EFTA Document EFTA01380835

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. LJEFFREY t EPSTEIN, SOLE MEMBER b. Name of Legal Entity, Type of Legal Entity, and Address of Legal Entity for Which the Account is Being Opened: NEPTUNE, LLC, A DELAWARE 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: I—Name Date di Birth Legal Address For U.S. Patarant SoCal Staid`, Numbed For tion-U.S. Persons: (Sae footnote 1 (or siternetivea 10 Swot Seaufty Number JEFFREY a EPSTEIN 1120153 6100 RED HOOK QUARTER, B3 ST. THOMAS, USVI 00802 r — 1 7 r For Non-U.S.Persons. in amnion to a Social Security Number or a Passport Number with Country of Nauteme. an Wier. identif cation cad number, or number and country of issuanceof any other government-Named decimetre evidencing nationality or 'Science and tearing a photograph or Similar saleguetd meld be provided, (If no nitwit:foal meets this definition please write -Not Arrafrala.-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. (If appropriate, an individual listed under section (c) above may also be listed in this section OD. Name 1 Date of Binh Legal AdAlress for U.S. Peracor i For Non-US. Resort Social Security I Mae footnote I for alternatives; Number to Social Security Numtate) I I ,ABOVE JEFFREY E. EPSTEIN I SEE I I i _1 I For Non-NS. Persons. in addition to a Social Security Number ore Passport Number with Country of Issuance an alien identilltatiOn card airmen,. of number and counter, of Nuns-Me of antrother twernmant-issued domenent evidencing nationality or resdensw and bearing a photograph or similar asteguart should ba provided. JEFF; E. EP= N my owledge, that th inforn e of natural person opening the account), hereby certify, to the best of is complete and correct. 7124118 Sign: fro Dote Legal Entity Identifier (Optioned CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0079396 SDNY_GM_00225580 EFTA01380835