
14
15
16
Estocado
Rabuyo
Butterfly
Trust
Erika
Kellerhals
Harry
Beller
Jeffrey E.
Epstein
Beneficiary
of Butterfly
Trust;
Beneficiary
of Butterfly
Trust;
Beneficiary
of Butterfly
Trust;
Beneficiary
of Butterfly
Trust;
Trustee:;
Trustee:;
grantor;
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N3BOOGOOOD9Di&eid=5093200e01EHPpb&ic=1&linkToken=VmpFPSxNakF4T1... 4/43
EFTA01417529
7/15/2019
KYC Print
2. Account Ownership Summary
Account Name:
Account Manager:
The 2007 Jeffrey E. Epstein Insurance Trust #3 - Deposit
stew oldfield
What is the purpose of the account (e.g. portfolio management, advisory
account, custody services, long-term investment, payment/expense account)?
Checking
account to hold funds for this trust.
Indicate from where the assets are expected to arrive?
DB Group: Same Booking Center (indicate account number):
DB Group: Other Booking Center (indicate DB location and account details):
Other Institution — (Indicate name & location):
Physical Deposits (specify cash, securities, cheques, ...):
What is the expected size and frequency of regular inflows and outflows for
the account (indicate estimated number and volume per month)?: no inflows/-
outflows
What is the expected volume of assets and currency for the
account approx. 90 days after opening?
What is the expected volume of assets and currency for the
account approx. one year after opening?
Does/will the client have Assets Under Management (AuM) within
DB under Eur. 3M?
259.05
259.05
Yes No
Please list all parties related to the account.
For each party:
Check if a source of wealth description is required for the party.
Check the appropriate box to describe the relationship of the party to this
account (> 1 can be selected).
If none of the check boxes apply, describe the party's relation to the
account in the "Other" column.
Always describe the relationship between the parties in the last column.
Please drill down to the ultimate/underlying Beneficial Owner(s).
Legal
Entity
Description
of Source
of Wealth
required
Parties
related to
this
account
1
The 2007
EFTA01417530
2
3
4
5
Jeffrey E.
Epstein
Insurance
Trust #3
Jeffrey E.
Epstein
Darren
Indyke
Richard
D. Kahn
grantor;
Trustee:;
Trustee:;
Account
Holder
PIC
Owner
Settlor of
Trust /
Founder of
Foundation
Ultimate
Beneficial
Owner
Signatory
or Full
POA
Limited
POA
Financial
Intermediary
(FIM)
Currency
Currency
usd
usd
Acct. Number (if available):
Significant
Shareholder
(>=25%)NonPIC
entity
(indicate
ownership %)
Legal
Representative
Grantor/Settlor Founding
EFTA01417531
Donor
Other
(please
describe
other roles
and/or
indicate
relationship
between
parties)
Beneficiary
of The 2007
Jeffrey E.
Epstein
Insurance
Trust #3;
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5003200001EHPpb&ic=lainkToken=VmpFPSxNakF4T1m 5/43
EFTA01417532
7/15/2019
KYC Print
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2.
Account Ownership Summary
3A. Individual Details (for all parties)
Individual's Name:
Country of Residence:
Address of primary residence:
Profession/Occupation:
Current Employer:
Address of employer:
Does the person work as senior executive of a DB-recognized regulated entity
in the financial
industry? or an entity listed on a DB-recognised exchange? (Not applicable
for operating entities
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe)
To the best of your knowledge, is the individual related to an employee of
the DB group?(if Family
or Friendship, describe )
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 source, supplier of
goods or services)?(if
Yes,describe )
- 00000565313
Date of Birth:
Country of Citizenship:
Has client resided outside of
his/her country of nationality for
5 years or more?
Tax ID / SSN:
Position/Title/Rank:
If applicable, indicate which bank officers have met the person:
Bank Officer Name(s)
Indicate where and when the client meeting(s) took place:
Bank Office:
Client Private
EFTA01417533
Domicile:
Client Place of
Business:
Other Location (specify):
Date:
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 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:
Business Owner
Salary/Earnings
Investment
Inheritance/Gifts
Other:
Further Describe Source of Wealth /Detail the history of wealth for each of
the sources: (e.g. For trusts, how did settlor accumulate wealth? For
inheritance, how did
family accumulate wealth?For business owners, how long in business, how many
employees, level of profitability? Indicate type of business, countries of
major
activities, important business partners.)
