EFTA00616059.pdf

72)61 v Page 2 of la Schedule A • Cash in Banks Lean D. Bala _ ~App6ut Pianki), **Icy's a resephope a al MnenCial Ineinion I .rumait4Frarymp . i Accent_ Date- __ Account I 0 U.S. inn-WM of America Private Wean Marogenwa P. O. Boa 25116 Tape. Ft 52522 MTh 556-2171 Leon O. Ellin Data Bap 2/31/2005 Checking 0.05% y U $39662.00 U. S. Trust- Banal America Private veal Management Oen Raider Black 4/27/1990 CA)ApelloMannenem Personal Money Market der 640/24 39.597.551.00 .554.00 U. S. Trust - Bank 0 Amain num Munn Management 24213Proncions. Int a 447/2035 Bonen Checking In 6404012 516.0W00 U.S Dust- Ent Of Anna Rival. Wealth Manager Leon D. Black 745/2503 Detre link Emend finning 0.05% 6002012 S2.2041303.00 Tfust - Bank M Anna PrivateWean U. S. nt Managene ORB Produckat Inc. ; 5/112406 Dusan" Ma" Market 020% 640/2012 11760.905M U.S Trust-Bank a/America Pihrate Wean Managernara Black Family Fannin L P Dueness imereat Maommee 020% 6/300012 $27,336.494.00 V. S 7nest - Barn ol Anna Privas Wean a t LW Holdings LLC }Minna Advantage Checeng N/A 6/30/2012 520.06160600 U. S. Trust - Bee olAMelica Private %beim Management LBPhedrigs LLC 9252006 Bunn. Mein Mau er rn 020% 6/302012 576.05500 U. S. Treat-Bak of America Pine Dean Manner LC6Feuxtelen Enhanced Glan s 0.05% 640/3012 596.105.00 V. S. Tnnt - EWA of Arnica Penne Weal Manenethe Bieck Fun/ 1997 Trust 7/16/2503 Ennead Chang 305% 8/30/2012 222.173.371.03 U. S. Time- Bank 05Nnerica Private Went Mannenew1 Leon Back Elobra Black Warn 0.06% 6130/2012 $9162.53 Oinking U. S. Tryst - Bank of America Pone VVeaim Manneenel Mack Farrily Panners LP Ove:king NIA 41,40.2012 5000 U. S. Trust- Bark of America Awn Wealth Management Gannon Partner. GP en12000 Checking NIA 6/30/2012 52305.924.00 U. S. Trust - Bank ol Anent.* Noce Neal mennement Black Family 2000 Trust 12/1/2506 Deprea WA swam woo V. S. Tryst -Bank of Amenca %nee %inn Manannes Leen It Oen Bad 24/2039 - ha ducking .06% 0.20% 6/302012 600/2012 533.003.00 JP Masan °tan Diem Black Cutt kir Ana EfinUTMA °WW1 6 nein 547.064.00 JP Morgan Crate Pasts Elan Get for Viaixi Belek UTIA4 Money real saengs 020% 6/304012 536.554.17 US Tnnt - Bank 01Amillea Private %Wale, Managernent LBF Mildew Buenas nen Maanuar 30.00% 6004012 $1.310.531.03 US Dom- Bank at AMP'S Pflv10 Wean Uanagement Black Fenn 1997 GST E Tnet Monn MAC SIVINS 0.20% 6404012 53.006.634.00 US Trust - Bark Of Arnerica Private Mean Management Leon 0 Blan/Debra Black In Pay Acid Chning in 6004012 112326800 US Trust -Bank of Anima Pnvate Weal) Mae9e0 Org Leon D EafiCk Debra Bin Mcsi Weemsn Markel 0.20% 6002012 512657.201.00 US Trust Bank of Arnencas Pnvata Wen Malle9ornani 84AV Manne BuSineSS Economy Checking 020% 50012012 5147.179.00 US Trust Ban of Amens Prnme Wean management Leon Black Fenn FOuntlazi Inc Suwon aileron Mininuar Na 6/30.2012 5672 us Trust Bonk of Americas Private Woman Management %dada Such Pm/non Checking 0.05% 640/2012 _ 5772950 --- - _ $1112.626.1169.91 ----___— ....... . --- EFTA00616059 Page 3 of 16 Schedule B - Accounts & Notes Receivable I Applicant: Leon D. Black Collateral Securinji Name, Address & Telephone_ Date Orl Mal Un id Interest Maturity Number of Debtor Incurred Amount Balance • Rate Date Purpose Account or Note None TOTAL: $0.00 EFTA00616060 Parr 4 of 14 Sclwdule C • Stocks. Bonds Notes 4 Debonlures Arecant Lens 0. Sea j i None al foveae Company se Ckesensa. Mews 2I9e of No. et %.f_.. NweNallis ' Owner* Putchase Paco Conso of I - Parma Nona M *kb Hell Anneal !.. Owing /of On% t i Yams ;, Pony/Pledge i Weer inforgan 1049-3246511 Ores R. teack Vann Varies Vitae Various vW0u$ Various Dere era WA WA 9/30/2012. 