72)61
Page 2 of la
v
Schedule A • Cash in Banks _ ~App6ut Lean D. Bala
I
Pianki),**Icy's a resephope a .rumait4Frarymp . i Accent_ Date- __
Account I 0
al MnenCial Ineinion
U.S. inn-WM of America Private Wean
Marogenwa Leon O. Ellin
2/31/2005 Checking 0.05% yU $39662.00
P. O. Boa 25116 Data Bap
Tape. Ft 52522
MTh 556-2171
Oen Raider Black Personal Money 39.597.551.00
.554.00
U. S. Trust- Banal America Private veal 4/27/1990 der 640/24
CA)ApelloMannenem Market
Management
Bonen
U. S. Trust - Bank 0 Amain num Munn 24213Proncions. Int a 447/2035 In 6404012 516.0W00
Checking
Management
Leon D. Black Emend
U.S Dust- Ent Of Anna Rival. Wealth 745/2503 0.05% 6002012 S2.2041303.00
Detre link finning
Manager
U. S. Tfust -ntBank M Anna PrivateWean ORB 5/112406 Dusan" Ma" 020% 640/2012 11760.905M
Produckat Inc. ; Market
Managene
U.S Trust -Bank a/America Pihrate Wean Dueness imereat
020% 6/300012 $27,336.494.00
Managernara Black Family Fannin L P Maommee
}Minna
V. S 7nest - Barn ol Anna Privas Wean N/A 6/30/2012 520.06160600
a t LW Holdings LLC Advantage
Checeng
U. S. Trust - Bee olAMelica Private %beim Bunn. Mein 020% 6/302012 576.05500
Management LBPhedrigs LLC 9252006 Maurn er
Enhanced 596.105.00
U. S. Treat-Bak of America Pine Dean LC6Feuxtelen s 0.05% 640/3012
Glan
Manner
Ennead 222.173.371.03
V. S. Tnnt - EWA of Arnica Penne Weal Bieck Fun/ 1997 Trust 7/16/2503 Chang
305% 8/30/2012
Manenethe
Leon Back Warn
U. S. Time- Bank 05Nnerica Private Went Oinking
0.06% 6130/2012 $9162.53
Mannenew1 Elobra Black
U. S. Tryst - Bank of America Pone VVeaim Ove:king NIA 41,40.2012 5000
Mack Farrily Panners LP
Manneenel
U. S. Trust- Bark of America Awn Wealth Gannon Partner. GP en12000 Checking NIA 6/30/2012 52305.924.00
Management
U. S. Trust - Bank ol Anent.* Noce Neal Black Family 2000 Trust 12/1/2506 Deprea WA swam woo
mennement
V. S. Tryst -Bank of Amenca %nee %inn 24/2039 ha ducking .06% 6/302012 533.003.00
Leen It Oen Bad
Manannes -
JP Masan °tan Diem Black Cutt kir Ana °WW16 0.20% 600/2012 547.064.00
EfinUTMA nein
Pasts Elan Get for Viaixi Money real 6/304012 536.554.17
JP Morgan Crate 020%
Belek UTIA4 saengs
US Tnnt - Bank 01Amillea Private %Wale, Buenas nen
30.00% 6004012 $1.310.531.03
Managernent LBF Mildew Maanuar
US Dom- Bank at AMP'S Pflv10 Wean Black Fenn 1997 GST E Monn MAC 0.20% 6404012 53.006.634.00
Uanagement Tnet SIVINS
US Trust - Bark Of Arnerica Private Mean Leon 0 Blan/Debra Black
Chning in 6004012 112326800
Management In Pay Acid
US Trust -Bank of Anima Pnvate Weal) Leon D EafiCk
WeemsnMarkel
Mcsi 0.20% 6002012 512657.201.00
Mae9e0 Org Debra Bin
BuSineSS
US Trust Bank of Arnencas Pnvata Wen 020% 50012012 5147.179.00
84AV Manne Economy
Malle9ornani
Checking
US Trust Ban of Amens Prnme Wean Leon Black Fenn FOuntlazi Suwon aileron
Na 6/30.2012 5672
management Inc Mininuar
Pm/non
us Trust Bonk of Americas Private Woman %dada Such 0.05% 640/2012 _ 5772950
Checking
Management _
--- -
$1112.626.1169.91
----___—
....... . ---
EFTA00616059
Page 3 of 16
Schedule B - Accounts & Notes Receivable I Applicant: Leon D. Black
Name, Address & Telephone_ Date Orl Mal Un id Interest Maturity Collateral Securinji
Number of Debtor Incurred Amount Balance • Rate Date Purpose Account or Note
None
TOTAL: $0.00
EFTA00616060
Parr 4 of 14
Sclwdule C • Stocks. Bonds Notes 4 Debonlures Arecant Lens 0. Sea
j i /of
None al foveae Company 2I9e of No. et %.f_.. Putchase Conso of Nona M Anneal !.. Owing ;, Pony/Pledge On% ti
se Ckesensa.Mews NweNallis ' Owner* Paco I - Parma *kb Hell i Weer Yams
Ores R. teack Vann Vitae vW0u$ Various Dere era WA WA
inforgan
1049-3246511 9/30/2012.
