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sd-10-EFTA01384796Dept. of JusticeOther

EFTA Document EFTA01384796

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: 1NEPTUNE, LLC, A DELAWARE LIMITED LIABILITY COMPANY I 6100 RED HOOK QUARTER, 83 St THOMAS, USVI 00802 c. The following information for each individual, if a

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Dept. of Justice
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sd-10-EFTA01384796
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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: 1NEPTUNE, LLC, A DELAWARE LIMITED LIABILITY COMPANY I 6100 RED HOOK QUARTER, 83 St THOMAS, USVI 00802 c. The following information for each individual, if a

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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
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: 1NEPTUNE, LLC, A DELAWARE LIMITED LIABILITY COMPANY I 6100 RED HOOK QUARTER, 83 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: oNme ante al Binh Legal Address JEFFREY E. EPSTEIN For U.S. Persons: For tfon-U.S. Pe;sons: Social Security (See foe:rick for alternatives: Number to Social Secleky Number) ; For Noo-US. Persona in mown toe Social Security Number Or a Passport ?lumber with Country of lawn*, an alien oentincation co s. minx:. or number Inc woody of issuance clewow( governmenbissued dean:men: cvidoncing notionsitty or reliance and bearing a photograph o: safeguaro snood be prosiest's of no mandual meets this ceilnioon. tease wrce 'Not AposcabO.1 d. The following information for one individual with significant responsibility for managing the iegal entity fisted above. such as: • An executive officer or senior manager (e.g., Chief Executive Officer, Chief Financial Officer. Chief Operating Pillow. 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)). Noire ' Data of Sinn JEFFREY E. EPSTEIN SEE Legal Address ,ABOVE For U.S. Persons: I Social Sec-arcy ; Number I For Non.U.S. Persons: (Sect footnote 1 lc: alternatives to Secret SCCUrky Nunter) For Non-US. Pe-sons. in *edition to a Social Secorby Number or a Passport Number wen Country of Issuance. an aten Mentifitaman use rrart4t. or num Dor and (tunny of issuance of any other pvernmentissued :locum:fir evidencing neilanaliw or residence end 'taping a photogr% ph or sinlm saienuorc snotun be atovicied. I. JEFF my' owledge, that th. informal 14ga:entity Identifier (Optional) of natural person opening the account), hereby certify, to the best of is complete and correct. 1124)18 Date Signature Ve Name ( ): ‘6 2/ 41/4. \I 17 Date: 1T/'2- 71 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0085320 SONY GM_00231504 EFTA01384796

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