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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 AccounC
1JEFFREY 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:
• 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:
Name
Date of Birth
Legalaeltkoss
Far U.S.' Persons:
For flon-U.S.namOns:
Social Security I (See footnote 1 for atornatiyni
Number
to SOCiIII Senrry Nutter)
I
16100 RED HOOK QUARTER, B3
j 1/20/53
ST. THOMAS, USVI 00802
•
' For Non.U.S. Petsorc In aclart;On too Social Security Number ore Onssport Numb& Min Country of ISSUIPICU. an as
WegilIliCition Card nut. Or ewer.:::
lit :cagey Wiest:Once of any other covet trient-lisuett document etArtencing naeonaltly or resilence and Dearing a ahoingwri or similar oferanic snoOn
00 ;Novi:tee.
(If no ineividuat meets this tielinitia‘ Plaatte write "Not Aboficaofel
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
I Date of Birth
i ! Legal Address
1
iABOVE
l
For U.S. Petwor
Soria! Steuray
Number
For Non•U.S. PaiSOrei:
(See (cos.-tote tier nkernarates
to Social SeCusky Nurrbell
For Non-US. Parsons. In el:legion to a Social Security Number urea paSSOrrrt Nuenaer with Country of 'nuance. en elk% laentification Card number. or write:
aid country of 4suence of any eine; governr.ern-issued cerement mice:ming nationality ce resistance ant bearing a pnottaqrapn or slates,/ oafeguarcl shone
be aeoveleit
EIN
(name of natural person opening the account), hereby certify
he est of
d above is complete and correct
r 1/4
Signature Verifica
7/24118
• /A
Legal Entity Ickntifier (Optional)
sir jhAte
Name (Prim):
Title:
Doty
4-1Thec
VP
'77l7/f7
CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e)
CONFIDENTIAL
DB-SDNY-0051888
SDNY_GM_00198072
EFTA01362469