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efta-01656673DOJ Data Set 10Other

EFTA01656673

Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01656673
Pages
3
Persons
0
Integrity

Extracted Text (OCR)

EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
The Morgan Account Application: Corporate/Partnership Information JP Morgan J.P. MORGAN USE ONLY US901 7/99 Title Financial Trust Company, Inc. SPN .2' SC \ 1 \ Ye Bankeranvestor Jennifer Mitchell, Tad Smith A ACCOUNT INFORMATION Titk of Account Financial Trust Company. Inc. Account Tyne: A a El El r %NDO/Mk/II Chrth Partnership Limited Liability Company Foundation IMI if applicable. Not for Profit 5 CORPORATE/ PARTNERSHIP INI-OHMAIION Nainc of Cocputalicn/Pannentip/ Doing BU•IICNS As Financial Trust Company, Inc. Type of .Busintss Internet Address ( 64 / ,'(7 14.57 Contact Person* Dale Jeffrey Epstein President • Alum k Amilteteed renew Telephone Fax Current Mailing Address do American Yacht Harbor 6100 Red Hook, Quarters *2 Tax Identification Number (TIN) 660567418 City Stale St. Thomas U.S. Virgin Islands Mg Code 00802 Date of Ineorporaticn/ Organaatim ARS State of Incorporating)/ Organization U.S. Virgin Islands 1i SHAREHOLDER INFORMATION Controlling Shareholder(Primary) % of Ownership 7-1- of r.net y I Pr tb‘ /L 4, Title Social Sinurity Nuance( IN ,IL 41 (64 Cannoning Shareholder Si of ownership 'rifle Social Security Number/ TIN Controlling Shareholder d of Ownership Tide Social Security Number( TIN Controlling Sham-hada ilt, of Ownership ink Social Secunly Number( TIN Controlling Shareholder % of Ownership ride Social Security Numbed TIN Controlling Shareholder % of Ownership Title Social Security Numbed TIN Title Social Security Number/TN Controlling Shareholder % of Ownership J FINANCIAL INFORMATION PLEASE COMPLETE THIS SECTION OR ATTACH A CURRENT FINANCIAL STATEMENT Gross Annual Revenues Total Assets Total Debts Stockholders Equity Marginal Tax Rate 3 5 7,000,000 $ 6 % r Confidential Treatment Requested by JPMorgan Chase GOVERNMENT EXHIBIT 509 52 200. 330 (AIM JPM-SDNY-00065488 901 EFTA01656673 The Morgan Account Application: Asset Account AJ SWEEP OPTIONS I LINE OF CREDIT C CHECKS JPMorgan J.P. MORGAN USE ONLY U$902 2/99 Title Financial Trust Company, SPN 2.istas/ Asset Acct NO IM 001 SWEEP OPTIONS (PLEASE SELECT ONE): Li 1.P. Morgan Deposit Account (Only fa Natural Persons or Not for Profit) P Morgan Federal Money Market Sweep Rind O t.P. Megan Prime Money Muka Sweep and K American Century California Tax-Free Money Market Sweep Fund iFor Cab folll ia Residents ONLY) K J.P. Morgan Tax Exempt Money Market Sweep FunJ I HERESY APPLY FOR A LIME OF CREDIT SECURED BY MY ASSET ACCOUNT UNLESS I CHECK THE BOX BELOW (CREDIT IS NOT AVAILABLE FOR IRAS): El No. I do not teLpieu a line of Oulu PLEASE SELECT A PRINCIPAL REPAYMENT OPTION FOR THE LINE OF CREDIT: K Pay in full each day to the extent that footle are a .ailabte in my Asset Account O Pay in full monthly on last business day to the extent funds arc available in my Asset Account. K Pay at my request. (In any event, all outstanding advances under my line of Credit are payable upon demand.) PLEASE COMPLETE THIS SECTION FOR ASSET ACCOUNT CHECKS (CHECKS ARE NOT AVAILABLE FOR IRAN) Check Style: O Newport Desk Book Checks Comp ID uter O Personal Wallet Cheeks will be imprinted with Title of Account as it appears on the Tint page of this A pplicatiun. O Please include my address as it appears on the first page of this Application. Alternate Check Defray Address: Name Company Adchess City State Zip country Custody for the Asset Account is with Morgan Guaranty Trust Company of New York The Asset Aixount Line of Credit and cash deposits arc with Morgan Guaranty Trust Company of York. Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00065489 902 EFTA01656674 The Morgan Account Application: Signature Page JPMorgan J.P. MORGAN USE ONLY USSO2 2/99 Title Financial Trust Company, Inc. SPN "D 46 wL -.LCI( Accounts Opened: El ASSET O PAM 0 BROKERAGE O ODA O MMIA O MARGIN O IM THIS APPLICATION MUST BE COMPLETED BEFORE J.P. MORGAN WILL BE ABLE TO PROVIDE FINANCIAL SERVICES. IF ANY SECTION IS INCOMPLETE, YOU WILL CONTACT ME TO OBTAIN ADDITIONAL INFORMATION. YOU WILL SEND ME A COMPLETED COPY OF THE APPLICATION, AND I MUST NOTIFY YOU OF ANY INACCURACIES WITHIN 10 DAYS OF YOUR SENDING ME A COMPLETED COPY. I MUST ALSO NOTIFY YOU OF ANY FUTURE CHANGES TO THIS INFORMATION. ABSENT NOTIFICATION, THE INFORMATION CONTAINED IN THIS FORM WILL BE DEEMED ACCURATE AND COMPLETE. LI J.P. MORGAN The General Terms and Agreements for Accounts and Services along with this Applicalion and any additional Product Agreements. Fee Schedules, Disclosures and Supplemental Forms comprise the Agreement between you and me. By signing this Application, I acknowledge that I have read and agreed to all the various documents, including but not limited to. the General Terms and Agreements for Accounts and Services. Product Agreements. Fee Schedules and Disclosures which comprise the Agreements between ourselves. I understand that you do not give tax or legal advice, and that I am advised to consult a lawyer or tax advisor about tax, legal. and estate•planning issues affecting my accounts, including the way accounts arc titled. AGREEMENT LE I TAX CERTIFICATION I CERTIFY. AS THE ACCOUNTHOLDER SIGNING BELOW AND UNDER PENALTIES OF PERJURY. THAT (I) THE NUMBER SHOWN ON THIS APPLICATION IS MY CORRECT TAXPAYER IDENTIFICATION NUMBER. AND (2) THAT I AM NOT SUBJECT TO BACK-UP WITHHOLDING EITHER BECAUSE I HAVE NOT BEEN NOTIFIED THAT I AM SUBJECT TO BACK-UP WITHHOLDING AS A RESULT OF A FAILURE TO REPORT ALL INTEREST AND DIVIDENDS. OR THE INTERNAL REVENUE SERVICE (- IRS") HAS NOTIFIEO ME THAT I AM NO LONGER SUBJECT TO BACK-UP WITHHOLDING. (I UNOERSTAND THAT IF I HAVE BEEN NOTIFIED BY THE IRS THAT I AM SUBJECT TO BACK-UP WITHHOLDING AS A RESULT OF DIVIDEND OR INTEREST UNDERREPORTING, AND I HAVE NOT RECEIVED A NOTICE FROM THE IRS ADVISING ME THAT BACK-UP WITHHOLDING IS TERMINATED. I MUST STRIKE OR CROSS OUT THE INFORMATION CONTAINED IN ITEM 2 IN THE PREVIOUS PARAGRAPH.) THE IRS DOES NOT REQUIRE CONSENT TO ANY PROVISION OF THIS DOCUMENT OTHER THAN THE CERTIFICATION REQUIRED TO AVOID BACK-UP WITHHOLDING. RI ACCOUNTS t HAVE APPLIED TO OPEN THE FOLLOWING ACCOUNTS: K Deposit OPENED i'll Asset El Brokerage K Investment Management _Oi PRE-DISPUTE By signing below, I acknowledge my agreement to arbitrate any controversies arising out of the Margin or Brokerage Agreements with JPMSI, in accordance with paragraph 6 of the Brokerage Agreement. ARBITRATION SIGN HERE ED - — ALL ACCOUNTHOLDERS ARE REQUIRED TO SIGN BELOW: IF SIGNATURES ARE ON BEHALF OF ENTITY ACCOUNTHOLDER, PLEASE SPECIFY NAME OF ENTITY: Financial Trust mp,y, Inc. D. ..-----7 . Jeffrey Epstein SA A 5 Si (AL en Dale Pnm Nine E> Signature (Adritionel Attainment) Dale Prim NUM ID Signature (Aditional Accounahokle) Dale Prim Name E> Signature rikdditionl Actotuririokkri On Prim Nan 907 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00065490 EFTA01656675

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