EFTA Document EFTA01369142

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: NES, LLC, A NEW YORK LIMITED LIABILITY COMPANY 18100 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 at the equity interests of the legal entity listed above: i• NWre ; OW of Sian i : LegatAddrosc I For U.S. iersorC I Sochi Security Number cot Nolh-U.S. Persons: (See footnotel for aktinathes to SociM Security Number) I it JEFFREY E. EPSTEIN '1,120/53 8100 RED HOOK QUARTER, BS St THOMAS, USVI 00802 r i I I ' For Som-US.Pervms. in adifition is a Social Security Number ore Passport Winter wan Country of Issuance. an ellen icentitcation card number. o number and country of issuance of any inner government-issued document evidencing ratirmallty or reeldemce and bearing a pfietoguMnce sinMar salegVerd should be pnwleied. (lino indiviedal meets ttiodetelican please wit* shot 49lic-sole. 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)). i Name I t Dare of Utah Lewd Address For U.S. Pe-sons: For Non-U.S. Persons: Social SacmItS I (Set footnote 1 for advise:Nes I *amber. i to Sone' Sweeny Number) ABOVE I JEFFREY E. EPSTEIN SEE ' For Non-U.S. Persons, in addition toe Social Security Number is e Passport Number mitt Country of Issuance. an ellen identification card numw, number and country of issuance of any other gmarnettent•issued totems% evidenclog rtatienernym resSdence and bearing a photograph m similar safeguard shrsrld to provided Legal Entity Identder (Optional) f natural person opening the account), hereby certify, to the best of plate and correct. 1124118 Date CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0061250 SDNY_GM 00207434 CONFIDENTIAL EFTA01369142