KYC Print Page 1 of 41
KYC Print Page 1 of 41
DB PWM GLOBAL KYC/NCA: PART A
KYC Case N : 01977698
One sheet must be established per relationship - list all accounts Included in the relationsh I
1. Relationship Details
Relationship Name: SOUTHERN FINANCIAL RELATIONSHIP:00000483290 Booking Center-. New York
Relationship Manager: Stewart Oldfleld
O Nov PWM Relationship 12 Existing MN Relationship
Relationship to PWM:
If existing, please vacate since when the relationship tests, provide reason for net/ profile and attach old profile: •*" 2018
Periodic Review ***
El Client Referral O RM Prospect O Intermediary/FIM • Other Source (CIB, etc.)
How Was the Clent(s)
Introduced? How keg has the
RN personaly known the
client? Please provide details (e.g. name of referral source, how many years RN persona/I ha known client, etc.): Jeffrey Epstein
reached out to Stew Oldfieki on 3/7/17 to have a new acct opened under this relationship..
Last Approved KYC a - M. Butterfly Trust - 1804531: Neptune, LLC - 1790739.
Does Deuische Bank pay a
retrocession or similar • Yes 15. No
compensation to a third party
far the .woductlon of this
relationship? (if Ys, desatte)
Lst all existing and new accounts involved in this reLabonship
Legal Entity
Account(s) Account Name / Number Opening Crate (intended/actual)
1 • 12/13/2013
2 2 Butterfly Trust - 44130552 - NMB.4.44130552 1/24/2014
3 2 Neptune LW - 42953429 - DDA.42953424 10/18/2013
Who is he primary contact
person or the RM? (Note: This
person needs to have
sgratory nghts and/or
information right for the
accounts.): Preferred method of contact
(indicate phone no., fax no.,
e-mail address, etc.): Status : U. Approved
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EFTA_000 18875
EFTA00168622
Kl"C Print Page 2 of 41
One sheet must be established for each account to be opened
2. Account Ownership Summary
Account Name: & Acct Number (if avaitatie).
Account Manager: Stewart Wield
What is the purpose of the account (e.g. portfolio management, advisory account, custody services, long-term immanent, payment/expense account)? This b a
checking account for Individuals. They use the funds for daily expenses.
Indicate
2
■
•
❑ from where the assets are expected to aMve?
DB Group: Same Booking Center (indicate account number): Existing
DB Group: Other Booking Center (indicate 08 location at account details):
Other Institution - (Indicate name & location):
Physical Deposits (specify cash, securities, cheques, ...):
What is the expected Sze and frequency of regular Inflows and outflows for the accoun (indicate estimated number and volume per month)?: 2.1frrionth; SI -
S2000
What is the expected volume of asses and currency for the account approx. 90 days
after opening? 24282.99 I Currency I USD
What is the expected volume of assets and currency for the account approx. one year
after opening? 24,28199 I Currency I USD
Does/will the client have Assets Under Management (AuM) within CB wider St. 3M? arm@ NO
Please list all parties related to the account.
For each party:
• Check if a source of wean descripuon is required for the party.
• Check the appropriate box to descrte the relauonship of the patty to this account (> I can be selected).
• f none of the check boxes apply, descnbe the party's relation to the account In the Tither" column.
• Always desate the relationship between the parties in the last column.
• Pease drill down to the ultimate/ taterlying Beneficial Owner(s).
Legal
Entrtyof Description
Source
of Wealth
ranted
Mes
elated to
is
count AccouniPiC
Holder Ovinelmst Settlor of
/
Founder of
Foundation Jitimate
Beneficsior
Nine Signator&mreo
Full
POA 'OA Financial
Intermedars
(FIN) reticent
hareholderibicesentative
>.25%)
-PIC
tiny
indicate
ership
) _egal Grantor/SettlorFoundingbther
Dance :please
iincrke
3ther roles
and/or
ndicate
relationship
Oetween
,arbes)
I ❑ a a ❑ ❑ a a ❑ ❑ ❑ ❑ ❑
2 ❑ a ..0 ■ ❑ !ri is ■ ❑ ❑ ❑ ❑
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EFTA_000 18876
EFTA00168623
KYC Print Page 3 of 41
2. Account Ownership Summary
Account Name: Butterfly Trust - 94130552 - MMBA Acct. Number (i f evadable):
Account Manager. Stewart Oldfield
What is the purpose of the account (e.g. portfolio management, advisory accoLrit, custody senAces, long-term investment, payment/expense account)? This IS a
money market deposit account to pay all expenses! disbursements related to the trust. Expenses are taxes, Dust fee, etc
Indicate from 'tore the assets are expected to arrive?
2 DB Group: Same Booking Center (indicate account number): Existing
O DB Group: Other Booking Center (indicate DB location and account details):
O Other Institution - (Indicate name & location):
O Physical Deposits (specify cash, securities, cheques, ...):
What is the expected size and frequency of regular inflows and outflows for the account (indicate estimated number and volume per month)?: 0 2/month; SO -
51000
What is the expected vokime of assets and currency for the account approx. 90 days after
opening? 1709,736.63 I CLrrency I USD
What is the expected volume of assets and currency for the account approx. one year after
opening? 1709,736.63 I Curren cy I USD
Does/will the client have Assets Under Management (AuM) within DB under Eur. 3M? °Yes El No
Please 1St all parties related to the account
For each party:
• Check if a source of wealth description is required for the party.
• Check the appropriate box to descrte the relationship of the party to the account (> ton be selected).
• If none of the check boxes apply, describe the party's relation to the account in the 'Other' column.
• Always descrte the relationship between the parties in the last column.
• Please drill down to the ultimateftriderlying Beneficial Otrner(s).
