EFTA Document EFTA01373040

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, PRESIDENT b. Name of Legal Entity, Type of Legal Entity, and Address of Legal Entity for Which the Account is Being Opened: JEGE, INC., A DELAWARE CORPORATION 6100 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: None I Date*, Dinh legal Address For U.S. Persons: i Fe NoruU Parsons: ‘aa I So : St:, its (Soo footnote I fat alter natives! Number f to &clotSett/fay monbaf) 6100 RED HOOK QUARTER, 83 JEFFREY E. EPSTEIN ST. THOMAS, USVI 00802 For Non-U.S, Persons. M addition to a Socol Semsny Number or.) Passport Number faith Country of Issuance, en alien dentifieation care numb?'. 0' number and couture o' issuane•of any other goveurneni:usued Oadxnere evitiuncina nationatity or residence anti Waring a ohamdrapn or sinker tateuuerci shoule be provided, (If no individual meets this definition. Please veito "Not AppiicaS.1 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 (0)). ! Nay* 041e of Birth 1 Legal Address For U.S. Persons: For Non.U.S. Persons: Social Seconty Number fee rote? for alternatives' to Soda( Seaver Number) JEFFREY E. EPSTEIN SEE I ABOVE Foe Non-U.S. Persons. in addition to a Sadie' Securieillumber or a Passport Number with Country of Issuance. an eaen icentif CatIDO Card halite% a nurnbe and country of issuance el any ore ocvornment-issued document outdo:lobto nancrelity reSiOence ant beminn a photorirePh or snide *atelier) anOrril be provided. JEFF my k Siang re (name of natural person opening the account), hereby car!' lo mprotifdecrebbve • complete and correct. Signature V 7124118 Legal Entity Itteedificr (OODS) to the best of Date craw Cad Na Date: lint): Gnrti '11-111 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0067029 SDNY_GM_00213213 EFTA01373040