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efta-01392957DOJ Data Set 10Other

EFTA01392957

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DOJ Data Set 10
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efta-01392957
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
Deutsche Bank Private Wealth Management Option Agreement and Approval Form Please Compl Account No. Account Name Southern Pintincial, Account Type Cash Account Registration Entity O Managed Account O Discretionary Account 0 Other Name(s) persons) other than account Owner(SI authorized to place orders for the account:' Jeffrey Epstein, Jeanne Brennan, Harry Boiler Acc0unt and Owner Information (Provide requested information for each account owner l'Gbant"). Attach supplement to this Agreement necessary:) Name Southern Financial, LLC Address 1100 Red Hook Quarter,tp,St. Thomas, 00802 Phon Employer NA Business Address Type of Business Position Present Brokerage Accountswith: JP8WISPIR . . Country Virgin Islands 'lumber of Dependents NA Marital Status NA Sithdatu Business Pnone NA. Years Held Does the individual on entity that controls this account have the power to control any other Option Accourt(sl with Deutsche Bank Securities Inc.? O Yes O No If yes. please provide the account rumber(8): Will Provide List Menge) Financial Information Approximate Aggregate Annual Income of Account Owner's, from.40.Sources Sources of Income (Approximate) - ' ApproximateAgglegate Net Worth i - "iiirtothirlidiNit WV* Loss Nan 550.000 Salary/Bonus so % Earle Neuters, ria.exarrecitrel hoards A less than 550,000 O Less than $60.0D0 . ..350.000 - S99,999 0150.000 - 399,999 S50000 - 499.999 p $100.000- S249,999 Interest/Dividends % 30 O 5230.000 - $499.999 Other (specify): al SICO.000- S249.999 A stozoco_ $249,999 D smogs) -$999,999 % O 5250,C00- S499,999 S250.000 -1499.999 O 51.003.000 -12.999,999 % O 1500,C00 - S999.999 O 1503.080 - S999.999 O 52.500.000 -14,999,999 % O 51.00.100C - 52.499,999 O S'.000.000 -12.499.999 lell $3,000.000 and over O S2.503.003 -14.999.999 -54,999.999 s$2.500.000 El 15.001.00C and over 56.000.000 and over Investment Experience of Account Ownerts) Yeer Felt Trades Average elradii .. ' . Per Year AfroapiSiiit* Trades in t ' Aieredierroin - -. Shares I Centr3rtl - 'Tteiii defences Option Boenence 00110/1$ lila — . ie rit000,00tO 1,o3o 2. Covered Call Wrging Purchased onnnos Q' Option Spreads Uncovered Put Venting GI Uncovered Can Writing O Nor.° Stocks _.Dons 20fi;. JO .$1,000.000.00 _,....,„ ;1,000 2013 10 $1.000.000.00 41.000 ____.s.....— ifrie , Commodities 2013 .10, $1,000,000.00 listed Stock index 2013 10 .. $1,000,000.00 '1,000 . OTC Derivatives ' ' 2013 30 ' • $1;000,000.00 - :1,000 Sink-WS ProduCts . 20 .—r - to . _. - .. . $1,000,000.00 . 1,000 Othe«Seeart I:MOWN Rani Securities Inc.. a subsidiary of Deutsche Bank AG, C0110.1CIS Investment earring end SOCUlitOS ectivrties to the United States. RIIINRIIINIFJ OPT 1 09.M11.411-0127 OM 14 (S111) 000404 052711 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0098288 CONFIDENTIAL SDNY_GM_00244472 EFTA01392957

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Phone1.411-0127
Phone999 0150

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