EFTA00165585.pdf

C-autsche Asset & Wealth Management DBTCA Deposit Account Opening Application Private Wealth Premium" ' Private Wealth Premium TM Private Wealth Premium TM Elite Personal Accounts Elko usiness Accounts Banking Services O Checking Acct. N Checking Acct. O Consumer Debit Card O Elite Checking with Interest O Elite Checking with Interest O Joint Applicant Debit Card Acct. 0 Acct. APY PY O Business Debit Card O Elite Money Macke' Deposit Elite Money Market Deposit Acct. I Acet. N Er•belt APY APY thett-t*K to--• O Certificate of Deposit O Certificate of Deposit O Name Only-Oct() Acct. I Acct. N ef t Name and Address -re.,pii Ca K APY APY Term Term El Duplicate Statement -awe pAtc.14sityr- Addr O DB AG NY Preferred O DB AG NY Preferred Certificate of Deposit Certificate of Deposit City Acct. Acct State Zip Code APY APY ❑ Mailing address (if different) Term Term Name Promo term Promo term Addr (DBTCA deposit account required. I0BTCA deposit account raguired. along with a DB AG Profaned Terms along with a Os AG Preferred Terms City and Conditions) and Conditions) State Zip Code Private Wealth Premium/1 O Cash Mester Sweep Account Internet Banking Services Checking Acct. 0 El DB Private Wealth Online Plus • Elite Money Market Deposit I/Link to Existing Online Relationship Acct. 55 o O 15- APY (USer/Co ID Number) Target Amount Trigger Amount Client Relationship O Individual Account O Custody under NY UTMA O Corporation O Joint Tenants with Right ❑ Foundation O limited Liability Company of Survivorship ❑ Joint Tenants in Common O Non-Profit Organization D Partnership O In Trust For/Payable an O Attorney Trust Escrow O Limited Liability Partnership Death/As Trustee for O Trust O Landlord Master Escrow O Estate 13.AWM-010) NAOSO000015602-000104611 013359.032813 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001323 EFTA_000 14797 EFTA00165585  Accoupf Tido and Joigt Application Information Nett/ is- LLC Hanle of nt Into Joint Applicant (last na (last name, first name, middle initial) Social ;aunty mar or umber Social Security Number or Taxpayer ID Number a ° H ea 10/0 Address #002.- Address 5r7 /170t 1/5° City, State end Zio Cade City. Stew and Zip Code Home Telephone Number BUSIMISS Telephone Number Business Telephone Number Date of Binh Date of Beth Name of Employer Nam* of Employer Address Address Not agesable City. State end Zip Code City, State end Zijtode Notice of Customer Identification Policy Important Information To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verily, and record information that identifies each person who establishes an account. investment or other business relationship with a financial institution. This means that we will ask for your name, address, and other information that will allow us to identity you. We may also ask to see identifying documents such as a canificatb of formation or good standing (legal entities) or a passport or other photo identification (individuals). 3rd EU Notice Governmental rules have also broadened the scope of the Bank's obligations to aid in the light against money laundering and terrorist financing; these rules call for an active involvement of both asset management firms and their clients. For new and existing clients we currently have a legal obligation to ask our customers questions regarding their identities. addresses, source of funds and, if necessary, legal representatives, authorized signatories, beneficial owoers er control structures and to coNect requisite documentation to substantiate the information. Also, enhanced anti-money laundering requirements require that should any of the above personal or institutional information change, our clients would be obliged to immediately notify us of the changels) and provide us with relevant documentation to verity these changes. Telephone, Facsimile or Email Instructions By signing below, you agree that from lime to lime you may give instructions by telephone. facsimile or email regarding the above captioned accounts) (defined herein as "Verbal Instructions"). It is understood that the risk of Verbal Instructions being givon by person er persons purported to be yoo is your own. Absent the gross negligence or willful misconduct of Deusche Bank Trust Company Americas (DUCAL you agree to indemnify and hold hnrroless OBTCA for any claims, losses, expenses, costs or attorneys fees resulting from OBTCA's acting upon such misunderstood and unauthorized Verbal Instructions. Yon understand that DBTCA may. but shall not be required to, seek verification of your verbal. lacsimile or email instructions by cafl back. In case of doubt, OBTCA may in its sole distrouon refuse to execute your Verbal Instructions or any part thereof, without incurring any liability. DBTCA is under no obligation to execute your Verbal Insinictions to transfer funds or securities to any accoum(s) without written instructions bearing your original signature. Joint Account Disclosure You have opened a joint account with DBTCA and acknowledge receipt of the following information: This deposit and any additions to the account shall become the property of each owner as pint tenants, and DBTCA may release the entire