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efta-01387989DOJ Data Set 10Other

EFTA01387989

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Unknown
Source
DOJ Data Set 10
Reference
efta-01387989
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1
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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 '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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