EFTA Document EFTA01362346

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 iJEFFREY E. EPSTEIN, MANAGER b. Name of Legal Entity, Type of Legal Entity, and Address of Legal Entity for Which the Account is Being Opened: SOUTHERN FINANCIAL, LLC, A USVI LIMITED LABILITY COMPANY 8100 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: i Nam I Date &Birth LegarAtterese For U.S. Parson: For Plonet.).S. Pe-sons: socks SOCurae Number (Sec footnotes. toy alternatives to Social &storey Ntrr.boA JEFFREY E. EPSTEIN 1/20/53 8100 RED HOOK QUARTER, 83 St THOMAS, USVI 00802 090-44-3348 7. For NormUS. Persons. in &coition too Social Security Number or a Nasport Number with Country of ISSUO5Ce an agen identiScotIon card number. or ilUrneer area courery of issuance of any Ced ler governintnt-issued document avelencing nationally cv residence ant: matins a photograph cr lehear safeguard sheula OS voyagers (If no indiktual mans this e4heitiCet Oen: tvflte wrief Applicable) 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, art individual listed under section (c) above may also be listed in this section (d)). Name f Leo Adorers I Date of Beth II JEFFREY E. EPSTEIN SEE ABOVE For US. Persona: Social Security Numb& klr Icon-0 S. Armors: (Sea fool note I for *Narratives' to Social Security Number) For Non-tAS. Persons. in Wailtun to a Social Semeity Number or a Passport Ntemmer with Country of I siunrice. an alien Identificaton cans number, or !writhe and country of !stereo of any other govetrtment-issoed cowmen! eyloeiranci nationality or rcoicience and imatmg a photograph Or similar serogoord should be provided. me of natural person opening the account), hereby certify, to the best of ded above is complete and correct. 7124/18 Date ;(ertAw-e Cei Date Sr CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0051728 SDNY_GM_00197912 EFTA01362346