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efta-01369145DOJ Data Set 10Other

EFTA01369145

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Unknown
Source
DOJ Data Set 10
Reference
efta-01369145
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1
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EFTA Disclosure
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 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: I ZORRO MANAGEMENT, LLC, A USVI LIMITED LIABILITY COMPANY 16100 RED HOOK QUARTER, 83 I 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 Dare of Birth 1 Legal Address Foe U.S. Pomona: Social SeburttY Number For Non-USPersons: (See footnote : for abernatwesl to Soda) Seamy Number) JEFFREY E. EPSTEIN 1120/63 8100 RED HOOK QUARTER, 83 ST. THOMAS, USVI 00802 For Non4LS. Persons, in addition to a Social Security Number or a Passport Mester onth Country of Issuance, en Pion identify/mon card number, or number end worthy of issuance of any other government-rSetiee document evidencing nationality or residence Inc bearing a !Pictograph or &Who saftgOrd Steroid Os provided (if no individual meets this Oct WOW. Ocoee write -Not Arsalicablel 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)). Name JEFFREY E. EPSTEIN Oath of Birth SEE Legal Address ABOVE For U.S. Persons: For Non.C.S. Persons: Social Security (See footnotes for edentate/Heal Number to Social Security Number) For Nom U.S. Persons. M addition to a Sxial Security Number or a Pawn Number with Country of Lesueruts on ellen ickeitificotion card mutter. ec numaer and country of issuance of any other gerremment•Wouid document evidencing nationality ce residence and bearing a ply:stopgap's or simaar safeguard shouto be provided. 2 ,JEFFItTrE,7:SaTEIN r e my knowledge, t the information provi mplete and correct. (name of natural person opening the account), hereby certify, to the best of 7/24/18 Date Legs! E.,Y y kientifior Octrona CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0061253 SDNY GM_00207437 CONFIDENTIAL EFTA01369145

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