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efta-01388731DOJ Data Set 10Other

EFTA01388731

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DOJ Data Set 10
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efta-01388731
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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: PLAN 0, LLC, A USVI LIMITED UABIUTY COMPANY 6100 RED HOOK QUARTER, B3 ST. THOMAS, USVI 00802 c. The following information for each individual, if any, who, directiy 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 JEFFREY E. EPSTEIN Dale el Sinn legaiAddres$ 6100 RED HOOK QUARTER, 63 ST. THOMAS, USVI 00802 Foe US. Parsons: For Non-U.S.Passont &Mal SelonCIV (See fOOMOW 1 ler Olkm 'LIMPS Mambo to Sscial Sticday No'nber) For Pion-US. Persons. in aciaipon co I Soria) Sent*, Number or a Pasrpon Number with Country of issmante. an Sion Went-ace:ion raid norrees, or numner and counny of issuance of another gevotnmant -issued tiolanerri evidenci-v noticnarxty or residence .IfItt Warkng a pitotoorada or Skralt safer:met should be provided. (If no :nal:Of:bat meets tnis deli:Ikon. please write `Not Apolicat:e.1 d. The following information for one individual with significant responsibility for managing the iegal 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 JEFFREY E. EPSTEIN Oats of Bonn I tcgalAciaress SEE I ABOVE Satisky I (See footnote ?for aitenuelvasi For U.S. Poisons: For Non-U S. Portent Social Number j to Social Security Number) i For Non•US. Persons in addition toe Social Security Number or a Pain= Numbest ?Mil Country 0! ISSuallCe, an ebb) ithlAtilitOl.arl CWC Mutt.; or :umber and tourgry of Issuance Many prior s.c.veinglIefil4SSOC4 CCCunlent evithNiCing nationality c, residence and beating ai or Sinutvlilt7hIrci should to Provided. rat person opening the account), hereby certify, to the best of aye is complete and correct. 7124118 Dalt Logaientity !Snuffer (Optional) CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0092458 SDNY GM_002384142 EFTA01388731

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