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:0000048329D | New York | |||||||||
| Relationsivp Manager. | Stewart OleMeki | ||||||||||
| O New PWM Relationship | I 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 Referral | O RN Prospect | 1O Intermediacy/SIM | I 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 / Number | Opening Date (Intended/actual) | |||||||||
| 21 | The Haze Trust - Depost | 2/27/2017 | |||||||||
| 2 | a | Butterfly Trust- De | 1/24/2014 | ||||||||
| 3 | le | The 2007 Jeffrey E. Epstein Instance Trust ;3 - Deposit-42953694 | 10/16/ 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 - Deposit | Acct. 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 after | I | 21,077711.01 | I Currency | I 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/Settioritounding | Donor | Other (please describe other roles and/or indicate relationship between parties) | ||||||||||||
| 1 | O | El | Jeffrey E. Epstein | • | O | 5 | O | O | • | ❑ | O | O | O | OTH:beneficiary of The Haze Trust | |
| 2 | O | 0 | The Haze Trust | 2 | O | O | O | O | O | O | O | O | O | ||
| 3 | O | O | Darren lndyke | m ■ | O ❑ | O | O | El | O | O | O | O | O | Trustee:; |
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 after | 12.99 | I Currency | I usd | |||||||||||
| cloning? | What Is the expected volume of assets and currency for the account approx. one year after | 2.99 | 'Currency | I 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/Setdorfoundi | Donor | her (please describe other roles andior indicate relationship between | |||
| I | IJ | LI | account Shulok etyria | O | O | O | O | O | • | O | O | O | parties) beneficiary of the butterfly | ||
| 2 | O | O | a | O | O | O | O | O | O | O | O | O | O | beneficiary of the butterfly vista | |
| O | O | D. Richard Kahn | • | O | • | O | O | O | • | O | O | • | beneficiary of the butterfly vast; | ||
| 4 | O | Ei | O | O | O | O | O | OO | O | O | O | beneficiary of the butterfly oust; | |||
| 5 | O | O | Darien Indyke | • | O | O | O | O | O | O | O | O | beneficiary 4 the butterfly vest; | ||
| 6 | O | O | O | O | O | O | O | OO | O | O | CI | Beneficia of Butterfly | |||
| 7 | O | O | li | O | O | O | O | O | OO | O | O | CI | Trust; Beneficiary of Butterfly Trust; | ||
| 9 | BOO | O | O | O | O | O | O | O | O | O | O | Beneficiary of Butterfly Trust; |
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EFFA_00019133 EFTA00168880¶
| O O | i | O | O | O | O | O | O | O | O | Ei | Beneficiary ct Butterfly Trust: | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 10 O | O | O | O | O | O | O | O | O | O | O | O | Beneficia of Butterfly Trust: | ||
| 11 O | O | O | O | O | O | O | il | O | O | O | O | Beneficiary o/ Butterfly Trust: | ||
| 12 O | O | O | O | O | O | O | O | • | O | O | O | Beneficiary of Butterfly Trust: | ||
| 13 | 99 | Butterfly Trust | © | o o | o | o | o | o | o | o | o | |||
| 14 O | O | Erika Rallerhals | O | O | O | O | e | O | O | O | O | O | TNT:: | |
| 15 O | O | eliae lirrYer | O | O | O | O | e | O | O | O | O | O | Trustet; | |
| 16 O | a | Epstein jeffren. | O | O | 121 | O | O | O | O | O | O | O | grantor; |
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EFIA_00019134¶
| 2. Account Ownership Summary | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Account Name: | The 2007 Jeffrey E. Epstein Insurance Trust 03 - Deposit | Acct. 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). | ||||||||||||||
| : egarlesciption | Account'IC | Settler of | Jltimate iSignaton | Urreec | Finance' | Significant | -egal | Grantor/Settiorf-oundirg3ther | |||||||
| Mtn( Source of Wealth required | Parties 'elated to his account | Holder DivnerTrust | / Founder of Foundation | Beneficiahar Owner | Full POA | POA | InterrnediaySharehoider (FIN) | (>=25%) Yon-PIC entity (indicate ownership %) | tamesentative | Donor | (please describe other roles andior indicate relationship between Parties) | ||||
| 1 | O | O | a | O | O | O | O | O | O | O | O | O | O | Beneficiary of The 2007 Jeffrey E. Epstein Inswance Trust 03; | |
| 2 | 9 | 9 | The 2007 Jeffrey E. Epstein Insurance Trust 03 | 9 | O | O | O | O | O | O | O | O | O | ||
| 3 | O | 9 | Jeffrey E. O Epstrem | O | 5 | i1 | 0 | O | O | O | • | O | grantor; | ||
| 4 | IL) ID | (Darren | O | O | O | O | ® | 0 | 0 | 0 | 0 | 0 | Trustee:: | ||
| 5 | O | O | <arichard d.<br="">hn</arichard> | O | O | O | O | O | O | O | O | O | O | Trustee:: |
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: | USA | Country 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 Owner | Salary/Earnings Investment I Inheritance/Gifts | Other: | ||||||
| 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 Shulliak | Date of Birth: | ||||||
| Country of Residence: | USA | Country 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 LLC | Tax ID / SSN: | ||||||
| Current Employer: | JSC Interiors LLC | Position/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 Owner | Salary/Earnings Investment I Inheritance/Gifts | Other: | ||||||
| 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: | M | Date of Birth: | |||||||
| County of Rebdence: | USA | County 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: | homemaker | Tax 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 Yes | ON° | |||||||
| 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: | ||||||
| O | O | O | |||||||
| O | O | • | |||||||
| • | 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: | USA | 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) | Yes | No | |||||||