Lem Sack Varies Various vandal Varese 11400. Bask WA WA
JPSaslan
/049.514341 3312012
Way J. Cohen CS Varies VanWS Wakes Varian Alexander Sack WA WA
Alexander Sock LIGINVIIY
!
(047.101331
04 341/2012,
Bony CohenCA Vidor% Vanes Various vinWS VenouS Vane Beck WA WA
/Moron Stack VG/MAW
1047401551
3/31/2012
Tent lot °flame '02 Vales Varian vanes. Venous Benjamin Went WA WA
SPISorgan
(047.101901 3/)1/2012.
fl agen Tan, for lookuel32 Varies Various valet. Vs** Joshua Beck WA WA
100.1019Z 341/201
mans' Taal for raunert92 Varlet Valais vats Various Merankr Baca WA WA
/047.101821 3.31/2012.
JOMonean ToniIce Vieloda 92 Varies Various various VanOus Vidor Back WA WA
/047.101911 3/31/2017
J014onsan Trot la Barri* '80 Vanes Various slesSuS Vanes, Bairn Bleak WA WA
1047401911 3312012
fl own Taal let Joshua 10 Vries Vinous anus Vanous rear Beck WA WA
/047.101931 341/2012
snag* Tar for Alexander 'Se Vanes Variant vaesSua Vaisya Mearakx Beck WA WA
9)47401611 381=12
JiNeargan Tone let Wiens ISO Verna View, "Sea Vflus Vieleda auk WA WA
$047.1019:e 3/31/2012,
"WNW Aloe Back LITIMMY Vanes Various Vinous Veneto Naanleg Bark WA WA
(04134300341 3414012
01,09 00 infrace Thai OTD12 Varies Veneta Wrest Versa Leon 0. Bea WA WA
5049.513301 3$31/2011
Jra042641 Black Fr* 1997 Toni Vales Various earkosa Vailesn Mack Fordo 1991 WA WA
/0494290B Trust 3414012
US Twat • Banta, Amen LW 14oldings LLC Vanes Various various Varian Leon 0 an WA WA
lia3110054120403) 3/31/201Z
US Toni . Bat of Anoka I" il ddnils1J.0 Varies Varkus various ' WM* Leon O. Marc WA WA
14101W60200491 34112012
US Tani • Bank of America Black Fairy Peres Varies Venous various Various Leon a Eark WA WA
141(1114054743053 Limbed
3.01009%
JP Monwi Chew Bark LBF Horror LLC Vanes Various various Valor Leon a Sack WA WA
(01645900?) 371/2012
JP Yowl Chew Bra Br* Emily Palma IP Vales Various various Venous Loon a Berk WA WA
(0224620001 3414012
lieuberpr Berman. LLC Managed Eosin Vries Various various Varkus Back Feta* WA WA
AC 955.00292 3/31/21)1a
"WOW Loco Sack Fanny Vanes Varese varietal Various Loon 0 Black WA WA
04961903 Ferrara, 341/2012
Sock Vinous varbs Ursa Leon 0 Bleck WA WA
AP Arm*, Asset. IP 3/31,201%
Stock Oren *It $0 buy kns Man Various Verso Leon a BOW WA WA
San Swine BadeInt 1% 3/302012
Cannon Slack Dass than Varkus Vanes* Leon 0 Neck WA WA
54%n NIS Rear kr 1% 3/30201S
wows Valor Sack Fel* 2011 WA
LC43 2011 LLC 1 1.2" ) - n , Tashi 3/314012
i-
r
i._____ -
- T---
F TOTAL:
EFTA00616061
Page 6 of 16
Schedule D - Real Estate
Address Owner of
4 Property : Purchase
(Applicant: Leon D. Black
Annual % of Current Value Names of Other
S C & St P / •it Record T Price / Dato Encumbrances Income I Ownership of % Owned Owners & % Owned.
