Case File
efta-01583251DOJ Data Set 10OtherEFTA01583251
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01583251
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
Non-Special Entity Attestation Form
J.P. Morgan
This Certification Regarding Special Entity Status (this "Certification') is required to be made by clients entering into a derivatives
relationship with J.P. Morgan. In order to engage in a derivatives relationship with J.P. Morgan, the Client must certify to J.P. Morgan that it
is not considered a Special Entity for purposes of the Dodd-Frank Wall Street Reform and Consumer Protection Act (Me 'Dodd-Frank Act).
Prior to making this Certification, the Client should perform appropriate due diligence and, if necessary, consult with legal counsel, in regards
to this Certification.
This Certification should be read with the Derivative and FX/Commodity Transactions Regulated by the Dodd-Frank Act and the Bilateral
Dodd-Frank Agreement, as amended, supplemented or replaced from time to time to reflect changes in applicable law, regulation and
industry standards (the "Agreements"), both of which are incorporated by reference. The client acknowledges and agrees that (i) the
information set forth in this Certification is true and accurate as of the date of the making of this Certification; (II) in the event of any
material change to the information set forth in this Certification, the Client will contact J.P. Morgan and update the Certification in a timely
manner; (iii) the information set forth in this Certification is, and shall be considered in all respects, Relevant Information pursuant to the
Agreements; and (iv) J.P. Morgan will rely on the information set forth in this Certification in evaluating whether to enter into a swaps
relationship with the Client. Notwithstanding any provision set forth in the Agreements, any disclosure given hereunder which Is incorrect or
misleading in any material respect or which is rendered incorrect or misleading by the failure of the Client to update this Certification on a
timely basis may be considered an event of default of the Agreements by the Client and may give rise to termination and/or reversal by the
Bank of any Swap made in reliance of this Certification.
(a) The client is the following entity type (check one):
n A Special Entity, as defined below.
ri A tax-exempt organization filing under Internal Revenue Code Section 501(c)(3), which is not an endowment
g Neither a Special Entity nor a tax-exempt organization filing under Internal Revenue Code Section 501(c)(3).
(b) Was the client created (check one):
r
By a public official, entity, or authority through an action pursuant to such person's official capacity or directly or indirectly through
authority or direction of law (e.g. through legislation, regulation, court order, or other similar authority)?
Fri By private individuals or entities, unrelated to a public official, entity, or authority?
(c) Is any person responsible for or otherwise holding direct or indirect influence regarding the clients selection of J.P. Morgan to act as a
Derivatives counterparty and/or to provide a Derivatives Account (including, but not limited to, the clients directors, management,
investment managers, or other authorized persons or employees holding such responsibility or influence):
n A public official or public employee acting in his or her official capacity or directly or indirectly selected or appointed by one or
more public officials in their official capacity or by individuals directly or indirectly selected or appointed by one or more public
officials in their official capacity?
py, None of the client's employees or management or any other person holding direct or indirect influence over the client's selection of
J.P. Morgan in regards to any Derivatives services or accounts are subject to public integrity rules/codes of ethics or reporting
requirements or selected or appointed by others subject to such rules.
'A Special entity Is any of the following:
A Federal agency; A State, state agency, dry, county, munldpailty, other political subdivision of a state, or any
instrumentality, department, or a corporation of or &debits/mid by a slate or political subdivision of a state; An employee benefit plan subject to Title I of the
Employee Retirement Income Security Act of 1974 (.29 U.S.0 1002); An endowment including an endowment that ls an organization described in Section
SOI(cX3) of the Internal Revenue Code of 1986 (26 U.S.0 501(C)(3)): or An employee benefit plan defined In Section 3 of me Employee Retirement Income
Security Act 01974 (29 U.S.G. 1002), not otherwise defined's&
'Entity, that elects to be a Special EMIty by notifying a swap dealer or major swap
partidpant ofI s election prior to entering Into a swap with the
ttilarswap dealer or major swap participant.
The undersigned/ on behalf of the Chen litS—
(I) certifies that s/he has reviewed the information set forth above and that such
Information is true and correct as of
date of exeartlectof this Certification; and (II) agrees to the provisions set forth above in regard to
this Certification.
\,.
ffigketure-(Accountholder)\N
C:P?
Signature (Accountholder)
Jeffrey E. Epstein
Date
Print Name
Date
Print Name
Signature (Accountholder)
Date
Print Name
Signature (Accountholder)
Date
Print Name
1.P. Morgan Use Only
SOUTHERN TRUST COMPANY, INC rifle
SPN
CAS
1 of 1
Banker/Investor
6/13
1663
Confidential Treatment Requested by JPMorgan Chase
JPM-SDNY-00062889
EFTA01583251
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View in Artifacts BrowserEmail addresses, URLs, phone numbers, and other technical indicators extracted from this document.
SWIFT/BIC
SOUTHERNWire Ref
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Dept. of JusticeOtherUnknown
Medical Record/Clinical Encounter: DOJ-OGR-00026334
This clinical encounter document from the Bureau of Prisons details a medical evaluation of Jeffrey Epstein on July 12, 2019. It covers his medical history, current complaints, and treatment, including discussions around his triglyceride levels, sleep apnea, and back pain. The document was generated by the treating physician at the Metropolitan Correctional Center in New York.
1p
DOJ Data Set 8CorrespondenceUnknown
EFTA00014087
0p
DOJ Data Set 10OtherUnknown
EFTA01977826
2p
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