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efta-01357141DOJ Data Set 10Other

EFTA01357141

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DOJ Data Set 10
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efta-01357141
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
Deutsche Bank Self Certification for Entity Clients UK Automatic Exchange of Information and the OECD Common Reporting Standard (CRS) Part 2 — Entity Certfication Part 2 (a) — Financial Institutions Fl 7. If this entity is a Financial Institution (FI). please select the F1's status from one of the options below. Or K i. Depository Institution. Custodial Institution or Specified Insurance Company An Investment Entity located in a Non-Participating Jurisdiction and managed by another Financial Institution In this case please complete the table in Appendix 1 "Controlling Persons" K iii. Other Investment Entity Part 3 — UK FATCA Classification Part 2 (b) — Non Financial Entities - NFE 8. If the Entity is not a Financial Institution (i.e. a Non Financial Entity. NFE). please select the Entity's status from one of the options below. oi. Active NFE - a corporation the stock of which is regularly traded on an established securities market or a related entity of such a corporation. If you have licked (i), please provide the name of the established securities market on which the corporation is regularly traded: If you are a Related Entity of a regularly traded corporation, please provide the name of the regularly traded corporation that the Entity in (i) is a Related Entity of: ❑ii. Active NFE - Government Entity. Central Bank or International Organisation K iii. Active NFE-other K iv. Passive NFE In this case please complete the table in Appendix I "Controlling Persons". 9. This Part is only to be completed where the Accowd Holder Entity is opening an accord with a Deutsche Bank entity located in the UK, Crown Dependencies and Overseas Territories and where the Entity's classification differs from Part 2(a) or 2(b). K i. Financial Institution K a Active NFE K iii. Passive NFE - In this ease please complete the table In Appendix 1 "Controlling Persons" Sw Corbluxit00 rp Ently Chet' -CRS! VK FATCA -17/2016 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0043507 CONFIDENTIAL SDNY_GM_00189691 EFTA01357141

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