EFTA Document EFTA01392931

Deutiche Bank Private Wealth Management A/V6Ogng Option Agreement and Approval Form Please Complete All Sections N4G024968 ACCOunt No. Account Name Jeffrey Epstein Cash individual Account Type Account Registration O Managed Account U Discretionary Account O Other hornets) of person(s) other than account OvvneiSlauthori7ed to place orders for the account. Jeffrey Epstein, Harry Beller, Jeanne Brennan Account and Owner Information (Provide requested information for each account owner CC tent'). Attach supplement to this Agreement if necessary.) Name Jeffrey Epstein Address Little Saint James, SL Thomas Phone 340.775-2625 Employer Southern Financial LLC Business Address Nunter of Dependents Country Virgin Islands, US Marital Status Single Business Phone Bichciate Q112011953 Type of Business Pittance Present Brokerage Accounts with. JP/knell position President Years Held Does the indonduat or entity that controls this account Nave the power to control any other Option Acoount(s) with Deutsche Bank Securities Inc.? Yes O No :1 yes, Please provide the account number(s): Will Provide List aient(s) Financial Information Approximate Aggregate Annual Income of Account Owner(s) from All Sources Sources Ot Income (Approximate) Approximate Aggregate Net Worth O Less then $50,000 o $50,000 -999•999 El shy:Loco- 1249,999 O 9250.000- $499,999 O 9500.000 - $999.999 H $1,000..-.499,999 52,500.000 - $0.99'3.999 0 $5,000,000 and over Salary/Bonus InteresUDividends Other (spocay) 50 % % % 0,0 % loud Net Win M 'MNX'' , i EgeMeNi PM:le Milftral ID Less then $50,000 CI Loss than tsacco O sso.coo -599.999 O 550.000 —$99.999 so O 1100,000 - 5249,999 • 1100,000- $249,999 O $250.000 - 5499.999 • $250,000 - $499.999 K O $500.000 -$999.999 O $500.000 - 5999.999 A stoect000- 52.499.999 0$1,000,00D_ $2,499,999 K S2.500,000- 94.999.999 O $2.500,000 - $4,999,999 0 55.000.000 end over 12 15.000.000 and over Investment Experience of Account Owner(s) Year First Traded Average a Trades Per Year Average Sue of Patios InS I Amigo Sim is Shares/ Contracts Types of Rejoin Option Experience Options 1988 10 $1,000,000.00 tos• E, Covered Call Writing Purchased Options Option Spreads E- Uncovered Put Writing gc Uncovered Cell Writing D None Stocks 1988 10 $1,000,000.00 1,010 Bonds 1968 10 $1.000,000.00 1,00. Commodities i 1088 10 $1,000,000.00 1.000 Listed Stock Index 1988 10 $1,000,000.00 1.000 OTC Derivatives 1988 10 $1,000,000.00 1,000 Structured Products 1988 10 $1,000,000.00 1,000 Other (Specify) I I__ Deutscne Bank SeCunnes Inc , a subsidiary of Deelecre Ronk AC. conclave ineesmoni osnki do and scowl:jot, aChvilies n toe United States 1111111011111111 09-PWV0127 OM to (05/11) OD6404 052711 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0098250 SDNY_GM_00244434 EFTA01392931