Leon D. Black Co-op None Does not apply 100.00% None
Leon D. Black Co-op None Does not apply 100.00% None
Leon D. Black House None Does not apply 100.00% None
Leon D. Black House None Does not apply 100.00% None
Leon D. Black House None Does not apply 100.00% None
Leon D. Black Condo None Does not apply 100.00% None
1
1
1 TOTAL
EFTA00616062
Page 7 of 16
Schedule E - Life Insurance Applicant: Leon D. Black
•
Name, Address & Telephona# _, _ Policy Date Face Annual _ Cash Surrender
_.._.
of Insurance Carrier Issued I Beneficia ies Value Premium
Prudential 9/1/1999 Leon D. Black Insurance Trust #1
AXA Equitable 9/1/1999 Leon D. Black Insurance Trust #1
Security Life of Denver 9/1/1999 Leon 0 Black Insurance Trust #1
Prudential 4/26/1999 Leon D. Black Insurance Trust #2
New York Life 4/28/1999 Leon D. Black Insurance Trust #2
Pacific Life 4/28/1999 Leon D. Black Insurance Trust #2
John Hancock 4/28/1999 Leon D. Black Insurance Trust #2
AXA Equitable 4/28/1999 Leon D. Black Insurance Trust #2
I
T
i h TOTAL:
EFTA00616063
Page 8 of 16
Schedule F - Pension / Retirement Funds !Applicant: Leon D. Black
Name Appearing Type of Type of Securities Name & Address of Account / Fund Employee Employer Current
on Account / Fund Account I Fund Held by Account / Fund Employer / Institution Number r Contributions Contributions Value
Leon Black IRA Brokerage Account J.P. Morgan N/A N/A
383 Madison Avenue
New York, NY 10179
Debra Black IRA Brokerage Account J.P. Morgan N/A WA
383 Madison Avenue
New York, NY 10179
•
TOTAL:
EFTA00616064
Page 9 of 16
Schedule G - Vehicles (Applicant: Leon D. Black
I
Specify if Date of Purchase I Model Make & Model Purchase Price/ Current Market Value
Type of Vehicle Owned/Leased or Lease Agreement Year of Vehicle I Cost of Lease If Owned
Chevrolet Silverado
Pick Up Truck Owned 2010 2011
LS 1500 pickup
Chevrolet Avalanche
Pick Up Truck Owned 2005 2005
2500 LT
Luxury Sedan Owned 2004 2004 Mercedes Benz S 600
Mercedes Benz 560
Luxury Sports Car Owned 1989 1989
SL 2dr
Chevrolet Tahoe 4dr
Sports Utility Vehicle Owned 2001 2001
Lt
Sedan Owned 2004 2004 Acura TL 4dr
Sports Utility Vehicle Owned 2011 2012 Mercedes R350
Sports Utility Vehicle Owned 2009 2009 Honda Pilot
Bentley Continental
Luxury Sedan 2007 2007
GT
Sports Utility Vehicle Owned 2008 2008 Jeep Patriot 4WD 4dr
Sports Car Owned 2008 2008 Audi A4 4dr
TOTAL:
EFTA00616065
Page 10 of 16
Schedule H - Other Assets 'Applicant: Leon D. Black
Date of Purchase % of Current Market Other
Type of Asset Purchase Price Ownership • • °. • . • • Information
Art: LDB and DRB Various Various 100.00% Approximate market value.
Art: Held in Trust Various Various 100.00% Approximate market value.
Chinese Bronze Various Various 100.00% Approximate market value.
Books Various Various 100.00% Approximate market value.
Jewel Various Various 100.00% A..roximate market value.
Contents of Various Various 100.00% Based on insurance valuation.
Contents of Various Various 100.00% Based on insurance valuation.
Contents of Various Various 100.00% Based on insurance valuation.
Contents of Various Various 100.00% Based on insurance valuation.
Contents of Various Various 100.00% Based on insurance valuation.
