EFTA Document EFTA01379581

II. Certification of beneficial owner(s) Persona 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: ZORRO MANAGEMENT, LLC, A USVI LIMITED LIABILITY COMPANY OM DO RED HOOK QUARTER, B.3 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: Nome Date of Binh lliffdlAddren , For U.S. Persons: For Non-US. Persons- ! &weal Security (See footnote I or °Rama:Nest ' aftardddr to Social Secitt.y Number) I t.- - 1 6100 RED HOOK QUARTER, 83 JEFFREY E. EPSTEIN MOMS ST. THOMAS, USVI 00802 I for Non-US Persons. in addition too Social Security Number or a Passport Number '.'wen Country of Issuance, on alien identification card numz:v. or nem del and tOtanty Ot facoance Di any CAW" gvueinmeot-issued document evidencing nafianalty ce residence aro bearing a obotowaph o wallas soleguaw sygnikt be drOvided. (If no individual meats din defanitiOn. darewrite -Not Applicabla.") 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)). Pen I JEFFREY E. EPSTEIN I Date of Ben I SEE Legal Address ABOVE I For US Persons: j For Non-U.S. Persons: Soctal Security 1 0 14. T. foo Social y tnote I Nak timeb.;flanks ro t For Non-US. Persons. in addition to 8 Social Security Number cr a Passport Numb*, %An Count!), of Issuance. en alien Icientirtcaton Card number. ce maybe and country of Issuance of any Othe 90veffirdat-issued COCO:ileac 6.i:rending nwuortalilyor resktente and basting a ohm/grad') at lenity safeguard Shaft be DrOviCed. kfriErFiltri PsTEIN (name of natural person opening the account), hereby certify, to the best of /my knowledge, tat the information prowl beve;seamplete and correct. Signatu 7/24118 Dale Less] £ntey IckritifieriOptional). stow, (1 Name( Tale. Data: fre CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0077188 SDNY_GM 00223372 EFTA01379581