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efta-01345201DOJ Data Set 10Other

EFTA01345201

Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01345201
Pages
1
Persons
0
Integrity

Extracted Text (OCR)

EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
KYC Print Page 9 of 19 One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. AccountOwnership Summar 30. Individual Details ;for all parties) Individual's Name: Jeffrey E. Epstein - Date of Birth. Country of Residence USVI Country of Citizenship. USA Address of primary residence- Lkte Saint James Saint Thomas 00802 United States Has client resided outside of his/her country of nationality for 5 years or more? 0 yes .-4 No Professon, Occupation. Self Emporyed Tax ID: SSN Current Employer: Southern Financial LLC Position/Title/Rank. Pres cent Address of ern pioyer: 6100 Red Hook Quarter 83 St. Thomas United Sates 00802 Does the person work as senior executive of a DB-recognized regulated entity in he financial industry? (Not applicable for operating entities) O yes 0 No Is the individual a Politically Exposed Pe'son (PEP/?(if Yes, describe) close relationship with Bill Clinton and Prince Andrew ®Yes 0 No To the best of your knowledge. is the individual related to an employee of the DB group?(/t Family or Friendship. describe ) OFamily 0 Friendship Pi None To the best of your knowledge, is the individual party to a non-banking relationship with Deutsche Bank (e.g., external legal counsel, client referral source, supplier of goods or services)?(if Yeadescribe ) OYes 66 No If applicable. indicate which bank officers have met the person: Indicate where and when the client meetIng(s) took place: Bank Officer Name(s) Bank Office Client Prwate Domicile. Oient Place of Business: Other Location (specify): Date. 0 fl El O 0 0 ri E OWealth Details for this individual are not filled in. because they are the same as for the following person: 3IL Wealth Details (Only for parties requiring source of wealth description as indicated in Section 2) Nature of the Individual's Business: Private investments Primary Country of source of wealth/source of Funds? Primary Widustry of source of Wealth/Source of Funds? Summarize Source of Wealth: ®Butanes& Owner 0 Salary/Earnings Pi Investment . . i nneritance, G Its • Other: Further Describe Source of Wealth /Detail the history of wealth for each of the sources: (e.g. For trusts, how did settlor accumulate wealth? For inheritance, how did family accumulate wealth?For business owners, how long in business, how many employees, level a' profitability? Indicate type of business. countries of major activities, important business partners.) Jeffrey Edward Epstein (born https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid IN30000000D9Di&e... 7/30/2018 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0031405 CONFIDENTIAL SONY GM_00177589 EFTA01345201

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