Case File
efta-01438329DOJ Data Set 10OtherEFTA01438329
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01438329
Pages
22
Persons
0
Integrity
Extracted Text (OCR)
EFTA DisclosureText extracted via OCR from the original document. May contain errors from the scanning process.
EFTA01438329
EFTA01438330
EFTA01438331
EFTA01438332
EFTA01438333
EFTA01438334
EFTA01438335
EFTA01438336
Deutsche Bank
Wealth Management
Business Deposit Account Opening Application
0_4/25/2012
Date of Incorporation
Gratitude Amejica,
Account Title
Gratitude America,J_td_
Entiiy/Company Name
.6.6-.0789697
Taxpayer ID Number (TIN)
.6.10.0.Red,HDok_Quarter,3.3_
Mailing Address
StJ.homas
USVL
. 0.0802
City
State
Zip
(212).97_lToBer
(212) 971 1314
Busine^Telephone Number
Business Fax Number
Other Number
U5\/[
'910U..P6'rt orijaie Mall, stejs
Legal Address (if different from mailing address)
. .St. Tbomas
00802 -
City
State
Zip
Client Relationship
U Limited Liability Company (LLC)
L- Partnership
il' Limited Liability, Partnership (LLP)
Corporation
-Foundation
Non-Profit Organization
.' Attorney Escrow Account
L.) Landlord Master Escrow
Trust
Estates
Private Wealth Premium''
DBTCA Accounts
Deutsche Bank AG NY Branch Accounts
Deutsche Bank AG NY Preferred Banking Account
EFTA01438337
V Deutsche Bank AG NY Preferred Certificate of Deposit
Checking Account
Checking with Interest
2.60%
6 month
Money Market Deposit
APY
Term
Promo term
. • DBTCA Certificate of Deposit
(DBTCA deposit account required, along with a DB AG Picferred Terms
and Conditions)
APY
Term
Cash Master Sweep Account
Target Amount
Trigger Amount
Banking Services
Deluxe Checkbook
• i Debit Cards—Business Debit Card
C Name Only .. Name and Address
Duplicate Statement
Stylo
Color
Code
Name
Internet Banking Services
Address
DB Private Wealth Online Plus
. Link to existing online relationship:
City
State
Zip Code
WM167245 015624,092017
Page 1 of 3
NAOSOD00027554-000200696
Notice of Customer Identification Policy
Important Information
To help the government fight the funding of terrorism and money laundering
activities. Federal la\A/ requires all financial
institutions to obtain, verify and record information that Identifies each
person who establishes an account, investment
or other business relationship with a financial institution. This means that
we will ask for your name, address and other
Information that will allow us to identify you. We may also ask to see
identifying documents such as a certificate of
formation or good standing (legal entities) or a passport or other photo
identification (individuals).
Information Sharing
You authorize Deutsche Bank to share information about you and your Account
as set forth in our Privacy Policy, including
EFTA01438338
any disclosures that (1) Deutsche Bank believes are required by applicable
law and regulations that apply to Deutsche Bank
or others, including disclosure of information about you and your Account to
any government agency or self-regulatory
body on request, (2) is necessary or appropriate in connection with Deutsche
Bank's provision of services under this
Agreement, or (3) is requested by a financial institution, financial
intermediary, or other third party in order to assist such
person with compliance with law applicable to such person in connection with
services provided to you or on your behalf.
3rd EU Notice
Governmental rules have also broadened the scope of the Bank's obligations
to aid in the fight against money laundering
and terrorist financing; these rules call for an active involvement of both
asset management firms and their clients. For
new and existing clients we currently have a legal obligation to ask our
customers questions regarding their identities,
addresses, source of funds and, if necessary, legal representatives,
authorized signatories, beneficial owners or control
structures and to collect requisite documentation to substantiate the
information. Also, enhanced anti-money laundering
requirements require that should any of the above personal or institutional
information change, our clients would be obliged
to immediately notify us of the change(s) and provide us with relevant
documentation to verify these changes.
