Case File
efta-01378965DOJ Data Set 10OtherEFTA01378965
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01378965
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1
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0
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Print Name
Investment Experience of Account Owner(s)
: year Rat
n. meters
1 pampa8thibt i Average $2616
I Typeset Previous Oaten
i Traded
, Trades Per veer
I Trades In S
1 Shares r Convects 1 Expedeno•
OPtlens
i
1
...4 U Covered CalWriting
i
I
. .....
I -
i
L 1
i .0 op.p.n
rcheis
sNead
ossic.
-i
Fixed Income
Commode les and Futures
r- .
Exchange Traded Fields (ETEe)
alternative Investments (Hedge Funds.
Private Equity)
1
j 0 Uncovered Put Writing
o uncovered can westing
tjtj
Nom:
Option Objectives (check ALL that apply)
Income (covered call writing)
Portfolio Protection (protective puts)
.1 Speculation (option buying, spreads and uncovered writing)
Client(s) Strategy Requests (Please check as many of the following strategies sought to be employed)
L., 1. Covered Call Writing
Moderate Risk. Calls fully covered by underlying stock. Stock may be called at any time or at expiration, requiring owner to sell at
strike price.
-- 2. Purchasing Options
Involves Substantial Risk. Entire premium is at risk. Profit or loss usually determined by selling position. If position is not closed
or exercised by expiration date, options will expire worthless.
3. Option Spreads—Margin account required.
Involves Substantial Risk. In addition to risk of purchasing puts or calls, if long side is closed out, leaving only a short position.
the financial risk becomes unlimited. Option assignments require purchase of the underlying stock in the open market to effect
delivery to purchaser of option.
0 4, Uncovered Put Writing—Margin account and special statement for uncovered option writers required. Involves Substantial Risk.
If assigned, the client must purchase the underlying stock at the sbike price, which may be substantially higher than the
then-current market price
t..1] 5. Uncovered Call Writing—Margin account and special statement for uncovered option writers required. Involves Substantial Risk.
Writing uncovered calls involves unlimited financial risk. Option assignments require purchase of the underlying stock in open market
to effect delivery to purchaser of option.
I have read and understand all of the conditions and stipulations on the reverse side of this form in regard to trading in options and represent that
trading in options is suitable in fight of my investment objectives. financial situation risk tolerance and knowledge. I hereby confirm that lam
the source of and attest to the accuracy of the above information and authorize Deutsche Bank Securities Inc. (DBSI) to verify any reprenentation
contained therein, at its discretion. I will promptly notify DBSI, in writing, of any matenal change in the above-stated information. I acknowledge
that I may obtain an options clearing corporation prospectus upon request.
e OptionsClear
Corporation Disclosure Docrmient entit
f;r
aCharec eristics and Risks of Standardized Options."
•
I have received and
Signature
HAUS Bei et
Client Advisor Signature
Print Client Advisor Name
POP Approval Signature
SPA• ENS
/OhjZoilb
Dete (SehttOOKYYY)
Date (MMiDONYYt)
CM
Date
Print Name
Gate
WM189768 O1072L051018
Page2of4
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0076246
CONFIDENTIAL
SDNY GM_00222430
EFTA01378965
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