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EFTA01282494.pdf
AI Summary
This document is a Structured Products Agreement and Approval Form for Deutsche Bank, filled out for an LLC client seeking approval to invest in structured products. The form contains detailed financial information, investor qualifications, and accreditation representations. [Rating: 3/10 - Standard financial services document with routine investment account setup procedures and regulatory compliance forms]
Flags
financial_transactions
redacted_content
Extracted Entities
| Name | Type | Context |
|---|---|---|
| Deutsche Bank | organization | Financial institution providing structured products investment services |
| Deutsche Bank Securities Inc. | organization | Broker-dealer subsidiary offering brokerage services |
| FINRA | organization | Regulatory organization that Deutsche Bank Securities is a member of |
| NYSE | organization | Stock exchange that Deutsche Bank Securities is a member of |
| SIPC | organization | Securities investor protection organization |
Full Text
Structured Products Agreement and Approval Form
Please Complete Alt Sections
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Account Type
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NOTE: IRA and ERISA accounts are prohibited from purchasing Structured Products.
Account and Owner Information: Provide requested information for wricli beneticial account owner ("Client"). If momMannth:
owner e%ists. the Structured Products Agreement and Approval Suppiontentary Form to this Agreeinerit may be required.
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Client(S) Financial Information
Approximate Aggregate Sources of Income Approt:intaie Net Worth Appro.:intake Liquid Net
Annual Income of Account (Approximate) Worth Excluding Principal
Owner(s) from All Sources Residence
Less than $50,000 Salary/Bonus 94 Less than $50,000 Less than 550.000
550,000 - S99,999 550.000 - S99.999 550.000 - 599.999
In ierest/Divid:mds IGO %
.9100,000 - 5249.999 S100,000 - 5249.999 5100.000 - 5249.999
5250,000 - Se99,999 Other (specify): 6250.000 - $499,999 5250.000 - 9499.999
5500.000 - S999.999 $500,000 - S999.999 S500.000 - 5999.999
51,000,000 - S2.499,999 $1,000,000 - 52.499.999 S1.000.000 - S2.499.999
52.500.000 - $4,999.999 52 50n 9 999 S2,500.000 - S4.999.999
[500.000 and °very S5.000,000 and eve'
wr:i rime SPN, 0MR oi I017.0330I7
ISMS
CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) DB-SONY-0000830
EFTA_OOI 486 I 5
EFTA01282494
Investment Experience of Account Owner(s)
Year Average a Trades Average Size of Types of Previous DAtion
Traded Per Year trades In Is Experience
Options So
Covered Call Writing
Equities Sc)
R Purchased Options
Fixed Income
iC J. Option Spreads
Commodities and Futures
tit Uncovered Put Writing
Structured Products 2sz:.
d Uncovered Call Writing
OTC Derivatives icrt
None
Foreign Currency 1 94 co
Alternative Investments 199 \
(Hedge Funds. Private Equity)
Investment Objectives for the Client Account
(Select up to two adjacent objectives):
Capital Preservation Income Growth Os Aggressive Gm-vth
Representations Relating to Qualification of the Client
Check all that apply. At least one category must iaa I:flecked.
I represent that Client qualities as an "Accredited Investor" as defined in Regulation O tinder the Securities Act of 1933 because
Client is:
• a natural persori with individual income exceeding. 5200,000 iiieach o: the two most recent years or joint income with a spouse
exceeding 5300,000 in each ol those years and a I easoriable expectation of the same income luyel in the current year:
a natural person individual net worth, or joint net worth with a spouse, OW!, 53,000,000. excluding INinwry reside,i ce:
a trust with assets in excess ol S5,000,000. not formed for the special: ern pose ol acquiring the securities altered, whose
purchases are directed by a sophisticated person:
a revocable trust that may be amanded or revoked ai any time by th“gianites and whet e alt of the grantors are
accredited investors;
a charitable organization, corporation or partnership wills assets exceeding 55.000.000:
ttc a business in which all the equity owners arc accredited investors:
a bank, savings and loan association, registered broker or dealer, instil slice company, registeied onottslmoni company,
business development Company or licensed smell business investment company;
an employee beneiii plan, within the meaning of ERISA, if a plan fiduciary that is a bank. insurance company di • egistared
investment adviser makes the investment decisions, or ii the plan has over 1.5,000.1.00 in total cISSCiS or a selkhretied plan
with investment decisions made solely by accredited investors:
a plan established and maintained lay a state, its political subdivisions or any agency or mstrumeolohly thereoL lot du
benefit of its employees with total assets in excess of 55,000,000: or
a director. executive officer or general partner of ihe issuer of the secvnties Wing odiaed.
