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II. Certification of beneficial owner(s)

DOJ EFTA Data Set 10 document EFTA01298226

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DOJ EFTA Data Set 10 document EFTA01298226

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EFTA Disclosure
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II. Certification of beneficial owner(s) Persons opening an account on behalf of a legal entity must provide the following information: a. Name and Title of Natural Person Opening Account: JEFFREY E. EPSTEIN, SOLE MEMBER b. Name of Legal Entity. Type of Legal Entity, and Address of Legal Entity for Which the Account is Being Opened: NES US A NEW YORK LIAIITED LIABILITY COMPANY 8100 RED NOOK QUARTER, B3 St THOMAS, USVI 00802 e. The following information for each individual, if any, who, directly or indirectly, through any contract, arrangement, understanding. relationship or otherwise, owns 25 percent or more of the equity interests of the legal entity listed above: , tome I I I Date el Sinn Lea Mutest I Fr US. Petard: I For 1%n-U.S. PatioNS: I Social SooturSy i (Set loatnote 1 : or akerrottivel Ittutobet I to Social Secattty Nuentas) JEFFREY E. EPSTEIN 1/20/53 6100 RED HOOK QUARTER, 83 St THOMAS, USVI 00802 I I I I I , r 1 Fee PerSOnt. e't **Alan to a &led Seanky Rumba, or a Passport Number with Countiyof inane. on alien centtlicattra rata %-ntor, or fit:moor and counOy of Scum* of arty o.hor government:4foot occumeot duickitiCIN Nan/LW Or traiOnnet •nt3 beving y'tnntyantt et %India( safeotsaro art:On be provklec. Of on tnatttutil nets Otis Oteinitort PWaie write 'Hot AnonedgIct) d. The foncrwing information for one individual with significant responsibility for managing the legal entity listed above, such as: • An executive officer or senior manager (e.g., Chief Executive Officer, Chief Financial Officer. Chief Operating Officer. Managing Member, General Partner. President Vico President. Treasurer); or • Any other individual who regularly performs similar functions. (If appropriate, an individual listed under section (c) above may also be listed in this section (d)). Narita orate of Etsrtti Lagot Address For ti.S. For Hoi-U.S.Porsons: 1 Seal Spooky NumOot 1300 fOotOOto 1 for allernat:wol to Social Sototity Numeet) JEFFREY E. EPSTEIN SEE ABOVE ' For Non-US. Pomona in WADI*, lo a Sada! Security Nampo: or a PasspOn Hurter . With Country of laana an alien .',ettoicotatirn rove mote:, or %mix? ann country DI issunnee ot 4.ny other government-isouot Oocuron avkatncnuj nonOnarty r rosiearzo and Oaerog a photootaoh r aimiar saf(sotar0 shoJks Ce otoviOad natural person opening the account), hereby certify, to the best of plete and correct. St Dale Legal Entity Wontifiar lOplianal) )r. cipmrtne §ItjnflItire 7/24/18 SDNY_GM_00062366 CONFIDENTIAL - PURSUANT TO FED. a?./N Fe) DENTIAL DB-SDNY-0025191 EFTA_00 I 72876 EFTA01298226 II. Certification of beneficial owner(s) Persons opening an account on behalf of a legal entity must provide the following information: a Name and Title of Natural Person Opening Account: 'JEFFREY E. EPSTEIN, SOLE MEMBER b. Name of Legal Entity, Type of Legal Entity, and Address of Legal Entity for which the Account is Being Opened: MAN D, LLC, A USVI UNITED UABIUTY COMPANY 6100 RED HOOK QUARTER, 83 ST. THOMAS. USVI 00802 c. The following information for each individual, if any, who, directly or indirectly, through any contract, arrangement. understanding, relationship or otherwise, owns 25 percent or more of the equity interests of the legal entity fisted above: I New i--- Dow of evil. Lew Wilms For U.S. Persons: Spaal SensitY Numbar For azon.U.S. Parsons: (See 10Ctoot• 1 toe aTternotrito to Socol Straw iCcuenwl JEFFREY E. EPSTEIN 1120153 8100 RED HOOK QUARTER, 63 ST. THOMAS, USVI 00802 For Ptco•U.S. Penn in snow TO • Social SeCuaty Sower sor a Passport Humor' .'Mn Ccinxey of Iwo wt. on Ow ionntificaton emu nutter. or woo.. ana wonky of issuance of irry We taw nmant-issucti doexoncw °cannons nailwakycercticierucew: mural.; a pliotorach ex simil&safeguarc shoot be oroviCed. Cif no mcioducl nioett • -•30•ItneUeri. "ale wriip 'Not AppEesola7) d. The following information for one individual with significant responsibility for managing the legal entity listed above. such as: • An executive officer or senior manager (e.g., Chief Executive Officer, Chief Financial Officer, Chief Operating Officer. Managing Member. General Partner, President, Vice President, Treasurer); or • Any other individual who regularly performs similar functions. (If appropriate, an individual listed under section (e) above may also be listed in this section (d)). Name Dap of 8.rt, Lego' Adduct ow I w U.S. Poisons: I FeeNon-US. Anew Ste.ltay (See tomato I tor aktertahviiS leombes ID Stain Seturily Numbs.) ABOVE JEFFREY E. EPSTEIN SEE For Hon-U.S. Pawns. in ackation TO 3 SOCIal SOttely MIPS!: oi • Parka:ft Number •.•11 Country of !Nun; an Awl osntification en tuner of trait? and country of isstante a7 any Odle? 90713111froartfrielitd document evidence-is nilio.lityW lesiOence seed Oaring a chotooniph Walai calegu.ud shout. be ••••Cled. ran person opening the account), hereby certify. to me best of y8 is complete and correct. 7124118 ctrilkead Signature Name int): Title: 013t0: F-7,77filA- _ CONFIDENTIAL — PURSUANT TO FED. RA' l Vej DENTIAL SDNY_GM_00062367 DEt-SDNY-0025192 EFTA_00 172877 EFTA01298227

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