EFTA01345308.pdf

KYC Print Page 9 of 19 One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. AccountOwnership Summar 30. Individual Details ;for all parties) Individual's Name: Jeffrey E. Epstein • Date of Birth. Country of Residence USVI Country of Citizenship: USA Has client resided outside of his/her country of Address of primary title Saint James Saint Thomas 00802 United States nationality for 5 years or 0 yes .-4 No residence- more? Professon, Occupation. Self Emporyed Tax ID: SSN Current Employer: Southern Financial LLC Position/Title/Rank. Pres cent Address of ern pioyer: 6100 Red Hook Quarter 83 St. Thomas United Sates 00802 Does the person work as senior executive of a DB-recognized regulated entity in O yes No he financial industry? (Not applicable for operating entities) 0 Is the individual a Politically Exposed Pe'son (FEP)?(i/ Yes, describe) close ®Yes 0 No relationship with Bill Clinton and Prince Andrew To the best of your knowledge. is the individual related to an employee of the DB OFamily 0 Friendship Pi None group?(/t Family or Friendship. describe ) To the best of your knowledge, is the individual party to a non-banking relationship with Deutsche Bank (e.g., external legal counsel, client referral OYes 66 No source, supplier of goods or services)?(if Yeadescribe ) If applicable. indicate which bank officers have met Indicate where and when the client meetIng(s) took place: the person: Client Oient Place Bank Officer Name(s) Bank Office Prwate Other Location (specify): Date. of Business: Domicile. 0 fl El O 0 0 ri E OWealth Details for this individual are not filled in. because they are the same as for the following person: 3IL Wealth Details (Only for parties requiring source of wealth description as indicated in Section 2) Nature of the Individual's Business: Private investments Primary Country of source of wealth/source of Funds? Primary Xidustry of source of Wealth/Source of Funds? ®Butanes& Owner 0 Salary/Earnings Pi Investment . . i nneritance, G Its Summarize Source of Wealth: • Other: Further Describe Source of Wealth /Detail the history of wealth for each of the sources: (e.g. For trusts, how did settlor accumulate wealth? For inheritance, how did family accumulate wealth?For business owners, how long in business, how many employees, level a' profitability? Indicate type of business. countries of major activities, important business partners.) Jeffrey Edward Epstein (born https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid IN30000000D9Di&e... 7/30/2018 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0031576 CONFIDENTIAL SONY GM_00177760 EFTA01345308