1"/.11P41)1: v.PAA I MlS1a n till 7 I /
SDNY_GM_00038007
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED R GRIM. P. 6(e) DB-SDNY-0000831
EFTA_0O1486 I 6
EFTA01282495
Representations Relating to Qualification of the Client (Continued)
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j o C T o t h o i h n e m e t p r f a o a e c l n l c n o y o t w i , u t c y i n n o i t g n r o p r t r o e h r t p e h a r e c t e e a s a s o e u e r n t h o t o a o t f h t r i s e i o z u r n e c s t d h y a p s a r i e c e g c o n a o a f p u a t p o n c l r i t c c y t o a y m u b p n l e a e t . k , f a i o n th s r g e t a h r w e n e p o i c n r r e a d d s s i . v e e 1 i n - d m t u i a n a a t y i l t t h i a b r e i c e S c . f O o o l u n lo n b w t e . I i l n I ia g t l h l p i o s a f r i s a th g a e r m a t p iu e h s t s . t I . s r p h u a a s r l t l t . m n p e e a r r a s t h n n i e e p r a , s l c i h m h ip o it . w e li d m n e h it r a e i b n d i l l t i i h l a y e b c i c o li r t m h y e p a o n f y a or
P c S m S r t b r e I h e e a r a t r x t a o e g r g e r p p s u u y d u p a i S e e t c c u l h r r a d r a t i e t d c i t a u l u e t u u s i p t o v r n r n s e c e p r e e r g . c e y i n d o d t i e t s , S e n t n h P , l P e t c a e t e f h m r r r r i l x d n u u o v o r a , y e a a d c d d t P b s t o t n i u t u r n u u i h u o o c w c c g s r e l n i d t t e t i a n s s n b u o p d f l j d e m e u c s u u f P s a i t t i r r d d a s t s e r c t n u g o . u y . n h d o a w m r d f a o c u e i t t u n i h s o t c e l s o i a c e e n m c i n n n i t n t f o t s o t h g a i a c , s n t f a e i i e a n o t n a t S r n h a d d d l l a d t , d h e i e r n r t a u e p o i q d g c s c s c l r u e o a k i d c i u s t o a r n i u o s n c i t t r t v s o o r u u e h s a e u t l n e e m I o a c t d l n t i r t r i v i i m a d a a f P n c e i o t e n n t g r i r a u r o e c r c o t m t e a i r n e d o u v d i r n t a . m a i r u w e y t I i d t t t c s r p i i h i y o o v i r t t t s o e . a h s r e n i k F n n l v s i m a , c I s i e e c o n m t o h n o e y s l m a d m a t a m u d o l v l p a i r i y p n w a t e e k d r a , o s e i , n I i e o b t n n o p h t u l r a m e d r e e e r n i d t i n e c s n y o d f f v k t t p o o e c s . o m i r e s r I a i r o w m e m o n s a a n f a r t d n l t d a s y o s m u s e d o n f l r y i a t i n n i o e q d o u c t t g y c p u n l c n t t y , h i u h i o e t d s d h o t e r e u i o e o i c o e b t n e i r y r h a n n t s t t x a m a o v r t i g t t i i a n s s o e e s n o r s e n e s n k l e u r e i d t a . g e t u d u m s t I n h t l e e ( ( i h e 2 f S t w u r m r a n e o o t e t h v r b t p S m x u S i e r e m c t i t c s e d t h r d s t r u y k n d u e e o m s c t e i r e u a n t e a a t d u m r v m h d c y s r e o a e e e s P i e s p n n s d o d t d r t c m c o i w o n P o l P i u d t e a e o n r h r u d c t o n s u o e e e c e d , t l d d r d t s a u o s a u t s w b n h c b c a l I o d e t a e j t r s e s u s n y b t t c s f n h m h a o t D S a d i e o s r v a e t t o f r m e c u y t u s ' p o a s t s l c y u s r o s t a i t t c c a n e s e u h n h h n e c d r e r i e r f e d i o : l p t : e t i d h p s B t h a g h e t : e l a i i a i ) a o n r n o l t n t . k n ( ) s )
