Case File
efta-efta01700759DOJ Data Set 10CorrespondenceEFTA Document EFTA01700759
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-efta01700759
Pages
0
Persons
0
Integrity
Loading PDF viewer...
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
•
ear Sfee-ons
EFTA01700759
BEAR
STEARNS
VIA OVERNIGHT MAIL
U.S. Department of Justice
500 S. Australian Avenue, 4th Floor
West Palm Beach, FL 33401
Attn:
Re:
FGJ 07-103(WPB)-Tues./No. OLY-71
Dear Ms.
BEAR, STEARNS & CO. INC.
SHARON D. CERES
320 [VICTIM NAME REDACTED], NEW YORK 10022
Phone (212) 272-6552
Fax (212) 272-5680 sceres@bear.com
September 7, 2007
In response to the Grand Jury Subpoena dated August 15, 2007 with regard to the above-
referenced matter, enclosed please find the personnel file for Jeffrey Epstein as well as CD
containing account statements for Jeffrey Epstein as well as the following accounts in which Mr.
Epstein has some relationship:
Epstein Interests
Financial Trust Co. Inc.
Institutional Interests
Heritage Interests
International Charitable Interests
Health & Science Interests
If I find any other accounts that are responsive to your subpoena, as I continue my search, I
will forward the statements to you under separate cover.
Should you have any questions or I can be of further assistance to you, please contact me at
the number listed above.
End.
Sincerely,
. INC.
Legal Assistant
ATLANTA I BEIJING I BOSTON I [VICTIM NAME REDACTED] I CHICAGO I OAUAS I DUBLIN I [VICTIM NAME REDACTED] I [VICTIM NAME REDACTED] I LUGANO I NEW YORK I PUERTO RICO I SAN FRANCISCO I SAO PAULO I SEOUL I SHANGHAI I SINGAPORE I TOKYO
EFTA01700760
AeOPESS
ADDRESS arooxiyn, N.Y. 1224
P'I'T .1
FITTNE
PHONE
LAST EMPLOYER
Dalton Schools
EDUCATION N.Y.C.
0.01GEACT
NOW WANDA
NAME Mark Epstein
FROM 9/74
TO
3/76
Founoehys.Dept. mufty $1500
Mo. .
MILITARY STATUS
TELEPHONE •
GROUP HOSPITALIZATION
Above
ACCR E SS
Above
RELATIONSHIP
Brother
An
.7
REGISTRATiON DATES
E:IROL.14tiT DATE
"
•
IEPSTEIN, J.
0
INDIVIDUAL
U
FAMILY
U
NONE ims
1-
1.r7n1
.
/.GIMP mi., etzer ' , - Onskt 6PI J
I
tin'.
DATE
KEY
POSITION TITLE
DEPARTMENT
Aser ie rtr cvem nee
CCAIM SWF
3/15/76 E Trainee
Floor Dept.-AMEX
$225.00
4
"
- it:
- 74 PA al.fle.,,j.-
--s. zi eirrew
7.6--: „
Oct,. e-c (3;4•4) troc
a
ii, if 00
I- 7/
r
.
4
eaareet
1/4 4
Ocrtnn-
9
- .2 v- it. ffri
.,
P on
...34 on
1 - Fr M ,, :
,
Y&0 g 8eo
KEY. E
FULL TIME
N. MERIT INCREASE
T • TRANSFER
I.
LEAVE OF ASS
T • PART TIME
S • SALARY ADJUSTMENT
X
RELEASED
I
• REMO
V • SUMMER HELP
P • PROMOTION
R. RESIGNER
0
DEATH
II MIMEO
MAIDEN NAME
LAST NAME
DATE EMPLOYED
3/15/76 lorm wn 1/20/
FRISI emIYAL
MARITAL. STATUS case ISO
t
50
SO Male
Single
MCC stets emote
EPSTEIN
Jeffrey
E.
44
j
I
M •
•
P
I
tiN
L i•
v
is
.
1,
•
C 1
I It
O
I
,
EFTA01700761
CATS
KEY
POSITION r.r..E
OVARTMENT
AMOUNT Or
IVES{ A SE
CURREN
:MAE:
I
COMMENT
KEY:
E - FULL TIME
T. PART TIME
V • SUMMER HELP
M • MERIT INCREASE
• SALARY ADJUSTMENT
P - PROMOTION
T - TRANSFER
X
RELEASED
R • RESIGNED
L • LEAVE DE ARS.
I • RETIRED
D• DEATH
44 • AEIORED
S. S. a
MAIDEN NAME
LAST Pam(
DATE EMPLOYED
3/15/76
BIRTH DATE
1/20/50 sex
Ma le
MARITAL STATUS
Married floc
Ii2ST
INITIAL
E00NI CIO I
C
EPSTEIN
Jeffrey
At MEN SCHEDaC
JAP4
I
TA(1
/ NA
11
.
I
AAA
I N
A1,
IAN auI.
A
uC
1
Se
P
%
t
Y
IE
EFTA01700762
• •-•%." paws rum ore...cull' INSIJKANI:E.
vc
(This fora is to be completed by the Employee-)-) li fE CONTINENTAL INSURANCE COMPANY
KANSAS CITY FIRE' ND MARINE INSURANCE COMPANY
FIREMEN'S INSURANCE COMPANY OF NEWARK. NEW JERSEY
BOSTON OLD COLONY INSURANCE COMPANY
COMMERCIAL INSURANCE COMPANY OF NEWARK. N. J.
PHOENIX ASSURANCE COMPANY OF NEW YORK
NIAGARA FIRE INSURANCE COMPANY
SEABOARD FIRE AND MARINE INSURANCE COMPANY
THE FIDELITY AND CASUALTY COMPANY OF NEW YORK
NATIONALBEN FRANKLIN INSURANCE COMPANY OF ILLINOIS
THE BUCKEYE UNION INSURANCE COMPANY
PACIFIC INSURANCE COMPANY
THE GLENS FALLS INSURANCE COMPANY
Branch Off ice
ISONDING OfloARTIIISMe
Bond No
Application is hereby made to one of the above named Companies (hereinafter called "the Company") selected by
the Employer.
Mr., (Mrs. or Miss)
7
Employee (Applicant)
Amount of Bond S
Position
_Trairmm
at
Payable fu ..
Bear., .5.t.e.axas
55 Water St. New goti7gT7i7DIVirm""'"
(Address of Employer in fun. by Number. Street, City)
The Nature of the Employer's Business is
•
at.Q.c1c...BrQkere
FULL NAME OF APPLICANT (Please Print)
19 U'4
• ei s ref L.
SOCIAL SkURITY NUMBER ...
Date of *Birth
vv
Are you an American citizen? .
Single?
Married?
Separated?
Divorced?
Present residence address:
How long have you lived there?
State previous addresses in full and length of time you lived at
each dress, during last five (5) years.
No.
N
(St. or Ave.)
City
State
• From. Lc
-
to
(St. or Ave.) •
City stew
From
to
Who constitue your family?
Husband?
Wife? .
pf Children?
• Others?
Do they reside with ydu?
How long have you been . .
In what position?
in the continuous service of this employer?
Trainee
Employed at
New York
'
Dat f taking present prstitiOn airing this itiur
ce
an
76
Do you receive any income beyond that of this employment?
If so, please state amount and-sources?
A./2
Do you receive goods, merchandise or other property on consignment or otherwise?
Have you ever. failed in business or compromised with creditors? AA." •
If so, when:
19
• Where•
• Business
Name of firm:
• Assets: $ •
•
• 'Liabilities $
What were your banking connections at that time?
Do you own your home or hold interest in other real estate?
alJ''
In whose name is the title?'
4N0
Location of such realty
Description
' I
Value
Incumbrance
7 4
Have you any debts or liabilities other than for current expenses?
If an, please give amounts and slate how they were incurred.
If Paid by salary, state annual amount and when payable.
Have you ever applied to any. company for a bond?
If so, when?
Was the bond issued'
Who was your employer?
Has any company ever refused to issue or to continue a bond for you?
If so. when?
19
Name of the Company:
on what ground was the bond refused?
Have you ever been in arrears or in default in your present or previous employment?
If so, pica= give particulars
/UU payable ni—weetty
What company issued the•bond?
APPLICANT S PARENTS; IF LIVING, OR OTHER NEAREST RELATIVES
'SAME
RELATIONSHIP
OCCUPATION
ADDRESS (Street and No. in cities)
EFTA01700763
YOUR OCCUPATIONS THROUGHOUT THE LAST
Furnish below full particulars of your past occupations Or employments during
the column headings. If you were at school within this period. give accurate
school. Begin in the top space with your most recent activity. If the spaces
the record on a separate sheet and join together.
TEN YEARS the last ten years. as called for under identification and attendance at each
here are insufficient, please complete
•
PLEASE TYPE OR PRINT INFORMATION BELOW
- From
-`~
To
Full name or exact style (if firm or his business and address.
Town and street where you walked.
Name and present
y
p
nor
Why
Superintetdent
Nature of your occupation did you leave?
Month i.1. ......
1921.
Month
Thfis
Jel!,...
Month
2
19
Month
19
.
Month
19
Month
19
Month
19
Month
Month
'
Month
•
Month
Month
.
REFERENCES
•
Give as references the names and post-office addresses in full of three or four persons well acquainted with you
dining the past few years and not related to you. They should be persons of good standing in their respective comma-
aides. Please do not refer to any officer or fellow-employee in the service in which you are engaged, nor to any former
employer.
NAME
PROFESSION OR
BUSIItESS
RESIDENCE ADDRESS IN FULL
(Street No. and Cic sg .LL.) 4-t' r• At.
1-5 L-7
.atSsfr' l
..(90 Leria4- .
I hereby declare dust the foregoing statemen s are true, and I hereby apply to the Company for a bond in my behalf of such kind
and in such amount as the employer to be named as beneficiary in the said bond may now or hereafter require. I also hereby agree
for myself, my heirs, executors, and adminis mots, to indemnify the Company against any losses, damages, costs, charges and
expenses it may sustain, incur, or become liable for in consequence of my acts while under the said bond or any renewals thereof,
or any new bond issued in continuation thereof or as a substitute therefor; and -any proper evidence of the payment by the Company
of any such losses, damages costs, charges, or expenses shall, in the absence of fraud on the part of the Company in making
such payment, be conclusive evidence against me, my heirs, executors, and administrators, of the fact and extent of my liability
to the Company under this agreement. I hereby further agree that .the Company shall have the right to decline to grant the bond
applied for; that, in case the bond is granted, the Company.•shall have the right to withdraw or cancel the bond at any time; that
the Company shall not be required to disclose the reasons or grounds upon which any action on its part in connection with the
said bond muff be based: and that the Company shall not be responsible fur any loss Of damage that I may suffer by feligarl of aro.
such action, any statutory provisions to the contrary being hereby expressly waived by me.
This agreement may not be changed or modified orally. No change or modification shall be effective unless made by written
endorsement hereon signed by an authorised representative of the Compan
Dated and signed at 42.?...
day of
, 19_9.1
.
EFTA01700764
ORIENTATION FOR NEW EMPLOYEES
The basic policies of Bear, Stearns & Co. are contained in the attached orientation outline. After you finish read-
ing the outline, the instructor will verbally go over the policies in detail, and answer any questions you may have
concerning them.
I have read and understand the orientation outline which explains the following policies:
1.
History of the Firm
2.
Trial Period
A. Probationary Agreement
B. Background Check
3.
Employee Benefits
A. Bonus Payments
B. Vacations & Holidays
C. Medical Coverage
D. Life Insurance
E. Profit Sharing
F. Pensions
G. Salary Advances & Loans
4.
Workweek: Pay & Overtime
5.
Payday
6.
Identification Cards
EFTA01700765
(PERSONNEL DEPT. REPRESENTATIVE)
7. Open Securities Trading Accounts
8. Jury Duty
9. Accidents or Illnesses
10. Medical Department
11. Disability
12. Cafeteria
13. Evacuation Procedures
14. Performance Reviews
15. Absenteeism
EFTA01700766
Bear, Steams & Co.
55 Water Street
New York, N.Y. 10041
(212) 952-5000
WRITER'S DIRELY OIAL NUMBER
University of California
Berkeley, California
JEFFREY E. EPSTEIN
BEAR STEARNS
March 16, 1976 a •
(Applicant': Name)
(Social Security No.) has applied to us for employment As a previous employer, we would appreciate your comments.
We have obtained a signed authorization and indemnification agreement from the applicant to
conduct reference checks, a copy of which is enclosed.
Should you prefer to respond by telephone, please call our reference section at
212/952-5263.
Dates of Employment:
Supervisor:
Claimed from
1973
to
1974
Lecturer
Dr. 1.1
Verified from
to
Above Avenge
Average
Below Average
Attendance
'
C
.
C
C3
Punctuality
Cl
=I
C=1
Work Performance
0
I=
CI
Overall Rating
0
CI
0
To
the best of your knowledge, did this applicant have
a
Securities brokerage account? K
Yes Q
No
Would you recommend the applicant for
a
position of trust involving negotiable securities? 0
Yes E3 No
If your present policy permitted, would you rehire this applicant?
Yes =No
Is there anything we should know about this applicant which would help make our relationship a
successful one?
GENERAL REMARKS:
Name:
Title:
Signature:
Form 267. (10/75)
.
;;.3,
94720
New York/Atlanta/Boston/Chicago
Dallas/Los Angeles/San Francisco-
Amsterdam/Genova !chic.
EFTA01700767
Bear, Stearns & Co.
55 Water Street
New York, N.Y. 10041
(212) 952.5000
WRITER'S DIRECT DIAL NUMBER
To Whom it May Concern:
BEAR STEARNS
I hereby authorize the release of the information requested on the attached form to my employer, Bear, Stearns
& Co.
Thank you in advance for your cooperation.
HA71-O7- fr/
Sincerely,
New York/Atlanta/Boston/Chicago
Dallas/ Los Angeles/San Francisco
Amsterdam/Geneva/Paris
EFTA01700768
1. APPLICANT'S, NAME Ms.
truNINIULN iNuus HY REPRESENTATIVE and/or AGENT
Mr.
;AS?
kis rm.
FIRST)/.
Middlefif None. so swill/
ER--I
4. NASD FIRM NUMBER
f
r
l -T in
j
5. FIRM NAME, lace(
Firer:a
6. FIRM ADDRESS
X'-•ce, rucip ve 7 Ai
7. OFFICE OF EMPLOYMENT OF APPLICANT cr
;Ayr se•-, __tt
I /. .
8. NASD DISTRICT IN WHICH OFFICE IS LOCATED.
9. TO BE REGISTERED WITH T-HE--
•
FOLLOWING: (Check All Applicable) -----
i
SECURITIES AND EXCHANGE
-1
. NATIONAL ASSOCIATION OF SECURITIES DEALERS (NASD) C L_ „..
j
COMMISSION ONLY (SECO)
Ti I . . _ ;
•
--
•
•
0
Chicago Mercantile Exchange 0
Boston Stock Exchange
Cincinnati Stock Exchange
0
3. DATE OF EMPLOYMENT _4/1-3/(Lii_
7. 6
_
I
AL K
AN 0
AZ 0
AR 0
CA 0
CO 0
CT 0
IL 0
MD 0
11. TYPE OF APPROVAL REQUESTED:
STANDARD REGISTRATION (Registered
Representative)
FULCREGISTRATION/GENERAL
SECURITIES
LIMITED REGISTRATION
REGISTERED COMMODITY
REPRESENTATIVE
AGENT OF ISSUER
INV. CO. & VARIABLE
CONTRACTS PRODUCTS
SECURITIES TRADER
REAL ESTATE SECURITIES
DIRECT PARTICIPATION PROGRAMS
OTHER (Specify)
PART TIME (NASD or SECO)
FULL TIME (NASD or SECO)
INTERMEDIATE REGISTRATION
BRANCH OFFICE MANAGER
SUPERVISORY ANALYST
OFFICER (Title)
American Stock E ha
Chicago Board of Trade
0 [
_
J
Detroit Stock Exchange
Chicago Board Options
Intermountain Stock Exchange 0
Exchange o F-
J
Midwest Stock Exchange
K
10. TO BE REGISTERED WITH THE FOLLOWING JURISDICTIONS: (Check all applicable
IN 0
1 MA
0
NV 0
0
_—
Exchange
DE 0
DC 0
FL 0
GA
HI 0
.
ID 0
IA 0
ICS 0
KY 0
LAO
MED
OTHER (Specify)
MID
MN 0
MS 0
MO 0
• MT.0
NE K
K
o
O
K
0
Other (Specify) _
0
-
•
.
NH 0
NJ 0
NM
NY 0
NC 0
ND 0
OH 0
OK 0
OR 0
PA 0
RI 0
New York Stock Exchange
Pacific Stock Exchange
P8W Stock Exchange
Spokane Stock Exchange
Other (Specify)
SC 0
SOD
TN 0
TX 0
UT[!
VT 0
PRINCIPAL REGISTRATION
Member (Exchange)
Regular
Associate
—
Approved Person (Exchange) .
Holder of Voting Stock
Holder of Non•Voting Stock
Subcirdinated Lender
Holder of Debentures
Director
General Partner
Limited Partner
VA 7:
WA 0
WV j
WI 0
WY ri
PR 0
;
o
K
K
O
I
O
Officer (Title)
.
.
Allied Member/Gen. Securities
Principal
0
Sole Proprietor
Manager Office of Supv. Jurisdiction 0
Financial and Operations Principal
(2
Direct Participation Programs
i3
Investment Co. & Variable Contracts
Products
0
Underwriter Principal
0
0
I2. To the best of my knowledge and belief the applicant at the time of approval will be familiar with the statute(s). constitution(s) and ripe of the
igency. jurisdiction or organization with which this application Is being filed. and the rules governing registered persons, and will be fully qualified ter the
)Osilion far' which applieJoen is being made herein. I agree that notwithstanding the approval of such agency, milady:hen or oiganization.,which hereby
5 requested. I will net employ the applicant in the capacity staled herein without first receiving the approval of any authority which may be required by
aw. This hem has communicated with all the previous employers of the applicant during the past three yeais, as set furth below:
EMPLOYED —
CONTACTED GY 'PHONE,*
FROM i TO
EMPLOYER
NAMEANCPOSITION.12F--
—
PERSON CONTACTED
LETTER Oft INTER •IEW addition. I have taken appropriate steps to verily the statements contained in this application a
.plicant.
qtiieIn;OIttpIt
Rea clrepu
-..latTen ofthej
Dale print Name of A;Prop7iateSignalory----------
Signature of Alsiiri:q3;ieneiirrtrtury-
(See Instruction 12) perience ether Ica mine Required am Required
DO NOT WRITE IN THIS SPACE
Clearance train Taken: Date
_
Ciade _
Date Approved: Cond..
IT Grade OK
EFTA01700769
PERSONAL HISTORY
• Page 2 of 4 t .. b ...s.
filf
5,1c,r,Cp
i
en
iSetgG
1 AA/. int' 16. la
ir
-ci ty Ma, 4-/ VIC stale . .
//1-Zi2p
F
silrd
ff
f
14.
ress
L___
j
19. Citizen Yes ET'''.
of US? No 0
r
i 21.
Alt, ce
If no, state country of _
(__L----0
3'
-C-6ii,....._,........__. nes (II None, Indicate/ soWlier citizenship
2.
M
23.
tai7i6rtitif neer& sinus/ a Malan- NirnICUI FRO'Ila6fir
Mother's Full Ma den Name
MilriMailliMIMIEM
4.
•
:
cifiWi'ru UAW
IF MORE SPACE IS NEEDED FOR ANY OF THE FOLLOWING QUESTIONS. ATTACH A SEPARATE SHEET
•
i ViaiLt
Pi
i
118.
EVIOVi ewnth"
°IOC' no or
25. EDUCATION
'ducational Institutions Attended:
HIGH SCHOOL Elcia COLLEGE
12
LTD
,/
ipecify Highest Year Completed:
9 0 10 0 11 0
1.0 2O 30 4 0
•
• name"AFinobriess'or'INSTittITION
COURSE
(STREET. CITY. STATE. ZIP CODE/
MO.
YR.
MO.
TR.
haetterkr ,4, 611
> (Hi ota/E4, rd.
C.Valt w.v. en°
•I
•
rI
GRADUATE spHoc.
n 2 CI 3O 4O
•8,Vi OR -751611°6-DEGREI
EVENING GRADUATE
26. EMPLOYMENT HISTORY
The following is a complete, consecutive statement of my business history for the past ten years starting with my current position.
(All time must be accounted for including seRemployment. unemployment, parbtime securities, commodities, insurance and real estate
industries or related positions and all military service.)
NAME of EMPLOYERTh.NOCOMPLETE ADDRESS
(STREET. CITY. STATE. ZIP COOS)
FROM
MO.
YR.
f0
MO.
YR.
...3 di_k_
I
POSITION
NEI.0
REASOICFOR
LEAVING —eacon
PART•TIME
-c 6 l•-•
•I• S
IL: i
4 Tex. A.0 .. In.
(
iri
..J•
:i l •
-,
r aj?
,
i
•
I
i
.
.
I
..I—_
I.--
27. RESIDENTIAL HISTORY (Give all home addresses starting with present address.for the past 10 years.)
•
X411
(Street. City. State. zip Code)
'FROM
MO.
YR.
To
t
it.
YR.
-...i
.:—
_.4__R: tf.G....m-•_ Ai- I r....- ov
s
erc..(Akt-,.. ati-__rn, 7
_O1,etes.,::__ psi., i l.Kry.,,, ,--- 1
•
__
---p-
/ cull..
_E.)..t.ii__ _.._.
__Levt_t.___
175s fic
._
__. ....._szo.
i6s. __it 21"
F '2
I
I
J
28. The following is a complete list of all brokers, dealers or banks with which I am carrying accounts Insecurities or
commodities or with which I have carried such during the past ten years. (If "none", so state.)
•
—
••—
—
NAME AND ADDRESS OF FIRM OR BANK
ACCOUNT NUMBER
CASH O
MARGIN
FROM/TO
•
•
•
.
•
.
_
•
•
.
_
•
_
•
.
.
•
-
.
-
•
•
-
•
-
•
-
•
ET3
OREN Oh--
CLOSED
I authorize and request any and all of my former employers and any other person to furn'sh tc the agency, jurisdiction or organization
with which this application is being filed, or any agent acting on Its behalf, any information they may have concerning n y credi
worthiness, character, ability, business activities, educational background, general repu ation. together with, in the case o former
employers, a history of my employment' by them and the reasons for the termination thereof. Moreover, I hereby release each such
employer and each such other person from any and all liability of whatever nature by reason of furnishing such Information to the
agency, jurisdiction or organization or any agent acting on its behalf.
.
Further, I recognize that I may be the subject of an investigative consumer report ordered by the agency, jurisdiction, or Organization
with which this application is being filed, and that I have the right to request complete and accurate disclosure by such agency.
jurisdiction, or organization of the nature and scope of /he investigation requested.
/
r t
I•
r
•
1.•
EFTA01700770
.CN YEAR UNIT DOES NOT APPLY TO QUESTIONS 30 THROUGH 54.
a A. Hhve you• ever taken and passed a qualifying examination for registration in any capacity with the
NASD; a national securities or commodities exchange or SECO? If yes, state below the type Of
examination, the approximate date taken and with what regulatory body appncation,was made.
Yes_ No__ I
I
Tyr* of Exam
Approximate Oata taken
Regulatory Body
•
B, Have you ever been granted a waiver of qualifying examination with an agency or organization?
If yes, state below the type of examination, the approximate date and by what agency or organize.
lion.
Yes—. No— I
P age 3 of 4
—1.9377at Exam
Approximate Dale
Weaulatory Sod;
C. Have you ever taken a qualifying examination for any jurisdiction? If yes, state below the type of
examination, the approximate date taken and the name of the jurisdiction administering it.
, Yes_, No
—
Type of Exam
—ArrnatetaTilakett
Reguistaflooy
It
1
issuing the exemption or exclusion..
Yes_ No
0. Hive you ever been exempted or excluded from taking a qualifying examination by any jurisdiction?
If yes, state below the type of examination, the approximate date and the name of the jurisdiction
Wirirsie
Awe* male bale
Remdatory—body
IF THE ANSWER TO ANY OF THE FOLLOWING QUESTIONS IS YES, ATTACH COMPLETE DETAILS:
31. Have you ever been registered or licensed by any agency or jurisdiction to sell or to deal in securities,
or commodities as a principal or employee with any registered broker•dealer or to function as an invest.
ment adviser? If yes, specify the name of the broker-dealer or investment adviser, dates registered and
agency or jurisdiction with which you were registered.
Yes-
32. Are you currently engaged. in any other business either as a proprietor, partner, officer. director,
trustee, employee or otherwise?
Yes— No—_
33. Do you or any member of your immediate family have any beneficial interest irrany investment part•
net-ship or corporation (including hedge funds, investment clubs, etc.) or any other domestic or foreign
accounts whose primary function is Investing in securities or commodities (excluding companies regis-
tered under the Investment Company Act of 1940)?
