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efta-efta01253078DOJ Data Set 9Other

.De*Eithe:tie"•?ttS:el

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DOJ Data Set 9
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efta-efta01253078
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
.De*Eithe:tie"•?ttS:el .81:Wea.lth ManOggrOni. Acte,0140.0006.i09: ,(:Ap pi ication: Private Wiialib PrOOihifiel Elite .PefEOrkiii AooritiiitS Chotifiriti:ACOf eft. . ii i* ??iiklifiti);.I11:0:91-0-Filii7 0' °Y.` `::;• n.,pkgkmopsiimeiltpt Do* .eartificato of beOolit Acct. ft Teem . 0 EirB:AQNYtrtiferitid ' •creri#fiatito Of. b#O6oit :Mat: # .APY 0: ;DRAG NY Priferrld C401?-s$ of Deposit: Prorto 1bn9 delkt;sikeosrautit rowletid. etpnp witn fiiffAG Elefisfee tun, :encl Cnimitkine) etOniam* P•1614!iiiSa.#41: 013 Prtirate Weipth Ontint, Ptus . . . TO Link to Exilitiol OnNne Re)stigollgo: .(Use!ICe:fD Number) '"'-"'- - RelOitopsHp ..l.Q0.W#10.1.'402w1 D "' ot,Surviv9renlp JPIM•Yetoms in CorttmM 0 In Tiyit For/Payable on. 0tteth/As Trustee foi, o Trust Estate it.iwitte We8lih krentiiieri - BiiestiOnes; 44 0S: .CNicY60 Bag. 0" *MIS: . Sri Piorno term • kigteck (Spurt ile*.tremixtukeil:. slpno.wQ h a 09 AG picot* reirtii AM candlgionig :0 cisti:Snesie, §wei015413firit :Smiting Ana . . lire Mirey Market osposit .0 ctosiirmijsbxcero!, . . . . • •.. • .. . • 8iiefoode.cletiti.Card "" Npr0itt0nit Q. "4*SM:id AOOreis o INOKQuisPevil"^t sato zip Code K !ileilinoo0drilifii.ditlion0 . . • • .. • • • • • Mt • 'Tififirlit Amount tritititii.Arriotint • totooyun.40q .. Feemletwo Q Nonscifitogrminuon . ift9m*trai Esefoi; LafidictidmistrElligk Addr City- State Zip Code O 'cgtsefitipn x.iti5n0.4oki.P.tsit*ix .0 sterieviiiio Q PO* CONFIDENTIAL Niosivtioim n at 6#.-000011$ 9466:9320 • SDNY_GM_00038586 CONFIDENTIAL - PURSUANT TO FED R CRIM. P. 6(e) DB-SDNY-0001410 EFTA_00149195 EFTA01253078 Account Title and Joint ApplinationInfernifitifin se0thern Financial LLP• • .• Remo of Accomilitla Nast name, first name. middle initialler Nosiness 41$471902 f/iirnburix Taxpayer ID Stoners. 'gees name., first name. middle Mitiag Social Security NuMbir or Taxpayer ID Nurriber SiSILISesUSSOLOWICRUIL- • • • • • Menne Address' tsurn- 1 Stars CmcStaielind Zip Coda' M41721;a20. 'Home Telopheire Number •140nWTOOPIrOetittrOP.er . Busmen, Telephone Number" 2fiffeltrittl3 Ditto' MAK 040 08531.4,0 0niNornortr• ' Dean of Empleyer ACIMCSS. City; Stme ime•TipC.oee Addiels ' . City. State one Tip Code Noticeof ituoorper. Identification Policy Mtportant Information To help the governinent fight the funding of terionsinend money laundering activities, Federal law requires all liminCial institutions to obtain, verity,. and- that identifies each pertonWho establishesenaccount.investritent or other Waits relationship with a financial institution. This means that we will ask. for your name. address. and other information that with aeon ue to identity you: We may alio ask' to see ijeniiiying documents such es a codificite of • formation or good standing (legal entities) or a passpori ix other photo identiticatioa (indiniduals). ,30.E0 Notice GoYanimental rules have also broadened the. scope'Of flank•sobtigations io aid in the fight ageinelmeney laundering end teerMistlinenOng;these rulei call for an active'•Involvernent of both asset management'llirrns and their chums. For new and existing clients we currently have a legal Obligation to ask our customers questions regarding their identities: addresses, source of.funda and. if necessary, legal reptesentaMms, authorizedaigemories, beneficial owners or control structures and to collect requisite documentation tpairbsientiatothe info:Motion. Also enhanced anti-moneylliUndcring arqUirornonti require that should any of the above parsanal or institutional information Omaga,ayr inertia would be obliged to immediately notify uS•oi the changes) end.preyidetys With' nifeyentdricionentatiail.te VenihrithrilSO clWAMIS• Telephone, Facsimileor Email InstructiOnS By eigning.teiow: you agree that from time to time you may give instructions by telephone, facsimile of email regarding the above captioned accounfial (defined herein as -Verbal Instructions'). his understood that the Mk of Verbal Instructions being given by psison or. persons purported lo.be you is•ythir own. Absent the gross negligence•or walkst misconduct of.Deusche.Elank Trust Company Americas (OSTCA),YOniagnisi to indemnify and hold harmless OBTCA for arty:claim's, lases, expenses cdattor attorneys' fees resulting frentOBTCA's acting upon such misunderstand 'and unauthorized Verbal Inetructiiint you understand ntat DBTCA'rnay. !RR aluilloca be requited Utast* verification 01 your • verbal, facsimite or email instructions by tell back. In case of doubt, petcA may in its sole diicrMion reluie to execute your Verbal lnstructions or any part thereat Without Mcurring any liability..001ra is under no Obligation:M*6c* your • :Verbal Instructions to transfer funds or secorities to any accounts) wiinoy!i;fritien instnreddits beating your original Signature. Joint Account Disclosure . . 