ATM/Debit Service
You agree that the retention or use of the ATM/Debit card constitutes
acceptance of the terms and conditions of the
Cardholder Agreement contained in the Terms and Conditions of Deposit
Accounts.
Internet Banking Service
If you have selected to receive Internet Banking Services, you understand
that you will be required to enter into a separate
Internet Banking Sen/ices Agreement with DBTCA before you can access the
Internet Banking Service.
Acknowledgement of Receipt of Privacy Notice
By signing below, you acknowledge receipt of DBTCA's Privacy Notice included
in the Application Package.
Non-U.S. Organizations:
Confirmation of Tax and Compliance Responsibilities
You confirm that it is your responsibility to fulfill any tax obligations
and any other regulatory reporting duties applicable to
it in any relevant jurisdictions that may arise in connection with assets,
income or transactions in your account(s) and your
business relationship with DBTCA. Furthermore, you confirm that the
necessary information (to the best of your knowledge
and capabilities] is made available no less than annually to the relevant
beneficial owner(s), settlor(s), beneficiaryiies),
partner(s), etc., to enable him/her/them to fulfill any respective tax
obligations that may arise for hirri/her/them in connection
with your business relationship with DBTCA.
EFTA01438339
Please complete and attach separate W-8 or W-9 documentation as applicable.
Terms and Conditions and Representations
By signing below, you acknowledge receipt of the Terms and Conditions for
Deposit Accounts attached to this Application
and agi ee to be bound by them. In addition, you agree to notify us
immediately of any material change to the Information
provided by you on this Application.
You represent and warrant that all of the information provided by you on
this Application is accurate.
The Terms and Conditions for Deposit Accounts are subject to change.
WM167245 015624.092017
Page 2 Of 3
Acceptance
You understand that this application is subject to acceptance by DBTCA.
Authorized Signer
Authorized Signer
Darren Indxke_
Print Name
Print Name
Date
Date
For Bank Use Only
Reviewed by:
Signature
Name
Title
Date
Accepted by DBTCA:
Signature
Name
Title
Date
Account numbers:
DDA
NOW
MMDA
CO/DBA6
WM167245 01Se24.092017
W-9
Request for Taxpayer
Identification Number and Certification
Give Form to the
requester. Do not
send to the IRS.
Form
(Rev. November 2017)
Department of the Treasury
Internal Revenue Service
. Go to www.irs.gov/FormW9 for instructions and the latest information.
EFTA01438340
1 Name (as shown on your Income tax return). Name is required on this line:
do not leave this line blank.
Gratitude America, Ltd
2 Business name/disregarded entity name, if different from above
n
3 Check appropriate box for federal tax classification of the person whose
name is entered on line 1. Check only orte of the
following seven boxes.
i I Individual/sole proprietor or Q C Corporation Q S Corporation 0
Partnership
single-member LLC
4 Exemptions(codes apply only to
certain entWes, not individuals: see
instructions on page 3):
0
o>
a
a
n Trust/estate
g
. 0)
4) C
a o
Exempt payee code (if any]
I I Limited liability company. Enter the tax classification (CssC
corporation, S=S corporation. PsPartnership)
Note: Check the appropriate box in the line above for the tax classification
of the single-member owner. Do not check
LLC if the LLC is classified as a single-member LLC that is disregarded from
the owner unless the owner of the LLC Is
another LLC that Is not disregarded from the owner for U.S. federal tax
purposes. Otherwise, a single-member LLC that
is disregarded from the owner should check the appropriate box for the tax
classification of its owner.
f71 Other (see instructions) .