• Yes._-- No
34. Are you now or have you ever been licensed to sell insurance?
Type of license(s) and ivrisdictierdS) where licensed
35. Are you now or have you ever been licensed to sell real estate? ...
Type of Licenses) and jurisdiction(S) whore licensed
36. Are you currently bonded? (If yes, specify insurance company and amount.) c.ffint•:?....ttf-alar t... .
37. Have you ever been refused a fidelity bond?
38. Has any surety company paid out any funds on your coverage or cancelled your bond?
39. Are you now or have you ever been a regular or associate member of any stock exchange or commodity
exchange/contract market?
40. Have you ever been an officer, director, general partner, owner of ten (10) percentum or more of the
voting securities, or controlling person of, or otherwise engaged in any other managerial or supervisory
capacity with any broker or dealer for which a trustee has been appointed pursuant to the provisions
of. the Securities Investor Protection Act of 1970. or that has been liquidated under any other circum-
stances? .
a
41. To your knowledge, are you now or have you ever been the subject of any investigation or prOceeding
by any securities, commodities or insurance agency, jurisdiction or organization? .... ...
42, Are you now or have you ever been a defendant in any litigation alleging the violation of any agree•
ment with or provision of a securities or commodities industry self.regulatory organization's constitu-
tion, bylaws or Mes, or any securities, commodities or insurance law or regulation?
43. Are you now or have you ever been a director, controlling stockholder, partner, officer, sole proprietor.
or associated person with a broker•dealer or insurer which during the time of such association was
suspended, expelled, br had its registration denied or revoked by any agency, jurisdiction or organiza-
tion?
44. Are you now or have you ever been subject to an order of the NASD, a securities or commodities
exchange, an agency or any jurisdiction which revokes, suspends or denies membership or registra.
Boni
45. Has any permanent or temporary Injunction ever been entered against you or any broker•dealer,
insurer, investment adviser or commodities firm with which you were associated in any capacity at the
time such injunction was entered?
•
[repeated 3 times]
I
46. Are you now or have you ever been (whether or not poa k ch, disclosed) suspended, expelled, fined.
haired, censured or otherwise disciplined. or found to have violated any securities or commodities law
or rule by any securities or commodities agency, jurisdiction or organization; or been refused member-
ship therein or withdrawn your application for such membership; or been refused a license to sell
Insurance or had one suspended or revoked for cause by any jurisdiction or agency?
47. Are you now or have you ever been named as an aider, abettor, or a co-conspirator in. or cause of. any
action mentioned In questions 40, 41, 42, 43, 44, 45 and 46, taken with respect to a broker-dowse
or insurer?
./
No
Yes— No
I
1
nTh
Yes
Yes— NO.- 7."
Yes— Noit —
Yes,,.— No
[
Yes— No..,... En
Yes— No—C
V
Yes.— No.......-
st
No.—. •
Yes...__.
yes__ No
Yes_
Yes_ No/±.
EFTA01700771
4 of 4
.d. Are you now or have you ever been suspended, expelled, fined, barred, censured or otherwise disci-
plined by an employer in the securities, commodities or insurance industry?
Yes—. No_
49. Have you ever had denied, suspended or revoked a license. Permit certificate,•registration or member-
ship required to engage in securities, commodities, insurance or other business or profession? .
Yes_ No_.
50. In your previous business connections or employment, have you ever been:
a. a subject of a major complaint or legal proceeding?
Yes_ No
Or, b. discharged or requested to resign by an employer because of dishonest or unethical acts
alleged to have been committed by you?
Yes
0-
51. Have you or any firm, corporation or association of which you have been a principal or officer ever
failed in business, made 'a compromise with creditors or ever .filed or been declared bankrupt under
any bankruptcy acts?
Yes.— No_ LTD pony or other financial institution, or involving any crime in which violence or threats of
violence against any person, dishonesty, the wrongful taking of any property, or any manner
of fraud was a factor, 'or involving conspiracy to commit any of the foregoing? . .. ....
Yes_ No._
52. Have you ever been:
a. Arrested or indicted for any felony or misdemeanor involving the purchase, sale, or delivery
of any security, or arising out of the conduct of the business of a broker, dealer, fiduciary.
investment company, investment adviser, underwriter, bank, trust company, insurance com•
or, b. Convicted of, or pleaded ncifo contendere to, any felony or any misdemeanor, except minor
traffic offenses?
Yes_ No
53. Have you ever been a principal or employee of any firm, corporation or association which, while you
were associated with it. was convicted of, or pleaded nolo cont endere to, any felony or misde-
meanor?
Yes—__ No
54. Are you currently the subject of an unsatisfied judgement or lien?
Yes__ No
THE FOLLOWING SHOULD BE READ
VERY CAREFULLY BY THE APPLICANT
I .
1
1. I hereby certify that I have read and understand the foregoing statements and that my responses are true and complete to the
best of my knowledge.
2. To induce the agency, jurisdiction or organization with or to which I am filing or submitting this application to receive and
consider it:
A. I agree that any decision of the agency, jurisdiction or organization as to the results of any examination(s) that I may be
required to pass will be accepted by me as final;
B. (1) I understand that I am not authorized to sell, or offer for sale, any securities until I have received my license or registra-
tion certificate or an official notification of its effective date;
.
(2) / understand that I am to sell only those securities authorized by my employer.
C. I agree to abide by the Statute(s). Constitution(s), Rules and Ely.Laws as any of the foregoing are amended from time to time
of the agency, jurisdiction or organization with or to which I am filing or submitting this application;
D. If I shall-violate or be charged with the violation or possible violation of any Statute, Rule, Constitution or By-Law of any
agency, jurisdiction or organization with or to which I am filing or submitting this application, I agree to be subject to and abide
by the penalties .of the Statute(s), Constitution(s), Rules and By-Laws.of such agency, jurisdiction or organization.
3. Further. and in consideration of the securities or commodities self-regulatory organization receiving and considering this applica-
tion,
I
submit—myself to the jurisdiction of such organization(s).
4. I. _.•••11L.:_qc '11
Laitrier auto,/
the undersigned applicant do solemnly swear that the answers to the above questions and the statements herein made are true, and that I have not herein made any statement,
which is at this time and in the light of the circumstances under which it is made, false or misleading in any material respect.
5. I, the undersigned, for the purpose of complying with the laws of the State of hie-Li
1 .* /•1( relating to either the registration or sale of securities or commodities, hereby irrevocably appoint the administrator, or such other person desig-
nated by law, and the successors in such office, my attorney in said State upon whom may be served any notice, process or
pleading in any action or proceeding against me arising out of or in connection with the offer or sale of securities or commodities.
or out of the violation or alleged violation of the aforesaid laws of said State; and I do hereby consent that any such action or
proceeding against me may be commenced in any court of competent jurisdiction and proper venue within said State by service of
process Upon said appointee with the same effect as if I was a resident in said State and had lawfully been served with process in
said tate It is requested that a copy of an otice, process plead'
p
ed hereunder be mailed to me at my residence.
Al
71)
Siena
t
Data
Date
Sionalmee of Witness
Witness must be either a partner of the firm, officer of the corporation, branch office manager, or authorized employee. Please
ndicate which).
(NOTARIZATION OF APPLICANT'S SIGNATURE)
;TATE OF lounty
EFTA01700772
°Fru uitianLy( '
_
r,4 D.____
ki
BEAR, S EARNS & C0.'
•-NEW YORK, N.Y.10041
USE A BALL POINT PEN...,
PLEASE PRINT
PLOYMENT AN foR Toys/
NAL
RESPONSES ASR rem HISTORY
A SUPPLEMENTAL FORM i'°""°"(
TORN
Nat ILA*:
ils4T. siDOLI. wo..0”/ .
AL SECURITY
E---
S
ire r: fr
ni
i
\Je .'7.--.11.-*V2
6 7)
.
ofAE *OGRESS
AO AMA MEAT ,,,
/ 14
41.
) (7/1 Y
.
/ale.
zo /Rot
POSITION pul l° FOR
A/
SII EC
7-
•
WHAT 'Mate, 00 is O Mtn/ w•Cli CAN IOU START/
INANE
1:1 12Y,A
A "0 WITH tekONDA'N ' IMI,WPIAMSV
ALM Ami"1,5 0 NO9 viNOI .
r.
RELATIONSHIP
c-
4.
'
OSI
0
W
riyi2i,u, SC,t.T)TEN tf,,,,F.O.tRA5 IN
°.S.A. OTC A
LOCATION
3.
COMPANY
(IC)
POSITION rq .4" .E1.€ 1..
L.
I4
I
E IOU EVER Ws coliviCTED Or A CRIME OE CIVIL OR MILITARY TAMIOINTI(S1
NO
TM °PLAN.
PATE Or SMITH
(
k)-- -5-
EDUCATION (Begin with High School(s). Include Correspondence Schoo s. etc.
TYPE OF SCHOOL
NAME AND LOCATION
INDICATE
11 1 Pi.
MAJOR
DEGREE OR
DIPLOMA RECEIVED room
NA.
ATTENDED , A.
TO
".
'R.
DID YOU
GRADUATE?
WI
d
C.
th
(,
Pc.ki •
I,3, /lb..%
1
4
?..
TES
MO • ing
I
.
Catty....
Ltd
I
9 . P4) s(e.s itkith----c—
Gi• i
TES EV.
NO
I
..),
.
Cie(
/qt..
4,,. 1
/1-41-rq o/ti C.-
i
TES O .
. ,
•
EMPLOYMENT ill in below a complete, consecutive statement of your basin 's his bry for the pa
ten years.
All time, including periods o unemployment, must •• • k ounte
If self employed. show naive and address under which business was conducted.
LAST POSITION
COMPANY
•1411.:Pl i
ctflpc,c5
POSITIoN HELD
-par- tie?
TiNG iti
TAR
4 6
FROM
To
EXACT ADDRESS fo6
1.404
•••V,,,A1 7 At"
DEPT. AND SUPERVISOR ic.,
Tow. SA •ily
MO
TR
MO.
TR.
TYPE Or 4,DUVESS
r
4.40
O
I
OuTiEs of POSITION
FULL TIME O
RESIGNED
O
RELEASED O
LAID Off
O
DISCHARGED O
ETPLAN•TiON or, REASON FOR LEAVING li n ri. .1.4 ,
P RI FINE O
EC HE.
O
711
s
EAT P
POSITION
0.1005
COmraT re. A i /6,
1.4.4.
41,..,..
.
POSITION HELD
,
-4t,w,......
SAL
t
room
To
(LACE ADDRESS
it
7 1
AIL, 1.;
i
.
ve..
•Dullf4.
OUT AND SUPERVISOR
.
-
FINAL
:.
f/N•L lAt.AR7
MO.
TIC
M.
TR
2 2, 7 (71:
Mt
Orr SINUS
Or POSITION rf14.
•
FULL TINE O
-
RESIGNED
re
...,:.. ar
O
RELEASED O
DISENARCED O
AAAAAAA ATIOPI OF REASON TOR LEAVING
PART ANC
TOM
O
.
ASTI AAAA Cul
POSITION
ECNPANT
POSITION 11(5.0
STARTING ]ALA AA
TROY
TO
WET ADDRESS
OUT ANTI SUPERVISOR
FINAL SALARY
MO
TR
NO
TA
TIRE of OMSIMCSS
- DUTIES Or POSITION
/DLL THE O
O
I'(SIGNED6
LAID ore'
O
RELEASED O
SISCHARGEO O
ETPLANATION Or REASON FOR LEANING
A
TEMP
1 O
En PREV:CoS
POT. 1:04
COMPANY
POSITION MELD
STARTING S AAAAA
MOM
'
TO
(TACT ADDRESS
DEPT AND SuPERviSON
FINAL SALARY
MC
'II
D19
IA
TYPE Or RUSINts
+
DUTIES or posi TICK .
i
: Ira O
n
RESIGNED L.)
LAIC OFF
O
A/LEASEDa
461C AAA A A 0
ClPlAmAnCm OF FUSON FOR Lt VINO
NIT [U
'CUP
O
mmem....1.--
1ST ARC! oAs
...SWAM
P01,1 0,1 ,CO‘
••
.....; SAARI
',RSA
"I
tIAC' ADDICTS
.
:Cf • A40 S4PER,riSCIR
Or.Al.
MO
TR
.40
•R
T•PE or BUS:ResS
Gums or POSITION ars
Ivo. 'am( LI
—,
NIS•ONED r ;
LAID OFF
O
RELEASE, n z.w...GED O
ETPLAntAT.04 or ACa!Cm TOR LEAVING
TEMP
q
AS AN EQUAL. OPPORTUNITY EMPLOYER ORRIS IRTreauWO & rn
EFTA01700773
• 4
-
UNEMPLOYMENT
Account for your time during any periods Cl unemployment. sett emplcyment or family employment.
IV
other than those when you were attending scnool.
.
.
These periods of time must"be verified by someone other than a relative or an employee of Bear. Stearns & Co.
nwp-nisi
iv
EIPLANATION
IX ivIDUAL To MITT •00(NPLOTNENT in, y•pyat•Eyy OR mouy EMPLOYNENC
NO
TN
NO
TP
-
•
.
nANE
•
ACHNIESS
"
.
-
NAME
ND
RESIDENCE
RESIDENCE RECORD FOR PAST TEN YEARS— UNITED STATES ONLY
1.1-1."
10
•roccr *oouccs
STATE
APT •
Cyr* vENT
ITN PAIIENTs.
•
MD.
IL
•10.
CiTy
TN
7 `II.
'1 (
.
..01...Ce .
.
e••
/7,04.1./
.C.•
in
7- V
/ 7"
'
•
STATUS
/ er
!RANCH Or SEitylCE
66666 OF ACTM Ni Loan sumac
MS
TyPE Of emu TART DISCHME
O
NON° AAAA rm EIE AA II AA . UNDER NONONAM
I—I CONOITIONS. MCLAIN ON Mt 11
O
OTNIA NEXPLAIN.ON An ai
•
NAYS )ereEVER MN EMPLOYED AT SEAN. MESONS • CO.? na .
'
n
Lam
IF YES
WO
IRON
0
DO TOY NAVE ANY IVITSICAL LIMITATIONS?
TESO NSW
II 'MS- . OOCAiAC
NAVE 100 MAO A NAM ILLNESS IN
MO
•NO0
'
THE PAST • YEARS?
If ••YES.'• DUMB!
MOM 010 TOY
O
NEWSPAPER AO
TO APPLY TO SEAR. SMOKE • CO.? • •
E3
O Nam, la OTHER
•
III CASE
NAME
• CATION tio ll1 /4
.
1110
'°11
•
AAAAA SS
TEL NO.
I Oa you or spouse have any
YES
N
additional income?
O
(II "Yes; explain OA re 31
.
5. NM you ever been tensed a
YES NO bond or had o e revoked?
O
O
When
8. Nave you ever been a MIN
YES NO
to an arbrIratiowproceeding
O
o-Ff by a Governmental *drain.
.1.-J istratide Agency or &Nines regulatory agency?
(II "Yes; explain-on.Pg.3) .
If
IL Are yOU a Director or Oaten
YES SI•OF
.
of any Corporation?
O
O
.
CI —Yes: mini on Pg.))
12. Co you trade in the
YES NO seconixes.Market?
-Ter teal Brokerage firm?
O •Or
YES Iii0.-
2. De you have any outstanding
YES NO debts lo am Corporation. Loan
O
Company. 8ank, Me.
Ilncluding Mortgage, Ac
co
slallmenl and Charge Accounts)
14 "Yes." ea plain on Pg. 3)
•
Mere
YES 5
Are you bondable?
O
.
9. H3S-3 Mechanic's lien or a
Tax lien goateed liked
YES rj K
Co you have an account?
O
U
6. MS any jaatnitill Or criminal
TES N0V conviction ever been entered
O
agasnst you?
•
apint You?
(II -Ws; explain on Pg. 3)
13. Nave you had any inauSItell
T.c.S NO accidents covered by 'Rork-
O
O
men's Compensainn?
,...,'' Of —fee; mono On Pg 3)
3. What is your approximate monthly obligation on debtapt w
a
ID. Have You ever laded in busk
TES NO oess.gllat • COMCIO Me lall
O
D.-.
-
Creditors. Or taken ;Ming a bankaisky gay
Of 'Yee tiplaiiVOIT Pe.3)
.
.
7. Have you aver been sseig or
YES NO
WIT 10 a LIWsuil?
"
O g"7%
gi
(II "Ter explain on Pg. 3)
Y
•
It 110 yOU receive any pension
YES NO for a past drsabilly?
O
O
•
of "tee explain-on Pt. 3)
4. !Myrna Salaryever been
YES No garnisheed?
O el f ill Ms: exPlain On Pg. 31
.
[repeated 4 times]
•
PRE-EMPLOYMENT STATEMENT
I understand and agree hat Sear. Stearns & Co...and/or Its agents will make a thorough investigation-of my past.employ-
ment and activities, and I agree to cooperate in such an Investigation.
I also understand that under the "Fair Credit Reporting Ace Public Law F91-508. I. :Can employee. have the right upon
written request to know the name of the investigative service employed and the scope of their report should one be used.
I further understand that any falsification or misstatement on this applitation or in connection with the above investiga•
tion will be grounds for immediate discharge.
I consent to take any pre-employment physical examinati nd such future physical examinations as may be r
tiltedby Bear, Stearns & Co.
I also understand t the fir A
three month
II be consid a probationary period and that, should Bear. Sea
s &
Co. or I decide. du this riod, t a lac of suite
.
ither party, my employment may be t mi ated by myself or the F
wi
•
t
• is and; ithout p lu•ce.
•
Applicant's Signature
a
.
-
Date
-
.
1
fon orrice Ug ONLY
i
POSITION
/
f
•
i
VEPAATNE
/ RANCH
V
GRADE
STARTING SAL •Y
.
20•117:NO DATE
TYPE of caNalmafty
•
1
F.'
....• PERMANVIT
O
SUMMER
•
r TENPORART
•
O FULL tam
. • HOURLY TIME
IS THIS A RIME)
U
YES ra NO
L_ ADD 70 STAFF
7
REPLACEMENT
1 ne•:• •.<O•O•7 oirLoTEE
REPLACED
NUL aCED Intent
WAS
O PROMOTED
:J
TED (Ills
CLEAVE Of ABSENCE
O TRANSFERRED TO
GRACE
O RETIREMENT in OMER
O
DEATH
.N.Ovrt-agin COIMMTS
I INTERYttWCO AT
•
EFTA01700774
rPrieg use ONLY
.
o
1..
, ,
j
.
BEAR, STEARNS & CO. • 55 WATER STREET • NEW YORK, N.Y. 10041
USE A BALL POINT PEN
PLEASE PRINT
EMPLOYMENT
Novato TOO sat.
MORE AND
SPAS[ PERSONAL
FOR YOUR RtsPONSCS AI& root HISTORY
A SUM mmmmmmm FORM roam cj_ (
N__
„rob..., DATE
- . S fr 7 4 (.
NARs_sAm. foRTG TIMM.
t psier/A-1 q 67frken
L....-
NONE /4
RItSS
Tenn
•
CeTT ARO STATE i till
Sbie L4 f";
-fox(
/Pt 7-
Err ton u Nem let. NO.
//2L i
POSITION AMMO SON
T t( A ta err; •
WRAY /SLANT so too sines!
WIER CAN TOR num .
NI RUM" IT
NITN
LAT
to TEE
NOO
If - TES-
...NZ
A NILET
0
Ron_
II FLOVIOITM, SPBEINVAREETIISVAThi
Wool I.
..
.
T
ECLATIONSHip
POSITION I aprir Ar uRaTinli
Y.S.A. ON A vis,,,....tai ire
LOCATION
I
NVIC
.
CoperAnt ,
4e S.
roilluso
1.
HAVE YOU EVER REIN CONVICTED Or A <IONE NT CIVIL OR TilLsTART AUSII0RITICS/
:I
.
TES. ([PLAIN
A
ATC Or al TH /
.// c.) . i •
EDUCATION (Begin with High School(s). Include Correspondence Schools. etc.
TYPE OF SCHOOL
NAME AND LOCATION
NOICATt
11 2
MAJOR
DEGREE OR
DIPLOMA RECEIVED.
ROP"My
ATTENDED%
a
NO..
"
TR.
OKI YOU
GRADUATE? ,
IA I C
L4442(1 ii
-h.
a< sAoil
,
Ye! ❑.
el
seini
2,,,aeks
"yeti vkisti A
41
Dink,-.4-
I 6) I. Cc we 0
C•qk 4 •
6.74.. a.
2s., .t
id
1
m
N. 9
Ai 7,
l)
.3
7
yozefil-
12_ S.
1 IG (
7
6---/
/V. M - .
-
,
set., i
N. v e, -1
p
il 13,1 if
.0.4 5
q
7 0
7
No IN
EMPLOYMENT
• Fill in below a complete, consecutive•statement of your business his ory for the past ten years.
All time. including periods o •unemployment, must be accounted for.
'
•
II sell employed. show name and address under which business was conducted.
puma
AsT POSITION
OR
CONPART pace
—
ctto0f...(
POSITION .ittLo v
sit,
De. 4. _ /44
a
mann
SALRO7 a to-e.n.
MGR
' TO
MET AAAAA SS
.
DEPT. AND AAAAAA OR
•.
Ins
SALARY •'
NO.
TR.
NO.
on.
/ 0 te.
c.
cc, A
.y7
Cit.&
4 + 7•• a ti•
..
•
rum Or GO IMES
re
•
DuAir .. 7
POSITION
R.TRENt.f. - 4re'RE•ft
. " l Om 0 • "
2.1^4,
PULL TINE 'Pr
.
.
RESIGN/0
LA.E. orr
0
AAAAA SCO
CI:CHARGED
AAAAA NATION Or REASON
Il LC VINE
PANT TINE 0
TEMP.
0
UT PREVIOu
POSITION
COMM%
A.
IJ .
e
(I
4e.
•
pesotin NrLD le stele
e
•
STARTING
0 0
L„R 4
FROM
TO
WET ADORCSre.................
IOC
OS•L AND SuPERviSon
FINAL
ART
NO.
TR.
MO.
TR.
3j
I. at
i
-
.
.
1.-4
1 f
.-" fin or sysylts?
•
-3G.IC ir ,
.
DUTIES Of POSITION lilik 44,004 •
'
(VAL TIRE 0
•
7
----4
7
1
•
/
RCNONCO
ACIAASEDIM
LAID Orr
0
Mains
ED 0
EMANATION OUtEASON F011 TILAV/KG
II - iffr.
/. 7; `r 7
44/.4*G4:41•1
i
PART TINS ❑0 gem
0
ART P
POSITION
(VICO
COWAN?
I earn
1 ^ IS •
7 7
t
e D youtinr.:, ..,..
•
STARTING
/ 24 a le.Cli
FROM
TO
EXACT *001(55
OM ANO StIPCNINSOR
FINAL SALARY
MO.
IC
MO.
it
)19y san.Arir pot .
•
!USG,
OutiNESs
INETro.
Duni
Of gnaw.
epaisAl
FULL ton 0
7
1.i l•
•
LAID Orr
0
FICSIGNEO. 8
RELEASED
DelatAACCO 0
CIPLA ATION or PERSON FOR LC 11 G
•
PART . NE •
TEMP
0
fit P
POS
0001
TION ja,... 400 TITATIT,
0 , ex..
400 e.^, ti•
POSITIOLIS MUD
•
STA
INC
FROM
.0
'
StACT ACIORESS
-
OUR AND SOPETIVesoR
FINAL SALARY
No
TR..
MO
TR
40.r
0
Af/6.,
CI
AIRN••
R ac ift
-t
t
Lrt
d.
7 :.
."intaNSINESS
71
-
Ou TN iyat
o
seTwi..t nen ve
FULL
•/*EMCEES 8 , ,... or
0
0:50.• RC con_
,
°tumult,* or n•SONEreA
1'4
CP. .
(S4: lt-41(0'
Mkt n C 0
Tap
0
lit OlirItOu
POSITION
CosIPANT
POSITION kit°
.
STARTING
IRON
TO
EaACT WACO
MT
no
Suitt
Pon. SALARY
NO
•••ii
WI
PA
,
•
Tyre or GOSINESS tlotaCS Of POSITION
k
als4"pm.o
,
FULL TN.< 0
NE MEC°
LAID off
AtsCASE0 9
OiSCILARECO
CiptANAnott OF REAsoN FOR i.,„.„, ....re.
.
'ART TAG( 0
TEMP
0 .
AS AN MUM.
OPPORTUNITY
EMPLOYER. DEAR. STEARNS a CO.
)6-57-355
DOES NOT DISCRIMINATE BECAUSE OF AGE. COLOR. CREED. SEX. RELIGION.
OR NATIONAL ORIGIN.
EFTA01700775
it
UNEMPLOYMENT
Account for ycur time during any periods of unemployment. ;elf employment Or :amity employment.
Other than those when you were attending school.
These periods of time must be verified by someone other than a relative or an employee of Bear. Stearns E. CO.