Estimated Annual Income($):
Estimated Net Worth($):
Other Known Financial Institutions:
Institution:
Institution:
Institution:
Estimated amount of investable assets($):
Amount of assets planned to invest with PWM($):
Country:
Est. Assets Under Mgt:
Country:
Country:
Est. Assets Under Mgt:
Est. Assets Under Mgt:
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5003200001EHPpb&ic=lainkToken=VmpFPSxNakF4T1m 6/43
EFTA01417534
7/15/2019
KYC Print
Please indicate the family situation of the individual (marital status,
other family members, etc.):
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5003200001EHPpb&ic=lainkToken=VmpFPSxNakF4T1m 7/43
EFTA01417535
7/15/2019
KYC Print
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2.
Account Ownership Summary
3A. Individual Details (for all parties)
Individual's Name:
Country of Residence:
Address of primary residence:
Profession/Occupation:
Current Employer:
Address of employer:
Karyna Shuliak - 00000489504
Does the person work as senior executive of a DB-recognized regulated entity
in the financial
industry? or an entity listed on a DB-recognised exchange? (Not applicable
for operating entities
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe)
To the best of your knowledge, is the individual related to an employee of
the DB group?(if Family
or Friendship, describe )
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 source, supplier of
goods or services)?(if
Yes,describe )
Yes No
Yes
Family
No
Friendship
None
Date of Birth:
Country of Citizenship:
Has client resided outside of
his/her country of nationality for
5 years or more?
Tax ID / SSN:
Position/Title/Rank:
If applicable, indicate which bank officers have met the person:
EFTA01417536
Bank Officer Name(s)
Indicate where and when the client meeting(s) took place:
Bank Office:
Client Private
Domicile:
Client Place of
Business:
Other Location (specify):
Date:
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 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:
Business Owner
Salary/Earnings
Investment
Inheritance/Gifts
Other:
Further Describe Source of Wealth /Detail the history of wealth for each of
the sources: (e.g. For trusts, how did settlor accumulate wealth? For
inheritance, how did
family accumulate wealth?For business owners, how long in business, how many
employees, level of profitability? Indicate type of business, countries of
major
activities, important business partners.)
Estimated Annual Income($):
Estimated Net Worth($):
Other Known Financial Institutions:
Institution:
Institution:
Institution:
Estimated amount of investable assets($):
Amount of assets planned to invest with PWM($):
Country:
Est. Assets Under Mgt:
Country:
Country:
Est. Assets Under Mgt:
Est. Assets Under Mgt:
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5003200001EHPpb&ic=lainkToken=VmpFPSxNakF4T1m 8/43
EFTA01417537
7/15/2019
KYC Print
Please indicate the family situation of the individual (marital status,
other family members, etc.):
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5003200001EHPpb&ic=lainkToken=VmpFPSxNakF4T1m 9/43
EFTA01417538
7/15/2019
KYC Print
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2.
Account Ownership Summary
3A. Individual Details (for all parties)
Individual's Name:
Country of Residence:
Address of primary residence:
Profession/Occupation:
Current Employer:
Address of employer:
Does the person work as senior executive of a DB-recognized regulated entity
in the financial
industry? or an entity listed on a DB-recognised exchange? (Not applicable
for operating entities
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe)
To the best of your knowledge, is the individual related to an employee of
the DB group?(if Family
or Friendship, describe )
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 source, supplier of
goods or services)?(if
Yes,describe )
Yes No
Yes
Family
No
Friendship
None
Date of Birth:
Country of Citizenship:
Has client resided outside of
his/her country of nationality for
5 years or more?
Tax ID / SSN:
Position/Title/Rank:
If applicable, indicate which bank officers have met the person:
Bank Officer Name(s)
EFTA01417539
Indicate where and when the client meeting(s) took place:
Bank Office:
Client Private
Domicile:
Client Place of
Business:
Other Location (specify):
Date:
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 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:
Business Owner
Salary/Earnings
Investment
Inheritance/Gifts
Other:
Further Describe Source of Wealth /Detail the history of wealth for each of
the sources: (e.g. For trusts, how did settlor accumulate wealth? For
inheritance, how did
family accumulate wealth?For business owners, how long in business, how many
employees, level of profitability? Indicate type of business, countries of
major
activities, important business partners.)
