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efta-01345174DOJ Data Set 10Other

EFTA01345174

Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01345174
Pages
1
Persons
0
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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 'JEFFREY E. EPSTEIN, MANAGER b. Name of Legal Entity, Type of Legal Entity, and Address of Legal Entity for Which the Account is Being Opened: SOUTHERN FINANCIAL, LLC, A USVI LIMITED LABILITY COMPANY 8100 RED HOOK QUARTER, B3 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: i Name Date of Birth LegolAtterese For U.S. Parrionc: For Plon.U.S. Pt ons: J I So. kill Securer Number (Sec roc:notes. tor Men...viers to Sobel &storey Ntrr.boA JEFFREY E. EPSTEIN 8100 RED HOOK QUARTER, 83 St THOMAS, USVI 00802 1 7. For Non•US. Persons. in &coition too Social Security Number or a Nssport Number MO Country of IssuanCe. an Oren idontiScotIon card number. Or ivurn0er end courery of issuance of any Ced ter governintnt-issued document avelencing nationally cv residence ant: matins a photograph Cr ItMaar safeguard shook. OS °mean (If no incliktual meets finis d4hiitiCet dense tvflIC 'Nat Applicabil.-) 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, art individual listed under section (c) above may also be listed in this section (d)). Name f Leo Adorers I Date of Beth II ABOVE JEFFREY E. EPSTEIN I SEE For Non-U .S. Persor4 in addition to a Social Semoity Number or o Passport Nientior with Country of stuance. an alien Identificaton cans number, or number and countryof !stereo of any other govetrtment-issoed document natiOnMity or reeicience and beating a photograph Or similar sofogoord should be provided. For US. Persona: Social Security Numb& klr Non-0.S. Pertain: (See foolnatal for *Narratives' to SoriaiSeturity Number, me of natural person opening the account), hereby certify, to the best of ded above is complete and correct. 7124/18 Crate Sr Sig no Date: (Pr 7 -ij ?Pi CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-OO3136O SONY GM_OO177544 EFTA01345174

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SWIFT/BICLABILITY
SWIFT/BICSOUTHERN

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