EFTA Document EFTA01362472

Legal entity !demurer (Optional) 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 b Name of Legal Entity, Type of Legal Entity, and Address of Legal Entity for which the Account is Being Opened: PLAN 0, LLC, A USVI LIMITED UABIUTY COMPANY 6100 RED HOOK QUARTER, B3 St THOMAS, USVI 00802 c. The following information for each individual, if any, who, directiy 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 Marna JEFFREY E. EPSTEIN date of Sinh Legal Addres$ I fro US. Parsons: I For Non-U.S. Pesont Social SeCurrIV (Sae kolnOttr 1 ler one natniPS NUMMI E to Sseial Sir-J({u hltenter) 1i20153 6100 RED HOOK QUARTER, 63 ST. THOMAS, USVI 00802 For Non-U.S. Persons. in addition to I Social Sartre( Number or a Pasrpon Number with Country of [manna.. en ellen ktentircation card number, or numner and counny of issuance of swathe govo'nment-issued tfecumera evidencing noticnahty or residence arts Warhsa a pic4O0rapo or simitar safeouet should tre provided. (If no mel:ntlual meets tnis can:Ikon. please write `Not Appaceoe.") 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 Oats of Binh I Legal Address For U.S. Persons: I For Non-US. Parsont SOCII4 Seetoky (See footnote1 for aileoativas I Nornbtr I to Seen! &ashy Number) I 'ABOVE JEFFREY E. EPSTEIN SEE I i I . i ......_.! , For Nen•us. Persons in addition ton Said Security Numbe, or a Passpet Number, virth Country of Issuance,an atm identilicaton card mulls?. or rernbef and tourer/ of Issuance M any atnor s.GyetnalanaMyucr: document evidencingnational/c, residence ono bearing ai rAugotiraph Or Saarl.Yieltworci 5.40uld to Provided. ral person opening the account), hereby certify, to the best of tive is complete and correct. 7/24118 Dalt sirjuke 0#41 Signature Ve Name( Date: CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0051893 SDNY_GM 00198077 EFTA01362472