EFTA00166887.pdf
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KYC Print
Page 1 of 11
DB PWM GLOBAL KYC/NCA: PART A rA
KYC Case * : 01161376
One sheet must be established per relationship list all accounts included in the relationshi
1. Relationship Details
Relationship Name:
SOUTHERN FINANCIAL RELATIONSHW:0000O493290
Esser ing Center.
New York
Relationship Manager:
Paul Monis
2 New PWM Relationship
O Existing PWM Relationship
Relationship to AVM:
If edging, please indicate since when the relationship exists, provide reason for nev profile and attach otd profile:
now Was the Oient(s)
0
Client Referral
O RM Prospect
O Interrnediary/FIM
O Other Source (CIB, etc.)
Introduced'
:II:
How long has the
RN personally known the
c
t
nt, etc.)
Does Deutsche Bank pay.
retrocession or similar
Dyes
I W No
compensation to a tiled party
for the Introduction cif fhb
relabonsho7
pt Yes, desolbel.
list all exisbng and new accou is involved in this relationship
Legal Entity
Account(s)
Account Name / Number
Opening Date (intended/actual)
1
El
_
-aril
12/16/2013
(J
and
Money Market
12/16/2013
Who d the primary to tact
person for the Rtil> (Note:
This person needs to h ye
sgnatory rights and/or
information right for the
accounts.):
Preferred method of contact
(indicate phone no., fax no.,
e-mail address, etc.):
Status :
Approved
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DB-SDNT-0002661
EFTA_00016135
EFTA00166887
KYC Print
Page 2 of I I
One sheet must be established for each account to be opened
2. Account Ownership Summary
Account Name:
an.
Acct. Number (davailaiwe)
Account Manager:
Paul Morris
What is the purpose of the account (e.g. portfolo man
et_admory account custody services, long-term investment payment/expense
account)) Checkng account for the daily use of
and M
Indicate from where the assets are expected to arrive'
O DB Group: Same Booking Center (Indicate account number):
0
06 Group: Other Booking Center (indicate DB location and account details):
66 Other Institution (Indicate name & location): 1PMorgan. New York
El Physcal Deposils (specify cash, securities, cheques, ...):
What is the xpected size and frequency of regular inflows and outflows for the account (indicate estimated number and volume per month)' Rough), 10
inflows and outfloivs per month ranging from $100 to $10,000
What Is the expected volume of assets and currency for the account approx. 90 days after
opening'
1 10000
I Currency
I USO
What s the expected volume of assets and currency for the account approx. one year after
opening'
1 10000
'Currency
I USD
Does/wi the client have Assets Under Management (AuM) within DB under Eur. 3M'
..L.) Yes IsA Pio
Please list all parties related to the account.
For each party:
• Check If a source of wealth description is required for the party.
• Check the appropriate box to describe the relationship of the party to this account (> 1 can be selected).
• If none of the check boxes apply, describe the partys relation to the account In the "Other" column.
• Always describe the relationship between the parties in the last column.
• Please drill dorm to the unsmate/underlyng Beneficial Owner(s).
_egal
inbtytif
Description
Source
of Wealth
required
Parses
*elated
mes
coua
accounWIC
Holder OwnerTrust
Seen/ of
/
Founder of
Foundation
Jltimate
Beneficialor
Owner
Sunatornimitedrinancial
Full
POA
POA
Intermediary
(F1M)
Bunrficant
Sharehoklerftepresentabve
( > 25%)
ion-PIC
entity
indicate
YnneiShip
A-.)
-egal
Grantor/Settlor Fou nthng
:Anna(
Other
'please
describe
'User roles
and/or
nclicate
elancriship
en
s r
etvbeees)
O El
O O
O
Pi
OO
f--
El
2 O
~®
®
a
O •
O
a
O O
c
E
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CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. Be)
DB-SDNY-0002662
EFTA_00016136
EFTA00166888
KYC Print
Page 3 of I I
2. Amount Ownerahlp Summary
Account Name:
and
- Money Market
Acct Number Of ava.laYei
Account Manager:
Paul Morris
What Is the purpose of the account (e.g. portfolio management, advisory account custody SCIVKCS, long-term investment payment/expense account)' money
Market account to hold their Joint funds and earn interest
Indicate from where the assets are expected to arrive,
O DB Group: Same Booking Center (indicate account number):
El DB Group: Other Booking Center (indicate DB location and account details):
Ed Other Institution (Indicate name & location): )PMorgan. New York
O Physical Deposit (specify cash, securities, cheques, ...):
What Is the expected size and frequency of regular inflows and outflows for the account (indicate estimated number and volume per month)': Roughly 1.3
Inflows and outflows per month ranging from $100 to $14000
What is the expected volume of assets and currency for the account approx. 90 days after
opening'
1 10000
'Currency
I USD
What is the expected volume of assets and currency for the account approx. one year after
opening'
1 10000
'Currency
I USD
Does/wethe client have Assets Under Management (Awl) within DB under Eur. 3M'
O yes 5 No
Please list all parties related to the account.