3312012 341/2012, 3/31/2012 JPSaslan /049.514341 Lem Sack vandal Varese 11400. Bask WA WA ! 04 (047.101331 Way J. Cohen CS Alexander Sock LIGINVIIY Varies VanWS Varian Alexander Sack WA WA Wakes /Moron 1047401551 Bony CohenCA Vidor% Stack VG/MAW Vanes Various vinWS VenouS Vane Beck WA WA SPISorgan (047.101901 Tent lot °flame '02 Vales Varian Venous Benjamin Went WA WA 3/)1/2012. 341/201 3.31/2012. 3/31/2017 vanes. fl agen 100.1019Z Tan, for lookuel32 Varies Various Vs** Joshua Beck WA WA Varlet valet. mans' /047.101821 Taal for raunert92 Valais vats Various Merankr Baca WA WA JOMonean /047.101911 Toni Ice Vieloda 92 Varies Vanes Various various VanOus Vidor Back WA WA J014onsan 1047401911 Trot la Barri* '80 Various slesSuS Vanes, Bairn Bleak WA WA 3312012 Vries fl own /047.101931 Taal let Joshua 10 Vinous anus Vanous rear Beck WA WA 341/2012 snag* 9)47401611 Tar for Alexander 'Se Vanes Variant vaesSua Vaisya Mearakx Beck WA WA 381=12 JiNeargan $047.1019:e Tone let Wiens ISO Verna View, "Sea Vflus Vieleda auk WA WA 3/31/2012, "WNW (04134300341 Aloe Back LITIMMY Vanes Various Vinous Veneto Naanleg Bark WA WA 3414012 01,0900 5049.513301 infrace Thai OTD 12 Varies Veneta Versa Leon 0. Bea WA WA 3$31/2011 Wrest Jra042641 /0494290B Black Fr* 1997 Toni Vales Vanes Various Various earkosa Vailesn Mack Fordo 1991 Trust WA WA 3414012 US Twat • Banta, Amen lia3110054120403) LW 14oldings LLC various Varian Leon 0 an WA WA 3/31/201Z US Toni . Bat of Anoka 14101 W60200491 I" ilddnils1J.0 Varies Varkus Venous various ' WM* Leon O. Marc WA WA 34112012 US Tani • Bank of America 141(1114054743053 Black Fairy Peres Limbed Varies Various Leon a Ear k WA WA 3.01009% 371/2012 various JP Monwi Chew Bark (01645900?) LBF Horror LLC Vanes Various various Valor Leon a Sack WA WA JP Yowl Chew Bra (0224620001 Br* Emily Palma IP Vales Vries Various various Venous Loon a Berk WA WA 3414012 lieuberpr Berman. LLC AC 955.00292 Managed Eosin various Varkus Back Feta* WA WA 3/31/21)1a 341/2012 Vanes Various Varese "WOW 04961903 Loco Sack Fanny Ferrara, varietal Various Loon 0 Black WA WA AP Arm*, Asset. IP Sock Vinous Ursa Leon 0 Bleck WA WA 3/31,201% 3/302012 varbs San Swine Bade Int 54%n NIS Rear kr Stock Oren *It $0 buy Cannon Slack kns Man 1% Various Verso Leon a BOW WA WA Dass than 1% Varkus Vanes* Leon 0 Neck WA WA 3/30201S 3/314012 LC43 2011 LLC 1 1.2" ) - n , wows Valor Sack Fel* 2011 Tashi WA F - T--- TOTAL: i- r i._____ - EFTA00616061 Page 6 of 16 Schedule D - Real Estate 4 (Applicant: Purchase Price / Dato Leon D. Black Address S C & St P / •it Property : T Annual Encumbrances Income % of I Ownership Current Value Names of Other of % Owned Owners & % Owned. Owner of Record Leon D. Black Co-op None Does not apply 100.00% None Leon D. Black Co-op None Does not apply 100.00% None Leon D. Black House None Does not apply 100.00% None Leon D. Black House None Does not apply 100.00% None Leon D. Black House None Does not apply 100.00% None Leon D. Black Condo None Does not apply 100.00% None 1 1 1 TOTAL EFTA00616062 Page 7 of 16 Schedule E - Life Insurance • _ Policy Date Issued Applicant: Leon D. Black Name, Address & Telephona# _, of Insurance Carrier Face Value Annual _ Cash Surrender I Beneficia ies _.._. Premium Prudential 9/1/1999 Leon D. Black Insurance Trust #1 AXA Equitable 9/1/1999 Leon D. Black Insurance Trust #1 Security Life of Denver 9/1/1999 Leon 0 Black Insurance Trust #1 Prudential 4/26/1999 Leon D. Black Insurance Trust #2 New York Life 4/28/1999 Leon D. Black Insurance Trust #2 Pacific Life 4/28/1999 Leon D. Black Insurance Trust #2 John Hancock 4/28/1999 Leon D. Black Insurance Trust #2 AXA Equitable 4/28/1999 Leon D. Black Insurance Trust #2 I T h TOTAL: i EFTA00616063 