EFTA01373045.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, MANAGER b. Name of Legal Entity, Type of Legal Entity, and Address of Legal Entity for Which the Account is Being Opened: SOUTHERN FINANCIAL, LLC, A USVI LIMITED LABILITY COMPANY 8100 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: i Name Date ot Birth tenor Audrey; For U.S. Parson: For PlonAJ.S. Pt sons: Sook2I SOCurkir (Sec footnotes. toy allernyinec Number to Sow: Sectrey Nu'r.bor) 8100 RED HOOK QUARTER, 83 JEFFREY E. EPSTEIN St THOMAS, USVI 00802 ForNon•US. Persons. in 1 &coition too Social Security Number or a Nsspott Number with Country of IssuanCe. an Open identiScotIon card number. Or iiurnnor and courniyot inilonCe ut any Ced ler governintnt-issued document aVelencing nattenalty cv residence OS wonders ann matins a puotogrape Cr Arniar sainuaro *haulm (If no incliktual mutts this d4hiitiCet den: tvflIC 'Nat Applicabil.-) 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, art individual listed under section (c) above may also be listed in this section (d)). Name I Data of Bath f Leo Addrtyss For US. Persona: kr Non-0 S. Perform Social Security (See foolnote I for ahanativesl Numb& to Social Security Number, ABOVE JEFFREY E. EPSTEIN SEE For Non-tAS. Arsons. in Wailtan to a Social Semoity Number or a Passport Nienoor with Country Of Issuance. an alien Identificaton cans numbe,, or flambe and country of !steam/ of any other govetrtment-issoed document nationatity or residence and bearing a photograph Or simile: safeceord should be provided. me of natural person opening the account), hereby certify, to the best of ded above is complete and correct. 7124/18 Date ;(ertA Sr w-e Cei Date CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0067036 CONFIDENTIAL SDNY_GM_00213220 EFTA01373045