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KYC Print
Page 1 of 13
KYC Case # :
One sheet must be established per relationship - list all accounts included
in the relationship
1. Relationship Details
Relationship Name:
Relationship Manager:
SOUTHERN FINANCIAL RELATIONSHIP:00000483290 Booking Center:
Paul Morris
MHO I New PWM Relationship
Relationship to PWM:
If existing, please indicate since when the relationship exists, provide
reason for new profile and attach old
profile:
H
Client Referral
How Was the Client(s)
Introduced? How long has
the RM personally known
the client?
Does Deutsche Bank pay a
retrocession or similar
compensation to a third
party for the introduction
of this relationship?
I
I
I
I
RM Prospect
Intermediary/FIM
Other Source (CIB, etc.)
Please provide details (e.g. name of referral source, how many years RM
personally has known client,
etc.) Jeffrey Epstein (President of Gratitude America) is a current client
of the bank
II I Yes
(If Yes, describe):
List all existing and new accounts involved in this relationship
Legal Entity
Account(s)
1 MI II I
2 MO
Account Name / Number
Gratitude America, Ltd
Gratitude America, Ltd
Who is the primary contact
EFTA01434940
person for the RM? (Note:
This person needs to have
signatory rights and/or
information right for the
accounts.):
Opening Date (intended/actual)
2/18/2015
2/18/2015
Darren Indyke
Preferred method of
contact(indicate phone
no
fax no., e-mail
address, etc.):
II II I I No
II II I I Existing PWM Relationship
New York
Status : 6. Approved
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Page 2 of 13
One sheet must be established for each account to be opened
2. Account Ownership Summary
Account Name:
Account Manager:
Gratitude America, Ltd
Paul Morris
What is the purpose of the account (e.g. portfolio management, advisory
account, custody services, long-term investment, payment/expense
account)? Money market account to hold funds and earn interest
Indicate from where the assets are expected to arrive?
DB Group: Same Booking Center (indicate account number): DB
DB Group: Other Booking Center (indicate DB location and account details):
Other Institution — (Indicate name & location):
Physical Deposits (specify cash, securities, cheques, ...):
III
V
What is the expected size and frequency of regular inflows and outflows for
the account (indicate estimated number and volume per
month)?: Roughly 1-3 inflows and outflows per month ranging from $10,000 to
$100,000
What is the expected volume of assets and currency for
the account approx. 90 days after opening?
What is the expected volume of assets and currency for
the account approx. one year after opening?
100000
100000
Currency
Currency
Please list all parties related to the account.
For each party:
Check if a source of wealth description is required for the party.
Check the appropriate box to describe the relationship of the party to
this account (> 1 can be selected).
I If none of the check boxes apply, describe the party's relation to the
account in the "Other" column.
Always describe the relationship between the parties in the last column.
Please drill down to the ultimate/underlying Beneficial Owner(s).
Legal
Entity
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Description
of Source
of Wealth
required
Parties related to
this account
, II I Ur -I
2 1 1 1 , 1
3i 1 1
Darren Indyke II I
Jeffrey Epstein
Gratitude America
1I II 1111111 11 II
Account
Holder
PIC
Owner
Settlor of
Trust /
Founder of
Foundation
Ultimate
Beneficial
Owner
Signatory
or Full
P0A
Limited
P0A
Financial
Intermediary
(FIM)
Significant
Shareholder
(>=25%)
Non-PIC
entity
(indicate
ownership
%)
USD
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USD
Acct. Number (if available):
Other (please
describe other roles
and/or indicate
relationship between
parties)
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KYC Print
Page 3 of 13
2. Account Ownership Summary
Account Name:
Account Manager:
Gratitude America, Ltd
Paul Morris
What is the purpose of the account (e.g. portfolio management, advisory
account, custody services, long-term investment, payment/expense
account)? Checking account to deal with the day-to-day running of the
foundation
Indicate from where the assets are expected to arrive?
DB Group: Same Booking Center (indicate account number): DB
DB Group: Other Booking Center (indicate DB location and account details):
Other Institution — (Indicate name & location):
Physical Deposits (specify cash, securities, cheques, ...):
III
V
What is the expected size and frequency of regular inflows and outflows for
the account (indicate estimated number and volume per
month)?: Roughly 10-20 inflows and outflows per month ranging from $10,000
to $100,000
What is the expected volume of assets and currency for
the account approx. 90 days after opening?
What is the expected volume of assets and currency for
the account approx. one year after opening?