Estimated Annual Income($):
Estimated Net Worth($):
Other Known Financial Institutions:
Institution:
Institution:
Institution:
Estimated amount of investable assets($):
Amount of assets planned to invest with PWM($):
Country:
Est. Assets Under Mgt:
Country:
Country:
Est. Assets Under Mgt:
Est. Assets Under Mgt:
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5003200001EHPpb&ic=lainkToken=VmpFPSxNakF4Tm 10/43
EFTA01417540
7/15/2019
KYC Print
Please indicate the family situation of the individual (marital status,
other family members, etc.):
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5003200001EHPpb&ic=lainkToken=VmpFPSxNakF4Tm 11/43
EFTA01417541
7/15/2019
KYC Print
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2.
Account Ownership Summary
3A. Individual Details (for all parties)
Individual's Name:
Country of Residence:
Address of primary residence:
Profession/Occupation:
Current Employer:
Address of employer:
Does the person work as senior executive of a DB-recognized regulated entity
in the financial
industry? or an entity listed on a DB-recognised exchange? (Not applicable
for operating entities
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe)
To the best of your knowledge, is the individual related to an employee of
the DB group?(if Family
or Friendship, describe )
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 source, supplier of
goods or services)?(if
Yes,describe )
Date of Birth:
Country of Citizenship:
Has client resided outside of
his/her country of nationality for
5 years or more?
Tax ID / SSN:
Position/Title/Rank:
No
If applicable, indicate which bank officers have met the person:
Bank Officer Name(s)
Indicate where and when the client meeting(s) took place:
Bank Office:
Client Private
EFTA01417542
Domicile:
Client Place of
Business:
Other Location (specify):
Date:
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 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:
Business Owner
Salary/Earnings
Investment
Inheritance/Gifts
Other:
Further Describe Source of Wealth /Detail the history of wealth for each of
the sources: (e.g. For trusts, how did settlor accumulate wealth? For
inheritance, how did
family accumulate wealth?For business owners, how long in business, how many
employees, level of profitability? Indicate type of business, countries of
major
activities, important business partners.)
Estimated Annual Income($):
Estimated Net Worth($):
Other Known Financial Institutions:
Institution:
Institution:
Institution:
Estimated amount of investable assets($):
Amount of assets planned to invest with PWM($):
Country:
Est. Assets Under Mgt:
Country:
Country:
Est. Assets Under Mgt:
Est. Assets Under Mgt:
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5003200001EHPpb&ic=lainkToken=VmpFPSxNakF4Tm 12/43
EFTA01417543
7/15/2019
KYC Print
Please indicate the family situation of the individual (marital status,
other family members, etc.):
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5003200001EHPpb&ic=lainkToken=VmpFPSxNakF4Tm 13/43
EFTA01417544
7/15/2019
KYC Print
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2.
Account Ownership Summary
3A. Individual Details (for all parties)
Individual's Name:
Country of Residence:
Address of primary residence:
Profession/Occupation:
Current Employer:
Address of employer:
Does the person work as senior executive of a DB-recognized regulated entity
in the financial
industry? or an entity listed on a DB-recognised exchange? (Not applicable
for operating entities
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe)
To the best of your knowledge, is the individual related to an employee of
the DB group?(if Family
or Friendship, describe )
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 source, supplier of
goods or services)?(if
Yes,describe )
Date of Birth:
Country of Citizenship:
Has client resided outside of
his/her country of nationality for
5 years or more?
Tax ID / SSN:
Position/Title/Rank:
pplicable, indicate which bank officers have met the person:
Bank Officer Name(s)
Indicate where and when the client meeting(s) took place:
Bank Office:
Client Private
EFTA01417545
Domicile:
Client Place of
Business:
Other Location (specify):
Date:
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 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:
Business Owner
Salary/Earnings
Investment
Inheritance/Gifts
Other:
Further Describe Source of Wealth /Detail the history of wealth for each of
the sources: (e.g. For trusts, how did settlor accumulate wealth? For
inheritance, how did
family accumulate wealth?For business owners, how long in business, how many
employees, level of profitability? Indicate type of business, countries of
major
activities, important business partners.)