2*1
11
0. 0
Exemption from FATCA reporting
code (if any)
S:
Exempt Private Organization
(AepBn (o jcceuAis natMiKrutf outsMi V» U.&)
Cl
5 Address (number, street, and apt. or suite no.) See instructions.
Requester's name and address (optional)
CO
03
0>
EFTA01438341
9100 Poart of Sale Mall. Ste 15
CO
6 CKy. state, and ZIP code
St. Thomas, USVI00802
7 List account numb'er(s) here (optionaQ
Taxpayer Identification Number (TIN)
Parti
Social securfty number
Enter your TIN in the appropriate box. The TIN provided must match the name
given on line 1 to avoid
backup withholding. For individuals, this is generally your social security
number (SSN). However, for a
resident alien, sole proprietor, or disregarded entity, see the instructions
for Part I, later. For other
entities, it is your employer identification number (EIN). If you do not
have a number, see How to get a
TIN, later.
Note: If the account is in more than one name, see the instructions for line
1. Also see What Name and
Number To Give the Requester for guidelines on whose number to enter.
or
Employer identification number
0
1
Part II
Certification
Under penalties of perjury, I certify that:
1. The number shown on this form is my correct taxpayer identification
number (or I am waiting for a number to be issued to me): and
2.1 am not subject to backup withholding because: (a) I am exempt from
backup withholding, or ^) I have not been notified by the Internal Revenue
Service (IRS) that I am subject to backup withholding as a result of a
failure to report all interest or dividends, or (c) the IRS has notified me
that I am
no longer subject to backup withholding; and
3.1 am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code{s) entered on this form (if any) indicating that I am
exempt from FATCA reporting is correct.
Certification instructions. You must cross out item 2 above if you have been
notified by the IRS that you are currently subject to backup withholding
because
you have failed to report all interest and dividends on your tax return. For
real estate transactions, item 2 does not apply. For mortgage interest paid,
acquisition or abandonment of secured property, cancellation of debt,
contributions to an individual retirement arrangement (IRA), and generally,
payments
other than interest and dividends, you are not required to sign the
certification, but you must provide your correct TIN. See the instructions
for Part II, later.
EFTA01438342
Sign
Here
Signature of
U.S. person^
Date^
I3 P I
General Instructions
* Form 1099-DIV (dividends, including those from stocks or mutual
funds)
• Form 1099-MISC (various types of income, prizes, awards, or gross
proceeds)
• Form 1099-B (stock or mutual fund sales and certain other
transactions by brokers)
• Form 1099-S (proceeds from real estate transactions)
• Form 1099-K (merchant card and third party network transactions)
• Form 1098 (home mortgage interest), 1098-E (student loan interest).
1098-1 (tuition)
• Form 1099-C (canceled debt)
• Form 1099-A (acquisition or abandonment of secured property]
Use Form W-9 only if you are a U.S. person (including a resident
alien), to provide your correct TIN.
If you do not return Form W-9 to the requester with a TIN, you might
be subject to backup withholding. See What Is backup withholding,
later.
Section references are to the Internal Revenue Code unless otherwise
noted.
Future developments. For the latest information about developments
related to Form W-9 and its instructions, such as legislation enacted
after they were published, go to www.irs.gov/FormW9.
Purpose of Form
An individual or entity (Form W-9 requester) who is required to file an
information return with the IRS must obtain your correct taxpayer
identificafon number (TIN) which may be your social security number
(SSN), individual taxpayer identification number (ITIN), adoption
taxpayer identification number (ATIN), or employer identification number
(EIN), to report on an information return the amount paid to you, or other
amount reportable on an information return. Examples of information
returns include, but are not limited to, the following.
