Case File
efta-01362468DOJ Data Set 10OtherEFTA01362468
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01362468
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
tent Enift Idmtifier tOpixins.).
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, PRESIDENT
b. Name of Legal Entity. Type of Legal Entity, and Address of Legal Entity for Which the Account is Being Opened:
JEEPERS, INC., A USVI CORPORATION
6100 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
Lugar Address
I For U.S. Persons:
Social SrsctrMy
I
Nombre
For Non.US. Pomona:
(See (Ootrrenr 1 for olternat ...
ro Sacral Security Number)
JEFFREY E. EPSTEIN
1/20153
I 6100 RED HOOK QUARTER, 63
• ST. THOMAS, USVI 00802
I
IMI
,
• FIX Non-U.$. Persons. in aoCiUon to a Soma( Security Number or a Passport Number wan Country of issuance. an alien identification card nurrc-ft, or nurntw
arc Countryof issuance of tny other govecrintent-issued doximent evidencing rtatimality or resecence and t: oath a photooraph Or simaat saktaaro VlOokl
prOireftd.
(If no indrinual moots tbis definition. please mite -Not AppliceMen
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, an individual listed under section (c) above may also be listed in this section (a)).
Name
Gate of Sinn
I Legal Address
n
ABOVE
JEFFREY E. EPSTEIN j SEE
For U.S. Persona:
For Non-US. Parsons:
Social Seamy/
(See footnote I for altornaimes
I Number
to Seel( Stony Number)
• For Non-US. Peraons• in addition to a Social Society Number or a Panpvt Number WWI Country of Issuance. an arei iventifreauco cord :Jumper. or number
and country of Issuance of any other govarnrmni4Multd document evulanoMq nationality or resdence and bearing a utromer, uh ce ,inns' safeguard thou'
be provided.
(name of natural person opening the account), hereby certify to the best of
ded above is complete and correct.
51,044c Cpc
Signature Verffic
r
Name (Print
oN.
Title:
CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e)
CONFIDENTIAL
DB-SDNY-0051886
SDNY_GM_00198070
EFTA01362468
Technical Artifacts (2)
View in Artifacts BrowserEmail addresses, URLs, phone numbers, and other technical indicators extracted from this document.
Domain
non.usSWIFT/BIC
CORPORATIONRelated Documents (6)
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Medical Record/Clinical Encounter: DOJ-OGR-00026334
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1p
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