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sd-10-EFTA01375866Dept. of JusticeOther

EFTA Document EFTA01375866

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Dept. of Justice
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sd-10-EFTA01375866
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Summary

KYC Print Page 19 of 34 One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summa 3A. Individual Details (for all parties) Individual's Name: Jeffrey E. Epstein Date of Birth: Country of Residence: USVI Country of Citizenship: USA Address of primary residence: Litre Saint James Saint Thomas 00802 Has client resided outside of his/her O country of nationality for 5 years or more? yes iA No Profession/Occupation: Self Empolyed Tax ID / SSN:

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Extracted Text (OCR)

EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
KYC Print Page 19 of 34 One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summa 3A. Individual Details (for all parties) Individual's Name: Jeffrey E. Epstein Date of Birth: Country of Residence: USVI Country of Citizenship: USA Address of primary residence: Litre Saint James Saint Thomas 00802 Has client resided outside of his/her O country of nationality for 5 years or more? yes iA No Profession/Occupation: Self Empolyed Tax ID / SSN: I Current Employer: Southern Financial LLC Posibon/lide/Rank: President Address of employer: Does the person work as senior executive of a DB-recognized regulated entity in the financial industry? (Not applicable for operating entities) 7--i L_I ,1 1 Yes No Is the individual a Politically Exposed Person (PEP)?(it Yes, describe) close relationship with Bill Clinton and Prince Andrew. R yes ,....! No To the best of your knowledge, is the individual related to an employee of the DB group7(if Family or friendship, describe) 0 Family 0 Friendship frrA 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 Yesclescnbe) 0 Yes WI 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 Domicile: Client Place of Business: Other Location (specify): Date: stew oidielf Li Li O 6/28/2017 0 0 '1 El 0 0 Wealth Details for this individual are not filled in, because they are the same as for the following person: 3D. Wealth Details (Only for parties requiring 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: (111 Business Owner 0 Salary/Eamings 0 Investment 11 Other: II Inheritance/Gifts Further Describe Source of Wealth /Detail the history of wealth for each of the sources: (e.g. For trusts, how did senior 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 asse ts(g): Estimated Net Worth(;): Amount of assets planned to invest with PWM(1.): https://dbforcepb.my.salesforce.com/servlet/senflet.Integration?lid=01N30000000D9Di... 8/2/2018 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0071507 CONFIDENTIAL SDNY_GM_00217691 EFTA01375866

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