EFTA Document EFTA01356731

KYC Print Page 6 of 35 OMItsheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar 30. Individual Details or all parties) Individual's Name: Juan Fernando Belmont Anderson - Date of Birth. Country of Residence' Peru Country of Citizenship. Peru Address of primary residence- Lima 27 Peru Has client resided outside of his/her country of nationality for 5 years or more? 0 Yes ,4 No Professon, Occupation: Founder & Owner Tax ID SSN Current Employer: Corporation Yanbal International Position/Title/Rank: Chairman Address of employer: Calle Los Sauces 374, Torre Roja, Aso II, San Isidro ma Peru 27 Does the person work as senior executive of a 0B-recognized regulated entity in the financial Industry? or a entity listed on a OB-recognised exchange? (Not applicable for operating entities . Yes .'i No Is the individual a Politically Exposed Person (PEP/?(11 Yes, describe) Father of Janine Belmont and therefore father in law of Gonzalo Aguirre Arriz. one of the founders of Coordinadora Nadonal de I ndependientes, a political party established in Peru. It changed name to Todos por el Peru. Yes III No To the best of your knowledge, is the individual related to an employee of the DB group7(11 Family or Friendship, describe ) 0Family 0 Friendship Vi 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, suppler of goods or services)?(if Yeadescribe ) 0 Yes No If applicable, indicate which bank officers have met the person. Indicate where and when the client meeting(s) took place: Sank Office, Na—efsi Bank Office: Client Private Domicile Client Place of Business- Other Location (specty) Dare —1 0 F 0 0 0 El 7 • Wee t^ De:a s for :h s ^c vicLal a,e rot 'i leo ^ beca...se t^ey re :r.e sa—e 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: Cosmetics company in Latin America. which follows the Avon busness mooe Primary Country of source of wealth/source of Funds? Peru Primary industry of source of WealthiSource of Funds? Goods Summarize Source of Wealth . Business Owner 7 Salary/Earnings • Investment • Inheritance..Gifts TI Other. https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid IN30000000D9Di&... 12/19/2018 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0042746 CONFIDENTIAL SDNY GM_00168930 EFTA01356731