EFTA Document EFTA01372816

7 5 2019 I\YC Punt One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar 3A. Individual Details (for all parties) Individual's Name: Date of Birth: Country of Residence: United States Country of Citizenship: United States Address of primary residence: Has client resided outside of his/her country of nationality for 5 years or more? Yes I No Profession/Occupation: N/A Tax ID / SSN: Current Employer: N/A Posibon/Tdeffiank: N/A Address of employer: N/A Does the person work as senior executive of a 0B-recognized regulated entity in the financial ndustry? or an entity listed on a DB-recognised exchange? (Not applicable for operating entities ' Yes 1 N° Is the indMclual a Politically Exposed Person (PEP)?(ff Yes, descrte) N/A Yes I. No To the best of your knowledge, is the individual related to an employee of the DB group?(b Familyor Afendshlp, describe) N/A . Family Friendship A None 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 Ya,desaibe) N/A Y ' . es If applicable, indicate which bank officers have met the person: Indicate where and when the client meeting(s) took place: Bank Officer Name(s) Bank Office: Client Private Domicile: Client Placed Business: Other Location (specify): Date: 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 ki Seddon 2) Nature of the Indrvidualts Business: Primary Country of source of wealth/source af Funds? Primary industry d source of Wealth/Source of Funds? Business Summarize Source of Wealth: Owner Salary/Earnings —... Investment 1...i Inheritance/Gfts Other: Further Describe did family accumulate activities, important Estimated Annual Source of Wealth /Detail the history of wealth for each of the sources: (e.g. Fa trusts, how did senior accumulate wealth? For inhentance, how wealth'For business owners, hew long in business, how many employees, level of profitability? Indicate type of business, countries of major business partners.) Income($): Estimated amount of investable assets(;): Estimated Net Worth(f): Amount of assets planned to invest with PWM(S): Other Known Financial Institutions: Institution: Country: Est. Assets Under Mgt: Institution: Country: Est. Assets Under Mgt: Institution: Country: Est. Assets Under Mgt: https://dbforcepb.my.salesforce.comiserviet/servletIntegration?lid=01N3000000009Dkawd=5000e00001NOBxm&ie= I aiinkToken=vmpf PSxNakF4. 24142 CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0066702 SDNY GM_00212886 EFTA01372816