Case File
efta-01379574DOJ Data Set 10OtherEFTA01379574
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01379574
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
tent Enift Identifier tOpixino.
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, PRESIDENT
b. Name of Legal Entity. Type of Legal Entity, and Address of Legal Entity for Which the Account is Being Opened:
JEEPERS, INC., A USVI CORPORATION
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:
Date of Beth
Legal Address
For U.S. Persons:
For Nort.U.S. Parsons:
Secret Slcuray
(See (OotriON for alternatives/
Number
re Social Security Number)
JEFFREY E. EPSTEIN
1/20153
6100 RED HOOK QUARTER, B3
I
•
'
ST THOMAS, USVI 00802
For Non-U.S Persons. et audition to a Social Security Number or a Passport Number ‘bitn Country of ;source. an alien identification card Tweeter, or numbed
arc country of osuatioe of toy other government-issued clowment evicieleing rtatimarity or resecence and boartc a Photograph Or sinaat saki/raw() VlOokl
be prOlteed.
(If no inclnioual moots tbis definition. please ‘wile Not Appliee ran
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 (a)).
Name
Gate OT Sinn
I Lego( Address
- 1 ABOVE
JEFFREY E. EPSTEIN j SEE
For U.S. Persona:
For Non-US. Parsons:
Social Seamy/
(See femme I for alternatives
I Number
to Seel( Seamy Number)
• Fr Non-US. Persons. in addition to a Social Security Number or a Panp,xt Number WWI Country of Issuance. an arca letntrfcanco card :simper. or rambe
and country of Issuance of any other goyarnnvel-isaurtd document evrclanc;no nationality ce resdence and bearing a obeli:oh uh ce 'knee, saregvare thou'
be ;tasked.
(name of natural person opening the account), hereby certify to the best of
ded above is complete and correct.
51,044c Cpc
Signature Verific
r
Name (Print
oN.
Title:
CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e)
CONFIDENTIAL
DB-SDNY-0077179
SDNY_GM_00 223363
EFTA01379574
Technical Artifacts (1)
View in Artifacts BrowserEmail addresses, URLs, phone numbers, and other technical indicators extracted from this document.
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