• Form 1099-INT (interest earned or paid)
Form W-9 (Rev. 11-2017)
Cat. No. 10231X
Signature Card
Deutsche Bank Trust Company Americas
Account I loldur Tntc
Accfluni Number
Ltd
Gratitudej^me
EFTA01438343
"
Limited Liability
Corporation
iv^Other:No*i*^'^ AV
Jeffrey E. Epstein
print Name
DarrenJndyke
Prim Name
;>TF/P00/ATF- is C)
Number of Signatures
Requirod: 1
Individual
irate
fants i ■ Pa^nership
Jorii. witii Rights
of SufvK'urship
immon
Signature
Punt Name
Signatutc
Print Name
Approved
Power of Attorney
f^tc
Soocimen Signature
• For ITF/POD/ATF See Supplemr>ntijl
Date of Potver of Attnrrtcy
e< 2018 Deutsche Bank AG. All rights
Signature Card
Deutsche Bank Trust Company Americas
,^Accounl Number
Accouni Holdci TUk;
■
Gratitude Ainecica Ltd
I ; itC/POD/ATJ
(ndivtdual
CorporaU
Number of Signatures
Required; .1.
V other:
Jeffrey E. Epstein
prim Nam*
Darren Indyke
Print Name
: Limilnd Liability
Corporation
ioint, 'Arith Rights
jf Survivorsl^ip
; JpiraTTenants ;
PartiuiKhip
Ni^\\\ Common /
C**^i*>Ivte<"VvowN
Terms and Conditions
reserved. WM189885 00G578.062918
EFTA01438344
UUjC
SL^
bignaiurr
Signature
Print Name
Stgnnhjro
print Nnmu
Approved
Power of Attorney
Date
Stiodmuti Signature
' For ITF/POO/ATF See Supplcmcrual Terms and Conditions
Dalool Power of Attornu)'
1111111111111111111111111111111111111
i'D 2018 Deutsche Bank AG. All rights reserved. WM189U85 000678.0G2918
ueuiscne oariK
Aktiengesellschaft
1 riMm;ro.' I Cus;oir;;!,f ni!;n:;or
Dear Customer,
With the following .Depositor Information Sheer, we wish to inform you -
pursuant to Section 23a (1) of the German Banking Act (Kreditwesengeselz
[KWG]) -
about the statutory Deposit Guarantee Scheme. Please note details of the
separate contractual Deposit Protection Fund (Einlagensicherungsfonds) of the
Association of German Banks (Bundesverband deutscher Banken) are available
at www.bankenverband.de/einlagensicherung. This information sheet provides
detailed
information on the statutory Deposit Guarantee Scheme only.
Depositor Information Sheet
Deposits at the Deutsche Bank AG are protected by:
EntschSdigungseinnchtung deutscher Banken GmbH
I
Limit of protection:
EUR 100 000 per depositor per credit institution^
If you have more deposits at the same credit institution:
All your deposits at the same credit institution are 'aggregated' and the
total is subject to the
limit of EUR 100 000*
Ifyou have a joint account with other personjs):
The limit of EUR 100 000 applies to each depositor separately^
Reimbursement period in case of credit institution's failure:
7 working days'*
Currency of reimbursement;
Euro
Contact:
Entschddigungseinrichtung deutscher Banken GmbH
Burgsiralle 28
10178 Berlin
Germany
Telephone: -
EFTA01438345
Email:
Postal address;
Postfach110448
10834 Berlin
More information;
I Acknov.'tedgGnvsnt of receipt by the diiposilar;
CompanyName of the- Ooposilor:
Gratitude America. Ltd
a. A f
Tirf.; sinnsiory name and oicnauKc
Second sionalory name and siciiioiure
Additional Information
'Your deposit is covered by a statutory Deposit Guarantee Scheme and a
contractual Deposit Guarantee Scheme. If insolvency of your credit
inslitulion should occur.
your deposits would In any case be repaid up to EUR 100 000.
*lf a deposit is unavailable because a credit institution is unable to meet
its financial obligations, depositors are repaid by a Deposit Guarantee
Scheme. This repayment
covers at maximum EUR 100 000 per credit institution. This means that all
deposits at the same credit institution are added up in order to determine
the coverage level.
If. for instance, a depositor holds a savings account with EUR 90 000 and a
current account with EUR 20 000, he or she will only be repaid EUR 100000.
'In case of joint accounts, the limit of EUR 100 000 applies to each
depositor.
