Case File
efta-01387995DOJ Data Set 10OtherEFTA01387995
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01387995
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
3A. Individual Details (for all parties)
Individual's Name:
00000565313
Date of Birth.
Country of Residence-
United Sates
Country of afar sh 0
&tee Saes
Address of primary
residence-
Has client resdeo oo:sioe
of his/her country of
nationality for 5 years or
more?
0 Yes V No
Professon' Occupation.
N A
Tax D
SSN
Current Employer:
Poston Tt.e Ra^4
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 an entity listed on a OB-recognised exchange? (Not
callable for operating entities
0Yes tri No
Is the individual a Politically Exposed Person (F£P)?(11 Yes, desaibe) N/A
0 Yes
sr
..41 No
To the best of your knowledge, lathe individual related to an employee of the DB
group?(if Family or Friendship, dewily) NIA
0Family
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 (specify!
Dare
o
•
0
•
0
0
D
0
0
L....iWealth Details for this individual are not filed n because they are :he same as for :he following person.
35. Wealth Details (Only for parties reowr ng source of wea :h oescr.pticr 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 Budnaas Owner 0 Salary/Earnings
0 Other:
• Investment Li Inhentance/Ofts
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
CONFIDENTIAL
DB-SDNY-0091300
SONY GM_00237484
EFTA01387995
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