For each party:
• Check If a source of wealth description Is required for the party.
• Check the appropriate box to desc be the relationship of the party to this account (> Ian be selected).
• f none of the check boxes apply, escribe the palls relation to the account In the -Other column.
• Always describe the relationship between the parties in the last column.
• Please drill dorm to the ulbrnate/underlyng Beneficial Owner(s).
_egal
Intitrof
Descripti
Source
of Wealth
reputed
arbes
kited
this
count
accounWIC
*older OvmerTrust
Senior of
/
founder of
foundation
Jkimate
Beneficialor
Owner
Signabornimitednancial
Full
POA
POA
'Significant
Intermediary
(9M)
iharehcaderktePresentabYe
>=25%)
ion-PlC
entry
indicate
ownership
k)
egal
Grantor/Settlorkunding
Donor
Other
(Please
describe
other roles
and/or
nthcate
elabonshp
5etween
oodles)
I
•
El
(O
O O
N
.
..1
O
El
D
(7
El
2 ID RI
zi
OD
O
Ed
OO
O
•
O
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CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. Ike)
DB-SONY-0002663
EFTA_00016137
EFTA00166889
KYC Print
Page 4 of I I
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summa
3A. Individual Details (for all parties)
IndMduars Name.
Date of Birth:
Country of Residence:
Country of Citizenship:
Address of ',ornery residence:
Has client resided outside of
his/her country of nallonalty
for 5 years or riscre,
Oyes 5 No
Profession/Occupation:
Tax ID / SSW
Current Employer:
Pose:Ion/Title/Rank:
Address of employer:
Does the person work as senio executive of a 08-recognized regulated entity in the financial
ndustryi or an enbty listed on a CB-recognised exchange' (Not applicable for operating
nutlet
O yes Wino
Is the individual a Politically Exposed Person (PEP)'(/ Yes, describe)
O Yes
0 No
To the best of your knowledge, IS the Individual related to an employee of the D8 group"(W
Faint or FnencIsixA describe )
0 Family
0 Friendship
RI None
To the best of your knowledge, is the individual party to a non-banking relabcnshp with
Deutsche Bank (e.g., external legal counsel, client referral source, supplier of goods or
services)'at Pas, desrnb e I
N
O Yes
No
If applicable, Satiate which bank officers have met the
person:
Indicate where and Wien the client meet4(s) took place:
Bank Officer Name(s)
Bank Office:
Client Prtrate
Domicile:
Client Place of
Business:
Other locabon (specify):
Date:
Paul Morris
O
O
0
12/3/2013
O
O
O
O
O
LI
OWealth Debts for this individual are not filled in, because they are the same as for the following person:
38. Wealth Details (Only for parbes requiring source of wealth description as indicated in Section 2)
Nature of the Individual's Business:
LIC
Primary Country of source of wealth/source of Funds,
Primary industry of source of Wealth/Source of Funds'
Summarize Source of Wealth:
00ther:
OBusiness Owner [0 Salary/Eamings
i
i
i
Investment O Inheritance/Gifts
Further Deurbe Source of Wealth /Detail the history of weath
how did family accumulate wealth'for business owners, how long
Estmated Annual Income($):
150,000.00
for each of Me sources: (e.g. Far STUStS, how did settla accumulate
In business, how many employees, level of profitability' Indicate
Estmated amount of Investable assets(s):
wealth' For inheritance,
type of business
<$1 MM
Estimated Net Worth($):
<S1 KM
Amount of assets planned to invest wth PWM(S)
20,000.00
Other Known Flianclal Institutions:
InsbtutIon:
I JPHorgan
Country.
