EFTA01356209.pdf

KYC Print Page 10 of 22 One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar 3A. Individual Details 'or all parties) Individual's Name: Erika Kellerhals- Date of Birth. Country of Residence: USA Country of Otizef• sh o Address of primary 9100 Port of Sale Mall. Ste IS S: Thomas 00802 residence: Profession/ Occupation: Atto"ey Tax D SS4 Current Employer: Kellerhals Ferguson )(goblin PLLC Position/Title/Rank: Address of employer: 9100 Port of Sale Mall. Ste 15 St. Thomas VI United States 00802 w Is the individual a Politically Exposed Person (PEP)flif Yes, describe) OYes ..4 No To the best of your knowledge, is the individual related to an employee of the DB E iFamily O Friendship I'd. Noee groupWif Family or Friendship, describe ) To the best of your knowledge, is the individual party toe non-banking ❑ Yes RI No relationship with Deutsche Bank (e.g., external legal counsel. client referral source, supplier of goods or services)7(if Yes,describe ) If applicable, indicate which bank officers have met Indicate where and when the client meeting(s) took place: the person: Client Client Place Bank Officer Name(s) Bank Office Private Other Location (specify) Date of Business: Domicile: O O O O O O O O O • Wealth Details for this Individual are not filled in, because they are the same as for the following person: 36. Wealth DetaNs (Only for parties requiring source of wealth description as indicated in Section 2) Nature of the Individual's Business: Summarize Source of Wealth: O Bailees Owner O Salary/Earnings OInvestment O inhentancei G,fts Liother 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 o' profitability? Indicate type of business, countries of m jor activities. important business partners.) Estimated Annual Income Estimated amour: of nvesfatie assets(S) (S): Estimated Net Worth(5). Amount of assets planned to invest with PWM(S) Other Known Financial Institutions: https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid IN30000000D9Di&e... 1/11/2018 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0041919 CONFIDENTIAL SDNY_ GM_00188103 EFTA01356209