EFTA Document EFTA01369137

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, PRESIDENT b. Name of Legal Entity. Type of Legal Entity. and Address of Legal Entity for Which the Account is Being Opened: ITIGE, INC., A DELAWARE CORPORATION 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: Nair* I i ..___ .____,_ ___,., I JEFFREY E. EPSTEIN Sate al Sinn Legal Addict's For U.S. Petals: Social Security Number Fry t on-US Persons: (See footnote l tor alternatives to Social Sec/4y Ms:00 I 1120153 6100 RED HOOK QUARTER, 83 ST. THOMAS, USVI 00802 T I E i 1 For Non-U.S. Poisons, in addition to a Social Securty Member or a Passport Muer:bet. with Comityof issuance, an wain identification cart turner. or iturrumr ant country of Issuance of any other gmernmenti issued document evidencing nationaky or reetence ant bearing a sinotognion ar simParsaieguam shOuiti be provided, Of no individual meets this deRnittn. Please wilts "Not Applicable: 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 I Sate of Sinn i I Legal Acorns 1 roc U.S. Persons: I Social Stour sty Number For NireU S.Pent:int I (See fcratroie 1 for alternatives to Social Secret' Number) I I i JEFFREY E. EPSTEIN I SEE I...__ (ABOVE I 1 i . ! %For Non-U.S. persona, in addition toe Social Security Number ore Passport Natter with Country of issuance. an alien tentificatica card Neste% or number and country of Newry cot any other goveronenoismed document evidoting nationality or tesidence arid bearing a photograph cc sinker safeguard timid be provided. JEFF my k wledge. that the ' fo (name of natural person opening the account), hereby certify, to the best of ,oirprOCidedableve ' complete and correct. legal Entity Identifier (Optional) 7/24118 Dere CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0061245 SDNY_GM_00207429 EFTA01369137