EFTA01480804.pdf

Cost Center 008634 CHBG Client Service Team CHBG (DE) 4 Entity Type Docon Maker Identification Withholding Federal Status Withholding SSNMN Certification Date SSNITIN/EIN Form of government issued Drivers License Identification obtained for the files Primary Identification Number , Issued By VIRGIN ISLANDS. U.S. Date Issued 01/152010 Expiration Date 01/2072015 Introduction & Wealth Introduction • Existin• JPMor• an Client - Inside LOB Net worth of ellen S Source Of Wealth / Financial Information Details Source Of Wealth -Identify the Clients Source of Wealth from followin• list of o • ions Introduction Non Individual Entity Type Corporation • For Profit For Profit? Yos Locations Served? Dor -J, Public or Private Private Are beneficial owners/principal shareholders associated with Yes this business? Who owns this entity? Individual Please Provide ownership details Jeffrey Epstein is the sole owner of the company Jeffrey DOB: SSN: Ownership Is not equal to 100%? No Are there any authorized signers or any other individuals No with authority over the entity? What independent background check, in addition to the JPMC Network Global Corporate Security ("GCS") background check, has been carried out? Check all that apply and provide the date in which the background check was conducted. fat least 1 must be selected) JPMC Network Date OS•22/2012 JPMC Network Comments This is another part of an existing client relationship wilh Jeff Epstein. The client has requested the opening of a checking account for company. Politically Exposed Person Are any of the beneficial owners/authorized signers or other No Individuals with authonty over this entity a current or former Senior United States or Non-USA Political Official I also known as a Politically Exposed Person (PEP) or related to one? Source of Wealth/Financial Information Client Category(for SOW) For Profit Source of Wealth• identify the clients source of wealth from Other the following list of options Provide detailed and specific information. Jeff Epstein is an entrepreneur. He made his wealth managing money for wealthy individuals. Jeff Epstein managed money for weakhy individuals. most notably Leslie Wexner until 2/2008. Which country(ies) isfare) the Clients primary Source of UNITED STATES Wealth or Income denved? Is this an Operating Company? No Total Net Worth $ 500000000.00 What was the total net worth based on? Financkti Statements Confidential Treatment Requested by JPM-SDNY-00003026 JPMorgan Chase CONFIDENTIAL SDNY_GM_00272224 EFTA01480804