Legal
Entityof Desaiption
Source
of Wean.
mused
Parties
related to
this
account AccountP1C
Holder CrimerTrust! Senior' of
Founder of
Foundation Jltimate
Benefioabr
Saner Signatorydrnitedhnancial
Full
POA POA Intermedaythareholderfaeprisentatne
(FIM) Rgnificant
(>.,25%)
Non-P1C
entity
(indicate
ownership
%) _egal Grantor/SettioSoundl
3onor her
,please
aascnbe
other roles
andfor
nd,cate
relatiorshop
between
names)
i 2 trustButter* 222O O O O O • • 2 O O Harry
Belle r OOO• 9O O • • • TIIISI44::
O O Enka
Krhelleals I—I 1-1O O • O O O • • O Trustee::
4 O 9 Jeffrey E.
Epgen OO9• a o o • • O Grantor of
Butterfly
Trust;
S O O MO OO 5 O O O • • •
6 O O O O El M
CI O O • • •
7O O O O O M
O O O • • O
0O O O O O 2 O O O O O O
9O O O O O 2 O O O O O O
10 O O O O O M O O O O O O 11 O O O O O 2 O O O O O O 12
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EFTA_000 1 8877
EFTA00168624
KYC Print Page 4 of 41
O O O O O El O O O O O •
13 O O bar g O O O O O O • • •
14 O O O 121 O O O O O • J •
SOO tan"' ig O OO O O • NMI •
16 El 2 O O O O O O O O O •
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EFTA_00018878
EFTA00168625
KYC Print Page 5 of 41
2. Account Ownership Summary
Amount Name: Neptune LLC - 42953424 - DDA Acct. Number (if aradaWe). 42953429
Amount Manager. Stewart Oldfleld
What Is the purpose of the account (e.g. portfolio management, advisory account, custody services, long-term 'moment, payment expense account)? This k a
checking account to pay for all expenses (I.e. electric, maintenance, cable, etc.) on Epstein's NYC home.
Indicate from where the assets are expected to aMve?
2 DB Group: Same Booking Center (Indicate account number): hiding
• DB Group: Other Booking Center (indicate DB location arid account details):
O Other Insotution — (Indicate name & location):
O Physical Deposils (specify cash, securities, cheques, ...):
What is the expected Sze and frequency of regular Inflows and outflows for the account (indicate estimated number and volume per month)?: 15.20/month; $10
- $10000
What Is the expected volume of assets and currency fa the account approx. 90 days after
opening? 1207,814.91 I CLerency I USD
What Is the expected volume of assets and currency fix the account approx. one year after
opening? 1207,814.91 I Currency USD
Does/will the client have Assets Under Management (AuM) within DB under Eur. 3M? ario2No
Please list all parties related to the account.
For each party:
• Check if a source of wealth descripbon Is required for the party.
• Check the appropriate box to desate the relationship of the patty to the acme-it (> 1 can be selected).
• If none of the check boxes apply, describe the patty's relation to the account In the 'Other column.
• Always describe the relationship between the polies in the last column.
• Please drill down to the ultimatefteidedyng Beneficial Owner(s).
Legal
intrtrof Docripoon
Source
of Wealth
requeed
Parties
related to
this
BCCOLMIt AccounUPIC
Holder Onneffrust/ Settle( of
Founder of
Foundation Jlbmate
Beneficialor
Owner Signatory
Ful
POA Limited
POA Financial
IntermedioyShareholderltexesentative
(Flm) Significant
(>=25%)
Nan-PIC
awry
(Indicate
ownership
%) egal Granta/Settlorfounding•
Donor the
(please
1escrte
other roles
and/or
ndicate
relationship
Setween
'otos)
1 O ID Jeffrey E.
Epsten O O O 2 2 O O O O . Sole
Member of
Neptune
LLC:
2 O O Hat ry
Beller O O O O 2 O O O O •
3O O Darren K.
Indyke 0 00
0 e o O 0 0 I
4 2 2 Neptune,
LLC 2OOO O O O O O •
5O O Rkhard
D. Kahn n
I—IO O OOOO OO•Manager
Yeptune
_LC;
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EFTA_000 18879
EFTA00168626
KYC Print Page I of 41
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownershl
3A. Individual Details (for all parties)
indivedual's Name: IM Date of Bkth:
Country of Residence: Country of Ottpenship:
Address of primary residence: Has client resided outside of
his/her country of nationality
for S years or more? O Yes la No
Profession/Ocorpatka: Tax ID / SSN:
Current Employer: N/A Position/Tide/Rank: N/A
Address of employer: N/A
Does the perste, work as serer executive of a DDreagnized regulated entity in the financial
ndustry? or an entity listed on a DB-recognised exchange? (Not applicable for operating entitles in al
" YES Pb
Is the individual a Politically Exposed Person (PEP)?(if Yes, Sate) N/A O Yes O Na
To the best of your knowledge, Is the Individual related to an employee of the i343 group?(if
Family once-iced:At describe) N/A O None • Family • Friendship
To the best of your knowledge, is the kxlividual party to a non-banking relationship with
Deutsche Bank (e.g., external legal counsel, diet referral source, supplier of goods or
seivicm)?tif res,elemte) N/A Dyes O No
If applicable, indicate wrath bar* officers have met the person: Indcate where and when the client meetng(s) took place:
Bank Officer Name(s) Bank Office: Cent Private
Domkoile: Client Place of
Business: Other Location (specify): Date:
O O •
O O O
O CI O Summa
• Wealth Details for this indMdual are not filled in, because they we the same as for the following person:
3B. Wealth Details (Only for parties requinng source of wealth description as indlated In Seddon 2)
Nature of the Individual's Busrness: Homemaker. Solely relies on income from her Wit who is a monor Designer.
Primary Country of source of wealth/source of Funds? United States
Primary industry of source of Wealth/Source of Funds? Other
Summarae Source of Wealth: O Business Owner 2 Salary/Earnings O Investment • IMeritance/Gifts 2 Other.
