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efta-01370741DOJ Data Set 10Other

EFTA01370741

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Unknown
Source
DOJ Data Set 10
Reference
efta-01370741
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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 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: HYPERION AIR, 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 I D3t0 Of Birth —1T.egai Anoress f For U.S. Pet tans*. : SOC.OlbeCutily , Mater I For tlw-L1.S. N!Gont .•• (See footoote 1 for bi101nitiVeSI to Sattal Stayny ittrzef) —I I ' JEFFREY E. EPSTEIN t 1/20/53 6100 RED HOOK QUARTER, 83 ST. THOMAS. USVI 00802 I I 7 I Ii iI i L_____ I I i iE ' For Itir.-U.S. Persons. in addition to 3 Social Security Number or a Passport Number wail Country of issuance, an alien identh cation card quite. o! numb& and country of iSSUartCe of any othe, govemment•issurd Continent evittenchc natkinaCty or,esiaeoct aria basting a photograph ce simAz Safeguart snoulo be orn‘i0cO. Of iv este:it:to' moats this stinhton. pietete write 'Not Apa:icabie.1 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 (e) above may also be listed in this section (d)). Name Date of Binh JEFFREY E. EPSTEIN (SEE Legal Milress ABOVE ! For U.S. Persona Social S.:A:thy Number 1 For Non-US. Arsons: Mae fOomote I :or Waetnatim. to Social &why Number) For NOts•U.S. Ponons, in addition to a Social Smithy Number or a Passport hltrobonattt Countryof ;UAW ta an al±en kientification cora nunter, or mutiny one twat); of issuance or any otho' governnwint•issueo acclaim oratitc.aihy o feu:lance ono cemtrig a photon, atti or Sellildr refocus ,0 sncuto Oa OrGYWCO. J PREY E. EPSTEIN m knowledge, that t e information it complete and correct Signature Verif S tire legal Entity identifier (Optional) 7/24/18 stm t. &ad natural person opening the account), hereby certify to the best of •••_ Name ( The: CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0063750 SDNY_GM_00209934 EFTA01370741

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