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efta-efta01432385DOJ Data Set 10CorrespondenceEFTA Document EFTA01432385
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EFTA DisclosureText extracted via OCR from the original document. May contain errors from the scanning process.
EFTA01432385
EFTA01432386
EFTA01432387
EFTA01432388
EFTA01432389
EFTA01432390
Deutsche Bank
Wealth Management
Business Deposit Account Opening Application
.Southern .Trust Company, Inc.
Account Title
11/18/2011
Date of Ineorijoraiion
_S.outhern_Trust Company, Inc.
Entity/Company Name
Taxpayer ID Number (TIN!
St Thomas USVI
.610.03RecLUook.Ouailer B3
008P 2
Mailing Address
City
State
Zip
Business Telephone Number
Business Fax Number
Other Number
Legal Address (if different from mailing address)
City
State
Zip
Client Relationship
Z1 Corporation
o Foundation
Limited Liability Company (LLC)
Li Partnership
... Limited Liability Partnership (LLP)
Attorney Escrow Account
Landlord Master Escrow
o Non-Profit Organization
Trust
Estates
Private Wealth Premium"
DBTCA Accounts
Deutsche Bank AG NY Branch Accounts
o Checking Account
o Checking with Interest
o Money Market Deposit
DBTCA Certificate of Deposit
/ Deutsche Bank AG NY Preferred Banking Account
DeLitsche Bank AG NY Preferred Certificate of Deposit
APY
Term
EFTA01432391
Promo term
(DBTCA deposit account required, along with a DB AG Preferred Terms
and Conditions)
APY
Term
1L Cash Master Sweep Account
Trigger Amount
Target Amount
Banking Services
K Deluxe Checkbook
Debit Cards— Business Debit Card
U Name Only
Duplicate Statement
Name and Address
Style
Code
Color
Name
Internet Banking Services
1L DB Private Wealth Online Plus
Address
K Link to existing online relationship:
State
City
Zip Code
WM167245 015624.090816
Rage 1 of 3
Notice of Customer Identification 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 yoLi and your Account
as set forth in our Privacy Policy, including
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
EFTA01432392
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
and any other regulatory reporting duties applicable to
it in any relevant jurisdictions that may arise in connection
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), settlorfs), 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.
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.
obligations
with assets,
EFTA01432393
The Terms and Conditions for Deposit Accounts are subject to change.
WM167245 015624.090816
Page 2 of 3
Acceptance
You understand that this application is subject to acceptance by DBTCA.
Authorized Signer
Authorized Signer
Darren 3ndyke.
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:
DDA
NOW
MMDA
CD/DBAG
WM167245 015624.090816
W-9
Request for Taxpayer
Identification Number and Certification
Give Form to the
requester. Do not
send to the IRS.
Form
(Rev. December 2014)
D^sartment of the Treasury
Internal Revenue Service
1 Name (as shown on your income tax return) Name is required on this line;
do not leave this line blank.
Southern Trust Company, Inc.
2 Business name/disregarded entity name, if different from above
03
<v
C)
ra
3 Check appropriate box for federal tax classification; check only one of
the following seven boxes:
I I Individual/sole proprietor or 0 C Corporation I I S Corporation I I
EFTA01432394
Partnership I I Trust/estate
single-member LLC
i I Limited liability company. Enter the tax classification (C=C
corporation, S=S corporation, P=partnership)
4 Exemptions (codes apply only to
certain entities, not individuals; see
instructions on page 3);
Exempt payee code (if any)
Exemption from FATCA reporting
code (if any)
(Applias to accounts melntalnBd outsitio the U.S.)
I .I
o S
Note. For a single-member LLC that is disregarded, do not check LLC: check
the appropriate box in the line above for
the tax classification of the single-member owner.
I I Other (see instructions) .
5 Address (number, street, and apt. or suite no.)
6100 Red Hook Quarter B3
Requester's name and address (optional)
s;
a
v>
6 City, state, and ZIP code
St Thomas USVI ,00802
0>
(1)
w
7 List account number(s) here (optional)
Parti
Taxpayer Identification Number (TIN)
Social security number
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 Part I
instructions on page 3. For other
entities, it is your employer identification number (EIN). If you do not
have a number, see How to get a
TIN on page 3.
or
Employer identification number
Note. If the account is in more than one name, see the instructions for line
1 and the chart on page 4 for
EFTA01432395
uidelines on whose number to enter.
