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efta-efta01255547DOJ Data Set 9Other

II. Certification of beneficial owner(s)

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DOJ Data Set 9
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efta-efta01255547
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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: ZORRO MANAGEMENT, LLC, A USVI LIMITED LIABILITY COMPANY i 6100 RED HOOK QUARTER, 83 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 I Clete of Sinn I Legs' /Warns I Se US. Persons i Social Security ' nitin104I For Non-US. Persons, (See footnote1 tocadernativesi to Seal Cc -ey Numbor) I JEFFREY E. EPSTEIN i 1/20/53 6100 RED HOOK QUARTER, B3 Si'. THOMAS, USVI 00802 ! I for Nori-U.S. Pantos, in aelltson to a Social Securay Number or a Passport Sumba wan Country of Ismtance, an asmiantircatern card nurouer. or oniont and Monty el Issuance of any other gtweirlibtint-ifeled °comment it/ nine:IX:1y or ieiedenCe and beatirg a photognoh Cc 'Meat SeltgUnie scone be:Um:Mad. id no individual meals this Cilfinitlen. nieose Mite -Not Abbate:gel 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)). NYnti, Date Sinn I Legal Address For U.S. Persona: Social Security Number For Nondf.S Persons. (See footnote 1 for aberration! iO SWeneCtIfily Menne') ; JEFFREY E. EPSTEIN SEE ABOVE • For Nen-U.S. R.4:0:3. IDS Social Society Number Ora Passport Numbs' min Conroy of Issuance. an emu itiamtiticauon card number. !'u number eio count/sof ht.; nee of Day Otter 9overninientiniSued deco men in..idennoel not:Gabele fli coehdenee evio uoosig a obotoorson re srni.usafeguard oneoile be nrovIned. „JEFFS— • EPSTEIN Le (name of natural person opening the account). hereby certify. to the best of /My knowledge, +at the information provid bore;teomplete and correct. Signatur •.. 7/24/18 UN(' '9 Levi Entry identifies (Cm:0=V —a.- sectm 401, Name( Day: SDNY_GM_00062725 CONFIDENTIAL - PURSUANT TO FED. R.ctlaNEIDENTIAL DB-SDNY-0025550 EFTA (()173233 EFTA01255547

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