Case File
efta-01387997DOJ Data Set 10OtherEFTA01387997
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01387997
Pages
1
Persons
0
Integrity
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One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar
30. Individual Details (for all parties)
Individual's Name:
Date of Birth.
Country of Residence
Country of Citizenship:
Address of primary
residence-
Has client resided outside
of his/her country of
nationality for 5 years or
morel
0 yes J
No
Professor), Occupat ion.
NA
Tax D
ESN
Current Employer:
N A
Position Tit:e. Rank
N A
Address of employer:
N A
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
ales kw/. No
Is the individual a Politically Exposed Person (F£P)?(11 Yes, desaibe) N/A
0 Yes
sr
..A1 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
P3 None
To the best of your knowledge, lathe individual party to a non-banking
relationship with Deutsche Bank (e.g., external legal counsel, client referral
source, supplier of goods or services)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 (soeciryt
Dare
o
0
•
0
0
•
D
0
0
Li Wealth Details for this individual are not filed ri because they are :he same as for :he following person.
35. Wealth Details (Only for parties retuning source of wea :h oesc-ption as tad cated 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 Inhentance/Gfts
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
CONFIDENTIAL
DB-SDNY-0091306
SDNY GM_00237490
EFTA01387997
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