Case File
efta-01387993DOJ Data Set 10OtherEFTA01387993
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01387993
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
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One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar
30. Individual Details (for all parties)
Individual's Name:
Date of Birth:
Country of Residence-
Country of Citizens!. o
Address of primary
residence-
Has client resdec 0.fsloe
of his/her country of
nationality for 5 years or
morel
0 yes :*/ Nc
Professor+, Occupation.
N A
Tax .7)
SSN
Current Employer:
, csI:On Tit e Re-<
t1 A
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 0B-recognised exchange? (Not
pplicable for operating entities
ales tri No
Is the individual a Politically Exposed Person (F£P)?(11 Yes, desaibe) N/A
0 Yes
wr
..41 No
To the best of your knowledge, lathe individual related to an employee of the DB
groupyd Family or Friendship, dewily) 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)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 (soecifyi
Dare
0
•
0
•
0
0
D
0
0
Li Wealth Derails for this individual are rot filed e because they are :he same as for :he following person.
35. Wealth Details (Only for parties recur, ng source of wea :h oesceiption as tad ceed 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 LI Inhentance/Gits
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
CONFIDENTIAL
DB-SDNY-0091298
SDNY GM_00237482
EFTA01387993
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