I 0 t l o ) 0 3 r A 1 h m t 1 i o e / m y l it , e A i x :• c t 1 e c 1 n o • t 4 u 1 n • p s t e i . I r : m a in c it k te n d o w b l y e a d p g t p e o l h a i l c o i n a e o d t b ' I l a e r g J l r a e : w e I p a th a n a y d t r D . r w . u .: i h le l e l s ' n ; , . t h t h S i p a e t . u l r i e u t t h n t c d \ o r t u i r p e r e re l I e d 5 D o . P • e I r r t o t o u l d l t v s u c i c a h t . s e 4 'n ' B a I u l a e r t e n k li t 1 t i , l o a 4 1 a W c ''P q f u u a i r r r e m a y n a d c d c i o s u p n o w t s e D e n e o u f t S sc h h ( i i n ) e ). t • B o , a • e . l 4 d i . . P 'b l o o y d ucis
issI Wilts.1O Psis, a lir 1:•111!. - / Nth's • , lidMint 0.1 • ,4Di ji; 101:84111.1•:•ip• • L. h Is .l * o u n • i •is .1 nl
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CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R GRIM. P. 6(e) DB-SDNY-0000832
EFTA_001486 17
EFTA01282496
I ages: that I will read catelully any pinspectt s. 'et m sheet and tray timer olio, lag do eintiedt (any :40,11100NrCips. WI III
sheet or oNericrg rtocuirient. an "Offering Document') that I may lett sve in connection with tile acquisition of Joy SIfLiClUff:CI
Product Inr my Account, including disclosures in any such ONering k destribing the lees I may pay el COIll ket:11011 WW1
tlx: Structured Product as well as representations and warranties line: t vnll be eleernial to have made in conner.iioc twit the
acquisition of the Structured Product.
Qualified Institutional Buyer
represent dial Client qualifies as a "Qualified Institutional Buyer as rle(ined below.
R(i) Any of the following entities, acting fot its own account or Ilw accounts of other teethlied mstutiiiinnal bier:es that in
11w aggregate owns and invests on a discretionary basis at least ar ft& IMMO.. in securities of issuers tint ate not °Whaled
with the entity
e (A) Corporation. etc. A rot:caration (either than.: hank, savings ir id Wait tic sin hen iiistitiitioit relcrncd win (ii) below).
partnership, Massachusetts or similar business trust. organizzionii descrWed m Settee 501(cX3) of the Interact Revenue
rate, Smell Business Development Company licensed by the: I S. Small Business Admingsualton undo, Section 301(e) or
(d) o1 the Small Business Investment Act of 1953. or business development company as defined in SOCIi011.1020)(22) of
the investment Advisors Act of !940: or
(B) Insurance Company. An Insurance Company as defined in Scction 2(13) of the Act: or
(C) ERISA Plan. An employee benefit plan within the meaning of f Ne I of the Employee Retirement IncomeSecurity Act
of 1974: or
(0) State or Local Plan. A plan established and maintained be a matt:, its political subdivisions. cm any agency a'
instructediality of a state or its political subdivisions. for the bete ii; of us ernitinYccs:ol
(E) Trust Fund. A trust fund, whose trustee is a hank or trust. whose participants are exi.k is' vely plans speciftedet
subparagraph (C) or (0) above (but not 'petering Trust funds havaig IRAs or Keogh plans as Isar ocipants).
