EFTA Document EFTA01372895

7/15:2019 KYC Print One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summary 3A. Individual Details (for all parties) Individual's Name: Date of Birth: Country of Residence: Country of Citizenship: Address of primary residence: 301 East 66th st Aptatew york NY 10065 United States Has client resided outside of his/her country of nationality for 5 years or more> yes # No Profession/Occupation: Tax ID ; SSN: Current Employer: Positionifitle'Rank: Address of employer: Does the person work as senior executive of a 06 -recognized regulated entity in the financial ndusby> or an entity fisted on a DO-recognised exchange> (Not applicable for operating entities . Yes I No Is the individual a Politically Exposed Person (PEP)?(i Yet; dente) Yes I. No To the best of your knowledge, Is the individual related to an employee of the DB group-Yr Famfee a - Friendship, desofbe) 1 Family i : Friendship ire. None To the best of your knowledge, is the individual party to a non-banking relationship wth Deutsche Bank (e.g., edema! legal counsel, client referral source, supplier of goods or serinces)70/ Yesdesolbe) u Yes it No If applicable, indicate which bank officers have met the person: Indicate where and when the dent mceting(s) took place: Bank Officer Name(s) Bank Office: Client Private Domkile: Client Place of Business: Other Location (specify): Date: (3 1.3 Wealth Deets for this Individual are not filled in, because they are the same as for the following person: 38. Wealth Details (Only for parties requiring source of wealth description as indicated in Secton 2) Nature of the Individual's Business: Primary Country of source of wealth/source of Funds> Primary industry of source of Wealth/Source of Funds> Summarize Source of Wealth: • . Business Owner Salary/F-amings . Investment • Inheritance/Gifts 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 of profitability> Indicate type of business, countries of major activities, important business partners.) Estimated Annual Income(S): Estimated amount of investable assets(S): Estimated Net Worth($): Other Known F. anal Institutions: Amount of assets planned to invest wth PWM($): Institution: Country: Est. Assets Under Mgt: Institution: Country: Est. Assets Under Mgt: Institution: Country: Est. Assets Under Mgt: https://dbforcepb.my.salesforce.comiserviet,servlet Integ ration?' id =01 N30000000 D9Di&eici.5003200001 EHPpb&o=1 edinkToken=VmpFPSxNakF4T 14.43 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0066800 SDNY GM_00212984 EFTA01372895