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efta-01282939DOJ Data Set 10Other

EFTA01282939

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DOJ Data Set 10
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efta-01282939
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
T Ctrutsche Asset & Wealth Management /MO'. TA Co 91-1OO DBTCA Deposit Account Opening Application Private Wealth Pi erniumTm Elite Personal Accounts Private Wealth Premium TM Elite Business Accounts Private Wealth Premi .:mTm Banking Services K Checking Acct. o 0 Consumer DebitCard O Elite Checking with Interest wi e ac ing n nest 0 Joint Applicant (.obit Card II Acct. N ACCT. APY APY 0 Business Debit CI: rd N 0 Elite Money Market Deposit 0 Elite If Acct. 0 Acct. Deluxe Chockbo( :: Style N APY APY 0 Certificate of Deposit 0 Certificate of Deposit K Name Only Acct. Acct. 0 Name and A Actress APY APY Term Term 0 Duplicate Statem 0 DB AG NY Preferred DB AG NY Preferred Addi City Certificate of Deposit Certificate of Deposit Acct. I Acct. State I p Coda APY APY ci Mailing address ( I different) Term Term Name Promo term Promo term Addr (DBTCA deposit account (squired. along wrth a DB AG Pistened Terms deposit account required, with a D8 AG Preferred Terms City (DBTCA along State Zi:iCodo and Conditions) aria ConOnionst Private Wealth Premiumn. Cash Master Sweep Account Internet flanking Services Checking Acct. li,DB Private Wealth Online Plus g • tionship Elite Acct. Money Market Deposit N APY Target Amount Trigger Amount Client Relationship K Individual Account o Joint Tenants with Right of Survivorship O Joint Tenants in Common 0 In Trust For/Payable on Death/As Trustee for O Trust O Estate 0 Custody under NY UTMA 0 Foundation tp Non-Profit Organisation O Attorney Trust Escrow O Landlord Mester Escrow O Corporation ij Limited Liability C::mpany O Pannership O Limited Liability Pi innership CONFIDENTIAL 13.AWM4101 NAOSOD0001S8 S0400105135 0139!5.037613 SDNY_GM_00038544 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001368 EFTA_00149153 EFTA01282939 Account Title and Joint Application Information Butterfly Trust Name 01 Account Tale (last name, first name, middle initial) or Business 2686397/1 Social Security Number or Taxpayer ID Number 6100 Red Hoek_Qiierter Address Address St.Jbomas U.S. Virgin Isle 00802 City. State and Zip Code Joint Applicant Bast name, first name, middle initial) Social Security Number or Taxpayer ID Number 2716a/2006 Date of Birth Mona Telephone Number Business Telephone Number Date of Birth Name of Employer Name of Employer Address Address Not applicable City. State and Zip Code City, State and Zip Code Notice of Customer Identification Policy Important Information To help the government fight the funding of terrorism and money laundering activities, Federal law requirt all financial institutions to obtain, verify, and record information that identifies each person who establishes an account investment or other business relationship with a financial institution this means that we will ask for your name, address. and other information that will allow us to identify you. We may also ask to see identifying documents such as a semi 'irate of formation or good standing (legal entities) or a passport or other photo identification (individuals). 3rd EU Notice Governmental roles have also broadened the scope of the Bank's obligations to aid in the fight against mo lay laundering and terrorist financing; these rules call for an active involvement of both asset management firms and thou' clients. For new and existing clients we currently have a legal obligation to ask our customers questions regarding the r identities, addresses. source of funds and. if necessary, legal representatives. authorized signatories. beneficial owne -; or control structures and to collect requisite documentation to substantiate the information. Also, enhanced anti-mor fly laundering requirements require that should any of the above personal or institutional information change, our clients bo obliged to immediately notify us of tho change(s) and provide us with relevant documentation to verify the:. a changes. Telephone, Facsimile or Email Instructions By signing below. you agree that from time to time you may give instructions by telephone, facsimile or en oil regarding the above captioned account(s) (defined herein as -Verbal Instructions") It is understood that the risk of VI tat Instructions being given by person or persons purported to be you is your own. Absent the gross negligent r, or willful misconduct of Dousche Bank Trust Company Americas (DBTCA), you agree to indemnify and hold harmless DBTCA for any claims, losses, expeosns. costs or attorneys' fees resulting from OBTCA's acting upon such misundersood and unauthorized Verbal instructions. You understand that DBTCA may. but shall not be required to, seek verifi :3tinn at your verbal, facsimile or