'
4
'NON
TO
ix0IVIOUAL TO VOW? ut:ENPLOTHENT.
MO
`R
MO.
TR.
Er AAAAAA ioN
SELI EMPLO• WERI OR tAMµl EmPLOTMENT.
MANE
•OORESS
NAME
AO DROSS
RESIDENCE
RESIOENCE RECORD POP PAST TEN YEARS- UNITED STATES ONLY
FROM
TO
STREET ADDRESS
City
STATE
APT •
OWN
RENT
WITH PARENTS
7 2
Sec s.5
4.-1 it)
A/. n -
77
•
011AF 17ATUS
M
'HUNCH Or SERVICE
_
TEARS Of ACTIVE MILITARY SERVICE
PROM
TO
TYPE Or RIOT RE OISCHANCIE
O
.
:=1:17. AAAAAA
ri
!TORO AAAAA
NAVE YOU EVER
CIAPLOVE0 AT SEAR. S AAAAAA • CO.t e . 0TES
If yes,
I-..I CONOITIONS. TEXPLAIN•ON• PAGE il
K
SEEN
O
OTHER IESPLA/N ON fl oe II
PROM
TO
'DO IOU NAVE ANT PHYSICAL LIMITATIONS?
TESCI
PIO
If "TES". OESCRISE
RAVE YOU MAO A MAJOR ILLNESS In
USD
0,00
TNE EAST I AAAAA > it ••110.'• OESCRIOEI
NOW MO too HAPPEN TO APPLY TO SEAR. AAAAAA S • CO,?
O
NEWSPAPER AO
. g
.,E an CAS
NAME
..
.
.
RELATIO
O
AGENCY
U,' OTHER
""
50
ADORE
I. 0* you or spouse have an
YES N additional income?
0
ill "Tel: explain on Pg. 3)
S. Have yOu ever ban /Mused a
YES H or had one m led?
O
bond mailed?
E. Have you ever been a only
TES
to an a
ir
dmation proceeding
O
ii3,/ by a Governmental Admin.
I. Are you a Bader or
YES g
d
Corporation?
O
•
(II - Yes: explain on PE. 3)
When istraat Agency or Securities
2. Do you have any outitanding
YES il debts
Corporation.
Where regulatory agate
O1- Yes. explain on Pg. 3)
12. Do you trade in the
YES N
i
Securely Markel?
.
0
0
.
il - yes. what Brokerage EWA?
to any
Lan
O
Yr
Gampayillank..MC .
Ate bondable?
O
9. Nu a lathanc's hen Ora
YES N
•
YES NE/
(licluding Mortgage. Auto, tn.
stallment and Charge Accounts) you
Tax lien ever been iced
K
Do you hate an =WM?
0 a •
(11 "Yes:' explain on Pg. 3)
6. Has DM IIJOEMOOI or criminal
TES ta/
,.
against you?
(II - YeS: explain on Pg 3)
13. Have you had arty indusinal
TES 18/
'aeodents by mittconviction ever been entered
O
covered
0
3. Yam is your approximate monthly otegalson on debts?
C.--) against you?
JO Have you ever WOO In bus"
YES ti ma's Compensation?
(II "YeS: explain on Pg. 3)
4. HIS TOUT salary ever been garnisheed?
YES fel/
7 Mat you ever been Sued or
YES l'el
O
party
to
a lawsuit?
O
Of "Yes." explain on Pg. 3)
III - Yes 7 explain on Pg. 3)
K
III ness. made a compromdemith creditors. or taken advantage
of a barikrupley act?
- Tea: explain on Pg. 3)
IA 00 you receive any pension
YES ti for a past disabdily?
•
111 - Yes. explain an Pg 3Y
I' understand and agree ment and activities. and
I also understand that under written request to know
I further understand that tion will be grounds for
I consent to take any pre by Bear. Stearns S. Co.
I also underStand that the
Co. or I decide, ring by myself or th
a
Applicant's Signature
PRE-EMPLOYMENT STATEMENT hat Bear. Stearns & Co.. and/or its agents will make a thorough investigation of'my past employ-.
I agree to cooperate in such an investigation.
the "Fair Credit Reporting Act' Public Law 1191.508. I. as an employee. have the sight upon
the name of the investigative service'employed and the scope of their report should one De used.
any falsification or misstatement on this application or in canection with the above investiga-
immediate discharge.
-employment physical examination and such future physical examinations as may be required
first three months will be considered a probationary period and that, should Bear. Stearns &
his period, that a lack of suit
'
.
With either party. my employment may be terminated hout ni,eand
with ice.
r•
r
2/
I
.
Date
M
/ ,
•
P /
/
/
.10A Office USE ONLY.
POSITION
•
1 le_niict..E._-
Z PLITYMENT/SAANCIT _,__
Pi-ril
V
&
ILL oci2._ZOt
GRACE
•
STAR TUFO SALARY
Q.,,,iii._.
4 csr G OM;
i
StART
/5"/ 76.
EWE OF EMPLOY...IVO
—, PERMANENT
L.7
SUMMER
1 . TEMPORARY
O
FuLL IINIE
Ei HOURLY TIME
IS TINS A WNW r- YES
NO
1._.;
Li ADD TO STAFF
-- REPLACEMENT ir -tersacycle
EMPLOYEE fiEpL•CIO EMPLOYEE *At
r•
PROMOTED
._.: SEPARATED ON
REPLACED
CLEAVE OF
O
TO
ABSENCE
TRANsFERREO
0
OTHER
O RETIREMENT
NAN
GRADE
SMART
n
DEATH
.ATERV:EwERS e4NNEN:S uoutviCASO es
EFTA01700776
NAME
BORN: 1/20/50
EPSTEIN, JEFFREY E.
1/20/53 lA7F OF nroni
,
1[SSN REDACTED]
4/28/76)
Note:Date. of hirth.deVeloped was:-.1/20/53;agpliCation listed 1/20/50.
EDUCATION
COOPER UNION
NEW YORK, NEW YORK
Appl. Dates: 9/66 to 6/70
Reported: 9/69 to 1/72
Herbert Liebeskind, Dean of Admissions & Records said applicant
majored in Physics and did not graduate. His birthdate was
1/20/53 and his residence while a student was 3742 Maple Avenue,
Brooklyn, New York.
NEW YORK UNIVERSITY
NEW YORK, NEW YORK
Appl. Dates: 9/70 to 6/72
Reported: 9/71 to 2/74
Mavis Lewis, Recorder, said applicant majored in Mathematics
and did not graduate. His date of birth was. 1/20/53, and his
residence while a student was 3814 Seagate Ave., Brooklyn, N.Y.
effrey E. Epstein issued an invalid check to New York University
during the 1973-74 academic year. (Note credit, suit by N.Y.U.)
EMPLOYMENT
UNIVERSITY OF CALIFORNIA
BERKELEY, CALIFORNIA
Appl. Dates: 1973 to 1974
Reported: See Below
Mrs. Julia Sills, Personnel F Payroll records, checked all available computer tapes from 1973 to current and nothing
identifiable with the applicant was developed. Payroll-
Accounting records were also thoroughly checked and there is'
no record of U.C. Berkeley issuing a payroll check to a Jeffrey
E. Epstein during 1973, 1974 or 1975.
Mrs. Helen La Sota, Business Officer, Mathematics Department,
checked current and £order employee records of this department
and found nothing identifiable with applicant.
Mr. Epstein indicated that his supervisor was a Dr. Wolf on his
application. University records list two Wolfs, one a Joseph
.
Wolf, is a Professor Emeritus (retired) and many attempts to
reach him at home proved negative. Joseph Wolf, Ph.D. is on a sabbatical in Israel.
DQth Wolf's mentioned were connected with the Mathematics
Department and there are no other Wolf's employed by U.C. BERKELEY.
lg
le information contained in this report is for the SOLE AND CONFIDENTIAL %ice. nf
•
•
EFTA01700777
EPSTEIN, JEFFREY E.
IZMO INC
Appl. Dates: 19 72 to 1973
Reported: 1972 to 1973 , was contacted;
would only speak through a closed window. When she learnedsaitniSION
ffrey Epstein she called who lives_on the second floor of this private house. As ;his was an inadvertent
meeting, a brief conversation followed.
It was learned from III NM that.
, Jeffrey, were in business for t mselves, making ailliling silk screen
paintings .% (On his applicatiormilbject described his self employment as tutoring.)
was the designer and painter and Jeffrey handled sales. They were in business
about two years, from 1972 to 19 73. After the business folded, Jeffrey Epstein went to California where he lectured
at the University of California.
Recently, Jeffrey Epstein was at the Dalton School, New York
City, where he taught.
work for Bear, Stearns
In mid-March
& Co.
19 76 subject went to
Note: Conversation was terminated as was becoming bored and restless. There was an lilt
eration and he seemed to resent this inquiry, was also hesitant about releasing information about applicant (See
residence report.)
,
YORK
S
Appl. Dates: 19 71 to 19 73
Reported: 1975 , stated substantially the following:
I have known Jeffrey E. Epstein for ten years as a friend, associate, and employee. Jeffrey worked for me as a foreman
for six months in the first part of 1975. Weather permitting,
he worked on a steady basis, supervising two or three workers,
and was earning $62 per day. He did a good job for me and I don't
know the reason he left the job.
Jeffrey Epptein does not use alcohol or drugs, in fact he is the athletic type, likes to work out by swimming, bike
riding, punch bag, etc. I am not familiar with his past employment record, but I do know that he worked with his
brother, Mark Epstein, in the t4lk screen painting business;
his brother is an artist.
-2-
EFTA01700778
EPSTEIN, JEFFREY E.
I have never known Jeff to be in any type of trouble with
Law enforcement agencies. He was out of the state for awhile, I do not know where he went or what he was doing.
Jeff is about tiiiiiiihree years old; he lives with his family at
III.; his family has lived in this community- Tmany years, I am not familiar with their exact
address. I have nothing but 'admiration for Epstein and I know nothing adverse about him. Yes, I recommend him for a
position of trust.
Note: Source was very hesitant in answering questions, but he ;gage that applicant did work for him, six months in 1975.
II. a shied away from questions about education and previous
employers of the applicant.
RESIDENCE
Il!ki!raw York
This is'a large two family house, it is in good cdndition with white aluminum siding. It is about .40 years old and
valued at approximately $60,000. It is located in a .
residential community.
Owner, and resident at
as
the Epstein family for more than twenty years; she reluctantly gave the following information about applicant.
described Jeffrey Epstein as a bright, well'behaved g man of good.character. -She said that.until March, 1976
he tau=ght at;.the Dalton School and is now employed by a Wall Street firm. For aboutaa year and a half subject taught
at a university in California:
Source described applicant's .family as honest and sincere, that they have a good reputation.
RECORDS
Usually reliable credit sources report the following which may be identifiable with subject in NEW YORK CITY:
There is a r rd in file on Jeffrey E. Epstein
of
Brooklyn, N.Y. SS # verified.
file re ects the following:
-3-
EFTA01700779
.;g4 t
EPSTEIN, JEFFREY E.
SUIT
On January 28, 1975, New York University filed suit for $500 in New York County Civil Court,
Docket # 13994
We will supplement when we get the disposition.
No record of judgments, tax liens, wage assignments, or bankruptcies identifiable with subject.
Records of the KINGS COUNTY CRIMINAL COURT were checked for felonies, misdemeanors and youthful offender cases and no
record was found identifiable with subject.
MISCELLANEOUS
.A confidential source provided the. following information identifiable with the applicant:
On or about April 1, 1976 Jeffrey E. Epstei
Brooklyn, born 1/20/53, engaged to applied for rental of apartment 15 at
New York City. Monthly rental is $435 and employment is shown as: "two years to present, Dalton Schools, New York
City, teacher and administrator.
Occupants of I'llS to be Mr. Epstein, and
-4-
EFTA01700780
i
EFTA01700781
952-5262
•
August 1q, 1975
New York University
Graduate School of Arts and Sciences
Recording Office
6 Washington Square North, Room 3
New York, New: York 10003
Attn; Mrs. Mavis Lewis
Dear
Thank you for your response to our inquiry
(Copy attached). We would now like to request a copy of Mr. Epstein's transcript.
Please bill us for whatever the transcript fee will be.
Thank you very much for your help.
Sincerely,
Personnel
1O1
•I
EFTA01700782
Jeffrey E. Epsteda
March 16, 1976
4
III' , Personnel
Previous employment verifications
Since your employment from 1972 - 1973 was self-employment, we need some sort of income tax
form or W-2 form for that period of time.:
Thank you.
EFTA01700783
►effrey E. Epstein
Bear, Stearns & CO.
[ADDRESS REDACTED]
New York. N. Y. 10041 i[PHONE REDACTED]
March 12, 1981
'10 THE EXECUTIVE CCMNEETTEE:
With this letter and accompanying statement,
I hereby resign as a Limited Partner of
Bear, Stearns & Co., effective immediately.
I
Sincerely, ,t
EFTA01700784
Bear, Stearns & Co.
[ADDRESS REDACTED]
New York, N.Y. 10041
[PHONE REDACTED]
WRITER'S DIRECT DIAL NUMBER
Mr.
Bear tearns
Co.
[ADDRESS REDACTED]
Dear Jeffrey:
BEAR STEARNS
March 12, 1981
The Executive Committee has fully reviewed the matter referred to
herein and after extensive deliberation has decided the following:
1. You have advised us that you made a loan to a customer for
the purpose of his buying securities. This constitutes a violation of Regulation T. Taking into consideration your
voluntary disclosure and the fact that it was a single instance, we find you $2,500.00.
For failing to comply with the spirit of the NASD Regulations
with respect to new issue distribution, we suspend you from active employment at Bear Stearns for a period of 60 days,
effective immediately.
Yours very truly,.
EXECUTIVE COMW1TTEE
BEAR, STEARNS & CO.
•
I
New York/Atlanta/Boston/Chicago
^
Dallas/Los Angeles/San Franricrn
EFTA01700785
Bear, Stearns & Co.
55 Water Street
New York, N.Y. 10041
(212) 952-5000
WRITER'S DIRECT DIAL NUMBER
TO ALL NEW EMPLOYEES:
BEAR STEARNS
Apri l 8, 1971
Under publ ic law #91-508, "Fair Credit Reporting Act", we are now required to inform you at the time of your hiring
that we intend to conduct, through a service agency and through our own inquiries, an investigation as to your
character, reputation, mode of living, educational experience,
litigations, previous employments, and any public records etc...
Upon written request, you, as an employee, now have the right to know the name of the investigative service
employed by Bear, Stearns & Co. and the scope of their report should one be used in your particular case.
Signature
Date
New York/Atlanta/Boston/Chicago
Dallas/Los Angeles/San Francisco
Amsterdam/Geneva/Paris
EFTA01700786
STOCK EXCHANGE FIRM EMPLOYEE INFORMATION RECORD
(To be completed upon acceptance of employment)
Please answer all questions listed below as completely and accurately as possible. Information
disclosed on this form will be held in strictest confidence and will be preserved for three years after
termination of employment in accordance with Rules 17a-3 and 17a-4 of the Securities and
Exchange Commission and Rule 345.19 of the New York Stock Exchange.
1.
L":4
5 f el l%
V 'Vey
61
4500 ' , I st Name irst Name
Middle Name
2.
(a) Have you ever been bonded?
Yes
(b) Have you ever been refused a bond by a surety company?
Yes
(c) Has such a bond ever been denied or revoked?
Yes
(d) Has any surety company paid out any funds on your coverage?
Yes
If answer to either (b), (c) or (d) is 'yes,' attach details including name of
surety company.
3.
Have you ever been a member of any stock exchange, commodity exchange, or
registered association of security or commodity brokers, dealers, investment
bankers or investment advisors?
Yes
No
If 'yes,' give name (s) and dates.
4. (a) Have you ever been suspended, expelled or otherwise disciplined by any
regulatory body or by any such exchange or association; or ever been denied
membership therein; or ever withdrawn your application for such membership?
Y
(b) Have you ever been associated with any organization, as a director, controlling
•
stockholder, partner, officer, employee or other representative of a
broker-dealer which has been, or a principal of which has been, suspended or
expelled from any such exchange or registered association, or was denied
membership therein, or withdrew an application for membership; or whose
registration as a broker-dealer with the S. E C or any State or agency has been
denied, suspended or revoked?
Yes
(c) Has any permanent or temporary injunction ever been entered against you?
(d) Has any corporation, firm, or association, with which you were associated, been
enjoined during the period of your association?
Yes
(e) If answer to question 4 (a), (b), (c) or (d) is 'yes,' attach details including any
finding that you were a cause of any disciplinary action or had violated any
law.
5.
In your previous business connections or employment in any capacity, have
transactions under your attention ever been the subject of complaint or legal
proceedings?
Yes
If 'yes,' give names and details.
6.
Have you ever been arrested, summoned, arraigned, indicted or convicted of a
felony of any kind, or of a misdemeanor except minor traffic offenses?
Yes
If 'yes,' attach details.
7.
Have you ever been known personally by any other name, used an alias, or have
you ever conducted business or carried brokerage or bank accounts in any
other name than that shown above?
If 'yes,' give details and dates of use.
Yes
No
I hereby certify that I have read and understand the foregoing statements and that each of my
responses thereto is true and complete. I authorize my prior employers to make available to any
prospective employer, or to any Federal, State or Municipal agency, any information it may have
concerning me, and I hereby release my employers fr n any and all liability of whatsoever nature
by reason of furnishing such information.
(Date) it/VA tri )1
1
Signatur of Employee
110 (12/75)
EFTA01700787
EMPLOYEE SECURITIES TRANSACTIONS
It is the policy of this firm, in compliance with the
New York Stock Exchange and Federal Regulations, that no employee may maintain an account with another firm, effect
securities transactions through a bank or obtain a loan
from a bank collateralized by securities without the permission of the firm. Such permission should be requested
in writing directed to the Compliance Department. This restriction applies to the employee, his spouse and minor
children and any account in which the employee places orders.
PLEASE ATTEST TO THE FOLLOWING;
"I have no brokerage accounts other than at Bear, Stearns
& Co. and I have no bank loans collateralized by securities except: (if none, state NONE, indicate accounts of your
spouse, minor children and any account in which you place orders)."
ik)bititc , ‘11411(e- 1
-) -6'
(DATE)
EFTA01700788
EXECUTIVE HEALTH EXAMINERS
[ADDRESS REDACTED]NVK • NEW YORK CITY 10017 • 12[PHONE REDACTED]
Ofai.
19 7/,
Name Mt
Company
We have examined t e above-named applicant for employment.
We find him (l ler ( ):
(4.21cuitable for employment.
( ) Suitable for limited employment.
Limitations:
Remarks:
VIAHU - 975-27
la
WM. , R. N.
EFTA01700789
Memo
BEAR STEARNS
To
John Duggan
Date
June 3, 1977
CC
From
Lewis Rabinowitz
Subject Jeff Epstein
Please r4.ise Jeff Epstein s annual salary to $24, 000 per year.
1111/7R:
EFTA01700790
Memo
BEAR 51TARNS
To
415‘ve Lakoff
Seymour Dashow
From
Elliot K. [Volk
Subject ease charg
r0
ff Epstein
Opt
August 4, 1977 '
CC
11 expenses including salary for
New York Retail and delete from ent.
This should have been done some time ago. Please make sure this is done retroactively to May 1, 1977
and is included in the July figures.
EFTA01700791
Memo
BEAR STEARNS
Pe
Depo nent
From
Jame6 E. Coyne
Subject
Date
June 13, 1979
CC
EbfeetAie .today, and itettwactive to May 12211/s.tga&e.__----iiic
ineiLease the s'ataJty o
Je66neg Epstein to $42,000 ./Yea,1-
*it
'12 4 Soo ej
3 (1/77)
EFTA01700792
Bear, Stearns & Co.
55 Water Street
New York, N.Y. 10041
(212) 952.5000
WRITER'S DIRECT DIAL NUMBER
Nier RoOfing
4050 Atlantic Avenue,
JEFFREY E. EPSTEIN
BEAR 5TBIMRNS
March 18, 1976
Brooklyn, New York 11224
II
(Applicant's Name)
(Social Security No.) has applied to us for employment As a previous employer, we would appreciate your comments.
We have obtained a signed authorization and indemnification agreement from the applicant to
conduct reference checks, a copy of which is enclosed.
Should you prefer to respond by telephone, please call our reference section at
212/952-5263.
Dates of Employment:
Claimed from
1971
to
1973
Verified from
to
--c
Attendance
Punctuality
Work Performance
Overall Rating
AboveZaj ariyerge ce-
Average
Below Average
C:l
To the best of knowledge, did this applicant have
a
Securities brokerage account? 0
Yes
No
Would you ecommend the applicant for
a
position of trust, involving negotiable securities?
Yes ILINo
ic
r /
If your present policy permitted, would you rehire this applicant? 2
Yes ED No
Is there anything we should know about this applicant which would help make our relationship a
successful one?
GENER
Name:
Signatur
Form 267 (10/75)
Title:
7
New York/Atlanta/Boston/Chicago
Dallas/Los Angeles/San Francisco
Amsterdam/Geneva tomic
EFTA01700793
FIDELIFACTS
NAME
EPSTEIN. JEFFREY E.
BORN: 1/20/53
DAT& DI NFPOIT
/
This will supplement our report of 5/3/76.
EMPLOYMENT
DALTON SCHOOL
108 E. 89TH STREET
NEW YORK CITY, N.Y.
Applicant: 9/74 to 3/15/76
Reported: 9/74 to 6/11/76
MS. BLACKBURN, Administrative Assistant, furnished the followinc
information from records and personal knowledge:
The applicant holds SS# lived at:
, Brooklyn, (confirmed).
He said he was a college graduate, but no furhter details were
indicated.
He was employed as a Physics and Math teacher. He did a p;oo(2 :Oh;
had a good attendance and punctuality record and was depen(!ab?
cooperative and honest. He has leadership and supervisory at;i:Aty.
He was supervised by Dick Grossman who was not in the scnon; Lt
this time.
The applicant was laid off due to a personnel cutback, but eligible for rehire.
The above lead was completed prior to client's cancellation of this case.
ma
The information contained in this report is for the SOLE AND CONFinFi.trie
•L
EFTA01700794
L
iflARNS &
PROFIT SHP%
PLAM
RUN CA 7E
04/30/S1
04 / 3 /a. .
)ISTRI3UTIIN REASON: DISMISSAL '4/TH CAUSE
EFFECTIVE DATE
04/01/81
DATE OF ENTRY
05/01/76
NAME
ADDRESS
EPS TE IN JEFFREY
I
I
CHECK AMOUNT
PAYMENT SUMMARY
$
3,214.87
DESCRIPTION:
.c;:INFORMATWE casr.
•
F
VALUE
'
PAYABLE
)IVE-RSIFI ED FUNO
:OMPA NY ACCOUNT
:OMPA NY ACCOUNT
:LIND TOTALS
725.75
3,214.87 S
3,214.8 .
725.73 S
3,214.86
5
1,451.48 S
6,429.73 S
3,214.8'
•
TOTAL VALUE
LESS:
FORFEITURE
.
S
6,429.73
$
3,214.86 5
3,214.86-
7•(3.78) 3.81 g !um tC1 —nr,fte
CASH PAYASLE
.
S
3,214.87
EFTA01700795
NAME
EPSTEIN, JEFFREY
BORN: 1/20/53
1365-15-
This will supplement our report of 4/28/76.
At the New York University Bursar's Office, MR. BISOTNA ad•.
the following regarding applicant:
Initially a check in the amount of $1,080 was received by the
University but it was returned with a notice that there was insufficient funds to cover the amount. The applicant th2n
entered into an agreement with the University, a promissory arrangement was made to pay the amount. When he defaulted
the University instituted legal proceedings. Source said satisfaction papers had been filed. It was suggested we
contact CURTIS ETTINGER, the school attorney for further
MR. CURTIS ETTINGER advised the matter had been settled.
The initial payment check, marked as having insufficient was not in the applicant's name but in the name of Paula
When the check did not clear, Mr. Ettinger contacted appli(aJ - '
brother, Mark Epstein who advised that applicant was in Europ• .
Further action was delayed and subsequently Mark Epstein mad-:
a partial payment of $345. The matter, however, was still resolved and legal proceedings were instituted in New York
Civil Court in December 1975. The matter was finally resc!7f .
in December 1975 when satisfaction paper was filed.
cp
The information contained in this report is for the SOLE AND CONFIDENTIAL use of the.
EFTA01700796
Memo
B&W SIMMS
To
Steve Lacoff
Date
August 15, 1978
Personnel Department
CC
From
Subject lera, pd.
'0 4 4/6)-o
James E. Coyne
Effective'immediatey, Jeffrey Epstein is to receive a $400./mo salary increase.
EFTA01700797
952-5262
February 26, 1979
Mr. Bennett
Douglas, Elliman, Gibbons & Eves
Dear Mr. Bennett:
Please be advised that Mr. Jeffrey Epstein is employed at Bear, Stearns & Co. at a salary of
$75,000.00 a year.
