EFTA Document EFTA01387988

One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summary 30. Individual Details 'or all part es. Individual's Name: Date of Birth, Country of Residence Country of Ofizensho Address of primary residence- Has client resided out sce of his/her country of nationality for 5 years or Dyes! . No more? Professor, Occupat ion N A Tax ID .' SSN Current Employer: N A Position/Title' Rank NSA Address of employer: N A Does the person work as senior executive of a DB-recognized regulated entity in he financial Industry? or an entity listed on a OB-ratogn iced exchange? (Not pplicable for operating entities ElYes tri No Is the individual a Politically Exposed Person (P€P))?(if Yes, describe) N/A O Yes ..Alr No To the best of your knowledge, is the individual related to an employee of the DB groupWit Family or Friendship, describe) NIA O Family O Friendship P1 None To the best of your knowledge, lathe individual party to a non-banking relationship with Deutsche Bank (e.g., external legal counsel, client referral source, supplier of goods or services)?(if Yes,describe ) NIA ID Yes . w" No 4 If applicable, indicate which bank officers have met the person: Indicate where and when the client meetings) took place Bank Officer Name(s) Bank Office: Client Private Domicile: Client Place of Business Other Location (soecityi Date O K O O O • D O O nWealth Details for this individual are rot filed ri because they are the Sate as for the following person. 38. Wealth Details (Only for parties recur, ng source of weaTh oescroticr as rad cated in Section 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: DBusness Owner O Salary/Earnings • Investment Li Inhentance/Gifts JOther. CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0091290 SDNY GM_00237474 EFTA01387988