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efta-efta01362156DOJ Data Set 10Correspondence

EFTA Document EFTA01362156

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DOJ Data Set 10
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efta-efta01362156
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EFTA Disclosure
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KYC Print Page 2 of 13 One sheet must be established for each account to be opened 2. Account Ownership Summary Account Name: Gratitude America, Ltd Acct. Number (it avaibble): Account Manager: Paul Morris what is the purpose of the account (e.g. portfolio management, advisory account, custody services, long-term investment, payment/expense account)? Money market account to hold finds and earn interest Indicate from where the assets are expected to arrive? F DB Group: Same Booking Center (indicate account number): DB F DB Group: Other Booking Center (imitate DB location and account details): r- Other Institution — (Indicate name & location): F Physical Deposits (specify cash, secunties, cheques, ...): What is the expected size and frequency of regular inflows and outflows for the account (indicate estimated number and volume per month)?: Roughly 1-3 inflows and outflows per month ranging from $10,000 to ;100,000 What is the expected volume of assets and currency for the account approx. 90 days after opening? 100000 Currency USD What is the expected volume of assets and currency for the account approx. one year after opening? 100000 Currency USD 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 ukimate/unde ying Beneficial Owner(s). ..egal Entity Description of Source of Wealth required Parties related to this account AccounPlC Holder Owner Settler of Trust/ Founder of Foundation Ultimate Beneficial Owner Signatory‘imited or Full POA VA financial ntermediaryShareholder FIM) Significant (>=25%) Von-PIC entity (incicate ownership °/0) Other (please describe other roles and/or indicate relationshp between oarbes) 1 I r - Darren Indyke r r r r r 2 1 Jeffrey Epstein F r r F F F r 3 I r-- Gratitude America r r r r r r r https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e... 8/10/2015 CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) DB-SDNY-0051471 CONFIDENTIAL SDNY_GM_00197655 EFTA01362156

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URLhttps://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=01N30000000D9Di&e

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