EFTA Document EFTA01356245

KYC flint Page 14 of 22 One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar 30. Individual Details 'or all parties) Individual's Name: Jean Anne Brennan Wiebracht • Date of Birth. Country of Residence: USVI Country of Citizens!. o USA Address of primary residence. 00802 Professes Occupa: on Rance Tax D SS'r Current Empbyer: Southern Financial, US Position/Title/Rank: Address of employer: 6100 Red Hook Quarter. B3 S. Thomas United States 00802 Is the Individual a Politically Exposed Person (PEP)?(if Yes, describe) OYes 6.4 .° No To the best of your knowledge, is the individual related to an employee of the DB group?(if Family or Friendship, describe ) O Family O Friendship 0 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)7(if Yea describe) O Yes RI No If applicable, indicate which bank officers have met the person: Indicate where and when the client meeting(s) took place*. Bank Officer Name(s) Bank Office Client Private Domicile: Client Place of Business: Other Location (specify)- Date O O O O O O O O r, Oman 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: Summarize Source of Wealth: Li Business Owner O Salary/Earnings O I nvestment O i nheritance/Grts 0 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 employees. level o' profitability? Indicate type of business. countries of major activities, important business partners.) Estimated Annual Income (S): Estimated amount of eves abb assets(S): Estimated Net Worth(S). Amount of assets planned to invest with PWM(S). Other Known Financial Institutions: https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid IN30000000D9Dieze... 1/11/2018 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0042013 CONFIDENTIAL SDNY GM_00168197 EFTA01356245