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Record

Draft: efta00168878

DB PWM GLOBAL KYC/NCA: PART A

KYC Print
-------------

KYC Case R : 01804531

Status : 6. Approved

One sheet must be established per relationship - list all accounts Included In the relationshi
1. Relationship Details
Relationship Name:EPSTEIN, JEFFREY RELATIONSHIP:0000048329DNew York
Relationsivp Manager.Stewart OleMeki
O New PWM RelationshipI 12) Existing PWM Relationship
Relationship to PWM:IS a periodic review for high risk remediationn•
Original KYC1121946
If existing, please ndicate since when the relationship exists, provide reason foe new profile and attach old pronit ant% KYC
alert ReferralO RN Prospect1O Intermediacy/SIMI O Other Source (08, etc)
client?HOW Was the Oent(s)
Introduced? How long has the
RI4 personally blown the
Please provide details (e.g. name of referral source, how many years PM personally ha known dent, etc.): Jeffrey Epstein
new acct only.
reached out to Stew OfdrieM on 3/7/17 to hre a new acct opened under &fro Management LLC and add hvo new signors to this
Does Deutsche Bank pay a
retrocession or similar
O Yes
relationship?compensation to a third party
for the introduction of this
(If Ye$ desalbeA
list all existing and new account involved in this relationship
Legal Entity
Acoount(s)
ACCOLIIII Name / NumberOpening Date (Intended/actual)
21The Haze Trust - Depost2/27/2017
2aButterfly Trust- De1/24/2014
3leThe 2007 Jeffrey E. Epstein Instance Trust ;3 - Deposit-4295369410/16/ 013
Who is the primary contact
person for the RM? (Note: This
person needs to have signatory
rights and/or information right
for the amounts.):
Darren wore
Preferred method of contact
(indicate phone no., fax no.
e-mail address, etc.):

CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SONY-0000258

https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=0IN30000000D9Di&e...U§192824221

EFFA_00019131

One sheet must be established for each account to be opened
2. Account Ownership Summary
Account Name:The Haze Trust - DepositAcct. Number 6/4valetrir0:
stewed oldfeld
ACCOuGt Manager:
Vitiat 6 the purpose of the account (e.g. portfcba management, advisory account, custody services, longterm investment, payment/expense account), this e a
deposit account to kid cash for the trust
Indicate from where the assets are expected to arrive?
138 Group: Same Booking Center (indicate account number): 42967287
O 08 Group: Other Booking Center (indicate DB location and account details):
O Other Institution - (Indicate name & location):
O Physical Deposits (specify cash, securities, cheques. ):
Mat s the expected size and frequency of regular inflows and outflows for the account (ndicate estimated number and volume per month)?: collecting interest on
current balarceno inflows/outflows
What is the expected volume of assets aril currency for the account approx. 90 days after
121,063,409.16
'Currency
I USD
opening?
opening?Vinat 6 the expected volume of assets and currency for the account approx. cne year afterI21,077711.01I CurrencyI USD
Dceskei the client have Assets Under Management (AuM) within 08 under Eur. 3M?O yes g No
•For each party:Please list all parties related to the account• Check if a source of wealth description is required for the party.
• Always clesate the relationship between the parties in the last column.
• Check the appropriate box to describe the relaticaship of the party to this account (> 1 can be selected).
trate of the check boxes apply, describe the party's relation to the account in the Other column.
• Please drill down to the tromate/underlyng Bene6dal Omer( ).
Legal
Settler of
Description
AccountrIC
Jltimate
Signatory
Finanoal
Limited
Significant
_egal
trust /
Ful
ntity-if
Fickler Omer
loptesentative
Source
Beneficialor
Intermediary
Shareholder
POA
Founder &Owner
(FIN)
(>=25%)
of Wealth
POA
required
Fourxiatior
Non-PIC
entity
P2etiGs
related
(indicate
o this
ownership
%)
account
Grantor/SettioritoundingDonorOther (please
describe other
roles and/or
indicate
relationship
between parties)
1OElJeffrey
E.
Epstein
•O5OO•❑OOOOTH:beneficiary
of The Haze
Trust
2O0The
Haze
Trust
2OOOOOOOOO
3OODarren
lndyke
m
■
O
❑
OOElOOOOOTrustee:;

SDNY-0 000259

y

.g9 https://dbforeepb.rny.salesforce.com/seMet/servlet.Integration?lid=01N30000000D9Di&e... U

2 84222 EFTA_00019132

2. Account Ownership Summary
Butterfly Trust - Deposit
Acct Number (lavalabie)
Account Name:
stewed oldfeld
Account Manager:
What s the purpose of the account (e.g. portfolio management, advisory account, custody savior., longterm Investment, paymentfexpense account)? This Is a
deposit account to hold finds for the trust.
Indicate from where the assets are expected to wive?
g 06
Group: Same Booking Center (ndicate account number): 44130552
O DB Group: Other Booking Center (indicate DB location and account details):
Other Institution - (Indicate name & location):
•
Physical Deposits (specify cash, securities, cheques, ):
•
What S the expected size and frequency of regular Inflows and outflows for the account (indicate estimated number and vane per month)?: no Inflows/outflows
cloning?What is the expected volume of assets and currency for the account approx. 90 days after12.99I CurrencyI usd
cloning?What Is the expected volume of assets and currency for the account approx. one year after2.99'CurrencyI usd
Methyl. the client have Assets Under Management (AuM) within DB under Eur. 3M?:hes ®No
Please list all parties related to the account
For each party:
• Check if a source of wealth description Is req ted for the party.
• Cneck the appropriate box to esate the relationship of the party to this accotnt (> 1 can be selected).
• (none of the check boxes apply, describe th party s relation to the amount in the *Other column.
• Always desalbe the relaticash p between the parties in the last column.
• Please drill down to the tlornate/unie lyng Beneficial Owner(s).
: egal.)escription
Lribtrof Source
of Wealth
required
Pates
related to
this
Accountt,IC
Holder OwnerTrust
Seal', of
/
Founder of
Foundation
Beneficiahar
Owner
-fitimate isignaton
Full
Pon
Urreec
POA
Finanoal
(ELM)
Significant
InterrnediaryShareholder
(>=25%)
Yon-PIC
entity
indicate
ownership
%)
-mai
3apresentative
Grantor/SetdorfoundiDonorher
(please
describe
other roles
andior
indicate
relationship
between
IIJLIaccount
Shulok etyria
OOOOO•OOOparties)
beneficiary
of the
butterfly
2OOaOOOOOOOOOObeneficiary
of the
butterfly
vista
OOD.
Richard
Kahn
•O•OOO•OO•beneficiary
of the
butterfly
vast;
4OEiOOOOOOOOOObeneficiary
of the
butterfly
oust;
5OODarien
Indyke
•OOOOOOOObeneficiary
4 the butterfly
vest;
6OOOOOOOOOOOCIBeneficia
of Butterfly
7OOliOOOOOOOOOCITrust;
Beneficiary
of Butterfly
Trust;
9BOOOOOOOOOOOOBeneficiary
of Butterfly
Trust;

