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efta-01283024DOJ Data Set 10Other

EFTA01283024

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DOJ Data Set 10
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efta-01283024
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
T Orutsche Asset & Wealth Management /MO'. TA (o 9L100 DBTCA Deposit Account Opening Application Private Wealth Premiums"' Elite Personal Accounts O Checking Acct. 8 O Elite Checking with Interest Acct. N APY O Elite Money Market Deposit Acct. 0 APY O Certificate of Deposit Acct. APY Term O DB AG NY Preferred Certificate of Deposit Acct. I APY Term Promo term (DBTCA deposit account required. along writ. a DB AG Prefened Terms and Conditions) Private Wealth Premiumn. 0 Internet Banking Services gc ..DB Private Wealth Online Plus 01 Link to Existing Online Relationship l4Peillor .V (Number) Private Wealth Premium TM Elite Business Accounts 0 Checking Acct. VMS -4O(o Co Elite Checking with Interest Acct. APY Elite Money Market Deposit Acct. N 0203 c-CS2, APY 0 Certificate of Deposit Acct. N APY Term Client Relationship K Individual Account K Joint Tenants with Right of Survivorship K Joint Tenants in Common K In Trust For/Payable on Death/As Trustee for O Trust O Estate DB AG NY Preferred Certificate of Deposit Acct. APY Term Promo term (DBTCA deposit account required, along with a D8 AG Preferred Terms and Conenionsf Cash Master Sweep Account Checking Acct. Elite Money Market Deposit Acct. APY Target Amount Trigger Amount Private Wealth Premi .:mTm Banking Services 0 Consume( Debit Card O Joint Applicant (iebit Card II 0 Business Debit Card N • Deluxe Checkboi Style K Name Only O Name and A :Idress O Duplicate Statem Addr City State E p Coda Ei Mailing address ( I different) Name Addr City State Zi Code O Custody under NY UTMA O Foundation O Non-Profit Organisation O Attorney Trust Escrow O Landlord Master Escrow K Corporation K Limited Liability C::mpary O Partnership O Limited Liability Pi innership CONFIDENTIAL 13.AWM4101 NAOSOD0001S6 S0400105135 0139!5.037613 SDNY_GM_00038646 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001470 EFTA (()149255 EFTA01283024 Account Title and Joint Application Information Butterfly Trust Name of Account Tele (last name, first name, middle initial) or Business 2686397/1 Social Security Number or Taxpayer ID Number 6100 Red floctitchriNer Address _SL.Thomas U.S. Virgin Islekol)802 City. State and Zip Code 2.(2) q - 13ct‘, 1.3tio") Nome Teleph e Number Home Telephone Number 2- ctil I3o Business Telephone umber Business Telephone Number Joint Applicant test name. first name, middle initial Social Searity Number or Taxpayer ID Number Address City. State and Zip Code 27fdec2O06 Date of Birth Date of Birth Name of Employer Name of Employer Address Address Not applicable City. State end 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 corn 'Cate 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 moo 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 owners; or control structures and to collect requisite documentation to substantiate the information. Also, enhanced anti-mor iry laundering requirements require that should any of the above personal or institutional information change, our clients .vould 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 :stint .31 your verbal, facsimile or email instructions by call back. In case of doubt. DBTCA may in its sole discretion fetus 3 to execute your Verbal Instrucdnns or airy pert thereof, without incurring any liability. OBTCA is under ne &legation to axoeute your Verbal Instructions to transfer funds or securities to any account(s) without written instructions bearing yet 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 prooeity of each owner as joint tenants, acid DBTCA may ideas( the entire account to any owner during the lifetime of all owners. DBTCA may honor checks. orders or withdrawal rei nests from any owner during the lifetime of all owners. The Bank may be required by service of legal process to remit iiinds held in the joint account to satisfy a judgment onteied against, nr other valid debt Incurred by, any owner of the ac, zount. OBTCA 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 writs In notice 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.:3 referred to in the previous sentence. DBTCA May require the written authorization of any or all joint owners for any fur ler payments or deliveries. 2 iSawhi.010t 013356.032613 SDNY_GM_00038647 CONFIDENTIAL CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001471 EFTA_00 I 49256 EFTA01283025 ATM/Debit Service You agree that the retention or use of the ATM/Debit card constitutes acceptance of the terms arid condit ms 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 understand that you will be required to *Ent into n separate Internet Banking Services Agreement with DBTCA before you can access the Internet Banking S Acknowledgement of Receipt of Privacy Notice By signing below, you acknowledge receipt of DBTCA's Privacy Notice included in the Application Packat 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:As 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 tcount(s) and your business relationship with DBTCA Furthermore, you confirm that the necessary information (to the [1st of your knowledge and capabilities) is made available no less than annually to the relevant beneficial owner(sl. se' Sorts}, bentificiarylies). partnet(s). etc. to enable him/her/ them to fulfill any respective tax obligations that may ai ie for him/herr 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 u this Application and agree to be bound by them. In addition, you agree to notify us immediately of any materit I 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 ripper-at ptance by DBTCA. ,Pffife‘ ,..lotrutAccbuntliolderlaSignature Dote k411?-", IneIrM vI a. 74 "(Wm it 1Z.A kitie 44-MfgraPaKr ‘va SittiSi7X Kee 4.1;t• friafft,„ 40 ate/ 4Z14 r itterra 14, 0 13iMin, t rt. t am PSA ‘ itt%; ltir AC? r"!C741 friff^:,,ItSnti htq .`,Z. );S/AO•riOre,: ira t 0.} 5- ' 261 4?" en i ”ot . ...ilhaimr24 reg b • ,sfatt N CONFIDENTIAL 13,awmOtel 013%9.032813 SDNY GM_00038648 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001472 EFTA_001 49257 EFTA01283026 IN WITNESS WHEREOF. the undersigned. by and through its authorized officer, has caused this int irument to be executed on the date listed below. (FOR BUSINESS USERS) Butterfly Trust BMsoMsT:Hente Owen Indyke! Trustee Richard KahnfTrust Ilepeffitte. Vir9114*CLQ°104A--- DEUTSC i BANK TRUST COMPANY AMERICAS Print Marne/Tale I I Os IFOR ALL OTHER USERS) 41P UM Account Nan* Name/Title Signature 21 CONFIDENTIAL Oats YVM i34667 0 tOis9 080613 SDNY_GM_00038649 CONFIDENTIAL - PURSUANT TO FED R CRIM. P 6(e) DB-SDNY-0001473 EFTA_00149258 EFTA01283027

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IPv6C::
Phone2686397
SWIFT/BICAMERICAS

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