Text extracted via OCR from the original document. May contain errors from the scanning process.
7/15:2019
KYC Print
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Sum
3A. Individual Details (for all parties)
Individual's Name:
Enka Kellerhals • 00000499664
Date of Birth:
10/13/1974
Country of Residence:
USA
Country of Citizenship:
USA
Address of primary residence:
9100 Port of Sale Mall, Ste 15 St Thomas 00802
Has client resided outside of his/her country of nationality
for S years or more?
[.JYes 1e1 No
Profession/Occupation:
Attorney
Tax ID / SSN:
07472-9603
Current Employer:
Kellerhals Ferguson Kroblin Pt.LC
Positionflitle/Rank:
Address of employer:
9100 Port of Sale Mall, Ste 15 St. Thomas 00802
Does the person work as senior executive of a DB-recognized regulated entity in the financial
Industry? or an entity listed on a DB-recognised exchange? (NM applicable for operating entities
n
"'-' Yes r-. 1'70
Is the individual a Politically Exposed Person (PEP)?(// ft desatbe)
ij
Yes
No
To the best of your knowledge, is the individual related to an employee of the DB group?(f
Forney or FriendsNp, descnbe) i : Family
Friendship
.4.) 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)?(/f Yes,descrte)
1.
II
Yes
No
If applicable, indicate which bank officers have met the person: Indicate where and when the client meetings) took place:
Bank Officer Name(s)
Bank Office:
diets Private
Domicile:
Client Place o1
Business:
Other Location (specify):
Date:
l
I...1
1.11
_
1.3
1- Wealth Details for this individual are not filled in, because they are the same as for the following person:
38. Wealth Details (Only for parties requinng source of wealth description as indicated in Section 2)
Nature of the Individual's Business:
Primary Country of source of wealth/source of Funds?
Primary industry of source of Wealth/Source of Funds?
Summarize Source of Wealth:
i
Business Owner
Salary/Eamings
Investment
Inheritance/Gifts = I Other:
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 errployees, level of profitability? Indicate type of business, countries of major
activities, important business partners.)
Estimated Annual Income(S):
Estimated amount of investable assets($):
Estimated Net Worth($):
Amount of assets planned to invest with PWM($):
Other Known Financial Institutions:
Institution:
Country:
Est Assets Under Mgt:
Institution:
Country:
Est. Assets Under Mgt:
Institution:
Country:
Est Assets Under Mgt:
htlps:riclblorcepb.my.salesforce.comiserviet/servlet. Integration?lidN30000000D9Di&eidP032000015VRiO&PlinkToken=VmpFPSxNakF4T1...
8115
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
CONFIDENTIAL
DB-SDNY-0066779
SDNY_GM_00212963
EFTA01372877