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efta-01387202DOJ Data Set 10Other

EFTA01387202

Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01387202
Pages
1
Persons
0
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
KYC Print Page 3 of 13 2. Account Ownership Summary Account Name: Gratitude America, Ltd Acct. Number Of available) Account Manager: Paul Morris What is the purpose of the account (e.g. portfolio management, advisory account, custody services, long-term investment, payment/expense account)? Checking account to deal with the day-to-day running of the foundation Indicate from where the assets are expected to arrive? F DB Group: Same Booking Center (indicate account number): D8 F DB Group: Other Booking Center (indicate DB location and account details): F Other Institution — (Indicate name & location): F Physical Deposits (specify cash, securities, cheques, ...): What is the expected size and frequency of regular inflows and outflows for the account (indicate estimated number and volume per month)?: Roughly 10-20 inflows and outflows per month ranging from $10,000 to $100,000 What is the expected volume of assets and currency for 100000 Currency USO the account approx. 90 days after opening? What is the expected volume of assets and currency for 100000 Currency USD the account approx. one year after opening? Please list all parties related to the account For each party: Check if a source of wealth description is required for the party. Check the appropriate box to describe the relationship of the party to this account (> 1 can be selected). • If none of the check boxes apply, describe the party's relation to the account in the "Other" column. Always describe the relationship between the parties in the last column. Please drill down to the ultimate/underlying Beneficial Owner(s). _egal Description AccountPIC Settlor of Jtimate Signatory_imitecrinanciai Significant Entityof Source Holder OwnerTrust/ Beneficial or Full , OA IntermediaryShareholder of Wealth Founder of Owner POA (FIM) (>•2S%) required Parties related to Foundation Non-P1C entity (indicate ownership Other (please iesathe other roles and/or indicate relationship between this account %) 'Dates) 1 F F Darren Indyke r r F F F F F 2 F 17 Jeffrey Epstein F r F. F F F F 3 F F Gratitude America F F F F F F F Imps ://dbforcepb my. salesforce.com/servl et/servl et .1ntegrati on?I i d=01N30000000D9Di&ei ... 7/3/2015 CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) DB-SDNY-0089386 CONFIDENTIAL SDNY_GM_00235570 EFTA01387202

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