EFTA01362161
EFTA01362162 DataSet-10
EFTA01362163

EFTA01362162.pdf

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P17 P21 V15 V16 D6
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KYC Print Page 8 of 13 One sheet must be established for EACH LEGAL ENTITY in Section 2. Account Summary 3C. Legal Entity Details (For all Legal Entities) Legal Entity Name: Gratitude America 1- Private Investment F Foundation/Association r Trust F Company Type of Entity: Purpose of Entity: F Philanthropic/Charitable I,,,- r Partnership 1- Commercial Type of Entity Other Purpose of Entity (specify): Other (specify): Country of USVI Date of 4/25/2012 incorporation / incorporation/registration: incorporabon/re Address (city, street, post 6100 Red Hook Quarter, B3 St. Thomas 00802 USVI U.S. T1N/EIN: 66-0789697 code): Provide a description of the entity's organizational structure, its ownership structure and its Top Management. For trusts/foundations, include information about revocability,setbor and beneficiariessetc.: 501(c)3 foundation. Jeffrey Epstein is president, Darren Indyke is treasurer and Erika gelled-leis is Secretary Please indicate how ownership of the legal entity Is reflected: 501(c)3 foundation. Jeffrey Epstein is president, Darren Indyke is treasurer and Erika Kellerhals is Secretary P Special attention: Bearer Shares - Indicate where shares are custodied: Describe the chain from the direct owner of the entity to tie ultimate benefloal owner (if not the same persons). 501(c)3 foundation. Jeffrey Epstein Is president, Darren Indyke is treasurer and Enka Kellerhals is Secretary To the best of your knowledge, is the entity party to a non-banking relationship with Deutsche Bank (e.g. external legal counsel, client referral source, supplier of goods Yes P No gi or services)?: Describe Nature of Entity's Primary Business and Investment Activities The foundation has not yet started distnbubng funds and is gill determining what Nature of the business: endeavors they wit support. They hope to support a broad range of efforts including, put not limited to, education, science, research, etc. Countries where business is transacted: USA, USVI Number of employees: 3 3D. Wealth Profile (Only for parte requiring source of wealth description as indicated in Section 2) Provide Evidence of Corporate Assets (e.g. balance sheet or equivalent summary of assets/liabilities): The foundation is to be funded by Jeffrey Epstein Estimated gross receipts p.a.($): Estimated net profit pa. ($): Estimated investable assets ($): $2 MM • 5 MM Potential Amount to be invested with PWM ($): 200,000.00 Other Known Fnancial Institutions: Institution: Country: Est. Assets Under Mgt: Institution: Country: Est. Assets Under Mgt: Institution: Country: Est. Assets Under Mgt: https://dbforcepb.my.salesforce.com/servlet/servIeLlutegration?lid=01N30000000D9Di&e... 8/10/2015 CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) DB-SDNY-0051477 CONFIDENTIAL SDNY_GM_00197661 EFTA01362162
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EFTA01362162
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DataSet-10
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document
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