EFTA Document EFTA01372902

7,15.2019 KYC Print One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar 3A. Individual Details (for all parties) Indwkluars Name: Date of Birth: Country of Residence: USA Country of Citizenship: USA Address of primary residence: Has client resided outside of his her country of nationality for 5 years or more> yes # No Profession/Occupation: Tax ID / SSN: Current Employer: Position/Title/Rank: Address of employer: Does the person work as senior executive of a 0S -recognized regulated entity in the financial ndustsy, or an entity feted on a DO-recognised exchange> (Not applicable for operatingentities . 1 No Yes Is the individual a Politically Exposed Person (PEP)liretg J. Yes I No To the best of your knowledge, Is the individual related to an employee of the DB groupliFismfee a - Friendship, *sate) ' Family 1.-- Friendship 1 None To the best of your knowledge, is the individual party to a nombanking relationship with Deutsche Bank (e.g., external legal counsel, client referral source, supplier of goods or services)70/ Yesdesolbe) u Yes it No If applicable, indicate which bank officers have met the person: Indicate where and when the dent mceting(s) took place: Bank Officer Name(s) Bank Office: Client Private Domkile: Client Place of Business: Other Location (specify): Date: (3 ii Wealth Details for this Individual are not filled in, because they are the same as for the following person: 38. Wealth Details (Only for parks requiring source of wealth description as indicated in Secton 2) Nature of the Individual's Business: Primary Country of source of wealth/source of Funds> Primary industry of source of Wealth/Source of Funds> Summarize Source of Wealth: • . Business Owner Salary/F-amings . Investment • Inheritance/Gifts 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 weakh>For business owners, how long in business, how many employees, level of profitability> Indicate type of business, countries of major activities, important business partners.) Estimated Annual Income(S): Estimated amount of investable assets(S): Estimated Net Worth($): Other Known F. anal Institutions: Amount of asses planned to invest wth PWM($): Institution: Country: Est. Assets Under Mgt: Institution: Country: Est. Assets Under Mgt: Institution: Country: Est. Assets Under Mgt: httpe://dbforcepb.my.salesforce.comiserylet'servlet Integration>lic>O1N30000000D9D4eci=5003200001EHPpb&ict l&linkToken.VmpFPSxNakF4T 22.43 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0066808 SDNY GM_00212992 EFTA01372902