https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e... U§192824223

EFFA_00019133 EFTA00168880

O OiOOOOOOOOEiBeneficiary
ct Butterfly
Trust:
10 OOOOOOOOOOOOBeneficia
of Butterfly
Trust:
11 OOOOOOOilOOOOBeneficiary
o/ Butterfly
Trust:
12 OOOOOOOO•OOOBeneficiary
of Butterfly
Trust:
1399Butterfly Trust©o oooooooo
14 OOErika RallerhalsOOOOeOOOOOTNT::
15 OOeliae lirrYerOOOOeOOOOOTrustet;
16 OaEpstein jeffren.OO121OOOOOOOgrantor;

https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=0 I N30000000D9Di&e... 41928%224

EFIA_00019134

2. Account Ownership Summary
Account Name:The 2007 Jeffrey E. Epstein Insurance Trust 03 - DepositAcct. Number (by evadable)
stew oldfield
Account Manager:
Vinat is the purpose of the account (e g. portfolio management, advisory account, custody savior., longterm Investment, paymetemense accotnt)? Checking
account to hold funds for ths trust.
Indicate from where the assets are expected to arrive?
9
08 Group: Same Booking Center (indicate account number): 42953694
O DB Group: Other Booking Center (Indicate DB location and amount details):
O Other Insbtution - (Indicate name & location):
O Physical Deposits (specify casli, securities, cheques, ):
What S the expected size and frequency of regular inflows and outflows for the account (Indicate estimated number and volume per month)?: no inflows/outflows
What S the expected volume of assets and currency for the account approx. 90 days
1259.05
I Currency
I usd
after opening?
Vinat S the expected volume of assets and currency for the account approx. one year
1259.05
I Currency
I usd
after opening?
Does/iya the client have Assets Under Management (AuM) within 08 under Eur. 3M? Oyes O 1'10
For each party.Please list all parties related to the account
• Check if a source of wealth description Is requred for the party.
• Check the appropriate box to describe the relationship of the party to this accotnt (> I can be selected).
• (none of the check boxes apply, describe the party s re anon to the amount 0 the 'Ocher column.
• Atviays clesate the relationship between the parties in the last colon.
• Please drill down to the Sornate/urderlying Beneficial Owner(s).
: egarlesciptionAccount'ICSettler ofJltimate iSignatonUrreecFinance'Significant-egalGrantor/Settiorf-oundirg3ther
Mtn( Source
of Wealth
required
Parties
'elated to
his
account
Holder DivnerTrust/
Founder of
Foundation
Beneficiahar
Owner
Full
POA
POAInterrnediaySharehoider
(FIN)
(>=25%)
Yon-PIC
entity
(indicate
ownership
%)
tamesentativeDonor(please
describe
other roles
andior
indicate
relationship
between
Parties)
1OOaOOOOOOOOOOBeneficiary
of The
2007
Jeffrey E.
Epstein
Inswance
Trust 03;
299The 2007
Jeffrey E.
Epstein
Insurance
Trust 03
9OOOOOOOOO
3O9Jeffrey E. O
Epstrem
O5i10OOO•Ograntor;
4IL) ID(DarrenOOOO®00000Trustee::
5OO<arichard d.<br="">hn</arichard>OOOOOOOOOOTrustee::

https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e... U§192824225

EFIA_00019135

One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summary
---------------------------------------------------------------------------------------------------
3A. Individual Details (for all parties)
Individual's Name:Date of Birth:
Country of Residence:USACountry of Citizenship:
USA
Address of primary residence:Has client resided outside of
his/her country of nationality
for 5 years or more?
Yes No
Profession/Occupation:Tax ID / SSN:
Current Employer:Position/Title/Rank:
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
Yes No
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe)No
Yes
To the best of your knowledge, is the individual related to an employee of the DB group?/if
Family or Friendship, describe )
None
Friendship
Family
To the best of your knowledge, is the individual party to a non-banking relationship with
No
Yes
Deutsche Bank (e.g., external legal counsel, client referral source, supplier of goods or services)?
(if Yes, describe )
Indicate where and when the dient meeting(s) took place:
If applicable, indicate which bank officers have met the person:
Bank Officer Name(s)
Bank Office:
Client Private
Domicile:
Ollent 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 OwnerSalary/Earnings Investment I Inheritance/GiftsOther:
Further Describe Source of Wealth (Detal the history of wath for each of the sources; (e.g. For trusts, how did settler accumulate weath? For inhertance, how
did family accumulate weath?For business, how long in business, how nany engloyees, level of profitability? Indicate type of business, countries of major
activities, important business partners.)
Estimated Annual Income($):
Estimated amount of investable assets($):
Estimated Net Worth($):Amount of assets planned to invest with PWM($):
Other Known Financial Institutions:
Institution:Country:Est. Assets Under Mgt:
Institution:Country:Est. Assets Under Mgt:
Institution:Est. Assets Under Mgt:
Country:
Please indicate the family situation of the individual (marital status, other family members, etc.):

DB-SDNY-0000263

https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N3000000DD9Di&e...

