Case File
efta-01369139DOJ Data Set 10OtherEFTA01369139
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01369139
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
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, SOLE MEMBER
b. Name of Legal Entity. Type of Legal Entity, and Address of Legal Entity for Which the Account is Being Opened:
LSJE, LLC, A USVI LIMITED LIABILITY COMPANY
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:
Name
Cate of girth
toga: Atldress
For U.S. PCICAS:
Social Security
Nwnber
Ere Non-U.S. Person::
(Soo footnote 1 for site, natives
: to Soot Seofity Hunteaki
JEFFREY E. EPSTEIN
1120153
6100 RED HOOK QUARTER, B3
ST. THOMAS, USVI 00802
For Nan•US. Persons, in acklition Ins Soda( Society Number or a Passport Numbed with Comity of issuance, an alien identification card member, or number
end country of 'nuance of 8M/other government. issued document evidencing nationality or resicence and bearing a photograph or similm taltguani shoub
be plc-video.
(If no individual ateete tete Oorma.tri. OteaSe write 'Nat aPplitaigin
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 (Cl)).
Name
Cato of Binh
j
Legal Address
1
For US. Perrone:
Social Secwity
Number
For Non-U.S. Persons:
(See footnote?. for aiternatives$
to Social Stocky Numbed
i
JEFFREY E. EPSTEIN I SEE
ABOVE
' for NomU.$. Persons, in addition too Social Security Number ore Passport Number with County of linaianCe, an alien 'codification card number. convector
and country of issuance of any other government-issued document evidencing rmtionaCty or feSidefiee end beech:la ailcibeigraett a similar safeguard snoukf
be provided.
loyal Entity Identifier {Optionah
of natural person opening the account), hereby certify, to the best of
complete and correct.
7/24/18
Date
CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e)
CONFIDENTIAL
DB-SDNY-0061247
SDNY_GM_00207431
EFTA01369139
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