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efta-01582786DOJ Data Set 10Other

EFTA01582786

Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01582786
Pages
1
Persons
0
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Extracted Text (OCR)

EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
Full Legal Corporate Name: MAX Foundation to (No Primary Corporate Address P.O. Box address. Must be a physical address.) Name: MAX Foundation Attention: Address Line 1: c/o George V. Delson Associates Address Line 2: 110 East 59th Street City: New York State: NY Province: Postal/Zip Code: 10022 Country: UNITED STATES Tax ID a: Remem er to collect W-8's or other applicable tax forms for each jurisdiction. Business Phone: O- State of Domicile: Where is the Company Incorporated? What document did you obtain to Cert of Inc evidence state of domicile? Articles of Incorporation, Partnership Agreement, etc NY Introduction / Financial Information Introduction Type: Other Specific Information: Entity belongs to Ghislaine Maxwell, an existing client of J.P. Morgan (Please identify referral source, etc.) Have you met with the Principal/Authorized Individual? 6 Yes r No Legal Entity: Corporation - Not For Profit (charity) Corporation - Not For Profit (charity) Describe the Charity and its Mission/Program? (type of charity: religious, social club, civic league, etc. Please include the approximate year founded and a website, if available) What forms/documents did you obtain to Guidestar support the existence of the charity? (e.g. IRS Form 990 - available on Guidestar - www.guidestar.org) Primary Source of funding/donations? (include contributions approximate yearly income) Locations served? Foundation is for charitable purposes G Domestic r International Authorized Individuals Please list all individuals who have authority over this entity First Name: Last Name: Title SSN DOB Form of Govt Issued ID Obtained - Ghislaine Maxwell \passport Did you conduct an onsite visit? r Yes G No Please indicate when a visit is planned Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00062353 EFTA01582786

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Domainwww.guidestar.org

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