Further Desate Source of Wealth
did family accumulate Weath 'For
ma r activities, important busness
Estimated Annual kicome($): /Detail the history of wealth for each of the sources: (e.g. For trusts, how did senior accumulate
business ow how .kn in n
partners.) rim I tab::, ? Indicate
Estimated amount of investable asset($): wealth? For inheritance, how
of business can
<St MIA
Estimated Net WoRh(S): <SI MM Amount of assets planned to invest with PWM($): 20,00100
Other Known Financial Institutions:
Insbtution: Catty: Est. Assets Under Mgt:
monition: Catty: Est. Assets Under Mgt:
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EFTA00168627
KYC Print Page 7 of 41
IInsbbition: I
IEst. Assets Under Mgt:
Please indicate the (amity situation of the inclvidual (mantal status, other family members, etc): Marred to Karyna Shute*
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e). DB-SDNY-0000007
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EFTA_00018881
EFTA00168628
KYC Print Page 8 of 41
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summary
3A. Individual Details (for all parties)
Indowdual's Name: Date of Skth:
Country of Residence: United Rates Country of Otaenship:
Address of primary residence: Has client resided outside of
his/her country of nationality
for S years or more? O Yes ©No
Profession/Ocapatka: Tax ID / SSN:
Current Employer: Poston/Tide/Rank:
Address of envioyer:
Does the person work as senor executive of a DB-recognized regulated entity in the finance'
ndustry? or an entity listed on a DEI.recoanised exchange? (Not applicable for operating entitles i—i yes g Pb "
Is the individual a Politically Exposed Person (PEP)?(if Yes, *scree) N/A O yes g No
To the best of your knowledge, Is the individual related to an employee of the DB group?(if
Family once-Awash*, describe) N/A g None • Family • Friendship
To the best of your knowledge, is the inclividual party to a non-banking relationship with
Deutsche Bank (e.g., external legal counsel, diet referral source, supplier of goods or
servia)?(if res,clesmbe) N/A Dyes 121 Pb
If applicable, indicate ntch bar* officers have met the person: Ind.cate where and when the client meetng(s) took place:
Bank Officer Name(s) Bank Offkr ' Cent Private
Domcie: Client Place of
Business: Other Location (specify): Date:
Stewart Oldrield O O RI 123/2017
O O •
• Wealth Details for dus indindual are not filled in because they we the same as for the following person:
3B. Wealth Details (Only for parties requiring source of wealth description as rioted In Seddon 2)
Nature of the Individual's Business: Interior Desgn
Primary County of source of wealth/source of Funds? United States
Primary ndustry of source of Wealth/Source of Funds? Other
Summarae Source of Wealth: O Business Owner OSalary/Earnings O Investment • Inheritance/Gifts • Other:
Further Desate Source of Wealth /Detail the history of wealth for each of the sources: (e.g. For mists, how did sector accumulate
Estimated Annual Income($): 150,000.00 Estimated amount of Investable assets($): wealth? For Inheritance, how
<51 MM
Estimated Net Worth(S): <SI MM Amount of assets planned to invest with PWM($): 2,000.00
Other Known Finance' Institutions:
Insbtution: County: Est Assets Under Mgt
Insmution: Canby: Est. Assets Under Mgt:
Instiwtlon: Canby: Est. Assets Under Mgt:
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EFTA_00018882
EFTA00168629
KYC Print Page 9 of 41
I I I I
I I
Please Indicate the family situation of the individual (mental status, other family ,u.w t a etc.): flamed to —=
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EFTA_00018883
EFTA00168630
KYC Print Page 10 of 41
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summary
3A. Individual Details (for all parties)
Mew:lugs Name: Jeffrey E. Epstein - 03000483289 Date of Bath: 1/20/1953
Country of Residence: Virgin Islands, US. Country of Citizenship: tinted States
Address of primary residence: Uthe Saint James Saint Thomas 00802 Virgin Islands, US. Has client resided outside of
his/her country of nationaltty
for 5 years or more? O yes ©No
Profession/Ocapatkn: Self Empolyed Tax ID / SSN:
Current Employer: Southern Trust Company Inc Positionifitle/Rank: President
Address of employer: 6100 Red Hook Quarter B3 St. Thomas Virgin Wands, US. 00802
Does the person work as sensor executive of a DB-recognized regulated entity in the financial
ndustry? or an entity listed on a DB-recognised exchange? (Not applicable for operating entitles ri Yes 2 Pb"
Is the indMdual a Politically Exposed Person (PEP)?(// Yes, *sate) Correction with Prince
Andrew and Bill Clinton 2 yes O Pb
To the best of your kncmledge, is the individual related to an empkryee of the 08 group?(d
Family oneriendS4), describe) N/A O Family O None MI Friendship
To the best of your knowledge, is the inclividel party to a non-banking relationship with
Deutsche Bank (e.g., external legal counsel, diet refetal source, supplier of goods or
servidr)?Of l'es,desmbe) N/A O Yes O1 No
If applicable, indicate Mich bank officers have met the person: Indcate where and then the dent meeting(s) took place:
Bank Officer Name(s) Bank Office: Client Private
Domcdle: Client Place of
Business: Other Location (specify): Date:
Stewart Oldfield O O 128/2017 •
o o O
O CI O
O Wealth Details for this individual are not filled In, because they are the same as for the following person:
3B. Wealth Details (Orgy for parties remaring source of wealth description as indicated In Section 2)
Nature of the Individual's Business: Pnvate investments
Primary Ceundy of source of wealth/source of Funds? United States
Primary ndustry of source of Wealth/Source of Funds? High Risk Financial Institutions
Summarae Source of Wealth: 2 Business Owner O Salary/Eamings O Investment M INpritance/Gifts O Other:
Further Desate Sauce of Wealth /Detail the history of wealth for
did family accumulate wealth7For business owners, how long in
major activities, important business partners.) Jeffrey Edward Epstein
States. He worked at Bear Stearns early In Ns career and then formed
and physics at the Dalton School in Manhattan from 1973 to 1975.
In 1976, Epstein started work as an options trader at Bear Steams
strategies. Proving successful in his financial career, ki 1980 Epstein
In 1982, Epstein founded his cam financial management firm, J.
Leslie Wexner, founder and chairman of Ohm-based The Linked
Fitch the following year. In 1992 he converted a private school on
weehiest part of Manhattan. In 1996, Epstein changed the name
St. Thomas in the U.S. Virgin Islands.