Part II
Certification
Under penalties of perjury, 1 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. I am not subject to backup withholding because; (a) I am exempt from
backup withholding, or (b) I have not been notified by the Internal Revenue
Service (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. I 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 on page 3.
Sign
Here
Signature of
U.S. person
'(g)
Date
General Instructions
• 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? on page 2.
By signing the filled-out form, you:
1. Certify that the TIN you are giving is correct (or you are waiting for a
number
to be Issued),
2. Certify that you are not subject to backup withholding, or
3. Claim exemption from backup withholding if you are a U.S. exempt payee. If
applicable, you are also certifying that as a U.S. person, your allocable
share of
any partnership income from a U.S. trade or business is not subject to the
EFTA01432396
withhoiding tax on foreign partners' share of effectively connected income,
and
4. Certify that FATCA code(s) entered on this form (if any) indicating that
you are
exempt from the FATCA reporting. Is correct. See What is FATCA reporting? on
page 2 for further information.
Section references are to the internal Revenue Code unless otherwise noted.
Future developments. Information about developments affecting Form W-9 (such
as legislation enacted after we reiease it) is at www.irs.gov/fw9.
Purpose of Form
An individuai 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 foiiowing:
• Form 1099-INT (interest earned or paid)
• Form 1099-DlV (dividends, including those from stocks or mutuai 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 W-9 (Rev. 12-2014)
Cat, No. 10231X
Deutsche Bank
Wealth Management
For Bank Use Only
Account Number(s):
Certificate of Corporate Resolutions in favor of
Deutsche Bank Trust Company Americas
The undersigned (the "Undersigned") hereby certifies that;
1. (a) the Undersigned is the duly appointed Secretary or other officer or
director duly authorized to (i) certify as to the
corporate resolutions or consents ("Corporate Resolutions") of the board of
directors or other governing body (the
"Board") and (ii) to keep the records of
Southern Trust Company, Inc.
, (the "Corporation")
a corporation duly organized, in good standing, and existing tinder the laws
of Virgin Islands
; and
(b) the following is a true copy of the Corporate Resolutions of the Board,
duly adopted in accordance with applicable law
and governing organizational documents with respect to the account type(s)
EFTA01432397
indicated below ("Account(s)");
0 Deposit Account(s)
[. i Investment Advisory Account(s)
(please select all that apply):
discretionary . ' non-discietionaiy
"RESOLVED, that it is desirable and in the best interests of the
Corporation, and the Corporation is authorized, to designate
Deutsche Bank Trust Company Americas (the "Bank") as depositary, custodian
or investment advisor, as applicable, for such
property as designated by the Corporation from time to time, and to open and
maintain Account(s) with the Bank.
RESOLVED, that the Corporation be bound by the terms and conditions set
forth in any agreement or contract governing
Account(s) (the "Account Agreement(s)") and any other document relating to
products or services provided in connection
with Account(s), as revised and/or amended from time to time (collectively,
the "Agreements").
RESOLVED, that the directors, officers, employees and/or agents of the
Corporation (the "Authorized Signer(s)") whose
names, titles and signatures appear below, as amended from time to time by
the Corporation, are hereby authorized
and directed, for and on behalf of the Corporation, to open, maintain,
manage or close Account(s), to execute the
Agreements, and to exercise and direct the exercise of all duties, rights
and powers, and to take all actions necessary
or appropriate in connection with the opening, maintenance, management or
closing of Account(s) in the name of the
Corporation, pursuant to the terms and conditions specified in the
Agreements, and any applicable laws, rules and
regulations. The Bank is authorized to accept instructions from the
Authorized Signer(s) in connection with Account(s),
including, but not limited to, endorsements and deposits of negotiable
instruments, checks oi' other orders for the
payment of money, and instructions to deposit, withdraw, transfer, deliver
or assign assets in Account(s), sell any assets
in Account(s), including but not limited to assets listed as "held
elsewhere," buy any assets for Account(s) and retain the
services of an advisor, including the Bank, consultant or broker/dealer to
manage all or part of assets in Account(s), all on
such terms as the Authorized Signer(s) direct.
RESOLVED, that the Bank may conclusively assume that all actions taken and
instructions given by each of the
Authorized Signer(s) have been properly taken or given pursuant to authority
vested in such Authorized Signer(s) and
the Corporation shall indemnify and hold the Bank harmless from all claims,
liabilities, losses, costs, expenses (including
attorneys' fees) related to or arising from any action or inaction by any
such Authorized Signer(s).
