EFTA Document EFTA01454016

Deutsche Bank Private Wealth Management Option Agreement and Approval Form Please Complete All Sections Account No. &Man NW* Account Type Cash Account Registration 0 Managed Account 0 Discretionary Account 0 Other Individual Name(s) of person(s) other than account owner(s) authorized to place orders for the account: Account and Owner Information (Provide requested information for each account owner ("Client"). Attach supplement to this Agreement if necessary.) fin IMMO EMI MIMS MOM BUSIES Tv SEM Pr'RTMOMPREIZIMP L)Car,` trn, girl / Cu :.5`, io);;(.rItto! UP:10,1 K Yes K No If yes, please provide the account number(s): Client(s) Financial Information 06 Deut!,,:;..., dank Seucr;;Ies It Approximate koi Worm than $50,000 Salary/Bonus % L gold Net Worn` Excluding Ponca* Rosoclorco 8 Less 550,000 - $99.999 Interest/Dividends • Less than $50,000 0 Less than $50,000 ryo 0 $100003 - $249.999 0 550,000 - $99.999 MI 550.000 - 599,999 0 5250,000 - 5499,999 Other (specify): • 5100,000 - $249,999 0 5100,000 - 5249.999 0 5500.000 - 5999.999 % 0 5250,000 - $499,999 • 5250,000 -$499,999 0 $1,000,000 - $2,499,999 % • 5500,000 - $999.999 0 5500,000 - $999.999 0 $2,500,000 - 54.999.999 0 $1,000,000 - $2,499,999 0 $1,000,000 - 52,499,9 0/a 0 55.000.000 and over - 0 $2.500.000 - $4,999,999 • $2,500,000 - $4,999.9-' • $5,000,000 and over . S5,000,000 and over Investment Experience of Account Owner(s) M ili tr ill n a Options MI Covered Cali Writing Stocks 0 Purchased Options 0 Option Spreads 0 Uncovered Put Writing 0 Uncovered Call Writing 0 None Bonds Commodities listed Stock Index OTC Derivatives Structured Products Other (Specify) Deutsche Bank Securities Inc., a subsidiary of Deutsche Bank AG, conducts investment banking and securities activities in the United Sir. 111114,1011111 CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL 09-PWM-0127 OM 14 (05/11) 006404 052711 DB-SDNY-0 111910 SDNY_GM_00258094 EFTA01454016