In 2003, Epsten bid to acquwe New York magazine. Other bidders
Mauler Zuckerman, who had the New York Daily News, and film
Wag Street investet, 555 each of the sources: (e.g. For trusts, how did senor axumulate wealth? For inheritance, how
business, how many employer, level of creditability? Indicate type of business, countries of
(born January 20, 1953) is an Amencan financier and registered sex offender in the United
his oval firm, J. Epstein & Co. He lives in the US Virgin Islands. Epstein taught calculus
Among his students was a son of Alan C. Greenberg, charman of Bear Stearns.
kMere he worked in the special products division, advising tagh-net-worth clients on tax
became a partner at Bear Stearns.
Epstein & Co., managing the asses of clients with more than 51 billion n net woo. In 1987,
chain of women's clothing stores, became a well-known dkent. Wexner acquired Abercrombie &
the Upper East Side into an enormous residence. Epstein later bought that property, in the
of his firm to the Financial Trust Company and, for tax advantages, based it on the island of
were advertrsing executive Denny Deutsch, Investor Nelson Peltz, media mogul and publisher
producer Harvey Weinstein. They were ultimately putted by Bnce Wasserstein, a longtime
finance Radar a celebrity and pop culture magazine founded by Mae: Rcshan. Epstein and
-In-chief, retained a small ownership stake. vino pan mist.
In 2004, Epstein and Zuckerman committed up to $25 million to
Zuckerman were equal partners in the venture. Roshan, as its editor
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EFTA00168631
KYC Print Page II of 41
Presently, Mr. Epstein founded Southern Trust Company Inc, a private ca-isulting company that invests the assets of their diet and gets thew revenue from the
return of these Investments. Southern Trust invests in different portfolios catered to their clients and makes their revenue based on the returns and the fees
assodated with managing their diet assets.
Estimated Annual kicome($): 10,000,000.00 Estimated amount of Investable assets($): $50 MN - WO MM
Estimated Net Worth(S): $500 MM + Amount of assets planned to invest with PWM($): 2,300,000.00
Other Known finandal Institutions:
insbtution: Catty: Est. Assets Under Mgt
Insbtution: Catty: Est. Assets Under Mgt:
Institution: Catty: Est. Assets Under Mgt:
Please indicate the family situation of the indvidual (marital status, other family members, etc): WA
CONFIDENTIAL — PURSUANT TO FED. R. GRIM. P. le). DB-SDNY-000001 1
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EFTA_000 18885
EFTA00168632
KYC Print Page 12 of 41
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownershl
3A. Individual Details (for all panes)
Individual's Name: Harry Bever • Date of Bird,:
Country of Residence: United States Country of Ottaenship: United States
Address of primary residence: Has client resided outside of
his//her country of nationality
for S years or more? CI yes ©No
Profession/Ocaeatka: Accountant Tax ID / SSN:
Current Employer. HBRK Associates, Inc Posteri/Tele/Rank: newt:Rant
Address of employer: 575 Lexington Avenue, 4th Roor Halsey NY United States 10022
Does the person work as senior executive of a DBrecognlzed regulated entity in the Mandel
ndusby? or an entity listed on a DDreccgnised exchange? (Not applicalie for operating entitles in yes 2 PbI--I
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe) N/A O Yes 2 No
To the best of your knowledge, Is the individual related to an employee of the DB group?(if
Family once-Awash*, describe) N/A g None • Family • Friendship
To the best of your knowledge, is the kxlividual party to a non-banking relationship with
Deutsche Bank (e.g., external legal counsel, client referral source, supplier of goods or
servio)?(if res,demte) N/A O Yes I21 No
If applicable, indicate which bank officers have met the person: Ind.cate where and viten the client meeting(s) took place:
Bank Officer Name(s) Bank Office: Client Private
Domicile: Client Place of
Business: Other Location (specify): Date:
O O •
O O O
O CI O Summa
• Wealth Details for this individual are not filled in, because they we the same as for the following person:
3B. Wealth Details (Only for parties requinng source of wealth description as indicated in Section 2)
Nature of the Individual's Business:
Primary Country of source of wealth/sane of Funds?
Primary ndustry of source of Vieatth/Source of Funds?
Summarae Source of Wealth: O Business Owner O Salary/EamIngs O Investment O Inhentance/Glfts O Other:
Further Descrte Source of Wea th /Detail the history of wealth for each of the sources: (e.g. For trusts, how did settior accumulate wealth? For Inheritance, how
did family accumulate weath?For business owners, how brig in business, how many employees, level of prolitatety? Indicate type of business, countries of
major activities, important business partners.)
Estimated Annual Income($): Estimated amount of investable asset($):
Estimated Net Worth(5): Amount of assets premed to invest with FWM($):
Other Known Financial Institutions:
Insbtution: Country: Est. Assets Under Mgt:
Institution: Country: Est. Assets Under Mgt:
Institution: Country: Est. Assets Under Mgt:
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EFTA_000 18886
EFTA00168633
KYC Print Page 13 of 41
Please indicate the family situation of the inoviclual (mental status, other family members, etc.):
I
CONFIDENTIAL — PURSUANT TO FED. R. GRIM. P. le). DB-SDNY-0000013
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EFTA_000 18887
EFTA00168634
KYC Print Page 14 of 41
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownershl
3A. Individual Details (for all parties)
Individual's Name: Erika Kellerhals - Date of Birth:
Country of Residence: Virgin Islands, U.S. Country of Citizenship: United States
Addressor primary residence: Has client resided outside of
he/her country of nationality
for 5 years or more? O yes ©No
Professlon/Ocaipatlon: Attorney Tax ID/ SSN:
Current Employer. Ketterhals Ferguson Kroblin PLLC Postion/Title/Rank: Attorney
Address of employer: 9100 Port of Sale Mal, Ste 15 St. Thomas Virgin Islands, U.5.00802
Does the person work as senior executive of a DDrecognized regulated entity in the financial
ndustry? or an entity listed on a DB-recognised exchange? (Not applicable for operating entitles ri yes 2 lb
1-4
Is the individual a Politically Exposed Person (PEP)?(if Yes, cescree) N/A O Yes 2 Pb
To the best of your knowledge, Is the Individual related to an employee of the DB group?(if
Family once-Awash*, describe) N/A O None • Family • Friendship
To the best of your knowledge, is the individual party to a non-banking relationship with
Deutsche Bank (e.g., external legal counsel, client refeTal source, supplier of goods or
seivicm)?Of res,demte) N/A O Yes I21 No
If applicable, indicate wrath bank officers have met the person: Indcate where and when the client meeting(s) took place:
Bank Officer Name(s) Bank Office: Clent Private
Domiolle: Client Place of
Business: Other Location (specify): Date:
O O •
O O O
O CI O Summa
• Wealth Details for tivs individual are not filled In, because they we the same as for the following person:
3B. Wealth Details (Only for parties requinng source of wealth description as rioted in Section 2)
Nature of the Individual's Busness:
Primary Counby of source of wealth/sane of Funds?