RESOLVED, that the omission from these Corporate Resolutions of any
document, arrangement or action to be taken
in accordance with the Account(s) or the Agreements shall in no manner
EFTA01432398
derogate from the authority of the Authorized
Signer(s) to take all actions necessary, desirable, advisable or appropriate
to consummate, effectuate or carry out the
transactions contemplated by the foregoing Corporate Resolutions.
RESOLVED, that all actions taken and expenses incurred heretofore by the
Board or the Authorized Signer(s) in
connection with the Account(s) or the Agreements are hereby ratified,
approved and confirmed in all respects.
RESOLVED, that if indicated below, the Authorized Signer(s) is/are
authorized to delegate any and all of the powers enumerated
in these Corporate Resolutions in connection with the Account(s) to such
person(s) as the Authorized Signer(s) may elect. Such
delegation shall be made via the execution of the form of Appointment of
Agent(s) annexed hereto as Exhibit A."
Custody Account(s)
1
WM167954_DBTCA 019582.062016
AUTHORIZED SIGNER(S);
If any Authorized Signer named below is an entity and not a natural person,
please attach an Authorized Signatory list.
Jeffrey Epstein
Print Name
Authorized {select one); 5?' Individually r] Jointly with
Signatory
Title
Signature
K Other
K Check only if the above Authorized Signer is authorized to grant powers
enumerated in these Corporate Resolutions to agents.
Darren Indyke
Print Name
Authorized (select one): I/J Individually LJ Jointly with
g)
Signatory
Title
Signature
K Other
K Check only if the above Authorized Signer is authorized to grant powers
enumerated in these Corporate Resolutions to agents.
Hariy BeMer
Prim Name
Authorized {select one): ES Individually K Jointly with
Signature
Signatory
Title
K Other
K Check only if the above Authorized Signer is authorized to grant powers
enumerated in these Corporate Resolutions to agents.
Signatory
Title
EFTA01432399
Authorized (select one): 'Ti Individually lJ Jointly with
Jeanne Brennan
Prim Name
Signature
K Other
K Check only if the above Authorized Signer is authorized to grant powers
enumerated in these Corporate Resolutions to agents.
2. The above Corporate Resolutions are in full force and effect as of the
date shown below.
3. The Bank may rely conclusively on the instructions of the Authorized
Signer(s) in every respect unless or until the Bank
receives written notification of the revocation and has had reasonable time
to act on such notice.
4. No one other than the Corporation has any interest in Account(s) opened
and maintained in the name of the Corporation.
5. The titles and names of the Authorized Signer(s) appearing above, whose
signatures appear above or on any attached
signatory list, are true, correct and genuine.
The authoi ities previously granted to any Authorized Signer not named
herein are hereby revoked.
In witness whereof, on the date shown below, I have subscribed my signature
and affixed the Corporate Seal (if required)
seal of the Corporation (if required).
If no seal is provided, the
Corporation is representing
that no seal is required.
Signature
Print Name and Title
&-
Date ol this Certificate ol Corporate Resolutions (Fill in date—this
document is not valid it date is left blank)
**lf the Secretary or other authorized officer or director is one of the
Authorized Signers named
above, this Certificate of Corporate Resolutions must be confirmed below by
another officer
or director of the Corporation who is not designated an Authorized Signer
above unless the
Authorized Signers are the only officers or directors of the Coiporation,
Confirmation Signature
Trim Name and Title
2
WM167954 DBTCA 019582.062016
Deutsche Bank
Wealth Management
Signature Card
Deutsche Bank Trust Company Americas
Southern Trust Company, Inc.
Account Holder Title
EFTA01432400
Individual
Account Number
ITF/POD/ATF* W Corporate
Limited Liability
Corporation
^ Other:
Number of Signatures
Required: t .
Joint, with Rights
of Survivorship
! Joint, Tenants
in Common
Partnership
h
Jeffrey Epstein
Print Name
Darren Indyke
Print Name
Harry Seller
Print Name
Jeanne Brennan
Print Name
ignature
Signature
&
Signature
ignature
Approved
Date
Power of Attorney
Specimen Signature
* For ITF/POD/ATF See Supplemental Terms and Conditions
Date of Power of Attorney
WM167290 006678,010816
EFTA01432401
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