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sd-10-EFTA01384799Dept. of JusticeOther

EFTA Document EFTA01384799

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, MANAGER b. Name of Legal Entity, Type of Legal Entity, and Address of Legal Entity for Which the Account is Being Opened: SOUTHERN FINANCIAL, LLC, A USVI LIMITED LABILITY COMPANY 8100 RED HOOK QUARTER, B3 ST, THOMAS, USVI 00802 c. The following Information for each individual, if an

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sd-10-EFTA01384799
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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, MANAGER b. Name of Legal Entity, Type of Legal Entity, and Address of Legal Entity for Which the Account is Being Opened: SOUTHERN FINANCIAL, LLC, A USVI LIMITED LABILITY COMPANY 8100 RED HOOK QUARTER, B3 ST, THOMAS, USVI 00802 c. The following Information for each individual, if an

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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, MANAGER b. Name of Legal Entity, Type of Legal Entity, and Address of Legal Entity for Which the Account is Being Opened: SOUTHERN FINANCIAL, LLC, A USVI LIMITED LABILITY COMPANY 8100 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: i Name Date of Bird, LecialAttdrass I For U.S. Parsons: j Zover.rft : feCurifY For Plone!.).S.Pesons: tir seotrat .euf..,tor y Nolte:be:ma ems ---- JEFFREY E. EPSTEIN 7. For NomUS. Persons. in addition too Social Security Number or a Nastiest Number with Country of ISSUO5Ce an aden identircoton card number. or ilUrneer area courery of issuance of any Od ler governtotnt•issued document arab:lying nationally cv residence ann rmarins a phateorapn cr Smear safeguard shook. OS °forlorn (If no incliktual coatis this d4hiitiCet Oen: tvflIC 'Not APPliCithl47) 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, art individual listed under section (c) above may also be listed in this section (d)). Name f Leo Addams I Date of Beth JEFFREY E. EPSTEIN SEE ABOVE For US. Persona: Social Security Numb& kin s. Perform: (Sea foolnew I for *Nana:ins' to Social Security Number) For Non-PAS. Persons. in Wail tan to a Social Semeity Number or a Passport Niermer with Country of Issuance. an alien Identificaton cars number, or bombe end country of !store/ of any other govetrtment-issoed crocument 'tribe-win naciebarity or 'abidancean° imaging a photograph Or simile: sefecrkutf should be provided. me of natural person opening the account), hereby certify, to the best of ded above is complete and correct. 7/24/18 Date ;(ertAw-e Cei Date Sr CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-OO85323 SONY GM_OO2315O7 EFTA01384799

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II. Certification of beneficial Ownef(S) Persons opening an account on behalf of a legal entity must provide the following information: a. Name and Title of Natural Person Opening AccounC 1JEFFREY 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, B3 ST. THOMAS, USVI 00802 c. The following information for each individual, if any, who,

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Commercieltheph •Sign. Re 1 COrs s. Nu 9 - er--,4 6100 Red Hook Qiieat H3 Honor — SL Thome. VI. 00202 Work: Name: Greg ST Jim LW SSN D> No: Narne: Jeffrey SSN ID tr, Neale: S . ID Type: Ne: Nano: SSN: iD Type Mx 1/We hereby ardurowledge having received the Deposit Amount Agreemad,the Fiat &neap Information Sharing and Privacy Policy, and the product rem and fees. Prepared br e ve-tote t_140--"e ore Authorized by* Sign. Raz , ICCIM . Dam Ciaimemial Checking

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