EFTA01380832.pdf

II. Certification of beneficial owner(s) Persons opening en 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: JEGE, LLC, A USVI LIMITED LIABILITY COMPANY 6100 RED HOOK QUARTER, 93 I ST. THOMAS, USVI 00802 L c. The following information for each individual, if any, who, directly or indirectly, through any contract, understanding, relationship or otherwise, owns 25 percent or more of the equity interests of the arrangement. legal entity listed above: i Name Date of Birth Legal Address . For U.S. Pesafts: For Non-US. Persona Seclat Security (See footnote 1 for alternatives Li 6100 RED HOOK QUARTER, 83 Nun net to Social SeaWity Number) JEFFREY E. EPSTEIN 1120/53 ST. THOMAS, USVI 00802 I F For Nantl.S. Pertons,in asideim to a Social Security Marts or a Passport Number 'nth Country of ISUiente,art alien identifi-,alien and number, of 'winter ....i and country of issuance of any other government-issued document evidencing nationality of residence be Provided and basting a photograph or sknilar safeguard shxild (If no individual meets this detkittion. pease mite Not Applieetaal d. The following information for one individual with significant responsibility for managing the legal entity such as: listed above, • An executive officer or senior manager (e.g.. Chief Executive Officer, Chief Financial Officer, Chief Operating Managing Member, General Partner, President Vice President. Treasurer); or Officer, • Any other individual who regularly performs similar functions. (If appropriate, an individual lined under section (c) above may also be listed in this section (d)). i Nome Date of Senn I Legataccress For U.S. Pelona: For Non-U.S. Peron: I Social Security i (See footnote t for akernatiecsi . Number to Social Ste:tatty Number) 4 I ABOVE ! JEFFREY E. EPSTEIN I SEE Foe Non.U.S.Parsons. In addition to a Social Security Number nr a Passport Ntenber with Country of Issuance. an and bowery of issuance of any Other government-issued dccuf•ent evida-cing nationality a aeon identification nand nornetr, or number taVide0C? OfICI bearing a photograph of tinnier safeguard should iw proVICOC. FREY E. E EIN . (name of natural person opening the account), hereby certify, to the best of y knowledge, that t e in above is complete and correct. 7124(18 Date Legal Enriiy Idantriier (Optional) CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0079393 CONFIDENTIAL SDNY_GM_00225577 EFTA01380832