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efta-efta01433171DOJ Data Set 10CorrespondenceEFTA Document EFTA01433171
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From: Cynthia Rodriguez
Subject: AG Preferred Deposit Accounts
Date: February 1, 2017 at 4:46 PM
To: Richard Kahn
Cc: Stewart Oldfield
Hi Rich;
Vahe reached out to us regarding your request to open AG Preferred Deposit
Accounts for the following
entities:
• The Haze Trust
• Southern Financial; LLC
• Southern Trust Company, inc
Attached are the account opening documents for each entity. Please fee! free
to reach out if you have
any questions. Thanks.
Kind regards,
Cynthia Rodriguez
Cynthia Rodriguez
Assistant Vice President
Deutsche Bank Trust Company Americas
Deutsche Asset & Wealth Management
345 Park Avenue. 10154-0004 New York, NY, USA
Tel.
Fax
Email
This communication may contain confidential and/or
privileged information. If you are not the intended recipient
(or have received this communication in error) please notify
the sender immediately and destroy this communication.
at
Deutsche Bank
Wealth Management
Business Deposit Account Openino ADi?tication
Xhe.Haze.Tcust
Account Title
02/09/1999
0/iic of Incurporaoon
The Haze Trust...
Entiiy/Company Name
13-7185414
Taxpayer ID Number (TIN)
.6.100.Red.hLo.ok Quarter..B3
Mailing Address
St, Thomas
0
Slate
.008,02
EFTA01433190
City
Zip
_34037.5.2525.
Business Telephone Number
•
•
•
Business Fax Number
Other Numbor
6100.Sed.Ho.ok Quarter.B3. . .
Legal Address (if different from mailing address)
St, Thomas
M802
State
City
Zip
Client Relationship
n Corporation
K Foundation
: Limited Liability Company (LLC)
Attorney Escrow Account
Landlord Master Escrow
Partnership
lJ Non-Profit Organization
/ Trust
Estates
Limited Liability Partnership (LLP)
Private Wealth Premium"^'^
DBTCA Accounts
Deutsche Bank AG NY Branch Accounts
C Checking Account
C; Checking with Interest
K Money Market Deposit
iT' DBTCA Certificate of Deposit
/ Deutsche Bank AG NY Preferred Banking Account
Deutsche Bank AG NY Preferred Certificate of Deposit
Promo term
APY
Teim
lOBTCA deposit account mquiicd. along with a D6 AG Preforrod Terms
and Corxiitions)
APY
Term
I. j Cash Master Sweep Account
Tngger Amount
Target Amount
Banking Services
13 Deluxe Checkbook
Debit Cards—Business Debit Card
' " Name Only "
Name and Address
Duplicate Statement
Style
EFTA01433191
Colot
Code
Name
Internet Banking Services
D DB Private Wealth Online Plus
Address
u-i Link to existing online relationship:
Zip Code
State
City
WM)67245 015624.090815
Page I of 3
NAOSOD00022695-000180789
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 you 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
DeLitsche 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 infoi
malion. Also, enhanced anti-money laundering
requirements require that should any of the above personal or institutional
information change, our clients would be obliged
EFTA01433192
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), seiilor(s), beneficiar\ 1(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.
The Terms and Conditions for Deposit Accounts are subject to change.
WM167245 015624,090816
P<tgo 2 of 3
Acceptance
You understand that this application is subject to acceptance by DBTCA.
Authorized Signei
Authorized Signer
^irenJndyke
Print Name
Print Name
Date
EFTA01433193
For Bank Use Only
Reviewed by:
Signature
Name
ntle
Dale
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)
Department of the Treasury
Interna] Rever"ue Service
1 Name (as shown on your Income tax return). Name Is required on this line;
do not leave this line blank.
The Haze Trust
2 Business name/disregarded entity name, if different from above
CO
0
0]
Q.
3 Check appropriate box for federal tax classification; check only one of
the following seven boxes:
D Indivldual/sole proprietor or Q C Corporation Q S Corporation Q
Partnership 0 Trust/estate
single-member U.0
r—1 Limited liability company. Enta* the tax classification (CsC
corporatton, S"S corporation, P=partnershlp) ^
4 Exemptions (codes apply only to
certain entitles, not Individuals; see
Instructions on page 3):
Exempt payee code pi any)
Exemption from FATCA reporting
code pt any)
to ccccunfs nwMtiifd cuKto* (M US J
EFTA01433194
ll
o 2
.E0
Note. For a single-member LLC that is disregarded, do not check LLC; che^
the appropriate box in the line above for
the tax classification of the single-member owner.
r—1 Other (see Instructions)
a
0
5 Address (number, street, and apt. or suite no.)
6100 Red Hook Quarter B3
Requester's name and address (optional)
•5
0
m
6 City, state, and ZIP code
0)
CO
St, Thomas 0 ,00802
7 List account number(s) here (optional)
Taxpayer Identification Number (TIN)
Parti
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 1
instructions on page 3. For other
entities, it is your employer identification number (EIN). If you do not
have a number, see How to gets
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
guidelines on whose number to enter.
