Case File
efta-01356718DOJ Data Set 10OtherEFTA01356718
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01356718
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
KYC Print
Page 4 of 2)
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar
3A. Individual Details or all parties)
Individual's Name:
David W Jelinek -
Date of Birth.
Country of Residence'
Country of Citizenship
Address of primary
residence-
Has client resided outsoe
of his/her country of
nationality for 5 years or
more?
O yes .V. No
Professon, Occupation.
Finance
Tax ID; SSN
Current Onplayer
ESM Management LLC
PosItion/TitW Rank:
Authorized Signer
Address of employer:
262 38TH STREET New York NY United States 10018
Does the person work as senior executive of a 0B-recognized regulated entity in
he financial industry? or a entity listed on a 0B-recognised exchange? (Not
pplicable for operating entities
Oyes ri No
is the individual a Politically Exposed Person (PEP)?(11 Yes, describe)
O Yes
wr
...1 No
To the best of your knowledge, lathe individual related to an employee of the DB
groupWif Family or Friendship, describe )
[,,,)Family
O Friendship
Vi None
To the best of your knowledge, is the individual party to a non-banking
relationship with Deutsche Bank (e.g., external legal counsel, client referral
source, supplier of goods or services)?(if Yes,descrthe )
❑ID Yes
10 No
If applicable, indicate which bank officers have met
the person:
Indicate where and when the client meeting(s) took place
Bank Officer Name(s)
Bank Office:
Client
Private
Domicile:
Giant Place
of Business
Other Location (specify)
Date
K
O
O
O
O
•
O
O
•
!Wealth Details for this individual are not filled in. because they are the same as for the following person:
3B. Wealth Details (Only for parties requiring source of wealth description as indicated in Section 2)
Nature of the Individual's Business:
Primary Country of source of wealth/source of Funds?
Primary industry of source of Wealth/Source of
Funds?
Summarize Source of Wealth:
U Budness Owner O Salary/Earnings
O Other:
• Investment OInheritance/Gifts
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid
IN30000000D9Di&... 12/19/2018
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0042723
CONFIDENTIAL
SDNY GM_00188907
EFTA01356718
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