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efta-efta01362157DOJ Data Set 10Correspondence

EFTA Document EFTA01362157

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DOJ Data Set 10
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efta-efta01362157
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EFTA Disclosure
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KYC Print Page 3 of 13 2. Account Ownership Summary Account Name: Gratitude America, Ltd Acct. Number (if available): 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)? Checking account to deal with the day-to-day running of the foundation 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): F Other Institution — (Indicate name & location): F 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)?: Roughly 10-20 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 USO What is the expected volume of assets and currency for the account approx. one year after opening? 100000 Currency USO 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 appty, 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 Entity Description of Source of Wealth required Parties related to This account AccountPIC Molder Owner Senior of Trust/ Founder of Foundation Jltimate Beneficialor Owner SignatoryOmited Full POA ?OA Financial IntermediaryShareholder (FIM) Significant (>=25%) Non-PIC entity (incicate Ownership %) Other (please descnbe other roles and/or indicate relationship between mites) 1 1- I - Darren Indyke F F I r F r 2 r F Jeffrey Epstein F r r r F F r 3 F Gratitude America F F F F F F F hups://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid=0 I N30000000D9Di&e... 8/10/2015 CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) DB-SDNY-0051472 CONFIDENTIAL SDNY_GM_00197656 EFTA01362157

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