Should you have any further questions, please do not hesitate to contact me.
Sincerely,
Stephen A. Lacoff
Personnel Director
SAL:bl
EFTA01700798
Bear, Stearns & Co.
55 Water Street
. Frewthrk, N.Y. 10041
(212) 952-5000
WRITER'S DIRECT DIAL NUMBER
BEAR STURNS
March 16, 1976
Dalton Schools
108 East 89th Street, New York, New York
JEFFREY E. EPSTDIN
Lamlicant's Name)
01.11111_
(Social Security No.) has applied to us for employment\ As a previous employer, we would appreciate your comments.
We have obtained a signed authorization and indemnification agreement from the applicant to
conduct reference checks, a copy of 'hick is enclosed.
Should you prefer to respon2r, by telephone, please call our reference section at
212/952-5263.
Dates of Employment
Claimed from
Verified from
Attendance
Punctuality
Work Performance
Overall Rating
to
\
to
Above Avera
Average
Below Average
'
To the best of your knowledge, did this applicant have
a
Securities brokerage account? 0
Yes D
No
Would you recommend the applicant for a position of trust involving negotiable
securities? 0
Yes Ej No
If your present policy permitted, would you rehire this applicant? D 11 CD No
vse‘
Is theie anything we should know about this applicant which would help nytke our relationship a
successful one?
GENERAL REMARKS:
Name:
ss.
Signature:
Farm 267 (10/75)
Title:
New York/Atlanta/Boston/Chicago
Dallas/Los Angeles/San Francisco
Amsterdam/Geneva/Paris
EFTA01700799
Bear, Steams & Co.
55 Water Street
New York, N.Y. 10041
(212) 952-5000
WRITER'S DIRECT DIAL NUMBER
Cooper Union
4th Avenue & 8th Street
New York, New York
Attn; Registrar
13U-kR STEARNS
March 16, 1976
RE:
JEFFREY E. EPSTEIN
S.S.# III II IIII Date of. Birth 1/20/50
To Whom It May Concern:
Jeffrey has applied to us for a position claiming attendance at your school from 5/86-6/70 BS degree
We shall appreciate your giving us any information you can as to scholastic standing, personality, background,
etc., of this applicant.
For your convenience in replying, we are enclosing a self-addressed stamped envelope.
Thank you in advance for your cooperation.
Sincerely,
co
Personnel Director
The above Jeffrey E. Epstein did not graduat-e
Dates of Attendance: Seat. 1969 to Jan 1972
Date •
3
or
New York/Atlanta/Boston/Chicago
Dallas/Los Angeles/San Francisco
Amosra.,n
EFTA01700800
New York University
Graduate School of Arts and Science
Recording Office
6 Washington Square North. Room 3
New York. N.Y. 10003
Telephone: (212) 598-3155
March 23, 1976
Mr. Stephen A. Lacoff
Bear, Stearns & Company
55 Water Street
New York, New York 10041
To Whom It May Concern,
This is to certify that Jeffrey.E. Epstein whose date of birth is January 20, 1950 was registered as a non-degree
student in the Graduate School of Arts and Science, Department
of Music from September 1971 to May 1974. Mr. Epstein did not receive a degree from New York University.
In the Spring 1974 semester, Mr. Epstein had issued an invalid check to our Bursar's Office.
Yours truly, tz;
(Mrs.) Mavis Lewis
Recorder
EFTA01700801
**PLEASE CHECK EACH WHEN COMPLETED**
NAME
DATE OF EMPLOYMENT
S--/s- 7
Type "PCA" (one for Payroll , one dupl icate SENT J116 RE
APPLICATION
Bonding Appl ication
Stock Exchange Form
Security Accounts form
Fair Credit form
Locator Card
Benefits Enrol lment Card
SENT
Hospital ization Cards
SENT ----TT:
Waiver Card (if appl icable)
W 4 form SENT to Payrol l ...SkUP i r
,
Card for Telephone Department SENT
3iito fkiP b (It
Card for Mai l Room
SENT
4:,\N‘o
--p y r.
Card for Security
Working Papers for Minors ( If appl icable)
Enter new employee on Salary Sheet
Add new employee to Board - Index fi le
Time card (if appl icable)
Welcome Letter E Benefits Booklt,ip, SENT
SEN tte
School Reference
SENT
Background Letters
Introduction Letter to Sup rvisor
SENT
Announcements (if appl icable)
SENT
Send in Bonding Appl ications SENT jji
Send in Fingerprint Cards (get check from Cashiers Dept. first)
SENT
Newspaper Ads (if applicable)
ENT r------
•Aa
Orientation
Medical
Enter in Job Log Book (Blue Book)
Index Card (Contains DOE, Dept. Agency, Letters sent etc.)
Telephone Verification
Put Special Record notice on locator card and appl ication
(if appl icable)
Fingerprints taken
D0214 for Veterans
Fi le
Background check:
Letters /
T-)
Other
/
EFTA01700802
COMIC VALUER:
A 4•POINT. COURSE IN THE IKAOUAIE SCI•30I. OF ARTS AND SCIENCE IS ME ROK
RESCANKO (Oft A CLASS NAT NUT, AT LUST TAO 'SOS CACK KU FOR MIMS IIEEILZ. A S-POINT
•
.
COLAS( IS ME KM FRESCIIIIIE0 FOR A CLASS NAT MEETS AT LUST NO tOSURS A *UK fOR FIFTEEN
LEAS. CERTAIN LACORATORY ~KS
MAX *MIRE TM WAS TINIOLOOST 111E KM AS ME ENUIVTLIOTT
OF CRIE NSUR OF A LECTURE KUBE. GIACCIt Alla<[u[etll IIIambi CCU?,
ø[
nxlwd tt tl na OSA I11 fIni u tll I., ING4iwatiC tttttt AS sitimNNA, N., Ile Catol I <qef fatal*.
ix.. II hi( Ona.• toel
AR *K.. ye;
0
O •
O
• awl§
4 k tA^ at=H stmt./my: ••••••~941,41I
APPTIN''
•
R
21213 ISInO3
f
p
Ti
rO9
.
.
•
[repeated 3 times]
:
•
'
•
. 1
•
.
I •
•
[repeated 3 times]
'411;1 2synoa
EFTA01700803
Print Clearly —ills. Bell-Point Pen
Binh
I
i
•
l
e
i
Date
ID a attended under wry ode nom. indicate:
4-
f
wooaa
w1
mtt ti.
teat
••••••IVII4 otlt
v
2.
n space above print lull name and address to which transcript Is to be wan .
This form will be Lend in a window envalopt.
(Over)
./.1011.T
WOO: I.
tat
Division of N.Y.U. enticed'
U lindorgoate*Do a Graduate
-.,Tama and yes of, lest etterdence•
.•• tievenbar of transisipttidssitad:
If nurrenily in attandiai do you went vacant** held for final grades?
Yes 0
NO CI
EFTA01700804
Bear, Stearns & Co.
55 Water Street
New York, N.Y. 10041
1212) 952.5000
WRITER'S DIRECT DIAL NUMBER
To Whom It May Concern:
BEAR STEARNS
I hereby authorize the release of the information requested on the attached form to my employer, Bear, Stearns
& Co.
Thank you in advance for your cooperation.
Sincerely, flAgLet
I "ant' Signature
New York/Atlanta/Boston/Chicago
Dallas/Los Angeles/San Francisco
Amsterdam/Genera/Paris
EFTA01700805
TRANSFER/T
E RMINATION
NAME
PRESENT DEPARTMENT
DEPARTMENT TRANSFERRED TO
DATE EFFECTIVE
SALARY
APPROVAL
949 (9/79)
EFTA01700806
STATEMENT OF EARNINGS
NO. 06187055
RETAIN THIS STATEMENT FOR YOUR RECORDS
THE DALTON SCHOOLS INC
PALNO.
108 EAST 89TH STREET
00431
NEW YORK NY 10028
LOCATION
825013000
THIS PAY
•
PERIOD
YEAR
TO DATE
DEDUCTIONS
EMP. NO. I
EMPLOYEE NAME.
006257 EPSTEIN J
GROSS
.
FEDERAL TAX
500;00
71;23
GROSS
FEDERAL TAX
2500;00
356;15
AMOUNT
DEDUCTIONS
FICA
29
• REGULAR RATE
500!00
RCA
146 25
AMOUNT
STATE TAX
15;97
STATE TAX
79I85
0/T RATEl l OR RATE2SH.
EG HRS.
.0I
CITY TAX
6153
Owe TAX
DEDUCTIONS
21
SW. Del
' ; AMOUNT
'
PERICOEC.M..
03;15;76
SOC. SE:. NO
NET PAY
377
DEDUCTIONS
EARNINGS
MG PAY
AMOUNT
5C0
EFTA01700807
Bear, Stearns & Co.
55 Water Street
New York, N.Y. 10041
12121 952-5000
WRITER'S DIRECT DIAL NUMBER
To:
From:
Re:
BUR STEARNS
Personnel Department
Benjamin Rhoades
Fingerprinting
12---/c-5eer
y
6e7"
-F2,e1
Employee's Name fingerprinted by me today.
Date: 31
/4
1-n
6
was
Date
Signature
111 (2/76)
New York/Atlanta/Boston/Chicago
Dallas/Los Angeles/San Francisco
Amsterdarn/Geneya/Paris
EFTA01700808
soa.4,a. cm.
ariz/41
"defivota..-`i, ivy° g.s.A..aeas
_
1442.1
--temLin tar
•
EFTA01700809
Michael E. Tannenbaum
Ply
$ZIS/w 4-0-44_
BEAR STDM2NS
3ach,-644_
-ftz
/1A-0-e-u /97
•
A 6.0 nr y
EFTA01700810
Nk!"h.-.ME/OF COMPANY
I
1ELEPHONE
APPLICANT HELD POSITION OF
/ -
- 111~3 _
• , j 1 p1/4) krt , CLAI ME D
VERIFIED
\„..4NL.STNEEJOSiTION HELD re- , LA,
/
2,3
//
DATES
FROM
TO
CLAIMED EARNINGS WERE
CAN YOU VERIFY
/too, fa /•,
•
per
YES
NO
ATTENDANCE AND TARDINESS
BELOW AV.
AVERAGE
SUPERIOR
WORK KNOWLEDGE
BELOW AV.
AVERAGE
SUPERIOR
WORK PERFORMANCE
BELOW AV.
AVERAGE
SUPERIOR
GENERAL COMMENTS
REASON FOR LEAVING WAS
CAN YOU VERIFY
YES
NO
WOULD YOU RECOMMEND FOR A POSITION OF TRUST
YES
NO
IF NO, WHY?
WOULD YOU REHIRE THIS PERSON
YES
NO
IF NO, WHY?
PERSON GIVING INFORMATION
TITLE
OBTAINED BY //
DATE
COMMENTS:
EFTA01700811
BEAR, STEARNS & CO.
PAYROLL CHANGE
.<1 f" eld
PERSONNEL DEPARTMENT
°tu/
AUTHORIZATION
Dept. or Branch
FROM:
N.Y.RETAIL SALES
Effective Date of Change
August 14,1978
Today's Date
1
August 21,1978
Employ e Name (La I-Middle-First,
EPSTEIN
Jeffrey
ACCESSIONS
Complete
Items .
SEPARATIONS
Complete
Items
CHANGES .
Complete
Items
LOAN
Complete Items
1,6
II Additions
To Staff
3.6
Il Quit
II Resigned
1,6
KI Salary
1,2,3,6
AMOUNT S
(1RePlacement
3,4,6
II Discharged
1,6
(I Title or Position
1,2,3,6
Repayment Schedule
I) Rehire
2,3,6
II Released
1
ti Department
,6
" or Branch
1,2,3,6
( I
Per Pay Day With
II Reinstate
From Leave
2,3,6
•
(I Laid Off
1,6
Shift (Day/Night)
1.2.3,6
Balance From Any Bonus
Full
(I Permanent
Time i 1
"
Part f i
II Temporary
Time "
Returned i I' i to School
II Deceased il Retired
1,2,6
1,2,6
( I
Total Repayment From Bonus i I Other
1/Summer
Leave of Absence
II Military
File Number
II Maternity
II Exit Interview
(I Attached
—a,-
"I
PRESENT STATUS
2
SALARY HISTORY
Grade
32E
Title
Associate
Salary
$32,000/Yr.
Oa Status
Date of Employment
3/15/76
Starting Salary
$225.00
Department or Branch
N.Y.Retail Sales
Dept. Code No.
Date Last Increase
4/24/78
Amount Last Increase
$8000/Yr.
3
NEW EMPLOYEE AND STATUS CHANGE
4
FOR REPLACEMENT ONLY
Grade
36E
Title
Associate
Salary
$36;800/Yr.
OFT Status
Name of Employee Replaced
Doe Separated department or Branch
N.Y.Retail Sales
Dept. Code No.
Title
5
PART TIME EMPLOYMENT
Salary
Grade
Rate
S
/Hour
Hours Needed Each Day
From
AM To
AM
PM
PM
6
REASON TO BE EXPLAINED IN ALL CASES
Per: J.Cayne
/ -
.
Employee
Department Head or Branch Manager
Administrative Partner
Director of Per
ADP CODES
CATEGORY
0
1
2
3
4
5
6
7
8
9
Effective Date
401
t
Major Medical
402
Blue Cross
403
Type Employee
404
Birth Date
392
V
;Oi
l
/
Annual Salary
762
Clock Number
.
330
'',7
/Y/
7/
354 Rev. 1O/75 (8/7O
PERSONNEL COPY
EFTA01700812
BEAR, STEARNS & CO.
PAYROLL CHANGE
AUTHORIZATION
PERSONNEL DEPARTMENT
(1 C‘!/3 (3
Dept. or Branch
FROM'
CUSTOMERS ROOM
Effective Date of Change
April 24,1978
Today's Date
.
June 9,1978
' Employee Name (la 1-Middle-First)
EPSTEIN
Jeffrey
ACCESSIONS
Complete
Items
SEPARATIONS
Complete
Items
CHANGES
Complete
Rem
LOAN
Complete Items
1,6
1) To
3,6 ia butt
I)
1,6
IkSalery
1,2,3,6
AMOUNT S
(I Replacement
3.4,6
I) Discharged
1,6
(I Title or Position
1.2.3'6
Repayment Schedule
1 )
Per Pay Day With
()Rehire
2,3.6
11 Released
1,6
„ Department
" or Branch
1,2,3,6
II Reinstate
" From Leave
2.3.6
II Laid Off
1,[ADDRESS REDACTED]/Night)
1,2,3,6
Balance From Any Bonus
I J
Total Repayment From Bonus f 1 Other
Full n
II Permanent
Time "
II Temporary
Part n lime " n Returned
" to School
II Deceased
(J Retired
1,2,6
1,2,6
I 'Summer
Leave fl Military of Absence
Interview
File Number
II Maternity fl Exit
I) Attached
[ADDRESS REDACTED]ATUS
-
2
SALARY HISTORY
I
Grade
24E lisle
Associate
Salary
$2 .000/Y7...41,3
0/T Status
Date of Employment
3/15/76
Starting Salary
$225.00
—a7C7.--
Departmen or Branch
Customers Room
Dept. Code No. ( pop .pv
Date Last Increase
4/25/77
Amount Last Increase
$8400/Yr.
3
NEW EMPLOYEE AND STATUS CHANGE
4
FOR REPLACEMENT ONLY
Grade
32E
Title
Associate
Salary
$32,000/yx.-hr36-7:11-
0/T Status
Name of Employee Replaced
Date Separated
0epartmen or Branch
N.Y.Retail.
Dept. Code No.) 3.33 3 c)-
L
0 la-.
Title
5
PART TIME EMPLOYMENT
Salary
Grade
Rate
S
/Hour
Hours Needed Each Day
From
Am To
PM
AM
P
6
. REASON TO BE EXPLAINED IN ALL CASES
-' 1
1. 1-‘1
13-
Retro to 4/24/78
Employee
Department Head or Branch Manager
Administrati"e Partner
Director of Personne
ADP CODES
CATEGORY
0
1 2
3 4
5
6
7
8
9
Effective Date
401
Major Medical
402
Blue Cross
403
Type Employee
404
Birth Date
392 e ,,,,,,y7 h.
Annual Salary
762
Pock Number
330
7/////
/
/W —
354 Rev. 10/75 (8/76)
PERSONNEL COPY
EFTA01700813
BEAR,STEARNS8tCO.
PAYROLL CHANGE
PERSONNEL DEPARTMENT
1.4;();i3
AUTHORIZATION
Dept. or Branch
FROM:
N.Y.RETAIL SALES
Effective Date of Change
3/12/81
Today's Dale
3/19/81
Employee Name (La t-Middle-First)
EPSTEIN
Jeffrey
ACCESSIONS
Complete
Items
SEPARATIONS
Complete
Items
CHANGES
Complete
Items
LOAN
Complete Items
1,6
Additions
" To Staff
3,6
(I Quit
K
Redened
.
1,6 n Salary
1,2,3,6
AMOUNT S
()Replacement
3,4,6
II Discharged
1,6
I) Tide or Position
1.2.3.6
Repayment Schedule
II Rehire
2,3,6
Il Released
1,6
(l Department
" or Branch
1,2,3,6
I I
Per Pay Day With
II IiFreoins mtaLteeeve
2,3,6
0 Lald Off
1,6
Shift (Day/Night)
•
1,2,3,6
Balance From Any Bonus
Full
I)
II Permanent
Time "
Pert
I) Temporary
Time
11 Returned
" to School
(I Deceased tI Retired
(1
t
1,2,6
1,2,6
I I I
Total Repayment From Bonus
II Other
IlSummer
Leave of Absence
Il Military
File Number
II Maternity
(I Exit Interview
Il Attached
[ADDRESS REDACTED]ATUS
2
SALARY HISTORY
Grade
42E
Title
Lta.wart.
ASsociate .
swim,
$42,000/Yr.
OR Status
Date of Employment
3/15/76
Starting Salary
$225.00
Department or Branch
N.Y.Ret;ail Sales
Dept. Code No.
Date Last Increase
4/30/79
Amount Lest Increase
$5200/Yr.
3
NEW EMPLOYEE AND STATUS CHANGE
4 .
FOR REPLACEMENT ONLY
Grade
Title
Salary
O/TStatus
Name of Ernployee Replaced
' Date Separated
Department or Branch
Dept. Code No.
Title
5
PART TIME EMPLOYMENT
Salary
Grade
Rate
S
/Hour
Hours Needed Each Day
From
AM
AM
To
PM
PM
6
REASON TO BE EXPLAINED IN ALL CASES
Resigned .
i
Employee
Department Head or Branch Manager
Administrative Partner
Director of Personnel
•
ADP CODES
'
CATEGORY
0
1 2
3
4
5
6
7
8
r
9
Effective Date
401
Major Medical
402
Blue Cross
403
Type Employee
404
Birth Date
392
VAVW
Annual Salary
762
Clock Number
330 izir/ip/ 7/71/7,5,
354 Rev. 10/75 (8/76)
PERSONNEL COPY
EFTA01700814
BEAR,STEARNS&CO,INC
PAYROLL CHANGE
AUTHORIZATION
PERSONNEL DEPARTMENT
3 1..: %... I Lt.
Dept. or Branch
FROM:
FLOOR DEPT.
(AMEX)
Effective Date of Change
Maryh 15, 1976
Today's Date
March 16, 1976
Employee Name ILa t-Middle-First)
ZPSTEIN
Jeffrey
ACCESSIONS
Complete
Items
SEPARATIONS
Complete
Items
CHANGES
Complete
Items
LOAN
Complete Items
1,6
0 tdditatis x
To
1I
3,6
(I Quit
Resigned
1,6 i) Salary
1,2,3.6
AMOUNT $
()Replacement
3,4,6
13 Discharged
1,6
II Title or Position
1.2.3,6
Repayment Schedule
I I
Per Pay Day With
(I Rehire
2,3,6
II Released
1,6
p
n
" or
De Branch artment
1,2,3,6
I I Reinstate
From Leave
2,3,6
II Laid Off
1,[ADDRESS REDACTED]/Nigh°
1,2,3,6
Balance From Any Bonus
[ I Total Repayment From Bonus
H Other
Full
( I il Permanent
Time "
Part
(1 Temporary
It
Deceased
Time " f i Returned •
" to School t1 Retired
1 2,6
,
1,2,6
Mummer
Leave il Military of Absonee
Interview
Ale Number
OA
3 -
0 Maternity fl Exit
0 Attached
[ADDRESS REDACTED]ATUS
2
SALARY HISTORY
Grade
Title
Salary
O/T Status
Date of Employment
Starting Salary
Department or Branch
Dept. Code No.
Dine Last Increase
Amount Last increase
3
NEW EMPLOYEE AND STATUS CHANGE
4
FOR REPLACEMENT ONLY
Grade
Title
Trainee
Salary
$225.00
OFT Status
Name of Employee Replaced
Date Separated
°specimen or Branch
Floor Dept. ,Dept. Cod Alo%
`7 o
Title
5
PART TIME EMPLOYMENT
Salary
Grade
Rata
$
/Hour
Hours Needed Each Day
From
AM To
PM
AM
PM
6
REASON TO BE EXPLAINED IN ALL CASES
Administrative Partner
ADP CODES'
CATEGORY
0
1 2
3 4 6
6
7
8
9
1
Reath.° Date
401 ajar Medical
402 a..-/' ue Cross
403
1.-.° rpe Employee
404
1-"" rth Date
392
-F/7,7S974 ' 0 / A 0 -5-0 must Salary
762
l
I/
/
7
0 0 el O ock Number
330
V 7/ a . .7/7/2
4jtf v V IZ rm 364 Rev. 10/76
PERSONNEL. COPY
EFTA01700815
BEAR,STEARNS&CO., .
PAYROLL CHANGE
AUTHORIZATION
PERSONNEL
. :. OtIlt-4"1
•fi
Dept. or Branch
TO
FROM:
FLOOR DEPT. (AMEX)
Effective Date of Change
8/16/76
Today's Dale
August 19, 1976
Employee Name ILa t-Middle-First)
N.Y.OPT
EPSTEIN
Jeffrey
ON8
ACCESSIONS
Complete
SEPARATIONS
Complete
Items
CHANGES
Complete
Items
LOAN
Complete Items
1.6 o Additions r=r
3,6 g quit
U Fiquoned
1,6 k Salary
1,2,3.6
AMOUNT S
()Replacement
3,4,6
(I Discharged
1,6 kTitte or Position
1,2,3,6
Repayment Schedule
( I
Per Pay Day With
()Rehire
2,3.6
II Released
1,6
A,..Department lAor Branch
1,2,3,6
( j FIRreoinmstaLteeave
2,3,6
(I Laid Off
1,6
Shift IDay/Nightl
1,2.3,6
Balance From Any Bonus
( I Total Repayment From Bonus
( I Other
Full
IIPermanent
Time (I
0 Temporary
Part
Time 0
Returned
(I
to School
(I Deceased
(I Retired
1,16
1,2,6
()Summer
Leave of Absence
II Military
I) Maternity a Exit Interview
II Attached
File Number
[ADDRESS REDACTED]ATUS
2
SALARY HISTORY
-
Grade
Title
Trainee
Salary
$225.00
O/1 Stews
Date of Employment
.
3/15/76
Starting Salary
$225.00
Department or Branch
Floor Dept.
Dept. Code No 4
K l°
Date Last Increase
Amount Last Increase
3
NEW EMPLOYEE AND.STATUS CHANGE
.4
FOR REPLACEMENT ONLY
Grade
Title
Associate
Salary
$300.00/Wk.
O/T Status
Off
Name of Employee Replaced
Date Separated
Departmen or Branch
N.Y.Options
Dept. Code No. g ll o3i.
Title
5
PART TIME EMPLOYMENT
Salary
Grade
Rate
S
/Hour
Hours Needed Each Day
From
PM
AM To
AM
PM
6
REASON TO BE EXPLAINED IN ALL CASES
r.
Transferred w/increase
0
l
a
O
OFF THE CLOCK
Per: M.Tennenbaujiiiiii i
3.
Employee
Department Head or Branch Manager
Administrative Partner
Director of Pe
ADP CODES
CATEGORY
0
1 2
3 4 5 6 7
8
9
Effective Date
401
Major Medical
402
Blue Cross
403
Type Employee
404
r
Birth Date
•
392 'SA/WA
Annual Salary
762
Clock Number
330
W e(///47////
Form 354 Rev. 10/75
PERSONNEL COPY
EFTA01700816
BEAR, STEARNS & CO.
