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efta-efta01387982DOJ Data Set 10Correspondence

EFTA Document EFTA01387982

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DOJ Data Set 10
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efta-efta01387982
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar 3A. Individual Details (for all parties) Individual's Name: Date of Birth Country of Residence United States Country of afar sh o Address of primar y residence- 301 E 86th St. Apt 8H New York NY 10085 United States Has client resdeo out sloe of hig/her country of nationality for 5 years or more? 0 Yes lg. No Professor : Occupat ion. Interior Decorator Tax ID: SSN 105-98-1619 Current Employer: JSC Interiors LLC Position/TitlerRank. I nte• or Decorator Address of employer: 575 Lexington Ave 14th Floor New York NY United Sta es 10022 Does the person work as senior executive of a DB-recognized regulated entity in he financial Industry? or a entity listed on a DB-recognised exchange? (Not pplicable for operating entities 0Yes tri No Is the individual a Politically Exposed Person (F£P)?(11 Yes, desaibe) N/A 0 Yes sr ..41 No To the best of your knowledge, lathe individual related to an employee of the DB groupyd Family or Friendship, dewily) NIA D Family 0 Friendship P3 None To the best of your knowledge, Is the Individual party to a non-banking relationship with Deutsche Bank (e.g., external legal counsel, client referral source, supplier of goods or eervices)7(d Yes,deseribe ) N/A ❑0 Yes 10 No If applicable, indicate which bank officers have met the person: Indicate where and when the client meetings) took place Bank Officer Name(s) Bank Office Client Private Domicile Client Place of Business Other Location (soeciryi Dare Stewart Oldfield 0 W 6 23 2017 0 0 El - 0 0 LiWealtr Details for this individual are rot filled in because they are the same as for the following person. 3B. Wealth Details (Only for parties requiring source of wea th oescriptior as indicated in Section 2) Nature of the Individual's Business: Interior Design Primary Country of source of wealth/source of Funds? United Rates Primary industry of source of Wealth/Source of Funds? Cther Summarize Source of Wealth: D Bulimia Owner ga Salary/Earnings • Investment 0 Inheritance/Gifts D Other: Further Desaibe 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 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0091280 SONY GM_00237464 EFTA01387982

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