Page 8 of 16 Schedule F - Pension / Retirement Funds !Applicant: Leon D. Black Name Appearing Type of Type of Securities Name & Address of Account / Fund Employee Employer Current on Account / Fund Account I Fund Held by Account / Fund Employer / Institution Number r Contributions Contributions Value Leon Black IRA Brokerage Account J.P. Morgan N/A 383 Madison Avenue New York, NY 10179 N/A Debra Black IRA Brokerage Account J.P. Morgan N/A 383 Madison Avenue New York, NY 10179 WA • TOTAL: EFTA00616064 Page 9 of 16 Schedule G - Vehicles (Applicant: Leon D. Black I Specify if Owned/Leased Date of Purchase I Model Make & Model Purchase Price/ Current Market Value If Owned Type of Vehicle or Lease Agreement Year of Vehicle I Cost of Lease Pick Up Truck Owned 2010 2011 Chevrolet Silverado LS 1500 pickup Pick Up Truck Owned 2005 2005 Chevrolet Avalanche 2500 LT Luxury Sedan Owned 2004 2004 Mercedes Benz S 600 Luxury Sports Car Owned 1989 1989 Mercedes Benz 560 SL 2dr Sports Utility Vehicle Owned 2001 2001 Chevrolet Tahoe 4dr Lt Sedan Owned 2004 2004 Acura TL 4dr Sports Utility Vehicle Owned 2011 2012 Mercedes R350 Sports Utility Vehicle Owned 2009 2009 Honda Pilot Luxury Sedan 2007 2007 Bentley Continental GT Sports Utility Vehicle Owned 2008 2008 Jeep Patriot 4WD 4dr Sports Car Owned 2008 2008 Audi A4 4dr TOTAL: EFTA00616065 Page 10 of 16 Schedule H - Other Assets 'Applicant: Leon D. Black Purchase % of Current Market • Price Ownership • °. • . • • Other Information Date of Type of Asset Purchase Art: LDB and DRB Various Various 100.00% Approximate market value. Art: Held in Trust Various Various 100.00% Approximate market value. Chinese Bronze Various Various 100.00% Approximate market value. Books Various Various 100.00% Approximate market value. Jewel Various Various 100.00% A..roximate market value. Contents of Various Various 100.00% Based on insurance valuation. Contents of Various Various 100.00% Based on insurance valuation. Contents of Various Various 100.00% Based on insurance valuation. Contents of Various Various 100.00% Based on insurance valuation. Contents of Various Various 100.00% Based on insurance valuation. •—• I TOTAL: EFTA00616066 Pep tee . . • _ - .— _ .. . Isamu • .. __ . _ _ _ . —_. buss Pa SS Se Mick ,... _ . ems Sas ' ass _JSMaa ebi sonna a LP SAP Pabisioni Nero.. LI Duna IS SW MP Peel Pala I* (SI SI .LIM AS SS». MY Li C L P. 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Re am ti• Ws MA leueavaaa teépares Na vs laya WPM LaC a PS ,.iie -1'7 - - — - — - _ _ _ --.- -- - -.— —.... _ _ — _.. _._. _._ . . _ _ _ , ,,, 1101•4 __ - - .. — .. . — — - EFTA00616067 Page 11 of 16 Schedule I - Notes Payable !Applicant Leon D. Black Name, Address & Telephone Date I Due Interest ^ Monthly Unpaid Number of Creditor Account Number Incurred Date Rate Payment Balance American Express — Centurion P.O. Box1270 9/28/2012 New York, NY 07101-1270 10/13/2012 N/A Varies American Express —Gold 10/8/2012 11/2/2012 N/A Varies American Express — Platinum 9/21/2012 10/7/2012 N/A Varies American Express — Gold 9/25/2012 10/10/2012 N/A Varies Bank of America P O Box 15019 9/19/2012 Wilmington DE 10/16/2012 7.99% Varies Bank of America 9/19/2012 10/16/2012 7.99% Varies Bank of America 9/19/2012 10/16/2012 7.99% Varies Bank of America 9/19/2012 10/16/2012 7.99% Varies Bank of America 9/19/2012 10/16/2012 7.99% Varies Bank of America 9/19/2012 10/16/2012 7.99% Varies Bank of America 9/19/2012 10/16/2012 7.99% Varies Bank of America 9/19/2012 10/16/2012 7.99% Varies Capital One PO Box 30285 Salt Lake City UT 84130 N/A Varies Bank of America 9/19/2012 10/16/2012 7.99% Varies Bank of America 9/10/2012 10/7/2012 7.99% Varies Bank of