Estimated Annual Income($):
Estimated Net Worth($):
Other Known Financial Institutions:
Institution:
Institution:
Institution:
Estimated amount of investable assets($):
Amount of assets planned to invest with PWM($):
Country:
Est. Assets Under Mgt:
Country:
Country:
Est. Assets Under Mgt:
Est. Assets Under Mgt:
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5003200001EHPpb&ic=lainkToken=VmpFPSxNakF4Tm 14/43
EFTA01417546
7/15/2019
KYC Print
Please indicate the family situation of the individual (marital status,
other family members, etc.):
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5003200001EHPpb&ic=lainkToken=VmpFPSxNakF4Tm 15/43
EFTA01417547
7/15/2019
KYC Print
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2.
Account Ownership Summary
3A. Individual Details (for all parties)
Individual's Name:
Country of Residence:
Address of primary residence:
Profession/Occupation:
Current Employer:
Address of employer:
Does the person work as senior executive of a DB-recognized regulated entity
in the financial
industry? or an entity listed on a DB-recognised exchange? (Not applicable
for operating entities
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe)
To the best of your knowledge, is the individual related to an employee of
the DB group?(if Family
or Friendship, describe )
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 source, supplier of
goods or services)?(if
Yes,describe )
Date of Birth:
Country of Citizenship:
Has client resided outside of
his/her country of nationality for
5 years or more?
Tax ID / SSN:
Position/Title/Rank:
7/25/1994
Switzerland
Yes No
X2488823
Yes No
Yes
Family
No
Friendship
None
Yes
No
If applicable, indicate which bank officers have met the person:
Bank Officer Name(s)
Indicate where and when the client meeting(s) took place:
Bank Office:
Client Private
EFTA01417548
Domicile:
Client Place of
Business:
Other Location (specify):
Date:
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 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:
Business Owner
Salary/Earnings
Investment
Inheritance/Gifts
Other:
Further Describe Source of Wealth /Detail the history of wealth for each of
the sources: (e.g. For trusts, how did settlor accumulate wealth? For
inheritance, how did
family accumulate wealth?For business owners, how long in business, how many
employees, level of profitability? Indicate type of business, countries of
major
activities, important business partners.)
Estimated Annual Income($):
Estimated Net Worth($):
Other Known Financial Institutions:
Institution:
Institution:
Institution:
Estimated amount of investable assets($):
Amount of assets planned to invest with PWM($):
Country:
Est. Assets Under Mgt:
Country:
Country:
Est. Assets Under Mgt:
Est. Assets Under Mgt:
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5003200001EHPpb&ic=lainkToken=VmpFPSxNakF4Tm 16/43
EFTA01417549
7/15/2019
KYC Print
Please indicate the family situation of the individual (marital status,
other family members, etc.):
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5003200001EHPpb&ic=lainkToken=VmpFPSxNakF4Tm 17/43
EFTA01417550
7/15/2019
KYC Print
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2.
Account Ownership Summary
3A. Individual Details (for all parties)
Individual's Name:
Country of Residence:
Address of primary residence:
Profession/Occupation:
Current Employer:
Address of employer:
Does the person work as senior executive of a DB-recognized regulated entity
in the financial
industry? or an entity listed on a DB-recognised exchange? (Not applicable
for operating entities
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe)
To the best of your knowledge, is the individual related to an employee of
the DB group?(if Family
or Friendship, describe )
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 source, supplier of
goods or services)?(if
Yes,describe )
Date of Birth:
Country of Citizenship:
Has client resided outside of
his/her country of nationality for
5 years or more?
Tax ID / SSN:
Position/Title/Rank:
If applicable, indicate which bank officers have met the person:
Bank Officer Name(s)
Indicate where and when the client meeting(s) took place:
Bank Office:
Client Private
EFTA01417551
Domicile:
Client Place of
Business:
Other Location (specify):
Date:
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 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:
Business Owner
Salary/Earnings
Investment
Inheritance/Gifts
Other:
Further Describe Source of Wealth /Detail the history of wealth for each of
the sources: (e.g. For trusts, how did settlor accumulate wealth? For
inheritance, how did
family accumulate wealth?For business owners, how long in business, how many
employees, level of profitability? Indicate type of business, countries of
major
activities, important business partners.)
