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efta-01583236DOJ Data Set 10Other

EFTA01583236

Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01583236
Pages
1
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
Over The Counter Derivatives Approval Form for Equity Options and Structured Products J.P. Morgan B. ARBITRATION; CONSENT TO 3URISOICTION; SERVICE OF PROCESS (cont.) I AGREE THAT THE TERMS OF ANY SETTLEMENT, OR ANY AWARD DETERMINED BY ARBITRATION, SHALL BE CONFIDENT/AL AND SHALL NOT BE DISCLOSED BY X.MS OR ANY OTHER J,P. MORGAN AFFILIATE UNDER ANY CIRCUMSTANCES, UNLESS REQUIRED BY APPLICABLE LAW, JUDICIAL PROCEEDING OR SRO RULE. C. Pre-Dispute Arbitration and Acknowledgement By signing this Agreement, I aeknowledge that: (I) I requested the options approval level as indicated above, (2) I Shall promptly advise J.P. Morgan Securities MC, In writing, or any material changes In my (Iinane:MI clraarstances and options Investment objectives, and (3) in accordance with above, tam agreeing In advance to artittnete any controversies that may arise In connection with me a unto with J.P. Morgan Securities Ile. D. Signatu to sign below) 1 A." 5 JEFFREY E. EPSTEIN Date Name (Print) Signature Date Name (Print) Signature Date Name (Print) Signature Date Name (Print) J.P. Morgan Use Only Approvals: I have reviewed the above information concerning the dent's suitability, including: investment objectives, Investment experience, and rtnandal condition JPM RR Signature Date R-4 CI )7,) 1Phi ROSFP Signature Date 1PM S-ROSFP Signature (Structured Products and Eq Options Levets 5 & 6) l.P. Morgan Use Only Page 2 of 2 The SPN CAS Sanker/lirtadar W13 U51074 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00062871 EFTA01583236

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