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sd-10-EFTA01384791Dept. of JusticeOther

EFTA Document EFTA01384791

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Dept. of Justice
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sd-10-EFTA01384791
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Summary

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: IJEFFREY E. EPSTEIN, PRESIDENT OF SOUTHERN TRUST COMPANY, INC., 50% MEMBER b. Name of Legal Entity. Type of Legal Entity, and Address of Legal Entity for Which the Account is Being Opened: I ANSE LLC A USVI LIMITED LIABILITY COMPANY c. The following information for each individual, if any, who, directly

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Extracted Text (OCR)

EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
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: IJEFFREY E. EPSTEIN, PRESIDENT OF SOUTHERN TRUST COMPANY, INC., 50% MEMBER b. Name of Legal Entity. Type of Legal Entity, and Address of Legal Entity for Which the Account is Being Opened: I ANSE LLC A USVI LIMITED LIABILITY COMPANY 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 it oat° of Birth I Legs: Adthose I Re U.S. Persons: I Per NoraU.S.Parsonc SOS; Security I (ee foottnote% aky Numbe for aftecnatives toSSo cia ! Number Soct r) I JEFFREY E. EPSTEII I i CAROLINE LANG I I For Non-U.S. Person. in addition to a Soda, Security Number or o Passpon Number witn Count:y0f Issuance. an alien Identification card nuoroo..4% mother and country of issuance of any Other gdsernmant-issued document taidncang naticoafity 0€residence and bar lac a piletOgraph or sirridanalquard 'mold be nrwicied. Of no in:lividual meets vim definition Went "nee "Not AoPliCaal 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)). I Name Uate of Seth Legal Address (ETIENNE BINANT i For US. Persons: ; For Non.U.S. ;Wien& SoctetSecuray (Sec footnote l for altcenotkes1 1 Number I te $'.ocial Seaver Numoer) i Far Non-U.S. Parsons in eddit;ort to a Social Security Number or a Passport Number •nith County of Issuance. on eaten ioanfilkation card numbe:. Or mirnbcc and dumpy ol 4Si...wee any other gavermnant-issueb PotArmern tattle:yang natiOnality an/Cenci and bearing a photograph O' tinatiesarguero should J FiREY E. EPSTEIN knowledge. that the -Vigor orf provided aboyb Is complete and correct. Signature Legal Entity Identllite (Option* «2018 Deutsche Sank AG. Au rights reserved. WM189665 026815%05131S 7124/18 Signature V Data Cerci --diorite of natural person opening the account), hereby certify, to the best of "kr Name (Print): I3ract Title: VP Dqte: 7/2.ilig CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SONY-0085312 SONY GM_00231496 EFTA01384791

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