EFTA Document EFTA01372900

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: USA Country of Citizenship: LISA Address of primary residence: Boynton Beach Ft. 33436 United States Has client resided outside of his her country of nationality for 5 years or more> yes 49 No Profession/Occupation: Tax ID / SSN: Current Employer: Position/Title/Rank: Address of employer: Does the person work as senior executive of a DB recognbed 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 intividual a Politically Exposed Person (PEP)?(//11% dersato) Yes I No To the best of your knowledge, Is the individual related to an employee of the DB grouplinsmifY a - Friendship, *sate) 1 Family i : Friendship ::, None To the best of your knowledge, is the individual party to a noffibanking relationship wei Deutsche Bank (e.g., external legal counsel, client referral source, supplier of goods or sentices)70/ Yesdesolbe) u Yes is6 No If applicable, indicate which bank officers have met the person: Indicate where and when the dent meeting(s) took place: Bank Officer Name(s) Bank Office: Client Private pomkile: Client Place of Business: Other Location (specify): Date: (3 1.3 Wealth Details 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(f): Estimated Net Worth(f): Other Known F, ancial Institutions: Amount of asses planned to invest wth PWM(f): Institution: Country: Est. Assets Under Mgt: Institution: Country: Est. Assets Under Mgt: Institution: Country: Est. Assets Under Mgt: https:ildbforcepb.my.salesforce.comiservietiservlet integration2lid=0 I N30000000D9D4eidx5003200001EHPpb&ict l&linkTokenWmpFPSxNakF4T 20.43 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0066806 SDNY GM_00212990 EFTA01372900