PAYROLL CHANGE
AUTHORIZATION
613,53
PERSONNEL DEPARTMENT
Dept_ ot Bran_chE
FROM:
NEW YORK R TAIL
Eliti.vogriegt171979
Today's Date
OCTOBER 30, 1979
Employee Name (Last-Middle-First)
EPSTEIN,
Jeffrey
ACCESSIONS
Complete
Items
SEPARATIONS
Complete
Items
CHANGES
Complete
Items
LOAN
Complete Items
1,6
0 Additions
To
3,6
II Quit
Piaggioned
1,6
II Salary
1,2,3,6
AMOUNT'S 2 0 f 00 0. 00
(I Replacement
3,4,6
II Discharged
1,6 ll Title or Position
1.2.3.8
•
Repayment Schedule
II
Per Pay Day With
0
II Rehire
2,3.6
I) Released
I,6 ti Department or Branch
1,2,3,6
(I Reinstate
ve
" F
ea
2,3,6
)1 Laid Off
1,6
Shift (Day/Night)
1,2,36
Balance From Any Bonus
'
K Total Repayment From Bonus May
8
( I Other
Full I)
II Permanent lime
Part
fl
I/ Temporary
Time "
0 Returned .
to School
I) Deceased
II Retired
1,2 , 6
1,2,6
I ISummer
Leave of Absence
I) Military
(I Maternity
I) Exit Interview
II Attached
File Number
[ADDRESS REDACTED]ATUS
2
SALARY HISTORY
Grade
Title
Salary
$42,000/Yr.
OTT Status
Date of Employment
3/15/76
Starting Salary
Department or Branch
Dept. Code No.
Date Last Increase
Amount Last Increase
3
NEW EMPLOYEE AND STATUS CHANGE
4
FOR REPLACEMENT ONLY
Grade
Title
Salary.
O/T Status
Name of Employee Replaced
Date Separated
Department or Branch
Dept. Code No.
Title
5
PART TIME EMPLOYMENT
Salary
Grade
Rate
$
/Hour
Hours Needed Each Day
From
AM To
PM
AM
PM
6
REASON TO BE EXPLAINED IN ALL CASES
Empl
Admit artment H ctor of Per
CATEGORY
0
1 2
3
4
5
6
7
8
9
Effective Date
401
Major Medical
402
Blue Cross
403
Type Employee
404
3irth Date
302
WciM /
Z
annual Salary
762
Nock Number
330 r 7A-7 / ,
Rev. 10/75 (8/76)
PERSONNEL COPY
EFTA01700817
BEAR,STEARNS8(Co,
PAYROLL CHANGE
AUTHORIZATION
PERSONNEL DEPARTMENT
- ritSk '(r'
Dept. or Branch
FROM;
N.Y. OPTIONS
Effective Date of Change
APRIL 25, 1977
Today's Date
JUNE 2, 1977
Employee Name (La t•Middle•First)
EPSTEIN
Jeffrey
ACCESSIONS
Complete
Items
SEPARATIONS
Complete
Items
CHANGES
Complete
Items
LOAN
Complete Items
1,6 , , Additions
" To Staff
3,6
(I Quit il Pinioned
1,6
Moiety
1,2,3,6
AMOUNTS
()Replacement
3,4,6
II Discharged
1,6
II Title or Position
12,3,6
Repayment Schedule
( )
Per Pay Day With
II Rehire
2,3,6
II Released
1,6
I or Branch
1,2,3,6
.,Reinstate
From Leave
2,3,6
Ii Laid Off
1,6
Shift (Day/Night)
1,2,3,6
Balance From Any Bonus
I I Total Repayment From Bonus
( I Other
Full
II Permanent
I/
lime
11 Temporary
Part 11
Time "
Returned ll to School
I) Deceased
II Retired
1,2,6
1,2,6
IlSummer
Leave
II Military of Absence
Interview
I
File Number
II Maternity
II Exit
II Attached
[ADDRESS REDACTED]ATUS
2
SALARY HISTORY
Grade
Title
Associate
Salary
$300.[ADDRESS REDACTED]atus
Off
Date of Employment
3/15/76
Starting Salary
$225.00
Department or Branch
N.Y. Options
Dept. Code No. t ee.0-0
Date Last Increase
8/16/76
Amount Last Increase
$75.00
3
NEW EMPLOYEE AND STATUS CHANGE
4
FOR REPLACEMENT ONLY
Grade
24E
Title
Associate
Salary
$24,000/Yr,
O/T Status
Name of Employee Replaced
Date Separated
Departmen or Branch
NY Options
Dept. Code, No. ei
;61--
Title
5
PART TIME EMPLOYMENT
Salary
Grade
Rate
$
/Hour
Hours Needed Each Day
From
AM To
AM
PM
PM
6
REASON TO BE EXPLAINED IN ALL CASES
Per
° d'
RETRO TO APRIL 25, 1977
.2•
6
i
A
,a.:3
•-sa
.
Ac
•
Employee
Department Head or Branch Manager
Administrative Partner
Director of Pe
ADP CODES
CATEGORY
0
1 2
3
4
5
6
7
8
9
Effective Date
401
Major Medical
402 flue Cross
403 type Employee
404 firth Date
392 r71. 7/77
4
',nous) Salary
762 lock Number
330 tm a///7 orm 354 (4/76)
PERSONNEL COPY
EFTA01700818
t
BEAR, STEARNS & CO.
PAYROLL CHANGE
AUTHORIZATION
A s÷,,,,i, I-
-r
•
1.4
PERSONNEL DEPAR
/
t O
"I'd
S
,
6
MENT
Dept. or Branch
TV
FROM' a_ It nwrrnms
CUSTOMERS R004
Effective Date of Change
June 27, 1977 •
Today's Date
June 24, 1977
Employee Name (La t-Middle-Firstl
EPSTEIN
Jeffrey
ACCESSIONS
Complete
Items
SEPARATIONS
Complete
Items
CHANGES
Complete
Items
LOAN
Complete Items
1,6 ll Additions
To 4W
3,6
H Quit
(1 Resigned
1.6
II Salary
1,2,3,6
AMOUNTS
(I Replacement •
3,4,6
(I Discharged
1,6
(I Title or Position
1.2,3,6
Repayment Schedule
I 1
Per Pay Day With
I/ Rehire
2,3,6
(I Released
1,6 ,,i Department
N or Branch
1,2,3,6 r i Reinstate
' From Leave
2,3,6
(1 Laid Off
1,6
Shift (Day/Night)
1,2,3,6
Balance From Any Bonus
I I Total Repayment From Bonus
( / Other
Full
IlPermanent
Time II
I) Temporary
Pert
l]
Time "
Returned
(1 to School
0 Deceased
(I Refired
1,2,6
1,2,6
I/Summer
Leave of Absence
() Military
El Maternity
I) Exit Interview
II Attached
File Number
f
) 4
741
[ADDRESS REDACTED]ATUS
2
. SALARY HISTORY
Grade
24€
Title
Associate
Salary
3?4,0 .0/Yr.
On Status
Date of Employment
3/15/76
Starting Salary
$225.00
Department or Branch
NY Options
Dept. Code No.
847'
Date Last Increase
4/25/77
Amount Last Increase
$Q,400/Yr.
3
NEW EMPLOYEE AND STATUS CHANGE
4
FOR REPLACEMENT ONLY
Grade
24E
Title
Associate
Salary
$24,000/Yr
OfT Status
Name of Employee Replaced
Date Separated
Departmen or Branch
Customers Room
Deo/Code No.
Rs3)•••\
Ofd
Title
5
PART TIME EMPLOYMENT
Salary
Geode
Rate
$
/Hour
Hours Needed Each Day
From
A" To
AM
PM
PM
6
REASON TO BE EXPLAINED IN ALL CASES
C
0 ,1 14 =VI
0A.
1,1(03, -= "'
Transferred
Per:
mployee
Department Head or Branch Manager
Director of
1dministlative
Part
ADP CODES
CATEGORY
0
1 2
3 4
5
6
7
8 9
'teethes Date
401 ajar Medical
402 lie Cross
403
Ise Employee
404
'th Date
392
W7/
(17
4 1 mai Salary
762 salt Number
330
/
//V/77 ae®e
54 Rev. 10/75 (8/76)
PERSONNEL COPY
EFTA01700819
8EAR,STEARN54kCO.
PAYROLLCHANGE
AUTHORIZATION
PERSONNEL DEPARTMENT
,
4 I. • •..r-.
Dept. or Branch
FROM:
N.Y.RETAIL SALES
Effective Date of Change
April 30,1979
Today's Date
June 20,1979
Employee Name (Last-Middle-First)
EPSTEIN
Jeffrey
ACCESSIONS
Complete
Items
SEPARATIONS
Complete
Items
CHANGES
Complete
Items
LOAN
Complete Items
1,6
,,
" To Staff
Additions
3 . 6
(IQuit
II Resigned
1,6
1,6
'
Salary
1,2,3,6
AMOUNT S
()Replacement
3,4,6
(I Discharged
1,6
II Title or Position
1,2.3.6
Repayment Schedule
I 1
Per Pay Day With
II Rehire
2.3.6
II Released
I
1,6
Department ri or Branch
1,2,3.6 , , Reinstate
'
From Leave
2,3,6
. II Laid Off
1,6
Shift (Day/Night)
1,2,3,6
Balance From Any Bonus
I I
Total Repayment From Bonus
I I Other
II Permanent
Full I ,
Time ' 1
II Temporar
Part
f)
y
Time " ,, Returned
" to School
II Deceased
II Retired
1,2,6
12,6
,
()Summer
Leave
(I Military of Absence
Interview
File Number
(I Maternity
II Exit
(I Attached
[ADDRESS REDACTED]ATUS
2
SALARY HISTORY
Grade
36E
Title
Associate
Salary k36,800/Yr.
OR Status . ,
AS:93,11f
Date of Employment
3/15/76
Starting Salary
$225.00
Department or Branch
Dept. Code No.
N.Y.Retail Sales
Date Last increase
8/14/78
Amount Last Increase
$4800/Yr.
3
NEW EMPLOYEE AND STATUS CHANGE
4
FOR REPLACEMENT ONLY
Grade
42E
Title Associate
Salary
$42,000/Yr.
OR Status
Name of Employee Replaced
Date Separated
Depertmen or Branch
N.Y.Retail Sales
Dept. Cod No.
WY
Title
5
PART TIME EMPLOYMENT
Salary
Grade
Rate
S
/Hour
Hours Needed Each Day
From
AM
AM
To
PM
PM
6
REASON TO BE EXPLAINED IN ALL CASES
.1
-(
Retro to 4/30/79
Per:
•Ci
V \ 6 a
W.
i •,,,
I ge ;r....- .-
.6n 1,>I
Employee
Administrative Partner
ADP CODES
Department Head or Branch Manager
CATEGORY
0
1
2
3
4
5
6
7
8
9
•
Effective Date
401
Major Medical
402
Blue Cross
403
Type Employee
404
Birth Date
392 r
2,/, A
Annual Salary
762
:lock Number
330
7/7/41#,/ /7/ 7%,
354 Rev. 10/75 (8/76)
PERSONNEL COPY
EFTA01700820
BEAR
STEARNS
VIA OVERNIGHT MAIL
U.S. Department of Justice
500 S. Australian Avenue, 4th Floor
West Palm Beach, FL 33401
Attn:
Re:
FGJ 07-103(WPB)-Tues./No. OLY-71
Dear Ms.
BEAR, STEARNS & CO. INC.
SHARON D. CERES
320 PARK AVENUE
NEW YORK, NEW YORK 10022
Phone (212) 272-6552
Fax (212) 272-5680 sceresebear.com
September 7, 2007
In response to the Grand Jury Subpoena dated August 15, 2007 with regard to the above-
referenced matter, enclosed please find the personnel file for Jeffrey Epstein as well as CD
containing account statements for Jeffrey Epstein as well as the following accounts in which Mr.
Epstein has some relationship:
Epstein Interests
Financial Trust Co. Inc.
Institutional Interests
Heritage Interests
International Charitable Interests
Health & Science Interests
If I find any other accounts that are responsive to your subpoena, as I continue my search, I
will forward the statements to you under separate cover.
Should you have any questions or I can be of further assistance to you, please contact me at
the number listed above.
End.
Sincerely,
BEAR, STEARNS & CO. INC.
Legal Assistant
ARANTA I BELING I BOSTON I BUENOS AIRES I rule Arco I DALLAS I DUBLIN I HONG KONG I LONOON
LOS ANGELES I LUGANO I NEW YORK I PUERTO RICO I SAN FRANCISCO I SAO PAULO I SEOUL I SHANGHAI I SINGAPORE I TOKYO
EFTA01700821
1L.Y. 11224 pc: 373-2262
ADDRESS
Ph•Mi
UST EMPLOYER
FROM 9/74
Dalton Schools
To
3/76 pownehvs.Dept. mum $1500
Mo .
EDUCATION N.Y.C.
OaOKIKT
NOT:FifaHON
NAME
TELEPHONE •
Above auL:TART STATUS
AGGRESS
Above
RELATICNSMIP
GROUP HOSPITALIZATION
REG! STRATI 0 II OATES tiAOLLMEAT DATE
EPSTEIN, J.
O
INDIVIDUAL
O
FAMILY
O
NONE .. ,-2bl&ii.LAJa2±4.4 . --"--- k4Aul
I
nW,
NASD I-2n*If OIPL A
DATE
KEY
POSITION TITLE
CERARTMENT
A
420 DI
INDIC PSI
SALARY
SALARY
COMMENT
3/15/76 E Trainee
Floor Dept.-AMEX
$225.00
4
F-ier • 74, PM (21.4 ro,_ta—
—n.a/ icr.,O.4..,
:sec. cc 65;,•,)
.1-a.f-n til
I )4 or;
rig
6 0 0
r
If
I
elatra
3/4 4
'fent..
die-ay-Tr m
,,
Pore
34,
nr
,
sly- .P /1
4
fioo
.34 too
KEY
E - FULL TIME
T - PART TIME
V
SUMMER HELP
M • MERIT INCREASE
S • SALARY ADJUSTMENT
P • PROMOTION
T • TRANSFER
X
RELEASED
R- RESIGNED
L
LEAVE OF AO S
- RETIRED
D DEATH
H
REHIRED
$
DATE EMPLOYED
3/15/76
BIRTH DATE 1/20/50
Sn Male
MAIDEN NAME
LAST NAMI
FIRST
INITIAL
EPSTEIN
Jeffrey
E.
CIO
MARITAL STATUS
Single
EEOC h- "(mi l l ! ' SE*
COCCI "Ow i
t4
JAN
FEE
a
•
tanw KNCOKE
A
m
I
I
A
P
•
U
N
II
7
NI
L
EFTA01700822
.
• 'n
'DATE
KEY
POSITION tTLE
DEPARTMENT
AMOUNT Cit
INCREASE taint vT
SALAre
COMMENT
A$-Se 79 /72
(24-d-ete
F -/-9O I , s14.0,c27-ed /91
4.)
31_1212L1—±_lasi
KEY:
E - FULL TIME
T - PART TIME
V • SUMMER HELP
M• MERIT INCREASE
S • SALARY ADJUSTMENT
P - PROMOTION
T • TRANSFER
X • RELEASED
R • RESIGNED
L • LEAVE 6F ABS.
I • RETIRED
D • DEATH
H- REHIRED
S. S. A
DATE EMPLOYED
MAIDEN NAME
LIST NAM!
3/35/76
BIRTH DATE
1/20/50
MARITAL STATUS
Married
SEX
CEDE itviCW MOIRA
Male
MPH
MUM
0
0
1
M
U
0
I
C
ME
EPSTEIN
Jeffrey
'A I rg I S4A
I AP VA I jto j U I AU I SE I% I MO
N
O
R
T
Il
t
C
P
T ,
v
EFTA01700823
Inatr ,=E VatcONLY(
.
r
igil..-: 7 1) D6--
BEAR9EARNS & CO. • 55 WATER STREET • NEW YORK, N.Y.10041
USE A BALL POINT PEN'
PLEASE PRINT
PLOYMENT Ani:RPERSONAL HISTORY FORM Ir"A" DATE
.e
.
,
..
PM :Oun
ESPONSEI •SIL fOR A SUPPLOREATAL I CAM
NAME II.
jiao.
N oes. analm
/--- P str-e---/-11 , de-T-7---72c)
& .
mt
AO.
313 -a a(.2.
" nit
CI'
) (72
Y
Cs CORE
L YINnL ML. ND.
//2,7.,y
POSITION A
LIED, ,OR
an
AAAAAA Ro 5 5 SAMS youth CAN IOU MAO
2:$ ;2140
IF - Mr
NAME
HINT
IT os R LAT
TO
"0
ti” litMO N IC:
I gr•ISSIMITIM
ATTITI AViLT TES 0
MAR
WHO! i.
RELATIONSHIP
Al
EnAPAII4-;
POSITION I.
tlISTADUystRAc I.I NIAL U.S.A. ON A
LOCATION
Or
u.As.CLTIIZEN
COMPANY I.
ir?
POSITION r4-4,4,
L.
M
C YOU EVER SUN
..p
NO
YES EXPLANI
CONVICTED Or A CRIME DT CIVIL OR MILITARY MOTTIORITIESI
DATE OF GIRTH
/—
k).- 5?.
EDUCATION (Begin with High School(s). Include Correspondence Schoo s. etc.
TYPE OF SCHOOL
NAME AND LOCATION
INDICATE
: V ill.
MAJOR
DEGREE OR
DIP
RECEIVED
FROM
NO.
ATTENDED y p .
mo. TO , R.
OID YOU
GRADUATE?
109. 4175JRIPI tr-rk
a
l it l4r . 54-. t
AA •
/kayo,
L7 n, , Z
',O.,
_ .. 0 dict_
(.4
••
K
•
/I
fl y IF
2 k.
•
.•
9 .
sres (11)610L----
•
No
1 7 1 a
. 1Y,
0
14,Alt
TEE 0
CM
cf.lo4
•
A).
A.I ct ,
PIT-LI oAi C,
7/
72%
NO 9,---
EMPLOYMENT
' ill in below a complete, consecutive statement of your busin
s his cry for the pa ten years.
All time. including periods o unemployment. must ounce
If self employed, show nanie and address under which business was conducted.
PRESENT OR
LAST POSITION
COMM.
T rAltrP.--/
cc-tit-qt.-3
POSITION HE,.
..
lfrAcif e ..A
STARTINGSALARY
Mb 6 ,,
IRON
TO
EXACT ADDRESS
I-06 i-14•`(`
P ., AL 7 A). 1.
OCPE AND SUPERVISOR
FINAL SALARY
MO
TR
MO
YR.
TYPE Of IROINESS
Dunes at POSITION ca•Api
Tins TIME 0
/Went*
0
LAIO Orr
0
AA NTI
RELEASED 0
DISCHARGED 0
AAA
AON OF REASON FOR LEAVING chi\ J.4.
PART WACO
TTEMP.
0
7
7
1
elf
•
EVIOUS
POSITION
CORP: Ili e d . e...„
XD. f.*
POSITEPI HELD
-rt.—.
PARTING SAL
•
As" ),
FROM
o
EXACT ADDRESS
f
•
1 b 7 1
A1/4„,".;
ij I
Ls c
DEPT AND SUPERVISOR
FINAL CALAR
NO.
TIT
MO
TR
7
12
,
r-V
FULL
7 y'
'
:n(
OF
Ler eLe
Dona or POSITION r0Rein-•
TINE 0
"
RESIGNED
LAID Off
0
RELEASED 0
DISCHARGED 0
AAA CREATION Of REASON Fell Le VING
PART .IME 0
TEMP
0
NEXT P LVIGUS
POSITION
COMPANY
POSITION .0.0
STARTING SALARY
FROM
TO
ORO AGGRESS
"
GOT MO SVIERVISGII
FINAL X AAAAA
PO.
M.
MO
TR
TYPE Or ROSINESS
DUTIES OF POSITION
Puss TINE 0
VES.GNIO g ,As0 Oft
0
RE'.EASEO
3.5COARCCO 0
EXPLAN•VON Of REASON FOR I.0 VAC
PR
T.E0
TEMP
0
NEAT P
POS
MOUS
T e•
COMPANY
POSITION MAO
S•ASITING SALARY
FROM
'O
COACT ADDRESS
OEPT AND SUPERVISOR
F:NAL SALARY
MC
••
MO
:A
TT It
OF BUSINESS
I
DUTIES Or POS1T•ON
...,
504:X(00
.A.0 Off
0
SOLANA:4N OF REASON TOR LTA,: NO
Ar• (an>
n
Zile AAAAA 0 O
0 AT T. C L,,
'EMS
n
PEI: •
C., 0:5
POS. - :h
:D FAIT
F0).7.0A NEED
5 •APTOM SALMI
MEM
'0
:me
AtC•CtS tEP. ARO i4•I•u•SGR
?nal
AAAAA I
MC
IP
.0
"R
r•pc OF OUS.NESS
"MOM Cr POSITION
ERAL 71ME S
el
PCI.GMO
OFI 0
RELEASE: I
C
I''11
D.E.:NAACO. 0
N
ETPL•ATiCn Cf REASON 50RLEAVING
PART II .1
TOO
C
AS AN EQUAL OPPORTUNITY EMPLOY'S
P.M"
Syr Roma a en
EFTA01700824
•
..
.
UNEMPLOYMENT
Account for your time dur.ng any periods or unemptoyment. sell empioyment or fanny employment.
•••, other than (hose when you were attending SCnOCI
These periods of time must be verified by someone other than a relative or an employee of Bear. Stearns & CO
I
FAIN
: O inumogAL
CX AAAAAA ION fo "oxen •thEmPtatmENT
SELF 0.1.0T.ICHI 0* (NIL,/ impLOTMENT.
MO
TR
No I. Yil
NAM(
AOCIIESS
NAME
AGORCSS
a
RESIDENCE
.
RESIDENCE RECORD FOR PAST TEN YEARS- UNITED STATES ONLY
/nom
TO
•OORESS
CITY
STATE
APE • ov.k
*ENT
ITN PARENTS
NO
in
MO.
TR
i,
e..
Y
it
-2. 7.. g/
7
1
/"."
1
Z.
7 r
I .
.
a
°RAI STATu
/ Pr
BRANCO Or SERVICE
YEARS of ACTIVE M AAAAA RT IERVIC
/ROM
i
TYPE Or MILITANT DISC MTGE
O
HONORABLE r -I GENERAL. UNDER ITONOR•BLE
I--I CONDITIONS. 'EXPLAIN ON PAGE II
O
OTHER I
IN on PAGE 3)
HAVE TON EVER BEEN (MPtrITE0 AT MAR. STEARNS • CO.' ....,...
r
,
bible UTES
Ir TEE.
TROY
TO
DO you NAVE ANT PHYSICAL %IMITATIONS!
TES O
NOW
IF ••'IZS". DESCRIBE
I
HAVE YOU HAD A MAJOR ILLNESS IN
TESO NOD
THE PAST S TEARS?
IF "ICS." OrscRieri
NOW OID YOU
To
TO *CAR. STEARNS • CO.)
O
NEWSPAPER AD
O
RE AAAAAA
O
AGENCY
Q. OTHER
IN CASE
NAY
RELATIONSNI
ADORES
TEL. No.
• I Do you or spouse have any
YES
N
additional income?
O
di "Yesr explain on Pg 3)
5 Have you ever been refused a
YES NO bond or had a e revoked?
O
O
8. Have yoo over been a MY
YES No
to an arbitration proceeding
O
a
by a Governmental Admen.
i I. Are you a Director or Omer
YES „fir of any Corporation?
O
O
(II "Yes:' explain on Pg.])
Wien illative Agency or Sagunto's
2. Oo you have any outstanding
YES tee" debts
Coicionlion,
Where regulatory agency?
tit —lies: explain on Pg.3)
It Do you trade in the
YES
NO
Securities Market?
N —erg what Brokerage Nun?
O
0
to any
Loan
O
YES ig
•
Company. Bank. etc.
Are
O
9. Has
Mechanic's lien era
YES
YES rip,
(Including Mortgage. Auto. Int
Malawi and Charge Account) you bondable?
a
Ta• live ever been Ned
O
g
Do you gave aCCOOnr
O
0
In - Tes:' =plan on Pg. 3)
6. MU any iudgotest or enamel
YES a against you?
(II "Yes:' explain on Pg. 3)
17. Have you had any industrial
YES NO accidents conned by Norio
Conviction DWI been WEIS
O
[repeated 3 times]
3 What is your apprOxisnate monthly OtaleiliOn on debts>
,
a .
against you?
men's COMDensahon,
.2
IO. Have nu ever laded tee busk
YES 18:ly , " III "Tesr explain on Pt 3)
1. Mai your salary eve, been
YES NO garnisheed?
O
(De tIl "Yes.' explain on Pg. 3)
7. Have you ever been sued or
YES NO
Party to a lawsuit?
O
0,
III - Yes; explain on Pg. 3) amis. made a compromise with
O
,
creditors. or taken advantage
14 Do you receive any pension
YES NO al a bankruptcy act?
tor a past disabikly7
O
O
III —fesr explain on Pg 31
III "In:' explain on Pg. 3)
PRE-EMPLOYMENT STATEMENT
I understand and agree hat Bear, Stearns & Co., and/or its agents will make a thorough investigation of my past employ-
ment and activities, and I agree to cooperate in such an investigation.
