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efta-efta01431833DOJ Data Set 10CorrespondenceEFTA Document EFTA01431833
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EFTA DisclosureText extracted via OCR from the original document. May contain errors from the scanning process.
EFTA01431833
EFTA01431834
EFTA01431835
EFTA01431836
EFTA01431837
EFTA01431838
EFTA01431839
EFTA01431840
Deutsche Bank
Wealth Management
Business Deposit Account Opening Application
04/25/2012
Date of Incorporation
-Gratitude America, Ltd
Account Title
q
imer (T
a)
IN)
Gratitude America, Ltd
Entity/Company Name
usvi
St. Thomas
00802
-6100 Red Kok_Quarter,J33
Zip
State
City
Mailing Address
.(212) 9.7_1-.1308
(212) 971 13.14
Other Number
Business Fax Number
Business Telephone Number
.00802
SL-Thomas.-
.9100 Port of Sale Mall,.Ste 15
Zip
State
City
Legal Address (if different from mailing address)
Client Relationship
_ Attorney Escrow Account
o Limited Liability Company (LLC)
Corporation
— Foundation
^Non-Profit Organization
o Partnership
C Limited Liability. Partnership (LLP)
Landlord Master Escrow
!_i Trust
Estates
Private Wealth Premium"
Deutsche Bank AG NY Branch Accounts
DBTCA Accounts
i/; Deutsche Bank AG NY Preferred Banking Account
EFTA01431841
K Checking Account
Z' Checking with Interest
/ Deutsche Bank AG NY Preferred Certificate of Deposit
2.60%
6 month
Money Market Deposit
Promo term
Term
APY
j DBTCA Certificate of Deposit
(DBTCA deposit account required, along with a DB AG Preferred Terms
and Conditions)
APY
Term
_ Cash Master Sweep Account
Trigger Amount
Target Amount
Banking Services
U Debit Cards—Business Debit Card
: Deluxe Checkbook
Duplicate Statement
Name Only ^ Name and Address
Color
Code
Style
Name
Internet Banking Services
Address
DB Private Wealth Online Plus
Link to existing online relationship:
Zip Code
State
City
Page 1 of 3
Iliceo
t
er
enification Policy
Important Information
To help the government fight the funding of terrorism and money laundering
activities, Federal law requires all financial
institutions to obtain, verify and record information that identifies each
person who establishes an account, investment
or other business relationship with a financial institution. This means that
we will ask for your name, address and other
information that will allow us to identify you. We may also ask to see
identifying documents such as a certificate of
formation or good standing (legal entities) or a passport or other photo
identification (individuals).
Information Sharing
You authorize Deutsche Bank to share information about you and your Account
as set forth in our Privacy Policy, including
EFTA01431842
any disclosures that (1) Deutsche Bank believes are required by applicable
law and regulations that apply to Deutsche Bank
or others, including disclosure of information about you and your Account to
any government agency or self-regulatory
body on request, (2) is necessary or appropriate in connection with Deutsche
Bank's provision of services under this
Agreement, or (3) is requested by a financial institution, financial
intermediary, or other third party in order to assist such
person with compliance with law applicable to such person in connection with
services provided to you or on your behalf.
3rd EU Notice
Governmental rules have also broadened the scope of the Bank's obligations
to aid in the fight against money laundering
and terrorist financing; these rules call for an active involvement of both
asset management firms and their clients. For
new and existing clients we currently have a legal obligation to ask our
customers questions regarding their identities,
addresses, source of funds and, if necessary, legal representatives,
authorized signatories, beneficial owners or control
structures and to collect requisite documentation to substantiate the
information. Also, enhanced anti-money laundering
requirements require that should any of the above personal or institutional
information change, our clients would be obliged
to immediately notify us of the change(s) and provide us with relevant
documentation to verify these changes.
ATM/Debit Service
You agree that the retention or use of the ATM/Debit card constitutes
acceptance of the terms and conditions of the
Cardholder Agreement contained in the Terms and Conditions of Deposit
Accounts.
Internet Banking Service
If you have selected to receive Internet Banking Services, you understand
that you will be required to enter into a separate
Internet Banking Services Agreement with DBTCA before you can access the
Internet Banking Service.
Acknowledgement of Receipt of Privacy Notice
By signing below, you acknowledge receipt of DBTCA's Privacy Notice included
in the Application Package.