Primary ndustry of source of Weatth/Source of Funds?
Summarae Source of Wealth: O Business Owner O Salary/Eamings O Investment O Inheritance/Gifts O Other:
Further Desate Source of Wea th /Detail the history of wealth for each of the sources: (e.g. For trusts, how did senor accumulate wealth? For inheritance, how
did family accumulate weath?For business owners, how long in business, how many employees, level of profitability? Indicate type of business, countries of
major activities, important business partners.)
Estimated Annual b-come($): Estimated amount of investable asset($):
Estimated Net Worth(S): Amount of assets premed to invest with PWM($):
Other Known Financial Institutions:
Irebtution: Country: Est. Assets Under Mgt:
Institution: Country: Est. Assets Under Mgt:
Institution: Country: Est. Assets Under Mgt:
CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e). DB-SDNY-0000014
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e... UM92828978
EFTA_00018888
EFTA00168635
KYC Print Page 15 of 41
Please indicate the family situation of the inoviclual (mental status, other family members, etc.):
I
CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e). DB-SDNY-0000015
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=0IN30000000D9Di&e... UM92828 979
EFTA_000 18889
EFTA00168636
KYC Print Page 16 of 41
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownershl
3A. Individual Details (for all parties)
Individual's Name: Date of Bit:
Country of Resdence: Country of Ottaenship:
Address of primary residence: Has client resided outside of
his/her country of nationality O Yes ©No
for 5 years or more?
Profession/Ocamatica: N/A Tax ID/ SSN:
Current Employer: N/A Position/Ttle/Rank: N/A
Address of employer: N/A
Does the person work as serer executive of a DB-recognized regulated entity in the finandal
ndusby? or an entity listed on a DB-recognised exchange? (Not applicable for operating entitles in am
" YES •-11.5
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe) N/A O Yes 2 No
To the best."( your knovnedge, Is the individual rented to an employee of the Gl3 group?(if
Family once-Awash*, describe) N/A • Family • Friendship O None
To the best of your knowledge, is the individual party to a non-banking relationship with
Deutsche Bank (e.g., external legal counsel, diet referral source, supplier of goods or
seivicm)?Of res,demte) N/A O Yes I21 No
If applicable, indicate thud[bank officers have met the person: Indcate where and when the client meeting(s) took place:
Bank Officer Name(s) Bank Office: Cent Private
Dommile: Client Place of
Business: Other Location (specify): Date:
O O •
O O O
O CI O Summa
• Wealth Details for this indMdual are not flied in, because they we 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 Indlviduars Busness:
Primary Country of source of wealth/sane of Funds?
Primary ndustry of source of Weatth/Source of Funds?
Summarae Source of Wealth: O Business Owner O Salary/EamIngs O Investment O Inhentance/Glfts O Other:
Further Desate Source of We th /Detail the history of wealth for each of the sources: (e.g. For trusts, how did senor accumulate wealth? For inheritance, how
did family accumulate weath?For business owners, how long in business, how many employees, level of prolitatety? Indicate type of business, countries of
major activities, important bus mess partners.)
Estimated Annual Income($): Estimated amount of investable asset($):
Estimated Net Worth(5): Amount of assets ',lamed to invest with FWM($):
Other Known Finanaal Institutions:
Insbtution: Country: Est. Assets Under Mgt:
Institution: Country: Est. Assets Under Mgt:
Institution: Country: Est. Assets Under Mgt:
CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e). DB-SONY-0000016
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e... U§192828980
EFTA_000 18890
EFTA00168637
KYC Print Page 17 of 41
Please Indicate the family situation of the inoviclual (mental status, other family members, etc.):
I
CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e). DB-SDNY-0000017
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e... UM92828 981
EFTA_000 18891
EFTA00168638
KYC Print Page 18 of 41
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownershl
3A. Individual Details (for all parties)
indiwival's Name: Date of Skth:
Country of Residence: Country of Ottaership:
Address of primary residence: Has client resided outside of
his/her country of nationality
for 5 years or more? O Yes la No
Profession/Ocapatica: N/A Tax ID/ SSN:
Current Employer: N/A PositianfTklefRank: N/A
Address of employer: N/A
Does the person work as serer executive of a DB-recognized regulated entity in the finandal
ndustry? or an entity listed on a DB-recognised exchange? (Not applicable for operating entitles in am
" YES Pb
Is the individual a Politically Exposed Person (PEP)?(if Yes, Sate) N/A O Yes 2 No
To the bestial your knowledge, Is the Individual rested to an employee of the I313 group?(if
Family once-Awash*, describe) N/A O None • Family • Friendship
To the best of your knowledge, is the inclividual party to a non-banking relationship with
Deutsche Bank (e.g., external legal counsel, client referral source, supplier of goods or
seivicm)?Of res,demte) N/A O Yes I21 No
If applicable, indicate wrath bank officers have met the person: Indcate where and viten the dent meeting(s) took place:
Bank Officer Name(s) Bank Offxr ' Cent Private
Doma:die: Client Place of
Business: Other Location (specify): Date:
O O •
O O O
O CI O Summa
• Wealth Details for this individual are not filled in because they we the same as for the following person:
3B. Wealth Details (Only for parties requinng source of wealth description as indicated in Seddon 2)
Nature of the Individual's Busness:
Primary Country of source of wealth/sane of Funds?
