Case File
efta-01387989DOJ Data Set 10OtherEFTA01387989
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01387989
Pages
1
Persons
0
Integrity
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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 'o'
out: csi
Individual's Name:
Date of Birth
Country of Residence
Country of Of ze-sh o
Address of primary
residence-
Has cent rescieo cutsce
' her country of
of his
nationality for 5 years or
more?
Dyes ••,. No
Professor+, Occupat ion
N A
Tax ID: SSN
Current Employer:
N A
Position/Title: Rank
N A
Address of employer:
N A
Does the person work as senior executive of a DB-recognized regulated entity in
he financial industry? or a entity listed on a OB-ratogn ised exchange? (Not
pplicable for operating entities
Dyes kw/. No
Is the individual a Politically Exposed Person (F£P)?(If Yes, describe) N/A
Dyes
wr
...4 No
To the best of your knowledge, is the individual related to an employee of the DB
groupWit Family or Friendship, describe) NIA
0 Family
0 Friendship
P3 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
Dyes
L ....a 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 (soecity!
Date
0
D
0
•
0
0
D
0
0
nWealth Details for this individual are rot filled ri because they are :he same as for the following person.
38. Wealth Details (Only for parties recur, ng source of weaTh oesc—pticr as ind ceed in Section 21
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:
DBusness Owner 0 Salary/Earnings • Investment Li Inhentance/Gifts
JOther.
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
CONFIDENTIAL
DB-SDNY-0091292
SDNY GM_00237476
EFTA01387989
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