America 9/22/2012 10/19/2012 11.99% Varies Bank of America 9/19/2012 10/16/2012 7.99% Varies Bank of America 9/19/2012 10/16/2012 7.99% Varies TOTAL: EFTA00616068 Page 13 of 16 Schedule J - Loans & Other Payables 'Applicant: Leon D. Black ... _. .. T- Name, Address & Telephone Date Original Unpaid L Payment Interest r Maturity Number of Creditor I Account # Incurred Rate I Date Purpose Collateral Bank of America 101 South Tyron St. 6FL Charlotte, NC 28255 1.56% 3/31/2013 Art Purchases Art Collections held through Narrow Holdings, LLC -t- 1 i 7 -1 TOTAL EFTA00616069 Page 12 of 16 Schedule K - Taxes Payable Applicant Leon D. Black Fines, Penalties & Nature Date --,-- Original Total Amount Other Taxing Authority of Tax Due Obligation t Interest, If Any Due information None TOTAL $0.00 EFTA00616070 Page 14 of 16 Schedule L - Mortgages / Liens Payable on Real Estate Applicant: Leon D. Black Description ...._ Name, Address & Telephone Date Original Monthly Un Id Interest Maturity Date Position of Number of Creditor / Account # Incurred Amount ... Payment Balance Rate (Address of Real Estate) Lien / Mortgage None TOTAL $0.00 EFTA00616071 Page 15 of 16 Schedule N - Other Liabilities 1 Applicant: Leon D. Black Maturity Date Description and/or Name, Address & Telephone Date Original Unpaid Payment Interest Rate Number of Parties Incurred Amount Balance Amount / Period Collateral _ Purpose of tiiiiiritir None I TOTAL $0.00 EFTA00616072 Page 16 of 16 Schedule 0 - Contingent Liabilities Original Unpaid Amount Balance (Applicant: Leon D. Black ._. ._ Payment Interest Maturity Description and/or Amount / Period Rate Date Collateral Purpose of Liability Name, Address & Telephone _____ Number of Parties Date Incurred Apollo Co-Investors III, L.L.C. 1 Manhattanville Road, Suite 201 Purchase, New York 10577 Various Does not Does not apply apply Does not apply Does not apply None Unfunded Capital Commitment Apollo Co-Investors IV, L.L.C. 1 Manhattanville Road, Suite 201 Purchase, New York 10577 Various Does not Does not apply MAY Does not apply Does not apply None Unfunded Capital Commitment Apollo Co-Investors V, L.L.C. 1 Manhattanville Road, Suite 201 Purchase. New York 10577 Various Does not Does not apply apply Does not apply Does not apply None Unfunded Capital Commitment Apollo Co-Investors VI (A), LLC (fica Apollo Co-Investors, VI, LLC) 1 Manhattanville Road, Suite 201 Purchase, New York 10577 Various Does not apply Does not apply Does not apply Does not apply None Unfunded Capital Commitment Apollo Credit Opportunity Fund I (Class A) 1 Manhattanville Road, Suite 201, Purchase, New York 10577 Various Does not Does not apply apply Does not apply Does not MAY None Unfunded Capital Commitment Apollo Credit Opportunity Fund I (Class 8) 1 Manhattanville Road, Suite 201, Purchase, New York 10577 Various Does not Does not apply apply Does not apply Does not apply None Unfunded Capital Commitment Quadrangle Capital Partners 375 Park Avenue New York, NY 10152 Various Does not Does not apply apply Does not apply Does not apply None Unfunded Capital Commitment Searchlight Capital Various Does not apply Does not apply Does not apply Does not apply None Unfunded Capital Commitment Markstone Capital Group LLC 1801 Century Park East, Suite 2150 Los Angeles, CA 90067 Various Does not Does not apply apply Does not apply Does not apply None Unfunded Capital Commitment Wolfensohn Capital Partners Various Does not apply Does not apt* Does not apply Does not apply None Unfunded capital commitment Apollo FCI Colnvest I, LP Various Does not Does not apply apply Does not apply Does not apply None Unfunded capital commitment --- _ TOTAL ---- _ --- __ EFTA00616073