715:2019 KYC Print One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar 3A. Individual Details (for all partes) Indrviduals Name: Date of Birth: Country of Resdence: Country of Citizenship: Address of primary residence: c/o HBRK Associates •75 Lexington Avenue, 4th Fl New York NY 1O022 USA Has client resided outside of lusiher country of nationality for 5 years or more' I yes No Profession/Occupation: Tax ID / SSN: Current Employer: Position/Title/Rank: Address of employer: Does the person work as senior executive of a DBirecognized regulated entity in the financial ndustry> or an entity listed on a DB-recognised exchange> (Not applicable for operating enbties ves 1 rto Is the individual a Politically Exposed Person (PEP)?(Y Yes desaibe) i , yet No To the best of your knowledge, is the individual related to an employee of the DB grouP7(1 FOCI* cr Friendship, dente) . Family : Fnendship I 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 servrcesp(f Yegdessiber) Yes If applicable, indicate which bank officers have met the person: Magi! where and when the client meeting(s) took place: Bank Officer Name(s) Bank Office: Client Private Domicile: Ckent Busine Place of ss: Other Location (specify): Date: 0 • Wealth Details for this individual are not filled in, because they are the same as for the following person: 3B. 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: i. • Business Owner Salary/Earnings Investment Inheritance/Gifts Other: Further Describe Source of Wealth /Detail the history of wealth fo each of the so