100000
100000
Currency
Currency
Please list all parties related to the account.
For each party:
Check if a source of wealth description is required for the party.
Check the appropriate box to describe the relationship of the party to
this account (> 1 can be selected).
I If none of the check boxes apply, describe the party's relation to the
account in the "Other" column.
Always describe the relationship between the parties in the last column.
Please drill down to the ultimate/underlying Beneficial Owner(s).
Legal
Entity
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Description
of Source
of Wealth
required
Parties related to
this account
, II I Ur -I
2 1 1 1 , 1
3i 1 1
Darren Indyke II I
Jeffrey Epstein
Gratitude America
1I II 1111111 11 II
Account
Holder
PIC
Owner
Settlor of
Trust /
Founder of
Foundation
Ultimate
Beneficial
Owner
Signatory
or Full
P0A
Limited
P0A
Financial
Intermediary
(FIM)
Significant
Shareholder
(>=25%)
Non-PIC
entity
(indicate
ownership
%)
USD
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USD
Acct. Number (if available):
Other (please
describe other roles
and/or indicate
relationship between
parties)
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Page 4 of 13
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2.
Account Ownership Summary
3A. Individual Details (for all parties)
Individual's Name:
Country of Residence:
Address of primary
residence:
Profession/Occupation:
Current Employer:
Address of employer:
Jeffrey Epstein -
USVI
Litte Saint James Saint Thomas 00802 US Virgin Islands
Self Empolyed
Southern Financial LLC
6100 Red Hook Quarter B3 St. Thomas USVI 00802
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe)
To the best of your knowledge, is the individual related to an employee of
the DB
group?(if Family or Friendship, describe )
To the best of your knowledge, is the individual party to a non-banking
relationship
with Deutsche Bank (e.g., external legal counsel, client referral source,
supplier of
goods or services)?(if Yes,describe )
If applicable, indicate which bank officers have met the
person:
Bank Officer Name(s)
Paul Morris
IIYes
Family
Yes
HI II No
albI Friendship
II I I[ No
Indicate where and when the client meeting(s) took place:
KOffice:
IaIU I
IaIU I
Client Private
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icile:
Client Place
uT f
iness:
Wealth Details for this individual are not filled in, because they
are the same as for the following person:
3B. Wealth Details (Only for parties requiring source of wealth description
as indicated in Section 2)
Nature of the Individual's Business:
Summarize Source of Wealth:
investments
Other Location (specify):
Date:
2/4/2015
HIE! None
Tax ID / SSN:
Position/Title/Rank:
President
Date of Birth:
Countr of Citizenship:
USA
Business Owner Salary/Earnings Investment Inheritance/Gifts
I
Further Describe Source of Wealth /Detail the history of wealth for each of
the sources: (e.g. For trusts, how did settlor accumulate wealth?
For inheritance, how did family accumulate wealth?For business owners, how
long in business, how many employees, level of profitability?
Indicate type of business, countries of major activities, important business
partners.) Epstein began his financial career in 1976 as an
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options trader at Bear Stearns and became a partneri n 1980. In 1982,
Epstein founded his own financial management firm, J. Epstein & Co.,
managing the assets of clients with more than a billion in net worth. In
1996, Epstein changed the name of his firm to The Financial Trust
Company and based it on the island of St. Thomas in the US Virgin Islands.
All of his clients were anonymous except for the very wealthy
businessman Leslie Wexner. His wealth has come from his days at Bear Stearns
and his financial management firms
Estimated Annual Income
(5):
10,000,000.00
Estimated Net Worth($): $100 MM - 500 MM
Other Known Financial Institutions:
Estimated amount of investable assets($):
Amount of assets planned to invest with PWM($):
$50 MM - 100 MM
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Institution: DB
Country:
Institution:
Institution:
Country:
Country:
USA
Est. Assets Under Mgt:
Est. Assets Under Mgt:
Est. Assets Under Mgt:
Please indicate the family situation of the individual (marital status,
other family members, etc.):
330,000,000.00
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KYC Print
Page 6 of 13
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2.
