EFTA00165626.pdf

T Ltrutsche Asset Akto' (.2 etLioo • & Wealth Management DBTCA Deposit Account Opening Application Private Wealth Premium" Private Wealth Premium' Private Wealth Premi :m74 Elite Personal Accounts Elite Business Accounts Banking Services D Checking Acct. 0 Checking Acct. N O Consumer Debiti ard V2 (95 -115 Ci2 O Elite Checking with Interest ❑ Elite Checking with Interest O Joint Applicant frebit Card a Acct. N Acct. APY APY O Business Debit Ci ,rd O Elite Money Market Deposit O Elite Money Market Deposit Acct. ft Acct. 0 0113n5S -2, O Deluxe Checkboriz Style a APY Apy O Certificate of Deposit O Certificate of Deposit O Name Only Acct. N Acct. It O Name and A.: Ideas! APY APY Term Term O Duplicate Statem int Addr O DB AG NY Preferred O OB AG NY Preferred Certificate of Deposit Certificate of Deposit City Acct. N Acct. N State L p Coda APY APY D Mailing addregs I different) Term Term Name Promo term Promo term Addr (DBTCA deposit account required. (DBTCA deposit account required. along wan a 08 AG Preferred Terms along with a D8 AG Preferred Terms City and Conditions) and Conditions) State ZitrCodri Private Wealth Premium O Cash Master Sweep Account Internet Banking Services Checking Acct. II G6.0B Private Wealth Online Plus Erne Money Market Deposit O Link to Existing Online Relationship Acct. Din)(5 -0 APY (useirco ID Number) Target Amount Trigger Amount Client Relationship O Individual Account 0 Custody under NY UTMA O Corporation O Joint Tenants with Right O Foundation O Limited Liability C ny of Survivorship O Joint Tenants in Common ❑ Non.Prof it Organization O Partnership O In Trust For/Payable on O Attorney Trust Escrow O Limited Liability P, innership Death/As Trustee for O Trust O Landlord Master Escrow O Estate 13-AWM.O101 NAOSOD000156 SO-00010513S 0$39b9 032613 CONFIDENTIAL — PURSUANT TO FED. R. CRI M. P. 6(e) DB-SDNY-0001368 EFTA_000 14842 EFTA00165626  Account Title and Joint Application Information Butterfly Trust Name of Account Title Joins AM:dined eau name. first name. middle inivall or Business Best name. first name, middle initial 264639711 Social Securiry Number or Taxpayer ID Number Social Security Number or Taxpayer ID Number nee Red Nookithisnit BT Address Address ..StjhraMala U,S, Min ks10.04802 City. State and Zip Code Home Telephone Number Business Telephone ii Business Telephone Number 27Mer./2006 Date of Birth Date of Birth Name of Employer Name of Employer Address Address Not applicable City. State end Zia Code City, State end Zip Code Notice of Customer Identification Policy Important Information To help the government fight the funding of terrorism and money laundering activities, Federal taw require all financial institutions to obtain, verify, and record information that identifies each person who establishes an account investment or other business relationship with a financial institution This means that we will ask for your name, address, and edam information that will allow us to identity you. We may also ask to see identifying documents such es a ant .!catie of formation or good standing (legal entities) or a passport or other photo identification (individuals). 3rd EU Notice Governmental roles have also broadened the scope of the Bank's obligations to aid in the fight against mo ley laundering and terrorist financing: those rules call for an active involvement of both asset management firms and their clients. For new and existing clients we currently have a legal obligation to ask our customers questions regarding the e identities, addresses, source of funds and, if necessary, legal representatives, authorized signatories, beneficial owne • s or control structures and to collect requisite documentation to substantiate the information. Also, enhanced anti mor ity laundering requirements require that should any of the above personal or institutional information change, our clients ,vould be obliged to immediately notify us of the change(s) and tumide us with relevant documentation to verify the:.a changes. Telephone, Facsimile or Email Instructions By signing below. you agree that from lime to time you may give instructions by telephone, facsimile or en oil regarding the above captioned account(s) (defined herein as 'Verbal Instructions"). It is understood that the risk of VI 'bal Instructions being given by person or persons purported to be you is your own. Absent the gross negligee nor willful misconduct of Deusche Bank Trust Company Americas (DBTCA). you agree to indemnity and hold harmles t OBTCA for any claims, losses, expeosrs. costs or attorneys' fees resulting from DBTCA's acting upon such nnisunders- iiod and unauthorized Verbal Instructions. You understand that DBTCA may. but shall not be required to. seek verifi :3tinn at your verbal. facsimile or email instructions by call back. In case of doubt, DBTCA may In its sole devotion talus Ti to execute your Verbal Instrucdnns