Case File
efta-01369144DOJ Data Set 10OtherEFTA01369144
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01369144
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:
i
t 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 LIABILITY COMPANY
16100 RED HOOK QUARTER, B3
i St THOMAS, USVI 00802
I
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
JEFFREY E. EPSTEIN
Date or Birth
Legal Address
---ii
For (LS, Persons '
Such Security
Number
For tion-Lt& Persons:
(See footnote 1 for alternatives
to Social Seam Martel
1/20/53
6100 RED HOOK QUARTER, B3
St THOMAS, USVI 00802
i
L
I
For Nen-U.S. Parses, in addition to a Social Socunty Number or a Passport Number with CountryOf issuance. an alien roentikation card number, or number
and country of issuance of any other guvemmentiisaired do:to:tent evidencing nationality or residence and beefing a photograph or similar safeguard should
be rausvided.
(If no individual meets this deratibort ideate write "Not Amicable)
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 (d)),
Date of Sins
I Legal Address
€FoeU.$. gyros.
,
Socivatl,erS
ny
ABOVE
JEFFREY E. EPSTEIN
SEE
1
For Non4JS. Persons. in addition to a Social Security Minder or o Passport Number with Country or Issuonce, en alien identification Care number. or number
aryl enuntry of iS2.43flet Cd anyother governmenolseued document eater-icing nationality or !riddance and bearing a olorograph or simaar safeguard snaitl
be provided.
P0.- Non-U.S. Persons:
(See footnote I for alternetioesi
to Social Security Number)
I
FFREY E.
knowledge, the
STEIN
the informat
me of natural person opening the account), hereby certify, to the best of
ed above is complete and correct.
7/24/18
Signature
Dote
Legal &Way Identifier (Optional)
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
CONFIDENTIAL
DB-SDNY-0061252
SDNY_GM_00207436
EFTA01369144
Technical Artifacts (1)
View in Artifacts BrowserEmail addresses, URLs, phone numbers, and other technical indicators extracted from this document.
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