1 3
7 1 8 5 4 1 4
Part 11
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. 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 ail interest or dividends, or (c) the IRS has notified me
that I am
EFTA01433195
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 tr"sactions, item 2 does not apply. For mortgage
interest paid, acquisition or abandonmer"
generally, payments other than Interested dividen<ft. you are not
requiradto,si§rnTie certification, but you must provide your correct TIN.
See the
instructions on page 3. / \
d property, cancellation of debt, cooinboTiohs to an individual retirement
arrangement (IRA), and
Signature of /
U.S. person \
3
sign
Here
Date"
/Term 1096 (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 rstum Form tV-9 fo (he requester with a TIN. you might be
sut"ect
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 ^at you are not subject to backup vrithholding. 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
withholding 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.
General Instructions
Section references are to the Internal Revenue Code unless othen^se noted.
Future developments. Information about developments affecting FotTnilW9^ch
as legislation enacted after we release It) is at wwwJrs.gov/N/9.
Purpose of Form
EFTA01433196
An individual or entity (Form W-9 requested who is required to tile an
information
return with the IRS must obtain your correct taxpayer identifleadon number
(TIN)
which may be your social security number (SSN), indnridual taxpayer
kfentifleation
number (ITIN), adoption taxpayer identificalion 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
informallort
returns include, but are not limited to, the following:
• Form 1099-INT (interest earned or paid)
• Form 1099-DIV (dividends. Including those from stocks or mutual funds)
• Form 1099-MISC (various types of income, prizes, awards, or gross proceeds)
• Form 1099-8 (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
Signature Card
Deutsche Bank Trust Company Americas
The Haze Trust
Accoum Holder Title
Individual
Account Number
^ ' Limited Liability
Corporation
W- Other trust
ITF/POD/ATF'
Corporate
Number of Signatures
Required: 1
Joint, with Rights Joint. Tenants
of Survivorship
Partnership
Darren Indyke
Flint Name
Signature
Signature
Print Name
Signature
Prim Name
Signoture
Prim Namo
Approved
Power of Attorney
Dale
EFTA01433197
Specimen Signature
* For ITF/POD/ATF See Supplemental Terms and Conditions
Date of Power of Attorney
lllllillllllllllllllllli
NAOSOD00022695-000180791
WM167290 006678.010816
Deutsche Bank
Wealth Management
Business Deposit Account Opening Application
Account Title
02/25/2013
❑iile of Incurpuratiun
_Southei-n,aaandal_LLG.
Entily/Company Name
66-079.9192
Taxpayer ID Numher {TIN)
St.Thomas
0_0.802
^.1.000Red.hlOoleQuarter-B3
Mailing Address
City
Stalo
Zip
Business Fax Number
Business Telephone Number
Other Number
Legal Address {if different from mailing address)
City
State
Zip
Client Relationship
K Corporation
K Foundation
Limited Liability Company (LLC)
Attorney Escrow Account
Partnership
Landlord Master Escrow
K Non-Profit Organization
Limited Liability Partnership (LLP)
Trust
.' Estates
Private Wealth Premium"
DBTCA Accounts
Deutsche Bank AG NY Branch Accounts
K Checking Account
0 Checking with Interest
K Money Market Deposit
K DBTCA Certificate of Deposit
EFTA01433198
/ Deutsche Bank AG NY Preferred Banking Account
Deutsche Bank AG NY Preferred Certificate of Deposit
APY
Torm
Promo term
(DBTCA doposil account required, along with a DB AG Preferred Terms
and Conditions)
APY
Term
n Cash Master Sweep Account
Target Amount
Trigger Amount
Banking Services
K Deluxe Checkbook
Debit Cards—Business Debit Card
Name Only ' Name and Address
Duplicate Statement
Color
Style
Code
Name
Internet Banking Services
K DB Private Wealth Online Plus
Address
D Link to existing online relationship:
Zip Code
City
State
WM167245 015624.090816
Pago 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
peison 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 passpoi i 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
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
Detiische Bank's provision of services under this
EFTA01433199
Agreement, or (3) is requested by a financial institution, financial
intermediary, or other third party in order to assist sucii
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 necessaiy, 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
necessaiy 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),
panner(s). etc., to enable him/her/them to fulfill any respective tax
obligations that may arise for him^er/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
EFTA01433200
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.