I USA
'Est. Assets Under Mgt:
160,000.00
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DB-SDNY-0002664
EFTA_00016 138
EFTA00166890
KYC Print
Page5ori i
lnsbtubon:
Country
Est Assets Under Mgt
Institution:
Country:
Est Assets Under Mgt
Please indicate the family situabon of the individual (marital status. other family members, etc.)'. Manned to Karyna Shuliak
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DB-SDNY-0002665
EFTA_00016139
EFTA00166891
KYC Print
Page • of 11
One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summa
34. Individual Details (for all parties)
Individuars Name.
Date of Birth:
Country of Residence:
USA
Country of Citizenship:
Address ii prenary residence:
Has dent resided outside of
his/her country of nationalty
for 5 years or mete?
O yes 'IA No
Profession/Occupation:
Tax ID / 5511:
Current Employer:
N/A
Position/Title/Rank:
N/A
Address of employer:
Does the person work as senio executive of a CO-recognized regulated entity in the financial
ndustry' or an enbty listed on a 0B-recognised exchange' (Not applicable for operating
nutlet
Li Yes WiNo
Is the ndividual a Politically Exposed Person (PEP)'(/ Yes, describe)
O Yes
S6 No
To the best of your knowledge, is the Individual related to an employee of the D8 group/(r/
Faint or (nenCsmA describe )
0 Family
0 Friendship
Ri None
To the best of your knowledge, is the individual party to a non-banking relabonshp with
Deutsche Bank (e.g., external legal counsel, client referral source, supplier of goods or
services)'at Yes, describe)
O Yes
r./ No
If applicable, indicate which bank officers have met the
Person:
Indicate where and Wien the client meet:4(s) took place:
Bank Officer Name(s)
Bank Office:
Client PrNate
Domicile:
Client Place of
Business:
Other locabon (specify):
Date:
Paul Morris
O
O
0
12/3/2013
O
O
O
El
O
u
OWealfh Debits for this individual are not filled in, because they are the same as for the following person:
38. Wealth Details (Only for parbes requiring source of wealth description as indicated in Section 2)
Nature of the Individual's Business:
Student
Primary Country of source of wealth/source of Funds,
Primary industry of source of Wealth/Source of Funds'
Summarize Source of Wealth:
O Business Owner O Salary/Eamings
ElOther:
il Investment O Inheritance/Gifts
Further Descrte
now did family
countries of major
Source of We
accumulate we
acbvitles, important
Incorne(f):
Rh /Detail the history of weath
Ith7for business owners,
business partners.)
for each of the sources: (e.g. For trusts, how did senior accumulate wealth, For inheritance,
h
I
ill 7 n
Estmated amount of investable assets($):
<$1 Pim
Estimated Annual
Estimated Net WortMS):
Amount of assets planned to invest with PWH(S):
Other Known Financial Institutor':
Institution:
Country.
Est Assets Under Mgt
Insbtubon:
I
Country.
Est Assets Under Mgt.
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DB-SDNY-0002666
EFTA_00016140
EFTA00166892
KYC Print
Page 7 of I 1
Institution:
Country:
Est. Assets Under Mgt
Please indicate the family slbabon of the rdIvidual (marital flatus, other (amity members, etc.):
•
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DB-SDNY-0002667
EFfA_00O16141
EFTA00166893
KYC Print
Page 8 of 11
DB PWM GLOBAL KYC/NCA: US/LatAm/Int'l PART'
Relationship Name
SOUTHERN FINANCIAL RELATIONSHIP
Risk Rating Comments:
Booking Center
NY/Offshore
C Offshore
Risk
°Moderate 2 High Risk
ry
..I NY
(Compliance Signature)
O DB Employee
O DB Managed PIC
7 DB is Trustee/Co-Trustee
O Bearer Shares
4. Attachments
A. Type of Photo ID Provided
74 Drivers License • Passport • Nabonalffitate ID O Other
I
Checklist of names (individuals and/cr entities) that were submitted for database searches is
attached
•
YeS LT. No
C. Please Indicate the results ci the database searches performed
RDC searches complete
2 Yes • No
negative results found
O Yes la No
PCR checks complete
El Yes O No
negative results found
O Yes ®No
OfAC checks complete
®Yes O No
negative results found
O Yes ®No
BIS searches cornpkte (Lexis/Nexis, Factla, Reuters, Dow Jones, MI
Ores • No
negative results found
• Yes 0 No
Denial Orders checks complete
RI Yes Duo
negative results found
0 Yes 0 No
Martindale-Hubbell searched (Lawyers/Law Firms only)
0 yes E No
negative results found
•
Yes 0 No
Please summarize any negative results from the database searches indicated above:
No Negative Media
No Court Cases
D. No Negative
MIIIIIa
No Court Cases
E. To the best of your knowledge, has the client ever been convicted of a criminal offense?
O Yes Ea No
To the best of your knowledge, has the customer ever been involved in any past litigation against
Deutsche Bank AG or any of es subsidiaries or is the customer threatening Itigabon against
F.
