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sd-10-EFTA01375868Dept. of JusticeOtherEFTA Document EFTA01375868
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Dept. of Justice
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sd-10-EFTA01375868
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Summary
KYC Print Page 21 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: lean Anne Brennan Wiebracht - 00000487647 Date of Birth: Country of Residence: USVI Country of Citizenship: USA Address of primary residence: #6-L10 Est. Nazareth St. Thomas 00802 Has client resided outside of his/her O country of nationality for 5 years or more? Yes iA No Profession/Occupation: Finan
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KYC Print
Page 21 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:
lean Anne Brennan Wiebracht - 00000487647
Date of Birth:
Country of Residence:
USVI
Country of Citizenship:
USA
Address of primary
residence:
#6-L10 Est. Nazareth St. Thomas 00802
Has client resided
outside of his/her
O
country of nationality for
5 years or more?
Yes iA No
Profession/Occupation:
Finance
Tax ID / SSN:
Current Employer:
Southern Financial, LLC
Position/lide/Ftank:
Address of employer:
6100 Red Hook Quarter, B3 St. Thomas United States 00802
Does the person work as senior executive of a D8-recognized regulated entity
in the financial industry? (Not applicable for operating entities)
D yin g No
Is the individual a Politically Exposed Person (PEP)?(if Yes, describe)
O Yes
No
To the best of your knowledge, is the individual related to an employee of the
DB group7(if Family or FilendshiA describe )
O Family
O Friendship
gll 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 Ye4descnbe)
O 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:
ti
O
O
O
O
'1
O
O
O 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:
O Business Owner O SaLary/Eamings O 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-0071509
CONFIDENTIAL
SDNY_GM_00217693
EFTA01375868
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