| Family or Friendship, describe ) | To the best of your knowledge, is the individual related to an employee of the DB group?(if | Family | Friendship | None | |||||
| 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 Owner | Salary/Earnings Investment Inheritance/Gifts | Other: | ||||||
| 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: | USA | 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) | Yes | No | ||||||||
| To the best of your knowledge, is the individual related to an employee of the DB group?(if Family or Friendship, describe ) | Friendship | None | ||||||||
| 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) | Yes | No | |||||||
| To the best of your knowledge, is the individual related to an employee of the DB group?(if Family or Friendship, describe ) | Family | Friendship | None | ||||||
| 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 ) | Friendship | None | ||||||
| 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 Owner | Salary/Earnings Investment I Inheritance/Gifts | Other: | ||||||
| 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: | USA | 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 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) | Yes | No | |||||||
| 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)? | Yes | 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: | Business Owner | Salary/Earnings Investment I Inheritance/Gifts | Other: | ||||||
| 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: | USA | 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) | Yes | No | |||||||
| 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 ) | Yes | 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: | Business Owner | Salary/Earnings Investment L | Inheritance/Gifts | Other: | ||||||
| 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¶
https://dbforcepb.my.salesforce.com/servlet.Integration?lid=01N3000000DD9Di&e...¶
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: | USA | Country 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) | Yes | No | |||||||
| To the best of your knowledge, is the individual related to an employee of the DB group?// Family or Friendship, describe ) | Family | Friendship | None | ||||||
| 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 | |||||||
| 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 Owner | Salary/Earnings Investment I Inheritance/Gifts | Other: | |||||||
| 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¶
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e ...¶
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 Indyke | Date of Birth: | |||||||||
| Country of Residence: | USA | Country 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: | Accountant | Tax ID / SSN: | |||||||||
| Current Employer: | Southern Financial LLC | Positen/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) | Oyes | ON° | |||||||||
| 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 Moms | O | O | RI | 9/6/2013 | |||||||
| 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: | USA | Country 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: | Accountant | Tax ID / SSN: | |||||||
| Current Employer: | HBRK Associates, Inc | Position/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: | USA | Country 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: | Attorney | Tax ID / SSN: | ||||||
| Current Employer: | Kellerhals Ferguson Kroblin PLLC | Position/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 $25 million to finance Radar a celebrity and pop culture magazine founded by Meer Roshan. Epstein and Zuckerman were equal partners in the venture. Roshan, as etS editor-in-chief, retained a smal ownership stake. |
O • O¶
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DS-SDNY-0000289¶
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=0 I N30000000D9Di&e... U§192824252¶
| Presently, PP. Epstein founded Southern Trim Company Inc, a private constSng canpany that invest the assets of their chews and gets their revenue from the return of these laves-alerts Southern Trust invests in afferent portfolios catered to their dents and makes their revenue based on the returns and the fees associated with managing their dent's assets. | |||||||||
|---|---|---|---|---|---|---|---|---|---|
| SSO MM - 100 MM Estimated amount of intestate assets($): 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: | USA | Country 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: | Accountant | Tax ID / SSN: | |||||||
| Current Employer: | HBRK Associates, Inc | Position/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?(if | Family | Friendship | None | |||||
| 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 Islands | Date 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 States | U.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: Trustee | Please indicate how ownership of the legal entry is reflected: Jeffrey Epstein: Grantor | |||||||
| O Special attention: Bearer Shares - Indicate where shares are custodied: | ||||||||
| Darren Indyke: Trustee | Describe 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: | USA | Est. 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: | USA | Date 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 Slates | U.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 the | lifetime 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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