EFTA01373042.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: I MORT, 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 arrangement understanding, relationship or otherwise, owns 25 percent or more of the equity interests of the legal entity listed , above: Name Date of Skth Laval Agents ! Far uS. PCSGAS: For tion-U.S. Persons: • Scc& Secte4 iSeo footnote 1 for aitenstlees I-- ' Meow to Social Seamy Nurnaer) 6100 RED HOOK QUARTER, 63 I JEFFREY E. EPSTEIN 1/20/63 ST. THOMAS, USVI 00802 I I. Far Non-US. Porsond it oath:ion too Social Security tiumbor or a Passport Number with Country of Issu nce. an *lien;dental:catkin card notes:, w numb*, and county of issuance of any other goveinmont-istoniti document evidencing notionally resilience ono thicany o photocaph of siniikr saes:lore shoula be oroviOetl. no individual moats this del:ninon. *inst.write 'Not apOcatiteil 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 (d)). i Name Date of &In Leytil Address For US. Parsons: I For Non-U.S.Pt:mon Social Security (Sea kw note anenatiuesi lawOhet I to Social Senixity Number; I ABOVE JEFFREY E. EPSTEIN SEE Ec • Nuti•US. Persons. In sooakin to a Social Security Wont*, 04, e Passport Maltby anIn Country of Issuance, an atan itientifical 3f1O country of issuance of any ether gestrnmentossueddocummit OVillenCilic; nationalityo residence and nestind s ohotocaohion card narrate. pi nuniiha osi ohs/ten. of sininar raferaiacti shou (name of natural person opening the account), hereby cern 'nest of reektecrabome is complete and correct. Signature Veri • 7/24/18 Date Warne (Pont): fagot Entity Identifier (Optician Title CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) DB-SDNY-0067032 CONFIDENTIAL SDNY_GM_00213216 EFTA01373042