Case File
efta-01377612DOJ Data Set 10OtherEFTA01377612
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Unknown
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DOJ Data Set 10
Reference
efta-01377612
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1
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0
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Deutsche Bank
Wealth Management
Deutsche Bank AG New York Branch (Non-FDIC) Sweep
Deposit Program (the "Program") Election and Representations
Aa:‘,1.111 Nth'
Ac: uunt NiV'e
Account Type:
1.... Individual
Joint
Trust
Partnership
Limited Liability Company L. Corporation l.. Other
By signing below, the undersigned elects to utilize the Program as a cash sweep option and represents to
Deutsche Bank Securities Inc. that:
Client understands that the terms and conditions associated with this program will be provided under separate cover
and that Client may at any time change their sweep option as described in the terms and conditions. The undersigned
understands and acknowledges that Program deposits are not eligible for insurance by the FDIC, and are not protected
by the Securities Investor Protection Corporation or any governmental agency of the United States, the Federa€ Republic
of Germany or any other jurisdiction.
The undersigned is an "accredited investor as defined in Regulation D under the Securities Act of 1993, as amended
because the undersigned is:
(Check all that apply. At least one category must be checked.)
A natural person with individual income exceeding $200,000 in each of the two most recent years or joint income with a
spouse exceeding $300,000 in each of those years and a reasonable expectation of the same income in the current year.
A natural person with individual net worth, or joint net worth with a spouse, over $1,000,000, excluding primary residence.
A trust with assets in excess of $5,000,000, not formed for the specific purpose of utilizing the Program, whose
purchases are directed by a sophisticated person.
A revocable trust that may be amended or revoked at any time by the grantors and where all of the grantors are
accredited investors.
7 ** A charitable organization, corporation or partnership with assets exceeding $5,000,000.
A business in which all the equity owners are accredited investors.
An insurance company, registered investment company, business development company or small business
investment company.
By signing below, the undersigned hereby confirms that the representations made above are true to the best of the
knowledge of the undersigned.
Title of A
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Noire
Date
WM1&9660 015105.031516
Norl10
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WiErniii
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PAce 1 cf 2
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0074762
CONFIDENTIAL
SDNY_GM_00220946
EFTA01377612
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