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 Behar Date of Birth:
Country of Residence' USA Country of Citizenship: USA
Has client resided outside
of his/her country of
Address of primary United Sates
nationality for 5 years or 0 yes ,V. No
residence- more?
Profession' Occupation: Accountant Tax ID: SSN
Current Employer: HBRK Associates, Inc Position. Title. Rani
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 oyes iii No
he financial industry? (Not applicable for operating entities)
Is the Individual a Politically Exposed Person (FEP)?(if Yes, desaibe) Oyes 2 No
To the best of your knowledge. is the individual related to an employee of the DB 0 Family 0 Friendship 0 None
group?(if Family or Friendship. describe )
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 OYes 66 No
source, supplier of goods or services)?(d Yes,describe )
If applicable. indicate which bank officers have met Indicate where and when the client meeting(s) took place:
the person:
Client
Client Place
Bank Officer Name(s) Bank Office Pryate Other Location (specify): Date.
of Business:
Domicile.
0
r
El
0 0 0
El ill
0Wealth 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 Ndustry of source of Wealth/Source of
Funds?
0 Business Owner 0 Salary/Earnings 0 Investment . . i nnemance, Oils
Summarize Source of Wealth:
0 Other:
Further Describe Source of Wealth /Detail the history of wealth for each of the sources: (e.g. For trusts, how did settlor accumulate
wealth? For inheritance, how did family accumulate wealth?For business owners, how long in business, how many employees, level a'
profitability? Indicate type of business, countries of major activities, important business partners.)
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CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0031527
CONFIDENTIAL SONY GM_00177711
EFTA01345274