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efta-01345171DOJ Data Set 10Other

EFTA01345171

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DOJ Data Set 10
Reference
efta-01345171
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
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: r 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: NEPTUNE, LLC, A DELAWARE LIMITED LIABILITY 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 listed above: 1 fen I Number Colo of Sinn legal Address • For U.S. Persons: Social Smoky For 1•Jxr-l.i.S. Parsons: (See fo.t rote : fa r aiternativetl to Social Sacleky Number) I JEFFREY E. EPSTEIN I 6100 RED HOOK QUARTER, B3 ST. THOMAS, USVI 00802 i I -- 1 i For Non-US. Persona in oarstion toe Social Security Number Or a Pleat/cat Number with Gauntry of Nsuatted, an alien dentakation can! minx:. or number and Coundy of isetuance of any ow( government.isued dennren: evidencing nationeitty or residence and bearing a photograph o: safeguaro snood be emirates of no manctual meats thisv*5'11'Jan. tease vinte -Not ndolicab:a.1 d. The following information for one individual with significant responsibility for managing the iegel entity listed above. such as: • An executive officer or senior manager (e.g., Chief Executive Officer, Chief Financial Officer. Chief Operating Clificer, Managing Member. General Partner, President, Vice President. Treasurer); or • Any other individual who regularly performs similar functions. appropriate. an individual listed under section (c) above may also be listed in this section (d)). Novi? ' Data of aim Legal Address For U.S. Persons: For Non.U.S. Persons: I Social Secnocy ; Number (Sao footnow 1 for alternatives to Social Seaway Number) j, JEFFREY E. EPSTEIN SEE ,ABOVE I For Non-US. rte-scano. in tradition to a Social Security Number or a Passport Number with Country of issuance. an aten MereditaciOn toed wager, or mimeo: and fount:), issuance ot any other pvernmontissued document evidencing noilanality or residence and Coping a photon?. ph oi sinlm saienuorc snotun be otov000. JEFF ural person opening the account), hereby certify, to the best of ete and correct Signat• Name ( • 47,1/4 0.: 7/24/18 Date De:eT "P CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0031357 SDNY_GM_00 177541 EFTA01345171

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