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efta-efta01372885DOJ Data Set 10Correspondence

EFTA Document EFTA01372885

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efta-efta01372885
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EFTA Disclosure
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7115:2019 KYC Print One sheet must be established for each account to be opened 2. Account Ownership Summary Account Name: The Haze Trust • Deposit Acct. Number (Yineibble) Account Manager: stewart oldfield What is the purpose of the account (e.g. portfolio management, advisory account, custody services, long-term investment, payment/expense account)/ this is a deposit account to hold cash for the trust Indicate from where the assets are expected to arrive/ it DO Group: Same Booking Center (indicate account number): • : DB Group: Other Booking Center (indicate DB location and account details): H Other Institution - (Indicate name & location): . . Physical Deposits (specify cash, securities, cheques, ...): What is the expected size and frequency of regular inflows and outflows current balance...no inflows/outflows for the account (indicate estimated number and volume per month)': collecting interest on What is the expected volume of assets and currency for the account approx. 90 days after opening" 21,063,409.16 I Currency I USD What is the expected volume of assets and currency for the account approx. one year after opening' 21,077711.01 I Currency I USD Does/will the client have Assets Under Management (AuM) within DB under Eur. 3M? Li Yes 541 No Please Ilst all parties related to the account. For each party: Check if a source of wealth description is required for the party Check the appropriate box to descnbe the relationship of the party to this account (> I can be selected). • If none of the check boxes apply, describe the party' relation to the account in the "Other" column. • Always describe the relationship between the parties 'n the last column. • Please drill down to the ultimate/undertyi g Beneficial Owner(s . 1 2 -egal Description Entity of Source of Wealth Parties required related to this pccount Jeffrey E. Epstein The Haze Trust Darren Indyke AccountPlC Senior of Holder Owner Trust / Founder of Foundation Jltimate Signatory Jmited Financial Significant -egal Senefitiafor Full POA IntermediaryShareholder Representative Owner POA (FIM) (>=25%)Non- PIC entity (indicate ownership %) Gra ntor/Settlor Founding Other (please Donor describe other roles and/or ndicate relationship between parties) OTH:betieficiary of The Haze Trust; 3 Trustee:; https:Rdbforcepb.mysalesforce.comiservletiservlet Integrationlad=01N30000000D9Dded=5003200001EHPpMac=18ankToken=VmpFPSxNakF4T1... 2:43 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0066788 CONFIDENTIAL SDNY_GM_00212972 EFTA01372885

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