Deposits in an account to which two or more persons are entitled as members
of a business partnership, association orgrouping of a similar nature,
without legal personal*
ily, are aggregated and treated as if made by a single depositor for the
purpose of calculating the limit of EUR 100 000.
In the cases listed in Section 8 (2) to (4) of the German Deposit Guarantee
Act (Einlagensicherungsgesetz), deposits are protected above EUR 100 000.
More information
can be obtained from the website of EntschSdigungseinrichlung deutscher
Banken GmbH at www.edb-banken.de.
"Reimbursement
The responsible Deposit Guarantee Scheme is;
Enlschadigungsernrichtung deutscher Banken GmbH
Postal address;
Postfach 11 04 48
10834 Berlin
Burgslraile 28
10178 Berlin
Germany
g
Telephone:
EFTA01438346
Email;
It will repay your deposits (up to EUR 100 000) within 7 working days.
If you have not been repaid mlhtn this deadline, you should contact the
Deposit Guarantee Scheme since the lime to claim reimbursement may be barred
aflera
certain lime limit. More information can be obtained from the website of
EntschSdigungseinrichtung deutscher Banken GmbH at www.edb-banken.ds.
(0
to
m
CO
0
S
CM
Other important information
In general, all retail depositors and businesses are covered by Deposit
Guarantee Schemes. Exceptions for certain deposits are stated on the website
of the respon-
sible Deposit Guarantee Scheme. Your credit institution will also inform you
on request whether certain products are covered or not. If deposits are
covered. the credit
institution shall also confirm this on the statement of account.
z
U3
CD
Q
0
0
boJViil 1" LJC2)ir>.
Wealth Management
Not-For-Profit Organization Resolution—Deposit Account
Secretary of Gratitude America Ud
{a corporationj
[an unincorporated associationj duly organiad and existing under the laws of
0"jrgin Islancfe described herein as
"this organization," hereby certify that the following is a true copy of
resolutions adopted by the Board of Directors of this
ot"anization at a meeting duly held, a quorum being present on
are now in full force and effect:
"RESOLVED, that Deutsche Bank Trust Company Americas, New York, N. Y. or any
of its affiliates or subsidiaries (the
"Bank"), is designated a depositary of this organization for each account of
this organization now or hereafter opened and
maintained at the Bank (whether one or more, the "Account"); in accordance
with all applicable lav/s, regulations and Bank
and this organization's policies; and
"FURTHER RESOLVED, that all drafts, checks and other written instruments or
orders for the payment of money drawn
EFTA01438347
(i) against the Account or (ii) to or otherwise made payable to
this.organization shall be signed or endowed (for
.-,20.
. and that such resolutions
transfer or encashment) by any
of the following*; (insert titles but not names of officer);
, fmseft number)
authorized and directed to honor all orders for the payment of money by wire
or other electronic means niade or issued In
this organization's name on the Account: (i) when transmitted and delivered
to the Bank by telex, cable, ^csimile or other
mechanical or electronic transmission; letter or other written
communication; or telephonic or other oral
ftp* c
and "FURTHER RESOLVED, that the Bank is hereby requested.
