EFTA Document EFTA01380212

Pallsrsail American International Group, inc. PO Box 25825 Shawnee Mission, KS 66225 Electronic Service Requested 53 0.0118 Jeffrey Epstein 575 LEXINGTON AVE FL 4 C/O RICH KAHN HBRK NEW YORK. NY 10022-6146 American International Group, Inc. A division of AIG PPM 10, }1) Questions?? Please call us at 868460-9195 Adjuster ID Number.M Check Number: RFP Number: Check Date: Claimant Name: Insured Name: Claim Office: Producer: Insuring Company: 11/07/2018 Jeffrey E. Epstein Jeffrey E. Epstein 346 Insurance Office Central Ohio AIG PROPERTY CASUALTY COMPANY Payee Name: Jeffrey Epstein Policy No. Claim No. Symbol Date of Loss Type Status 00610421 PIM 09/20/2017 IND FINAL 00610421 PIM 09/20/2017 IND FINAL Reason for Payment FINAL SETTLEMENT FOR SECURITY PURPOSES. THE nice OF THIS DOCUMENT CONTAINS Amount 1 542,659.00 457,341.00 Total Amount 1,000,000.00 IN A BLUE BACKGROUND AND MICROPRINTING IN THE BORDER A IC Property Casualty Company Funded by National Union Fire Insurance Company of Pitlsburgh, Pa. *cr Policy No.: Lam "? Pay *********One Million Dollars*** Ct Cc) TO THE ORDER OF Jeffrey Epstein JRSIORGAN ClIASE BANN, NA AUTHOR .. 31SKAIATUPE SAKACUSlicolicbillX5H IF WATERMARK IS NOT PRESENT ON THE REVERSE SIDE or THIS DOCUMENT • HOLD AT AN ANGLE TO VIEW Claim No. CHECK NO. REP NO. HATE VS Mtn Oat Veer IIM7/2018 ANIOI NT PAID CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) CONFIDENTIAL SDNY_GM_00224655 DB-SDNY-0078471 EFTA01380212