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sd-10-EFTA01384792Dept. of JusticeOtherEFTA Document EFTA01384792
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Dept. of Justice
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sd-10-EFTA01384792
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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 JEFFREY E. EPSTEIN, SOLE MEMBER b. Name of Legal Entity. Type of Legal Entity, and Address of Legal Entity for Which the Account is Being Opened: HYPERION AIR, LLC, A USVI LIMITED LIABILITY COMPANY 6100 RED HOOK QUARTER, B3 ST. THOMAS, USVI 00802 c. The following information for each individual, if any,
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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, SOLE MEMBER
b. Name of Legal Entity. Type of Legal Entity, and Address of Legal Entity for Which the Account is Being Opened:
HYPERION AIR, LLC, A USVI 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:
; Name
pato& Birth
I LegafAckress
I Fie US. Pettant
N!GODY
SOCW SeCtiiitV
(See 10DtibOtt 1 for MN nstivasi
to Social Sturny Welty)
6100 RED HOOK QUARTER, B3
ill
JEFFREY E. EPSTEIN
ST. THOMAS. USVI 00802
7
' For Nr.-U.S. Persons. in addition to 3 Social Security Number or a Passport Number wail Country of issuance, an alien identif cation cord quite. Cr numb&
and country of issuance of any otho, govemment•issurd Continent evittenckc natkinaCty or les:dome aria basting* photograph Cr simaz Safeguart snoulo
be ormitScO.
Of rbirnftitkral moats this penal:ton. paw! write 'Not Apa:icabie.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 (e) above may also be listed in this section (d)).
Name
Date of Binh
Legal Mnress
ABOVE
IJEFFREY E. EPSTEIN (SEE
1
For U.S. Persona
Social Security
Number
For Non-US. Arsons:
t(Sn
o Sock:Selo* laiw
y Number)
Fo NOn-U.S. Ponons, in addition to a Social &mirky Number Of a Passport Ntrobormot Countryof ISSilaft:f. on alien kientification cora nunter, or mutiny
and rowan; of issuance or any otho! governnwint•issueo dcworant
Nifile.ality Di f &licence ono cemtrig a photon, atti or Sellikir refocus ,0 sncu
Oa Or GYKKO.
J
FREY E. EPSTEIN
m knowledge, that t e information p
complete and correct
Signature Verif
tire
legal Entity fdxttifier (Optional)
7124/18
Dam
stm
t. &ref
natural person opening the account), hereby certify to the best of
•••_
Name
CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e)
CONFIDENTIAL
DB-SDNY-0085313
SDNY_GM_00231497
EFTA01384792
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