USAO2891226

EFTA_00019136

0002M

1

https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=0IN30000000D9Di&e... UM9284227

EFIA_00019137

One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summary
-------------------------------------------------------------------------------------------------
3A. Individual Details (for all parties)
Individual's Name:Karyna ShulliakDate of Birth:
Country of Residence:USACountry of Citizenship:Slovakia
Address of primary residence:Has client resided outside of
his/her country of nationality
for 5 years or more?
Yes No
Profession/Occupation:JSC Interiors LLCTax ID / SSN:
Current Employer:JSC Interiors LLCPosition/Title/Rank:Interior Decorator
Address of employer:575 Lexington Ave 14th Fl New York 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
Yes No
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe)No
Yes
To the best of your knowledge, is the individual related to an employee of the DB group?(if
Family or Friendship, describe )
None
Family
Friendship
To the best of your knowledge, is the individual party to a non-banking relationship with
No
Yes
Deutsche Bank (e.g., external legal counsel, client referral source, supplier of goods or services)?
(if Yes,describe )
Indicate where and when the dient meeting(s) took place:
If applicable, indicate which bank officers have met the person:
Bank Officer Name(s)
Bank Office:
Client Private
Domicile:
Ollent 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 OwnerSalary/Earnings Investment I Inheritance/GiftsOther:
Further Describe Source of Wealth (Detal the history of weath of the sources: (e.g. For trusts, how did settior accumulate weath? For inhertance, how
did family accumulate weath?For business, how long in business, how nany engloyees, level of profitability? Indicate type of major
activities, important business partners.)
Estimated Annual Income($):Estimated amount of investable assets($):
Estimated Net Worth($):
Amount of assets planned to invest with PWM($):
Other Known Financial Institutions:
Institution:Country:Est. Assets Under Mgt:
Institution:Country:Est. Assets Under Mgt:
Institution:Country:
Est. Assets Under Mgt:
Please indicate the family situation of the individual (marital status, other family members, etc.);

atus, other family members, etc.): (man

CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)

DB-SDNY-0000265

https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N3000000DD9Di&e...

USAO2891228 EFTA_00019138

https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=0IN30000000D9Di&e... U§192824229

EFIA_00019139

One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Owners.,Summa
-----------------------------------------------------------------------------------------------
3A. Individual Details (for all parties)
Individual's Name:MDate of Birth:
County of Rebdence:USACounty of Citizenship:USA
Address of primary residence:Has sent resided outside of
hisMer country of natenalny
for 5 years or more?
O YesEl No
Profession/Ocarpatica:homemakerTax ID / SSN:
Current Employer:Poston/Tide/Rank:
Address of employer:
Does the person week as senior executive of a DB-recognized regulated entity n the (Wendel
ndustry? or an entity listed on a DB-recognised exchange? (Not applicable for operating entitles
O Yes 10 No
Is the individual a Politically Exposed Person (PEP)?(If Yes, describe)O YesON°
To the best of your knowledge, Is the indivdual related to an employee of the DB group?(f
remi Y es Friendsb.12, describe)
El Neat
O Friendship
O Family
To the best of your Mowledge, is the indiwival party to a non.banlong relationship with
El Tes
Deutsche Bank (e.g., external legal counsel, dent referral soace, suppler of goods a services)?
'!A No
(I Ye4descnbe)
indicate where and Men the client meeting(s) took puce:
If applicable, Indicate which bank officers have met the person:
Gent Private
Bank Officer Name(s)
Bank Office:
Domicile:
Cent Place of
Busress:
Other Location (specify):Date:
OOO
OO•
•O
O Wealth Details for this inewidual are not Wed in, because they are the same as for the (plowing person:
38. Wealth Details (Only for parties requiring soLvce of weakh description as indicated n Section 2)
Nature of the Inividuats Business:
Primary County of source of wealth/source of Funds?
Primary industry of source of Wealth/Source of Funds?
Summarize Source of Wealth:
O Business Owner OSalary/Earnings O Invesbnent O Inheritance/Gifts O Other:
Further Desaibe Source of Wealth /Detail the history of wealth for each of the sources: (e.g. For trusts, how did settler accumulate wealth? For inheritance, how
cad family accumulate vrealth?For busness owners, how long in business, how many employees, level of prelitatety? Imilcate type of business, countries of major
act:knees, important business partners.)
Estimated Annual Income(S):Estimated amount of Investable assets($):
Estimated Net Worth(S):Amount of assets planned to invest with PWM(S):
Other Known linancel Institutions:
Institutan:Country:
Est. Asses Under Mgt:
Institution:Country:Est. Asses Under Mgt:
Institution:Est. Assets Under Mgt:
Country:

Please indicate the fanuly situation c4 the inebeickal (marital status, the family members, etc.):

CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SONY-0000267

https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=0 I N30000000D9Di&e... UM92814230

https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e... UM9 281423 1

EFFA_00019141

One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summary
3A. Individual Details (for all parties)
Individual's Name:Date of Birth:
Country of Residence:USACountry of Citizenship:
Address of primary residence:Has client resided outside of
his/her country of nationality
for 5 years or more?
Yes No
Profession/Occupation:Tax ID / SSN:
Current Employer:Position/Title/Rank:
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
Yes No
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe)YesNo
Family or Friendship, describe )To the best of your knowledge, is the individual related to an employee of the DB group?(ifFamilyFriendshipNone
To the best of your knowledge, is the individual party to a non-banking relationship with
No
Yes
Deutsche Bank (e.g., external legal counsel, client referral source, supplier of goods or services)?
(if Yes,describe )
Indicate where and when the dient meeting(s) took place:
If applicable, indicate which bank officers have met the person:
Bank Officer Name(s)Olent Private
Domicile:
Ollent 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 OwnerSalary/Earnings Investment Inheritance/GiftsOther:
Further Describe Source of Wealth (Detal the history of wath for each of the sources: (e.g. For trusts, how did settior accumulate weath? For inheritance, how
did family accumulate weath?For business, how long in business, how nany employees, level of profitability? Indicate type of major
activities, important business partners.)
Estimated Annual Income($):Estimated amount of investable assets($):
Estimated Net Worth($):Amount of assets planned to invest with PWM($):
Other Known Financial Institutions:
Institution:Country:
Est. Assets Under Mgt:
Institution:Country:Est. Assets Under Mgt:
Institution:Est. Assets Under Mgt:
Country:
Blease indicate the family situation of the individual (marital status, other family members, etc. It

DB-SDNY-0000269

https://dbforcepb.my.salesforce.com/servlet.Integration?lid=01N30000000D9Di&e..

