KYC Print Paiie I ()I 41

EFTA01252844 Dataset 9 41 pages Download original PDF Download as text
KYC Print Paiie I ()I 41 DB PWM GLOBAL KYC/NCA: PART A rA KYC Cost: y : 01977698 One sheet must be established per relationship - list all accounts included in the relationshi 1. Relationship Details Relaborelop Name: SOUTHERN FINANCIAL RELATIONSHIP:00000483290 Booking Center: New York ReLatiorehe Manager: Stewart Oldfidd • New FWM Relationship 2 Edsting PWM Relabonship Relationship to PW?l: If misting, please indicate since when the relationship exists, provide reason for new profile and attach old profile: """ 2018 Periodic Review'"" 2 Client Referral 0 RM Prospect 0 Intermediary/PIM 0 Other Source (CIB, etc.) How Was the Client(s) Introduced? How long has the RM personally known the diets? Please provide details (e.g. name of referral source, how many years RN personally has known dierR, etc.): Jeffrey Epstein reached out to Stew Oldfleld on 3/7/17 to have a new acct opened under this reLationshp.. Last Approved KYC 0 - 1790724; Butterfly Trust - 1804531; Neptune, LLC - 1790739. Does Deutsche Bank pay a retrocession or similar • Yes I 2 No compensation to a third party for the introduction of this relationship? (If V describe). List all existing and new accounts involved in this reLatiortshp Legal Entity AccouM(s) Account Name! Minter Opening Date (Intended/actual) 1 • & 12/13/2013 2 2 1/24/2014 Butterfly Trust 3 2 Neptune LLC - 10/18/2013 Who is the primary contact person or the RM? (Note: This person needs to have signatory nghis and/or information right for the account.): Preferred method of contact (indicate phone no., fax no., e-mail address, etc.): Status : 6. Approved SDNY_GM_00037177 CONFIDENTIAL - PURSUANT TO FED. R. Ce I ONFIDENTIAL DB-SONY-0000001 https://dbforcepb.my.salesforce.com/servlet/servletintegration?lid=01N30000000D9Di&e... 7/11/2019 EMU:10 147790 EFTA01252844 KY( Print Page 2 of 41 One sheet must be established for each account to be opened 2. Account Ownership Summary Account Name: & MS - DDA Acct. Number 0 f avaictel Account Manager: Stewart Oldfiekl What is the purpose of the account (e.g. portfolio management, advisory account, custody services, long-term Investment, payment/expense account)? This k a checking account for Individuals. They use the funds for dairy expenses. Indicate from where the assets are expected to arrive? gl DB Group: Same Booking Center (indicate account number): Existing El DB Group: Other Booking Center (indicate DB location and account details): O Other Instrtubon - (Indicate name & baton): El Physical Deposits (spedfy cash, seances, cheques, ...): What is the expected size and frequency of regular inflows and outflows for the account (indicate estimated number and volume per month)?: 2-6/month; SI - S2000 What is the expected volume of assets and currency for the account approx. 90 days after opening? 24,28199 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 (AtM) within DB under Er. 3M? O YinI21No Please list all parties related to the account For each party: • Check if a source of wealth desorption is muted for the patty. • Check the appropriate box to describe the relationship of the party to this account (> 1 can be selected). • f mine of the check boxes apply, describe the party's relation to the account in the 'Other' column. • Always describe the relationship between the parties in the last column. • Please drill down o the ultimate/underlying Beneficial Owner(s). regal tnbtyof Desaipbcn Source of Wealth required Parties related to Mk a:ount AccountPIC Holder Owner Senior of Trust / Founder ofr)wner Foundation Jltimate Senervaalor Signators Full POA °mite& POA wand& IntermediaryShareholdcr (FIM) Significant (>=25%) Yon.PIC entity (indicate ownership %) Legal Representabve GrantoriSeulectoundingOther Donor (please descnbe other roles and/or indicate relationship between ,arbes) 1O RI IMII . O YI 21 O O O O O 2 O 121 21 O O El 21 O O 0 E El SDNY_GM_00037178 CONFIDENTIAL- PURSUANT TO FED. R. IA I ON FIDENTIAL DB-SONY-0000002 https://dbforcepb.my.salesforce.com/servlet/servletintegration?lid=01N30000000D9Di&e... 7/11/2019 EFTA_00147791 EFTA01252845 KYC Print Page 3 of 41 CONFIDENTIAL — PURSUANT TO FED. R. CC O NFIDENTIAL https://dbforceph.my.salesforce.corn/servlet/servlet.lntegration?lid=01N30000000D9Di&e... 2. Account Ownership Summary Account Name: Butterfly Trust mmBA Acct. Number Of avatlabkt Account Manager: Stewart Old6eld What is the purpose of the account (e.g. portfolio management, advisory account, custody services, longterm investment, payment/expense account)? This is a money market deposit account to pay all expenses/ disbursements related to the trust. Expenses are taxes, trust fee, etc Indicate from where the assets are expected to arrive? 0 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, senates, cheques, ...): What is the expected site and frequency of regular .flows and outflows for the account (indicate estimated number and volume per month)?: 0.2/month; SO - S1000 What is the expected volume of assets and currency for the account approx. 90 days after opening? 1704,736.63 I CurrencY I USD What is the expected volume of assets and currency for the account approx. one year after opening? 704,736.63 I CuffencY I USD Does/will the client have Assets Under Management (AM) within DB under Bur. 3M? CI Yes 2 No Please list all parties related to the account For each party: • Check if a source of wealth description is reputed for the party. • Check the apixopnate box to describe the rdationsNp of the party to this account (> 1 can be selected). • f of the check boxes apply, describe the partys relation to the account in the 'Other" column. • Always describe the relationship between the pates in the last column. • Please doll down to the ultimate/undertying Beneficial Owner(s). regal intityof Description Source of Wealth required Parties related to the account AcoountPIC Holder Owner Senior of Trust / Founder °Owner Foundation Jltimate 3eneficialor Sigratoinimiteo Full POA *OA Financial ntermediayShareholderetepresentanve (FIN) Signdicant >=25%) Non-PIC entity indicate ownership %) _egal ZraMor/Setnott-oundng