EFTA Document EFTA01387996

One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar 3A. Individual Details (for all parties) Individual's Name: Richard D. Kahn • Date of Birth Country of Residence' United States Country of afar sh 0 Unteo Saes Address of primary residence- Has client resdeo ootsioe of hiS/her country of nationality for 5 years or more? 0 yes ,V. No Profession, Occupation. Accountant Tax ID: SSN Current Employer: HBRK Associates, Inc Position Title. Rar 4 Acco,r:an: Address of employer: 575 Lexington Ave, 4th Fl New York NY United States 10022 Does the person work as senior executive of a DB-recognized regulated entity in he financial Industry? or an entity listed on a 0B-recognised exchange? (Not pplicable for operating entities 0 yes R ., No Is the individual a Politically Exposed Person (F£P)?(11 Yes, desaibe) N/A 0 Yes sr ..41 No To the best of your knowledge, lathe individual related to an employee of the DB groupyd Family or Friendship, dewily) NIA 0 Family 0 Friendship P1 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 eervices)7(d Yes,deseribe ) N/A ❑0 Yes 10 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 Client Private Domicile Client Place of Business Other Location (soeciryi Dare 0 0 • 0 0 • D 0 0 Li Wealth De:ailsfor this individual are not filed ri because they are the same as for the following person. 3B. Wealth Details (Only for parties recur, ng source of %yea :h oescr.ption as tad cared 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: 0 Budness Owner 0 Salary/Earnings 0 Other: • Investment LI Inheritance/Gills CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0091304 SDNY GM_00237488 EFTA01387996