Case File
efta-01380833DOJ Data Set 10OtherEFTA01380833
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01380833
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:
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:
LSJE, 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
Date of Thrth
Lagat A.tldress
For U.S. POsons:
Ede. Non-U.S. Person::
Social Security
(Soo footnote t for site, natives
Nwnber
to Soaith Sec only Plumbeel
JEFFREY E. EPSTEIN
1120153
6100 RED HOOK QUARTER, B3
ST. THOMAS, USVI 00802
Fa; NarpU.S. Persons, in acklition Ms Seca! Satiety Number or a Passport Number-with Canntry of lssoence, an alien identification card minter, or number
end country of isetance of any other government. issued document mildew:Mg nationality or resit; ence and binning a photograph or sirnaar safeguard shoub
be provide°.
(If no iatlividual nteet9 IMSOCEMitirt Olease write "NM Applicable: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 (c) above may also be listed in this section (d)).
Name
Date of Binh
j
Legal Address
ABOVE
JEFFREY E. EPSTEIN
SEE
1
For U.S.
For Non-U.S. Persons: —
1
Social Savants
(See footnote?. for akernarives$
Number
to Social Smoky Member)
I
' for Non-U.$. Persons, in addition too Soctal Security Number ore Passport Number oath County of Issuance.. an alien Modification card number. cementer
and country of issuance of anyother government- esiad document evidencing roticausety or reSittetiee end beech:IS dhobagraMI or similar safeguard smolt
be provided.
Legal Entity Idenlifier {Optienat)
0 e of natural person opening the account), hereby certify, to the best of
information
ove is complete and correct.
7/24/18
Date
CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e)
CONFIDENTIAL
DB-SDNY-0079394
SDNY_GM_00225578
EFTA01380833
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