Non-U.S. Organizations:
Confirmation of Tax and Compliance Responsibilities
You confirm that it is your responsibility to fulfill any tax obligations
and any other regulatory reporting duties applicable to
it in any relevant jurisdictions that may arise in connection with assets,
income or transactions in your account(s) and your
business relationship with DBTCA. Furthermore, you confirm that the
necessary information (to the best of your knowledge
and capabilities) is made available no less than annually to the relevant
beneficial owner(s), settlor(s), beneficiary(ies),
partner(s), etc., to enable him/her/them to fulfill any respective tax
obligations that may arise for him/her/them in connection
with your business relationship with DBTCA.
EFTA01431843
Please complete and attach separate W-8 or W-9 documentation as applicable.
Terms and Conditions and Representations
By signing below, you acknowledge receipt of the Terms and Conditions for
Deposit Accounts attached to this Application
and agree to be bound by them. In addition, you agree to notify us
immediately of any material change to the information
provided by you on this Application.
You represent and warrant that all of the information provided by you on
this Application is accurate.
The Terms and Conditions for Deposit Accounts are subject to change.
Acceptance
You understand that this application is subject to acceptance by DBTCA.
Authorized Signer
Authorized Signer
Darren Indyke
Print Name
Print Name
Date
Date
For Bank Use Only
Reviewed by:
Signature
Name
Title
Date
Accepted by DBTCA:
Signature
Name
Title
Date
Account numbers:
NOW
DDA
CD/DBAG
MMDA
W-9
Request for Taxpayer
Identification Number and Certification
Give Form to the
requester. Do not
send to the IRS.
Form
(Rev. November 2017)
Department of the Treasury
Internal Revenue Service
. Go to www.irs.gov/FormW9 for instructions and the latest information.
1 Name (as shown on your income tax return). Name is required on this line;
EFTA01431844
do not leave this line blank.
Gratitude America, Ltd
2 Business name/disregarded entity name, if different from above
CO
3 Check appropriate box for federal tax classification of the person whose
name is entered on line 1. Check only one of the
following seven boxes.
n Individual/sole proprietor or
single-member LLC
4 Exemptions (codes apply only to
certain entities, not individuals; see
instructions on page 3):
0)
o>
TO
dl C Corporation d S Corporation d Partnership
d Trust/estate
. (A
0> C
a o
3 E
11
£o
Exempt payee code (if any)
I I Limited liability company. Enter the tax classification (C=C
corporation, S=S corporation. P=Partnership)
Note: Check the appropriate box in the line above for the tax classification
of the single-member owner. Do not check
LLC if the LLC is classified as a single-member LLC that is disregarded from
the owner unless the owner of the LLC is
another LLC that is not disregarded from the owner for U.S. federal tax
purposes. Otherwise, a single-member LLC that
is disregarded from the owner should check the appropriate box for the tax
classification of its owner.
[71 Other (see instructions) .
Exemption from FATCA reporting
code (if any)
Q.
Exempt Private Organization
(Applies to accounts maintained outside the U.S.)
5 Address (number, street, and apt. or suite no.) See instructions.
Requester's name and address (optional)
w
o>
0
9100 Poart of Sale Mali, Ste 15
CO
6 City, state, and ZIP code
St. Thomas, USVI 00802
EFTA01431845
7 List account number(s) here (optional)
Part I
Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name
given on line 1 to avoid
backup withholding. For individuals, this is generally your social security
number (SSN). However, for a
resident alien, sole proprietor, or disregarded entity, see the instructions
for Part I, later. For other
entities, it is your employer identification number (EIN). If you do not
have a number, see How to get a
TIN, later.
Social secuiity number
or
Note: If the account is in more than one name, see the instructions for line
1. Also see What Name and
Number To Give the Requester for guidelines on whose number to enter.
Employer identification number
Part II
Certification
Under penalties of perjury, I certify that:
1. The number shown on this form is my correct taxpayer identification
number (or I am waiting for a number to be issued to me); and
2.1 am not subject to backup withholding because: (a) I am exempt from
backup withholding, or I have not been notified by the Internal Revenue
Sen/ice (IRS) that I am subject to backup withholding as a result of a
failure to report all interest or dividends, or (c) the IRS has notified me
that I am
no longer subject to backup withholding: and
3.1 am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form (if any) indicating that I am
exempt from FATCA reporting is correct.
