Case File
efta-01356203DOJ Data Set 10OtherEFTA01356203
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01356203
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
KYC Print
Page 2 of 22
One sheet must be established for each account to be opened
2. Account Ownership Summary
Account Name.
Southern Finarc.al --C Depos:
net
N...—
vallablel
tier ;;(
Account Manager:
stewart oldfleld
What Is the purpose of the account (e.g. portfolio management, advisory account, custody services, long-term investment,
payment/expense account)? The purpose of this account Is to manage the daily expenses of the company
Indicate from where the assets are expected to arrive?
0
DB Group: Same Booking Center (indicate account number):
0
DB Group: Other Booking Center (indicate DB location and account details):
0
Other Institution — (Indicate name 8 location):
0
Physical Deposits (specify cash, securities, cheques. ...):
What is the expected size and frequency of regular inflows and outflows for the account (indicate estimated number and volume per
month)? Roughly 2 inflows 8 outflows per month ranging from 51000 to $10,000
What is the expected volume of assets and currency for the
account approx. 90 days after opening?
I Currercy
I JSD
What is the expected volume of assets and currency for the
account approx one year after opening?
I Currency
I JSD
Please list all parties related to the account.
For each party:
• Check if a source of wealth description is required for the party.
• Check the approp kite box to describe the relationship of the party to this account (> I can be selected).
• If none of the check boxes apply, describe the party's relation to the account in the 'Other" column
•
Always describe t e relationship between the sortie in the last column.
• Please drill down to the ultimate/underlying Beneficial Owner(s .
segal
Entity
Description
of Source
of Wealth
required
Parties related to
his account
Account
Holder
'IC
Owner
Settlor of
Trust /
Founder of
Foundation
Jaime**
Beneficial
Owner
Signatory
or Full
'CA
_Invited
oCIA
Financial
ntermediary
FIM)
Significant
Shareholder
„, •25%)
Non-PIC
entity
.indicate
)wnership
%)
Other (please
iesaibe other
roles and/or
ndicate
•elationship
3etween parties)
I
0
gil
Jeffrey E. Epstein 0
0
1
V
J
0
0
Sole shareholder
pr Southern
'INC:
2
Pj W
Southern
Financial LLC
FA
a
0
fl
0
0 0
3
P
fql
Southern Trutt
Company, Inc. n
Ei •
El
100
,Southern
Southern Trust is
he sole member
of Southern
Financial and
Jeffrey Epstein is
he sole
shareholder c
Trust
0
_,
Darren I ndyke
D
0
0
E
0
0
5 El •
Harry Beller
0
0
0
22
a
0
6
•
0
Jean Anne
Brennan
Wiebracht
•
0
•
0
0
m
O
hups://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid
IN30000000D9Di&e... I/1 1/2018
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0041911
CONFIDENTIAL
SDNY GM 00188095
EFTA01356203
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