Donor Ocher (please describe other roles and/or ndicate relationship between 'ernes) 1El 2 Bunerfly Trust 2O O O O O O O O O 2 O O Ha" Beier • O • • 0 O O • O O Trustee:; 3 • • i • O • • FA O O • • O Trustee:: 4 O El Jeffrey E. Epstein OO2O O O O O O O Grantor of Butterfly Trust: 5• O O O • 5 O O O O O O 6 O O O O • Ki O O O • O O 7 O O • O O a O O O O O O 13O O O O O O O O O O O O 9O O • O O 2 O O O O O O io • O O O O 5 O O O • O O 11 . O Nadia. moronic° El • 5 • O O • • • 12 SDNY_GM_00037179 DB-SONY-0000003 7/11/2019 EFTA_00 I 47792 EFTA01252846 KYC Print Page 4 of 41 O O ODD El O DO O O O 13 O itr: K. O O O O O O MI • • r • 14 O 12 O O O El O O O O O O IS r• OO O O O O O O z 16 O 2 i O WO O O O • • SDNY_GM_00037180 CONFIDENTIAL - PURSUANT TO FED. R. t B- I ON FIDENTIAL DSDNY-0000004 ht tps://db forcepb.my.sa le sforce.corn/servlet/servlet.lntegration?lid=01N 300000001)9 Di & e... 7/11/2019 EFTA_00147793 EFTA01252847 KYC Print Page 5 of 41 2. Account Ownership Summary Account Name: Neptune LLC - 42953424 - DDA Acct. Number (At available). 42953424 Account Manager: Stewart OldfieNd What is the purpose of the account (e.g. portfolio management, advisory account, custody services, longterm investment, payment/expense account)? This is a checking account to pay for all expenses (i.e. cream, maintenance, cable, etc.) on Epstein's NYC Mme. Indicate from where the assets are expected to arrive? 0 DB Group: Same Rocking Center (indicate account number): Existing O DB Group: Other Booking Center (indicate DB location and a:o3unt details): O Other Institution — (Indicate name & location): O Physical Deposits (specify cash, seances, cheques, ...): What is the expected sue 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 for the account approx. 90 days after opening? 1207,814.91 I Currency I USD What is the expected volume of assets and cusrency for the account approx. one year after opening? 207,814.91 I Currency I USD Does/will the client have Assets Under Management (Ala) within DB under Eur. 3M? 0 yes 2 No Please list all parties related to the account For each party: • Check if a source of wealth description is reared for the party. • Check the arixopnate box to describe the reladonshe of the party to this accorn (> 1 can be selected). • f none of the check boxes apply, describe the parties relation to the account in the 'Other' column. • Always describe the relatrcoship between the pates in the last column. • Please doll down to the ultenate/underNing Beneficial Owner(s). regal intityof Description Source of Wealth required Parties related to this amount AccountiDIC Holder Owner Setdor of Trust / Founder of Foundation Jldmate Benehaalor Owner Signatory Full POA UnteaFirencial POA IntermediaryShereholder (FIN) Significant (>=25%) Yon-PIC entity (indicate ownership %) Legal Representative Srantor/Settlerl-oundincpther Donor (please describe other roles and/or indicate relationship between parties) Sole Member of Neptune LLC; T O 0 Jeffr E. yEpsteein OO• MI 0 O O O O O 2 O O Harry Beier OO• • 9 O O O O O 30 0 Damen K. I neyke 0000 El 0 0 0 0 0 4 9 9 Neptune, LLC0 ❑ O O O O O O O O O S O O Ri chard D. Kahn n "1OO❑Neptune OOOO OOOManager LLC; SDNY_GM_00037181 CONFIDENTIAL - PURSUANT TO FED. R. CC ONFIDENTIAL DB-SONY-0000005 ht tps://db forcepb.my.sa le sforce.corn/servlet/servlet.lntegrat ion?lid=01N 300000001)9 Di & e... 7/11/2019 EFTA_00147794 EFTA01252848 KYC Print Page 6 of 41 CONFIDENTIAL- PURSUANT TO FED. R. IA I ON FIDENTIAL https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e... One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summa 3A. Individual Details (for all panes) Indwickurs Name: 0 Date of Birth: Country of Residence: Country of Citizenship: Has Address client resided outsde of his/her country of nationality of primary residence: for 5 yeas or more? Profession/Occupation: Tax ID/ SSN: Current Employer: N/A Position/Title/Rank: N/A Address of employer: N/A Does the person work as senior extortive of a DB-recognized regulated entity in the Arundel Mustry? or an entity listed on a DB-recognised exchange? (Not applicable for operating entitles DWIS g No Is the individual a Polbcally Exposed Person (PEP)?(/ Yes, describe) N/A O yes @No To the best of your knowledge, is the individual related to an employee of the DB group?(d Family or Frienosko, desaite) N/A O Family • Friendship ?2 None To the best of your knowledge, is the individual party to a nen-banking relationship with Deutsche Bank (e.g., external legal counsel, client referral source, supplier of goods or services)?(✓iesefesoibe) N/A arm @ No If applicable, indicate which bank officers have met the person: Indicate where and when the client meeting(s) took place: Bank Officer Name(s) Bank Office: Client PrNate Domicile: Client Place of Business: Other Location (speofy): Date: O O O O • • • Wealth Details for this indwidual are not filled ri, because they we the sane as for the following person: 3B. Wealth Details (Only for pates requiring source of wealth descnpbon as indicated ri Section 2) Nacre of the IndMdues Business: Homemaker. Solely relies on income from her wife ntio IS a Interior Designer. Pnmary Country of soLrce of wealth/source of Funds? United States Primary industry of source of Wealth/Source of Fords? Other Summarize Source of Wealth: Owner OSalary/Earnings 2 Other: a Bushes O Investment • Inheritance/Skis Further Describe Source of Wealth did family accumulate wealth?Fct Estimated Annual Income(s): /Detail the history of wealth for business owners how b in each of the sources: (e.g. For trusts, how cid senor accumulate wealth? For Inheritance, how business how ma Estimated amount of inflatable assers($): <$1 MM Estimated Net Worth($): <$1 1.1%1 Amount of assets planned to invest wish PWM($): 20,000.00 Other Known Fmanclal Institutions: Insotudon: Country: Est. Assets Under Mgt: Insotudon: Country: Est. Assets Under Mgt: SDNY_GM_00037152 DB-SONY-000000S 7/11/2019 EFI'A_00 147795 EFTA01252849 KYC Print Page 7 of 41 IInstitution: ICounty: at Assels Under Mgt: Please indicate the family situation of the individual (mental status, other family , etc): Married to SONY_GM_00037183 CONFIDENTIAL- PURSUANT