EFTA01384790
EFTA01384791 DataSet-10
EFTA01384792

EFTA01384791.pdf

DataSet-10 1 page 423 words document
P17 V15 P20 V16 V11
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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 Accou nt: IJEFFREY E. EPSTEIN, PRESIDENT OF SOUTHERN TRUST COMPANY, INC., 50% MEMBER b. Name of Legal Entity. Type of Legal Entity, and Addres s of Legal Entity for Which the Account is Being Opened: I ANSE LLC A USVI LIMITED LIABILITY COMPANY c. The following information for each individual, if any, who, directly or indirectly, through any contract, arrangement, understanding, relationship or otherwise. owns 25 percen t or more of the equity interests of the legal entity listed above: I Name oat° of Birth I Legs: Adthose Re U.S. Persons: I Per NoraU.S.Parsonc ! it I SOS; Security (ee foottnote% for aftecnatives Number I to S Socia Soctaky Number) I JEFFREY E. EPSTEII I i CAROLINE LANG I For Non-U.S.Person. in addition to a Soda, Security Number or I and country of issuance of any Other gdsernmant-issued documeontPasspon Number witn Count:y0f Issuance. an alien Identification card nuoroo..4% mother be nrwicied. taidnca ng naticoafity 0€residence and bar lac a piletOgraph or sirridanalquard 'mold Of no in:lividual meets vim definition Went "nee "Not AoPliCaal d. The following information for one individual with signific ant responsibility for managing the legal entity listed such as: above. • An executive officer or senior manager (e.g., Chief Execut Managing Member, General Partner, President, Vice Presid ive Officer. Chief Financial Officer, Chief Operating Officer. • Any other individual who regularly Performs similar functio ent. Treasurer); or (If appropriate. an individual listed under section (c) above ns. may also be listed in this section (d)). I Name Uate of Seth Legal Address i For US. Persons: ; For Non.U.S. ;Wien& SoctetSecuray 1 Number (Sec footnote l for altcenotkes1 I te $'.ocial Seaver Numoer) ( ETIENNE BINANT i Far Non-U.S. Parsons in eddit;ort to a Social Security Number or a Passport Number •nith County of Issuance and dumpy ol 4Si...wee any other gavermnant-issueb PotArme . on eaten ioanfilka rn tattle:yang natiOnality an/Cenci and bearing a photogra tion card numbe:. Or mirnbcc ph O' tinatiesarguero should J FiREY E. EPSTEIN --diorite of natural person opening the account), hereby knowledge. that the-Vigor orfprovided aboyb Is complete and correct. certify, to the best of 7124/18 Signature V Signature Data "kr Legal Entity Identllite (Option* Name (Print): I3ract «2018 Deutsche Sank AG. Au rights reserved. WM1896 Title: VP 65 026815%05131S Dqte: 7/2.ilig Cerci CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SONY-0085312 CONFIDENTIAL SONY GM_00231496 EFTA01384791
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0fcd74a0112c23e6b27d7f9e6fb774352142e4e3e5598fdd33cec419048e9b63
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EFTA01384791
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DataSet-10
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document
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1

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