•—•
I
TOTAL:
EFTA00616066
EFTA00616067
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Page 11 of 16
Schedule I - Notes Payable !Applicant Leon D. Black
Name, Address & Telephone Date I Due Interest ^ Monthly Unpaid
Number of Creditor Account Number Incurred Date Rate Payment Balance
American Express — Centurion
P.O. Box1270 9/28/2012 10/13/2012 N/A Varies
New York, NY 07101-1270
American Express —Gold 10/8/2012 11/2/2012 N/A Varies
American Express — Platinum 9/21/2012 10/7/2012 N/A Varies
American Express — Gold 9/25/2012 10/10/2012 N/A Varies
Bank of America
P O Box 15019 9/19/2012 10/16/2012 7.99% Varies
Wilmington DE
Bank of America 9/19/2012 10/16/2012 7.99% Varies
Bank of America 9/19/2012 10/16/2012 7.99% Varies
Bank of America 9/19/2012 10/16/2012 7.99% Varies
Bank of America 9/19/2012 10/16/2012 7.99% Varies
Bank of America 9/19/2012 10/16/2012 7.99% Varies
Bank of America 9/19/2012 10/16/2012 7.99% Varies
Bank of America 9/19/2012 10/16/2012 7.99% Varies
Capital One
PO Box 30285 N/A Varies
Salt Lake City UT 84130
Bank of America 9/19/2012 10/16/2012 7.99% Varies
Bank of America 9/10/2012 10/7/2012 7.99% Varies
Bank of America 9/22/2012 10/19/2012 11.99% Varies
Bank of America 9/19/2012 10/16/2012 7.99% Varies
Bank of America 9/19/2012 10/16/2012 7.99% Varies
TOTAL:
EFTA00616068
Page 13 of 16
Schedule J - Loans...& Other Payables 'Applicant: Leon D. Black
_. .. T-
Name, Address & Telephone Date Original Unpaid L Payment Interest r Maturity
Number of Creditor I Account # Incurred Rate I Date Purpose Collateral
Bank of America 1.56% 3/31/2013 Art Purchases Art Collections held
101 South Tyron St. 6FL through Narrow
Charlotte, NC 28255 Holdings, LLC
-t-
1
i
7
TOTAL
-1
EFTA00616069
Page 12 of 16
Schedule K - Taxes Payable Applicant Leon D. Black
--,--
Nature Date Original Fines, Penalties & Total Amount Other
Taxing Authority of Tax Due Obligation t Interest, If Any Due information
None
TOTAL $0.00
EFTA00616070
Page 14 of 16
Schedule L - Mortgages / Liens Payable on Real Estate Applicant: Leon D. Black
...._
Name, Address & Telephone Date Original Monthly ... Un Id Interest Maturity Description Position of
Number of Creditor / Account # Incurred Amount Payment Balance Rate Date (Address of Real Estate) Lien / Mortgage
None
TOTAL $0.00
EFTA00616071
Page 15 of 16
Schedule N - Other Liabilities Applicant: Leon D. Black
1
Name, Address & Telephone Date Original Unpaid Payment Interest Maturity Description and/or _
Number of Parties Incurred Amount Balance Amount / Period Rate Date Collateral Purpose of tiiiiiritir
None
I
TOTAL $0.00
EFTA00616072
Page 16 of 16
Schedule 0 - Contingent Liabilities (Applicant: Leon D. Black
._. ._
Name, Address & Telephone _____ Date Original Unpaid Payment Interest Maturity Description and/or
Number of Parties Incurred Amount Balance Amount / Period Rate Date Collateral Purpose of Liability
Apollo Co-Investors III, L.L.C.
1 Manhattanville Road, Suite 201 Does not Does not Does not Unfunded Capital
Various Does not apply None
apply apply apply Commitment
Purchase, New York 10577
Apollo Co-Investors IV, L.L.C.
1 Manhattanville Road, Suite 201 Various Does not Does not Does not Unfunded Capital
Does not apply None
Purchase, New York 10577 MAY apply apply Commitment
Apollo Co-Investors V, L.L.C.
1 Manhattanville Road, Suite 201 Does not Does not Does not Unfunded Capital
Various Does not apply None
Purchase. New York 10577 apply apply apply Commitment
Apollo Co-Investors VI (A), LLC
(fica Apollo Co-Investors, VI, LLC) Does not Does not Does not Unfunded Capital
Various Does not apply None
1 Manhattanville Road, Suite 201 apply apply apply Commitment
Purchase, New York 10577
Apollo Credit Opportunity Fund I (Class A)
Does not Does not Does not Unfunded Capital
1 Manhattanville Road, Suite 201, Various Does not apply None
apply apply MAY Commitment
Purchase, New York 10577
Apollo Credit Opportunity Fund I (Class 8)
1 Manhattanville Road, Suite 201, Does not Does not Does not Unfunded Capital
Various Does not apply None
apply apply apply Commitment
Purchase, New York 10577
Quadrangle Capital Partners
Does not Does not Does not Unfunded Capital
375 Park Avenue Various Does not apply None
apply apply apply Commitment
New York, NY 10152
Searchlight Capital Does not Does not Does not Unfunded Capital
Various Does not apply None
apply apply apply Commitment
Markstone Capital Group LLC
Does not Does not Does not Unfunded Capital
1801 Century Park East, Suite 2150 Various Does not apply None
apply apply apply Commitment
Los Angeles, CA 90067
Wolfensohn Capital Partners Does not Does not Does not Unfunded capital
Various Does not apply None
apt* apply apply commitment
Apollo FCI Colnvest I, LP Does not Does not Does not Unfunded capital
Various Does not apply None
apply apply apply commitment
---
_
__ TOTAL ---- _
---
EFTA00616073