TO FED. R. e I ON FIDENTIAL DB-SONY-0000007 https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e... 7/11/2019 EFTA_00147796 EFTA01252850 KYC Print Pap 8 of 41 CONFIDENTIAL— PURSUANT TO FED. R. IA I ONFIDENTIAL https://dbforcepb.my.salesforce.com/servlet/servletintegration?lid=01N30000000D9Di&e... one sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownershlo Summa 3A. Individual Details (for all pates) Individual's Name: Date of Birth: Country of Residence: Country of Citizenship: Address of primary residence: Has client resided outsde of his/her country of nationality for 5 years or more? Tax ID/ SSN: Profess on/Ocapation: Current Employer: Position/Title/Rank: Address of employer: Does the person work as senior exeartive of a DB-recognized regulated entity in the financial ndusby? or an entity listed on a CO-recognised exchange? (Not applicable for operating entitles O Yes No Is the individual a Pole:tally Exposed Person (PEP)?(/ Yes, deocriee) N/A are @NO To the best of your knowledge, is the individual related to an employee of the DB group?(d ',mayor Friends/go, dente) N/A El Family • Friendship ?2 None To the best of your knowledge, is the individual party to a non-banking relabonshe with Deutsche Bank (e.g., external legal counsel, dent referral source, supplier of goods or services)?(/ Yescfesoibe) N/A O Yes @No If applicable, indicate which bank officers have met the person: Indicate where and Mien the client meeting(s) took place: Bank Officer Name(s) Bar* Offir Gent Private Domicile: Client Place of Business: Other Location (speofy): Date: Stewart Oldfield O @ 6/23/2017 • O O O O • • O Wealth Details for this indrodual are not filled ri, because they are the sane as for the following person: 3B. Wealth Details (Only for parties requiring source of wealth descnpbon as indicated in Section 2) Nature of the IndMduaFs Business: Intenor Desgn Primary Country of source of wealth/source of Funds? United States Primary industry of source of Wealth/Source of Funds? Other Summarize Source of Wealth: Owner OSalary/Earnings O Other: a Bushes O Investment • Inhentance/Gifts Father Oescnbe Source of Wealth /Detail the history of wealth for did family accumulate wealth?Fce business owners how Ion In Estimated Annual Income(5): 150,000.00 each of the sources: (e.g. For trusts, how business hard ma em s level of Estimated amount of investable assers($): 6d sctdor accumulate wealth? For inheritance, how rofitabill Indicate of business countries of <$1 MM Estimated Net Worth($): <$1 Mel Amount of assets planned to invest with PW6I($): 2,000.00 Other Known Frencial Insotutions: Insbtution: Country: Esc Asses Under Mgt: Insttution: Country: Esc Asses Under Mgt: Insbtudon: Country: Esc Asses Under Mgt: SDNY_GM_00037184 DB-SONY-0000008 7/11/2019 EFTA_CIO 147797 EFTA01252851 KYC Print Page 9 of 41 Please indicate the family situation of the mdMdual (mental status, other family members, etc.): Married to SDNY_GM_00037185 CONFIDENTIAL - PURSUANT TO FED. R. t I O NFIDENTIAL DB-SDNY-0000009 https://dbforcepb.my.salesforce.corn/servlet/servlet.lntegration?lid=01N30000000D9Di&e... 7/11/2019 EFTA_00147798 EFTA01252852 l'rint Page 10 of 41 CONFIDENTIAL — PURSUANT TO FED. R. IA I ONFIDENTIAL https://dbforcepb.my.salesforce.com/servlet/servletintegration?lid=01N30000000D9Di&e... One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summary 3A. Individual Details (for all pales) lixlividual's Name: Jeffrey E. Epstein - 00000483289 Date of Birth: 1/20/1953 Country of Residence: Virgin Islands, US. Country of Citizenship: United States Address of primary residence: Little Sant Jams Sant Thomas 03802 Wgin Islands, U.S. Has client resided outs de of his/her country of nationality for 5 yeas or more? • Ys No Profession/Occupation: Self Empolyed Tax ID / SSN: 090-44-3348 Current Employer: Southern Trust Company Inc Poston/Title/Rank: President Address of employer: 6100 Red Hock Quarter B3 St. Thomas Virgin Islands, U.S. 00802 Does the person work as senior executive of a DB-recognized regulated entity in the finardal ndusby? or an entity listed on a e08-recognised (Not applicable for operating entitles r-i ,., L-I Ys ke No Is the individual a Poetically Exposed Person (PEP)?(d Yes, describe) Comecten with Prince Andrew and BA Onton 2 Yes O ND To the best of your knowledge, is the individual related to an employee of the 08 group?(d Fan*)' or Mends*, (*sate) N/A o Pansy In Friendship 74 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)?(d Vac/ego/be) N/A O Ys RI No If applicable, indicate which bank officers have met the person: Indicate where and when the client meeting(s) took place: Bank Officer Name(s) Bank Office: Client Private Domicile: Client Place of Business: Other Location (speofy): Date: Stewart Oldfield I • • 6/28/2017 O ❑ O • • • O Wealth Details for this indrodual are not filled n, because they are the sane as for the following person. 3B. Wealth Details (Only for parties requiring source of wealth descnpnon as indicated in Section 2) Nattre of the Individuals Business: Private investments Pommy Country of mice of wealth/source of Funds? United States Primary industry of source of Wealth/Source of Fuels? High Risk Financial Institutions Summarize Source of Wealth: Business Owner O Salary/Eamings 0 Invesmient . Inhentance/Gifis O Other: Further Describe Source of Wealth /Detail the history of wealth for each of the sources: (e.g. For trusrs, how did senior accumulate wealth? For inhertance, how did family accumulate wealth?Fct business owners, how long in business, how many employees, level of profitability? Indicate type of business, countries of mayor activities, important business partners.) Jeffrey Edward Epstein (born January 20, 1953) is an American finanoer and registered sex offender in the United States. He worked at Bear Stearns early in his career and then formed his own firm, J. Epstein & Co. He lives in the US Virgin Islands. Epstein taught calculus and physics at the Dalton School Ill Manhattan from 1973 to 1975. Among his students was a son of Man C. Greenberg, chairman of Bear Steams. In 1976, Epstein started work as an options trader at Bear Steams where he worked