Certification instructions. You must cross out item 2 above if you have been
notified by the IRS that you are currently subject to backup withholding
because
you have failed to report all interest and dividends on your tax return. For
real estate transactions, item 2 does not apply. For mortgage interest paid,
acquisition or abandonment of secured property, cancellation of debt,
contributions to an individual retirement arrangement (IRA), and generally,
payments
other than interest and dividends, you are not required to sign the
certification, but you must provide your correct TIN. See the instructions
for Part II, later.
Sign
Here
Signature of
U.S. person .
Date ^
General Instructions
EFTA01431846
• Form 1099-DIV (dividends, including those from stocks or mutual
funds)
• Form 1099-MISC (various types of income, prizes, awards, or gross
proceeds)
• Form 1099-B (stock or mutual fund sales and certain other
transactions by brokers)
• Form 1099-S (proceeds from real estate transactions)
• Form 1099-K (merchant card and third party network transactions)
• Form 1098 (home mortgage interest), 1098-E (student loan interest),
1098-1 (tuition)
• Form 1099-C (canceled debt)
• Form 1099-A (acquisition or abandonment of secured property)
Use Form W-9 only if you are a U.S. person (including a resident
alien), to provide your correct TIN.
If you do not return Form W-9 to the requester with a TIN, you might
be subject to backup withholding. See What is backup withholding,
later.
Section references are to the Internal Revenue Code unless otherwise
noted.
Future developments. For the latest information about developments
related to Form W-9 and its instructions, such as legislation enacted
after they were published, go to w\ww.irs.gov/FormW9.
Purpose of Form
An individual or entity (Form W-9 requester) who is required to file an
information return with the IRS must obtain your correct taxpayer
identification number (TIN) which may be your social security number
(SSN), individual taxpayer identification number (ITIN), adoption
taxpayer identification number (ATIN), or employer identification number
(EIN), to report on an information return the amount paid to you, or other
amount reportable on an information return. Examples of information
returns include, but are not limited to, the following.
• Form 1099-INT (interest earned or paid)
Form W-9 (Rev. 11 -2017)
Cat. No. 10231X
[Deutsche Bank
Wealth Managemeni
Signature Card
Deutsche Bank Trust Company Americas
Account Holder Title
Account Number
Gratitude America Ltd
I i Limited Liability
Corporation
I. .7 Individual
n ITF/POD/ATF* f Corporate
Number of Signatures
Required:
Iv^ Other: No'»* AV
Jeffrey E. Epstein
Pr(nt Name
Darren indyke
EFTA01431847
Print Name
I I Joint, with Rights 1.1 Joint, Tenants I, i Partnership
in Common
of Survivorship
Signature
Signature
Signature
Print Name
Signature
Print Name
Approved
Date
Power of Attorney
Specimen Signature
* For ITF/POD/ATF See Supplemental Terms and Conditions
Date of Power of Attorney
111111111111111111111111111111111111
0 2018 Deutsche Bank AG, All rights reserved. WM189885 006678.062918
Deutsche Bank
Weailh Management
Signature Card
Deutsche Bank Trust Company Americas
Account Holder Title
Account Number
Gratitude America Ltd
i 1 ITF/POD/ATF*
i individual
Corporate
Limited Liability Number of Signatures
Corporation Required;.!
V Other:
Jeffrey E. Epstein
Print Name
Darren indyke
Print Name
Joint, with Rights i i Joint, Tenants i j Partnership
of Survivorship
in Common
0
Signature
Signature
Signature
Print Name
Signature
Print Name
Approved
Date
Power of Attorney
Specimen Signature
EFTA01431848
* For ITF/POD/ATF See Supplemental Terms and Conditions
Date of Power of Attorney
0 2018 Deutsche Bank AG, All rights reserved- WM189885 006678.062918
Deutsche Bank
Aktiengesellschaft
I Branch number I Customer number
Dear Customer,
With the following .Depositor Information Sheet", we wish to inform you
pursuant to Section 23a (1) of the German Banking Act (Kreditwesengesetz
[KWG]) -
about the statutory Deposit Guarantee Scheme. Please note details of the
separate contractual Deposit Protection Fund (Einlagensicherungsfonds) of the
Association of German Banks (Bundesverband deutscher Banken) are available
at www.bankenverband.de/einlagensicherung. This information sheet provides
detailed
information on the statutory Deposit Guarantee Scheme only.
