Case File
efta-01355901DOJ Data Set 10OtherEFTA01355901
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01355901
Pages
1
Persons
0
Integrity
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Private SAlealth Management
Institutional Suitability Certificate
Affirmative Indication Of Exercise Of Independent Judgment
(Pursuant To FINRA Rule 21 1 1)'
In connection with any recommended' transaction or investment strategy by Deutsche Bank Securities Inc. (DBSI) or
its Client Advisors, the undersigned acknowledges on behalf of the Institution named below that
I. It is an Institutional Account as defined in FINRA Rule 4512(c)3; namely.
a) A bank, savings and loan association, Insurance company, or registered investment company
b) An investment adviser registered either with the Securities and Exchange Commission under Section 203 of
The Investment Advisers Act of 1940 or with a state securities commission for any agency or office
performing like functions)
c) Any other entity (whether a natural person, corporation, partnership, trust, or otherwise) with total assets of
at least $50 million as of the date of this Certification (whether such assets are invested for such person's
own account or under management for the account of others).
IMPORTANT: You must select one of the above
II. It 11) is capable of evaluating investment risks independently, both In general and with regard to all transactions and
investment strategies involving a security or securities; and (2) will exercise independent judgment in evaluating
the recommendations of Deutsche Bank Securities Inc. or Its associated persons, unless it has otherwise notified
Deutsche Bank Securities Inc. in writing;
It will notify the Deutsche Bank Securities inc. Client Advisor servicing the Institutional Account if anything in this
Certificate ceases to be true;
IV. He or she is authorized to sign on behalf of the Institutional Account named below.
By signing this Certificate, the undersigned affirms that the above. statements are accurate but does not waive any
rights afforded under U.S. federal or state securities laws, inchiding without limitation; ern.; rights under Section 10(b) of
the Securities Exchange Act of 1934, as amended, and the rules and regulations promulgated thereunder.
NOTE: This Certificate shell apply with respect to all recommended transactions and investment strategies involving
securities that are entered into by the "Institutional Account" named in this Certificate, whether for the account of such
Institutional Account or for the account of any beneficial owner that has delegated decision making authority to such
Institutional Account.
Southern Financial LIG
Jeffrey Epstein
Institutional Acciaint Name
ta 4 I) 4.r"
&Authorized
Name of Authorized Signatory
Account Number
Signature of Atith rized Signatory
Date
Southern Trust Company Inc.
JeffreyEpetelre
Institutional Account Name
Narfle of Authorized Signatory
e
TM
Authorized Slgna
Account Number
igneture of Authorized .S ,net.
Date
Client Advisor Signature
'Avelable at http://Www.RnreorgAnclusUy
'As defined In FINRA Rules.
Owlet
des/
Date
1 2•PWAi.0.109
C11088.041612
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
CONFIDENTIAL
SDNY_GM_00187383
DB-SDNY-0041199
EFTA01355901
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