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sd-10-EFTA01369138Dept. of JusticeOther

EFTA Document EFTA01369138

II. Certification of beneficial owner(s) Persons opening en 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: JEGE, LLC, A USVI LIMITED LIABILITY COMPANY 6100 RED HOOK QUARTER, 93 1ST. THOMAS, USVI 00802 L c. The following information for each individual, if any, wh

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Dept. of Justice
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sd-10-EFTA01369138
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II. Certification of beneficial owner(s) Persons opening en 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: JEGE, LLC, A USVI LIMITED LIABILITY COMPANY 6100 RED HOOK QUARTER, 93 1ST. THOMAS, USVI 00802 L c. The following information for each individual, if any, wh

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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 en 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: JEGE, LLC, A USVI LIMITED LIABILITY COMPANY 6100 RED HOOK QUARTER, 93 1ST. THOMAS, USVI 00802 L 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 Name L, Im Date of Oath Legal Address For OS. Pesuls: Social Security Nuosnot For Non-1.1.S. Persone: (Sce footnote 1 for alternoth: to Social Seedily Number) I JEFFREY E. EPSTEIN I 1120/53 6100 RED HOOK QUARTER, 83 ST. THOMAS, USVI 00802 ....i For Ni-J.S. Persons, in bride im to a Social Security Number or e Passport Nember 'nth Country of ISUiente, art alien Idemill-,ation yeti number, of numtN and country of issuanceof any other go airmen-issued document evidencing nationality of residence and beefing a photograph or tiknikir safeguard vhdald be Provided (If no individual meets this defaittion. please tame Not Applieabtal 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 lined under section (c) above may also be listed in this section (d)). i Nome Date of Seth I Legal:We:fess I . 4 ! JEFFREY E. EPSTEIN I SEE ABOVE For US. Persons: i For Non-U.S. Persona: Sods Security (See footnote t for eternalises) Number to Social Security Water) I For Non.u.S. Parsons. In addition to a Social Security Number nr a Passport Nis-fiber with Country of Issuance. an alien 'codification coal wooer, or number end =may of issuance of any Other government-issued dccument avidir-cing nationality a taVide0C? avid bearing a photograph cc similar safeguard shout! iw proVICOC. rai person opening the account), hereby certify, to the best of e and correct. Legal Entity Identifier (Optional) 7124(18 Date CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0061246 SDNY_GM_00207430 EFTA01369138

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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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