WM167245 015624.090816
Page 2 of 3
Acceptance
You understand that this application is subject to acceptance by DBTCA.
Authorized Signor
Aulhori/nd Signer
Darren Indvke
Print Name j
Prim Name
Date
For Bank Use Only
Reviewed by:
Signature
Name
TiUe
Date
Accepted by DBTCA:
Signature
Name
Titte
Date
Account numbers:
DDA
NOW
MMDA
CD/DBAG
WWI167245 015624.090816
W-9
Give Form to the
requester. Do not
send to the IRS.
Request for Taxpayer
Identification Number and Certification
Form
(Rev. December 2014]
Department of the Treasury
Internal Revenue Service
1 Name (as shown ort your Income tax return). Name is required on this line;
do not leave this line blank.
Southern Financial LLC
2 Business name/disregarded entity name, if different from above
of
0
0)
4 Exemptions (codes apply only to
EFTA01433201
certain entities, not individuals; see
instructions on page 3):
Exempt payee code pf any)
Exemption from FATCA reporting
code (if any)
(AppHis 10 leeeunli malnuiiriii ot/OMo tTw U.S-I
3 Check appropriate box for federal tax classification; check only one of
the following seven boxes:
r-1 Individual/sole proprietor or D C Corporation ^ S Corporation Q
Partnership Q Trust/estate
single-member LLC
r—I Limited liability company. Enter the tax classification (CsC
corporation, S=S COTporation. P"partnership) ^
8
1 1
•c £
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.
r—1 Other (see Instructions) .
Q
Requester's name and address (optional)
5 Address (number, street, and apt. or suite no.)
6100 Red Hook Quarter B3
(0
6 City, state, and ZIP code
St Thomas USVI ,00802
(U
<0
Vi
7 List account numbeifs) here (optionaQ
Taxpayer Identification Number (TIN)
Parti
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 1
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.
Note. If the account is in more than one name, see the Instructions for line
1 and the chart on page A for
guidelines on whose number to enter.
or
Employer Identification number
EFTA01433202
0 7 9 9 1 9 2
6 6
Certification
Part II
Under penalties of perjury, I certify that:
1. The number shown on this forni 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 1 am
no longer subject to backup withholding; and
3. ! am a U.S. citizen or other U.S. person (defined beiow); 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 theJBS4hat you are currently subject to backup withholding
because you have failed to report all"ttSFestande"tvidends on your tax
return. For"Ues"wtransactions, item 2 does not apply. For mortgage
interest paid, acquisition or abanddnment of secured\roperty,
cancellationptddBCcontributions to an individual retirement arrangement
(IRA), and
generally, payments other thEui (merest and dividends, you are not
rgfluirSSto sign the certification, but you must provide your correct TIN.
See the
Instructions on page 3.
7
Sign
Here
signature of
U.S. person ^
Date^
* Form 1096 (home mortgage interest), 1098-E (student loan interest], 1096-1
[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 sub/-
ect
ro backup withholding. See What is backup withholding? on page 2.
By signing the (Hied-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 vrithholding. 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
EFTA01433203
share of
any partnership Income from a U.S. trade or business is not subject to the
vrilhholding 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 (or further information.
General Instructions
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 release it) Is at www.trs.gov/fw9.
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 ([TIN), 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 1099-DIV (dividends. Including those from stocks or mutual funds)
• Form 1069-MISC (various types of income, prizes, awards, or gross proceeds)
• Form 1099-B (stock or mutual fund sates 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 Limited Liability Company Resolutions in favor of
Deutsche Bank Trust Company Americas
The undersigned (the "Undersigned") hereby certifies that:
1. (a) the Undersigned is the duly appointed manager, member or officer duly
authorized to (i) certify as to the Limited
Liability Company or consents ("LLC Resolutions") of the member(s) (the
"Member(s)") and (ii) to keep the records
Qf Southern Financial LLC
a Limited Liability Company duly formed, in good standing, and existing
under the laws of Virgin Islands
, . (the "Company"),
; and
(b) the following Is a true copy of the LLC Resolutions of the Mentber(s).
