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efta-efta01387206DOJ Data Set 10Correspondence

EFTA Document EFTA01387206

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DOJ Data Set 10
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efta-efta01387206
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EFTA Disclosure
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KYC Print Page 8 of 13 One sheet must be established for EACH LEGAL ENTITY in Section 2. Account Summary 3C. Legal Entity Details (For all Legal Entities) Legal Entity Name: Gratitude America - 00000499760 Type of Entity: F Foundation/Association r Trust F Company r Estate r Partnership Purpose of Entity: F Private Investment F Philanthropic/ Charitable F Commercial Type of Entity Other (specify): Purpose of Entity Other (specify): Country of incorporation/registration: USVI Date of incorporabon / registration: 4/25/2012 Address (city, street, post code): 6100 Red Hook Quarter, B3 St. Thomas 00802 USVI U.S. TIN/E1N: 66-0789697 Provide a description of the entity's organizational structure, its ownership structure nd its Top Management. For trusts/foundations, include information about revocabil ty,settlor and beneficiaries,etc.: 501(c)3 foundation. Jeffrey Epstein is president, Darren Indyke is treasurer and Erik Kellerhals is Secretary Please indicate how ownership of the legal entity is reflected: 501(c)3 foundation. Jeffrey Epstein is president, Darren Indyke 6 treasurer and Erika Kellerhals is Secretary F Special attention: Bearer Shares - Indicate where shares are custodied: Describe the chain from the direct owner of the entity to the ultimate beneficial owner (if not Me same persons). 501(c)3 foundation. Jeffrey Epstein is president, Darren Indyke is treasurer and Erika Kellerhals is Secretary To the best of your knowledge, is the entity party to a non-banking relationship with Deutsche Bank (e.g. external legal counsel, client referral source, supplier of goods or services)?: Yes F No F Describe Nature of Entity's Primary Business and Investment Activities Nature of the business: The foundation has not yet started distributing funds and is still determining what endeavors they will support. They hope to support a broad range of efforts including, but not limited to, education, science, research, etc. Countries where business is transacted: USA, USVI Number of employees: 3 3D. Wealth Profile (Only for parties requiring source of wealth description as indicated in Section 2) Provide Evidence of Corporate Assets (e.g. balance sheet or equivalent summary of assets/liabilities): The foundation is to be funded by Jeffrey Epstein Estimated gross receipts p.a.($): Estimated net profit p.a. (s): Estimated investable assets ($): $2 MM - 5 MM Potential Amount to be invested with PWM ($): 200,000.00 Other Known Financial Institutions: Institution: Country: Est. Assets Under Mgt: Institution: Country: Est. Assets Under Mgt: Institution: Country: Est. Assets Under Mgt: Imps ://dbforcepb my.salesforce.com/servl et/servl et.Integrati on?li d=01N30000000D9Di&ei ... 7/3/2015 CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) DB-SDNY-0089391 CONFIDENTIAL SDNY_GM_00235575 EFTA01387206

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