in the special products division, advising high-net-worth clients on tax strategies. Proving suaessful ri his financial career, in 1980 Epstein became a partner at Bear Stearns. In 1982, Epstein founded his corn financial management firm, J. Epstein & Co., menacing the asses of dents with more than $1 eon in net worth. In 1987, Leslie Wexner, founder and chairman of Ohio-based The Limited chain of woment clothing stores, became a well-known client. Wexner acqured Abercrombie & Fitch the followrig 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 pat of Manhattan. In 1996, Epstein changed the name of his firm to the Financial Trust Company and, for tax advantages, based et on the island of St. Thomas in the U.S. Virgin Islands. In 2003, Epstein bed to acquire New York magazine. Other bidders were adverting executive Donny Deutsch, investor Nelson Pelt, media mogul and publisher Mortimer Zuckerman, who had the New York Daily News, and film producer Harvey Weinstein. They were ultimately outbid by Bruce Wasserstein, a longtime Wall Street investor, who paid $55 million. In 2004, Epstein and Zuckerman committed up to $25 mean to finance Radar a celebrity and pop culture magazine founded by Meer Roshan. Epstein and Zuckerman were equal partners in the venture. Roshan, as its editor-in-chief, retained a small ownership stake. SDNY_GM_00037186 DB-SDNY-0000010 7/11/2019 EFTA_00147799 EFTA01252853 KYC Print Page 11 of 41 Presently, Mr. Epstein fancied Southern Trust Company In:, a private consulting company that invests the assets of their Rents and gets their revenue from the return of these investmenis. Southern Trust Invests in different portfolios catered to their clients and makes their revenue based cn the returns and the fees associated with managing their dent's assets. Estimated Annual Income(S): 10,000,000.00 Estimated amount of investable assets($): SSO MM - 100 MM Estimated Net Worth($): SRO MM + Amount of assets planned to invest with PWM($): 2,300,000.00 Other Known Francis' Institutions: Institution: Country: Est Assets Under Mgt: Insotution: Country: Est Assets Under Mgt: Insttution: Country: Est Assets Under Mgt: Please indicate the family situation of the tridiwclual (mental status, other family , etc): N/A SONY_GM_000371S7 CONFIDENTIAL - PURSUANT TO FED. R. IA I ON FIDENTIAL DB-SONY-0000011 https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e... 7/11/2019 EFTA_00147800 EFTA01252854 KY(' Print Page 12 of 41 CONFIDENTIAL - PURSUANT TO FED. R. IA I ON FIDENTIAL https://dbforcepb.my.salesforce.com/servlet/servletintegration?lid=01N30000000D9Di&e... One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownershlt, Summa 3A. Individual Details (for all pates) Indrockel's Name: Harry Belle: 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? Profession/Occtpation: ax ID / SSN: Current Employer: • • engine/Rank: Address of employer: Does the person work as senior executive of a DB-recognized regulated entity in the financial Mustry? or an entity listed on a DB-recognised exchange? (Not applicable for operating entitles O Yes g No Is the individual a Poll:tally Exposed Person (PEP)?()Y Yes, describe) N/A arm @NO To the best of your knowledge, is the indMdual related to an employee of the DB group?(r 'amebic( Friendsko, desaite) N/A O Family • Friendship ?4 None To the best of your knowledge, is the individual party to a non-banldng relationship with Deutsche Bank (e.g., external legal counsel, client referral source, supplier of goods or servlo)?(if Yesdescbbe ) N/A O Yes M No If applicable, indicate which bank officers have met the person: Indicate where and nten the client meeting(s) took place: Bank Officer Name(s) Bank Office: Client PrNate Domicile: Client Place of Business: Other Location (specify): Date: O • O O ❑ O ❑• ❑ • Wealth Details for this indwidual are not tilled ri, because they are the sane as for the fonvinng person: 3B. Wealth Details (Only for pates requiring source of wealth descnption as indicated .n Section 2) Nature of the IndMduS's Business: Pnmary Country of source of wealth/source of Funds? Primary industry of source of Wealth/Source of Funds? Summarize Source of Wealth: Owner O Salary/Earnings O Other: a Business O Investment • Inhentance/Gifts Further Describe Source of Wealth /Detail the history of wealth for each of the sources: (e.g. For mete, how rid settlor accumulate wealth? For Inheritance, how did family accumulate wealth?Fct business owners, how long in business, how many employees, level of profitability? Indicate type of business, countries of major actMbes, important business partners.) Estimated Amual Income(S): Estimated amount of inflatable assers($): Estimated Net Worth($): Amount of assets planned to invest with PWM($): Other Known Frondes Institutions: Institution: Country: at. Assets Under Mgt: Insttution: Country: at. Assets Under Mgt: Insttution: Country: at. Assets Under Mgt: SDNY_GM_00037188 DB-SONY-0000012 7/11/2019 EFTA_00147801 EFTA01252855 KYC Print Page 13 of 41 Please indicate the family stuaton of the rig:kw:Wel (mental status, other family members, etc): I SDNY_GM_00037159 CONFIDENTIAL- PURSUANT TO FED. R. Ce I ON FIDENTIAL DB-SONY-0000013 https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e... 7/11/2019 EFTA_00147802 EFTA01252856 KY(' Print Page 14 of 41 CONFIDENTIAL - PURSUANT TO FED. R. IA I ONFIDENTIAL https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e... one sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownershlo Summa 3A. Individual Details (for all pates) Individual's Name: Enka Kellerhals • Date of Birth: Canby of Residence: • nby of Citizenship: client resided outside of is/her country of nationality Address of primary tes ce: or 5 years or more? Profession/Ocapation: ax ID/ SSN: Current Employer: • • Wilde/Rank: Address of employer: 02 Does the person work as senior executive."( a DB-recognized regulated entry In the financial Mustry? or an entity listed on a DB-recognised exchange? (Not applicable for operating entities El WIS g No Is the individual a Poldcally Exposed Person (PEP)?(/ Yes, describe) N/A O YeS g NO To the best of your knowledge, is the individual related to an employee et the DB group?