EFTA01444584.pdf

EFTA01444584 EFTA01444585 Deutsche Asset ❑ Wealth Management Deutsche Bank Trust Company Americas (DBTCA) Business Deposit Account Opening Application 10.27.2011 Dale of Incorporation LSJE. UC Account Title Ut - i.r TaKpayer tO Nuntbar (TIN) LSJE, LLC Entity/Company Name 6100 Red Hook Quarter, B3 Mailing Addresa Nolopiiliceble- 00»02 Zip Code '7IZ '771 SLThgmM State City 212 971 1314 Business Telephone Number Business Fax Number Other Number Legal Address (if different from mailing address) Zip Code State City Client Relationship ❑ Corporation ❑ Foundation ❑ Non-Profit Organization ❑ Attorney Escrow Account D Landlord Master Escrow ❑ Trust/Estates [Z1 Umited Liability Company (LLC) ❑ Partnership ❑ Umited Liability Partnership (LLP) Private Wealth Premium" Elite Business Accounts 0 Checking Account ❑ Checking with Interest (Foundation and Non-profit only) 0 Money Market Deposit ❑ Cash Master Sweep Account ❑ DBTCA Certificate of Deposit APY Term ❑ DB AG NY Preferred Certificate of Deposit EFTA01444586 APY Term Promo term (DBTCA deposit account r^uired, along with a OB AG Prefarrad Terms and Conditional Trigger Amount Target Amount Private Wealth Premium" Banking Services ❑ Deluxe Checkbook ❑ Name Only ❑ Name and Address ❑ Debit Cards—Business Debit Card Duplicate Statement Color Style Code Name Internet Banking Services [7] DB Private Wealth Online Plus [7] Unk to existing online relationship; 1030660 Address State Zip Code City NAOSOSDODl&53O-aoai3taiD Wtri134B71 015624.072913 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, verify 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 identify you. We may also ask to see identifying documents such as a certificate 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 fight 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 owners or control structures and to collect 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 EFTA01444587 notify us of the change(s) and provide us with relevant documentation to verify these changes. ATM/Deb'it 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 of 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 Sendees Agreement with DBTCA before you can access the Internet Banking Senrice. Acknowledgement of Receipt of Privacy Notice By signing below, you acknowMge receipt DBTCA's Privacy Notice included in the Application Package. Telephone, Facsimile or E-mail Instructions By signing below, you agree that from time to time you may give instructions by telephone, facsimile or e-mail regarding the above captioned account(s) (defined herein as "Verbal Instructions"). K is understood that the risk of Verbal Instructions being given by person or persons purported to be you is your own. Absent the gross negligence or willful misconduct of DBTCA, you agree to indemnify and hold harmless DBTCA for any claims, losses, expenses, costs or attorneys' fees resulting from DBTCA's acting upon such misunderstood and unauthorized Verbal Instructions. You understand that DBTCA may, but shall not be required to, seek verification of your verbal, facsimile or e-mail instructions by call back. In case of doubt, DBTCA may in its sole discretion refuse to execute your Verbal Instructions or any part thereof, without incuning any liability. DBTCA is under no obligation to execute your Verbal Instructions to transfer funds or securities to any accourrt(s) without written instructions bearing your original signature. Non-U.S. Organizations: Confirmation of Tax and Compliance Responsibilites You confimn that it is your responsibility to fulfill any tax obligations and any other regulatory reporting duties applicable to it in any relevant jurisdi^ons that may arise in connection with assets, income or transactions in your account(s) and your business relationship with DBTCA. 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), settlor(s), beneficiary(ies), partneris), etc., to enable him/her/lhem to fulfill any respective tax obligations that may arise for him/her/them In connection with your business relationship with DBTCA. Please complete and attach separate W-8 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 EFTA01444588 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 accurate. The Terms and Conditions for Deposit Accounts are subject to change. WM134571 I5B24.072B13 2 Acceptance ^ You un"rStand that tt"appIlc^tionArsuEi" to acceptance by DBTCA. ^-/0-AS '2— In" /-K AuEhoriud Signer ' Date oate Authorised Signer nk Use Only Foi FtohieWed by; (1 1/ igrtat OAX. Nsma "mStDCtCUfc Titfe, ^ l<T oeu Aooep"">y"D Signmum tL0\ Nunw n/1D Trto ^ 2<4 Dau Account numbers: NOW EFTA01444589