Primary ndustry of source of Weakh/Source of Funds?
Summate Source of Wealth: O Business Owner O Salary/Earnings O Investment O Inheritance/Gifts O Other:
Further Desate Source of Wea th /Detail the history of wealth for each of the sources: (e.g. For trusts, how did settior accumulate wealth? For inheritance how
did family accumulate weath?For business owners, how long in business, how many employees, level of proktatety? Indicate type of business, countries of
major activities, important business partners.)
Estimated Annual Income($): Estimated amount of investable asset($):
Estimated Net Worth(5): Amount of assets ',lamed to invest with FWM($):
Other Known Finanaal Institutions:
Insbtution: Country: Est. Assets Under Mgt:
Institution: Country: Est. Asses Under Mgt:
Institution: Country: Est. Assets Under Mgt:
CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. le). DB-SONY-0000018
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e... UM92829982
EFTA_000 18892
EFTA00168639
KYC Print Page 19 of 41
Please indicate the family situation of the inoviclual (mental status, other family members, etc.):
I
CONFIDENTIAL — PURSUANT TO FED. R. GRIM. P. le). DB-SONY-0000019
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e... UM92829983
EFTA_000 18893
EFTA00168640
KYC Print Page 20 of 41
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownershl
3A. Individual Details (for all parties)
Individual's Name: Date of Beth:
Country of Residence: ■ Country of Ottaenship:
Address of primary residence: Has client resided acme of
his/her country of nationality
for S years or more? O Yes la No
Profession/Ocarpatica: N/A Tax ID / SSN:
Current Employer: N/A Position/Tide/Rank: N/A
Address of employer: N/A
Does the perste, work as senior executive of a DB-recognized regulated entity in the finandal
ndustry? or an entity listed on a DB-recognised exchange? (Not applicable for operating entitles in am
" Yes --, No
Is the individual a Politically Exposed Person (PEP)?(if Yes, scree) N/A O Yes 2 No
To the best of your knowledge, Is the Individual rented to an employee of the Cl3 group?(if
Family once-Awash*, describe) N/A O None • Family • Friendship
To the best of your knowledge, is the Individual party to a non-banking relationship with
Deutsche Bank (e.g., external legal counsel, dient referral source, supplier of goods or
seivicm)?Of res,demte) N/A Dyes 21 No
If applicable, indicate wrath bank officers have met the person: Indcate where and when the dent meeting(s) took place:
Bank Officer Name(s) Bank Office: Cent Private
Domiolle: Client Place of
Business: Other Location (specify): Date:
O O •
O O O
O CI O Summa
• Wealth Details for this individual are not filled in because they we the same as for the following person:
3B. Wealth Details (Only for parties requinng source of wealth description as rioted In Seddon 2)
Nature of the Individual's Busness:
Primary Country of source of weakh/sairce of Funds?
Primary ndustry of source of Weakh/Source of Funds?
Summarae Source of Wealth: O Business Owner O Salary/Earnings O Investment O Inheritance/Gifts O Other:
Further Desate Source of Wea tit /Detail the history of wealth for each of the sources: (e.g. For trusts, how did senor accumulate wealth? For inheritance, how
did family accumulate weath?For business owners, how long in business, how many employees, level of proktatety? Indicate type of business, countries of
major activities, important business partners.)
Estimated Annual Income($): Estimated amount of investable assed($):
Estimated Net Worth(S): Amount of assets ',lamed to invest with FWM($):
Other Known Finanaal Institutions:
Insdtution: country: Est. Assets Under Mgt:
Institution: Country: Est. Assets Under Mgt:
Institution: Country: Est. Assets Under Mgt:
CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. le). DB-SONY-0000020
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e... UM92828 984
EFTA_000 18894
EFTA00168641
KYC Print Page 21 of 41
Please indicate the family situation of the inoviclual (mental status, other family members, etc.):
I
CONFIDENTIAL — PURSUANT TO FED. R. GRIM. P. le). DB-SONY-0000021
https://dbforcepb.my.salesforce.com/servlet/serviet.Integration?lid=01N30000000D9Di&e... UM92829 985
EFTA_000 18895
EFTA00168642
KYC Print Page 22 of 41
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownershl
3A. Individual Details (for all parties)
Individual's Name: Date of Skth:
Country of Residence: Country of Ottaership:
Address of primary residence: Has client resided outside of
hisf her country of nationality
for 5 years or more? O yes la No
Profession/Ocapatica: N/A Tax ID/ SSN:
Current Employer: N/A PositianfTslefRank: N/A
Address of employer: N/A
Does the person work as serer executive of a DB-recognized regulated entity in the finandal
or an entity listed on a DB-recognised exchange? (Not applicable for operating entitles in ®ndustry? " YES No
Is the individual a Politically Exposed Person (PEP)?(if Yes, Sate) N/A O Yes 2 No
To the bestial your knowledge, Is the Individual rested to an employee of the I313 group?(if
Family once-Awash*, describe) N/A O None • Family • Friendship
To the best of your knowledge, is the inclividual party to a non-banlong relationship with
Deutsche Bank (e.g., external legal counsel, client referral source, supplier of goods or
seivicm)?Of res,demte) N/A O Yes I21 No
If applicable, indicate with bank officers have met the person: Indcate where and when the dent meeting(s) took place:
Bank Officer Name(s) Bank Offxr ' Cent Private
Domaolle: Client Place of
Business: Other Location (specify): Date:
O O •
O O O
O CI O Summa
• Wealth Details for this individual are not filled in because they we the same as for the following person:
3B. Wealth Details (Only for parties requinng source of wealth description as indicated in Seddon 2)
Nature of the Individual's Busness:
Primary Country of source of weakly sane of Funds?