'Yon have opened • Mint "taunt With OBTCA and acknoWledge receipt of ihe belloWleginformailon, This deposit and any additions to theaocountahall tecornothe property of ea0howner as joint tenants, and.DBTC4 may rektise.ihe entire- ' account Many owner during the lifetime of all owners: DEITCA may hOnOr ohecks, orderi or Withdrawal requests from any owner during the Materna. of all owners. The Bank may be required by service of legal Prokosettirernif funds held in. the joint accoum to satisfy a judgment entered.against. or other valid debt incurred bY:any owner of the account. DINKA May honer checks. cridera70( withdraWal requests from the survivonsi after the death el anyoWnens) and may treat-tail. account as the sole oropailic el the stmt./G*10ker the deethof any or/net(s). Unless DaTC.A receives written notice . signed by any owner not to pay of detail': any join; deposit or addition or accrual, D.BTCA shah not liable to any Owner, Tor continuing to honor checks: orders or withdrawalrequests from any owner. After. the mega:not tho nuticatrpftrred to in the'provious sentence, OBTCA4rieyrequinstly) written euthorization.ol any or al jOini owners for aniinfihar PtiViOnneti or deliveries. 2 13.11W040101 017959.011013 SDNY_GM_00038587 CONFIDENTIAL CONFIDENTIAL — PURSUANT TO FED R CRIM. P. 6(e) DB-SDNY-0001411 EFTA_0O149196 EFTA01253079 ir ATM/Debit: $eMce 'Matadi& 'Illgtil*letentioneuOtti Ctl.dwATIvlaibit card conetistis 4e:enplanes oftOterms and conditions of the AgreamentiOgriteinsidlit'llie TOSiiiand COnditioni.ed. DepOsit - Internet Barlking.SerViCe. Ityou haw selected to receive Internet flanking:Services. You understand that you will be reisuliad to error into a lapareie:Mtemet•ganIdng.Senrices Agreement with DBTCA before you can access the Internet Banking Service. Acknowledgement Of:Receipt of NO./icy Ncitice By signing biknie, you adknoWledge receipt of bEfTeks Pii6aCy Notice included in the ApPlii-aV0.9 Package. Non-US Individuals: Confirmation of*Te?tancl•CornplianoefiesponSibilities, You confirm that it is youi teipptiSibility-to fulfill any tax 004i:ions and any other. •regulifory reporling duties applicable. Is you ;II any relevant juriauticete :Set may arise in Canitiotl6h:With assets; income or tranaSetionsksyoui itecciss(s). and yOur business bilgibbshib-wo DBTC,A. . . • .. Non-US OtoanizatiOnt:-.Confiernation'of Tajc:and Compliance Responsibilities. Yinknotifilm that it is Youi resiionlibilitY.tolunili any lug ohligeiioria and any other regulatory reporting Duties applicable CO it in' nyTrelevantjulisdintions that may arise' in connection with assets; iricorrieottiatisections juyourtitecising(s) and Yout bOilneas relationship with 001CA. Eurtherrignu.yeni cOnfirth thatthe .necasearyInforriiationAto the best Oil SOO/. knowledge and capabilities) is made available no re.“ than annually to. the relevant beneficial tie/Sale). tuitikSe(11: benefielitry(ies),,panniy(t),:et to enabletiithater/ them to (OM any respobtiva Uli Obligalkins that may arise far hirii/hari. *OM Ucconnection your busin'e'ss relatiOnship With:DEiTCA. . Please complete and attach separate W:78 et W:P clothirpeptetiphas 106dd/ie.. Terms. and Conditions and Representations . .. . . .. . . .. .. . . . By Mining below you acknoWleilge receipt of the:Ternis end Conditions ki.OUSIOWASIourits attached to this APPlicatIcin and agree to Si bOun0 bythern: Intiddition:YoUattietto notify us inwriedlaiely of anymateriel changeUS die information provided by you on this AppliCatiOn. You represent and that all of the infoiinatlisn Provided by you On thiS Aeolic:Won illaiaisid. The Terms and Conditions for Deposit Acceuntsam so •jectio change. Athapta YOu *triad by. oerrcA. Saint .t fleasect stratus — •Ie: • Onitr Reviewed by. Far Na "•":. uato btu Date At by DATCA: -71/1A-JEC-7CAC ("..410C .Date CONFIDENTIAL 1 SAWM-010I 013959 032013 SDNY_Gh4_0003&588 CONFIDENTIAL — PURSUANT TO FED R. GRIM. P. 6(e) DB-SDNY-0001412 EFTA 00149197 EFTA01253080

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