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 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:
• 6100 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:
Name
Date of ewe
I LegalAddress
For U.S.' Parsons:
Social Security
Number
For Non-U.SFezcOns:
(See footnote 1!cr aternatiyni
to SoCthl Senrry Number)
I
16100 RED HOOK QUARTER, B3
MINI
I ST. THOMAS, USVI 00802
' For Non.U.S. Poisons. In arrIcittiOn to a Social Security Number ore Possport Numb& min Country of issuance, an as
WegilIliCition Card nut.
Or nontOz:
anti county
iflOolsorA of any other covet rrient-Issued document a:Ade/icing naftonallty or residence and nearing a Ohovniwn or Vorrilas fOferif art stloorn
de provided.
(If no exfividuat meets this deli:anal. Pleate mite "Not 40ohcaoiel
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)).
Name
Date of Birth
Legal Ada
,
!
ABOVE
o For Non-US. Persons. In addition to a Sock Security Number ore PaSSOrfot Numoor with Country of 'nuance. en aim itientification Card numbly. or taunter
ad Critelli'? Of issuance of any =et governtern-issued document evidencing nationality or resktence and bearing a pnotoqrapn or s;enga• safeguard shine
be wave:ed.
For U.S. Persoim
Soda! Seeunty
Number
For Non.U.S. PanOn.1:
(See footnote 1 ke illternath•CS
to Social Securi:y Moroi:seri
J
FREY E. EP
EIN
knowledge, that t e inf
(name of natural person opening the account), hereby certify
he est of
d above is complete and correct
r 1/4
Signature Verifica
7/24118
• /A
Sig
Date
Legal Entity Identifier iDrxiolon
sir jhAte
Name (Print):
Title:
Dote.
VP
II
CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e)
CONFIDENTIAL
DB-SDNY-0092453
SDNY_GM_00238637
EFTA01388729