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efta-01378964DOJ Data Set 10Other

EFTA01378964

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DOJ Data Set 10
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efta-01378964
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
Deutsche Bank Wealth Management Option Agreement and Approval Form Please Complete All Sections Account Number Account Type Ftetait Man aged Account 0 Disoretionary Account so..i ()tbc, Account Name ;Butterfly Trust Acre, negatration [Trust "-1 Name(s) of person(s)otner than account owner(s)authotized to Dieet orders tor the auxount: Accoten and Ovner Informatica (Provitle requested information for each account owner (Croont). Attest supplement to Mis Agreement if neceszaty). Name Bu nt — terfly Trust Address e100 Red Hook Quarter 83, St Thomas, USVI, 00802 Phone Noemt Employer Business Address N umber of Dependents Business Plsone Number r Country eetdate r Martel Status Type of Bilainess Posinon i i L__ Present Ba:kern° accounts with Yoms Held Does th* IncWidual or enhy theet conto»! this account have die power to conti« any meer Option acommt(s)with Deutsche Bank Secunda Inc.? Yes K No ti yes, please moeide the account number(s): Client(s) Financial Information Approximate AggregatieAam:d Income of Account OwnerBI trom All Soumes Somma of Intense (Aporodmate) Apprexknate Aggregste Net WOrth Leas taan 550.000 SalaryrBonus Approximate Net Worth ' íJ SS0.000 - $99.999 IntereetiOendends eldutid Net Word] Excfuding Principet Resident* $100,000 - 3249.999 $250,000 - $499.999 Other (spedin 0 Les than $S0,000 I less utan $540:0 C $50,000 - $99.999 Sso.000 -$99,999 $soa000-S998,999 D 5100,000 - $249.999 E.7 $100.000 - $249.999 0 $1.000.000 - 52,499,999 ! n S2,500,000 - $4999,999 Cl $250,000 - 5499.999 r: $250,000- $499.999 n Ø000- $999.999 n $ØA00-5999.899 $5.000.000 afd Modi D $uoopoo- S2.499.999 -j S1.000.000 - $2.499.999 D SZSODOCO - S4.999.999 $2.500.000 - $4.999.999 0 $5.000.000 and over $5.000.000 and over "Deutsche [or meers Odaitsche Berit AG and its afkleed conparits Oeutoche Bank Wca]h Management repetent& thewealth management activities cenducted by Oeutsche Bent AG or in alosictiarias. Dtients are ~Cad Deutsckr Beror Wo» Management ixoducts or services bvoctet" more tegel entales thal gKident4ied to cents putsuard to the contract,, agreement( ettering materials or otlw docut entatie,. relevant to such products or services Broice.nage seriees me cicero through Deutscee Bare Secondes Inc, e brokeedeeba and resteed investment acMser.whoth oaquctsseastesactivtiesin the United States. Deutsche Back Scout Mes Inc. 'samenleef of FINRA. MISE and SIPC. Bauting and kndirst servicesare offertid throGgn Deutsche Bank Trust Company Arms kas. momber MMO. and oter membtn of the Deutsche Bank Gtoup. WM189788 010721.051018 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0076245 CONFIDENTIAL SDNY_GM_00222429 EFTA01378964

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