KYC Print Page 28 of 43 One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summa 3A. Individual Details (for all part es) Individual's Name: Date of Birth: Country of Residence: United States Country of Citizenship: United States Address of primary residence: Has client resided outside of his/her country of nationality Li Yes W No for 5 years or more? Profession/Occupation: N/A Tax ID / SSN: Current Employer: N/A Position/Title/Rank: N/A Address of employer: N/A Does the person work as senior executive of a DB-recognized regulated entity in the financial ndustiy? or an entity listed on a 06-recognised exchange? (Not applicable for operating entities O Yes N° Is the individual a Politically Exposed Person (PEP)?(if Yes, describe) N/A K Yes RI No To the best of your knowledge, is the individual related to an employee of the DB group?ff Family or Fnendship, describe) N/A K Family 0 Friendship E) 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)?(,'f Yes,deScnbe) N/A 0 yes M No If applicable, indicate which bank officers have met the person: Indicate where and when the client meeting(s) took place: Bank Officer Name(s) Bank Office: Client Private Domicile: Client Place of Business: Other Location (specify): Date: LI 0 U U 0 Li r1 0 I , L._.; Wealth Details for this individual are not filled in, because they are the same as for the following person: 38. Wealth Details (Only for parties requiring source of wealth description as indicated 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 Business Owner OSalary/Earnings 0 Investment 0 Inheritance/Gifts 0 Other: Further Describe Source of Wealth