I also understand that under the - Fair Credit Reporting Act:' Public Law :91.508. I. as an employee, have the right upon
written request to know the name of the investigative service employed and the scope of their report should one be used.
I further understand that any falsification or misstatement on this application or in connection with the above investiga-
tion will be grounds for immediate discharge.
I consent to take any pre-employment physical examination nd such tut re physical examinations as may be r
uired by Bear. Stearns Si Co.
.
I alSO understand t a the fir three months/4
d•
4W
that, be consid a probationary period. and tha should Bear. S ea
s S.
Co. or I decide. duii
fi
n
this p nod. t t a la
Of suita ither party, my employment may be t mr ated by myself or the F r
• it ut n ic and:ithout p eiu
Ce
Applicant's Signature
I
Cate
i
FOR CII:CE uSE ONLY
.
ILCS:TION
(
CEPAnTmE tie
oN
Itt
:RACE
STAIIT:Ite SAL Ai
START.NG WE
TYRE or enr.aemEn7
—
L., PERMANENT
L
SUMMER
•
• TEMPORARY
—I 7:.,..
T:ME
•• liCuRLY T.ME
IS THIS A fifohnti
r
—
D
yes
_
no
—
.
ADD TO STAFF
.-- REPLACEMENT
•F REPLACEMENT
Vont:YEE
REPLACED
REP. ACED ENILCTEI WAS
O PROMOTED
SEPARATED On
,
0
LEAVE OF ABSENCE
n
TRANSFERRED TO
GRADE
SALARY
.71)
O
RETIREMENT
Lt OTHER
O
DEATH
.47rnvateans COMMENTS
I INTErlyirinD oi
EFTA01700825
.
SE
USE ONLY
4
0.
'
'
BEAR, STEARNS & CO. • 55 WATER STREET • NEW YORK, N.Y. 10041
USE A BALL POINT PEN
PLEASE PRINT
EMPLOYMENT
314/110t0 IOUNEED NONE AND
SPACE FOR PERSONAL lout/ OSPONNES ASS FOR HISTORY
A SuPPLENENTAL TORN
FORM ( xl., i at, tj-, `L;/.
ldr
HAH>,„ ,..FY srotrit. +.,o1.1
I
'
ste:. fAJ
J 67.72e-} fr.-
NONE
OROS
50. meo /NM
3 P y SeT61*-kikr•
A.T. NO.
CITY AND STATE
04 stmt_ rally -1OK( /fur.
tir CON
il
l'
Z'
POSITION APPLIED 4OR
T (A 'sr? •
Roy saint 00 IOU cccccc / I WREN CAN TOO /tan
ANT ;ULM "' T wIP
" L"
TO US
NO O taLtrilO
MIEN" li l l eroitTettuARGIWATi
"I"
TE s O NO,ES
IF "TES'
VINO! I.
R.)
/
NAME
I
RELATIONSHIP Al. 4
.
•
POSITION I.
spE42%ALCLiptil
IVEISTA0Uwtia &TV
U.S A
ON •
LOCATION
I.
COMPANY I
YE: 5.
r
POSITION
I
/ 7
NAVE YOU EVER DON CONVICTED Of A CRIME RV CIVIL OR MILITARY AUTHORITIES,
r
aM
NO
TES. EXPLAIN
ATC OF BI TM '
• A;
EDUCATION (Begin with High SchoOl(S). Include Correspondence Schools. etc.
TYPE OF SCHOOL
NAME AND LOCATION
INDICATE
:girl
MAJOR
DEGREE OR
DIPLOMA RECEIVED
!ROM
MO.
An
Ol.
NDED,..........
••
T
NO.
TR.
010 YOU
GRADUATE/
IA? C
4
A EC
-S4
30 I tk-A-
43 f.
TES ff
SVC./
IRs/HLY _
I'V
e
It
A V
D et
7
( 4
NO a copy. .
te.),,D`
TY,7 ,,e 3 I pi .19 , v. 7
0
eirce'rel•
12.. S.
• S `G i 70
. O--e
6,-4
_
.
•
•
.4).9.. J.
FEr cs al
S to ta v
#
p
frifickE
P.' S.'
'1
70
71so 0
EMPLOYMENT
c
Fill in below a complete. consecutive statement of your business his ory for the past ten years.
All time, including periods 0 unemployment, must be accounted for.
If self employed, show name and address under which business was conducted.
PRESENT OR
LAST POSITION
COMPANY
DALT"
' c
cc ,v. ° L- 5
POSITION HELD
4 40'
1 '4 " lift
*/,'
- He. .1 .
STARTING 3 AAAAA p...) 1...A
FROM
TO
(TACT ADDRESS iv t c .
OA
; T.
DEPT. AND SUPERNIOR
..
b., DL
VIOL S AAAAA ref "el"( ,,
MO.
TN.
MO.
vs
4
TYPE Of BUSINESS ta.,
i
OLIAX:f
. POSITIONe e 0/h fP e^t fs 7s- c •
Full
TIME Ir
AMOCO II
LAID Off
0
AAAAA SECI U
DOCHOOD Q.
/
7-CelZer".. 5
EXPLANATION Of REASON
OR LEAVING
PANT run O
TOP
O
7y
NEST A
POSITION
EVIOU
COMPArSiA id.
ce. (..).T.,....;.\
POSITIO, MI,
LD
mit. - .
STARTING SALARY
HD 0 p. ve..1
FROM
TO
ESACT ADDRESS'".
DOE OD SUPERVISOR
FINAL SPORT
.• i-e.4.‹
Pc Llilf
MO
TR.
NO.
enu
‘..1RESIGNED
D.
PART TIME K
NEXT A
POSITION
ENO
COraPAmy i qinto
S d 4. -
1
74. 3
POSITION Mao r4 e ea .
STARTING SALARY,
1 Z.3 /HAI(
FROM
'0
EXACT ADDRESS
)&e y
5r7h./.11-p-
Att.'.
OW
ARO SUPERVISOR
FINAL SALARY
MO.
TR.
MO
TR
7?-'
72, •
TYPE
OF BUSINESS r r..S.
0
•
•
CUTiES of Tge.
we • ,>4
TRU TIME
'KOCK°
U
LAID Off
O
RELEASED
O
cDscRARDED
Q
([PLANATION Or REASON TOR LEAVING
POT .
I O
701P
O
NOP
in
I
,LOON
VON if CO/PANT
•':
,LP
Ill elit
'cosi, /".) rositiCj.
NE-0
1.- won...,
STARTING' no.P
T0
EXACT ACORESS
40 co
Afffr,k L Po-. im() ""1"
DEN' AND S•PERV•SOR r.N•L r.s-r.dsi vcr
TR
.NO
YR
3
opa r tI4SIRESS
DU TX tYI41.p.
S?;44
Ai/VC, lit
FULL "
IC 2....-
_,
ROIC.VO C.:7 5
.
, Ar^ orr
O
OPLANAX:r or REASON ....1 ,,tivz.L..... L
.
//LEASED --I c.sconsto D
.(mfr
PART T. E
I
_
Teo
Cl. • EV/Crl
AOS.7.0/1
C.I/IPANT
POSITION //ILO
•
I
>OAT NG SA•AR" ,NOM
TO
AOCIIESS
OPT AND ONION r MAL S.A.ARY
NO
rot
00
NI
.Ir
T TO Of BUSINESS
tordS Of POMO
r
P...L pat 3
RESIGNED O
RELEASED O
LAID ON O
OISCHARGEO O
EXPLANAT:ON CF REASON FOR •EAVoNG it,......,,,,t,....1
_Ir cti
P °I I
C O
NMI/
O
96-57-355
AS AN EQUAL OPPORTUNITY EMPLOYER. BEAR. STEARNS & CO.
DOES NOT DISCRIMINATE BECAUSE OF AGE. COLOR. CREED. SEX. RELIGION. OR NATIONAL ORIGIN.
EFTA01700826
'UNEMPLOYMENT
Account for your time during any periods of unemployment. sell employment or family employment.
other than those when you were attending school.
These periods of time must be verified by SOmeone other than a relative or an employee of Bear. Stearns & CO.
mon
TO
E AAAAAA form
DIrlivIDUAL TO Yellin, unceroincity
MA ryirsoinCtif Of Amiga rime .... y
MO
' II
NO
YR
•
.AMC
ADO/MS
Nat
ACMITESS
RESIDENCE
RESIDENCE RECORD FOR PAST TEN YEARS— UNITED STATES ONLY
I—
TROY
70
STREET ADDRESS
CITY
STATE
APT •
*von
RING
WITH PARENTS
NO.
TR.
MO.
T .
772_ e fr
,
;
4. --s
›e
)
ORAL
'TATO
ki
DR•toCP Or SERVICE
/
TEARS Or ACTIVE MILITARY SERVICE
FROM
TO
TYPE Or MILITARY OiSCNARGE
O
HOMO ....
. UNDER HONORABLE
El coNDITIONS. I AAAAAA N ON PACK II
O
OTNER (EXPLAIN ON PAGE II
•
HAVE YOU EVER sum EMPLOYED AT SEAR. S AAAAA S • CO./ V a__,
LITES
I TES
.
FROM
TO
00 TOR NAVE ANT porTsICAL LIMITATIONS,
TES❑ NO
IF "TES". (IMPUTE
NAVE TON MAO A MAJOR ILLNESS IN
"O
NOD
THE PAST I DEARS!
IF -TES." <ASCRIBE,
NOW Ole YOU HAPPEN TO APPLY TO DEAR. S AAAAAA • CO.,
IN
O NEWS
1.
0
8,01PAL
O
AGENCY
COUR i.,
CASE
NAME
IOMSMIP
•
ADORE
TEL. NO.
I. Do you Of spouse have any
YES lig
.
additional Income
O
(II -Yes." eiplain on Pg 3)
5. Have you ever been reined a
YES N bond or had cot revoked?
CI
J
When
8. Here you ever been a party
YES eh i lo an arbitration proceeding
O
by a Governmenlel Admin•
Wolin Agency or SectwilieS rtgulalay Wag'
(II `Yes: explain on Pg. 3)
I
11. Ate you a Director Or Officer
YES fi( ii of any CoMOrali011?
O
oi
Of '*YeS:. explain
Oil Pg. 3)
• —
R. Do you trade in the
YES IN/
i
SeCutilms Markel?
•
il 'TO: weal Brokerage ram?
YES
2. Do you have any our:landing
TES NO/ debts to any Corporation. Loan
O
Comae/h.. Bankee
(Including Mortgage. Aulo. In.
Segment and Charge Recant)
(II "Yes:. rain on Pg. 3)
Moe
Yee
Are you bondable?
O
9. HIS a /4echanies ben Ora
YES i
Tax lien ever beeNIS
O
,.
aeons: ou?
tll "Yes:' explain On Ft. 3)
Do you have an account?
0
W
6 Has any pudgment or criminal
YES fy conweliOn ever been entered against you?
CI rte,
U
13 Have you bad any mdectrul
YES :Ill
'
accidents covered by Work'
O
men's Compensation?
III - Yes: totem on Pg. 3/
3 What IS your approximate monthly obigahon on debts?
0
10 Have yOu ever laded to IMO.
YES N nem IRICIt a Compoltaile with
O
Creditors. or Ian advantage a bankruptcy act'
(II "Tits: Dolma on PS 3}
7 Have you ever been sued or
YES N party to a lawsuit?
pl "YRS." explain on Pg. 3)
O
I
of
14. Do you receive any pensiOn
YES N garnisheed, fora pasl Oisabilitya
O
HI -res:' explain on Pg 3)
4 Has your salary ever been
YES re
(II "Yes.' explain on Pg 3)
O
PRE-EMPLOYMENT STATEMENT
I understand and agree hat Bear. Stearns & Co.. and/or its agents will make a thorough investigation of my past employ
mont and activities. and I agree to cooperate in such an investigation.
I also understand that under the "Fair Credit Reporting Ac' Public Law 891.508. I. as an employee. have the right upon
written request to know the name of the investigative service employed and the scope of their report should one be used.
I further understand that any falsification or misstatement on this application or in connection with the above investiga-
tion will be grounds for immediate discharge.
I consent to take any pre-employment physical examination and such future physical examinations as may be required
by Bear, Stearns & Co.
I also understand that the first three months will be considered a probationary period and that. should Bear, Stearns &
Co. or I decide.
ring his period. that a lack of suit ith either party, my employment may be terminated
by myself or th
it
/Mout e.::...., el and with
Ice.
•
Oate n,A bc--,n.
Applicant's Signature
I
77
1
IOR OFT.Ct tat ONLY
POSI, CH
)
I
e- ri r I (Ct... ...,
E PARTMENT/DRANCM
-t----
AIM
q
r -1.0
2-
1
GRADE
t.
57ASITiNG SAL OA
) -SLb IA. I je...A•
START: C DATE
%
/r/
76
TTPE or °leen:newt
._, PERMANENT
I
Scr4ER
TEMPORARY
r
FULL THE
C HOURLY TIME
.s THIS A REHIRE
C YES l • NO
— A00 TO STAFF
— REPLACEMENT or REPLACCIAEN7
.
EMPLOYEE
REPLACE°
IltIy•CED IMP‘Ortt WAS
— .
L. PROMOTED
_)SEPARATED ON
'LEAVE Or ABSENCE
r
TRANSFERRED TO
GRADE
SALARY
C RETIREMENT
Li OTHER r —
•—.1 DEATH wIE•infv•CAS COMMENTS
.
soITERViCWE0 TIT
EFTA01700827
l• •
• • • • •.•%n a iv:, run rtuci.1 I I INSURANCE •
(This form to to be completed by the Employee.)
CONITINENTAL INSURANCE COMPANY
KANSAS CITY FIRE AND MARINE INSURANCE COMPANY
FIREMEN'S INSURANCE COMPANY OF NEWARK. NEW JERSEY
BOSTON OLD COLONY INSURANCE COMPANY
COMMERCIAL INSURANCE COMPANY OF NEWARK. N. A
PHOENIX ASSURANCE COMPANY OF NEW YORK
NIAGARA FIRE INSURANCE COMPANY
SEABOARD FIRE AND MARINE INSURANCE COMPANY
THE FIDELITY AND CASUALTY COMPANY OF NEW YORK
NATIONAL-BEN FRANKLIN INSURANCE COMPANY OF ILLINOIS
THE BUCKEYE UNION INSURANCE COMPANY
PACIFIC INSURANCE COMPANY
THE GLENS FALLS INSURANCE COMPANY
Branch Office
DOOMS, DEPARTMENT
Bond No
Application is hereby made to one of the above named Companies thereinafter called "the Company") Selected by
the Employer.
Att., (Mrs. or Iliss)
gannets of Bond S
Employee (Applicant)
Positron
Traiapc
at
Payable
...Etear., atea;aka fic C9
(Full name or oral` itLyZif Employer)
55 Water St. New York,N.Y.00
(Address of Employer in full. by Number. Street, City)
The Nature of the Employer's Business is
Stoelc. BrOkezA
FULL NAME OF APPLICANT (Pleas. Print)
I
..fgr.(41
(
SOCIAL SEICURITY NUMBER
Date of Birth
Are you an American citizen?
VC. S.
Single?
Present residence address:
How long have you lived there?
State previous addresses in Rtll and length of time you lived at
each yfldress, durin
No.
(St
Slate
From
C
to
No.
(St. or Ave.) •
City
.
Stole
From
to
Married?
Separated?
Divorced?
Who constant your family?
Husband?
Wife?
:No. of Children?
Others?
Do they reside with you?
How long have you been in the continuous service of this employer?
In what position?
Trainee
Employed at
New York
Daegnaking p6sont Akita'
r
thi5yruance
5 19 76
Do you receive any income beyond that of this employment?
If so, please state amount and sources?
Do you receive goods, merchandise or other property on consignment or otherwise?
.I/ V0
Have you ever failed in business or compromised with creditors? A.1..., •
.
If so. when:
19
• Where*
• Business
•
Name of firm
• Assets: s '
• Liabilities $
What were your banking connections at that time?
Do you own your home or hold interest in other real estate?
An
Location of such realty
I
. Description
•
..1
In whose name is the title?'
Value
Incumbrance
Have you any debtior liabilities other than for current expenses?
f .4..
II' so, please give amounts and sta e how they were incurred.
If paid by salary, state annual amount and when payable.
Have you ever applied to any company for a bond?
If so, when?
Was the bond issued"
What company issued the 'bond?
Who was your employer?
Has any company ever refused to issue or to continue a bond for you?
If so, when?
19
.Name of the Company:
on what ground was the bond refused?
Have you ever been in arrears or in default in your present or previous employment?
If So, please give particulars
$ ..................e in —we ex .i.y
APPLICANT S PARENTS, IF LIVING, OR OTHER NEAREST RELATIVES
NAME
RELATIONSHIP
OCCUPATION
ADDRESS (Street and No. in cities)
EFTA01700828
t"
YOUR OCCUPATIONS THROUGHOUT THE LAST TEN YEARS
Kurnish, below full particulars of your past occupations or employments during the last ten years. as called for under
the coltunn headings. If you were at school within this period. give accurate identification and attendance at each
school. Begin in the top space with your most recent activity. If the spaces here are insufficient, please complete
•
the record on a separate sheet and join together.
PLEASE TYPE OR PRINT INFORMATION BELOW
From
To
Full name or exact style (if firm or co:potation) of your employer and
his business and address.
. Town and street address of place where you worked.
Name and present address of your
Superintendent.
Nature of your position or occupation.
I'hy did you leave?
.
A nib
1..- T.
lin
Month
/.1.1.11-d
19
.0"4-77-• .
ro g c. 95 ".
S. c br ioc. s .
$7 .
i s
Al
/
.
t eyr sr .
'VA
•
... - • • 12-7401Z4 .
TH Cs J-
Month
19
Month
•
19
•
[repeated 3 times]
.
'
•
Mr-
•
'
..
.
Month
t
19
Month
19
•
.
..
.
-
Month
19----
Month
19 ..... --
•
'
--
•
Mona;
Month
•
Month
Month
--
-
.
REFERENCES
Give as references the names and post-office addresses in full of three or four persona well acquainted with you
during the past few years and not related to you. They should be persons of good standing in their respective commu-
nities. Please do not refer to any officer or fellow-employee in the service in which you are engaged, nor to any former
employer.
NAME
PROFESSION OR
BUSI[yESS
4 ,007 . Aff•
..146
Ph-e.2L.
•
.
.
.... an.
RESIDENCE ADDRESS IN FULL
Street No. and Cit )
7
I hereby declare shut the foregoing statemen s ;Ica true, and I hereby apply to the Company fur a bond in my behalf of such kind
and in such amount as the employer to be named as beneficiary in the said bond may now or hereafter require. I also hereby agree
for myself, my heirs, executors, and adminis rators, to indemnify the Company against any losses, damages, costs, charges and
expenses it may sustain, incur, or become liable fur in consequence of my acts while under the said bond or any renewals thereof,
or any now bond issued in continuation thereof or as a substitute therefor; and any proper evidence of the payment by the Company
of any such losses, damages costs, charges, or expenses shall, in the absence of fraud on the part of the Company in making
such payment. be conclusive evidence against ate, my heirs, executors, and administrators, of the fact and extent of my liability
to the Company under this agreement. I hereby further agree that the company shall have the right to decline to grant the bond
applied for; that, in case the bond is granted, the Company. shall have the right to withdraw or cancel the bond at any time; that
the Company shall not be required to disclose the reasons or grounds upon which any action on its part in connection oith the
said hand may be based; and that the Company shall not be responsible fur any loss or damage that I may suffer by reason of any
such action, any statutory provisions to the contrary being hereby expressly waived by me.
This agreement may not be changed or modified orally. No change or modification shall be effective unless made by written
endorsement hereon signed by an authorised representative of,
this
isCompany
Dated and signed at .//e4
(Town fad Mono) day of
.611"4 co'
19-:“
EFTA01700829
ORIENTATION FOR NEW EMPLOYEES
The basic policies of Bear, Stearns & Co. are contained in the attached orientation outline. After you finish read-
ing the outline, the instructor will verbally go over the policies in detail, and answer any questions you may have
concerning them.
I have read and understand the orientation outline which explains the following policies:
1.
History of the Firm
2.
Trial Period
A. Probationary Agreement
B. Background Check
3.
Employee Benefits
A. Bonus Payments
B. Vacations & Holidays
C. Medical Coverage
D. Life insurance
E. Profit Sharing
F. Pensions
G. Salary Advances & Loans
4.
Workweek: Pay & Overtime
5.
Payday
6.
Identification Cards
EFTA01700830
•
7. Open Securities Trading Accounts
8. Jury Duty
9. Accidents or Illnesses
10. Medical Department
11. Disability
12. Cafeteria
13. Evacuation Procedures
14. Performance Reviews
15. Absenteeism
j
(PERSONNEL DEPT. REPRESENTATIVE)
EFTA01700831
Bear, Stearns & Co.
55 Water Street
New York, N.Y. 10041
(212) 952-5000
WRITER'S DlIttCT DIAL NUMER
University ot California
Berkeley, California
JEFFREY E. EPSTEIN
BEAR STEARNS
March 16, 1976
(Applicant's Nome)
(Social Security No.) has applied to us for employment. As a previous employer, we would appreciate your comments.
We have obtained a signed authorization and indemnification agreement from the applicant to
conduct reference checks, a copy of which is enclosed.
Should you prefer to respond by telephone, please call our reference section at
212/952-5263.
Dates of Employment:
Supervisor;
Claimed from
1973
to
1974
Lecturer,
Dr. Wolf
Verified from
to
Above Average
&ELT
Below Average
Attendance
0
.
I=
I=
Punctuality
CI
0
CI
Work Performance
0
l=
ED
Overall Rating
0
CI
C
To
the best of your knowledge, did this applicant have a Securities brokerage
account? 0
Yes 0
No
Would you recommend the applicant for a position of trust involving negotiable
securities? El
Yes la No
If your present policy permitted, would you rehire this applicant? ED Yes =No
Is there anything we should know about this applicant which would help make our relationship a
successful one?
GENERAL REMARKS:
Name:
Title:
Signature:
Form 267 (10/75)
tc
94720
New York/Atlanta/Boston/Chicago
Dallas/Los Angeles/San Francisco
Amsterdam/flensiv, /p3vic
EFTA01700832
Bear, Stearns & Co.
55 Water Street
New York, N.Y. 10041
12121 952.5000
WRITER'S DIRECT DIAL NUMBER
BEAR STEARNS
To Whom It May Concern:
I hereby authorize the release of the information requested on the attached form to my employer, Bear, Stearns
& Co.
Thank you in advance for your cooperation.
Sincerely,
134, r7L(er p2 -31
Applic
' s Sqldnature
New York/Atlanta/Boston/Chicago
Dallas/los Angeles/San Francisco
Amsterdam/Geneva/Paris
EFTA01700833
Mr.
1. A'PPLICANT'S NAME Ms.
4/
a
4. NASD FIRM NUMBER
6. FIRM ADDRESS
615:"
)(•r. $j
7. OFFICE OF EMPLOYMENT OF APPLICANT IC i....= t)?E‘____ezteert'
8. NASD DISTRICT IN WHICH OFFICE IS LOCATED._
—
R. TO BE REGISTERED WITH THE FOLLOWING:_ (Check Alf Applicable)
NATIONAL ASSOCIATION OF SECURITIES BEALERS (NASD) ° [
American Stock Exchange
0
Chicago Mercantile Exchange 0
Boston Stock Exchange
0
Cincinnati Stock Exchange
Chicago Board of Trade
0
J Detroit Stock Exchange
DE or —
IN 0 ----
MAO ----
NV 0
DC 0
IA0
FL 0
KS 0
GAO L
KY 0
HI 0
LAO
ID
MED
CT O.__
IL
MO 0
11. TYPE OF APPROVAL REQUESTED:
ilATIITAR1/.1iiil lFIATIONTR;gistered
Representative)
FULL REGISTRATION/GENERAL
SECURITIES
LIMITED REGISTRATION
REGISTERED COMMODITY
REPRESENTATIVE
AGENT OF ISSUER
INV. CO. & VARIABLE
CONTRACTS PRODUCTS
SECURITIES TRADER
RCAL ESTATE SECURITIES
DIRECT PARTICIPATION PROGRAMS
OTHER (Specify)
PART TIME (NASD or SECO)
FULL TIME (NASD or SECO)
INTERMEDIATE REGISTRATION
BRANCH OFFICE MANAGER
SUPERVISORY ANALYST
OFFICER (Title)
OTHER (Specify)
MI 0
MN 0
MS 0
MO 0
MT.D
NE K
NH 0
NJ 0
NM 0
_
NY 0
NC 0
0
O
J
0
Chicago Board Options
Intermountain Stock Exchange 0
Exchange
0
j
Midwest Stock Exchange
10. TO BE REGISTERED WITH THE FOLLOWING JURISDICTIONS: (Check all applicable)
AL 0
AK 0
AZ D
AR 0
CA 0
CO 0
NO 0
OH 0
OK 0
OR 0
PA K
RI 0
Lit../IYIIVIULJI itb INUUSINY REPRESENTATIVE and/or AGENT
— 1
LAST
Id (i.e..
