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efta-efta01372836DOJ Data Set 10Correspondence

EFTA Document EFTA01372836

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DOJ Data Set 10
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efta-efta01372836
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EFTA Disclosure
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715:2019 KYC Print One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar 3A. Individual Details (for all parties) IndrvKluars Name: Darren Indyke - 00000486405 Date of Birth: V19/1965 Country of Resdence: USA Country of Citizenship: USA Address of primary residence: 2 Kean Court Livingston NJ 07039 USA Has client resided outside of his/her country of nationality for 5 years or more> yes l e No Profession/Occupation: Attorney Tax ID / SSN: 098.54.8596 Current Employer: Southern Financial LLC PositionTitle,Rank Address of employer: 6100 Red Hook Quarter 83 Livingston USVI 00802 Does the person work as senior executive of a DB-recognized regulated entity in the financial ndustry> or an entity listed on a DB-recognised exchange? (Not applicable for operating enbties Yes st No Is the individual a Politically Exposed Person (PEP)?(K Ye; desaibe) , Yes sr. No To the best of your knowledge, is the individual related to an employee of the DB grouP7(1 FOCI* cr Friendship, dente) . Family . Fnendship I 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 servrcesp(f Yegdessiber) Yes If applicable, indicate which bank officers have met the person: Indicate where and when the client metting(s) took place: Bank Officer Name(s) Bank Office: Client Private Domicile: Cli ent Busin Place of Place Other Location (specify): Date: Paul Morris U -If 9/13/2013 i 4 Wealth Details for this individual are not filled in, because they are the same as for the following person: 3B. 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: i. • Business Owner Salary/Earnings Investment Inheritance/Gifts Other: Further Describe Source of Wealth /Detail the history of wealth fo each of the sources: (e.g. For truss, 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($): Estimated amount of Investable assets(S): Estimated Net Worth($): Amount of assets planned to invest with PWM($): Other Known Financial Institutions: Institution: Country: Est. Assets Under Mgt: Institution: Country: Est Assets Under Mgt: Institution: Country: ESL. Assets Under Mgt: htlps://dblorcepb.my.salesforce.comiseNlet'serviet Integration7lid=0 I N30000000D9Di&eid=5006000000TIEyC&ic•t&IlnkToken=VmpFPSxNakF4T1 6 _5 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0066726 SDNY GM_00212910 EFTA01372836

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