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sd-10-EFTA01362342Dept. of JusticeOther

EFTA Document EFTA01362342

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 AccounC 1JEFFREY E. EPSTEIN, SOLE MEMBER b. Name of Legal Entity, Type of Legal Entity, and Address of Legal Entity for Which the Account is Being Opened: JEGE, LLC, A USVI LIMITED LIABILITY COMPANY • 6100 RED HOOK QUARTER, B3 ST. THOMAS, USVI 00802 c. The following information for each individual, if any, who,

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Dept. of Justice
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sd-10-EFTA01362342
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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 AccounC 1JEFFREY E. EPSTEIN, SOLE MEMBER b. Name of Legal Entity, Type of Legal Entity, and Address of Legal Entity for Which the Account is Being Opened: JEGE, LLC, A USVI LIMITED LIABILITY COMPANY • 6100 RED HOOK QUARTER, B3 ST. THOMAS, USVI 00802 c. The following information for each individual, if any, who,

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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
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 AccounC 1JEFFREY E. EPSTEIN, SOLE MEMBER b. Name of Legal Entity, Type of Legal Entity, and Address of Legal Entity for Which the Account is Being Opened: JEGE, LLC, A USVI LIMITED LIABILITY COMPANY • 6100 RED HOOK QUARTER, B3 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 Date of Birth Legalaeltkoss Far U.S.' Persons: For flon-U.S.namOns: Social Security I (See footnote 1 for atornatiyni Number to SOCiIII Senrry Nutter) I JEFFREY E. EPSTEIN 1/20/53 16100 RED HOOK QUARTER, B3 ST. THOMAS, USVI 00802 ' For Non.U.S. Petsorc In aclart;On too Social Security Number ore Onssport Numb& Min Country of ISSUIPICU. an as WegilIliCition Card nut. Or nontOZ! lit :cagey Wiest:Once of any other covet trient-lisuett document etArtencing naeonaltly or resilence and Dearing a ahoingwri or similar oferanic snoOn 00 ;Novi:tee. (If no ineividuat meets this tielinitia‘ Plaatte write "Not Aboficaofel 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 Date of Birth i ! Legal Address For U.S. Petwor For Non•U.S. PaiSOrei: 1 Soria! Steuray Number (See (cos.-tote tier nkernarates to Social SeCusky Nurrbell JEFFREY E. EPSTEIN I SEE iABOVE l For Non-US. Parsons. In el:legion to a Social Security Number urea paSSOrrrt Nuenaer with Country of 'nuance. en elk% laentification Card number. or write: aid country of 4suence of any =et governr.ern-issued cerement mice:ming nationality ce resistance ant bearing a pnottaqrapn or slates,/ oafeguarcl shone be aeoveleit EIN (name of natural person opening the account), hereby certify he est of d above is complete and correct r 1/4 Signature Verifica 7/24118 • /A Legal Entity Ickntifier (Optional) sir jhAte Name (Prim): Title: 0Thec VP Doty 11-17/ 17 CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0051722 SDNY_GM_00197906 EFTA01362342

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Commercieltheph •Sign. Re 1 COrs s. Nu 9 - er--,4 6100 Red Hook Qiieat H3 Honor — SL Thome. VI. 00202 Work: Name: Greg ST Jim LW SSN D> No: Narne: Jeffrey SSN ID tr, Neale: S . ID Type: Ne: Nano: SSN: iD Type Mx 1/We hereby ardurowledge having received the Deposit Amount Agreemad,the Fiat &neap Information Sharing and Privacy Policy, and the product rem and fees. Prepared br e ve-tote t_140--"e ore Authorized by* Sign. Raz , ICCIM . Dam Ciaimemial Checking

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DOJ EFTA Data Set 10 document EFTA01269354

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