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sd-10-EFTA01384798Dept. of JusticeOtherEFTA Document EFTA01384798
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Dept. of Justice
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sd-10-EFTA01384798
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Summary
Legal entity !denture( (Optional) 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: PLAN 0, LLC, A USVI LIMITED UABIUTY COMPANY 6100 RED HOOK QUARTER, B3 St THOMAS, USVI 00802 c. The following information fo
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Legal entity !denture( (Optional)
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:
PLAN 0, LLC, A USVI LIMITED UABIUTY COMPANY
6100 RED HOOK QUARTER, B3
St THOMAS, USVI 00802
c. The following information for each individual, if any, who, direcliy 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 of Seth
Legal Addres$
Foe U.S. Parsons: I For Non-US. Passont
Social Securhy
(See (competitor ohm natives
Member
! to Sacial Seta! Melte')
JEFFREY E. EPSTEIN
6100 RED HOOK QUARTER, 63
ST. THOMAS, USVI 00802
I
.-. .........
....!
I
• Fo: Non-U.S. Persons. In alai, on to a SOCial Semite Number or a Posrpon Number with Country of Issuance. an Niro ktenta-cation rani number, or numnar
and coundy of issuance of any other genefnment-issued document evidenci-v raticmahty or residence arts bearing a ph:hag:ado or simika sefeguart should
be provided.
(If no meantfual meets tnis deli:Ikon. please write "Not Appacobe.")
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)).
Name
Oats of Binh
I ugamooress
For U.S. Persons: I For NomUS. Potent
SO614 Seetoky
(See footnote1 for ailemailvas
I
Number
j to SOCIIIISecurhy Number)
I
JEFFREY E. EPSTEIN SEE
'ABOVE
i I
i
I
.
i
......_.!
, For Nen•us. Persons in addition toe Said Security Number or a Riau= Number ...hth Country of Issuance, art atm identificationcard flthliber. or monber
and tourer/ of Issuance M any 01:10, S.V.refAtIleflI4SSOC4 document evioencing nationality o, residence ono bearings IglagetiraPh Or SintarYSiltWiltd5.40Uld
to Provided.
ral person opening the account), hereby certify, to the best of
eve is complete and correct.
7/24118
Dalt
sirjuke 0#41
Signature Ve
Name(
CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e)
CONFIDENTIAL
DB-SDNY-0085322
SDNY_GM 00231506
EFTA01384798
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