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sd-10-EFTA01372915Dept. of JusticeOther

EFTA Document EFTA01372915

7 15'2019 KYC Print One sheet must be established for EACH LEGAL ENTITY in Section 2. Account Summary 3C. Legal Entity Details (For all Legal Entities) Legal Entity Name: The 2007 Jeffrey E. Epstein Insurance Trust #3 - 00000487199 Type of Entity: , Foundation/Association be; TnTrust Company Estate • Partnership Purpose Of Entity: Ii Private Investment Philanthropic/Chartable ...., Commercial Type of Entity Other (specify): Purpose of Entity Other (specify): Country of incorpor

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Dept. of Justice
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sd-10-EFTA01372915
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Summary

7 15'2019 KYC Print One sheet must be established for EACH LEGAL ENTITY in Section 2. Account Summary 3C. Legal Entity Details (For all Legal Entities) Legal Entity Name: The 2007 Jeffrey E. Epstein Insurance Trust #3 - 00000487199 Type of Entity: , Foundation/Association be; TnTrust Company Estate • Partnership Purpose Of Entity: Ii Private Investment Philanthropic/Chartable ...., Commercial Type of Entity Other (specify): Purpose of Entity Other (specify): Country of incorpor

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EFTA Disclosure
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7 15'2019 KYC Print One sheet must be established for EACH LEGAL ENTITY in Section 2. Account Summary 3C. Legal Entity Details (For all Legal Entities) Legal Entity Name: The 2007 Jeffrey E. Epstein Insurance Trust #3 - 00000487199 Type of Entity: , Foundation/Association be; TnTrust Company Estate Partnership Purpose Of Entity: Ii Private Investment Philanthropic/Chartable ...., Commercial Type of Entity Other (specify): Purpose of Entity Other (specify): Country of incorporation; registration: USVI Date of incorporation / registration: II/1/2007 Vokker Status: Determination Required Vo k ker Flag: No Address (city, street, post code): 575 Lexington Ave, 4th A New York NY 10022 United States U.S. TIN/EIN: 266387242 Provide a description of the entity's organizational structure, its ownership revocability,settlor and beneficia ies,etc.: Jeffrey Epstein: Grantor Darren Indyke: Trustee Richard Kahn: Trustee structure and its Top Management. For trusts/foundations, include information about Please indicate how ownership of the legal entity is reflected: Special attention: Bearer Shares - Indicate where shares are custodied: Describe the chain from the direct owner of the entity to the ultimate beneficial owner (Ina the same persons). To the best of your knowledge, is the entity party to a non-banking relationship with Deutsche Bank (e.g. external legal counsel, client referral source, suppler of goods or services)/: Yes No Describe Nature of Entity's Primary Business and Investment Activities Nature of the business: Trust account Countries where business s transacted: USVI, USA Number of employees: 2 3D. Wealth Profile (Only for parties requiring source of wealth description as indicated in Section 2) Primary Country of source of wealth/source of Funds' Primary industry of source of Wealth/Source of Funds' Provide Evidence of Corporate Assets (e.g. balance sheet or equivalent summary of assets/liabilities): The funds for this trust account come from contributions made by the Grantor, Jeffrey Epstein. His source of wealth can be found in his wealth profile Estimated gross receipts p.a.(5): Estimated net profit p.a. (5): Estimated investable assets (5): <$1 MM Potential Amount to be invested with PWM (5): Other Known Financial Institutions: Institution: Country: Est. Assets Under Mgt: Institution: Country: Est. Assets Under Mgt: Institution: Country: Est. Assets Under Mgt: https://dblorcepb.my.salesforce.comiserviet,serviet Integration7lid=01 N 30000000 D9 D i&eici=5003200001 EH Ppb& ic =1 &I inkToken=Vmp F P Sx Na kF4T 39,43 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0066825 SDNY GM_00213009 EFTA01372915

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Phone5003200001
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