O Yes @No
Deutsche Bank AG or any of its subsidianes? (If Yes, provide dela& belay and contact Geary
MO. (LatAmantVor the Regulatory Control Group and notify Compeance hwed4tely)
Does the client or related party have any financial or other association / interactions within
•
@No
G' countries or regimes sanctioned by the Office of Foreign Assets Control (MAC),
Yes
H. Does the client or related party have any flnaxial or other associabon/ interactions within high
• yes E No
risk countries'
I. Corporate Documentation Attached (Legal Entitks Only)
Yes O No O Not Applicable
3. Undisclosed Principal Form Complete (Intermediaries Only)
O Yes O No 0 Not Applicable
K. If Lexis/Nexis Search Results, Corporate Documents or Other Supporting Documentation is not in English, please provide an English summary or the
nature/contents of the non-English Documentation:
L Special Risk Factors
Does the account have Nexus to Special Risk Countries>
0 Yes 2 No
Is the account structure unusually complex>
O Yes LTA No
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DB-SDNY-0002668
EFTA_000 16142
EFTA00166894
KYC Print
Page 9 of 11
Is there any indication the client set up a non operating occipany
expressly for the purpose of transferring shares to third patties'
Is there any bxlicabon this could be a prohibited business relationship?
Oyes
No
Oyes Ono
Me the bearer shares kkribfied subject to acceptable controls?
Dyes IRINo
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DB-SDNY-0002669
EFTA_00016143
EFTA00166895
KYC Print
Page 10 of 11
M. Case Comments
Created By
Date
Comments
Janice Franklin
t *tsa Venegas
12/13/113 1 27 PM
Please see KYC 1082293 for informabon regarding Mr. Epstein, a current PB
12/13/113 12:39 AM
ONSHORE APPROVALS
Client Facing Professional (CFP):
Paul Monn
•;Slgnatire)
aaul Morris
12/10/2013
Office Ditector/Business Head:
Brian M. Biggar
;Signature)
Brian M. Biggar
12/10/2013
Regional Office Director
(Signature)
NIL Business Risk:
Melsa Veneto,
(Signature)
MOW Venegas
12/13/2013
NIL Compliance:
J Rankle, o/b/o J. Lghtbody
($ .nature)
.1 Franklin (AV° 3. Lghtbody
12 13 22;13
LATAM/INTERNATIONAL APPROVALS
Cl ient Fac rig Preessional (CEP)
(Signature)
Account Manager.
(Signature)
Global Market Team mead
(GAITI-1)/Sub-Market Team Mead
(SMTN):
(Signature)
NIL Business Risk.
(Signature)
NIL Compliance
(SrinAturt)
PRIVATE WEALTH MANAGEMENT POLICY STATEMENT,• Deutsche Rank Private Wealth Management
(I> WM) worldwide is committed to professionally serve the interests of its clients. To do so, Client Facing
Professionals! (1) (CFP's)should establish and maintain business relationships only with persons who satisfy ono•
high standards of suitability. background and character. Due diligence obtained on the client must be appropriately
doc-umented by the CFP. It is the responsibility ofCFP's to demonstrate that they know their client both at the
inception of a relationship and on an ongoing basis.
DECLARATION FOR ALL SIGNERS OF THIS FORM:• To the best ofmy knowledge and belief the above
information is correct and up to date. I confirm that I have no suspicions relating to the money laundering or
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DB-SDNY-0002670
EFTA_000 16144
EFTA00166896
KYC Print
Page I I of I I
unethical activities on the pan of the client(s) and that have followed all the procedures relating to account opening
as described in the PWM Americas Procedures and the PWM Global KYC Policy
(I) Client Facing Professionals (CFP's) include: Relationship Managers, Wealth Advisors, Product Officers.
Brokers. Client Managers, etc.
Deutsche Bank Americas New York rA
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DB-SDNY-0002671
EFTA_00016145
EFTA00166897
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| Filename | EFTA00166887.pdf |
| File Size | 778.1 KB |
| OCR Confidence | 85.0% |
| Has Readable Text | Yes |
| Text Length | 18,496 characters |
| Indexed | 2026-02-11T11:04:33.564198 |