EFTA01433204
duly adopted in accordance with applicable law
and governing formation documents with respect to the account type(s)
indicated below ("Account(s)"):
S!) Deposit Account(s)
C? Investment Advisory Account(s)
(please select all that apply):
i.] discretionary L, non-discretionary
RESOLVED, that it is desirable and in the best interests of the Company, and
the Company is authorized, to designate
Deutsche Bank Trust Company Americas (the "Bank") as depositary, custodian
or investment advisor, as applicable, for
such properly as designated by the Company from time to lime, and to open
and maintain Accouni(s) with the Bank.
Custody Account(s)
RESOLVED, that the Company 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 managers, members, officers, employees and/oi agents of
the Company (the "Authorized Signer(s)")
whose names, titles and signatures appear below, as amended from time to
time by the Company, are hereby authorized and
directed, for and on behalf of the Company, to open, maintain, manage or
close Accouni(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 Company, 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 Accouni(s).
including, but not limited to. endorsements and
deposits of negotiable instruments, checks or 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), ail 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
Authoi ized Signer(s) have been properly taken or given pursuant to
authority vested in such Authorized Signer(s) and
the Company 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 LLC Resolutions of any document,
EFTA01433205
arrangement or action to be taken in
accordance with the Accounl(s) or the Agreements shall in no manner 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 Company Resolutions.
RESOLVED, that all actions taken and expenses incurred heretofore by 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 LLC 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 Ageni(s) annexed hereto as "Exhibit A."
WM16795S D8TCA 019583.062416
1
AUTHORIZED SIGNER(S):
If any Authorized Signer named below is an entity and not a natural person.
pleasQ/6ftach an Authoi
Jeffrey Epstein Signatory) A
Prim Name Title si{H3aiure
Authorized (select one); K Individually Q Jointly with
Signatory list.
K Other
K Check only If the above Authorized Signer is authorized to grant powers
enumerated in these LLC Resolutions to agents.
Darren Indyke
Print Nams
Authorized (select one): !?u Individually K Jointly with
Signatory
Title
0 Other
K Check only if the above Authorized Signer is authorized to grant powers
enumerated in these LLC Resolutions to agents.
Harry Beller
Signatory
Signature
Title
Print Name
Authorized (select one): BAl Individually l! Jointly with
K Other
K Check only if the above Authorized Signer is authorized to grant powers
enumerated in these LLC Resolutions to agents.
Signature
Jeanne Brennan
Signatory
Title
EFTA01433206
Prim Name
Authorized (select one): Individually K Jointly with
K Other
K Check only if the above Authorized Signer is authorized to grant powers
enumerated in these LLC Resolutions to agents.
2. The above LLC 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 Company has any interest in Account(s) opened and
maintained in the name of the Company.
5. The titles and names of the Authorized Signer(s) appearing above, whose
signatures appear above or on any attached
signatory list-aFe^rue. correct and genuine.
The auth^ities previously granted to apy*Authorized Signer not named herein
are hereby revoked.
1" shown below, Imave subscribed my signature.
In witness whereof,
1
a
Signature
Prim Name and Title 1' '
„ 0 (_"7
Date of this Certificate of LLc Rcsolin
ions (Fill in date—this document is not valid it date is lolt blank)
I
1 **lf the manager, member or other authorized officer is one of the
Authorized Signers named above, this Certificate of LLC ;
■ Resolutions must be confirmed below by another manager, member or officer
of the Company who is not designated an
Authorized Signer above unless the Authorized Signers are Che only members
of the Company.
WM167956 OBTCA 019583.062416
2
Deutsche Bank
Wealth Manacjemenl
Signature Card
Deutsche Bank Trust Company Americas
Southern Financial LLC
Account Holder Title
Individual
Account Number
:/'■ Limited Liability
Corporation
i Other:
ITF/POD/ATF*
EFTA01433207
Number of Signatures
Required: 1
irporalB
./Ooinl, with Rigl
( of Survivorship
Jdirrtrtenints , Pannerehip
in Comrnon
Jeffrey Epstein
Print Name
Darren Indyke
Print Name
Harry Beller
Print Name
Jeanne Brennan
Print Name
Signature
Signature
(2)
Signature
ignaturc
Approved
Power of Attorney
Date
Specimen Signature
• For ITF/POD/ATF See Supplemental Terms and Condiliuns
Dale of Power of Attorney
WM1672S0 006678.010816
Deutsche Bank
Wealth Management
Business Deposit Account Opening Application
JS.o.u.tb.ejcn_Tr.u.s.t_Comp.aciy,.lnc.... .......
