EFTA Document EFTA01387993

One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar 30. Individual Details (for all parties) Individual's Name: Date of Birth: Country of Residence- Country of Citizens!. o Address of primary residence- Has client resdec 0.fsloe of his/her country of nationality for 5 years or morel 0 yes :*/ Nc Professor+, Occupation. N A Tax .7) SSN Current Employer: , csI:On Tit e Re-< t1 A 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 0B-recognised exchange? (Not pplicable for operating entities ales tri No Is the individual a Politically Exposed Person (F£P)?(11 Yes, desaibe) N/A 0 Yes wr ..41 No To the best of your knowledge, lathe individual related to an employee of the DB groupyd Family or Friendship, dewily) 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)7(d Yes,deseribe ) N/A ❑0 Yes 10 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 Client Place of Business Other Location (soecifyi Dare 0 • 0 • 0 0 D 0 0 Li Wealth Derails for this individual are rot filed e because they are :he same as for :he following person. 35. Wealth Details (Only for parties recur, ng source of wea :h oesceiption as tad ceed 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: 0 Budness Owner 0 Salary/Earnings 0 Other: • Investment LI Inhentance/Gits CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0091298 SDNY GM_00237482 EFTA01387993