Case File
efta-01387278DOJ Data Set 10OtherEFTA01387278
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01387278
Pages
1
Persons
0
Integrity
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One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar
3A. Individual Details (for all p flies)
Individual's Name:
Wallace, Daphne -
Date of Birth
Country of Residence'
USVI
Country of Otizensh 0
USV
Address of primary
residence-
United States
Has client rescleo ou:sioe
of luSrher country of
O
nationality for 5 years or
more?
yes .i. No
Professon, Occupation:
Finance
Tax ;D SSN
Current Employer:
Southern Trust Company Inc
Position/Title/Rank:
controller
Address of employer:
6100 Red Hook Quarter St Thomas United Sates 00802
Does the person work as senior executive of a DB-recognized regulated entity in
he financial Industry? or an entity listed on a OB-recognised exchange? (Not
pplicable for operating entities
Oyes tri No
Is the individual a Politically Exposed Person (F£P)?(If Yes, describe)
O Yes
wr
Lali No
To the best of your knowledge, lathe individual related to an employee of the DB
groupWif Family or Friendship, describe )
D Family
O Friendship
g None
To the best of your knowledge, is the Individual party to a non-banking
relationship with Deutsche Bank (e.g., external legal counsel, client referral
source, supplier of goods or services)7(if Yes,describe )
❑O Yes
10 No
If applicable. indicate which bank officers have met
the person.
Indicate where and when the client meetings) took place
Bank Officer Name(s)
Bank Office
Client
Private
Domicile
Client Place
of Business
Other Location (soecify!
Dare
D
O
•
O
O
•
D
O
O
L....iWealth Derails for this individual are not (pled ri because they are :he same as for :he following person.
38. Wealth Details (Only for parties reowr ng source of wea :h oesc-pcion as tad ceed in Section 2)
Nature of the Individual's Business:
Primary Country of source of wealth/source of Funds?
Primary rdustry of source of Wealth/Source of
Funds?
Summarize Source of Wealth:
O Budness Owner O Salary/Earnings
O Other:
• Investment LI Inheritance/Offs
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
CONFIDENTIAL
DB-SDNY-0089539
SDNY GM_00235723
EFTA01387278
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