or airy pert thereof, without incurring any liability. DBTCA is under ne ebegation to axecute your Verbal Instructions to transfer funds or securities to any account(s) without written instructions bearing yot r original signature. Joint Account Disclosure You have opened a joint account with DBTCA and acknowledge receipt of the following inlormation: This c °posit and any additions to the account shell become the prOcretty of each owner ac joint tenants, and DBTCA may relent tha entire account to any owner during the lifetime of all owners. DBTCA may honor checks, orders or withdrawal re( mists nom any owner during the lifetime of all owners. The Bank may be required by service of legal process to remit li Inds held In the joint aecount to satisfy a judgment onteied against, nr other valid debt Incurred by, any owner of the at count. DBTCA may honor checks, orders or withdrawal requests from the survivor(s) after the death of any owner(s) and r • ay treat the account as the sole property of the survivor(s) after the death of any owner(s). Unless DBTCA receives writt notice signed by any owner not to pay or deliver any joint deposit or addition or avowal, DBTCA shall not be liable 'to any owner for continuing to honor checks, orders or withdrawal requests from any owner. After the receipt of the noti.:≥ referred to in the previous sentence. OBTCA may require the written authorization of any or all joint owners for any fur ter payments or deliveries. 2 11*W/4.0101 013958.032813 CONFIDENTIAL - PURSUANT TO FED. R. CRI M. P. 6(e) DB-SDNY-0001369 EFTA_000 14843 EFTA00165627  ATM/Debit Service You agree that the retention or use of the ATM/Debit card constitutes acceptance of the terms and Condit ms of the Cardholder Agreement contained in the Terms and Conditions of Deposit Accounts. Internet Banking Service If you have selected to receive Internet Banking Services, you understand that you will be required to eon into a separate Internet Banking Services Agreement with DBTCA before you can access the Internet Banking S !mice. Acknowledgement of Receipt of Privacy Notice By signing below, you acknowledge receipt of DBTCA's Privacy Notice included in the Application Packer Non-US Individuals: Confirmation of Tax and Compliance Responsibilities.. You confirm that it is your responsibility to fulfill any tax obligations and any other regulatory reporting du _es applicable to you in any relevant jurisdictions that may arise in connection with assets, income or transactions in yet r account(s) and your business relationship with DBTCA. Non-US Organizations: Confirmation of Tax and Compliance Responsibilii ies. You confirm that it is your responsibility to fulfill any tax obligations and any other regulatory reporting du '.es applicable to it in any relevant jurisdictions that may anse in connection with assets, income or transactions in yours xourills) and your business relationship with DBTCA. Furthermore, you confirm that the necessary information (to the t of your knowledge and capabilities) is made available no less than annually to the relevant beneficial owner(s), se Ilor(s), beneficiary(es), partner(s). etc. to enebte him/her/ them to fulfill any respective tax obligations that may al se for him/her/ them in connection with your business relationship with OBTCA. Please complete and attach separate W-8 or W-9 documentation as applicable. Terms and Conditions and Representations By signing below, you acknowledge receipt of the Terms and Conditions for Deposit Accounts attached a this Application and agree to be bound by them. In addition, you agree to notify us immediately of any materii I change to the information provided by you on this Application. You represent and warrant that all of me information provided by you on this Application is accurate. . The Terms and Conditions for Deposit Accounts lie subject to change. Acceptance You understand that this applicat IC — Helder:T:SitNril eo17' ; (Iwo' )ALIned iblel4 14 / 2 0 1, ';lointIriccbunt Itelder'S.Sighatuie pore' minizse.74-,"..Tnomf Ora* kNo-thiw&p.:4 ,cf-wpiolp; T4M,44.,Wargr 3. ,k '4" '26.11?7,311 •Ce One "g i t.N 0). M a VAS "rsr.t•Vele Ali:".. a -Remo • h 44n,wrkiP* avizatxtreg, iStli i ,:tt lxy.,.-" ;;:imarre-s..6.i.g.1,:•. 1:4;tr.RaWsigngd: ff/A. AVstilt otc. aracf, 13.PWM-0101 013959 032613 CONFIDENTIAL — PURSUANT TO FED. R. CRI M. P. 6(e) DB-SDNY-0001370 EFTA_00014844 EFTA00165628  IN WITNESS WHEREOF, the undersigned, by and through its authorized officer, has caused this ins trument to be executed on the date listed below. ]FOR BUSINESS USERS' Butterfly Trust IIII9enceSN0Int Darren Indyke/ Trustee Richard Kahn/'Frusta. tame/Tine: .C2-3 rj.(QP OEUTSC BANK TRUST COMPANY AMERICAS ay Print Name/Title la i Oa (FOR ALL OTHER USERS] Account Name Nanienitle Signature OsU VVMI34667 21 0%0198O30613 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001371 EFTA_00014845 EFTA00165629