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efta-01283038DOJ Data Set 10Other

EFTA01283038

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DOJ Data Set 10
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efta-01283038
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
Deutsche Asset & Wealth Management Deutsche Bank Trust Company Americas (DBTCA) Business Deposit Account Opening Application LSJE LLC Account Title LBJE LLC Entity/Company Nemo 6100 Red Hook Quarter, 03 Nisiling Address Ati_Themes__ Netenallabie_ 00102 Oty State trp Code Business Telephone Number Business Fax Number Other Number Lepel Address Of different from melting address) Client Relationship 0 Corporation O Foundation O Non-Profit &garotted/in Private Wealth Premium' Elite Business Accounts 0 Checking Account O Checking with Interest Woundebon and Non-profit oniti gi Money Market Deposit O Cash Master Sweep Account State ZIP Code El Limited Liability Company (LLC) El Partnership ID Limited Liability Partnership ILUI Tweet Amount Trigger Amount Private Wealth Premiumm, Banking Services O Deluxe Checkbook El Name Only 0 Name and Address Shis Code Color Internet Banking SOftilafe El DR Private Wealth Online Plus 1) Link to existing online relationship: 1113011.0 10.27.2011 Clete of incorporation Taxpayer ID Number TM) 0 Attorney Escrow Account Landlord Mester Escrow 0 Trust/Estates O MCA Certificate of Deposit APY Term K 06 AG NY Preferred Certificate of Deposit _ Apy Tenn Promo term (OBTCA deposit account required, along with a CO AG Preferred Twine end Conditions) O Debit Cards—Business Debit Card Duplicate Statement Name Address City OP Code NA0S0D00016530-000136010 wmi3ant 016W.072813 SDNY_GM_00038660 CONFIDENTIAL CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001484 EFTA _00149269 EFTA01283038 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 end record Information that identifies each person who establishes en account, investment or other business relationship with a financial institution. This means that we will ask for your name, address end 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 (Igo entitles) ore passport or other photo identification (individuals). 3rd EU Notice Governmental rules have also broadened the scope of the Bank's obligations to aid in the fight against money laundering and terrorist financing; these rules cell for an active invoNement of both asset management firms and their clients. For new and existing clients we currently have a legal obligation to ask our customers questions regarding their 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 ant'rnoney laundering requirements require that should any of the above persona! or institutional Information change, our clients would be obliged to immedimety notify us of the changals) and provide us with relevant documentation to verify these changes. ATM/Debit Service You agree that the retention or use of the ATM/Debit card constitutes acceptance of the terns end 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 understand that you will be required to enter into a separate Internet Banking Services Agreement with DBTCA before you can access the Internet Banking Service. Acknowledgement of Receipt of Privacy Notice By signing below, you acknowledge receipt of DBTCA's Privacy Notice included in the Application Package. Telephone, Facsimile or E-mail Instructions By signing below, you agree that from time to time you may give Instructions by telephone, facsknile or e-mail regarding the above captioned accountls) (defined herein as 'Verbal Instructions"). It Is understood that the risk of Verbal Instructions being given by person or persons purported to be you is your own. Absent the gross negligence or willful misconduct of DUCA, you agree to indemnify and hold harmless DBTCA for any claims, losses, expenses, costs or attorneys' fees resulting from DBTCA's acting upon such misunderstood and unauthorized Verbal Instructions. You understand that DBTCA may, but shall not be required to, seek verification of your verbal, facaimlie a e-rnaa instructions by call back. In case of doubt. DBTCA may in its sole discretion refuse to execute your Verbal Instructions or any part thereof, without Incurring any liability. DBTCA is under no obligation to execute your Verbal Instructions to transfer funds or securities to any account(s) without written instructions bearing your original signature. Non-U.S. Organizations: Confirmation of Tax and Compliance Responsibilites You confirm then it is your responsibility to fulfill any tax obligations and any other regulatory reporting duties applicable to it in any relevant jurisdictions that may arise in connection with assets, income or transactions in your account()) and your busness relationship with DBTCA. Furthermore, you confirm that the necessary information (to the best of your knowledge and capabilities) Is made available no less than annually to the relevant beneficial ownerts), settior(s), beneficiarylies), partnerla), etc., to enable hirroiherAhem to fulfill any respective tax obligations that may arise for him/Tar/them In connection with your business relationship with DBTCA. Please complete and attach separate W-8 or W-9 documentation as applicable. Terns and Conditions and Representations By signing below, you acknowledge receipt of the Tams and Conditions for Deposit Accounts attached to this Application and agree to be bound by them. In addition, you agree to notify us immediately of any material change to the Information provided by you on this Application. You represent end 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. 2 CONFIDENTIAL CONFIDENTIAL — PURSUANT TO FED R CRIM. P. 6(e) W14134671 iSIRSOMI13 SDNY_Gat00038661 DB-SDNY-0001485 EFTA_00149270 EFTA01283039 Acceptance Yau u tuThoritiedWWw-- Signe 14 lc to accoptonot by DEITCA. e2— to -AS Date tis 2-- /0- Das e -70-0k Nam nID Ts e2H-icic os Maoism mambas: DOA NOW *ADA CWOBAG 3 CONFIDENTIAL CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) WPA1341571 15024.072613 SDNY_GM_00038662 DB-SDNY-0001486 EFTA_00 I 4927 I EFTA01283040

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