EFTA Document EFTA01387989

One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar 3A. Individual Details 'o' out: csi Individual's Name: Date of Birth Country of Residence Country of Of ze-sh o Address of primary residence- Has cent rescieo cutsce ' her country of of his nationality for 5 years or more? Dyes ••,. No Professor+, Occupat ion N A Tax ID: SSN Current Employer: N A Position/Title: Rank N A Address of employer: N A Does the person work as senior executive of a DB-recognized regulated entity in he financial industry? or a entity listed on a OB-ratogn ised exchange? (Not pplicable for operating entities Dyes kw/. No Is the individual a Politically Exposed Person (F£P)?(If Yes, describe) N/A Dyes wr ...4 No To the best of your knowledge, is the individual related to an employee of the DB groupWit Family or Friendship, describe) NIA 0 Family 0 Friendship P3 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)?(if Yes,describe ) NIA Dyes L ....a No 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: Oient Place of Business Other Location (soecity! Date 0 D 0 • 0 0 D 0 0 nWealth Details for this individual are rot filled ri because they are :he same as for the following person. 38. Wealth Details (Only for parties recur, ng source of weaTh oesc—pticr as ind ceed in Section 21 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 0 Salary/Earnings • Investment Li Inhentance/Gifts JOther. CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0091292 SDNY GM_00237476 EFTA01387989