KYC Print Page 7 of 19 One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar 3A. Individual Details ;for all parties) Individual's Name: Harry Belkw - 00000467202 Date of Birth. 5 9 1956 Country of Residence! USA Country of Citizenship. USA Address of primary residence- 12 Golan Drive Monsey NY 10952 United States Has client resided outside of his/her country of nationality for 5 years or more? Oyes 2/. No Professon, Occupation: Accountant Tax ID: SSN 081-52-0727 Current Employer: HBRK Associates, Inc Position. Title. Rank Address of employer: 575 Lexington Avenue, 4th Floor Monsey NY United St tes 10022 Does the person work as senior executive of a DB-recognized regulated entity in he financial industry? (Not applicable for operating entities) oyes iii No Is the Individual a Politically Exposed Person (FEP)?(if Yes, desaibe) 0Yes 2 No To the best of your knowledge. is the individual related to an employee of the DB group?(if Family or Friendship. describe ) 0 Family 0 Friendship None To the best of your knowledge, is the individual party to a non-banking relationship with Deutsche Bank (e.g., external legal counsel, dent referral source, supplier of goods or services)?(if Yes,describe ) 0Yes 66 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. 0 r El 0 0 0 ri E 0Wealth Details for this individual are not filled in. because they are the same as for the following person: 3IL 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 Mclustry of source of Wealth/Source of Funds? Summarize Source of Wealth: 0 Business Owner 0 Salary/Ea