email instructions by call back. In case of doubt. DBTCA may In its sole discretion fetus rr to execute your Verbal Instrucdnns or airy pert thereof, without incurring any liability. OBTCA is under ne &legation to execute your Verbal Instructions to transfer funds or securities to any account(s) without written instructions bearing yot r original signature. Joint Account Disclosure You have opened a joint account with DBTCA and acknowledge receipt of the following information: This c !posit and any additions to the account shell become the property of each owner as joint tenants, and DBTCA may ideas( the entire account to any owner during the lifetime of all owners. DBTCA may honor checks. orders or withdrawal re. vests from any owner during the lifetime of all owners. The Bank may be required by service of legal process to remit iiinds hold in the joint account to satisfy a judgment onteied against, nr other valid debt Incurred by, any ownet of the ac zount. DBTCA may honor checks, orders or withdrawal requests from the survivor(s) after the death of any owner(s) and r •ay treat the account as the sole property of the survivor(s) after the death of any owner(s). Unless MICA receives wen m note signed by any owner not to pay or deliver any joint deposit or addition or acorual. DBTCA shall not be liable lo any owner for continuing to honor checks, orders or withdrawal requests from any owner. After the receipt of the noti.:s referred to in the previous sentence. DBTCA May require the written authorization of any or all joint owners for any fur ter payments or deliveries. 2 013959.032613 SDNY_GM_00038545 CONFIDENTIAL CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001369 EFTA_00149154 EFTA01282940 ATM/Debit Service You agree that the retention or use of the ATM/Debit card constitutes acceptance of the terms and condil ins of the Cardholder Agreement contained in the Terms and Conditions of Deposit Accounts. Internet Banking Service If you have selected to reserve Internet Banking Services, you understood that you will be required to oott r into n separate Internet Banking Services Agreement with DBTCA before you can access the Internet Banking S thrice. Acknowledgement of Receipt of Privacy Notice By signing below, you acknowledge receipt of DBTCA's Privacy Notice included in the Application Packet Non-US Individuals: Confirmation of Tax and Compliance Responsibilities. You confirm that it is your responsibility to fulfill any tax obligations and any other regulatory reporting du es applicable to you in any relevant jurisdictions that may arise in connection with assets, income or transactions in yot r account(s) and your business relationship with MICA Non-US Organizations: Confirmation of Tax and Compliance Responsibilii ies. You confirm that it is your responsibility to fulfill any tax obligations and any other regulatory reporting du 'MS applicable to it in any relevant jurisdictions that may arise in connection with assets, income or transactions in your i :count(s) and your business relationship with DBTCA Furthermore, you confirm that the necessary information (to the t of your knowledge and capabilities) is made available no less than annually to the relevant beneficial owner(sl. se' Bolsi, bentificiary(ies). partner(s). etc. to enable him/her/ them to fulfill any respective tax obligations that may ei ie for him/her/ them in connection with your business relationship with OBTCA. Please complete and attach separate W-8 or W-9 documentation as applicable. Terms and Conditions and Representations By signing below, you acknowledge receipt of the Terms and Conditions for Deposit Accounts attached ti this Application and agree to be bound by them. In addition, you agree to notify us immediately of any materitl change to the information provided by you on this Application. You represent and warrant that all of the information provided by you on this Application is accurate. . The Terms and Conditions for Deposit Accounts are subject to change. Acceptance You understand that this sparrow ptance by DBTCA. ,Pffifin 3 thainnAccbunt liolderlS Signature. .ii tif3 , to*: ty. ,-,k TWIP14 aWnWik.s.at"narsAltv ktact Ultrat CONFIDENTIAL 013969 CO2813 SDNY GM_00038546 CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001370 EFTA_00149155 EFTA01282941 IN WITNESS WHEREOF. the undersigned. by and through its authorized officer, has caused this in irurnent to be executed on the date listed betivr. (FOR BUSINESS USERS) Butterfly Trust lilMsness)Herne Darren Indyke! Trustee Richard KahnfTrust 4.4," 'New/Ties tined Le CLQ°1012.--- DEUTSC BANK TRUST COMPANY AMERICAS Print Marne/Tele I (FOR ALL OTHER USERS) i m pb Accouni Warns Namenitte Signature 21 CONFIDENTIAL Oats VVM 134667 010198 080513 SDNY_GM_00038547 CONFIDENTIAL - PURSUANT TO FED R CRIM. P 6(e) DB-SDNY-0001371 EFTA_00149156 EFTA01282942

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