Primary ndustry of source of Weatth/Source of Funds?
Summate Source of Wealth: O Business Owner O SalaryfEamings O Investment O Inheritance/Gifts O Other:
Further Desate Source of Wea th /Detail the history of wealth for each of the sources: (e.g. For trusts, how did settior accumulate wealth? For Inheritance, how
did family accumulate weath?For business owners, how brig in business, how many employees, level of prolitatety? Indicate type of business, countries of
major activities, important business partners.)
Estimated Annual Income($): Estimated amount of investable asset($):
Estimated Net Worth(5): Amours of assets planned to invest with FWM($):
Other Known Finanaal Institutions:
Insdtution: Country: Est. Assets Under Mgt:
Institution: Country: Est. Asses Under Mgt:
Institution: Country: Est. Assets Under Mgt:
CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. le). DB-SONY-0000022
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e... U§192828986
EFTA_000 18896
EFTA00168643
KYC Print Page 23 of 41
Please indicate the family situation of the inoviclual (mental status, other family members, etc.):
I
CONFIDENTIAL — PURSUANT TO FED. R. GRIM. P. le). DB-SDNY-0000023
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e... UM92828987
EFTA_000 18897
EFTA00168644
KYC Print Page 24 of 41
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownershl
3A. Individual Details (for all parties)
indiwival's Name: Date of Skth:
Country of Residence: Country of Ottaenship: United States
Address of primary residence: Has client resided outside of
his/her country of nationality
for 5 years or more? O Yes ©No
Profession/Ocamatica: N/A Tax ID/ SSN:
Current Employer: N/A PostionfTkle/Rank: N/A
Address of employer: N/A •
Does the person work as senior executive of a DEI-recognized regulated entity in the finandal
ndustry? or an entity listed on a DB-recognised exchange? (Not applicable for operating entitles in al
" YES ,-, Pb
Is the individual a Politically Exposed Person (PEP)?(if Yes, Sate) N/A O Yes 2 No
To the best."( your knowledge, Is the Individual rented to an employee of the I313 group?(if
Family once-Awash*, describe) N/A O None • Family • Friendship
To the best of your knowledge, is the inclividual party to a non-banking relationship with
Deutsche Bank (e.g., external legal counsel, client referral source, supplier of goods or
seivicm)?Of res,demte) N/A O Yes I21No
If applicable, indicate wrath bank officers have met the person: Indcate where and viten the dent meeting(s) took place:
Bank Officer Name(s) Bank Offxr ' Cent Private
Dommile: Client Place of
Business: Other Location (specify): Date:
O O •
O O O
O CI O Summa
• Wealth Details for this individual are not filled in because they we the same as for the following person:
3B. Wealth Details (Only for parties requinng source of wealth description as rioted in Seddon 2)
Nature of the Individual's Busness:
Primary Country of source of wealth/sane of Funds?
Primary ndustry of source of Weakh/Source of Funds?
Summarae Source of Wealth: O Business Owner O Salary/Earnings O Investment O Inheritance/Gifts O Other:
Further Desate Source of Wea th /Detail the history of wealth for each of the sources: (e.g. For trusts, how did settior accumulate wealth? For inheritance, how
did family accumulate weath?For business owners, how long in business, how many employees, level of probtatety? Indicate type of business, countries of
major activities, important busmess partners.)
Estimated Annual Income($): Estimated amount of mvestable asset($):
Estimated Net Worth(5): Amount of assets ',lamed to invest with FWM($):
Other Known Finanaal Institutions:
Insbtution: Country: Est. Assets Under Mgt:
Institution: Country: Est. Assets Under Mgt:
Institution: Country: Est. Assets Under Mgt:
CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. le). DB-SONY-0000024
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e... UM92829988
EFTA_000 18898
EFTA00168645
KYC Print Page 25 of 41
Please indicate the family situation of the inoviclual (mental status, other family members, etc.):
I
CONFIDENTIAL — PURSUANT TO FED. R. GRIM. P. le). DB-SDNY-0000025
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e... UM92828989
EFTA_000 18899
EFTA00168646
KYC Print Page 26 of 41
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownershl
3A. Individual Details (for all parties)
Indiwival's Name: Date of Skth:
Country of Residence: Country of Ottaenship: United States
Address of primary residence: Has client resided outside of
his/her country of nationality
for 5 years or more? O yes ©No
Profession/Ocamatica: N/A Tax ID/ SSN:
Current Employer: N/A Positian/Ttle/Rank: N/A
Address of employer: N/A
Does the person work as serer executive of a DEI-recognized regulated entity In the finandal
ndustry? or an entity listed on a DB-recognised exchange? (Not applicable for operating entitles in am
" YES Pb
Is the individual a Politically Exposed Person (PEP)?(if Yes, Sate) N/A O Yes 2 No
To the bestial your knew/ledge, Is the individual rented to an employee of the I313 group?(if
Family once-Awash*, describe) N/A O None • Family • Friendship
To the best of your knowledge, is the inclividual party to a non-banking relationship with
Deutsche Bank (e.g., external legal counsel, client referral source, supplier of goods or
seivicm)?Of res,demte) N/A O Yes I21 No
If applicable, indicate wrath bank officers have met the person: Indcate where and aten the dent meeting(s) took place:
Bank Officer Name(s) Bank Offxr ' Cent Private
Dommile: Client
Business: Place of Other( Location specify): Date:
O O •
O O O
O CI O Summa
• Wealth Details for this individual are not filled in, because they we the same as for the following person:
3B. Wealth Details (Only for parties requinng source of wealth description as rioted in Seddon 2)
Nature of the Individual's Busness:
Primary Country of source of wealth/sane of Funds?
Primary ndustry of source of Weakh/Source of Funds?
Summarae Source of Wealth: O Business Owner O Salary/Eamings O Investment O Inheritance/Gifts O Other:
Further Desate Source of Wea th /Detail the history of wealth for each of the sources: (e.g. For trusts, how did settior accumulate wealth? For inheritance how
did family accumulate weath?For business owners, how long in business, how many employees, level of proktatety? Indicate type of business, countries of
major activities, important busmess partners.)
