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sd-10-EFTA01362162Dept. of JusticeOther

EFTA Document EFTA01362162

KYC Print Page 8 of 13 One sheet must be established for EACH LEGAL ENTITY in Section 2. Account Summary 3C. Legal Entity Details (For all Legal Entities) Legal Entity Name: Gratitude America Type of Entity: F Foundation/Association r Trust F Company I,,,- r Partnership Purpose of Entity: 1- Private Investment F Philanthropic/Charitable 1- Commercial Type of Entity Other (specify): Purpose of Entity Other (specify): Country of incorporabon/re incorporation/registration: inco

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Dept. of Justice
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sd-10-EFTA01362162
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KYC Print Page 8 of 13 One sheet must be established for EACH LEGAL ENTITY in Section 2. Account Summary 3C. Legal Entity Details (For all Legal Entities) Legal Entity Name: Gratitude America Type of Entity: F Foundation/Association r Trust F Company I,,,- r Partnership Purpose of Entity: 1- Private Investment F Philanthropic/Charitable 1- Commercial Type of Entity Other (specify): Purpose of Entity Other (specify): Country of incorporabon/re incorporation/registration: inco

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EFTA Disclosure
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KYC Print Page 8 of 13 One sheet must be established for EACH LEGAL ENTITY in Section 2. Account Summary 3C. Legal Entity Details (For all Legal Entities) Legal Entity Name: Gratitude America Type of Entity: F Foundation/Association r Trust F Company I,,,- r Partnership Purpose of Entity: 1- Private Investment F Philanthropic/Charitable 1- Commercial Type of Entity Other (specify): Purpose of Entity Other (specify): Country of incorporabon/re incorporation/registration: incorporation USVI Date of / 4/25/2012 Address (city, street, post code): 6100 Red Hook Quarter, B3 St. Thomas 00802 USVI U.S. T1N/EIN: 66-0789697 Provide a description of the entity's organizational structure, its ownership structure and its Top Management. For trusts/foundations, include information about revocability,setbor and beneficiariessetc.: 501(c)3 foundation. Jeffrey Epstein is president, Darren Indyke is treasurer and Erika gelled-leis is Secretary Please indicate how ownership of the legal entity Is reflected: 501(c)3 foundation. Jeffrey Epstein is president, Darren Indyke is treasurer and Erika Kellerhals is Secretary P Special attention: Bearer Shares - Indicate where shares are custodied: Describe the chain from the direct owner of the entity to tie ultimate benefloal owner (if not the same persons). 501(c)3 foundation. Jeffrey Epstein Is president, Darren Indyke is treasurer and Enka Kellerhals is Secretary To the best of your knowledge, is the entity party to a non-banking relationship with Deutsche Bank (e.g. external legal counsel, client referral source, supplier of goods or services)?: Yes P No gi Describe Nature of Entity's Primary Business and Investment Activities Nature of the business: The foundation has not yet started distnbubng funds and is gill determining what endeavors they wit support. They hope to support a broad range of efforts including, put not limited to, education, science, research, etc. Countries where business is transacted: USA, USVI Number of employees: 3 3D. Wealth Profile (Only for parte requiring source of wealth description as indicated in Section 2) Provide Evidence of Corporate Assets (e.g. balance sheet or equivalent summary of assets/liabilities): The foundation is to be funded by Jeffrey Epstein Estimated gross receipts p.a.($): Estimated net profit pa. ($): Estimated investable assets ($): $2 MM • 5 MM Potential Amount to be invested with PWM ($): 200,000.00 Other Known Fnancial Institutions: Institution: Country: Est. Assets Under Mgt: Institution: Country: Est. Assets Under Mgt: Institution: Country: Est. Assets Under Mgt: https://dbforcepb.my.salesforce.com/servlet/servIeLlutegration?lid=01N30000000D9Di&e... 8/10/2015 CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) DB-SDNY-0051477 CONFIDENTIAL SDNY_GM_00197661 EFTA01362162

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KYC Print Page I 1 of 19 0 Special attention. Bearer Shares • Indicate where shares are custodied: Describe the chain from the direct owner of the entity to the ultimate beneficial owner (if not the same persons). 501(c)3 foundation Jeffrey Epstein is president, Darren Indyke is treasurer and Erika Kellerhals is Secretary. The signors on this account are Jeffrey Epstein and Darren Indyke To the best of your knowledge, is the entity party to a non-banking relationship with Deutsche Bank fe

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