(, Famlyor AnYnOsigo, desafte) N/A O Family • Friendship 74 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 nice, supplier of goods or services)?(✓ Yadesoibe) N/A • Yes ca No if applicable, indicate which bank officers have met the person: Indicate where and nten the client meeting(s) took place: Bank Officer Name(s) Bank Office: Oent Private Domicile: Client Place of Business: Other Location (speofy): Date: O • O • • • • Wealth Details for this individual are not filled ri, because they are the sane as for the following person: 3B. Wealth Details (Only for pates requiring source of wealth description as indicated in Section 2) NatLre of the IndMduars Business: Primary Country of source of wealth/source of Funds? Primary industry of source of Wealth/Source of Funds? Summarize Source of Wealth: Owner O Salary/EarnIngs O investment O Inhentance/Gifts O Other: a Business Father Describe Source of Wealth /Detail the history of wealth for each of the sources: (e.g. For trusts, how rid setdor accumulate wealth? For mhentance, how did family accumulate wealth?Fct business owners, how long in business, how many employees, level of profitability? Indicate type of business, countries of major actMbes, important business partners.) Estimated Amual Income(S): Estimated amount of Myra:table assers($): Estimated Net Worth($): Amount of assets planned to invest with PWM($): Other Known Fronde' Institutions: Instation: Country: at Asses Under Mgt: Insttution: Country: at. Asses Under Mgt: Institution: Country: at. Assets Under Mgt: SDNY_GM_00037190 DB-SONY-0000014 7/11/2019 EFTA_00147803 EFTA01252857 KYC Print Page 15 of 41 Please indicate the family situation of the rdivilual (mental status, other family members, etc): I SDNY_GM_00037191 CONFIDENTIAL- PURSUANT TO FED. R. IA I ON FIDENTIAL DB-SONY-0000015 https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e... 7/11/2019 EFTA_00147804 EFTA01252858 KYC Print Page 16 of 41 one sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownershlo Summa 3A. Individual Details (for all parties) Indivickers Name: Country of Residence: Date of Birth: Country of Citizenship: I Address of primary residence: Has client resided outsde of his/her country of nationality for 5 years or more? I Profession/Occupation: Tax ID/ SSN: I Current Employer: Position/Title/Rank: I Address of employer: Does the person work as senior executive of a DB-recognized regulated entity in the financial Mushy? or an entity listed on a DB-recognised exchange? (Not applicable for operating entities O Yes n No Is the individual a Politically Exposed Person (PEP)?(/ Yes, describe) N/A O Yes 2 No To the best of your knowledge, is the individual related to an employee of the DS group?(r Task) i or Friends/go, desaite) N/A O Family • Friendshp ?2 None To the best of your knowledge, is the individual party to a nen-banking relabonship with Deutsche Bank (e.g., external legal counsel, dent referral source, supplier of goods or sennces)?(/ Yescfesoibe) N/A • Yes g No If applicable, indicate which bank officers have met the person: Indicate where and nten the client meeting(s) took place: Bank Officer Name(s) Bar* Office: Client PrNate Dancile: Client Place of Business: Other Location (speofy): Date: O O O • • • • Wealth Details for this midis/dual are not filled ri, because they are the sane as for the following person: 3B. Wealth Details (Only for pates requiring source of wealth descnption as indicated tn Section 2) Nature of the IndMduals Business: Primary Country of source of wealth/source of Funds? Primary industry of source of Wealth/Source of Funds? Sunvnarize Source of Wealth: Owner O Salary/Earnings O Other: a Business O Investment • Inhentance/Gifts Further Describe Source of Wealth /Detail the history of wealth for each of the sources: (e.g. For trusts, how rad senior accumulate wealth? For Inheritance, how did family accumulate wealth?For business owners, how long in business, how many employees, level of profitability? Indicate type of business, countries of major attMtles, important business partners.) Estimated Amual Inoome(S): Estimated amount of Investable assers($): Estimated Net Worth($): Amount of assets planned to invest with PWM($): Other Known Frontier bettutions: Insttution: Country: at Asset Under Mgt: Insttution: Country: at Asset Under Mgt: 'monition: Country: at. Asset Under Mgt: CONFIDENTIAL— PURSUANT TO FED. R. IA I ONFIDENTIAL h tps://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e... 7/11/2019 EFTA_00147805 SDNY_GM_00037192 DB-SONY-0000016 EFTA01252859 KYC Print Page 17 of 41 Please indicate the family situation of the ridIv4ual (marital status, other family members, etc.): I SDNY_GM_00037193 CONFIDENTIAL- PURSUANT TO FED. R. Ce I ON FIDENTIAL DB-SONY-0000017 https://dbforcepb.my.sale,sforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e... 7/11/2019 EFTA_00147806 EFTA01252860 KY( Print Page 18 of 41 One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. ACCOMIT OWnershlo Summa 3A. Individual Details (for all parties) Inclwkluars Name: Date of Birth: Country of Residence: I I I Country of Otizenship: Address of primary residence Has client resided outside of 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 05-recognized regulated entity in tne financial ndustry? or an entity listed on a 08-recognised exchange? (Not applicable for operating entities O es g No Is the individual a Poldcally Exposed Person (PEP)?(1 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?(r Family or Friencisko, desaite) N/A 0 Family 74 None II Merida* To the best of your knowledge, is the individual party to a non-banking relationship with Deutsche Barg (e.g., external legal courser, client referral sane, supplier of goods or servlo)?