communication; and (il) when separately authorized in writing by any
of officer(s) designated in ^e preceding
'{insert number)
"RESOLVED" clause and the Bank shall be entitled to honor and charge the
Account for all such orders which it believes
in good faith to be genuine regardless of by Vi/hom or by what means such
orders may have been issued. The authorization
provided in this clause shall include, without limitation, the right to
enter into any agreement(s) with the Bank, from time to
time, containing such indemnities in favor of the Bank as it may require and
such other provisions in order to effectuate the
purpose hereof; and
"FURTHER RESOLVED, that the Bank is authorized to place to the credit of the
Account, funds, drafts, checks, credits
or ocher property by whomever delivered or transmitted to the Bank for
deposit for account of this organtzafion. endorsed
with the name and/or Account number of this organization or other agreed -
upon symbol or identifying mark by rubber
stamp, facsimile, mechanical, manual or other signature (and any such
endorsement by whomever affixed shall be the
endorsement of this organization), or otherv/ise endorsed, or unendorsed,
provided that If any such item shall bear, or be
accompanied by, directions (by whomever made) for deposit to a specific
Account, then such deposit shall be to the credit
of such specific Account; the Bank may at any time refuse any such deposit
or credit to the Account and/or may return by
mail or otherwise the whole or any part of a deposit to this organization;
and
"FURTHER RESOLVED, that the Bank is hereby directed to accept, and/or apply
any draft, check or other instrument
or order for the payment of money, or any proceeds thereof, including any
order for the transfer thereof by wire or other
electronic means, drawn, made or issued on such Account or drawn to or
EFTA01438348
otherwise made payable to this organization
(each such payment order herein an "Order") when signed or endorsed, made or
issued as required by these tesoiutioos
without limit as to amount, without inquiry and without regard to the
disposition of any such item or any proceeds thereof,
and the Bank shall not be liable in connection therewith notwithstanding
that such Order: (i) may be payable or endorsed
to the order of a person whose signature appears thereon or who ofoerwise
made or issued such Order or of any other
officer(s) or agent(s) of this organization, or (ii) or any proceeds thereof
may be used or disposed of for the personal credit
or account of any such person(s), officer(s) or agent(s) with the Bank or
otherwise or in payment of the Indlviduei obligation
of any such person(s), officer(s) or agentfs) to the Bank or otherwise, or
(lii) may cause or increase an overdraft on the
Account; and
"FURTHER RESOLVED, that the Account and all transactions related thereto,
the authorities, specifications, agreements
and services herein provided shall also be subject to all other agreements,
rules, regulations and conditions set forth in any
signature card, deposit ticket, passbook, instrument, receipt, statement of
Account and all state and federal laws, rules and
regulations applicable to the subject matter hereof."
WM189891 024729.070318
I further certify that this organization is operated primarity for
religious, phOanthropic, charitable, educational, fraternal or
othersimilarpurposes and is not operated for profit. '
i further certify that the following persons hold In this organization the
positions indicated below:
Tillo
Name
1
M.,
(Complete only if doing business under assumed name; otherwise disregard.)
1 further certify that this organization Is (1) doing business under the
name of
(Assumed Name)
as shown by the annexed Certificate of the Secretary of State; (2) the sole
owner of the above assumed name; and (3) will be
the owner of each check, draft or other item drawn or made payable to, said
assumed narne and deposited to the credit of the
Account
IN WITNESS WHEREOF, 1 have hereunto subscribed my signature and affixed the
seal of this organization this
day of -
EFTA01438349
-,20-i.S.
I.
V
. \
\ tSEAL]: '
>.
.\
* If two signatures are desired, with one signature from each of two groups,
strike out the underlined words and.Tnsert
"by one from each of the following two groups, respecdveiy;" then list the
groups separately.
If two signatures are desired, but as a signature and countersignature, with
authority limited accordingly, strike out the
underlined words and add "and signed and countersigned by one from each of
the following two groups, respectively;"
then arrange signature and countersignauire groups accordingly.
" If the Secretary conferred by the above resolutions is authorized to sign
alone, the certification of resolutions must be
confirmed below by another officer.
Confirmed (Official title)
•
•
2018 Deutsche Bank Aa All rights resor/oU, WM1398Si 02>472S.0?03ia
EFTA01438350
Related Documents (6)
DOJ Data Set 10CorrespondenceUnknown
EFTA Document EFTA01867203
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DOJ Data Set 10OtherUnknown
EFTA01811261
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DOJ Data Set 10OtherUnknown
EFTA01764841
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DOJ Data Set 10CorrespondenceUnknown
EFTA Document EFTA01985402
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DOJ Data Set 10CorrespondenceUnknown
EFTA Document EFTA01300350
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