Case File
efta-01453157DOJ Data Set 10OtherEFTA01453157
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01453157
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
Are you an employee or related to an employee of Financial Industry Regulatory Authority/other self-regulatory organization? K Yes K No
If Yes, list person and organization:
Is any owner now, or has any owner ever been, a senior corporate officer or director, or does any owner own 10% or more of any publicly-traded
company's stock?
K Yes
K No
If Yes, provide name of company, publicly traded symbol and affiliation date:
3rd Authorized Party's Personal Information
Name
DOB.
SSN:
Legal Address:
City.
Country of Citizenship:
If not U S. (check one)
K Resident Alien
K Non-Resident Alien
State'
Zip/Postal Code:
Employment Status: K Employed
K Self-Employed
Occupation and Position:
Employer's Name.
Employer's Address:
City:
State:
Length of Employment
Home Phone Number:
K Retired
K Unemployed
K Homemaker
K Student
Investment Experience
Investment Type
Experience
Annual Activity Level (Select one)
(Required)
Years of
investing
None
Limited
No history
(1-5 transactions
of any
per year)
transactions
Moderate
(6-15
transactions
I
por year)
High
(Over IS
transactions
per year)
Equities
Options
1
Fixed Income
Mutual Funds
Exchange Traded Funds (ETFs)
Variable Annuities
Real Estate Property (excluding Primary
Residence)
Alternative Investments
(Hedge Funds, Private Equity)
Structured Products
Foreign Currency
i
I
Zip/Postal Code
Business Phone Number:
Email Address:
Are you an employee of Deutsche Bank (DB), its subsidiaries or affiliates?
O Yes
O No
If Yes, list name of DB employer.
Are you related to an employee of DB. its subsidiaries or affiliates?
K Yes
O No
If Yes, list name of employee/relationship/name of DB employer.
Are you an employee of another broker-dealer? K Yes K No
If Yes, list name of broker-dealer.
Are you related to an employee at another broker-dealer?
K Yes K No
If Yes, list name of broker-dealer/name of employee:
Are you an employee or related to an employee of Financial Industry Regulatory Authority/other sell-regulatory organization? K Yes K No
If Yes, list person and organization.
Is any owner now, or has any owner ever boon, a senior corporate officer or director, or does any owner own 10% or more of any publicly, traded
company's stock?
K Yes
K No
If Yes, provide name of company, publicly traded symbol and affiliation date:
5
12-PWM,0355
011224.091212
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0110610
CONFIDENTIAL
SONY GM_00256794
EFTA01453157
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