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DOJ EFTA Data Set 10 document EFTA01345226

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DOJ EFTA Data Set 10 document EFTA01345226

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EFTA Disclosure
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KYC Print Page 6 of 34 2. Account Ownership Summary Account Name: Jeepers Inc- Brokerage Aca. Number (if available): Account Manager: stewart oldfield What is the purpose of the account (e.g. portfolio management, advisory account, custody services, long-term investment, payment/expense account)? The purpose of the account is to manage the securities purchases of the company Indicate from where the assets are expected to arrive? ,..6.-Z DB Group: Same Booking Center (indicate account number): N4G024935 Li DEl Group: Other Booking Center (indicate DB location and account details): Li Other Institution - (Indicate name & location): ....] Physical Deposits (specify cash, securities, cheques, ...): What is the expected size and frequency of regular inflows and outflows for the account (indicate estimated number and volume per month)?: 0/10 inflows/outflows of less than SSk a month Mat is the expected volume of assets and currency for the account approx. 90 days after opening? 3169993 I Currency I usd What is the expected volume of assets and currency for the account approx. one year after opening? 3149993 I Currency I usd Does/will the client have Assets Under Management (AiiM) within DB under Eur. 3M? El yes ?H . No Please list all parties related to the account. For each party: • Check if a source of wealth description is required for the party. • Check the appropriate box to describe the relationship of the party to this account (> 1 can be selected). • If none of the check boxes apply, describe the party's relation to the account in the "Other" column. • Always describe the relationship between the parties in the last column. • Please drill down to the ultimate/underlying Beneficial Owner(s). _egal Entityof Description Source of Wealth required , arties related to this account AccounPIC Holder OwnerTrust Settlor of / Founder of Foundation .fitimate Beneficial Owner Signatory_imitedFinancial or Full POA POA IntennediaryShareholderOther (FIM) Significant (> =25%) Non-PIC entity (indicate ownership 6/0) (please describe other roles and/or ndlcate relationship between Parties) 1 2 2 Jeepers, Inc Rij E ti 0 ....] Li K 2 0 K EJepstein ffrey E. 0 E 0 2 2 E .1 3 D fl Darren Indyke 0 E:I El II 2 0 El 4 0 U Jean Anne Brennan Wiebracht L 1 5 0 0 Harry Beller 0 0 0 0 2 0 K https://dbforcepb.my.salesforce.com/servlet/senflet.Integration?lid=01N30000000D9Di... 8/2/2018 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0031444 CONFIDENTIAL SDNY_GM_00177628 EFTA01345226

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Phone3149993
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URLhttps://dbforcepb.my.salesforce.com/servlet/senflet.Integration?lid=01N30000000D9Di

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