Account Ownership Summary
3A. Individual Details (for all parties)
Individual's Name:
Country of Residence:
Address of primary
residence:
Profession/Occupation:
Current Employer:
Address of emplo er:
Darren Indyke -
USA
Lawyer
Southern Financial LLC
575 Lexington Avenue, 4th Fl Livingston NY USA 10022
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe)
To the best of your knowledge, is the individual related to an employee of
the DB
group?(if Family or Friendship, describe )
To the best of your knowledge, is the individual party to a non-banking
relationship
with Deutsche Bank (e.g., external legal counsel, client referral source,
supplier of
goods or services)?(if Yes,describe )
If applicable, indicate which bank officers have met the
person:
Bank Officer
I III Yes
NI I Family
I II I Yes
II I I I No
II
I Friendship
II I II No
Indicate where and when the client meeting(s) took place:
Bank Office:
II I
II I
II I
Client Private
Domicile:
Name(s)
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Client Place
usiness:
Wealth Details for this individual are not filled in, because they
are the same as for the following person:
3B. Wealth Details (Only for parties requiring source of wealth description
as indicated in Section 2)
Nature of the Individual's Business:
Summarize Source of Wealth:
Other Location (specify):
Date:
HI None
Tax ID / SSN:
Position/Title/Rank:
Date of Birth:
Countr of Citizenship:
Business Owner Salary/Earnings Investment Inheritance/Gifts
Further Describe Source of Wealth /Detail the history of wealth for each of
the sources: (e.g. For trusts, how did settlor accumulate wealth?
For inheritance, how did family accumulate wealth?For business owners, how
long in business, how many employees, level of profitability?
Indicate type of business, countries of major activities, important business
partners.)
Estimated Annual Income
($):
Estimated Net Worth($):
Other Known Financial Institutions:
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Institution:
Estimated amount of investable assets($):
Amount of assets planned to invest with PWM($):
Country:
Est. Assets Under Mgt:
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Page 7 of 13
Institution:
Institution:
Country:
Country:
Est. Assets Under Mgt:
Est. Assets Under Mgt:
Please indicate the family situation of the individual (marital status,
other family members, etc.):
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One sheet must be established for EACH LEGAL ENTITY in Section 2. Account
Summary
3C. Legal Entity Details (For all Legal Entities)
Legal Entity Name:
Type of Entity:
Gratitude America - 00000499760
Foundation/Association
II Estate Partnership
Type of Entity Other
specify):
Country of
Incorporation/registration:
Address (city, street, post
code):
USVI
Purpose of Entity:
I M iii I Company
Purpose of Entity
Other (specify):
Date of
incorporation /
registration:
6100 Red Hook Quarter, B3 St. Thomas 00802 USVI
U.S. TIN/EIN:
4/25/2012
Private Investment
Philanthropic/Charitable
Commercial
66-0789697
Provide a description of the entity's organizational structure, its
ownership structure and its Top Management. For trusts/foundations, include
information about revocability,settlor and beneficiaries,etc.:
501(c)3 foundation. Jeffrey Epstein is president, Darren Indyke is treasurer
and Erika Kellerhals is Secretary
Please indicate how ownership of the legal entity is reflected: 501(c)3
foundation. Jeffrey Epstein is president, Darren Indyke is treasurer
and Erika Kellerhals is Secretary
MHO I Special attention: Bearer Shares - Indicate where shares are
custodied:
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Describe the chain from the direct owner of the entity to the ultimate
beneficial owner (if not the same persons): 501(c)3 foundation.
Jeffrey Epstein is president, Darren Indyke is treasurer and Erika
Kellerhals is Secretary
To the best of your knowledge, is the entity party to a non-banking
relationship with
Deutsche Bank (e.g. external legal counsel, client referral source, supplier
of goods
or services)?
Yes MI III I No DIME
Describe Nature of Entity's Primary Business and Investment Activities
Nature of the business:
Countries where business is transacted:
Number of employees:
USA, USVI
3
3D. Wealth Profile (Only for parties requiring source of wealth description
as indicated in Section 2)
Provide Evidence of Corporate Assets (e.g. balance sheet or equivalent
summary of assets/liabilities):
The foundation is to be funded by Jeffrey Epstein
Estimated gross receipts p.a.($):
Estimated net profit p.a. ($):
Estimated investable assets ($):
Potential Amount to be invested with PWM ($):
Other Known Financial Institutions:
Institution:
Institution:
Institution:
The foundation has not yet started distributing funds and is still
determining what
endeavors they will support. They hope to support a broad range of efforts
including,
but not limited to, education, science, research, etc.
