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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:
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
Dote of Binh
Legal Address
rot US. Persons:
Social Security
Number
For Nomi).S: Prams:
I (See footnote I for alternatives
to Social Setwey atkenbei)
1120/63
6100 RED HOOK QUARTER, B3
ST. THOMAS, USVI 00802
09044-3348
--
r
For Non-U.S. Person& in adohion to a Social Security aimbo: or a Pampa Nude°, With Counlry ['lasso not: on ellen identircorion card numbs:. or molar
and comity of issuance of any olive government-issoW WO-event e-:ittenzingi natiractafity Or Tesidenet and tearing a pholograort or similar safeguoto shoutc:
0 orovreieu.
Of no individuat meets this defection, please:vita Wet Atpticah:O.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.
Of appropriate. en individual listed under section (c) above may also be listed in this section (d)).
i Nam*
!JEFFREY E. EPSTEIN I SEE
Date of Beth
Legal Address
t For U.S. Persons:
For Nan-u.s. Pcsons
Sotial Security
Met footnote I for atleditIWS
Nurnoet
10 Satiol Security Number)
ABOVE
11
For Non.U.S. Person& in addition to a Social Security Number or a Passport Number with Country of Issuance, on oriels identlficat iOn cord numbr. a number
Sid COUIWY
iSSUtrott of any other government-Sewed document ear.onemil natiotality as residence am hearing a oho:3gram or sinutte sok-pare should
ho provided.
m
REY E. E
TEIN
knowledge, that t
information
Sign
Lego: Entity Identifier (OPtketel)
ne of natural person opening the account), hereby ce
to the best of
pve Is complete and correct.
7/24118
Da:C.
Srpriv re
Signature
Name
Tale:
Mee:
77 14. C
IT
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
CONFIDENTIAL
DB-SDNY-0092454
SDNY_GM_00238638
EFTA01388730