Account Title
11/18/2011
Oalu of Inujcpuraiiun
.Southern _Ttu.s.t_Comp.aoy,lnc._
Entiiy/Company Name
66:0.779861 .
Taxpayer ID Number (TIN)
.610.0LRecLtlo.Ok_Quacter-B3,,.
St Thomas USyi
. Q08 02
Mailing Address
City
Stale
Tip
Business Telephone Number
Business Fax Number
EFTA01433208
Other Number
Legal Address (if different from mailing address)
City
State
2p
Client Relationship
L<i?i Corporation
Limited Liability Company (LLC)
Attorney Escrow Account
Landlord Master Escrow
Foundation
..1 Partnership
K Non-Profit Organization
... Limited Liability Partnership (LLP)
Trust
Estates
Private Wealth Premium"
Deutsche Bank AG NY Branch Accounts
DBTCA Accounts
K Checking Account
K Checking with Interest
K Money Market Deposit
D DBTCA Certificate of Deposit
/ Deutsche Bank AG NY Preferred Banking Account
Deutsche Bank AG NY Preferred Certificate of Deposit
APY
Term
Promo term
(DBTCA deposit account required, along with n DB AG Preferred Terms
<mcl Conditions)
Term
Z Cash Master Sweep Account
APY
Trigger Amount
Target Amount
Banking Services
K Deluxe Checkbook
Debit Cards—Business Debit Card
'D Name Only 1 Name and Address
Duplicate Statement
Color
Style
Code
Name
Internet Banking Services
Address
DB Private Wealth Online Plus
K Link to existing online relationship;
Slate
Zip Code
City
EFTA01433209
WM167245 015624.09081G
Page 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 you 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 necessar\' 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. Foi
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
EFTA01433210
Iniernei 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 infoimation (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 lax
obligations that may arise for him/hei/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
immedialely 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
ihis Application is accurate.
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.
AuihotUed Signer
Auiho'kcd Signer
Darren Indyke
Print Name
Prim Nfiim
5M ae(>
fe)
Date
Date
For Bank Use Only
Reviewed by:
Signature
Name
Title
Date
Accepted by DBTCA:
Signature
Name
Title
EFTA01433211
Date
Account numbers:
NOW
DDA
CO/DBAG
MMDA
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"jartment 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
cu
0
0)
3 Check appropriate box for federal tax classification; check only one of
the following seven boxes:
D Indivldual/sole proprietor or He Corporation D S Corporation 0 Partnership
single-member LLC
n Limited liability company. Enter the tax classification (C=C corporation.
S=S corporation. Paparinership)
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.
PI Other (see Instructions)
4 Exemptions (codes apply only to
certain entities, nol Individuals; see
instructions on page 3):
Exempt payee code (if any)
Exemption from FATCA reporting
code pf any)
(AfipSet toaetpunis malnS"od euUlda th» U.S.)
g
n Trust/estate
si
-P
^ .2
5 Address (number, street, and apt. or suite no.)
6100 Red Hook Quarter B3
Requester's name and address (optional)
EFTA01433212
=5
V)
6 City, state, and ZIP code
St Thomas USVI ,00802
V
<u
CQ
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
guidelines on whose number to enter.
6 6
0 7 7 9 8 6 1
Part II
Certification
Under penalties of perjury, i certify that:
1. The number shown on this form is my correct taxpayer identification
number (or 1 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
noti^.by the IRS that you are currently subject to backup withholding
d dividends on your tax relyBirPSrTeal estate transactions, item 2 does not
apply. For mortgage
ggmflon-ot4ebt, contributions to an individual retirement arrangement (IRA),
and
required to sl^n the certification, but you must provide your correct TIN.
See the
because you have failed to report ajU
EFTA01433213
interest paid, acquisition or abandonment of se§ti(ed property, ca
generally, payments othertharYinterest and dividers, you^»a^
instructions on page 3.
Sign
Here
.<g> oJi^bon
signature of
U.S. person
Date
• Form 1098 (home mortgage interest), 1098-E (student loan Intarest), 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.
fryou 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
withholding 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.
General Instructions
Section references are to the Internal Revenue Code unless otherwise noted.
Future developments. Infomiation about developments affecting Form W-9 (such
as legislation enacted after we release it) is at www.irs.goir/tw9.
