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efta-01370744DOJ Data Set 10Other

EFTA01370744

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DOJ Data Set 10
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efta-01370744
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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 1JEFFREY 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: JEGE, 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: Nome Date of arm I Legal Melrose For U.S.' Parsons: Social Security NUMbe For flon-U.S.nevana (See footnote 1!o r aternatiyni to SOCiIII Senrry Number) I JEFFREY E. EPSTEIN 1/20(53 16100 RED HOOK QUARTER, B3 ST. THOMAS, USVI 00802 Ij ' For Non.U.S.Petsurc In aclattiOn Ku a Social Security Hunter ore Possport Numb& min Country or !Swum an as WegilIliCition Card nut. Or ewer.::: enet county Wiest:Once of any other govetrrient-Issued document itArtencing nakinallty or resilence and °caring a ehologrwi or similar cafepaw snoLfet de provicerl. (If no irwrividuar 'nen this tistinitaxi. Pleate write 'Not Aooficaotel 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 Date of Birth i ! Legal address For U.S. Persoim For Non.U.S. PanOn.1: 1 Seale! Seaway Number (See Coati:ate I fee nIternathys to Social Secuaky Nurriavi JEFFREY E. EPSTEIN I SEE iABOVE I For Non-US. Persons. In etIchtion to a Sock Security Number ore paSSOrrrt NutoOltr with Country of 'nuance. en elk% laentification curd norribtr. or WOW: rowl Critelli'? Of issuance of any Mho; gewernr.ern-issued document rnioencing nationality ce residenceono bearing a unotoqrapn or sierial• oofeguaret shone be aeoviouil. EIN (name of natural person opening the account), hereby certify he est of d above is complete and correct r 1/4 Signature Verifica 7/24/18 • /A Legal Entity Ititntifier (Optional) sir jhAte Name (Print): Tale: 0Thec VP Doty 11-17/ 17 CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0063754 SDNY_GM_00209938 EFTA01370744

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