account to any owner during the lifetime of all owners. OBTCA may honor checks. orders or withorawal requests born any owner during the lifetime of all owners. The Bank may be required by service of legal process to remit funds held in the joint account to satisfy a judgment entered against, or other valid debt Incurred by. any owner of the account. DBTCA may honor checks, orders or withdrawal rem.ests from the survivors) after the dear', of any owner(sl and may treat the account as the sole property at the survivors) atter the death of any owner(s). Unless DBTCA receives written notice signed by any owner not to pay or deliver any joint deposit or addition or accrual. DBTCA shall not be liable to any owner for continuiag to honor checks, orders or withdrawal requests from any owner. Alter the receipt of the notice referred to in the previous sentence. DBTCA may require the written autborization of any or all joint owners for any further payments or deliveries. 2 13-AWAI.0101 013959032613 CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001324 EFTA_000 14798 EFTA00165586  ATM/Debit Service You agree that the retention or use of the ATM/Debit Card constitutes acceptance of the terms and conditions of the Cardholder Agreement contained in the Terms and Conditions ol Deposit Accounts. Internet Banking Service If you have selected to receive Internet Banking Services. you understand that you will be required to enter into a separate Internet Banking Services Agresment with DBTCA before you can aocess the Internet Banking Sdrvice. Acknowledgement of Receipt of Privacy Notice By signing below. you acknowledge receipt of DBTCA's Privacy Notice included in the Application Package. Non-US Individuals: Confirmation of Tax and Compliance Responsibilities. You confirm that it is your responcibdity to fulfill any tax obligations and any other regulatory reporting duties applicable to you in any relevant jurisdictions that may arise in connection with assets, income or transactions in your accounts) and your business relationship with DBTCA. Non-US Organizations: Confirmation of Tax and Compliance Responsibilities. You confirm that it is your responsibility to fulfill any tax obligations and any other regulatory reporting duties applicable to it in any relevant jurisdictions that may arise in connection with assets, income or transactions in your account(s) and your business relationship with OBTCA. Furthermore, you confirm that the necessary information (to the best of your knowledge and capabilities) is made available no less than annually to the relevant beneficial owner(s). settlods), benefit:len(ios), partner(s), etc. to enable him/her/ them to fulfill any respective tax obligations that may arise for him/her/ them in connection with your business relationship with OBTCA. Please complete and attach separate W8 or W-9 documentation as applicable. Terms and Conditions and Representations By signing below, you acknowledge receipt of the Terms and Conditions for Deposit Accounts attached to this Application and agree to be bound by them. In addition, you agree to notify us immediately of any material change to the information provided by you on this Application. You represent and warrant that all of the information provided by you on this Application is mallets. The Terms and Condit for Deposit Accounts are su Accept ncc You nderstabd that this a ante by DBTCA. t Hoiden Signature Date Joint Account Holder's Signature Date to Ft 7.-- Mir ;a1471 J' 6.144evallit *. e :x , atal ?r..".,;6t.Z.:r:O..2s.:tt - • "that,- _ c4_ • ,:a.... Gt•• .% VIM, #'I ‘. rWitekVist,n08 101g, ,Ogetleti. , 7 . 4. ptif, ,*_;•Th.Pit'kWA'NW- A ' F:±1441V-Pfrn;le;EP:ilir4"g/FittrkWP 4VAViSfretti:"4:enhlane3/Teb7f:MfrAWI' dr iiTilltiaMt,.1, )3.;gt•Itata, 4Ntante /1"A" ,•-310 nli "inraiS:#73;47 ..4. %:t i: nzil. r3ark "X •,^Mbrl.r. '3 4 • me), rt,Zrtarti- / - i i •A.7 • ,-,t7r; r•b>0 ot, en ' ? 4-di -,, Vit14/' " '''''' SI?S34/:;k O.*Y, ccir nikW41. S e. d- xpitd: . xe• ., 43,5,a /1F4.7.)., gM,...7. *lel: ' t id.T.I. C d , . • 4 A;,-.43 %, • . "nitiii4l i- 44O : ‘S ' "+"..tiC . tetVdridi igt,XTBXPCCtsw:daivt. . te#& SeWse:leAr.„.. -tie re4 r,- Ksit.Ossmu r.-4, • vanamarearmn.47 0.-mie, :45,1-atigam,t -6,1•19/O* - ,-- 4 Title 'at; SCoo 1",1.."40 igit-' ,;) .g* -..f -.. ' • C ' P'kty•I' lli c -1' 471•1.',..1ir ..rtia;ICit,iiCinit:.'"E;SeCgtt" 4...A.air. ..i... at -71'X hfals's ' [Nam , .„.. ?ay.", ciaa.:72, c-1.4-1t.;w511.4,4$241i,,VSKSW:Sati tretlatrV'esaf,4: 514aYli" ';414, trafff efFtZTitlitaitflgillAZfr 0 ta ..`41 ;W fr 4X tailiitiSgaSb Saw 3 k 13•AWM.0101 OiSeS9.032E13 CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001325 EFTA_000 14799 EFTA00165587  IN WITNESS WHEREOF, the undersigned, by and through its authorized officer, has caused this instrument to be executed on the date listed below. (FOR BUSINESS USERS) Propi At- W. - -Business liable Narn iP in 2//cl5 nature Date DEUTSCHE BIB TRUST COMPANY AMERICAS Print Nante/Tnie n.fAAn-C,IG" c_oeIriot" • %%— Ohl( (5 Date( (FOR ALL OTHER USERS) ACCOMt Name Herne/110e Signature Oats WM134667 21 otetnote613 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001326 EFTA_000 14800 EFTA00165588