(if Yesdesolbe) N/A No • Via ca If applicable, indicate which bank officers have met the person: Indicate where and Mien the client meetirg(s) took place: Bank Officer Name(s) Bank Ofkr Clent Private Domicile: Client Place of Business: Other Location (specify): Date: O O • O ❑• • • Wealth Details for this indrodual are not filled n, because they are the sane as for the following person: 3B. Wealth Details (Only for parties requiring source of wealth descnption as indicated in Section 2) Nature of the IndMduals Business: Primary Country of source of wealth/source of Funds? Primary industry of sane of Wealth/Source of Funds? Summarize Source of Wealth: Owner O Salary/Earnings O Other: a Business O Investment • Inhentance/Gifts Esther Describe Source of Wealth /Detail the history of wealth for each of the sources: (e.g. For trusts, how 6c1 setdor accumulate wealth? For Inheritance, how did family accumulate wealth?Fct business owners, how long in business, how many employees, level of profitability? Indicate type of business, countries of major adMbes, important business partners.) Estimated Amual Income(S): Estimated amount of inflatable assers($): Estimated Net Worth($): Amount of assets planned to invest with PWM($): Other Known Frontal Insbtutions: Instation: Country: at Assets Under Mgt: Insttution: Country: at. Assets Under Mgt: Insttution: Country: at. Assets Under Mgt: CONFIDENTIAL— PURSUANT TO FED. R. IA I ONFIDENTIAL h tps://dbforcepb.my.salesforce.com/servlet/servletintegration?lid=01N30000000D9Di&e... 7/11/2019 EFTA_DO 147807 SDNY_GM_00037194 DB-SONY-000001S EFTA01252861 KYC Print Page 19 of 41 Please indicate the family situation of the ridiwlual (mental status, other family members, etc.): I SDNY_GM_00037195 CONFIDENTIAL- PURSUANT TO FED. R. IA I ON FIDENTIAL DB-SDNY-0000019 https://dbforcepb.my.sale,sforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e... 7/11/2019 EFTA_00147808 EFTA01252862 KY(' Print Page 20 of 41 CONFIDENTIAL - PURSUANT TO FED. R. IA I ON FIDENTIAL https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e... One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownershlo Summa 3A. Individual Details (for all parties) Indrackal's Name: Cote of Birth: Country of Citizenship: Country of Residence: Address of primary residence: Has client resided outsde of his/her country of nationality for 5 years or more? Profession/Occupation: Tax ID/ SSN: Current Employer: Positicagele/Rank: Address of employer: Does the person work as senior executive of a D8-recognized regulated entity In the finandal Mustry? or an entity listed on a DB-recognised exchange? (Not applicable for operating entities n c-n i__, You ci No Is the individual a Politically Exposed Person (PEP)?(t Yes, describe) N/A O Yes @NO To the best of your knowledge, is the individual related to an employee of the DB group?(, Family or Friends*, desaite) N/A O Family • Friendshp ?2 None To the best of your knowledge, is the individual party to a ncei-banking relationship with Deursee Bank (e.g., external legal counsel, dent referral source, supplier of goods or services)?(if Yesdesoibe) N/A are 12 No If applicable, indicate which bank offerers have met the person: Indicate where and nten the client meeting(s) took place: Bank Officer Name(s) Bank Office: (bent Private Domicile: Client Place of Business: Other Location (specify): Date: O • O • • • • Wealth Details for this indrodual are not filled ri, because they are the sane as for the following person: 3B. Wealth Details (Only for parties requiring source of wealth descnption as indicated in Section 2) Nature of the IndMduS's Business: Primary Country of source of wealth/source of Funds? Primary industry of source of Wealth/Source of Funds? Summarize Source of Wealth: Owner O Salary/Earnings O Other: a Busbies O Investment • Inhentance/Gifts Firther Describe Source of Wealth /Detail the history of wealth for each of the sources: (e.g. For trusts, how (id settle accumulate wealth? For Inheritance, how did family accumulate wealth?Fct business owners, how long in business, how many employees, level of profitability? Indicate type of business, countries of major actMbes, important business partners.) Estimated Amual Income(s): Estimated amount of invistable assers($): Estimated Net Worth($): Amount of assets planned to invest with PVAM($): Other Known Fronde Irettutions: Institution: Country: at. Asses Under Mgt: Insotution: Country: at. Asses Under Mgt: Institution: Country: at. Asses Under Mgt: SDNY_GM_00037196 DB-SONY-0000020 7/11/2019 EFTA_00147809 EFTA01252863 KYC Print Page 21 of 41 Please indicate the family situation of the riclivglual (marital status, other family merntes, etc): I SDNY_G1 1,1_00037197 CONFIDENTIAL— PURSUANT TO FED. R. IA I ON FIDENTIAL DB-SONY-0000021 https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e... 7/11/2019 EFTA_001478 10 EFTA01252864 KYC Print Page 22 of 41 CONFIDENTIAL- PURSUANT TO FED. R. IA I ON FIDENTIAL https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e... One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summa 3A. Individual Details (for all pact ) Individual's Name: Date of Birth: Country of Residence: Country of Citizenship: Address of primary residence Has client resided outsde of his/her country of nationality foe 5 years or more? Profession/Occupation: Tax ID/ SSN: Current Employer: Posticngitle/Rank: Address of employer: Does the person work as senior executive of a DB-recognized regulated entity in the finandal Mustry? or an entity listed on a C43-recognised exchange? (Not applicable for operating entitles 1:1 yeS g No Is the individual a Poldcally Exposed Person (PEP)?(1 Yes, describe) N/A O yes gin° To the best of your knowledge, is the individual related to an employee of the DB group?(r fame)' or Friencisko, desaite) N/A 0 Family • Friendshp ?2 None To the best of your knowledge, is the individual party to a non-banking relationship with Deutsche Bank (e.g., external legal courses, client referral sane supplier of goods or servlo)?