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II. Certification of beneficial owner(s)

DOJ EFTA Data Set 10 document EFTA01298045

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DOJ EFTA Data Set 10 document EFTA01298045

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EFTA Disclosure
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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 r- :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: I NEPTUNE, LLC, A DELAWARE LIMITED LIABILITY COMPANY 1 6100 RED HOOK QUARTER, B3 ST. THOMAS. USVI 00802 c. The following information for each individual, if any, who. directly or indirectly, through any convect, arrangement understanding. relationship or otherwise, owns 25 percent or more of the equity interests of the legal entity listed above: I Name Data of %no Laval Median For U.S. Persons: Swill Seal, itY rar Non-U.S.Person": (SOO footnote 1 .or alt., natives I NYenher loSacirdStizehr Metter) JEFFREY E. EPSTEIN 1/20153 8100 RED HOOK QUARTER, B3 ST. THOMAS, USVI 00802 090-444348 - --I I I -4 i i Per Non-U.S. Persons. in siacation to s Social Sccurisy Nurnixe as %sort :tenor will, Cowen/ of Issultwe an Men iaenigication exa riumtei. or mallet! are country of issuance of any one goverrncint•issued cloownera eaitionoing notionelty or !reticence and bearing a ohotogracii saftousro should be oravicen. Of no wacky' meals this carnitian. oicase writ* 'Not Aoplicable.: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 (d)). Name Oats of Sian Legal AC(freas For US. Peirions: For Nowt) S. Peisons. Social Security Nutaby (See footnotc i to: alt. rnoth to Social Sectr4abflillilXvi ',JEFFREY ABOVE E. EPSTEIN SEE For atou.US. Prong. in Warren to a Seel.' SeCulity Nuilibtt Of la PaSapeet Nurnbei with Country al issuance. an daub csnircabou cora mercy. or number anti roomy ul iSsuanceot any other ovromment-issueo document oak:snare nubtriaCty ce tesicienca end c a'Atjb Oiatobt. eh or simile! tAleauon be provided. Wool Entity Identifier (Optional) CONFIDENTIAL — PURSUANT TO FED e of natural person opening the account), hereby certify, to the best of is complete and correct. 2/24/18 Dive s ,c1/Avtai R.QP(f1DENT', v P l-f if It' SDNY_GM_00061851 DB-SDNY-0024676 EFTA_00172363 EFTA01298045

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