EFTA Document EFTA01362470

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: LSJE, LLC, A USVI LIMITED LIABILITY 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: Name Dent of Binh Lepel Address rot US. Penont: Social Security Number For Nan-US Pe so-: (See footnote I for alternatives to SocialSeaway Numbei) JEFFREY E. EPSTEIN 1/20/63 6100 RED HOOK QUARTER, B3 ST. THOMAS, USVI 00802 1 For Non-U.S. Persons, in adohion to a Social Security Number or a Passport Nude°, With COWIlly of lssu not. on arse, identircerirm card numbs:. or nuttier and county? of issuance of any other vavarnment-issoto document L.:Wen:Mg nitinctefity T elide:we anc nearing a pncrluerann en sinfiter sateguero 0 OCOvWea. no indiekkne (reins %his dalwwtgn, please wit° "Not Atpticab:e.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. Of appropriate. en individual listed under section (c) above may also be listed in this section (d)). i Nam* !JEFFREY E. EPSTEIN I SEE Mateo( Beth Legal Address t For U.S. Penons: I For Nan-u.s.Pczeons Sotial Security Mee footnote I for eke Maki% eturneet 10 SOSISecurity :lumber) ABOVE 11 FOr lean.U.S. Person& in addition to a Social Security Number or a Passport Number with Country of Issuance, en alien identlficat KAI card numbe. of number 4r4 COUIWY d ISSUtroCt of any other govenvnent-Serued documenr eeteerfefeo r•atichality as residence am hearing a oho:3gram or seater eakpare should bo provided, m REY E. E TEIN knowledge, that information Stela Legal Entity Identifier tOPtfamet) ne of natural person opening the account), hereby ce to the best of pve Is complete and correct. 7/24118 Da:C. Srpriv re Signature 77 14 —.C T Name (Print):a_ Tale: CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0051889 SDNY_GM_00198073 EFTA01362470