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efta-01387986DOJ Data Set 10Other

EFTA01387986

Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01387986
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.
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar 3A. Individual Details (for all parties) Individual's Name: Harry Be'kw - 00000487202 Date of Birth 5.9. 1956 Country of Residence. United States Country of Otizenship: United States Address of primary residence- 12 Golan Drive Monsey NY 10952 United States Has client resided outside of his/her country of nationality for 5 years or more? 0 Yes [1: No Profession' Occupation. Accountant Tax ID: SSN [SSN REDACTED] Current Employer: HBRK Associates, Inc Position. Title. Rank Accountant Address of employer: 575 Lexington Avenue, 4th Floor Monsey NY United St les 10022 Does the person work as senior executive of a OB-recognized regulated entity in he financial Industry? or an entity listed on a 0B-recognised exchange? (Not callable for operating entities 0 Yes R; No Is the individual a Politically Exposed Person (F£P)?(11 Yes, desaibe) N/A 0 Yes wr ...4 No To the best of your knowledge, is the individual related to an employee of the DB groupyd Family or Friendship, dewily) NIA n L.:IFamily 0 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(d Yes,deseribe ) N/A ❑0 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 (weary: Dare o 0 0 0 D 0 0 L...1 Wealth Details for this individual are rot filed ri because they are :he same as for :he following person. 3B. Wealth Details (Only for parties recur, ng source of wea :h oescription as tad co:ad in Section 2) Nature of the Individual's Business: Primary Country of source of wealth/source of Funds? Primary industry of source of Wealth/Source of Funds? Summarize Source of Wealth: 0 Budness Owner 0 Salary/Earnings 0 Other: • Investment 0 Inhentance/Ofts CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0091284 SONY GM_00237488 EFTA01387986

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