EFTA Document EFTA01345173

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: PLAN 0, LLC, A USVI LIMITED UABIUTY COMPANY 6100 RED HOOK QUARTER, B3 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: I Harr* JEFFREY E. EPSTEIN Dale el Binh Legal Address I fro LI.S. Parsons: For Non-U.S. Passont Snot SeCIVCIV (Set fOOlth014,tier one+ 'MUMPS Number to Social Sir-J(4y thenter) 6100 RED HOOK QUARTER, 63 ST. THOMAS, USVI 00802 Fo: Non-U.S. Persons. in ado Po to I SOCial Semite number or a Pasrpon Number with Country of Issuance. an awn leant-doe:ion raid nester, or numnar and counny of issuance of air/other govefnment-issued tfecumenl evidenci-v noticnarcy or residence and warkso a ph:nag:ado or simika safer:um should tre provided. (If no mcl:ntlual meets tnis deli:Ikon. please write "Not Apolicooe.") 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 Bonn I Legal Address For U.S. Poisons: I For Non-US. Portent Social Seaway (See footnote? for ailenualvas I Number j to SQC:01 Security Number) I JEFFREY E. EPSTEIN SEE 'ABOVE i t I I . i ......_.! , For Nen•us. Persons, in addition ton Said Security Number or a Riau= Number ...4th Country o! Issuance, an atm idantilicanan card mutter. or monbef and tourer/ of Issuance M any BunnS.GveinaltnI4SSOC41 document evidencing nationality c, reactance ono hearing s Mtagetiraph Or SinterVailtWarci 5.40uld to Provided. Legal entity !demurer (Optional) rat person opening the account), hereby certify, to the best of q.ve is complete and correct. 7/24118 Dalt sirjuke 0#41 I. CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0031359 SDNY_GM 00177543 EFTA01345173