Case File
efta-01362472DOJ Data Set 10OtherEFTA01362472
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01362472
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
Legal entity !demurer (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, directiy 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 Marna
JEFFREY E. EPSTEIN
date of Sinh
Legal Addres$
I fro US. Parsons: I For Non-U.S. Pesont
Social SeCurrIV
(Sae kolnOttr 1 ler one natniPS
NUMMI
E to Sseial Sir-J({u hltenter)
1i20153
6100 RED HOOK QUARTER, 63
ST. THOMAS, USVI 00802
For Non-U.S. Persons. in addition to I Social Sartre( Number or a Pasrpon Number with Country of [manna.. en ellen ktentircation card number, or numner
and counny of issuance of swathe govo'nment-issued tfecumera evidencing noticnahty or residence arts Warhsa a pic4O0rapo or simitar safeouet should
tre provided.
(If no mel:ntlual meets tnis can:Ikon. please write `Not Appaceoe.")
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 Legal Address
For U.S. Persons: I For Non-US. Parsont
SOCII4 Seetoky
(See footnote1 for aileoativas
I
Nornbtr
I to Seen! &ashy Number)
I
'ABOVE
JEFFREY E. EPSTEIN SEE
I
i
I
.
i
......_.!
, For Nen•us. Persons in addition ton Said Security Numbe, or a Passpet Number, virth Country of Issuance,an atm identilicaton card mulls?. or rernbef
and tourer/ of Issuance M any atnor s.GyetnalanaMyucr: document evidencingnational/c, residence ono bearing ai rAugotiraph Or Saarl.Yieltworci 5.40uld
to Provided.
ral person opening the account), hereby certify, to the best of
tive 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-0051893
SDNY_GM 00198077
EFTA01362472
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