EFTA Document EFTA01384793

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, PRESIDENT b. Name of Legal Entity, Type of Legal Entity, and Address of Legal Entity for Which the Account is Being Opened: J. EPSTEIN VIRGIN ISLANDS FOUNDATION, INC., A 501(cX3) PRIVATE FOUNDATION/USVI CORPORATION 6100 RED HOOK QUARTER, 83 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 I Date of Bath Legal Addicts 1 Fe' U.S. PerS0.13: I Social Seettnq . Number Fns NcroU.S. Persons (See leo:note .1 for Otternatmal to Soria: Security Mennen I. NOT APPLICABLE --- 4 I I 1 I • NoMIS.Personi. in addition 10 a Social Sorority Number or a Naval( Plumper wan Country of issuani* an alien ieentificalion caw number. Of not Der and country of nuance e1 any oilier 00aommang-fmed document erviCUP‘dry nadenaldy or residence and tearing a ahotopropn or aimilar takaguerd gloub be provided. naincrfmthlal meats this fttinnlon. please wale 'Not AoPhooafe." 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 (Cl)). Name Dote of Seto Leool Address JEFFREY E. EPSTEIN ST. THOMAS, USVI 00802 6100 RED HOOK QUARTER, B3 urity (See foomote a for altarnarivasi For U.S. Persons: I Fo: NOn-U.S. Port ant: Social Set Pamper ioSeelarSectkity Number) For Non-tf.S. PerSond in addition 10 a Socui Security Number di a Past:part Murata: Country of Issuance. en alien Idontificatoon card number. or /anther and country of iarunnoe Or any °Indr aGoeintnentristuad document dddgMting nationality arrest/rents and Willing a ohetoVoon Dr Omar sab‘auard yfaeta be Dravided. FREY E. EP TEIN y knowledge, that t ie info SI 'AO Entky Identifier (Optional) 'ne of natural person opening the account)• hereby certify. to the best of is complete and correct. 7/24/18 Date srpifruta4 Na rint):a Title: Dale: er CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0085314 SDNY_GM_00231498 EFTA01384793