Purpose of Form
An Individual or entity (Form W-9 requested 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)
EFTA01433214
• Form 1099-DIN (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 W-9 (Rev. 12-2014)
Cat. No. 10231X
Deutsche Bank
Wealth Management
For Bank Use Only
Account Numbei 1(s):
Certificate of Corporate Resolutions in "avor of
Deutsche Bank Trust Company Amei icas
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.
a corporation duly organized, in good standing, and existing under the laws
of Virgin Islands
, (the "Corporation")
; 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 lo the account type(s)
indicated below ("Account(s)"};
Deposit Account(s)
Li Investment Advisory Account(s)
(please select all that apply);
r.; discretionaiY ' non-discretionary
"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 lime, and to open and
maintain Account(s) with the Bank.
Custody Account(s)
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 Signers)") whose
names, titles and signatures appear below, as amended from lime to time by
the Corporation, are hereby authorized
and directed, for and on behalf of the Corporation, to open, maintain,
EFTA01433215
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 Signei(s) in connection with Account(s),
including, but not limited to, endorsements and deposits of negotiable
instruments, checks or other orders for the
payment of money, and instructions lo 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 Accountls), 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
derogate from the authority of the Authorized
Signer(s) to take all actions necessary, desirable, advisable or appropiiate
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 Signers) 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
Agenl(s) annexed hereto as Exhibit A."
WM167954 OBTCA 019582.062016
1
AUTHORIZED SIGNER(S):
If any Authorized Signer named below is an
Jeffrey Epstein_
Prim Name
Authorized (select one); Individually — ; Jointly with _ .
EFTA01433216
Other
K Check only if the above Authorized Signer is autho""d rwe"enurrated in
these Corporate' lesojy"ns to agents.
Darren Indyte
Signatori '
Prim Name Title Sicinaiuro ' "
Authorized (select one); Individually i. Jointly with
entity arl"oia""na"al person, please
Signatory ^
iiiach an Authi
X.
Title
Si"naiu
L_i Other
D Check only if the above Authorized Signer is authorized to grant powers
enumerated in these Corporate Resolutions to agents.
Signatory
Tiile
Authorized (select one); K] Individually 0 Jointly with
Signaiiito
Harry Seller
Print Name
K Other
K Check only if the above Authorized Signer is authorized to grant powers
enumerated in these Corporate Resolutions to agents.
Signatory
Tiilo
Authorized (select one); Individually ' - Jointly with
Jeanne Brennan
Signature
Prim Name
K Other
K Check only if the above Authorized Signer is authorized lo 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 lime
to act on such notice.
4. No one other than the Corporation has any interest in AccounUs) 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 authorities previously granted to any Authoi ized Signer not named
herein are hereby revoked.
In witness whereof, on the dale shown below, I have subscribed my signature
and affixed the Corporate Seal (if required)
EFTA01433217
seal of the Corporation (if re^fu^^ed);,..-^—
If no seal is provided, the
Corporation is representing
that no seal is required.
Signature
I
Prim Name a^d Tide
& ? \ n U-7
Date of this CCTlificalG of Corpomlo Rosolulions (Fill in date—this docnmcni
is not valid it date is left blank)
1
IS one of the Authoiized Signers named
ions must be confirmed below by another officei
oTs not designated an Authorized Signer above unless the
**lphe Secretary eher authorized officer or_ili
/^bove. this Certified of Corpora
or director of the Cor
Authorized SignerrSri the only officers or di/ectors of the Corporation.
I
onfirmaiion Si^Slure
10 -fg&s
Prim Name and Title
WM16795'1 DBTCA 019582.062016
z
Deutsche Bank
Wealth Management
Signature Card
Deutsche Bank Trust Company Americas
Southern Trust Company, Inc.
Account Holder Title
Individual
Account Number
ITF/POD/ATF*
' Limited Liability
Corporation
Other;
Number of Signatures
Required: 1.
lorale
JoipL with Rights
ofpurvtvorship
JgjdtrTenanls
in Common
Partnership
Jeffrey Epstein
EFTA01433218
Prim Name
Darren Indyke
Prim Name
Harry Seller
Prim Name
Jeanne Brennan
Prim Name
ignatur
olAJLMa
Sigrtalure
Signature
ignature
Approved
Power of Attorney
Date
Specimen Signature
* For ITF/POD/ATF See Supplemental Terms and Conditions
Date of Power of Attorney
WM167290 006678-010816
EFTA01433219
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