232

EFTA_00019142

https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e... /I/192814233

EFIA_00019143

One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summary

A SIP STILING AS SERVICIAL CONSULTURE FRANCE LUCCALL PLUS AND POLICIAL SELUCIAL SELUCIAL SELUCIAL
3A. Individual Details (for all parties)
Individual's Name:Date of Birth:
Country of Residence:USACountry of Citizenship:
Address of primary residence:Has client resided outside of
his/her country of nationality
for 5 years or more?
Yes No
Profession/Occupation:Tax ID / SSN:
Current Employer:Position/Title/Rank:
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
Yes No
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe)YesNo
To the best of your knowledge, is the individual related to an employee of the DB group?(if
Family or Friendship, describe )
FriendshipNone
To the best of your knowledge, is the individual party to a non-banking relationship with
No
Yes
Deutsche Bank (e.g., external legal counsel, client referral source, supplier of goods or services)?
(if Yes, describe )
Indicate where and when the dient meeting(s) took place:
If applicable, indicate which bank officers have met the person:
Client Private
Bank Officer Name(s)
Bank Office:
Domicile:
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:
Salary/Earnings Investment Inheritance/Gifts
Other:
Business Owner
Further Describe Source of Wealth (Detal the history of wath for each of the sources: (e.g. For trusts, how did settior accumulate weath? For inheritance, how
did family accumulate weath?For business, how long in business, how nany employees, level of profitability? Indicate type of major
activities, important business partners.)
Estimated Annual Income($):Estimated amount of investable assets($):
Estimated Net Worth($):Amount of assets planned to invest with PWM($):
Other Known Financial Institutions:
Institution:Country:Est. Assets Under Mgt:
Institution:Country:Est. Assets Under Mgt:
Institution:Country:Est. Assets Under Mgt:
Please indicate the family situation of the individual (marital status, other family members, etc.);

atus, other family members, etc.): (man

CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)

DB-SDNY-0000271

https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N3000000DD9Di&e...

AP289234

EFTA00168891

EFTA_00019144

https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e... /I/192814235

EFIA_000 19145

One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summary
-------------------------------------------------------------------------------------------------
3A. Individual Details (for all parties)
Individual's Name:Date of Birth:
Country of Residence:Country of Citizenship:
Address of primary residence:Has client resided outside of
his/her country of nationality
for 5 years or more?
Yes No
Profession/Occupation:Tax ID / SSN:
Current Employer:Position/Title/Rank:
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
Yes No
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe)YesNo
To the best of your knowledge, is the individual related to an employee of the DB group?(if
Family or Friendship, describe )
FamilyFriendshipNone
To the best of your knowledge, is the individual party to a non-banking relationship with
No
Yes
Deutsche Bank (e.g., external legal counsel, client referral source, supplier of goods or services)?
(if Yes, describe )
If applicable, indicate which bank officers have met the person:Indicate where and when the dient meeting(s) took place:
Bank Officer Name(s)Bank Office:Client Private
Domicile:
Ollent 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:
Other:
Salary/Earnings Investment I Inheritance/Gifts
Business Owner
Further Describe Source of Wealth (Detal the history of wath for each of the sources: (e.g. For trusts, how did settior accumulate weath? For inheritance, how
did family accumulate weath?For business, how long in business, how nany employees, level of profitability? Indicate type of major
activities, Important business partners, )
Estimated Annual Income($):Estimated amount of investable assets($):
Estimated Net Worth($):Amount of assets planned to invest with PWM($):
Other Known Financial Institutions:
Institution:Country:Est. Assets Under Mgt:
Institution:Country:Est. Assets Under Mgt:
Institution:Country:Est. Assets Under Mgt:
Please indicate the family situation of the individual (marital status, other family members, etc.);

DB-SDNY-0000273

https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N3000000DD9Di&e...

236 EFTA_00019146

https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e... /I/192814237

EFIA_000 19147

One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summary
-------------------------------------------------------------------------------------------------
3A. Individual Details (for all parties)
Individual's Name:Date of Birth:
Country of Residence:Country of Citizenship:
Address of primary residence:Has client resided outside of
his/her country of nationality
for 5 years or more?
Yes No
Profession/Occupation:Tax ID / SSN:
Current Employer:Position/Title/Rank:
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
Yes No
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe)No
To the best of your knowledge, is the individual related to an employee of the DB group?(if
Family or Friendship, describe )
FriendshipNone
To the best of your knowledge, is the individual party to a non-banking relationship with
No
Yes
Deutsche Bank (e.g., external legal counsel, client referral source, supplier of goods or services)?
(if Yes, describe )
If applicable, indicate which bank officers have met the person:Indicate where and when the dient meeting(s) took place:
Bank Officer Name(s)Bank Office:Client Private
Domicile:
Ollent 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 OwnerSalary/Earnings Investment I Inheritance/GiftsOther:
Further Describe Source of Wealth (Detal the history of wath for each of the sources: (e.g. For trusts, how did settior accumulate weath? For inheritance, how
did family accumulate weath?For business, how long in business, how nany employees, level of profitability? Indicate type of major
activities, Important business partners.)
Estimated Annual Income($):Estimated amount of investable assets($):
Estimated Net Worth($):Amount of assets planned to invest with PWM($):
Other Known Financial Institutions:
Institution:Country:Est. Assets Under Mgt:
Institution:Country:Est. Assets Under Mgt:
Institution:
Country:
Est. Assets Under Mgt:
Blease indicate the family situation of the individual (marital status, other family members, etc.);

DB-SDNY-0000275

https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N3000000DD9Di&e...

