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sd-10-EFTA01372891Dept. of JusticeOther

EFTA Document EFTA01372891

7/15:2019 KYC Print One sheet must be established for EACH INDIVIDUAL PARTY In Section 2. Account Ownership Summary 3A. Individual Details (for all parties) Individual's Name: Karyna Shuliak - 00000489504 Date of Birth: 5/31;1989 Country of Residence: USA Country of Citizenship: Slovakia Address of primary residence: 301 E 66th St, Apt.8H New York NY 10065 United States Has client resided outside of his/her country of nationality for 5 years or more> L..., Yes it No Profession/

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Dept. of Justice
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sd-10-EFTA01372891
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7/15:2019 KYC Print One sheet must be established for EACH INDIVIDUAL PARTY In Section 2. Account Ownership Summary 3A. Individual Details (for all parties) Individual's Name: Karyna Shuliak - 00000489504 Date of Birth: 5/31;1989 Country of Residence: USA Country of Citizenship: Slovakia Address of primary residence: 301 E 66th St, Apt.8H New York NY 10065 United States Has client resided outside of his/her country of nationality for 5 years or more> L..., Yes it No Profession/

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EFTA Disclosure
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 Summary 3A. Individual Details (for all parties) Individual's Name: Karyna Shuliak - 00000489504 Date of Birth: 5/31;1989 Country of Residence: USA Country of Citizenship: Slovakia Address of primary residence: 301 E 66th St, Apt.8H New York NY 10065 United States Has client resided outside of his/her country of nationality for 5 years or more> L..., Yes it No Profession/Occupation: )SC Interiors LLC Tax ID / SSN: 10548-9619 Current Employer: )SC Interiors LLC Position/rale/Rank: Interior Decorator Address of employer: 575 Lexington Ave 19th Fl New York NY United States 10022 Does the person work as senior executive of a 06-recognized regulated entity In the financial ndusby> or an entity fisted on a DB-recognised exchange> (Not applicable for operating entities ''' Yes if No Is the incividual a Politically Exposed Person (PEP)?(// Yet; describe) Yes I No To the best of your knowledge, Is the individual related to an employee of the DB group7(1 Family a - Friendship, desofbe) ; Family ID Friendship RI None To the best of your knowledge, is the individual party to a non-banking relationship wei Deutsche Bank (e.g., external legal counsel, client referral source, supplier of goods or senrices)70/ Yesdesolbe) u Yes is6 No 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 pomkile: Client Place of Business: Other Location (specify): Date: (3 0 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 requiring source of wealth description as indicated h Secton 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: . Business Owner Salary/F-amings . Investment • Inheritance/Gifts 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 employees, level of profitability> Indicate type of business, countries of major activities, important business partners.) Estimated Annual Income(S): Estimated amount of investable assets(f): Estimated Net Worth(9): Other Known F. anal Institutions: Amount of asses planned to invest wth PWM(5): Institution: Country: Est. Assets Under Mgt: Institution: Country: Est. Assets Under Mgt: Institution: Country: Est. Assets Under Mgt: httpe:ildblorcepb.my.salesforce.corniserviet'serviet Integ ration"?' id =01 N30000000D9Di&eid=5003200001 EHPpb&o=1 &linkToken=VMpFPSx Na kF4T1 8.43 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0066794 SDNY GM_00212978 EFTA01372891

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