EFTA Document EFTA01356211

KYC Print Page 12 of 22 One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar 3k Individual Details for all parties) Individual's Name: Jeffrey E. Eps:e ^ Date of Birth Country of Residence: USVI Country of Ofizer sh o USA Address of primary residence' Little St James Saint Thomas 00802 United States Professor OCCJ pa: on Self Empolyed Tax D SSN Current Empbyer: Southern Framed LIG Position/Title/Rank: President Address of employer: