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efta-efta01480769DOJ Data Set 10Correspondence

EFTA Document EFTA01480769

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DOJ Data Set 10
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efta-efta01480769
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
Introduction Type Net Worth of client(i) Existing JPIJorgan Client - Inside LOB 1.000.03000 Source Of Wealth I Financial Information Details Source Of Wealth 4dentlly the Clients Source of wealth from followim list of o • Ions ECI Party Type Party Name Last Completed Search Date KYC Status Report Type Relation Type Powers Percent Owned 9710670708 Individual Jeffrey E Ep tem 04/1812013 Completed Ful Onner 100.0 Primary Information for Client Type Jeffrey E Epstein Individual Generation Client Status Client Active Indicator Yes Front Office Restricted? Normal Marital Status Single Confidential Names? No Country of Primary Domicile UNITED STATES Primary Domicile State New York Prefix/Title Insider Code (Req. 0) First Name Jeffrey Full Name Jeffrey E Epstein Middle Name Gender Male Last Name Epstein Date of Birth 01/20/1953 Suffix Primary Country of Assets UNITED STATES PrevimisNameRAMN/Allas Citizenship UNITED STATES Employer Name Self High Risk Jurisdiction Occupation Entrepreneur Industry Code (NAIL) Individuals 1999940) Years at Occupation 0 Secondary Industry Code (NAIC) Personal Investment Companies15259971 Address(es) Type Notes Address City, State, Postal Code County Tools Entered by Date of U • to Preferred 6100 RED ST VIRGIN Map it BATCH 060312012 Yes HOOK OTRS THOMAS.. ISLANDS. STE 83.. 00802 U.S. F Cost Center & Hierarchy Client Status Client S nsor Cost Center Client Service Team Client WILLIAM hi SHERIDAN 143360- USPB UHNW NYC TRI STATE EXEC CHBG DE 4 Individual Decision Maker Identification Withholding Federal Status Domestic Codified Withholding SSNMN Certification Date 09/18/2006 SSNMN/EIN Form of government issued Identification obtained for the files Drivers License Primary Identification Number 0000025874 it Issued B VIRGIN ISLANDS. U S Date Issued 01AS/2010 Ex • iration Date 01/20/2015 Confidential Treatment Requested by JPMorgan Chase CONFIDENTIAL JPM-SDNY-00002990 SDNY_GM_00272188 EFTA01480769

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