Estimated Annual Income($):
Estimated Net Worth($):
Other Known Financial Institutions:
Institution:
Institution:
Institution:
Estimated amount of investable assets($):
Amount of assets planned to invest with PWM($):
Country:
Est. Assets Under Mgt:
Country:
Country:
Est. Assets Under Mgt:
Est. Assets Under Mgt:
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5003200001EHPpb&ic=lainkToken=VmpFPSxNakF4Tm 18/43
EFTA01417552
7/15/2019
KYC Print
Please indicate the family situation of the individual (marital status,
other family members, etc.):
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5003200001EHPpb&ic=lainkToken=VmpFPSxNakF4Tm 19/43
EFTA01417553
7/15/2019
KYC Print
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2.
Account Ownership Summary
3A. Individual Details (for all parties)
Individual's Name:
Country of Residence:
Address of primary residence:
Profession/Occupation:
Current Employer:
Address of employer:
Does the person work as senior executive of a DB-recognized regulated entity
in the financial
industry? or an entity listed on a DB-recognised exchange? (Not applicable
for operating entities
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe)
To the best of your knowledge, is the individual related to an employee of
the DB group?(if Family
or Friendship, describe )
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 source, supplier of
goods or services)?(if
Yes,describe )
Date of Birth:
Country of Citizenship:
Has client resided outside of
his/her country of nationality for
5 years or more?
Tax ID / SSN:
Position/Title/Rank:
If applicable, indicate which bank officers have met the person:
Bank Officer Name(s)
Indicate where and when the client meeting(s) took place:
Bank Office:
EFTA01417554
Client Private
Domicile:
Client Place of
Business:
Other Location (specify):
Date:
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 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:
Business Owner
Salary/Earnings
Investment
Inheritance/Gifts
Other:
Further Describe Source of Wealth /Detail the history of wealth for each of
the sources: (e.g. For trusts, how did settlor accumulate wealth? For
inheritance, how did
family accumulate wealth?For business owners, how long in business, how many
employees, level of profitability? Indicate type of business, countries of
major
activities, important business partners.)
Estimated Annual Income($):
Estimated Net Worth($):
Other Known Financial Institutions:
Institution:
Institution:
Institution:
Estimated amount of investable assets($):
Amount of assets planned to invest with PWM($):
Country:
Est. Assets Under Mgt:
Country:
Country:
Est. Assets Under Mgt:
Est. Assets Under Mgt:
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5003200001EHPpb&ic=lainkToken=VmpFPSxNakF4Tm 20/43
EFTA01417555
7/15/2019
KYC Print
Please indicate the family situation of the individual (marital status,
other family members, etc.):
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5003200001EHPpb&ic=lainkToken=VmpFPSxNakF4Tm 21/43
EFTA01417556
7/15/2019
KYC Print
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2.
Account Ownership Summary
3A. Individual Details (for all parties)
Individual's Name:
Country of Residence:
Address of primary residence:
Profession/Occupation:
Current Employer:
Address of employer:
Does the person work as senior executive of a DB-recognized regulated entity
in the financial
industry? or an entity listed on a DB-recognised exchange? (Not applicable
for operating entities
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe)
To the best of your knowledge, is the individual related to an employee of
the DB group?(if Family
or Friendship, describe )
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 source, supplier of
goods or services)?(if
Yes,describe )
Date of Birth:
Country of Citizenship:
Has client resided outside of
his/her country of nationality for
5 years or more?
Tax ID / SSN:
Position/Title/Rank:
If applicable, indicate which bank officers have met the person:
Bank Officer Name(s)
Indicate where and when the client meeting(s) took place:
Bank Office:
Client Private
EFTA01417557
Domicile:
Client Place of
Business:
Other Location (specify):
Date:
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 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:
Business Owner
Salary/Earnings
Investment
Inheritance/Gifts
Other:
Further Describe Source of Wealth /Detail the history of wealth for each of
the sources: (e.g. For trusts, how did settlor accumulate wealth? For
inheritance, how did
family accumulate wealth?For business owners, how long in business, how many
employees, level of profitability? Indicate type of business, countries of
major
activities, important business partners.)
Estimated Annual Income($):
Estimated Net Worth($):
Other Known Financial Institutions:
Institution:
Institution:
Institution:
Estimated amount of investable assets($):
Amount of assets planned to invest with PWM($):
Country:
Est. Assets Under Mgt:
Country:
Country:
Est. Assets Under Mgt:
Est. Assets Under Mgt:
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5003200001EHPpb&ic=lainkToken=VmpFPSxNakF4Tm 22/43
EFTA01417558
7/15/2019
KYC Print
Please indicate the family situation of the individual (marital status,
other family members, etc.):
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5003200001EHPpb&ic=lainkToken=VmpFPSxNakF4Tm 23/43
EFTA01417559
7/15/2019
KYC Print
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2.