238

EFTA_00019148

https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e... /I/192814239

EFIA_000 19149

One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summary
-------------------------------------------------------------------------------------------------
3A. Individual Details (for all parties)
Individual's Name:Date of Birth:
Country of Residence:USACountry of Citizenship:
Address of primary residence:Has client resided outside of
his/her country of nationality
for 5 years or more?
Yes No
Profession/Occupation:Tax ID / SSN:
Current Employer:Position/Title/Rank:
Address of employer:
Does the person work as senior executive of a DB-recognized requlated entity in the financial
industry? or an entity listed on a DB-recognised exchange? (Not applicable for operating entities
Yes No
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe)YesNo
To the best of your knowledge, is the individual related to an employee of the DB group?//?
Family or Friendship, describe )
None
Friendship
Family
(if Yes, 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)?
YesNo
Indicate where and when the dient meeting(s) took place:
If applicable, indicate which bank officers have met the person:
Bank Officer Name(s)Bank Office:Client Private
Domicile:
Ollent 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 OwnerSalary/Earnings Investment I Inheritance/GiftsOther:
Further Describe Source of Wealth (Detal the history of wath for each of the sources: (e.g. For trusts, how did settior accumulate weath? For inheritance, how
did family accumulate weath?For business, how long in business, how nany employees, level of profitability? Indicate type of major
activities, Important business partners.)
Estimated Annual Income($):Estimated amount of investable assets($):
Estimated Net Worth($):Amount of assets planned to invest with PWM($):
Other Known Financial Institutions:
Institution:Country:Est. Assets Under Mgt:
Institution:Country:Est. Assets Under Mgt:
Institution:
Country:
Est. Assets Under Mgt:
Please indicate the family situation of the individual (marital status, other family members, etc. It

DB-SDNY-0000277

https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N3000000DD9Di&e...

AP/289240

EFTA00168897

EFTA_00019150

CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 8(e) DB-SONY-0000278 https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e... UM92814241

EFFA_00019151

One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summary

11 11 10 11 11 11 0 0 0 1 11 0 1 0 1 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3A. Individual Details (for all parties)
Individual's Name:Date of Birth:
Country of Residence:USACountry of Citizenship:
Address of primary residence:Has client resided outside of
his/her country of nationality
for 5 years or more?
Yes No
Profession/Occupation:Tax ID / SSN:
Current Employer:Position/Title/Rank:
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
Yes No
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe)YesNo
To the best of your knowledge, is the individual related to an employee of the DB group?/if
Family or Friendship, describe )
None
Friendship
Family
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 )
YesNo
Indicate where and when the dient meeting(s) took place:
If applicable, indicate which bank officers have met the person:
Bank Officer Name(s)Bank Office:Client Private
Domicile:
Ollent 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 OwnerSalary/Earnings Investment LInheritance/GiftsOther:
Further Describe Source of Vealth (Detal the history of wath for each of the sources: (e.g. For trusts, how did settiv accumulate weath? For inheritance, how
did family accumulate weath?For business, how long in business, how nany employees, level of profitability? Indicate type of major
activities, important business partners.)
Estimated Annual Income($):Estimated amount of investable assets($):
Estimated Net Worth($):Amount of assets planned to invest with PWM($):
Other Known Financial Institutions:
Institution:Country:Est. Assets Under Mgt:
Institution:Country:Est. Assets Under Mgt:
Institution:
Country:
Est. Assets Under Mgt:
Blases indicata the family city of the individual (marital charge other family mombore, atc.);

CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)

DB-SDNY-0000279

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USAO289242 EFTA_00019152

https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=0IN30000000D9Di&e... U§192824243

EFFA_00019153

One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summary

3A. Individual Details (for all parties)
Individual's Name:Date of Birth:
Country of Residence:USACountry of Citizenship:
Address of primary residence:Has client resided outside of
Yes No
his/her country of nationality
for 5 years or more?
Profession/Occupation:Tax ID / SSN:
Current Employer:Position/Title/Rank:
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
Yes No
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe)YesNo
To the best of your knowledge, is the individual related to an employee of the DB group?//
Family or Friendship, describe )
FamilyFriendshipNone
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 )
YesNo
If applicable, indicate which bank officers have met the person:Indicate where and when the dient meeting(s) took place:
Bank Officer Name(s)Bank Office:Client Private
Domicile:
Ollent 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 OwnerSalary/Earnings Investment I Inheritance/GiftsOther:
Further Describe Source of Wealth (Detal the history of wath for each of the sources: (e.g. For trusts, how did settior accumulate weath? For inheritance, how
did family accumulate weath?For business, how long in business, how nany employees, level of profitability? Indicate type of business, countries of major
activities, important business partners.)
Estimated Annual Income($):Estimated amount of investable assets($):
Estimated Net Worth($):Amount of assets planned to invest with PWM($):
Other Known Financial Institutions:
Institution:Est. Assets Under Mgt:
Country:
Institution:Country:
Est. Assets Under Mgt:
Institution:Est. Assets Under Mgt:
Country:
Please indicate the family situation of the individual (marital status, other family members, etc.):

the individual (marital status, other family members,

CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)

DB-SDNY-0000281

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EFTA_00019154

https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=0IN30000000D9Di&e... U§192824245

EFIA_00019155

One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownershlo Summa
-------------------------------------------------------------------------------------------------
3A. Individual Details (for all parties)
Individual's Name:Darren IndykeDate of Birth:
Country of Residence:USACountry of Citizenship:USA
Address of primary residence:Has sent resided outside of
hisTher country of nationality
for 5 years or more?
O YesEl No
Professon/Occupaten:AccountantTax ID / SSN:
Current Employer:Southern Financial LLCPositen/Title/Rank:
Address of employer:6100 Red Hook Quarter B3 St Thomas 00802
Does the person week as senior execubve of a DB-recognized regulated entty in the firenaal
ndustry? or an entity kited on a DB-recognised exchange? (Not appkcable fa operating entitles
O Yes I2INo
Is the individual a Politically Exposed Person (PEP)?(iY Yes, clescrrtle)OyesON°
To the best of your knowledge, is the individual related to an employee of the DB group?(it
remirerFriendshp, . describe)
El None
O Family
O Friendship
To the best of your knowledge, is the individual party to a non.banlong relationship with
El Yes
Deutsche Bank (e.g., external legal counsel, client referral soace, supplier of goods a services)?
'!A No
(if Ye4descnbe)
Indicate where and Wen the client meebng(s) took pace:
If applicable,. Indicate which bank officers have met the person:
Bank Officer Name(s)Bank Office:Gent Private
/Domicile:
Cent Place of Other
Business:
Location (specify):Date:
Paul MomsOORI9/6/2013
O•
•O
O Wealth Details for this individual are not Wed in, because they are the same as for the folowing person:
38. Wealth Details (Only for parties requiring source of wealth desaiption as indicated in Section 2)
Nature of the Inebeduars Business:
Primary Country of source of wealth/source of Funds?
Primary industly of source of Wealth/Source of Funds?
Summarize Source of Wealth:O Business Owner OSalary/Earnings O Invesbnent O Inheritance/Gifts O Other:
Further Desaite Source of Wealth /Detail the history of wealth for each of the sources: (e.g. For trusts, how did settler acctrnulate wealth? For inheritance, how
did family accumulate vrealth?For busness owners, how tag in business, how many employees, level of prditatety? Indicate type of business, countries of major
al:Unties, important business partners.)
Estimated Annual Income(S):Estimated amount of investable assets(S):
Estimated Net Worth(S):Mount of assets planned to invest with PWM(S):
Other Known Anne al Institutions:
Institution:Country:
Est. Asses Under Mgt:
Institution:Est. Asses Under Mgt:
Country:
Institution:Est. Assets Under Mgt:
Country:
Please indicate the fanuly situation c4 the In .:Wicket (marital status, othe family members, etc.):

