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efta-efta01357584DOJ Data Set 10CorrespondenceEFTA Document EFTA01357584
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DOJ Data Set 10
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Deutsche Bank
Private Wealth Management
Corporate Account Information Form
This form is for informational purposes only.
Corporate Details
Account Number:
Client Advisor:
Account Title:
MAILING ADDRESS
LEGAL ADDRESS (if different)
ATTN:
ATTN:
Address:
Address:
City:
Stale:
Zip/Postal Code:
City:
State:
bpiPostal Code:
Provinco/County/Subdivision:
Province/County/Subdivision:
Please provide only if P.O. Box is provided above:
Business Phone Number:
Email Address:
Fax Number.
Entity Information
Type of Entity (check one):
K Corporate
O Holding Company
O Corporate Pension/Profit Sharing Plan
O Financial Organization
O LLC
O Delaware LLC
O Private Equity Fund
O Hedge Fund
O Government Entity/Agency O Sole Proprietor
O Investment Advisor
O Venture Capital Fund
O Other:
Does client waive Deutsche Bank's suitability obligation under Financial Industry Regulatory Authority (FINRA) 2111?
O Yes O No
Liquidity Needs: O Low (Somewhat Important)
O Medium (Important) O High (Very Important)
Time Horizon (approximate year account owner expects to achieve the financial goals for this account):
OR
O 10 years or longer
Year
Total Investments
Please note the investment types in which Client currently invests or owns (whether with DEISI and/or with other financial institutions) by indicating the
estimated value of those investments.
Equities:
ETFs:
Options:
Real Estate Property
Fixed Income:
(excluding Primary Residence):
Mutual Funds:
Variable Annuities:
Alternative Investments (Hedge Funds and
Private Equity):
Structured Products.
Foreign Currency
-
Business ID:
Tax Identification Number:
Number of Authorized Parties:
Is the company publicly traded? 0 Yes 0 No
Country of Incorporation:
State/Province of Incorporation:
Date the entity was formed or incorporated:
Nature of Business:
Principal Place of Business:
12.PWM-0355
011224.062212
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0044211
CONFIDENTIAL
SDNY_GM_00190395
EFTA01357584
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