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sd-10-EFTA01480441Dept. of JusticeOther

EFTA Document EFTA01480441

State of Domicile: Where is the Company Incorporated? What document did you obtain to evidence state of domicile? Articles of Incorporation, Partnership Agreement, etc Introduction / Financial Information Introduction Type: Specific Information: Part of the Epstein relationship (Please identify Client, Type of Account etc.) Met with Principal? 0 Yes r No Name Of Principal: Legal Structure: Jeffrey Epstein Principal Beneficial Owner(s) Identify the principal beneficial owner(s)

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Dept. of Justice
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sd-10-EFTA01480441
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Summary

State of Domicile: Where is the Company Incorporated? What document did you obtain to evidence state of domicile? Articles of Incorporation, Partnership Agreement, etc Introduction / Financial Information Introduction Type: Specific Information: Part of the Epstein relationship (Please identify Client, Type of Account etc.) Met with Principal? 0 Yes r No Name Of Principal: Legal Structure: Jeffrey Epstein Principal Beneficial Owner(s) Identify the principal beneficial owner(s)

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Text extracted via OCR from the original document. May contain errors from the scanning process.
State of Domicile: Where is the Company Incorporated? What document did you obtain to evidence state of domicile? Articles of Incorporation, Partnership Agreement, etc Introduction / Financial Information Introduction Type: Specific Information: Part of the Epstein relationship (Please identify Client, Type of Account etc.) Met with Principal? 0 Yes r No Name Of Principal: Legal Structure: Jeffrey Epstein Principal Beneficial Owner(s) Identify the principal beneficial owner(s). If the entity is owned by an intermediate legal structure (e.g. LLC or Partnership), please list the ultimate individual beneficial owner. A beneficial owner is any person on behalf of whom the account Is maintained. Last Name: First Name: % of Ownership: Tax ID DOS What form of identification document did you obtain for the files? Other If Other ,Please Describe: information already on file Passport # NA Please Describe: investments Corporation's Net Worth: $ 1.00 (USD millions) Sales: Total Assets: $ 1.00 (USD millions) Total Debt: $ (USD millions) Specific Information account documentation $ (USD millions) Are the controlling Shareholders the same as the beneficial owners ? G Yes r No Controlling Shareholder(s): Jeffrey Epstein Industry Code: The Business Type is the industry in which the client derives the majority of its income. Investors (Misc.) NAIC Code: fIransaction Profile/Expected Account Activity What is the purpose/intended use of this account? Please check the types of account and expected activity for this legal entity inflows and outflows of securities and cash) - check ALL that apply: Account Activity Level: Low (1-5 transactions/month) Medium (6-12 trs/month) High (over 12 trs/month) DDA/MMIA: r Low Medium r High SDI: r Low r Medium r High Confidential Treatment Requested by JPMorgan Chase CONFIDENTIAL JPM-SDNY-00002602 SDNY_GM_00271800 EFTA01480441

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