https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=0 I N30000000D9Di&e... U§192824246

EFIA_00019156

https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=0IN30000000D9Di&e... UM92814247

EFIA_00019157

One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summary

3A. Individual Details (for all parties)
Individual's Name:Harry Beller -Date of Birth:
Country of Residence:USACountry of Citizenship:USA
Address of primary residence:Has client resided outside of
his/her country of nationality
for 5 years or more?
Yes No
Profession/Occupation:AccountantTax ID / SSN:
Current Employer:HBRK Associates, IncPosition/Title/Rank:
Address of employer:575 Lexington Avenue, 4th Floor Monsey NY United States 10022
Does the person work as senior executive of a DB-recognized requlated entity in the financial
industry? or an entity listed on a DB-recognised exchange? (Not applicable for operating entities
Yes No
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe)No
Yes
To the best of your knowledge, is the individual related to an employee of the DB group?/if
Family or Friendship, describe )
None
Friendship
Family
To the best of your knowledge, is the individual party to a non-banking relationship with
No
Yes
Deutsche Bank (e.g., external legal counsel, client referral source, supplier of goods or services)?
(if Yes describe )
Indicate where and when the dient meeting(s) took place:
If applicable, indicate which bank officers have met the person:
Bank Officer Name(s)Bank Office:Client Private
Domicile:
Ollent 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:Salary/Earnings Investment Inheritance/Gifts
Other:
Business Owner
Further Describe Source of Wealth (Detal the history of wath for each of the sources: (e.g. For trusts, how did settior accumulate weath? For inheritance, how
did family accumulate weath?For business, how long in business, how nany engloyees, level of profitability? Indicate type of major
activities, important business partners.)
Estimated Annual Income($):Estimated amount of investable assets($):
Estimated Net Worth($):Amount of assets planned to invest with PWM($):
Other Known Financial Institutions:
Institution:Country:Est. Assets Under Mgt:
Institution:Country:Est. Assets Under Mgt:
Institution:Country:Est. Assets Under Mgt:
Please indicate the family situation of the individual (marital status, other family members, etc.):

CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)

DB-SDNY-0000285

https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N3000000D9Di&e....

EFTA_00019158

https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=0IN30000000D9Di&e... U§192824249

EFIA_00019159

Ine sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summary
3A. Individual Details (for all parties)
Individual's Name:Erika Kellerhals -Date of Birth:
Country of Residence:USACountry of Citizenship:USA
Address of primary residence:Has client resided outside of
Yes No
his/her country of nationality
for 5 years or more?
Profession/Occupation:AttorneyTax ID / SSN:
Current Employer:Kellerhals Ferguson Kroblin PLLCPosition/Title/Rank:
Address of employer:9100 Port of Sale Mall, Ste 15 St. Thomas VI United States 00802
Does the person work as senior executive of a DB-recognized requlated entity in the financial
Yes No
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)V No
Yes
To the best of your knowledge, is the individual related to an employee of the DB group?(if
Family or Friendship, describe )
None
Family
Friendship
To the best of your knowledge, is the individual party to a non-banking relationship with
Yes
Deutsche Bank (e.g., external legal counsel, client referral source, supplier of goods or services)?
(if Yes, describe )
No
Indicate where and when the dient meeting(s) took place:
If applicable, indicate which bank officers have met the person:
Bank Officer Name(s)Bank Office:Client Private
Domicile:
Ollent 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:Inheritance/Gifts
Other:
Salary/Earnings Investment
Business Owner
Firther Describe Source of Veath (Detal the history of weath for each of the sources; (e.g. For trusts, how did settior accumulate weath? For intertance, how
did family accumulate weath?For business, how long in business, how nany employees, level of profitability? Indicate type of major
activities, important business partners.)
Estimated Annual Income($):Estimated amount of investable assets($):
Estimated Net Worth($):Amount of assets planned to invest with PWM($):
Other Known Financial Institutions:
Institution:Country:Est. Assets Under Mgt:
Institution:Country:Est. Assets Under Mgt:
Institution:Country:Est. Assets Under Mgt:
Blease indicate the family situation of the individual (marital status, other family members, otc.);

DB-SDNY-0000287

https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N3000000DD9Di&e...

USAO2801250 EFTA_00019160

https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e... U§192824251

EFFA_00019161

One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summa
-------------------------------------------------------------------------------------------------

3A. Individual Details (fct all parties) Individual's Name: Jeffrey E. Epstein - Date of Birth: County of Residence: USVI Country of Citizenship: USA Address of primary residence: Ude Saint James Saint Thomas 00802 United States Has dent resided outside of his/her country of natenality for 5 years or more? O yes El No Professicn/Occupatkm: Self Ernpolyed Tax ID / SSW Current Employer: Southern Financial LLC Patton/Tide/Rant President Address of employer: 6100 Red Hook Quarter B3 St. Thomas United States 00802 Does the person work as senior executive of a DB-recognized regulated may in the financial ndustry? a an entity listed on a DB-recognised exchange? (Not appbcable for operating entities O Yes 10 No Is the individual a Polecally Exposed Person (PEP)?(/ Yes, !farce/be) connection vath Prince Andrew and &II Clinton Yes • No To the best of your knowledge, is the individual related to an employee of the DB group?(d remd Y or Friendslip, describe) • Family O Friendship Ei None To the best of your knowledge, is the individual party to a non.banlong relationship with Deutsche Bank (e.g., external legal counsel, client referral smite, supplier of goods a services)? (if Ye4descnbe) El Yes '!A No If applicable, Indicate wtich bank officers have met the person: Indicate where and viten the client meeting(s) took pace: Bank Officer Name(s) Bank Office: /Domicile: Gent Private Cent Place of Other Busress: Location (specify): Date: O O O O O •