Depositor Information Sheet
Deposits at the Deutsche Bank AG are protected by:
Entschddigungseinrichtung deutscher Banken GmbH
Limit of protection;
EUR 100 000 per depositor per credit institution^
If you have more deposits at the same credit institution:
All your deposits at the same credit institution are 'aggregated'and the
total is subject to the
limit of EUR 100 000=
If you have a joint account with other person(s):
The limit of EUR 100 000 applies to each depositor separately'
Reimbursement period in case of credit institution's failure:
7 woticing days'"
Currency of reimbursement:
Euro
Contact:
Entschadigungseinrichtung deutscher Banken GmbH
Burgstrafte 28
10178 Berlin
Germany
Telephone:
Email: [email protected]
Postal address:
Postfach 11 04 48
10834 Berlin
More information:
www.edb-banken.de
I Acknowledgement of receipt by the depositor:
Company / Name of the Depositor:
Gratitude America, Ltd
First signatory name and signature
Second signatory name and signature
Additional information
'Your deposit is covered by a statutory Deposit Guarantee Scheme and a
contractual Deposit Guarantee Scheme. If insolvency of your credit
EFTA01431849
institution should occur,
your deposits would in any case be repaid up to EUR 100 000.
'If a deposit is unavailable because a credit institution is unable to meet
its financial obligations, depositors are repaid by a Deposit Guarantee
Scheme. This repayment
covers at maximum EUR 100 000 per credit institution. This means that all
deposits at the same credit institution are added up in order to determine
the coverage level.
If, for instance, a depositor holds a savings account with EUR 90 000 and a
current account with EUR 20 000, he or she will only be repaid EUR 100 000.
'In case of joint accounts, the limit of EUR 100 000 applies to each
depositor.
Deposits in an account to which two or more persons are entitled as members
of a business partnership, association or grouping ofa similar nature,
without legal personal-
ity, are aggregated and treated as if made by a single depositor for the
purpose of calculating the limit of EUR 100 000.
In the cases listed in Section 8 (2) to (4) of the German Deposit Guarantee
Act (Einlagensicherungsgesetz), deposits are protected above EUR 100 000.
More information
can be obtained from the website of Entschadigungseinrichtung deutscher
Banken GmbH at www.edb-banken.de.
^Reimbursement
The responsible Deposit Guarantee Scheme is:
Entschadigungseinrichtung deutscher Banken GmbH
Postal address:
Postfach 11 04 48
10834 Berlin
Burgstral^e 28
10178 Berlin
o>
Germany
Telephone:
Email: info Mill
www.edb-banken.de
It will repay your deposits (up to EUR 100 000) within 7 working days.
If you have not been repaid within this deadline, you should contact the
Deposit Guarantee Scheme since the time to claim reimbursement may be barred
after a
certain time limit. More information can be obtained from the website of
Entschadigungseinrichtung deutscher Banken GmbH at www.edb-banken.de.
Other important information
In general, all retail depositors and businesses are covered by Deposit
Guarantee Schemes. Exceptions for certain deposits are stated on the website
of the respon-
sible Deposit Guarantee Scheme. Your credit institution will also inform you
on request whether certain products are covered or not. If deposits are
covered, the credit
institution shall also confirm this on the statement of account.
