EFTA Document EFTA01380829

II. Certification of beneficial owner(s) Persons opening art account on behalf of a legal entity must provide the following information: a. Name and Title of Natural Person Opening Axount: , 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: 1-.). EPSTEIN VIRGIN ISLANDS FOUNDATION, INC., A 601(c)(3) PRIVATE FOUNDATIONIUSVI 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: Nanut Bate of Birth Legal Address For US. ANSCIftt Soc,at Seculief Number Fm Norult.S.Nrsont —1 (See footnote t for alternatives tOSocielBeteity Number) NOT APPLICABLE For Non-US. Persons, in addition to a Social Smithy Number or a Patriot Number with Co:mtry ef issuance. an alien identification card ntinear, or numnor and country of issuance of any ether government espuee document evioencing nationality or residence and bearing 0 photograph or seni-Sti ureguatc shook% be trovidtd. (lino individual meats this definition, please mile "Not Auelicabiel a. 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)). Nan. : Detect Beth I Legal Address I For US. Peron: Cot Noot,I.S. Penton& I Soca, Security (Bee footnote l Ice altmlativos i ' -i- i Number i to Scotal Seamy NItIteri I , 16100 RED HOOK QUARTER, 93 !JEFFREY E. EPSTEIN 1/20/53 I St THOMAS, USVI 00802 ' For Non-US. Persons, in addition to a Social Seatrity Number ore Passport Number with Country of 19503,14%.. en alien Ida:ultimate,' peed MUM% or numbs and country of Issuance of any Mho gown tyrant-Waled cleannant evidencing notionNey or residence and Dearing a neotograph or shutter safeguard should be brovided. FREY E. E TEIN y knowledge, that t e infp Legal Entity Identifier tOpponag tame of natural person opening the account), hereby certify, to the best of is complete and correct. 7/24/18 Date CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0079390 SDNY_GM_00225574 EFTA01380829