KYC Print Page 21 of 34 One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summa 3A. Individual Details (for all parties) Individual's Name: lean Anne Brennan Wiebracht - 00000487647 Date of Birth: 9/2/1960 Country of Residence: USVI Country of Citizenship: USA Address of primary residence: #6-L10 Est. Nazareth St. Thomas 00802 Has client resided outside of his/her O country of nationality for 5 years or more? Yes iA No Profession/Occupation: Finance Tax ID / SSN: 150-46-4746 Current Employer: Southern Financial, LLC Position/lide/Ftank: Address of employer: 6100 Red Hook Quarter, B3 St. Thomas United States 00802 Does the person work as senior executive of a DB-recognized regulated entity in the financial industry? (Not applicable for operating entities) D yin g No Is the individual a Politically Exposed Person (PEP)?(if Yes, describe) O Yes No To the best of your knowledge, is the individual related to an employee of the DB group7(if Family or FilendshiA describe ) O Family O Friendship gll 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)?(if Ye4descnbe) O Yes WI 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: ti O O O O '1 O O O Wealth Details for this individual are not filled in, because they are the same as for the following person: 3D. 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: O Business Owner O