Account Ownership Summary
3A. Individual Details (for all parties)
Individual's Name:
Country of Residence:
Address of primary residence:
Profession/Occupation:
Current Employer:
Address of employer:
Does the person work as senior executive of a DB-recognized regulated entity
in the financial
industry? or an entity listed on a DB-recognised exchange? (Not applicable
for operating entities
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe)
To the best of your knowledge, is the individual related to an employee of
the DB group?(if Family
or Friendship, describe )
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 source, supplier of
goods or services)?(if
Yes,describe )
Date of Birth:
Country of Citizenship:
Has client resided outside of
his/her country of nationality for
5 years or more?
Tax ID / SSN:
Position/Title/Rank:
No
If applicable, indicate which bank officers have met the person:
Bank Officer Name(s)
Indicate where and when the client meeting(s) took place:
Bank Office:
Client Private
EFTA01417560
Domicile:
Client Place of
Business:
Other Location (specify):
Date:
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 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:
Business Owner
Salary/Earnings
Investment
Inheritance/Gifts
Other:
Further Describe Source of Wealth /Detail the history of wealth for each of
the sources: (e.g. For trusts, how did settlor accumulate wealth? For
inheritance, how did
family accumulate wealth?For business owners, how long in business, how many
employees, level of profitability? Indicate type of business, countries of
major
activities, important business partners.)
Estimated Annual Income($):
Estimated Net Worth($):
Other Known Financial Institutions:
Institution:
Institution:
Institution:
Estimated amount of investable assets($):
Amount of assets planned to invest with PWM($):
Country:
Est. Assets Under Mgt:
Country:
Country:
Est. Assets Under Mgt:
Est. Assets Under Mgt:
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5003200001EHPpb&ic=lainkToken=VmpFPSxNakF4Tm 24/43
EFTA01417561
7/15/2019
KYC Print
Please indicate the family situation of the individual (marital status,
other family members, etc.):
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5003200001EHPpb&ic=lainkToken=VmpFPSxNakF4Tm 25/43
EFTA01417562
7/15/2019
KYC Print
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2.
Account Ownership Summary
3A. Individual Details (for all parties)
Individual's Name:
Country of Residence:
Address of primary residence:
Profession/Occupation:
Current Employer:
Address of employer:
Darren Indyke - 00000486405
USA
Accountant
Southern Financial LLC
6100 Red Hook Quarter B3 St Thomas 00802
Does the person work as senior executive of a DB-recognized regulated entity
in the financial
industry? or an entity listed on a DB-recognised exchange? (Not applicable
for operating entities
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe)
To the best of your knowledge, is the individual related to an employee of
the DB group?(if Family
or Friendship, describe )
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 source, supplier of
goods or services)?(if
Yes,describe )
Yes No
Yes
Family
No
Friendship
None
Date of Birth:
Country of Citizenship:
Has client resided outside of
his/her country of nationality for
5 years or more?
Tax ID / SSN:
Position/Title/Rank:
If applicable, indicate which bank officers have met the person:
Bank Officer Name(s)
EFTA01417563
Paul Morris
Indicate where and when the client meeting(s) took place:
Bank Office:
Client Private
Domicile:
Client Place of
Business:
Other Location (specify):
Date:
9/6/2013
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 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:
Business Owner
Salary/Earnings
Investment
Inheritance/Gifts
Other:
Further Describe Source of Wealth /Detail the history of wealth for each of
the sources: (e.g. For trusts, how did settlor accumulate wealth? For
inheritance, how did
family accumulate wealth?For business owners, how long in business, how many
employees, level of profitability? Indicate type of business, countries of
major
activities, important business partners.)
