EFTA Document EFTA01362423

KYC Print Page 19 of 34 One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summa 3A. Individual Details (for all parties) Individual's Name: Jeffrey E. Epstein - 00000483289 Date of Birth: Country of Residence: USVI Country of Citizenship: USA Address of primary residence: Litte Saint James Saint Thomas 00802 Has client resided outside of his/her O country of nationality for 5 years or more? Yes iA No Profession/Occupation: Self Empolyed