O Wealth Details for this ineWiclual are not Wed in, because they are the same as for the (plowing person:
38. Wealth Details (Only for potes requiring soiree of wealth desaiption as indicated in Section 2)
Nature of the Ineiviciars Business:Private investments
Primary County of source of wealth/source of Funds?
Primary industry of source of Wealth/Source of Funds?
Summarize Source of Wealth:O Business Cromer OSalarygarnigs g Investment O Inheritance/Gifts O Other:
Further Desaite Source of Wealth /Detail the history of wealth for each of the sources: (e.g. For trues, how did settler accumulate wealth? For inheritance, how
did family accumulate wealth?For business owners, how long in business, how many employer., level of prolitabety? Indicate type of business, countries of major
ad:Nees, Important business partners.) Jeffrey Edward Epstein (tom January 20, 1953) is an American financier and registered sex offender in the United Stier.
He worked at Bear Steatns early in hs career and then formed his own firm, J. Epstein & Co. In 2008, Epstein was convicted of sacking an underage gill for
prostitutico, for which he served 13 months in prison. He lives in the US Virgin Islands. Epstein taught calculus and physics at the Dalton School in Manhattan from
1973 to 1975. Among Ns students was a son of Nan C. Greenberg, chairman of Beat Stearns.
In 1976, Epstein started work as an options trader at Bear Stearns where he waked in the special products division, advising high-net-worth dents on tax
strategies. Proving successful in his financial career, in 1980 Epstein became a partner at Bear Steams.
In 1982, Epstein founded his own financial management firm, J. Epstein & Co., manaang the assets of clients wth more than $1 billion in net worth. In 1987,
Link Wexner, famder and chairman of Ohio based The Limited chain of women's dothing stores, became a well-known client. Weimer acqtered Abercrombie &
Meth the following year. In 1992 he converted a private school on the Upper East Side into an enormous residence. Epstein later bought that property, in the
wealthiest part of Manhattan. In 1996, Epstein changed the name of his firm to the Financial Trust Company and, for tax advantages, based it on the island of St.
Thomas in the U.S. Virgin Islands.
In 2003, Epstein bid to acquire New Yak magazine. Other adders were advertising executive Donny Deutsch. investor Nelson Pelt, mede mogul and atlisher
Mortimer Zuckerman, who had the New York Daily News, and film producer Harvey Weinstein. They were arnately °Abe by Bruce Wasserstein, a longtime Wall
Street investor, who paid $55 men.
In 2009, Epstein and Zuckerman committed up to $25 million to finance Radar a celebrity and pop culture magazine founded by Meer Roshan. Epstein and
Zuckerman were equal partners in the venture. Roshan, as etS editor-in-chief, retained a smal ownership stake.

O • O

CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DS-SDNY-0000289

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Presently, PP. Epstein founded Southern Trim Company Inc, a private constSng canpany that invest the assets of their chews and gets their revenue from the
return of these laves-alerts Southern Trust invests in afferent portfolios catered to their dents and makes their revenue based on the returns and the fees
associated with managing their dent's assets.
SSO MM - 100 MM
Estimated amount of intestate assets($):
Estmated Annual blcome($):
10,000,000.00
$500 MM +
Arnamt of assets planned to moat with PWM(S):
Estimated Net Worti(S):
Other Knorr Pinata& Institutions:
Institution:Country:
Est. Assets Under Mgt:
Institution:Country:Est. Assets Under Mgt:
Institution:Country:Est. Assets Under Mgt:
Please mdicate the fanuly situation of the Inavidual (marital status, other family members, etc.):

https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=0IN30000000D9Di&e... U§192824253

EFIA_00019163

One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summary
---------------------------------------------------------------------------------------------------
3A. Individual Details (for all parties)
Individual's Name:Date of Birth:
Country of Residence:USACountry of Citizenship:
USA
Address of primary residence:Has client resided outside of
his/her country of nationality
for 5 years or more?
Yes No
Profession/Occupation:AccountantTax ID / SSN:
Current Employer:HBRK Associates, IncPosition/Title/Rank:
Address of employer:575 Lexington Ave, 4th FI New York NY United States 10022
Does the person work as senior executive of a DB-recognized requilated entity in the financial
industry? or an entity listed on a DB-recognised exchange? (Not applicable for operating entities
Yes No
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe)No
Yes
Family or Friendship, describe )To the best of your knowledge, is the individual related to an employee of the DB group?(ifFamilyFriendshipNone
To the best of your knowledge, is the individual party to a non-banking relationship with
No
Yes
Deutsche Bank (e.g., external legal counsel, client referral source, supplier of goods or services)?
(if Yes, describe )
Indicate where and when the dient meeting(s) took place:
If applicable, indicate which bank officers have met the person:
Bank Officer Name(s)Bank Office:Ollent Private
Domicile:
Ollent 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:
Investment I Inheritance/Gifts
Other:
Business Owner
Salary/Earnings
Further Describe Source of Wealth (Detal the history of wath for each of the sources: (e.g. For trusts, how did settior accumulate weath? For inheritance, how
did family accumulate weath?For business, how long in business, how nany engloyees, level of profitability? Indicate type of major
activities, important business partners.)
Estimated Annual Income($):Estimated amount of investable assets($):
Estimated Net Worth($):
Amount of assets planned to invest with PWM($):
Other Known Financial Institutions:
Institution:Country:Est. Assets Under Mgt:
Institution:Country:Est. Assets Under Mgt:
Institution:Est. Assets Under Mgt:
Country:
Please indicate the family situation of the individual (marital status, other family members, etc.);

(man

CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)

DB-SDNY-0000291

https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N3000000DD9Di&e...

