Case File
efta-01387987DOJ Data Set 10OtherEFTA01387987
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01387987
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
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 Summary
3A. Individual Details 'or all part es.
Individual's Name:
Date of Binh:
Country of Residence
Country of Citizenship:
Address of primary
residence-
s client resided outside
f his/her country of
ationality for 5 years or
ore?
O yes :hi No
Professon, Occupation
N A
Tax ID I SSN
Current Employer:
N A
Position/Title: Rank
Address of employer:
N A
Does the person work as senior executive of a DB-recognized regulated entity in
he financial Industry? or an entity listed on a OB-ratogn ised exchange? (Not
pplicable for operating entities
ElYes kw/. No
Is the individual a Politically Exposed Person (F£P)?(If Yes, describe) N/A
O Yes
...4r No
To the best of your knowledge, is the individual related to an employee of the DB
groupWit Family or Friendship, describe) NIA
O 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)?(if Yes,describe ) NIA
IDYes
. w" 4 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:
Oient Place
of Business
Other Location (soecityi
Date
O
K
O
•
O
O
D
O
O
nWealth Details for this individual are rot Mel ri because they are the Sate as for the following person.
38. Wealth Details (Only for parties recur, ng source of weaTh oesc—ptsr as rad need 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:
DEtuartess Owner O Salary/Earnings • Investment Li Inhentance/Gifts
JOther.
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
CONFIDENTIAL
DB-SDNY-0091288
SDNY GM_00237472
EFTA01387987
Forum Discussions
This document was digitized, indexed, and cross-referenced with 1,400+ persons in the Epstein files. 100% free, ad-free, and independent.
Annotations powered by Hypothesis. Select any text on this page to annotate or highlight it.