EFTA01345167.pdf

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, PRESIDENT b. Name of Legal Entity. Type of Legal Entity, and Address of Legal Entity for Which the Account is Being Opened: JEEPERS, INC., A USVI CORPORATION 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 understanding, relationship or otherwise, owns 25 percent or more of the equity Interests of the legalarrangement, entity listed above: i Name Pate of Seth WO Address I For U.S. Persons: For Non.US. Parsons: Social Security (See (Ootrrear 1for olternat ... I Nombre ro Sacral Security Number) 16100 RED HOOK QUARTER, B3 JEFFREY E. EPSTEIN • St THOMAS, USVI 00802 I • FIX Non-U.S Persons. in addition to a Sonar Security Number or a Passport Number wan Country of ;nuance. an alien identification card nurrc-ft, or nurntw arc coon:rye inuarce of tny other govecrintent-issued doximent evidencing rtatimality or resecence and l:oath a photooraph Or simaat saktaaro VlOokl prOireftd. (If no indricual moots triis definition. eteese ii.vrite Not Appliceen 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 (a)). Name Gate of Sinn I Legal Address For U.S. Persona: For Non-US. Parsons: Social &murky/ (See footnote for oat:mauves I Number to Sens Sneer Number) n ABOVE JEFFREY E. EPSTEIN j SEE • For Non-US. Pernms• in addition to a Social Security Number or a Panpvt Number WWI Country of Issuance. and country of Issuance of any other govarnncru4saurtd document evulanoMq nationality or resdence an am iventifreauco cord :Jumper. or number and bearing a utast:gr. uh ce rumger safeguard t'hou'c be provided. (name of natural person opening the account), hereby certify, to the best of ded above is complete and correct. Signature Vern r- 7124/18 Daze Name (Print LegalEn(ty Ithmtiber ICp:mne4 Title: Dote: 51,044c Cpc CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) DB-SDNY-0031352 CONFIDENTIAL SDNY_GM_00177536 EFTA01345167