(if resdesolbe) N/A • Yes EA No If applicable, indicate which bank officers have met the person: Indicate where and when the client meeting(s) took place: Bank Officer Names) Bar* Office: Client Private Domicile: Client Place of Business: Other Location (speo(y): Date: O O O • • • • Wealth Details for this indrodual are not filled ri, because they are the sane as for the following person: 3B. Wealth Details (Only for parties requiring source of wealth descnpuon as indicated in Section 2) Nein of the Individuals Business: Pnmay Country of suede of wealth/source of Funds? Primary industry of source of Wealth/Source of Funds? Summarize Source of Wealth: Owner O Salary/Earnings O Other: a Busbies O Investment • Inhentance/Gifts Rather Describe Source of Wealth /Detail the history of wealth for each of the sources: (e.g. For trusts, how tad setdor accumulate wealth? For inheritance, how did family accumulate wealth?Fct business owners, how long in business, how many employees, level of profitability? Indicate type of business, countries of major activibes, important business partners.) Estimated Annual Income(S): Estimated amount of invistable assers($): Estimated Net Worth($): Amount of assets planned to Invest with PWM($): Other Known Fronde Insbtutions: Institution: Country: at Assets Under Mgt: Insttution: Country: at. Assets Under Mgt: Insttution: Country: at. Assets Under Mgt: SDNY_GM_00037198 DB-SONY-0000022 7/11/2019 EFIA_00147811 EFTA01252865 KYC Print Page 23 of 41 Please indicate the family situabon of the riclivolual (mantal status, other family merntes, etc): I SDNY_GM_00037199 CONFIDENTIAL - PURSUANT TO FED. R. IC I ON FIDENTIAL DB-SONY-0000023 https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e... 7/11/2019 EFTA_00147812 EFTA01252866 KYC Print Page 24 of 41 CONFIDENTIAL - PURSUANT TO FED. R. IA I ON FIDENTIAL https://dbforcepb.my.salesforce.com/servlet/servletintegration?lid=01N30000000D9Di&e... One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownershln Summa 3A. Individual Details (for all panes) Indwkluars Name: Date of Birth: Country of Residence: Country of Citizenship: Address of primary residence Has client resided ouLede of his/her country of nationality for 5 years or more? Profession/Ocapation: Tax ID/ SSN: Current Employer: Poseicagele/Rank: Address of employer: Does the person work as senior executive of a DS-recognized regulated entity in tne financial Mustry? or an entity listed on a 08-recognsed exchange? (Not applicable for operating entities afagNo Is the individual a Pokkally Exposed Person (PEP)?(/ Yes, desolbe) N/A O YeS 2 No To the best of your knowledge, is the individual related to an employee of the DB group?(r, Family or Frienoshfo, (*sate) N/A O Panay • Friendship ?2 None To the best of your knowledge, is the individual path to a non-banking relationship with Deutsche Bait (e.g., external legal counsel, client referral source, supplier of goods or serolo)?(if ftulescibe) N/A arm 12 No If applicable, indicate which bank offerers have met the person: Indicate where and Mien the client meeting(s) took place: Bank Officer Name(s) Bar* Offir Clent Private Domicile: Client Place ofBusiness: Other Location (specify): Date: O O O O ❑• • • Wealth Details for this indrodual are not filled n, because they are the sane as for the following person: 3B. Wealth Details (Only for parties requiring source of wealth descnption as indicated in Section 2) NatLre of the IndMduats Business: Pnmay Country of soLrce of wealth/source of Funds? Primary industry of source of Wealth/Source of Funds? Summarize Source of Wealth: Owner O Salary/Earnings O Other: a Business O Investment • Inhentance/Gifts Further Describe Source of Wealth /Detail the history of wealth for each of the sources: (e.g. For mum, how 6c1 minor accumulate wealth? For Inheritance, how did family accumulate wealth?Fct business owners, how long in business, how many employees, level of profitability? Indicate type of business, countries of major actMbes, important business partners.) Estimated Annual Income(S): Estimated amount of invaable assets($): Estimated Net Worth($): Amount of assets planned to invest with PWM($): Other Known Fronde' Irettutions: Isolation: Country: at. Assets Under Mgt: Insbtution: Country: at. Assets Under Mgt: Insbtution: Country: at. Assets Under Mgt: SDNY_GM_00037200 DB-SONY-0000024 7/11/2019 EFTA_00147813 EFTA01252867 KYC Print Page 25 of 41 Please indicate the family situation of the individual (mental status, other family members, etc.): I SDNY_GM_00037201 CONFIDENTIAL - PURSUANT TO FED. R. Ce I ON FIDENTIAL DB-SONY-0000025 https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e... 7/11/2019 EFTA_00147814 EFTA01252868 KYC Print Page 26 of 41 One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account OWnershlo Summa Individual's Name: 3A. Individual Details (for all part) Date of Birth: Country of Odzenship: Country of Residence: Address of primary residence: Has client resided outside of 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 ndusby? or an entity listed on exenitive of a DB-recognized regulated entity in the finanoal a CO-recognised exchange? (Not applicable for operating entities ri ,., i_i yesi•A No ❑ Is the individual a Poldcally Exposed Person (PEP)?(/ Yes, describe) N/A af in 2 No To the best of your knowledge, is the individual related to an employee of the DB group?(f Fame)' or Friendsko, desaite) N/A O Farnity • Friendship ?2 None To the best of your knowledge, is the individual party to a non-banking relationship with Deutsche Bank (e.g., external legal courser, client referral sower supplier of goods or servlo)?(if Yesdesolbe) N/A No •Yes ® If applicable, indicate which bank officers have met the person: Indicate where and Mien the client meeting(s) took place: Bank Office Name(s) Bank Office: Client Private Domicile: Client Place of Business: Other Location (seedy): Date: O O • E • • • • Wealth Details for this indrodual are not filled ri, because they are the sane as for the following person. 