Case File
efta-01380835DOJ Data Set 10OtherEFTA01380835
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01380835
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.
LJEFFREY t EPSTEIN, SOLE MEMBER
b. Name of Legal Entity, Type of Legal Entity, and Address of Legal Entity for Which the Account is Being Opened:
NEPTUNE, LLC, A DELAWARE 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:
I—Name
Date di Birth
Legal Address
For U.S. Patarant
SoCal Staid`,
Numbed
For tion-U.S. Persons:
(Sae footnote 1 (or siternetivea
10 Swot Seaufty Number
JEFFREY a EPSTEIN
1120153
6100 RED HOOK QUARTER, B3
ST. THOMAS, USVI 00802
r —
1
7
r
For Non-U.S.Persons. in amnion to a Social Security Number or a Passport Number with Country of Nauteme. an Wier. identif cation cad number, or number
and country of issuanceof any other government-Named decimetre evidencing nationality or 'Science and tearing a photograph or Similar saleguetd meld
be provided,
(If no nitwit:foal meets this definition please write -Not Arrafrala.-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 OD.
Name
1 Date of Binh
Legal AdAlress
for U.S. Peracor i For Non-US. Resort
Social Security
I Mae footnote I for alternatives;
Number
to Social Security Numtate)
I
I
,ABOVE
JEFFREY E. EPSTEIN
I SEE
I
I
i
_1
I For Non-NS. Persons. in addition to a Social Security Number ore Passport Number with Country of Issuance an alien identilltatiOn card airmen,. of number
and counter, of Nuns-Me of antrother twernmant-issued domenent evidencing nationality or resdensw and bearing a photograph or similar asteguart should
ba provided.
JEFF;
E. EP=
N
my
owledge, that th inforn
e of natural person opening the account), hereby certify, to the best of
is complete and correct.
7124118
Sign: fro
Dote
Legal Entity Identifier (Optioned
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
CONFIDENTIAL
DB-SDNY-0079396
SDNY_GM_00225580
EFTA01380835
Technical Artifacts (3)
View in Artifacts BrowserEmail addresses, URLs, phone numbers, and other technical indicators extracted from this document.
Phone
7124118SWIFT/BIC
DELAWARESWIFT/BIC
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