0
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EFTA01431850
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Deutsche Bank
Wealth Management
Not-For-Profit Organization Resolution—Deposit Account
Gratitude America Ltd
, [a corporation]
[an unincorporated association] duly organized and existing under the laws
of Virgin Islands ^ described herein as
"this organization," hereby certify that the following is a true copy of
resolutions adopted by the Board of Directors of this
Secretary of
organization at a meeting duly held, a quorum being present, on
are now in full force and effect;
"RESOLVED, that Deutsche Bank Trust Company Americas, New York, N. Y. or any
of its affiliates or subsidiaries (the
"Bank"), is designated a depositary of this organization for each account of
this organization now or hereafter opened and
maintained at the Bank (whether one or more, the "Account"); in accordance
with all applicable laws, regulations and Bank
and this organization's policies; and
"FURTHER RESOLVED, that all drafts, checks and other written instruments or
orders for the payment of money drawn
(i) against the Account or (ii) to or otherwise made payable to this
organization shall be signed or endorsed (for
of the following*: (insert titles but not names of officers):
; and "FURTHER RESOLVED, that the Bank is hereby requested,
authorized and directed to honor all orders for the payment of money by wire
or other electronic means made or issued in
this organization's name on the Account: (i) when transmitted and delivered
to the Bank by telex, cable, facsimile or other
mechanical or electronic transmission; letter or other written
communication; or telephonic or other oral
., 20
and that such resolutions
transfer or encashment) by any
(insert number)
of officer(s) designated in the preceding
communication; and (ii) when separately authorized in writing by any
(insert number)
EFTA01431851
"RESOLVED" clause and the Bank shall be entitled to honor and charge the
Account for all such orders which it believes
in good faith to be genuine regardless of by whom or by what means such
orders may have been Issued. The authorization
provided in this clause shall include, without limitation, the right to
enter into any agreement(s) with the Bank, from time to
time, containing such indemnities in favor of the Bank as it may require and
such other provisions in order to effectuate the
purpose hereof; and
"FURTHER RESOLVED, that the Bank is authorized to place to the credit of the
Account, funds, drafts, checks, credits
or other property by whomever delivered or transmitted to the Bank for
deposit for account of this organization, endorsed
with the name and/or Account number of this organization or other agreed -
upon symbol or identifying mark by rubber
stamp, facsimile, mechanical, manual or other signature (and any such
endorsement by whomever affixed shall be the
endorsement of this organization), or otherwise endorsed, or unendorsed,
provided that if any such item shall bear, or be
accompanied by, directions (by whomever made) for deposit to a specific
Account, then such deposit shall be to the credit
of such specific Account; the Bank may at any time refuse any such deposit
or credit to the Account and/or may return by
mail or otherwise the whole or any part of a deposit to this organization;
and
"FURTHER RESOLVED, that the Bank is hereby directed to accept, and/or apply
any draft, check or other instrument
or order for the payment of money, or any proceeds thereof, including any
order for the transfer thereof by wire or other
electronic means, drawn, made or issued on such Account or drawn to or
otherwise made payable to this organization
(each such payment order herein an "Order") when signed or endorsed, made or
issued as required by these resolutions
without limit as to amount, without inquiry and without regard to the
disposition of any such item or any proceeds thereof,
and the Bank shall not be liable in connection therewith notwithstanding
that such Order: (i) may be payable or endorsed
to the order of a person whose signature appears thereon or who otherwise
made or issued such Order or of any other
officer(s) or agent(s) of this organization, or (ii) or any proceeds thereof
may be used or disposed of for the personal credit
or account of any such person(s), officer(s) or agent(s) with the Bank or
otherwise or in payment of the individual obligation
of any such person(s), officer(s) or agent(s) to the Bank or otherwise, or
(iii) may cause or increase an overdraft on the
Account; and
"FURTHER RESOLVED, that the Account and all transactions related thereto,
the authorities, specifications, agreements
and services herein provided shall also be subject to all other agreements,
rules, regulations and conditions set forth in any
signature card, deposit ticket, passbook, instrument, receipt, statement of
EFTA01431852
Account and all state and federal laws, rules and
re ulations a licable to the subject matter hereof."
I further certify that this organization is operated primarily for
religious, philanthropic, charitable, educational, fraternal or
other similar purposes and is not operated for profit.
I further certify that the following persons hold in this organization the
positions indicated below;
Name
Title
(Complete only if doing business under assumed name; otherwise disregard.)
I further certify that this organization is (1) doing business under the
name of
(Assumed Name)
as shown by the annexed Certificate of the Secretary of State; (2) the sole
owner of the above assumed name; and (3) will be
the owner of each check, draft or other Item drawn or made payable to said
assumed name and deposited to the credit of the
Account.
IN WITNESS WHEREOF. I have hereunto subscribed my signature and affixed the
seal of this organization this
day of
,20.
[SEAL]
* if two signatures are desired, with one signature from each of two groups,
strike out the underlined words and insert
"by one from each of the following two groups, respectively;" then list the
groups separately.
If two signatures are desired, but as a signature and countersignature, with
authority limited accordingly, strike out the
underlined words and add "and signed and countersigned by one from each of
the following two groups, respectively;"
then arrange signature and countersignature groups accordingly.
'* (Secretary)
** If the Secretary conferred by the above resolutions is authorized to sign
alone, the certification of resolutions must be
confirmed below by another officer.
Confirmed (Official title)
02018 Deutsche Bank AG. All rights reserved.
EFTA01431853
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