(F) Investment Company. An investment company registered wide, the investment Company Act of 1940 a. any tiotanni.s
development company as defined in SeCti011 2(a)(48)ol that ALL 04
(G) Investment Advisor. An investment advisor registered uncles the Investment Advisors Act of 1940
(ii) Bank or Savings and Loan. We area ban:: defined in Section 3(a)(2) of the Act. a savings and Wan associatioti or other
institution refe t enced in Section 3(aX5XA) of the Act, or a foreign bent. ni savings and loan association or equivalent
institution that in the aggregate owned and Invested on a discietionai r basis, for out own account and the er.courtis of ()the'
persons, at lease the amount of securities specified below (nor less Mail ≥3.00 million), calculated as provided in Rule 1.14A,
as of the date specified below and had an audited net worth of at least $25 million as of the end of nun most recent fiscal
year. (This paragraph does riot include bank commingled funds, incept as noted in OXE) above.)
(iii) One Of a Family of investment Companies. We are an investment company registered under the Investment Company
Act of 1940 that s pan of a "amity of investment companies-. as defined in Rule 144A, that owned in the aggregate al least
the amount of securities specilieci below (not less than 5100 million), calculated as provided in Rule 144A. as o: the date
specified below.
(iv) We ate a dealer registered under Section 1.5 of the Secerhies Exchange Act oi 1934. and we are cote tit the following
(A) Dealer/QIB. We owned or invested on a discretional,/ basis. for our own account and the accounts of ollherpersgosm
an least the amo unt of securities spot:died below (nut less than SIO oration), callcculated as provided in Rule 44114/ its the
date specified below.
(B) Dealer/Riskless Principal or Agent. We are acting either on a tiskless principal basis fin simulteneous resale to a
qualilied institutional buyer or as agent for one or more qualdied institutional buyers.
Iv) Entity owned by Qualified Buyers. We are an entity, all of the equity owners of which ate qualified institutional buyers
(each t satisfying one of O) thiough (iv) above including as applicable ilie $1(10 nutliou test).
In calculating the amount of securities owned or invested:.
Val/Well Sted.nesttil lel /IF Oil
SDNY_GM_00038009
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED R GRIM. P. 6(e) DB-SDNY-0000833
EFTA_001486 I 8
EFTA01282497
By signing below, I hereby confirm that the representations made in this Structured Products Agreement and Approval Form
are true to the best of my knowledge.
Client signature block:*
t act sf Axnast
SIsAttitt .Sint.:
fitriv Saris,
Doe
9! I his is a joint account nli joint account holders mast sign
The following signature block should be used for a Trust Partnership, limited Liability Company or Corporate client.
pita GI ACCOult
sou-r\-1E.ew BFI 1,3c.krAL L_Lc.
Saytttzie 't tie
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If this is a trust account chedc anp:opriate 'Trustee Co-Trustee
For Deutsche Office Use Only
loves st Sianteues,-----. \\___ Date
it\ \"ificc 0/2-3/(1-
itnt tniestintits ' stNasisi
"Sas HuAA StioskAA/
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Please submit all completed and fully executed forms to Compkance via NetX360.
"Deutsche Batik" means Deutsche Bart. AG anti its afiliatvd conipanivi. Deutsche !lank Wealth Management represents
"Nardi management activities conduntect by Deutsche Bank AG or its stitisitheries. Brokerage services are altered through
Dr.urscho Bank Securities Inc.. a isoket-dealer and registered investment adviser, which cohtlucts imiesiMent banking an
sccurifoz activities in ti's: United States. Deuische Bank Securities Inc is a member of. FINRA. NYSE and SIPC.
2.): 7 Dirutsttio Wok AG SA istits hisso.est Vitil Min S9AA SOS: 0110:,.044017
SDNY_GM_00038010
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0000834
EFTA_00I 48619
EFTA01282498