EFTA Document EFTA01479932

J.P. Morgan Account Trust/Estate Account Application J.P.Morgan A. Account Information T.Oe of Kum" THE nA2E TRUST, *ESREY f EPSTEIN, PARREN K INDYKE, - 4,.$STEES Trust 0 RevoCatde That 0 Estate 0 Quakfled Plan I) Delesar! Business Innt K trimg Trust C Other 0 Rentable (check thopleable) I hare appeled to open the following «coin (deice ad trwt apply): 0 Chicane Account 3 Money Market Deposit AccourittSenngs 0 Business Checking with Interest Account • (*Availibkr only for not-tor-pro/Rs, trusts end estates, undiskapelities, rciandettons and sow proonetorships) C Investment Management/Third Party Meneger/).P. Kagan hrhusory Propnor Rligletone'Y: Asser/grokerage 0 Anti/Brokerage with Private Asset Management Account (flaPfligaers) ▪ reirtiebstocii C Anstitastody wiM Private MSC Management Account applicable) I hereby apply for a Lme of Credit frisked to my Asset Account Cl 101 (U.1 four will be required) C NO Phase he &mud that if you have another account with the same featoee, this IS net sOPiitetile Tel Cost methodology: bitmkt Cast Each account I open, and tads SubaCcount ooeneci under such account hom time to time, are ale« to toe security Intern: Ceentiona is the agreement (a defined getow as ' Agreement') and are pleoged as Cotateral for SR wry Othgemorm ▪ Trust/Estate Information XEINe 3 SSNe: Date of truer/ Date of anti C IØ Term Nth Cost 'FIFO 0 Low Cog UlDE109206 Trust Omni* KT Grantor(s) of trust *PREY E EPSTEIN ssN, 22121 DE EIDRE1 Date of death (for estates) 11O-DO_D.ODE_ rn - 00-y y Y Y aisditiorsa Grantor of Trust SSN no DODD The following Ands are reoalred for Brokerage and 1M Accet.nts: Trust/Esorte (Auld het Worth (a) be° by check"; trit boa twos I consent to the electron deivery of all nformaition trick/Ong, but net limled to, C0MMUIX11110fil, compt.ausec, and marketing and se es documents **twig to my secunties KOMI., for an nutmeat orcoxts inchAng both renotren and urregialerog °Penn» I *PI receive this inform/ton at the may recently pipit:led e-mer address. X may be norded oy e-mail regard,ng the above. Single e-Mel Address: 4oreti bt lat'S A., TneVEgate not •16,4% Total Net Worth (1) C. Trustee/Executor Information (address awl fie used for statements) Treat!! 7extcuwK Name JEFFREY E EPSTEIN illtsitsowsnlP "te of Birth: [ 1;1 11; 1 -1-211E)l-NEFINO (II rn - d el -y y y hotels 6100 REV HOOK QUARTER 83 SSN e [i] sr•IR kl oty ST THOMAS State %Mir t5b005 Pp 00001 gcoury UNITED STATES "ay fax Nam* di Ann F ms t : 41 nit t lor, Type srf dus ros; OCC.041:10n/geeltkle 0 14 illtitt 81,3117 1% P, 0ce 40 /71• 2525 business rak D. Current Beneficiary Information flor Addoonal eclefclameS. a form will toe Pro/iced) Name and /de nett aelelorar.o Nome and edits% Retal 'parsec, POMP NV Snell neigh:m*15p Name and address ),P. Morgan vie Orn THE i.i.e2E - RUST Tile I or 2 MORAIS PALL BeneerNmeNev Reletonelvp 9468523 SPN 02214773.28 CAS IVIO U51077 Confidential Treatment Requested by JPMorgan Chase CONFIDENTIAL JPM-SDNY-00001946 SDNY_GM_00271144 EFTA01479932