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efta-efta01362380DOJ Data Set 10CorrespondenceEFTA Document EFTA01362380
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DOJ Data Set 10
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Page 5 of 19
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summary
30. Individual Details (for all parties)
Individual's Name:
Darren I ndyke - 00000486405
Date of Birth.
2 19 1965
Country of Residence
USA
Country of Citizenship.
USA
Address of primary
residence-
2 Kean Court Livingston NJ 07039 United States
Has client resided outside
of his/her country of
nationality for 5 years or
more?
O Yes V. Na
Professor+, Occupation.
Lawyer
Tax ID.' SSN
098-54-8596
Current Employer:
Southern Financial LLC
Pcsition'Title:Rank
Address of employer:
575 Lexington Avenue, 4th Fl Livingston NY United States 10022
Does the person work as senior executive of a DB-recognized regulated entity in
he financial industry? (Not applicable for operating entities)
oyes g6 No
Is the Individual a Polltically Exposed Person (PEP/?(if Yes, describe)
O Yes
®No
To the best of your knowledge, is the individual related to an employee of the DB
group?(if Family or Friendship. describe )
O Family
O Friendship
0 None
To the best of your knowledge, is the individual party to a non-banking
relationship with Deutsche Bank (e.g., external legal counsel, dent referral
source, supplier of goods or services)?(if Yes,describe )
O Yes
66 No
If applicable, indicate which bank officers have met
the person:
Indicate where and when the then( meeting(s) took place:
Bank Officer Name(s)
Bank Office
Client
Prwate
Domicile.
Oient Noce
of Business:
Other Location (specify):
Date
El
O
o
O
O
E
O
O Wealth Details for this individual are not filled in. because they are the same as for the following person:
3S. Wealth Details (Only for parties requiring source of wealth description as indicated in Section 2)
Nature of the Individual's Business:
Primary Country of source of wealth/source of Funds?
Primary eiclustry of source of Wealth/Source of
Funds?
Summarize Source of Wealth:
O Buenos. Owner O Salary/Earnings El I nvestment i
nneritance,G Its
O Other:
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 a'
profitability? Indicate type of business, countries of major activities, important business partners.)
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid
IN30000000D9Di&e... 7/30/2018
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0051769
CONFIDENTIAL
SDNY_ GM_00197953
EFTA01362380
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