EFTA Document EFTA01372877

7/15:2019 KYC Print One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Sum 3A. Individual Details (for all parties) Individual's Name: Enka Kellerhals • 00000499664 Date of Birth: 10/13/1974 Country of Residence: USA Country of Citizenship: USA Address of primary residence: 9100 Port of Sale Mall, Ste 15 St Thomas 00802 Has client resided outside of his/her country of nationality for S years or more? [.JYes 1e1 No Profession/Occupation: Attorney Tax ID / SSN: 07472-9603 Current Employer: Kellerhals Ferguson Kroblin Pt.LC Positionflitle/Rank: Address of employer: 9100 Port of Sale Mall, Ste 15 St. Thomas 00802 Does the person work as senior executive of a DB-recognized regulated entity in the financial Industry? or an entity listed on a DB-recognised exchange? (NM applicable for operating entities n "'-' Yes r-. 1'70 Is the individual a Politically Exposed Person (PEP)?(// ft desatbe) ij Yes No To the best of your knowledge, is the individual related to an employee of the DB group?(f Forney or FriendsNp, descnbe) i : Family Friendship .4.) 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 services)?(/f Yes,descrte) 1. II Yes 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: diets Private Domicile: Client Place o1 Business: Other Location (specify): Date: l I...1 1.11 1.3 1- Wealth Details for this individual are not filled in, because they are the same as for the following person: 38. Wealth Details (Only for parties requinng 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/Eamings Investment Inheritance/Gifts = I Other: Further Describe Source of Wealth /Detail the history of wealth for each of the sources: (e.g. For trusts, how did settlor accumulate wealth? For inheritance, how did family accumulate wealth?For business owners, how long in business, how many errployees, level of profitability? Indicate type of business, countries of major activities, important business partners.) Estimated Annual Income(S): Estimated amount of investable assets($): Estimated Net Worth($): 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: Est Assets Under Mgt: htlps:riclblorcepb.my.salesforce.comiserviet/servlet. Integration?lidN30000000D9Di&eidP032000015VRiO&PlinkToken=VmpFPSxNakF4T1... 8115 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0066779 PROT1 PROT0