Case File
efta-01282962DOJ Data Set 10OtherEFTA01282962
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01282962
Pages
3
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
Deutsche Bank
Wealth Management
ORIGINAL
Business Deposit Acy,c„.,
The Haze Trust
Account TWO
The. Haze Trust
Entity/Company Name
.6100.Red.Hook Quarter B3
Mailing Address
Business Telephone Number
02/0911999
Taysievre ID tivniN". ;tin,
St, Thomas
0
Slate
&rations Fa. Nu.nbrr
ei um et
6100.Red.Hook Quarter.B3
St, Thomas
0
Legal AttdrOss
dillerent Irom rrlpil.ng addrovN
Cav
Slate
Client Relationship
Corporation
Limited Liability Company ILLC)
O Foundation
Partnership
72 Non-Profit Organization
Limited Liability Partnership (LLP)
Private Wealth PremiumTM
DBTCA Accounts
Deutsche Bank AG NY Branch Accounts
tiChecking Account
' Deutsche Bank. AG NY Preferred Banking Account
Checking with Interest
Deutsche Bank AG NY Preferred Certificate of Deposit
r-.1 Money Market Deposit
Are
Irvin
Nome term
DBTCA Certificate or Deposit
00802
Zip
00802
Zin
Cash Master Sweep Account
Taipei Amount
Trooper Amount
Banking Services
Deluxe Checkbook
Name Only
Name and Address
StrIe
Code
Color
Internet Banking Services
72. DB Private Wealth Online Plus
/link to existing online relationship:
03 bis Co
Attorney Escrow Account
Landlord Master Escrow
TitiSI
Estates
•UOICA•Mpow au:••:rna innuacti. Mono with a 08 AG Ploktaed rooms
and ConclionnO
Debit Cards—Business Debit Card
Duplicate Statement
Nome
Address
Cav
Siete
Zip Code
Whill(0245 015021090816
Par I of 3
NAOSOD00022695.000180789
CONFIDENTIAL
SDNY_GM_00038573
CONFIDENTIAL - PURSUANT TO FED. Ft CRIM. P. 6(e)
DB-SDNY-0001397
EFTA_00149182
EFTA01282962
Notice of Customer Identification Policy
Important Information
To help the government fight the funding of terrorism and money laundering activities. Federal law requires 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 ler you. name, address and other
information that will allow us to identify you. We may also ask to see identifying documents such as a Certificate of
formation or good standing (legal entities) or a passport or other photo irlentificenion
Information Sharing
You authorize Deutsche Bank to share information about you and Wee Aceutint as se; forth in our Privacy Policy, including
any disclosures that (1) Deutsche Bank believes are required by appicahle law and regulations that apply to Deutsche Bank
or others. including disclosure of information about you and your Account to any government agency or self-regulatOry
body on request. (21 is necessary or appropriate in connection with Deutscite Bank's prevision of services under this
Agreement. or (3) is requested by a financial institution. financial intermediate. or other third party in order to assist such
person with compliance with law applicable to such person in connection with sea vim: pi ovided to you or on your behalf.
3rd EV Notice
Governmental rules have also broadened the scope of the Bank's °blip/Mons to eel in the fight against money laundering
and terrorist financing; these rules call loran active involvement of both asset management firms and their clients. Fur
new and existing clients we currently have a legal obligation to ask out cosiomeis questions regarding their identities,
addresses, source of funds and. if necessary, legal representatives. authorized signatories. beneficial owners or cornice
structures and to collect requisite documentation to substantiate the inlormatien. Also. enhanced ami•money laundering
requirements require that should any of the above personal or institutional information change, our clients woukl be obliged
to immediately notify us of the changels) and provide us with relevant doer iinentation to verify these changes.
ATIWDebit Service
You agree that the retention or use of the ATM/Debit card constitutes acceptance of the terms and conditions of the
Cardholder Agreement contained in the Terms and Conditions of Deposit Accounts.
Internet Banking Service
If you have selected to receive Internet Banking Services, you undersrencl that you will he required to enter Into A separate
Internet Banking Services Agreement with OBTCA before you can access the Internet Banking Service.
Acknowledgement of Receipt of Privacy Notice
By signing below, you acknowledge receipt Of DESTCA's Privacy Notice included in the Application Package.
Non-U.S. Organizations:
Confirmation of Tax and Compliance Responsibilities
You confirm that it is your responsibility to fulfill any tax obligations and any other reoulatory reporting duties applicable t0
it in any relevant jurisdictions that may arise in connection with assets. income or transactions in your accounts) and your
business relationship with DBTCA. Furthermore, you content that the necessary information flu the best of your knowledge
and capabilities) is made available nu fess than annually to the relevant beneficial owner(s). spinoffs), beneficiary/jos),
partner(s). etc., to enable him/her/them to fulfill any respective tax obligations that may arise for him/her/them in connection
with your business relationship with DBTCA.
Please complete and attach separate W.8 or Wee documentation as applicable.
Terms and Conditions and Representations
By signing below, you acknowledge receipt of the Terms and Conditions lot Depose Accounts attached to this Application
and agree to be bound by them. In addition, you agree to notify its immediately of any material change to the information
provided by you on this Application.
You represent and warrant that all of the information provided by vou on !his Application is accurate
The Tema and Conditions for Deposit Accounts are subject to change.
•
wrA167745 OiSeza.Carni0
Pane 2 of 3
SDNY_GM_00038574
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED R. CRIM. P. 6(e)
DB-SDNY-0001398
EFTA_00149183
EFTA01282963
Acceptance
You understand that this application is subject to acceptance by DBTCA.
hotized Signe.
Orion Indy ke
Print Name
‘;‘,1q).zorir
10
For Bank Use Only
Reviewed by:
Signature
Namo
Titb
Data
Account numbers.
DDA
ktiv
?(f-a—{/ 9—
AtattiOils1 Soo
Pre.. Nsi
NOW
MMDA
CDOBAG
VOA I67245 015624.090816
SDNY_GM_00038575
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001399
EFTA_00149184
EFTA01282964
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