•
FIRST /
Middle (II None, so intent/
b
•E
.
S 0 I \
1
3. DATE OF EMPLOYMENT
/414/(Lh
76
I 4—
J
I__L_J I
j
5. FIRM NAME Loci. _ _STfrci!"_.a
__ I 7
.71
.
.
SECURITIES AND EXCHANGE
COMMISSION ONLY (SECO)
New York Stock Exchange
Pacific Stock Exchange
PBW Stock Exchange
Spokane Stock Exchange
Other (Specify)
SC 0
SO
TN 0
TX 0
UT 0
VT 0
PRINCIPAL REGISTRATION
WA 0
wv
WI 0
WY n
PR
Member (Eadhange)
Regular
O
a r
— R
Associate
Approved Person (Exchange).
K
Holder of Voting Stock
Holder of Non Voting Stock
0
Subordinated Lender
Holder of Debentures
Director
General Partner limited Partner
Officer (Title)
Allied Member/Gen. Securities
Principal
Sole Proprietor
Manager Office of Supv. Jurisdiction
Financial and Operations Principal
Direct Participation Programs
O L_
_
Products
0
Investment Co. & Variable Contracts
00
Underwriter Principal
O
Other (Specify)
0
K
n
3
K
12. To the best of my knowledge and belief the applicant al the lime of approval will be familiar with the statute(s). conslitution(s) and floret ol the
agency: jurisdiction or organization with which this application is being filed. and the rules governing registered persons. and will be fully qualified for hit
position fir which application is being made herein. I agree that notwithstanding the approval of such agency. itnistlienon or organizatiois•which hereby
Is (*quested. I will net employ the applicant In the capacity stated
without first receiving the approval of any authority which may be icquised by
law. This firm has communicated with all the previous employers or the applicanl during the past three years. as set bath below:
EMPLOYER
NAME AND—POSITION. of
—
EMPLOYED ••-• • CONTACTED CY 'PHONE.
PERSON CONTACTED
I
FROM/TO
I LETTER On INITItieltW n addition. I have taken appropriate steps to verily the statements contained in this applicatio
ipplicant.
Date
Print Nm.of App opiTa-te
(See Instruction 12)
DO NOT WRITE IN THIS SPACE
:xperience lather Training Required
Lam Required_
_
ssue ram Grade OK
CitatJtICt fain Taken: Dale
.
Grade_—
.
Dale Approved: Cond.-_,
EFTA01700834
PERSONAL HISTORY
Prise 2 of 4
r
ea
zury ••••
18.
ire o
Plaie
Gina
3.
S li p,
.:
A2 j1._
EiraTtim
L
t
;,. ri none, Wieser'
2.
=
23
M of $ line a hiaiegcnimitlf AmForialifr
4.
RAePa Fu-llfffame
IF MORE SPACE IS NEEDED FOR ANY OF THE FOLLOWING QUESTIONS, ATTACH A SEPARATE SHEET
25. EDUCATION
"docational Institutions Attended:
HIGH SCHOOL Id L.
COLLEGE
;pacify Highest Year Completed:
90 100 11 0
12 in
10 20 3do 40
(STREET. CITY. STATE. ZIP COOD fAROC.114 YR.
YR.-
COURSE
FieStrirt
r
tkid
>
;-..ale
st
1
I '
C-Vcrkt A
.10.4 UM' ,
-7
•
/V 4/ •
-4
• -11::
Iii
.( (4 3 A fie
"rit.."(17
r
'Ns(
r
aden (II AppITEIM
Pity,
//Ur
16. iro-r-ri,r _Net.,
Qv< t•Ar
/AZ Y._
State
Zip
19. Citizen Yes of US? No 0
If no. state country of citizenship
I —
f
[
ADDRESS (Street City. State. Zip Code)
„≥,Si i SI _ __,SHeettt c. Mkt:4_ alk ter_fret 7
...21_12.. y
212.Y L —Irlit‘ ri.V. - #W.Z.: ,!K 17:..
titt:c...._,
•
-unme- AfiflobRess'or'INSTiTUTION
GRADUATE cSCHOOL a{
1n 2
30
4 0
'DAY OR
DIO—YOU
DEGREE
EVENING GRApATE
Ty
17/vy
6
26. EMPLOYMENT HISTORY
The following is a complete, consecutive statement of my business history for the past ten years starting with my current position.
(All time must be accounted for including self-employment, unemployment. parttime Securities, commodities, insurance and real estate
industries or related positions and all military service.) tmme Or EMPLOYER-ANOCOMPLETEADDarradar
(STREET. CITY. STATt ZIP CODE)
MO.
YR.
(Tr.
to
MO.
YR.
- To()MtION
MELO
REA{OWFOR
LEAVING
FULCOR
PAFtT.IIME
1
"ter..
ii,J4 44.3,..0
4 S 11\
At' .. 1.1.
q lit A....7Cfa zt
-
FJ--
7
,_
..I i
.
I
4..
.
I
[repeated 3 times]
•
I
I
j
i
27. RESIDENTIAL HISTORY (Give all home addresses starting with present address.for the past 10 years.)
FROM - 4
2
—
0
Mo. YR.
MO.
YR.
(7 4-
-_2I
71
28. The following is a complete list of all brokers, dealers or banks with which I am carrying accounts insecurities or
commodities or with which I have carried such during the past ten years. (If "none", so state.)
-
—.
_-
atiecin oPEN olt—
NAME AND ADDRESS OF FIRM OR BANK
ACCOUNT NUMBER
MARGIN
FROWTOT CLOSED
—•
-
•
-
•
[repeated 5 times]
-
•
authorize and request any and all of my former employers and ony other person to furnish to the agency, jurisdiction or organization
with which this application is being filed, or any agent acting on Is behalf, any information they may have concerning my credit
worthiness, character, ability, business activities, educational background, general repu ation, together with, in the case of former
employers, a history of my employment by them and the reasons for the termination thereof. Moreover, I hereby release each such
employer and each such other person from any and all liability of whatever nature by reason of furnishing such information to the
agency, jurisdiction or organization or any agent acting on its behalf.
Further. I recognize that l may be the subject of an investigative consumer report ordered by the agency. jurisdiction, or organization
with which this application is being tiled, and that I have tire right to request complete and accurate disclosure by such agency,
juristlictjon, or organization of the nature and scope of lite investigation requested.
'
I
10
I
t
•
•
EFTA01700835
YEAR LIIAIT DOES NOT APPLY TO QUESTIONS 30 THROUGH 54.
4
J. A. Have you• ever taken end passed a qualifying examination fof registration in any capacity with the
NASD; a national securities or commodities exchange Or SECO? If yes, state below the type of yes__
examination, the approximate date taken and with what regulatory body application was made.
Type of Exam
Approximate Date Taken egt rratry
Body
8. Have you ever been granted a waiver of qualifying examination with an agency or organization?
If yes, state below the type of examination, the approximate date and by what agency or organiza-
tion.
Yes— No.-
Page. 3 of 4 orl
-iypt r-1—zrThell
Approximate bare
Reggulatory Body
C. Have you ever taken a qualifying examination for any jurisdiction? If yes, state below the type of
examination, the approximate date taken and the name of the jurisdiction administering it.
Yes_, No_.
Type of Exam
AporrourThr0ale taken
Regulatory body
D. Hive you ever been exempted or excluded from taking a qualifying examination by any jurisdiction?
If yes, stale below the type of examination, the approximate date and the name of the jurisdiction
issuing the exemption or exclusion. .
Type of Cirn
Appmx mole Dale
Regulatenay
IF THE ANSWER TO ANY OF THE FOLLOWING QUESTIONS IS YES, ATTACH COMPLETE DETAILS:
31. Have you ever been registered or licensed by any agency or jurisdiction to sell or to deal in securities
or commodities as a principal or employee with any registered broker•dealer or to function as an invest•
ment adviser? If yes, specify the name of the brokeodealer or investment adviser, dates registered and
agency or jurisdiction with which you were registered.
32. Are you currently engaged. In any other business either as a proprietor, partner, officer, direCtor,
trustee, employee or otherwise?
33. Do you or any member of your immediate family have any beneficial Interest in any investment part-
nership or corporation (including hedge funds, investment clubs. etc.) or any other domestic or foreign
accounts whose primary function is investing in securities or commodities (excluding companies regis-
tered under the Investment Company Act of 1940)?
34. Are you now or have you ever been licensed to sell insurance?
Type of licensers) and jurisdklion(s) where licensed
35. Are you now or have you ever been licensed to sell real estate?
Type of LIcense(s) and furisdktion(s) where licensed
36. Are you currently bonded? (If yes, specify insurance company and amount.) c.let"-•?
38. Has any surety company paid out any funds on your coverage or cancelled your bond? .
37. Have you ever been refused a fidelity bond?
39. Are you now or have you ever been a regular or associate member of any stock exchange or commodity
exchange/contract market?
40. Nave you ever been an officer, director, general partner, owner of ten (10) percentum or more of the
voting securities, or controlling person of, or otherwise engaged In any other managerial or supervisory
capacity with any broker or dealer for which a trustee has been appointed pursuant to the provisions
of the Securities Investor Protection Act of 1970, or that has been liquidated under any other circum-
stances? .
41. To your knowledge, are you now or have you ever been the subject of any Investigation or proceeding
by any securities, commodities or insurance agency, jurisdiction or organization?
42. Are you now or have you ever been a defendant in any litigation alleging the violation of any agree-
ment with or provision of a securities or commodities industry self.regulatory organization's constitu-
tion, by-laws or rules, or any securities, commodities or insurance law or regulation? .... ... ...... ......
43. Are you now or have you ever been a director, controlling stockholder, partner, officer, sole proprietor.
or associated person with a broker-dealer or insurer which during the time of such association was
suspended, expelled, or had its registration denied or revoked by any agency, jurisdiction or organiza-
tion?
44. Are you now or hove you ever been subject to an order of the NASD. a securities or commodities
exchange. an agency or any jurisdiction which revokes, suspends or denies membership or registra-
tion?
45. Has any permanent or temporary injunction ever been entered against you or any broker.dealer,
insurer, investment adviser or commodities firm with which you were associated in any capacity at the
time such injunction was entered?
.
•
46. Are you now or have you ever been (whether or not publicly disclosed) suspended, expelled, fined.
hand. tenured or otherwise disciplined, or found to have violated any securities or commodities law
or rule by any securities or commodities agency, jurisdiction or organization: or been refused member-
ship therein or withdrawn your application for such membership: or been refused a license to sell
insurance or had one suspended or revoked for cause by any jurisdiction or agency?
47. Are you now or have you ever been named as an eider, abettor, or a co-conspirator in, or cause of, any
action mentioned in questions 40, 41, 42, 43, 44, 45 and 46, taken with respect to a brokeortopia.,
or insurer?
_I
• I
Yes— No—j
Yes._ No
Yes— No_
Yes_ No
Yes.___ Noi
Yes—
Yes— No
Yes— N
Yes.— No
Yes— No_
Yes— No—
Ir/
Yes— No r---
Yes— No
• —
1
Yes_ No_ F1
.
Yes
0
EFTA01700836
I •
•
Are ynu now or have you ever been suspended, expelled, fined, barred, censured or otherwise disci-
plined by an employer in the securities, commodities or insurance-industry?
.
49. Have you ever had denied, suspended or revoked a license, permit, certificate, registration or member-
ship required to engage in securities, commodities, insurance or other business or profession?
5O. In your previous business connections or employment, have you ever been:
a. a subject of a major complaint or legal proceeding?
or, b. discharged or requested to resign by an employer because of dishonest or unethical acts
alleged to have been committed by you?
5/. Have you or any firm. corporation or association of which you have been a principal or officer ever
failed in business, made 'a compromise with creditors or ever filed or been declared bankrupt under
any bankruptcy acts?
52. Have you ever been:
a. Arrested or indicted for any felony or misdemeanor involving the purchase, sale, or delivery
of any security. or arising out of the conduct of the business of a broker, dealer, fiduciary.
investment company, investment adviser. underwriter, bank, trust company, insurance corn
pany or other financial institution, or involving any crime in which violence or threats of
violence against any person, dishonesty, the wrongful taking of any property, or any manner
of fraud was a factor, Or involving conspiracy to commit any of the foregoing?
Or, b. Convicted of. or pleaded nob contendere to, any felony or any misdemeanor, except minor
traffic offenses?
53. Have you ever been a principal or employee of any firm, corporation or association which, while you
were associated with it, was convicted of, or pleaded nob contendere to, any felony or misde-
meanor?
54. Are you currently the subject of an unsatisfied judgement or lien?
THE FOLLOWING SHOULD BE READ
VERY CAREFULLY BY THE APPLICANT
4 of 4
Yes_. No_
Yes._ No_.
Yes_ No_
Yes
No
Yes_ No—
i
Yes
No
Yes_ No
E
1
Yes_ No__
•
Yes
No
1. I hereby certify that I have read and understand the foregoing statements and that my responses are true and complete to the
best of my knowledge.
2. To induce the agency, jurisdiction or organization with or to which I am filing or submitting this application to receive and
consider it:
A. I agree that any decision of the agency, jurisdiction or organization as to the results of any examinations) that I may be
required to pass will' be accepted by me as final;
B. (1) I understand that I am not authorized to sell, or offer for sale, any securities until I have received my license or registra-
tion certificate or an official notification of its effective date;
(2) I understand that I am to sell only those securities authorized by my employer.
C. I agree to abide by the Statute(s), Constitution(s), Rules and By-laws as any of the foregoing are amended from time to time
of the agency, jurisdiction or organization with or to which I am filing or submitting this application;
D. If I shall violate or be charged with the violation or possible violation of any Statute, Rule. Constitution or Bylaw of any
agency, jurisdiction or organization with or to which I am filing or submitting this application, I agree to be subject to and abide
by the penalties of the Statute(s), Constitution(s), Rules and By-Laws of such agency, jurisdiction or organization.
3. Further, and in consideration of the securities or commodities self•regulatory organization receiving and considering this applica•
lion, I submit myself to the jurisdiction of such organization(s).
4, I
„Is Fite cy ecri...r.:
gyps-rm./
the undersigned applicant do solemnly swear that the answers to the above questions and the statements herein made are true, and that I have not herein made any statement,
which is at this time and in the light of the circumstances under which it is made, false or misleading in any material respect.
5. I. the undersigned, for the purpose of complying with the laws of the State of T•k- Li
1 eIZIC relating to either the registration or sale of securities or commodities, hereby irrevocably appoint the administrator, or such other person desig-
nated by law, and the successors in such office, my attorney in said State upon whom may be served any notice. process or
pleading in any action or proceeding against me arising out of or in connection with the offer or sale of securities or commodities.
or out of the violation or alleged violation of the aforesaid laws of said State; and I do hereby consent that any such action or
proceeding against me may be commented in any court of competent jurisdiction and proper venue within said State by service of
process upon said appointee with the same effect as if I was a resident in said State and had lawfully been served with process in
said tate It is requested that a copy of an otice, process plead'
d hereunder be mailed to me at my residence.
S
Cf .( 2 MG
Data
Siena
Date
Siena lyre of Witness
(Witness must be either a partner of the firm, officer of the corporation, branch office manager, or authorized employee. Please
indicate which).
(NOTARIZATION OF APPLICANT'S SIGNATURE)
STATE OF
County
SS:
EFTA01700837
vvroniutn itb muus NV REPRESENTATIVE and/or AGENT
APPIRICANn NA1AE
Ad ire
Middle fral Nt onite.. 1:o—rIspecIth
LI FT
Mt.
)
FIRST
3. DATE OF EMPLOYMENT
014/CLA
it
I
J
4. NASD FIRM NUMBER
I
L—
7
6. FIRM ADDRESS
"
ceL
j
5. FIRM NAME . fr et._
t
7. OFFICE OF EMPLOYMENT OF Aura
ZE
D413-q..?
:Cir ri/."
-
ANT ittet
di
=
8. NASD DISTRICT IN WHICH OFFICE IS LOCATED.
I
, j
9. TO BE REGISTERED WITH THE FOLLOWING: (Check All Applicable)
NATIONAL ASSOCIATION OF SECURITIES DEALERS (NASD) 9L ,
American Stock Exchange
Q
Boston Stock Exchange
Chicago Board of Trade
Chicago Board Options
Intermountain Stock Exchange 0
_
Exchange
Q 1-
1 Midwest Stock Exchange
10. TO BE REGISTERED WITH THE FOLLOWING JURISDICTIONS: (Check &I applicable)
AL 0
AK
AZ 0
AR 0
CA 0
CO
CT O `
ILO
MD 0
11. TYPE OF APPROVAL REQUESTED:
STANDARD REGISTRATION (Registered
Representative)
&.—
FULL REGISTRATION/GENERAL
SECURITIES
LIMITED REGISTRATION
REGISTERED COMMODITY
REPRESENTATIVE
AGENT OF ISSUER
INV. CO. & VARIABLE
CONTRACTS PRODUCTS
SECURITIES TRADER
REAL ESTATE SECURITIES
DIRECT PARTICIPATION PROGRAMS
OTHER (Specify)
Chicago Mercantile Exchange
Cincinnati Stock Exchange
0
Detroit Stock Exchange
O
DEC
OCO
FLO
GAO
HI Q wri
IN O
IA
KS 0
KY
LAD
!Am
PART, TIME (NASD or SECO)
FULL TIME (NASD or SECO)
INTERMEDIATE REGISTRATION
BRANCH OFFICE MANAGER
SUPERVISORY ANALYST
OFFICER (Title)
OTHER (Specify)
•
SECURITIES AND EXCHANGE
COMMISSION ONLY (SECO)
1
MA 0
NV
NOQ
MI 0
MN
MS 0
MO 0
MT.0
NE 0
O
O
K
O 9
NH 0
NJ 0
NM
NY 0
NC 0
O
O
ono
OK 0
OR Q
PA 0
RI
Pacific Stock Exchange
P8W Stock Exchange
Spokane Stock Exchange
Other (Specify) sco
SD IO
TN 0
TX 0 tap
.
PRINCIPAL REGISTRATION
Member (Eicihange)•
Regular
Associate
•
Approved Person (Exchange) .
Holder of Voting Stock
Holder of Non•Voting Stock
Subdrdinated Lender
Holder of Debentures
Director
General Partner
Limited Partner
Officer (Title)
Allied Member/Gen. -Securities
Principal
Sole 'Proprietor
Manager Office of Supv. Jurisdiction
Financial and Operations Principal
Direct Participation Programs
Investment Co. & Variable Contracts
Products
New York Stock Exchange
D I --
-1
C .
.
• I
VA
WA o
WV
tai 0
WY n
PR 0
_
K
O
O _
O
12
K
Underwriter Principal
0
Other (Specify)
MIM mmoofR
—•••
•
12. To the best of my Knowledge and belief the applicant at the time of approval will be familiar with the staltate(s), cOnstituirords) and clef of the
agency. jurisdiction or organization with which this application Is being tiled. and the rules governing regi SSSSS d persons, and will be Italy qualified ter the
sedition for which application is being made herein. I agree that notwithstanding the soproval of such agency. jurisdiction or oigannation.•villich hereby
s ftersesred. I will not employ the applicant in the capacity stated herein without first receiving the approval Or any authority which may be required by
aw. This brrn has communicated with all the previous employers of trie applicant during Ina past three yoga. as set lurth below:
EMPLOYER
NAhle*AND—POSITION. OF--
*— EMPLOYEEr —
CONTACTED' TIT -PHONE.
PERSON CONTACTED
FROM/TO
LETTER OR INTERVIEW addition, I have taken appropriate steps to verify the statements contained in this application a
iplicant.
Date
Print Name of App opriate Signatory
(See Instruction 12) one into
t
thiiaturo of AlsisroliialairiCari
1
reputation ( the
DO NOT WRITE IN THIS SPACE
Clearance
Gain Token: Date.
Giotto.
patient'
/the, Tie:nine Required am Required, sm Grade OK
Date Approved:
.
[repeated 3 times]
Final
EFTA01700838
P.+ec 2 of 4
PERSONAL HISTORY
I a lma
7 iti z •-•
1
i 18. juc' t_..
.1 ego<
19. Citizen Yes fa'''....
;..
itrialliiili--
Place of Okth
;: ttil
L,
rililfliat s — — — Aiiircif None. indkiti
If no. state country of
Si
2.
tar
Ilanrue IJM.
IF MORE SPACE IS NEEDED FOR ANY OF THE FOLLOWING QUESTIONS.
25. EDUCATION
'
mast
Na
—
i,isi
. 1.4c. C
31( IL, orytt7
LI
•
Mr.
Kieft —
Wader, TirKPlerbIeT
-1/(
/11
//2Z `f 16.
4-/ VC'
NLZ
r
.
Y:
City
state
,_
'ducationat Institutions Attended:
HIGH SCHOOL d ipecify Highest Year Completed:
9 0 100 11
0
12
NAMriFitrAbbacss inStetUTIONI
(STREET. CITY. STATE. ZIP CODE)
L
of UST No 0
ATTACH A SEPARATE SHEET
COLLEGE
10 20 3-6 40 mom"
-COURSE
MO.
YR.
MO.
YR.
f_pea :OW tit 6(I
> cis t"ale
<-.1Alt A vat, V•-• ea. -7 eur .1
7vy.J.
(,.Gs."
ry
GRADUATE SCHOOL ti in 2d1 30 4 0
DAY OR
DID YOU
DEGREE
EVENING GRADUATE eVC)
¢t-1 any
26. EMPLOYMENT HISTORY
The following is a complete, consecutive statement of my business history for the past ten years starting with .my current position.
(All time must be accounted for including self•emptoyment. unemployment, part•time securities, commodities, insurance and real estate
industries or related positions and all military service.)
' — itAine of EmPtordri—Aigrcompan'ozoass
(STREET. CITY. STATE. ZIP CODE)
Mom
MO.
YR.
( in
TO —
'
MO.
YR.
_Lai_
I
—06Sitiole
—
_tfau r-tTsci
"54° --0.T.
nesiorFori
LEAVING
tortoR
PART.IIME 7
Tat-'
4.1_45;1 Ct ti Pst A, ' . I:L.
Fn., ilia
i
[repeated 3 times]
--I.--
J
-
27. RESIDENTIAL HISTORY (Give all home addresses starting with present address.for the past 10 years.)
ADDRESS (Street. City. Sate. Zip Cede)
•
i MO. YR.
MO.
YR.
T FROM
fo
. 31,c:..'- ____c_-_7:r. i;,...ev: y_ Ae- ii____ / c.-v 3
'
__L__fl: ._..-174" ,,,E
V Y1c1..- - 54.-Iter.tte..fAl-1/... actAr.-"±: 47
_/0-1:Y-- -..—.
4
..?.?•"/ t •••••17:
114
1. r
t
i e
41:
:
t
I
"(
i'
/
Yr.
..?
• /12..,...t.-- •
M
• oid.
••••••16o
4
.
•
ok. __.22-2..
-
•
aims ••••••
.
28. The following is a complete list of all brokers. dealers or banks with which I am carrying accounts in' securities or
commodities or with which I have carried such during the past ten years. (If "none", so state.)
''.
.
40+.4.+•••••
4 ••
NAME AND ADDRESS Of FIRM OR BANK
ACCOUNT NUMBER
MAG
—CASH NR
FROM/TO
CLOSED
OPEN OR
I
b.
•
•
s. m 0 0.
I •••
on
••
m..
4+ •• .4
+6
4+
+
m•bm.s.
MONA.,
•
DM *se
mr
ig.•
to...mammon
•
.•
..
•
[repeated 7 times]
.•
•
[repeated 5 times]
.•
•
•
tr i c'
•
" •
•
— -
•
" •
• '• authorize and request any and all of my former employers and any other person to furn sh tc the agency, jurisdiction or organization
with which this application is being filed, or any agent acting on Its behalf, any Information they may have concerning my credit
worthiness. character, ability, business activities, educational background, general reputation, together with, in the case of former
employers, a history of my employment by them and the reasons for the termination thereof. Moreover. I hereby release each such
employer and each such other person from any and all liability of whatever nature by reason of furnishing such information to the
agency. jurisdiction or organization or any agent acting on its behalf.
Further, I recognize that I may be the subjett of an investigative consumer report ordered by the agency, jurisdiction, or Organization
with which this application is being filed, and that I have the right to request complete and accurate disclosure by such agency,
jurisdiction, or organization of the nature and scope of reinvestigation requested.
'
'
,
/
r •
-
i.
*r•
r-
EFTA01700839
,EN YEAR LIMIT DOES NOT APPLY TO QUESTIONS 30 THROUGH 54.
Page 3 of 4
•
.1. A. Have you• ever taken and passed a qualifying examination lot registration in any capacity with the
NASD; a national securities or commodities exchange nr SECO? If yes, state below the type of
examination, the approximate date taken and with what regulatory body application,was made.
Yes-- No— i-
1
Type of Exam
Ames ma a Dale far
wp
nry
Bixly tion.