Estimated Annual Income($): Estimated amount of mvestable asset($):
Estimated Net Worth(5): Amount of assets premed to invest with FWM($):
Other Known Finanaal Institutions:
Insbtution: Country: Est. Assets Under Mgt:
Institution: Country: Est. Assets Under Mgt:
Institution: Country: Est. Assets Under Mgt:
CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. le). DB-SONY-0000026
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e... UM9282899°
EFTA_000 18900
EFTA00168647
KYC Print Page 27 of 41
Please indicate the family situation of the inoviclual (mental status, other family members, etc.):
I
CONFIDENTIAL — PURSUANT TO FED. R. GRIM. P. le). DB-SDNY-0000027
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e... UM9289 991
EFTA_00018901
EFTA00168648
KYC Print Page 28 of 41
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownershl
3A. Individual Details (for all parties)
indivedual's Name: Date of Birth:
Country of Residence: United States Country of Ottaenship: tined States
Address of primary residence: Has client resided acme of
his/her country of nationality
for S years or more? O Yes la No
Profession/Ocamatica: N/A Tax ID / SSN:
Current Employer: N/A Position/Tele/Rank: N/A
Address of employer: N/A
Does the person work as senior executive of a DEI-recognized regulated entity in the finandal
ndustry? or an entity listed on a DB-recognised exchange? (Not applicable for operating entitles in oni" Yes --, No
Is the individual a Politically Exposed Person (PEP)?(if Yes, Sate) N/A O Yes 2 No
To the best of your knowledge, Is the Individual rented to an employee of the Cl3 group?(if
Family once-Awash*, describe) N/A O None • Family • Friendship
To the best of your knowledge, is the Individual party to a non-banking relationship with
Deutsche Bank (e.g., external legal counsel, due referral source, supplier of goods or
servid)?(if res,demte) N/A Dyes 21 No
If applicable, ndicate wrath bank officers have met the person: Ind.cate where and viten the client meeting(s) took place:
Bank Officer Name(s) Bank Office: Cent Private
Dommile: Client Place of
Business: Other Location (specify): Date:
O O •
O O O
O CI O Summa
• Wealth Details for this individual are not filled in because they we the same as for the following person:
3B. Wealth Details (Only for parties repining source of wealth description as indicated In Seddon 2)
Nature of the Individual's Busness:
Primary Country of source of wealth/sane of Funds?
Primary ndustry of source of Weatth/Source of Funds?
Summarae Source of Wealth: O Business Owner O Salary/EamIngs O Investment O Inheritance/Gifts O Other:
Further Desate Source of Wea tit /Detail the history of wealth for each of the sources: (e.g. For trusts, how did senor accumulate wealth? For inheritance, how
did family accumulate wealth?For business owners, how long in business, how many employees, level of prolitatety? Indicate type of business, countries of
major activities, important busmess partners.)
Estimated Annual Income($): Estimated amount of mvestable asset($):
Estimated Net Worth(S): Amount of assets planned to invest with FWM($):
Other Known Finanaal Institutions:
Insbtution: Country: Est. Assets Under Mgt:
Institution: Country: Est. Assets Under Mgt:
Institution: Country: Est. Assets Under mgt:
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. le). DB-SONY-0000028
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e... UM92828992
EFTA_00018902
EFTA00168649
KYC Print Page 29 of 41
Please indicate the family situation of the inoviclual (mental status, other family members, etc.):
I
CONFIDENTIAL — PURSUANT TO FED. R. GRIM. P. le). DB-SDNY-0000029
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N3
📷 Images in this document (41 detected; 6 largest described)
AI-generated factual descriptions of embedded images (llava:13b). These are searchable across the corpus.
[Image 1] The image shows a document with a header that includes the text "FEDERAL REPUBLIC OF NIGERIA" and "MINISTRY OF FINANCE." Below the header, there is a section titled "REVENUE GENERATION AND MANAGEMENT" with a subtitle "DEPARTMENT OF INTERNAL REVENUE." The document appears to be a form or a report, with various fields and checkboxes for information to be filled out or checked. There are sections for
[Image 2] The image shows a document with a header that reads "COMMERZBANK AKTIEGESELLSCHAFT GMBH & CO. KG." Below the header, there is a form with various fields and checkboxes. The form includes sections for personal information, a declaration of consent, and a section for signatures. The fields are partially obscured by a red line, indicating that some information is confidential or not to be disclosed.
[Image 3] The image shows a document with text, which appears to be a page from a report or a manual. The text is too small to read clearly, but it seems to be related to a technical or scientific subject, possibly discussing a specific topic or methodology. The document is numbered "Page 44" and includes a footer with a date and a reference number. The text is structured in paragraphs, and there are headin
[Image 4] The image shows a document with text and checkboxes, which appears to be a form or application. The document is titled "APPLICATION FOR A LICENCE TO OPERATE A PRIVATE SECURITY OPERATION." It includes sections for personal information, company details, and a declaration. There are checkboxes for "I confirm that the information provided is true and correct," and "I understand that the information pr
[Image 5] The image shows a document that appears to be a form or a checklist with various fields and checkboxes. The form includes sections for "Name," "Address," "Phone," "Email," and "Signature." There are checkboxes for "I have read and understand the terms and conditions," "I have read and understand the privacy policy," and "I have read and understand the terms of service." The form also includes a se
[Image 6] The image shows a document with various sections and fields filled out. It appears to be a form or a checklist with headings such as "RECIBIDO," "FECHA," "HORA," "NÚMERO," "NOMBRE," "APELLIDO," "RUC," "RUC DEL CLIENTE," "RUC DEL CLIENTE," "RUC DEL CLIENTE," "RUC DEL CLIENTE," "RUC DEL CLIENTE," "RUC DEL CLIENTE," "RUC DEL CLIENTE," "RUC DEL CLIENTE," "RUC DEL CLIENTE," "RUC DEL CLIENTE," "RUC DEL