That is what's known as the SZM (Schalt Zentrum Mittekonsole), or Middle Console Switch Row. I believe there was indeed an option for cooled seats in late-model E53's.

__________________

2003 E53 3.0i
DOB 10/15/2002
Sienna red, Savannah Beige Dakota leather
Type FA53, Engine M54B30

2018 G02 30i
DOB 4/21/18
Black Sapphire Metallic / Canberra Beige Vermasca leather
Engine B46O