EFTA Document EFTA01298374

II. Certification of beneficial owner(s) Persons opening an account on behalf of a legal entity must provide the following information: a. Name and Title of Natural Person Opening Account: JEFFREY E. EPSTEIN, SOLE MEMBER L b. Name of Legal Entity. Type of Legal Entity, and Address of Legal Entity for which the Account is Being Opened: I HYPERION AIR LW A USVI LIMITED LIABILITY COMPANY I ST. THOMAS. USVI 00802 c. The following information for each individual, if any, who, directly or indirectly, through any contract, arrangement, understanding, relationship or otherwise. owns 25 percent or more of the equity interests of the legal entity listed above: • • Name &moot Beth H I i /teal Attess I For U.S. Pavans: I &dal Secretly Neater For Non•US. aat sons: (See loornore I for Am:AM.' to Sear Security Rata/ i i JEFFREY E. EPSTEIN 1120/53 I ST. TH • MAS. USVI 00802 ' For Non•U.S. Persons. m Satan to a Social Society NurnIxe or a Passport Mater vah Country of ISSU3/1Ce. an eVen iCenrificazion coed nutaer. N cumber and counrvy of issuance of any othor governrnanpiasual document inignmang nationality or residence ono Inatirlij a phoicsgara or Send.): &ego ant iamb orarluea. Ili no Individual fratel$ this clef bit ion pale Write "Na; APAICSMC) d. The following information for one individual with significant responsibility for managing the legal entity listed above. such as: • An executive officer or senior manager (e.g., Chief Executive Officer. Chief Financial Officer, Chief Operating Officer. Managing Member, General Partner, President, Vice President Treasurer) or • Any other individual who regularly performs similar functions. (if appropriate, an individual listed under section (c) above may also be listed in this section (d}). Name JEFFREY E. EPSTEIN Date of Binh Legal MilreSS SEE Vol- U.S. Persons: I Social Security Number For Non-USPe:sons: (See footrove I for rettenatmesk to Sava, Security Number, I • For Non-U.S. Persons, in addition to 3 Social Stair*? Noma or a Passport Number Iwo. tawny? oi Issivinva an alien itrenti`Catian card minter. or rarrober and coontry or issuance oranY orha• oanrnment-leaue0 noarment evklacino .nationaeryor foeicance and avertn9 a ..aologro;a or arnaLrr saktuat0 Maio ore DiGvidhl. JF REY E. EPSTEIN knowledge, that e Information tore logal Entity Idiatifier (Ogional) natural parson opening the account), hereby eerily to the best of complete and correct. 7/24118 Dare . stsnaAvvi-t &d Signature Veri Name ( Tide: n SDNY_GM_00062719 CONFIDENTIAL - PURSUANT TO FED R.QPIN(F I DENTFAL DB-SDNY-0025544 EFTA_00173227 EFTA01298374