EFTA Document EFTA01380832

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 I ST. 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 Nun Date of Birth Legal Address . For U.S. Pesafts: Seclat Security net For Non-US. Persona (See footnote 1 for alternatives to Social SeaWity Number) i JEFFREY E. EPSTEIN I 1120/53 6100 RED HOOK QUARTER, 83 ST. THOMAS, USVI 00802 F ....i For Nantl.S. Per tons, in aside im to a Social Security Marts or a Passport Number 'nth Country of ISUiente, art alien identifi-,alien and number, of 'winter and country of issuance of any other government-issued document evidencing nationality of residence and basting a photograph or sknilar safeguard shxild be Provided (If no individual meets this detkittion. pease mite Not Applieetaal 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 Senn I Legataccress I . 4 ! JEFFREY E. EPSTEIN I SEE ABOVE For U.S. Pelona: i For Non-U.S. Peron: Social Security (See footnote t for akernatiecsi Number to Social Ste:tatty Number) I Foe Non.U.S. Parsons. In addition to a Social Security Number nr a Passport Ntenber with Country of Issuance. an aeon identification nand nornetr, or number and bowery of issuance of any Other government-issued dccuf•ent evida-cing nationality a taVide0C? OfICI bearing a photograph of tinnier safeguard should iw proVICOC. FREY E. E y knowledge, that t EIN e in Legal Enriiy Idantriier (Optional) . (name of natural person opening the account), hereby certify, to the best of above is complete and correct. 7124(18 Date CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0079393 SDNY_GM_00225577 EFTA01380832