Estimated Annual Income($):
Estimated Net Worth($):
Other Known Financial Institutions:
Institution:
Institution:
Institution:
Estimated amount of investable assets($):
Amount of assets planned to invest with PWM($):
Country:
Est. Assets Under Mgt:
Country:
Country:
Est. Assets Under Mgt:
Est. Assets Under Mgt:
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5003200001EHPpb&ic=lainkToken=VmpFPSxNakF4Tm 26/43
EFTA01417564
7/15/2019
KYC Print
Please indicate the family situation of the individual (marital status,
other family members, etc.):
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5003200001EHPpb&ic=lainkToken=VmpFPSxNakF4Tm 27/43
EFTA01417565
7/15/2019
KYC Print
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2.
Account Ownership Summary
3A. Individual Details (for all parties)
Individual's Name:
Country of Residence:
Address of primary residence:
Profession/Occupation:
Current Employer:
Address of employer:
Harry Beller - 00000487202
USA
Accountant
HBRK Associates, Inc
575 Lexington Avenue, 4th Floor Monsey NY United States 10022
Does the person work as senior executive of a DB-recognized regulated entity
in the financial
industry? or an entity listed on a DB-recognised exchange? (Not applicable
for operating entities
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe)
To the best of your knowledge, is the individual related to an employee of
the DB group?(if Family
or Friendship, describe )
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 source, supplier of
goods or services)?(if
Yes,describe )
Yes No
Yes
Family
No
Friendship
None
Date of Birth:
Country of Citizenship:
Has client resided outside of
his/her country of nationality for
5 years or more?
Tax ID / SSN:
Position/Title/Rank:
If applicable, indicate which bank officers have met the person:
Bank Officer Name(s)
EFTA01417566
Indicate where and when the client meeting(s) took place:
Bank Office:
Client Private
Domicile:
Client Place of
Business:
Other Location (specify):
Date:
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 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:
Business Owner
Salary/Earnings
Investment
Inheritance/Gifts
Other:
Further Describe Source of Wealth /Detail the history of wealth for each of
the sources: (e.g. For trusts, how did settlor accumulate wealth? For
inheritance, how did
family accumulate wealth?For business owners, how long in business, how many
employees, level of profitability? Indicate type of business, countries of
major
activities, important business partners.)
Estimated Annual Income($):
Estimated Net Worth($):
Other Known Financial Institutions:
Institution:
Institution:
Institution:
Estimated amount of investable assets($):
Amount of assets planned to invest with PWM($):
Country:
Est. Assets Under Mgt:
Country:
Country:
Est. Assets Under Mgt:
Est. Assets Under Mgt:
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5003200001EHPpb&ic=lainkToken=VmpFPSxNakF4Tm 28/43
EFTA01417567
7/15/2019
KYC Print
Please indicate the family situation of the individual (marital status,
other family members, etc.):
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?-
lid=01N30000000D9Di&eid=5003200001EHPpb&ic=lainkToken=VmpFPSxNakF4Tm 29/43
EFTA01417568
7/15/2019
KYC Print
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2.
Account Ownership Summary
3A. Individual Details (for all parties)
Individual's Name:
Country of Residence:
Address of primary residence:
Profession/Occupation:
Current Employer:
Address of employer:
Erika Kellerhals - 00000499664
USA
9100 Port of Sale Mall, Ste 15 St. Thomas 00802 United States
Attorney
Kellerhals Ferguson Kroblin PLLC
9100 Port of Sale Mall, Ste 15 St. Thomas VI United States 00802
Does the person work as senior executive of a DB-recognized regulated entity
in the financial
industry? or an entity listed on a DB-recognised exchange? (Not applicable
for operating entities
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe)
To the best of your knowledge, is the individual related to an employee of
the DB group?(if Family
or Friendship, describe )
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 source, supplier of
goods or services)?(if
Yes,describe )
Yes No
Yes
Family
No
Friendship
None
Date of Birth:
Country of Citizenship:
Has client resided outside of
his/her country of nationality for
5 years or more?
Tax ID / SSN:
Position/Title/Rank:
If applicable, indicate which bank officers have met the person:
Bank Officer Name(s)
EFTA01417569
Indicate where and when the client meeting(s) took place:
Bank Office:
Client Private
Domicile:
Client Place of
Business:
Other Location (specify):
Date:
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 in Section 2)
Nature of the Individual's Bu
ℹ️ Document Details
SHA-256
cf29d08c94dfb145d7f5cb83a28c708dc4a7745cc7e0445fcb6c010b857f30d8
Bates Number
EFTA01417521
Dataset
DataSet-10
Document Type
document
Pages
72
Comments 0