3B. Wealth Details (Only for parties requiring source of wealth descnption as indicated in Section 2) Nature of the IndMduS's Business: Pnmary Cotrivy of source of wealth/source of Funds? Primary industry of source of Wealth/Source of Funds? Summarize Source of Wealth: Owner O Salary/Earnings O Other: a Business O Investment • Inhentance/Gifts Felber Describe Source of Wealth /Detail the history of wealth for each of the sources: (e.g. For amts, how (id sctdor accumulate wealth? For inheritance, how did family accumulate wealth?For business owners, how long in business, how many employees, level of profitability? Indicate type of business, countries of major actMbes, important business partners.) Estimated Amual Income(S): Estimated amount of invistable assers($): Estimated Net Worth($): Amount of assets plamed to invest with PWM($): Other Known Fronde' Institutions: Instation: Country: Est Asses Under Mgt: Institution: Country: Est Asses Under Mgt: Institution: Country: Est Asses Under Mgt: CONFIDENTIAL— PURSUANT TO FED. R. IA I ON FIDENTIAL h tps://dbforcepb.my.salesforce.com/servlet/servletintegration?lid=01N30000000D9Di&e... 7/11/2019 EFTA_001478 I 5 SDNY_GM_00037202 DB-SONY-0000026 EFTA01252869 KYC Print Page 27 of 41 Please indicate the family stuatan of the ricliv4ual (mental status, other family members, etc): I SDNY_GM_00037203 CONFIDENTIAL - PURSUANT TO FED. R. IA I ON FIDENTIAL DB-SONY-0000027 https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e... 7/11/2019 EFTA_001478 16 EFTA01252870 KY(' Print Page 28 of 41 CONFIDENTIAL - PURSUANT TO FED. R. IA I ON FIDENTIAL https://dbforcepb.my.salesforce.com/servlet/servletintegration?lid=01N30000000D9Di&e... One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summa 3A. Individual Details (for all parties) Indwickars Name: I Date of Birth: Country of Residence: I Country of Citizenship: Address of primary residence: Has client resided outsde of his/her country of nationality for 5 years or more? Profession/Occupation: Tax ID/ SSN: Current Employer: I Poseicngele/Rank: Address of employer: Does the person work as senior executive of a De-recognized regulated entity in tne finance, Mustry? or an entity listed on a 08-recognsed exchange? (Not applicable for operating entities El Yes g No Is the individual a Politically Exposed Person (PEP)?(1 Yes, (Scribe) N/A El yes 2 No To the best of your knowledge, is the individual related to an employee of the DB group?(, Family or Friend 00, (*sate) N/A O Family • Friendshp ?2 None To the best of your knowledge, is the individual party to a non-banking relationship with Deutsche Bard( (e.g., external legal counsel, client referral sane, supplier of goods or services)?(if fendescibe) N/A • Yea Ea No If applicable, indicate which bank officers have met the person: Indicate where and wren the client meeting(s) took place: Bank Officer Name(s) Bank Office: Client Private Domicile: Client Place of Business: Other Location (specify): Date: El • El El • • ❑ • Wealth Details for this individual are not filled ri, because they are the sane as for the following person: 3B. Wealth Details (Only for parties requiring source of wealth descnption as indicated Li Seam 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: Owner O Salary/Earnings O Other: • Business O Investment • Inhentance/Gifts Further Describe Source of Wealth /Detail the history of wealth for each of the sources: (e.g. For tra how &I senor accumulate wealth? For Inheritance, how did family accumulate wcalth?Fct business owners, how long in business, how many employees, level of profitability? Indicate type of business, countries of major activibes, important business partners.) Estimated Amual Income(S): Estimated amount of invaable asseis($): Estimated Net Worth($): Amour of assets planned to invest with PVAM($): Other Known Frontier Install:ions: Institution: Country: at. Assets Under Mgt: Insbtution: Country: at. Assets Under Mgt: Institution: Country: at. Assets Under Mgt: SDNY_GM_00037200 DB-SOW-0000028 7/11/2019 EFIA_00147817 EFTA01252871 KYC Print Page 29 of 41 Please indicate the family situation of the riclivolual (marital status, other family merntes, etc): I SONY_GM_00037205 CONFIDENTIAL- PURSUANT TO FED. R. IA I ON FIDENTIAL DB-SONY-0000029 https://dbforcepb.my.sale,sforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e... 7/11/2019 EFTA_001478 I 8 EFTA01252872 KYC Print Page 30 of 41 One sh

📷 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 reads "CONFIDENTIAL." Below the header, there is a form with various fields to be filled out, including "Name," "Address," "City," "State," "Zip Code," "Phone Number," "Email Address," and "Signature." There are checkboxes for "I certify that the information provided is correct," "I authorize the release of information to the appropriate parties," and [Image 2] The image shows a document with visible text and fields that are typically used for official forms or reports. The document appears to be a form with sections for personal information, a statement, and possibly a signature or declaration. The text is too small to read in detail, but the form includes fields such as "Name," "Address," "Date," and "Signature." There are also checkboxes and lines for [Image 3] The image shows a document with a header that reads "CONFIDENTIAL." Below the header, there is a form with various fields, including "Name," "Address," "Phone," "Email," and "Signature." The form appears to be a type of agreement or contract, as indicated by the checkboxes for "I acknowledge that I have read and understand the terms and conditions of this agreement" and "I agree to the terms and c [Image 4] The image shows a document with a header that reads "CONFIDENTIAL." Below the header, there is a form with various fields filled out, including sections for "Name," "Address," "Phone Number," "Email," and "Signature." The form appears to be a standard confidentiality agreement or confidential document, with checkboxes for "I acknowledge that I have read and understand the terms of this agreement" [Image 5] The image shows a document with a header that reads "CONFIDENTIAL" and a footer that says "CONFIDENTIAL." The document appears to be a form or a checklist with various fields and checkboxes. There are sections for "Name," "Address," "Phone," and "Email," with corresponding fields for "Date," "Time," and "Signature." The form includes checkboxes for "Confidential," "Confidential," and "Confidential [Image 6] The image shows a document with a header that reads "CONFIDENTIAL." Below the header, there is a form with various fields to be filled out, including sections for "Name," "Address," "Phone Number," "Email," and "Signature." The form appears to be a standard form used for official or legal purposes, possibly for a government agency or a corporate entity. The fields are blank, indicating that the fo