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sd-10-EFTA01357584Dept. of JusticeOther

EFTA Document EFTA01357584

Deutsche Bank Private Wealth Management Corporate Account Information Form This form is for informational purposes only. Corporate Details Account Number: Client Advisor: Account Title: MAILING ADDRESS LEGAL ADDRESS (if different) ATTN: ATTN: Address: Address: City: Stale: Zip/Postal Code: City: State: bpiPostal Code: Provinco/County/Subdivision: Country: Province/County/Subdivision: Country: Please provide only if P.O. Box is provided above: Business Phone Nu

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Dept. of Justice
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sd-10-EFTA01357584
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Deutsche Bank Private Wealth Management Corporate Account Information Form This form is for informational purposes only. Corporate Details Account Number: Client Advisor: Account Title: MAILING ADDRESS LEGAL ADDRESS (if different) ATTN: ATTN: Address: Address: City: Stale: Zip/Postal Code: City: State: bpiPostal Code: Provinco/County/Subdivision: Country: Province/County/Subdivision: Country: Please provide only if P.O. Box is provided above: Business Phone Nu

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Deutsche Bank Private Wealth Management Corporate Account Information Form This form is for informational purposes only. Corporate Details Account Number: Client Advisor: Account Title: MAILING ADDRESS LEGAL ADDRESS (if different) ATTN: ATTN: Address: Address: City: Stale: Zip/Postal Code: City: State: bpiPostal Code: Provinco/County/Subdivision: Country: Province/County/Subdivision: Country: Please provide only if P.O. Box is provided above: Business Phone Number: Email Address: Fax Number. Entity Information Type of Entity (check one): K Corporate O Holding Company O Corporate Pension/Profit Sharing Plan O Financial Organization O LLC O Delaware LLC O Private Equity Fund O Hedge Fund O Government Entity/Agency O Sole Proprietor O Investment Advisor O Venture Capital Fund O Other: Does client waive Deutsche Bank's suitability obligation under Financial Industry Regulatory Authority (FINRA) 2111? O Yes O No Liquidity Needs: O Low (Somewhat Important) O Medium (Important) O High (Very Important) Time Horizon (approximate year account owner expects to achieve the financial goals for this account): OR O 10 years or longer Year Total Investments Please note the investment types in which Client currently invests or owns (whether with DEISI and/or with other financial institutions) by indicating the estimated value of those investments. Equities: ETFs: Options: Real Estate Property Fixed Income: (excluding Primary Residence): Mutual Funds: Variable Annuities: Alternative Investments (Hedge Funds and Private Equity): Structured Products. Foreign Currency - Business ID: Tax Identification Number: Number of Authorized Parties: Is the company publicly traded? 0 Yes 0 No Country of Incorporation: State/Province of Incorporation: Date the entity was formed or incorporated: Nature of Business: Principal Place of Business: 12.PWM-0355 011224.062212 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0044211 CONFIDENTIAL SDNY_GM_00190395 EFTA01357584

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