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efta-efta01356043DOJ Data Set 10Correspondence

EFTA Document EFTA01356043

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DOJ Data Set 10
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efta-efta01356043
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EFTA Disclosure
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KYC Print Page 8 of 22 One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar 3A. Individual Details 'or all parties) Individual's Name: Darren I ndyke - Date of Birth. Country of Residence: USA Country of Citizens! o USA Address of primary residence: Profession/ Occupation: Lawyer Tax D SS4 Current Employer: Southern Financial LIG Position/Title/Rank: Address of employer: 575 Lexington Avenue. 4th Fl New York NY United States 10022 Is the individual a Politically Exposed Person (FEP)?(if Yes, describe) O Yes w ..4 No To the best of your knowledge, is the individual related to an employee of the DB group?(if Family or Friendship, describe ) rjFamily O Friendship kr None To the best of your knowledge. is the individual party to a non-banking relationship with Deutsche Bank (e.g., external legal counsel. client referral source, supplier of goods or services)7(if Yes describe) K Yes RI No If applicable, indicate which bank officers have met the person: Indicate where and when the client meeting(s) took place*. Bank Officer Name(s) Bank Office Client Private Domicile: Oient Place of Business: Other Location (specify) Date O O O O O O O O O • Wealth Details for this Individual are not filled in, because they are the same as for the following person: 36. Wealth Details (Only for parties requiting source of wealth desaiption as indicated in Section 2) Nature of the Individual's Business: Summarize Source of Wealth: O Butness Owner O Salary/Earnings OInvestment O Inhentance/G.fts Liother Further Describe Source of Wealth (Detail the history of wealth for each of the sources (e.g. For trusts, how did settlor accumulate wealth? For inheritance. how did family accumulate wealth?For business owners. how long in business, how many employees. level o' profitability? Indicate type of business, countries of m jor activities. important business partners.) Estimated Annual Income ($): Estimated amour: of nvestane assets(3) Estimated Net Worth(5). Amount of assets planned to invest with PWM(3) Other Known Financial Institutions: https://dbforcepb.my .salesforce.com/servlet/servl et. Integration?1 idr.:11N30000000D9Di&e... 1/11/2018 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0041460 CONFIDENTIAL SDNY GM 00187644 EFTA01356043

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