EFTA Document EFTA01353534

Deutsche Bank Wealth Management Option Agreement and Approval. Form Please Complete All Sections A:7 r.t Ni.r.ther A.:couti ivpo Cash Managed Account Discretionary Account Other N Jeffrey Epstein Individual Name(s) of person(s) other than acc..mnl VAT:er(5) authorized to Otte Of den for the account: Acccunt ariO Owncy I nkx matkin lkovide I equested info' motion for each account owner (C. he":11- Attach supplement to !tar. Aer.?ement if neck" say?). Harry Beller, Darren Indyke • Jeffrey Epstein Little Saint James, St. Thomas non, Ntir (340) 775-2525 Southern Financial LLC 0 tiuz, ber (340) 775-2525 6100 Red Hook Quarter, 83, St Thomas, Virgin Islands, USVI 00802 •'i;,• [34.1401:35 Finance Present Brokerage Accounts with JPMorgan i‘.. President Ms.“_. it_ Single r;ci ntl, Virgin Islands, US urgiudric 01/20/1953 Yearzt HOC! 5 Does the ind Widget or entity that controls Ihia fiCCOOrit have the power to control any other Option Accounts) with Deutsche Bank Sec k ies Inc.? Yes I No II ye, please provide Rte socount number(s): see attached list Client(s) Financial Information Approximate Aggregate Annual Income Account Owner(e) from All Sources Sources of Imo,- s (Appraxirnate) Apprcoimate Aggregate Net Worth Less than 550,000 550.000 -199.999 Salary/Benue Interest/Dividends 50 50 Law Id Net Worth Approximate Net Worth Excluding Principal Residence 5100.000- $249,339 5293,000 - 1499.999 Other fepecif?): Leas thkel $50.000 sso.000 -599.999 . less than $50,000 $50,000 $99,999 5509.000 - 1999,999 $100,000 - 1249.999 $100.000 - $249,999 $tootwoo -12.499,999 $250,000- 5499,999 $250.000 - $499,999 52,500009 34,999.999 $500.000 - 5999,999 $500.000 - 3999.999 55.000.000 and ever $1,000.000 - 42,499,999 11,000.000- $2,499,999 52,500.000 - von 999 , $2.500,000 - 34,999.999 S5,000.000 and over ! $5.000,000 and over *Ikeirts4a, Bank' starts (NMAITtive Bank AG arxl Its off eatml companies. Deutsche Basle WWII] fatinaisment retwNients thewenith iNinacernenr activities oxiducted by Deutsche Bank AG er its SUbf ielarieS. Clients are proMed Deutsche BankWealth Manageownt proOtxts or senrces Mrnaorratelegal entities. that are identified to dime.; pursuant to the ixol rad s, agreements, (tiering mkt/148.x other documentation relevant 10 31.01 prodtx: (X V%VieS. Brolowage SentION bre eller(a) thl(M01 LICIFISdle Bank S'et'tle" Inc-. .1 taoker-k%aler urx) iggikterod investment adosix which conduct's securities activities in the tinned States. Deutsche BrA Securities is a member of FINRA. NYSE and SIPC. Banking and kn ing services see offered through Deutsche Bank Mina COM pany Arnences. member FDIC, and other members 01 the ()goodie Bank Group. W141139768 010721.051018 Page 1 of 4 seem aims see 0- - in CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0037952 CONFIDENTIAL SDNY_GM_00184136 EFTA01353534