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efta-01393019DOJ Data Set 10Other

EFTA01393019

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DOJ Data Set 10
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efta-01393019
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
. 7 V11/(7 Deutsche Bank Private Wealth Management Orro()5r ;I Option Agreement and Approval Form Please Complete All Sections Account No N4G026098 Account Name Southern Trust Company Inc . Cash Type Account Registration ENTITY D Managed Account O Discretionary Account Name(s) of person(s) other than account owner(S) authorized Jeffrey Epstein, Jeanne Brennan to Other place orders for the account: Account and Owner Information (Provide requested information for each account owner ((Client"). Attach supplement to this Agreement if necessary.) Name Southern Trust Company Inc Address 6100 Red Hook Quarter, 83, St. Thomas, 00002 Country Virgin Islands 3407162025 None N/A Number of Dependents Marital Status WA Bulb:late 11/1812011 Employer Business Phone Business Address Type of Business Positron Years Held Present Brokerage Accounts with: JPMorgan Does the individual or entity that controls this account have the power to control any other Option Account(s) with Deutsche Bank Securities Inc.? O Yes O No If yes, please provide the account number(s). WIN Provide List Clients) Financial Information Approximate Aggregate Annual Intorno of Account Owners) from All Sources Sources of Income (Approximate) Approximate Aggregate Net Worth O Less than $50.000 Salary/Bonus so % Aorreaterate Nei wore. laud NM Worth Lowey Forapal Pesdence 5.50.000 -599. 999 ...Q.-5249.999 Interest/Dividends 60 % ❑D Less than $50,000 D Less than $50.060 D $so.000 - $99.999 0550.000 - 599.999 5250.000 -$499.999 H 5500,000 -5999.999 Other (specify): % O 5100,000 - 5249.999 O 5100.000- $249.999 0 $250.000 - 5499,999 O S250,000 - 5499.999 0 51.0..0. - 52.499.999 9'p O 5500.000 - 4999.999 O $500.000 - 5999.999 52,500.000 - 54.999,999 0 55.000.000 over % O 51.000.000 - $2,499,999 O 52.500.000 - 54.999.999 O 51.000.000 - 52.499.999 52.500.000 - 54,999.999 and 0 55.000,000 and over 0 55.000.000 and over Investment Experience of Account Ownerfs) Year First Traded Average a Trades ear Year Average Sce of Trades ins Average Sae in Snares /Commas Types of PrOVIOU'l Opeco Upton/not Options 2011 10 $1,000,000.00 1,000 Covered Cat Writing Stocks 2011 10 $1,000,000.00 1,000 ff Purchased Options Bonds 2011 10 $1,000,000.00 1,000 Z * Option Spreads Commodities .2011 10 21,000,000.00 1 000 q Uncovered Put Writing Listed Stock Index 2011 tO 21,000,000.00 1,000 a Uncovered Call Wrong OTC Derivatives 2011 10 $1,000,00000 1,000 O None Structured Products 2011 ID $1,000,000.00 1,000 Other (Specify) Deutsche Bark Secunties Inc. a subsidiary of Deutsche Bank AG. COnducts investment banking and securities activities in tee United States. III 09.41%44-0127 ma 6 ' 1 OM 14 (OW 1) 00404 052711 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0098368 SDNY_GM_00244552 EFTA01393019

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