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efta-01283041DOJ Data Set 10Other

EFTA01283041

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DOJ Data Set 10
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efta-01283041
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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 Graikide AraMca Lad count Dee Dilf25 to 2- Ac of angina Asada, Usk EntitylCirspere Nees Taxpayer ID Numbs MNI NISMINIMP &Abets tiolopione Number Of. Fax Number Legal Acklrene Of different from using address) Ot Thorium. USVJ Ore Client Relationship O Como:000n K Foundation ▪ Non-Proftt Orgeftstion Private Wealth Premium,* Elite Business Accounts O °beads's; Account • Chercldrip with Intetest goatee and Nonprofit matt a Money Mutat Deposit O Cash Master Sweep Account Not applicable 001102 State DP Code O Limited liabdity Company (LLCI K Partnership O Limited LiebBily Pertnership (it!) Teruo Afros* Dipper Amman Private Wealth Premiums' Banking Services O Deluxe Checkbook K Name Only K Name and Address St* Code Dior Internet Banking Services a DB Pita %WM °Nine Flys a Link to earning online relationship: 103Ma• 111111111111111111111111111111II O Attorney bairn Account K tandbrd Master Escrow O Tsust/Estetse O MICA Certificate of Deposit APt Twin O DB AG NY Preferred Certificate of Deposit AP1' Term Promo tam (DOTCA aCCCiurit repuyed. 000 0 wit DB AG Preferred Terme end Conccon.) K Debit Cards—Business Debit Card Duplicate Statement Name Address City State top Cadi NAOSOP00016612-000136829 Welin171 014824.0771113 SDNY_GM_00038663 CONFIDENTIAL CONFIDENTIAL - PURSUANT TO FED R. CRIM. P. 6(e) DB-SDNY-0001487 EFTA_00 149272 EFTA01283041 Notice of Customer Identification Policy Important Information To he p the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain. verily and record Infonnation that Identifies each person who establishes en sccount, liweernent or other business relationship with a financial institution. This means that we will ask for your name, address and other Info/ inethon that will allow us to dankly you. We rney also ask to see identifying documents such as a certifkate of formation or good standing (legal entities) or a passport or other photo Identification (Individuate). and EU Notice Governmental rub► hen sine broadened the scope of the Bank's obligations to aid in the fight against money laundering and terrorist financing: these rules call for an active irmolvement of both asset management firms and glob c'ionts. For new and existing agents we curremly have a legal obligation to ask our cognomen questions regarding their identities. addresses. source of funds and, if nemarsehr. legal representatives, authorized strati rtes. Module' owners or contol donut we and to collect requisite documentation to substantata the Information. Also, enhanced anti•money laundering requirements require that should any of the above personal or institutional Information change, our clients would be obliged to irrineedlately notify us of the eilidnge(s) and provide us with relevant decumenteden to verify these changes. ATM/Debit Service You agree that the reteritionnr use of the ATIWDeNt card constitute' acceptance of the terms and conditions of the Cardholder Agreement contained In the Tonna end Condition! of Deposit Accounts. Internet Banking Service If you have selected to receive Internet Banking Services, you sodertibund that you will be required to enter into a separate Memel 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 DaTCA's Privacy Node, Included in the Application Package. Telephone, Fecsimlid or E-mail Instructlor. By signing below, you agree that from time to tkne you may give Intimations by telephone, facsimile or e-mail regarding the above captioned scooting') (defined herein as 'Verbal Instructional. It is understood that the risk of Verbal Instruction* being given by parson or persons purported to be you is your own. Absent the gross negligence or willful misconduct of DBTCA, you agree to indemnify end hold harmless DBTCA for any claims, kisses, expenses, costs or attorneys' fees resuiting from 0f3TCA's soft upon such menndentood end ineuthortted Verbal InsthictIons. You understand that DBTCA may,but shall not be iequired to, soak verification of youi verbal. ficctimlie or instructions by coil back. In case of I doubt DBTCA may In Itis sole distation refuse to execute your Verbal Instructionser any part thereof, without incurring any liability. OBTCA Ls under no obligation to,execuie your Verbal Instnictions to transfer funds or securities to any eoboungs) without written instructions bearing your original signature. Non-U.S. Organizations: Confirmation of Tax end Compliance Reeponallilikett You confirm that 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 erten:sections; in your account(*) and:your business relationship with Min& Furthermore, you confkm that the nieces/my Infomiadonito the bend/yogi knowledge end capabilities) Is mode available no loss then annually to the relevant beneficial oirner(s),Sattlei.ls), banaliciiuy(kes), pannerts), etc.. to enable himiher/thern to fulfill any respective tax obligations that may arise for hirWhodtheinlit donnoction Win your business relationship with DBTCA. Please complete and attach aspirate W-8 or W-9 documentation se applicable. Terms and Condtions and Representations By signing below, you acknowledge receipt of the Terms end Conditions for Deposit Accounts attached to this Application end agree to Is bound by then. In addition you ogres to may us intr.' d,ately of any materiel change to the infomunion provided by you on this Application. You represent and worront that all of the information provided by you no this Application he amts. The *Farms and Conditions for Deposit Accourits ace subject to change. 2 CONFIDENTIAL CONFIDENTIAL — PURSUANT TO FED R. CRIM. P. 6(e) VAlle4671 10124.072913 SDNY_GM_00038664 DB-SDNY-0001488 EFTA_00149273 EFTA01283042 Acceptance You understand then this akiejit.atioti Is subject tosceeptanco by DBTCA. Aulhorued Signer Avehattud Sore ii4ena0614 7.- 1AO( Nom ile ct5Or A4C f er't Dots 2/Z 46 1-c rr Nam- AAM idle -12 q1 ‘2 - - .......Mall....".•••••••••••/. 49 le 3 CONFIDENTIAL V4413071 tentensa SDNY_GM_00038665 CONFIDENTIAL - PURSUANT TO FED IR_ CRIM. P. 6(e) DB-SDNY-0001489 EFTA_00149274 EFTA01283043

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