If yes, stale below the type of examination, the approximate date and by what agency or organize-
Yes--
./1/1
B. Have you ever been granted a waiver of qualifying examination with an agency or organization?
Nom Ir~
•
•
Type of teem
Atoregleviete Sete
&Ovary avai
C. Have you ever taken a qualifying examination for any jurisdiction? If yes, state below the type of
examination, the approximate date taken and the name of the jurisdiction administering it.
Yes
Ho
t
type of Exam
Aar.
i
ralialsi-Osialskan rtigtaateiy /3.30y
D. Hive you ever been exempted or excluded from taking a qualifying examination by any jurisdiction?
If yes. state below the type of examination, the approximate date and the name of the jurisdiction
issuing the exemption or exclusion.
No_
Yes--
1 ,./..mml•Er
V
Type insane
-AaarMIZWbata
stegvieirry"Wey
IF THE ANSWER TO ANY OF THE FOLLOWING QUESTIONS IS YES. ATTACH COMPLETE DETAILS:
31. Have you ever been registered or licensed by any agency or jurisdiction to sell or to deal in securities
•
ment adviser? If yes, specify the name of the broker-dealer or investment adviser, dates registered and
..// or commodities as a principal or employee with any registered broker•dealer or to function as an invest
agency or jurisdiction with which you.were registered.
Yes—... No-71=
32. Are you currently engaged. in any other business either as a proprietor, partner, officer, director
trustee, employee or otherwise?
, Yes_ No__
33. Do you or any member of your immediate family have any beneficial Interest in any investment
4.
1
_
partnership or corporation (including hedge funds, investment clubs, etc.) or any other domestic or foreign
11
accounts whose primary function is investing in securities or commodities (excluding companies regis•
lead under the Investment Company Act of 1940)7
Yes— No
34. Are you now or have you ever been licensed to sell insurance?
Yes-- No..i I
I
Type of Utensils) and jurisdiction(:) where licensed
•
/
35. Are you now or have you ever been licensed to sell real estate? ............... • •
•
Yes—
--- il ---- 1
Type of Licenstfs) and jerisdielion(s) where licensed
CAA
-1/4 1;=1
---1
36. Are you currently bonded? (If yes, specify insurance company and amount.) itief,“, • CAA i...
Yes,_ No
Yes
No_LZ t___
s
37. Have you ever been refused a fidelity bond?
38. Has any surety company paid out any funds on your coverage or cancelled your bond?
Yes
No 1
---1
39. Are you now or have you ever bean a regular or associate member of any stock exchange or commodity
exchange/contract market?
Yea-- No-- L
40. Have Sou ever been an officer, director, general partner, owner of ten (10) percentum or more of the
voting securities, or controlling person of, or otherwise engaged in any other managerial or supervisory
capacity with any broker or dealer for which a trustee has been appointed pursuant to the provisions
of the Securities Investor Protection Act of 1970, or that has been liquidated under any other circum-
stances?
a
41. To your knowledge, are you .now or have you ever been the subject of any investigation or proceeding
by any securities. commodities or insurance agency, jurisdiction or organization?
.
Yes.— No —;___I
42. Are you now or have you ever been a defendant in any litigation alleging the violation of any agree-
ment with or provision of a securities or commodities industry self•regulatory organization's constitu•
If
tan, by-laws or rules, or any securities, commodities or insurance law or regulation? .... ... .. ... ...... . Yes__.... No,.
43. Are you now or have you ever been a director, controlling stockholder, partner, officer, sole proprietor.
or associated person with a broker-dealer or insurer which during the time of such association was
suspended, expelled, or had its registration denied or revoked by any agency, jurisdiction or organiza-
tion?
.
.
••
•
•
Yes
44. Are ybu now or have you ever been subject to an order of the NASD, a securities or commodities
exchange, an agency or any jurisdiction which revokes, suspends or denies membership or registra-
tion?
Yes.-- No
45. Has any permanent or temporary Injunction ever been entered against you or any brokendealer,
insurer, investment adviser or commodities firm with which you were associated in any capacity et the
time such injunction was entered'
.
•
•
.•
..
.
•
d
•
.
46. Ace you now or have you ever been (whether or not publicly disclosed) suspended, expelled, lined.
Wild. censured or otherwise disciplined, or found to have violated any securities or commodities liw
or rule by any securities or commodities agency, jurisdiction or organization; or been refused member-
ship therein or withdrawn your application for such membership; Or been refused a license to sell
Insurance or had one suspended or revoked for cause by any jurisdiction or agency?
• Yes._— NO .
47. Are you now or have you ever been named as an aider, abettor, or a co-conspirator in, or cause of, any
action mentioned in questions 40, 41. 42. 43, 44, 45 and 46. taken with respect to a brokebrina...
or insurer? •, f. ,/ _.... .
,
.
a
Yes—
No—I— I -
1
0
I
Yes___ No r------1
EFTA01700840
4 of 4
Are you now or have you ever been suspended, expelled, fined, barred, censured or othe.rwise. .
..
disciplined by an employer in the securities, commodities or inswance•industry?
Yes_-_ No._
49. Have you ever had denied, suspended or revoked a license, permit, certificate, registration or member-
ship required to engage in securities. commodities, insurance or other business or profession?
Yes
No-
50. In your previous business connections or employment, have you ever been:
a. a subject of a major complaint or legal proceeding?
Yes_ No._
Or, b. discharged or requested .to resign by an employer because 'of dishonest or unethical acts
alleged to have been committed by you?
Yes_ No
51. Have you or any firm, corporation or association of which you have been a principal or officer ever
failed in business, made'a compromise with creditors or ever .filed or been declared bankrupt under
any bankruptcy acts?
52. Have you ever been:
a. Arrested or indicted for any felony or misdemeanor involving the purchase, sale, or delivery
• of any securily, or arising out of the conduct of the business of a broker, dealer, fiduciary.
investment company, investment adviser• underwriter, bank, trust companY, insurance com-
pany or other financial institution, or involving any crime in which violence or threats of
violence against any person, dishonesty. the wrongful taking of any property, or any manner
of fraud was a factor, 'or involving conspiracy to commit any of the foregoing?
or, b. Convicted of, or pleaded nolo contendere to, any felony or any misdemeanor, except minor
traffic offenses?
53. Have you ever been a principal or employee of any firm, corporation or association which, while you
were associated with it. was convicted of,. or pleaded nofo contendere to, any felony or misde-
meanor?
Yes_ No
I
Yes_ No
Yes—
Yes_ No_
L
54. Are you currently the subject of an unsatisfied judgement or lien?
Yes
No
THE FOLLOWING SHOULD BE READ
VERY CAREFULLY BY THE APPLICANT
1. I hereby certify that I have read and understand the foregoing statements and that my responses are true and complete to the
best of my knowledge.
2. To induce the agency, jurisdiction or organization with or to which I am filing or submitting this application to receive and
consider It:
A. I agree that any decision of the agency, jurisdiction or organization as to the results of any examination(s) that I may be
required to pass will' be accepted by me as final;
B. (1) I understand that I am not authorized to sell, or offer for sale, any securities until I have received my license or registra-
.
•
tion certificate or an official notification of its effective date;
(2) I understand that I am to sell only those securities authorized by my employer.
•
C. I agree to abide by the Statute(s), Constitution(s), Rules and Ely-Laws as any of the foregoing are amended from time to time
of the agency, jurisdiction or organization with or to which I am filing or submitting this application;
D. If I shall.violate or be charged with the violation or possible violation of any Statute. Rule, Constitution or Bylaw of any
agency, jurisdiction or organization with or to which I am filing or submitting this application. I agree to be subject to and abide
by the penalties of the Statute(s). Constitution(s), Rules and By-Laws.of such agency, jurisdiction or organization.
3. Further, and in consideration of the securities or commodities self-regulatory organization receiving and considering this apPlica•
!ion, 1submit myself to the jurisdiction of such organization(s).
4. I, ..., /ccii.e.-
V— _ --- ennt•PO) fitabSeJ
the undersigned applicant do solemnly swear that the answers to the above questions and the statements herein made are true, and that I have not herein made any statement.
which is at this time and in the light of the circumstances under which it is made, false or misleading in any material respect.
5. I. the undersigned, for the purpose of complying with the laws of the State of TUe-,-)
-1 t:WIC.,____ relating to either the registration or sale of securities or commodities. hereby irrevocably appoint the administrator, or such other person desig-
nated by law, and the successors in such office, my attorney in said State upon whom may be served any notice, process or
pleading in ally action or proceeding against me arising out of or in connection with the offer or sale of securities or commodities.
or out of the violation or alleged violation of the aforesaid laws of said State; and I do hereby consent that any such action or
proceeding against me may be commenced in any court of competent jurisdiction and proper venue within said State by service of
process upon said appointee with the same effect as if I was a resident in said State and had lawfully been served with process in
said tate
I
It is requested that a copy of an oti e, process plead'
e
ed hereunder be mailed to me at my residence.
Sign;
Dale
Slenet re of Wanes*
:Maness must be either a partner of the firm, officer of the corporation, branch office manager, or authorized employee. Please
ndicate which),
(NOTARIZATION OF APPLICANT'S SIGNATURE)
;TATE OF
:ounty t ss:
EFTA01700841
7DEETP,CI
NAME
BORN: 1/20/50
EPSTEIN, JEFFREY E.
1/20/53 t!ATE OF REPORT;
1[SSN REDACTED]
4/28/76)
Note:Date of birth-developed.was:-1/20/53;appliCation listed 1/20/50.
EDUCATION
COOPER UNION
NEW YORK, NEW YORK
Appl. Dates: 9/66 to 6/70
Reported: 9/69 to 1/72
Herbert Liebeskind, Dean of Admissions & Records said applicant
majored in Physics and did not graduate. His birthdate was
1/20/53 and his residence while a student was 3742 Maple Avenue,
Brooklyn, New York.
NEW YORK UNIVERSITY
NEW YORK, NEW YORK
Appl. Dates: 9/70 to 6/72
Reported: 9/71 to 2/74
Mavis Lewis, Recorder, said applicant majored in Mathematics
and did not graduate. His date of birth was 1/20/53, and his
residence while a student was 3814 Seagate Ave., Brooklyn, N.Y.
effrey E. Epstein issued an invalid check to New York University
during the 1973-74 academic year. (Note credit, suit by N.Y.U.)
EMPLOYMENT
UNIVERSITY OF CALIFORNIA
Appl. Dates: 1973 to 1974
BERKELEY, CALIFORNIA
Reported: See Below
Mrs. Julia Sills, Personnel & Payroll records, checked all available computer tapes from 1973 to current and nothing
identifiable with the applicant was developed. Payroll-
Accounting records were also thoroughly checked and there is
no record of U.C. Berkeley issuing a payroll check to a Jeffrey
E. Epstein during 1973, 1974 or 1975.
Mrs. Helen La Sota, Business Officer, Mathematics Department,
checked current and foiller employee records of this department
and found nothing identifiable with applicant.
Mr. Epstein indicated that his supervisor was a Dr. Wolf on his
application. University records list two Wolfs, one a Joseph
Wolf, is a Professor Emeritus (retired) and many attempts to
reach him at home proved negative. Joseph Wolf, Ph.D. is on a sabbatical in Israel.
Dinh Wolf's mentioned were connected with the Mathematics
Department and there are no other Wolf's employed by U.C. BERKELEY.
lg
he information contained in this report is for the SOLE AND CONFIDENTIAL [Ica r.
_
•
EFTA01700842
EPSTEIN, JEFFREY E.
KLYN, NEW YORK
Appl. Dates: 1972 to 1973
Reported: 1972 to 1973 was contacted;
spea t rough a closed window. When she learnedmis called ing inquiries
ffrey Epstein she , applicant's , who lives. on the second floor o this private house. As this was an inadvertent
meeting, a brief conversation followed.
It was .learned from that he and , Jeffrey, were in business forlimse ves, making and se
screen paintings. (On his applicationsbject described his self employment as tutoring.)
was the designer and painter and Jeffrey handled sales. They were in business
about two years, from 1972 to 1973. After the business folded, Jeffrey Epstein went to California where he lectured
at the University of California.
Recently, Jeffrey Epstein was at the Dalton School, New York
City, where he taught. In mid-March 1976 subject went to work for Bear, Stearns & Co.
Note: Conversation was terminated as was becoming bored and restless. There was an as
and he seemed to resent this inquiry.
o
hesitant about releasing information about applicant (See residence report.)
JEFF NIER ROOFING
4050 ATLANTIC AVENUE
BROOKLYN, NEW YORK
ME la
Appl. Dates:
1971 to 1973
Reported:
1975 , stated substantially the following:
I have known Jeffrey E. Epstein for ten years as a friend, associate, and employee.
Jeffrey worked for me as a foreman for six months in the first part of 1975.
Weather permitting, he worked on a steady basis, supervising two or three workers,
and was earning $62 per day.
He did a good job for me and I don't know the reason he left the job.
Jeffrey Epstein does not use alcohol or drugs, in fact he is the athletic type, likes to work out by swimming, bike
riding, punch bag, etc.
I
am not familiar with his past
e
lo m nt record t I do know that he worked with his , in the silk screen painting business;
nis brother is an artist.
-2-
EFTA01700843
• ;a
EPSTEIN, JEFFREY E.
I have never known Jeff to be in any type of trouble with
Law enforcement agencies. He was out of the state for awhile, I do not know where he went or what he was doing.
Jeff is able his years old; he lives with his family at
.; his family has lived in this community for many years, I am not familiar with their exact
address. I have nothing but admiration for Epstein and I know nothing adverse about him. Yes, I recommend him for a
position of trust.
Note: Source was very hesitant in answering questions, but d that applicant did work for him, six months in 1975.
shied away from questions about education and previous employers of the applicant.
RESIDENCE
11!klyn, New York
This is a large two family house, it is in good condition with white aluminum siding. It is about 40 years old and
valued at approximately $60,000. It is located in a residential community.
IIIIII and resident at IIII IIIIIII II.,
!!!known the Epstein family for more than twenty years; she reluctantly gave the following information about applicant.
IIII Milli described Jeffrey Epstein as a bright, well behaved
young man of good character. She said that until March, 1976
he taught at:.the Daltbn School•and is now employed by a Wall Street firm. For aboutaa year and a half subject taught
at a university in California.
Source described applicant's family as honest and sincere, that they have a good reputation.
RECORDS
Usually reliable credit sources report the following which may be identifiable with subject in NEW YORK CITY:
There is a r rd in file on Jeffrey E. Epstein of IIIII
Brooklyn, N.Y. SS I verified.
file re ects the ollowing:
-3-
EFTA01700844
EPSTEIN, JEFFREY E.
SUIT
On January 28, 1975, New York University filed suit for $500 in New York County Civil Court,
Docket # 13994
We will supplement when we get the disposition.
No record of judgments, tax liens, wage assignments, or bankruptcies identifiable with subject.
Records of the KINGS COUNTY CRIMINAL COURT were checked for felonies, misdemeanors and youthful offender cases and no
record was found identifiable with subject.
MISCELLANEOUS
.A confidential source provided the, following information identifiable with the applicant:
Brooklyn, born 1/20/53, engaged to
!Ili! born
On or about April 1, 1976 Jeffrey E. Epstei applied for rental of apartment 15 at 17 .
St., ew York City. Monthly rental is $435 and employment is shown as: "two years to present, Dalton Schools, New York
City, teacher and administrator.
Occupants of
■
to be Mr. Epstein, and III -
-4-
EFTA01700845
e
..mip
,
EFTA01700846
952-5262 wgust 10, 1976
New York University
Graduate School of Arts and Sciences
Recording Office
6 Washington Square North, Room 3
New Yor}, New:York 10003
Attn; Mrs. Mavis Lewis
Dear Mrs. Lewis,
Thank you for your response to our inquiry
(copy attached). We would now like to request a copy of Mr. gpstein's transcript.
Please bill us for whatever the transcript fee will be.
Thank you very much for your help.
Sincerely,
Karen Messemer
Personnel
nt
EFTA01700847
1
Jeffrey E. Epstein
March 16, 1976
Karen Messemer, Personnel
Previous employment verifications
Since your employment from 1972 - 1973 was self-emoloymentetwe need some sort of income tax
form or ¶9-2 form for that period of time..
Thank you.
EFTA01700848
Jeffrey E. Epstein
Sear, Stearns & Co.
[ADDRESS REDACTED]
New York, N. Y, 10041
(21.21 952-5847
March 12, 1981
70 THE EXECUTIVE 03MMILLE..b:
With this letter and accompanying statement,
I hereby resign as a Limited Partner of
Bear, Stearns & Co., effective immediately.
n
Sincerely, ./
EFTA01700849
Bear, Steams & Co.
[ADDRESS REDACTED]
New York, N.Y. 10041
1[PHONE REDACTED]
WRITER'S DIRECT DIAL NUMBER
Mr.
Bear tearns
Co.
[ADDRESS REDACTED]
Dear Jeffrey:
B&W STEARNS
March 12, 1981
The Executive Committee has fully reviewed the matter referred to
herein and after extensive deliberation has decided the following:
1. You have advised us that you made a loan to a customer for
the purpose of his buying securities. This constitutes a violation of Regulation T. Taking into consideration your
voluntary disclosure and the fact that it was a single instance, we find you $2,500.00.
2. For failing to comply with the spirit of the NASD Regulations
with respect to new issue distribution, we suspend you from active employment at Bear Stearns for a period of 60 days,
effective immediately.
Yours very truly,
EXECUTIVE COMMITTEE
BEAR, STEARNS S CO.
I
New York/Atlanta/Boston/Chicago
••
Dallas/los Angeles/San Frant-km
EFTA01700850
Bear, Steams & Co.
55 Water Street
New York, N.Y. 10041
(212) 952-5000
WRITER'S DIRECT' DIM. NUMBER
TO ALL NEW EMPLOYEES:
BEAR STERNS
April 8, 1971
Under public law #91-508, "Fair Credit Reporting Act", we are now required to inform you at the time of your hiring
that we intend to conduct, through a service agency and through our own inquiries, an investigation as to your
character, reputation, mode of living, educational experience,
litigations, previous employments, and any publ ic records etc...
Upon written request, you, as an employee, now have the right to know the name of the investigative service
employed by Bear, Stearns 6 Co. and the scope of their report should one be used in your particular case.
Signature
Date
New York/Atlanta/Boston/Chicago
Dallas/Los Angeles/San Francisco
Amsterdam/Geneva/Paris
EFTA01700851
STOCK EXCHANGE FIRM EMPLOYEE INFORMATION RECORD
ITo be completed upon acceptance of employment)
Please answer all questions listed below as completely and accurately as possible. Information
disclosed on this form will be held in strictest confidence and will be preserved for three years after
termination of employment in accordance with Rules 17a-3 and 17a-4 of the Securities and
Exchange Commission and Rule 345.19 of the New York Stock Exchange.
1.
et g-eci ,
•
as,U4411 at[ Name
Plfirst Name
Middle Name
2.
(a) Have you ever been bonded?
Yes
(b) Have you ever been refused a bond by a surety company?
Yes
(c) Has such a bond ever been denied or revoked?
Yes
(d) Has any surety company paid out any funds on your coverage?
Yes
If answer to either (b), (c) or (d) is 'yes,' attach details including name of
surety company.
3.
Have you ever been a member of any stock exchange, commodity exchange, or
registered association of security or commodity brokers, dealers, investment
bankers or investment advisors?
If 'yes,' give name (s) and dates.
4. (a) Have you ever been suspended, expelled or otherwise disciplined by any
regulatory body or by any such exchange or association; or ever been denied
membership therein; or ever withdrawn your application for such membership?
Yes
(b) Have you ever been associated with any organization, as a director, controlling
stockholder, partner, officer, employee or other representative of a
broker-dealer which has been, or a principal of which has been, suspended or
expelled from any such exchange or registered association, or was denied
membership therein, or withdrew an application for membership; or whose
registration as a broker-dealer with the S E C or any State or agency has been
denied, suspended or revoked?
Yes
(c) Has any permanent or temporary injunction ever been entered against you?
(d) Has any corporation, firm, or association, with which you were associated, been
enjoined during the period of your association?
Yes
(e) If answer to question 4 (a), (b), (c) or (d) is 'yes; attach details including any
finding that you were a cause of any disciplinary action or had violated any
law.
5.
In your previous business connections or employment in any capacity, have
transactions under your attention ever been the subject of complaint or legal
proceedings?
Yes
If 'yes,' give names and details.
6.
Have you ever been arrested, summoned, arraigned, indicted or convicted of a
felony of any kind, or of a misdemeanor except minor traffic offenses?
Yes
If 'yes,' attach details.
7.
Have you ever been known personally by any other name, used an alias, or have
you ever conducted business or carried brokerage or bank accounts in any
other name than that shown above?
If 'yes,' give details and dates of use.
Yes CNIi))
Yes
No
I hereby certify that I have read and understand the foregoing statements and that each of my
responses thereto is true and complete. I authorize my prior employers to make available to any
prospective employer, or to any Federal, State or Municipal agency, any information it may have
concerning me, and I hereby release my employers fr5n any and all liability of whatsoever nature
by reason of f rnishing such information.
uL7
(Date) 4cl e.
11.1 )"(
,—
' 1
.t,
Signets of Employee
110 (12/75)
EFTA01700852
EMPLOYEE SECURITIES TRANSACTIONS
It is the policy of this firm, in compliance with the
New York Stock Exchange and Federal Regulations, that no employee may maintain an account with another firm, effect
securities transactions through a bank or obtain a loan
from a bank collateralized by securities without the permission of the firm. Such permission should be requested
in writing directed to the Compliance Department. This restriction applies to the employee, his spouse and minor
children and any account in which the employee places orders.
PLEASE ATTEST TO THE FOLLOWING;
"I have no brokerage accounts other than at Bear, Stearns
& Co. and I have no bank loans collateralized by securities except: (if none, state NONE, indicate accounts of your
spouse, minor children and any account in which you place orders)."
jj
a kJ(' itim(et-
6
(DATE)
EFTA01700853
EXECUTIVE HEALTH EXAMINERS
[ADDRESS REDACTED] • NEW YORK CITY 10017 • 1[PHONE REDACTED]
22(./a•pr
19_ 77,
We have examined e above-named applicant for employment.
We find him ( her (
):
(/...11SUitable for employment.
(
) Suitable for limited employment.
Limitations:
Remarks:
1/119. , R . N .
MAHU - 975-27
EFTA01700854
Memo
BEAR STEARNS
To
John Duggan
Date
June 3, 1977
CC
From
Lewis Rabinowitz
Subject Jeff Epstein
Please rt
0 0' se Jeff Epstein s annual salary to $24, 000 per year.
EFTA01700855
Memo
BEAR SIDIRNS
To
‘8‘ve Lakoff
Seymour Dashow
From
Elliot K. Wolk
Subject
Date August 4, 1977
.
CC
11 expenses including salary for
New York Retail and delete from ent.
This should have been done some time ago. Please.
make sure this is done retroactively to May 1, 197,7 ' and is included in the July. figures.
EFTA01700856
Memo
BEAR STEARNS
13
77FeM
:itiplcilepattment
From
Jamez E. Cayne
Subject
Date
CC
June 13, 1979
ES6eati.ve today, and netuactive to May L221LgegAL___-------ije
inekecae the 4ataity o Je46Aey. Epstein to $42,000./yeah
4e
e r-
-? 6
3 (1/77)
EFTA01700857
Bear, Stearns & Co.
55 Water Street
New York, N.Y. 10041
1214 952-5000
WRITER'S DIRECT DIAL NUMBER
Nier Rocifing
4050 Atlantic Avenue,
JEFFREY E. EPSTEIN
BEAR STEARNS
March 18, 1976
Brooklyn, New York 11224
In In
(Applicant's Name)
(Social Security No.) has applied to us for employment. As a previous employer, we would appreciate your comments.
We have obtained a signed authorization and indemnification agreement from the applicant to
conduct reference checks, a copy of which is enclosed.
Should you prefer to respond by telephone, please call our reference section at
212/952.5263.
Dates of Employment:
1971
Claimed from
to
1973
Verified from
Attendance
Punctuality
Work Performance
Overall Rating
to
Aboveorge
Average
Below Average
EZ1
To
the best of yo knowledge, did this applicant have
a
Securities brokerage account? 0
Yes
No
Would you recommend the applicant for a position of trust involving negotiable
securities? EA Yes CI No
If your present policy permitted, would you rehire this applicant?
Yes ED No
Is there anything we should know about this applicant which would help make our relationship a
successful one?
e
-Z4
GENERAL REMARKS:
Name:
Signature:
Fenn 267
Title:
/
j77,/7 7 6"
New York/Atlanta/Boston/Chicago
Dallas/los Angeles/San Francisco
Amsterdam/Cenpv,/pliAi.
EFTA01700858
Related Documents (6)
Forum Discussions
This document was digitized, indexed, and cross-referenced with 1,400+ persons in the Epstein files. 100% free, ad-free, and independent.
Annotations powered by Hypothesis. Select any text on this page to annotate or highlight it.