$2 MM - 5 MM
200,000.00
Country:
Est. Assets Under Mgt:
Country:
Country:
Est. Assets Under Mgt:
Est. Assets Under Mgt:
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DB PWM GLOBAL KYC/NCA: US/LatAm/Int'l PART B
Relationship Name
Booking Center
NY
DB Employee
NY/Offshore
DB Managed PIC
Offshore
Moderate
IHIIIII High Risk Yoonsun Chung
(Compliance Signature)
IIIa DB is Trustee/Co-Trustee
4 Attachments
A Type of Photo ID Provided
B
Checklist of names (individuals and/or entities) that were submitted for
database
searches is attached
C. Please indicate the results of the database searches performed
RDC searches complete
PCR checks complete
OFAC checks complete
BIS searches complete (Lexis/Nexis, Factiva, Reuters, Dow Jones,
D&B)
Denial Orders checks complete
Martindale-Hubbell searched (Lawyers/Law Firms only)
No negative media
No court cases
D
DARREN INDYKE:
Negative media mentions his name as an owner of a building. The negative
media is not about him individually but about the others
mentioned.
No court cases
Previously approved KYC #:01082293 & 01121718
All negative media pertains to court cases which have been previously
approved in the above mentioned KYCs.
Court Cases have been closed
E. To the best of your knowledge, has the client ever been convicted of a
EFTA01434959
criminal offense? II I III II No
Yes
F
To the best of your knowledge, has the customer ever been involved in any
past
litigation against Deutsche Bank AG or any of its subsidiaries or is the
customer
threatening litigation against Deutsche Bank AG or any of its subsidiaries?
(If Yes,
provide details below and contact Quality Mgt. (LatAm/Int'l) or the
Regulatory Control
Group and notify Compliance immediately)
G
Does the client or related party have any financial or other association /
interactions
within countries or regimes sanctioned by the Office of Foreign Assets
Control (OFAC)?
H.
Does the client or related party have any financial or other association/
interactions
within high risk countries?
I. Corporate Documentation Attached (Legal Entities Only)
Drivers License Passport National/State ID Other
(Drivers
No
Yes Nol
Yes Nol
Yes Nol
Yes Nol
Yes Nol
Yes Nolp
negative results found
negative results found
negative results found
negative results found
negative results found
negative results found
Please summarize any negative results from the database searches indicated
above
EH I Yes Nil
Ill
MOH I Yes NINE
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Yes
Yes
Yes
I
I
I
I
I
I
Yes No
Yes No
Yes No
Yes No
Bearer Shares
I
No
I 'll No
I I II No
I II
Yes No Not Applicable
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3. Undisclosed Principal Form Complete (Intermediaries Only)
MOH 1 Yes No Not Applicable
MOROI V
IV ill
K If Lexis/Nexis Search Results, Corporate Documents or Other Supporting
Documentation is not in English, please provide an English
summary of the nature/contents of the non-English Documentation:
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M. Case Comments
No records to display.
Client Facing Professional (CFP): Paul Morris
Office Director/Business Head:
Regional Office Director:
AML Business Risk:
(Signature)
Kimberly Hart
(Signature)
Paul Morris
(Signature)
Kimberly Hart
(Signature)
2/24/2015
2/26/2015
AML Compliance:
G. Hill o/b/o M. Crawford
Yoonsun Chung
(Signature)
G. Hill o/b/o M. Crawford
Yoonsun Chung
Client Facing Professional (CFP):
Account Manager:
Global Market Team Head
(GMTH)/Sub-Market Team Head
(SMTH):
AML Business Risk:
(Signature)
(Signature)
(Signature)
(Signature)
2/27/2015
2/27/2015
AML Compliance:
(Signature)
PRIVATE WEALTH MANAGEMENT POLICY STATEMENT: Deutsche Bank Private Wealth
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Management (PWM) worldwide is committed to professionally serve the
interests of its clients. To do so,
Client Facing Professionalsl(1) (CFP's) should establish and maintain
business relationships only with
persons who satisfy our high standards of suitability, background and
character. Due diligence obtained
on the client must be appropriately documented by the CFP. It is the
responsibility of CFP's to
demonstrate that they know their client both at the inception of a
relationship and on an ongoing basis.
DECLARATION FOR ALL SIGNERS OF THIS FORM: To the best of my knowledge and
belief the
above information is correct and up to date. I confirm that I have no
suspicions relating to the money
laundering or unethical activities on the part of the client(s) and that I
have followed all the procedures
relating to account opening as described in the PWM Americas Procedures and
the PWM Global KYC
Policy
(1) Client Facing Professionals (CFP's) include: Relationship Managers,
Wealth Advisors, Product
Officers, Brokers, Client Managers, etc.
Deutsche Bank Americas New York
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