882254 EFTA_00019164

One sheet must be established for EACH LEGAL ENTITY in Section 2. Account Summa
3C. Legal Entity Details (For all Legal Entities)
The Haze Trust - 00000486928
Legal Entity Name:
O Foundation/Association 2
®Private ®Private Investment O
Trust O Company • Estate
Type of Entity:
Purpose of Entity:
O Partnership
Philandroptc/Chantable OCommerdal
Purpose of Entity
Type of Entity Other (seed
y):
Other (seedy):
Counby of
ircorporabon/registration:
United States Vrgin IslandsDate of incorporation /
registration:
2/9/1999
Identified an Customer Profile
Volcker Status:
Voteker Flag:No
Address (city, street,. post
code):
6100 Red Hook Quarter B3 St, Thomas 00802 United StatesU.S. TIN/E1N:13-7185914
renxabeity,settior and beneficearn,etc.:
Jeffrey Epstein: Grantot/Benenciary
Darren Indyke: Trustee
Provide a description of the entitys organizational structire, is ownership structure and as Top Management For trusts/foundations, tide Information about
Darren Indyke: TrusteePlease indicate how ownership of the legal entry is reflected: Jeffrey Epstein: Grantor
O Special attention: Bearer Shares - Indicate where shares are custodied:
Darren Indyke: TrusteeDescribe the chain from the direct owner of the entity to the utmate beneficial owner ((not the same person4 Jeffrey Epstein: GraMalBeneficery
To the best of your knowledge, is the entity party to a non-balong relationship with Deutsche
Bank (e.g. external legal counsel, client referral source, supplier of goon or services).:
Yes O No Rd
Describe Nature of Entity's Primary Business and Investment Activities
The trust was initially funded with $100. The trust makes and holds investements and the gains it
Nature of the business:
makes from those invesbnents is its source of revenue. The trust, in Wm, puts these gains back
into the trust and reinvests.
Counties where busress is transacted:
USA, USVI
Number of employees:
2
3D. Wealth Profile (Only for parties requiring source of wealth description as indicated in Section 2)
Primary County of source of wealth/soiree of Finds?
Primary industry of source of Wealth/Source of Funds?
Provide Evidence of Corporate Assets (e.g. balance sheet or equivalent summary of assets/liabilities):
revenue. The trust. in turn. puts these claim back into the trust and reinvests.
The wust was inlay funded with $100 from Jeffrey Epstein. The trust makes and beide investemems and the gains it makes from those investments is its source of
Estmated gross receipls p.a.($):300,000.00
Estmated net profit pa. (3):200,000.00
Estimated investable assets ($):$20 MM - SO MM
Potential Amount to be invested with PV/M ($):200,000.00
Other Known Financial Institutions:
Institution:
DB
Country:USAEst. Assets Under Mgt:23,000,000.00
Institution:Cointry:Est. Assets Under Mgt:
Institution:Country:Est. Assets Under Mgt:
One sheet must be established for EACH LEGAL ENTITY M Section 2. Account Summa
3C. Legal Entity Details (For all Legal Entities)

https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=0IN30000000D9Di&e... /I/192824255

Legal Entity Name:Butterfly Trust
Type of Erety:O Foundation/Association RI Trust Li Company O Estate
O Partnership
Purpose of Entity:® Private Investment O
Philandwopc/Chantable OCommerdal
Type of Entity Other (seed
y):
Purpose of Entity
Other (seedy):
Country of
Incorporation/registration:
USADate of incorporabon /
registration:
12/27/2006
Volcker Status:Identified al Customer Profile\kicker Flag:No
Address (city, Orem, past
code):
6100 Red Hook Quarter B3 St, Thomas 00802 United SlatesU.S. TIN/EIN:
Provide a description of the entity's
revocateity,setbor and benefid
This Is an Irrevocable bust set
',
Beller and Erika Kellertals.
IlliM
Shull*
<a
Richard Kahn
Attached are the original bust agreement</a
organizational structure, as ownesNe structure and a Top Management For busts/foundations, include informaton about
dre,etc.:
p by Jeffrey Epstein as the grantor. The the beneficiaries for the mist are being updated by the current bustees. The bustees are
The beneficiaries are:
and the addition/deletion of beneficiary instrument to support this change. According to the °Annal trust agreement, the
trustees have the right during thelifetime of the Granbx to delete a add benefbarles under Amide 3 of the agreement
Please indicate how ownership of the legal entity Is reflected:O Special attention: Bearer Shares - Indicate where shares are custodied:
Describe the chain from the direct owner of the May to the utirrete bmencial owner (dna the same persons)

https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=0IN30000000D9Di&e... U§192824256

Yes O No g6
To the best of your knowledge, Is the entity party to a non.bwkng relationship with Deutsdie
I
Bank (e.g. external legal counsel, client referral source, supplier of goods or services)?:
Describe Nature of Entity's Primary Business and Investment Activities
Nature of the business:Trust account
Counties where busaness is transacted:USA, USYI
Number of employees:N/A--1
3D. Wealth Profile (Only for parties requiring source of wealth description as indicated in Section 2)
Primary Cowley of source of wealth/soiree of Funds?
Primary 'platy of source of Wealth/Source of Funds?
Provide Evidence of Corporate Assets (e.g. balance sheet or equivalent summary of asset,/liadlities):
trust account with Jeffrey Epstein as Grantor. Initial $100 given to the account to fund. The funds fee this mist amount come from investments made by Jeffrey
Epstein. His wealth profile Is Mad cut
Estimated gross receipts p.a.($):4,500,000.00
Estmated net profit p.a. (5):4,500,000.00
Estmated investable assets (5):$51M - 10 MM
Potential Amount to be invested imth PV/M (5):

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Prepared source

DB PWM GLOBAL KYC/NCA: PART A | KYC Print | | | ----------- | --- | | ----------- | -- | KYC Case R : 01804531 Status : 6. Approved | | | One sheet must be established per relationship - list all accounts Included In the relationshi | | | | | | | | | | | ------------- | ------------------------------------------------------------------------------------------------------------------------------------------------------- | ------------------------------------------------------------------------------------------------------------------------------------------ | ----------------------- | --------…