EFTA01362472.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: [JEFFREYE EPSTEIN,SOLEMEMBER b Name of Legal Entity, Type of Legal Entity, and Address of Legal Entity for which the Account is Being Opened: PLAN 0, LLC, A LIMITEDUABIUTY COMPANY 6100REDHOOKUSVI St THOMAS,USVIQUARTER, 00802 B3 c. The following information for each individual, if any, who, directiy or indirectly, through any understanding, relationship or otherwise, owns 25 percent or more of the equity interests ofcontract arrangement the legal entity listed above: I Marna date of Sinh Legal Addres$ I fro US. Parsons: I For Non-U.S.Pesont Social SeCurrIV (Sae kolnOttr 1 ler one natniPS NUMMI E to Sseial Sir-J({u hltenter) JEFFREY E. EPSTEIN 1i20153 6100 RED HOOK QUARTER, 63 ST. THOMAS, USVI 00802 For Non-U.S. Persons. in addition to I Social Sartre( Number or a Pasrpon Number with Country and counny of issuance of swathe govo'nment-issued tfecumera evidencing of [manna.. en ellen ktentircation card number, or numner noticnahty or residence arts Warhsa a pic4O0rapo or simitar safeouet should tre provided. (If no mel:ntlual meets tnis can:Ikon. please write `Not Appaceoe.") 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 Managing Member, General Partner, President, Vice President Treasurer); or Officer. • 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)). Name Oats of Binh I Legal Address For U.S. Persons: I For Non-US. Parsont SOCII4 Seetoky (See footnote1for aileoativas I Nornbtr I to Seen! &ashy Number) I JEFFREYE. EPSTEIN SEE 'ABOVE I i I i ......._.! , For Nen•us. Persons in addition ton Said Security Numbe, or a Passpet Number, virth Country of Issuance,an atm identilicaton card mulls?. or rernbef and tourer/ of Issuance M any atnor s.GyetnalanaMyucr: document evidencingnational/c, residence ono bearing ai rAugotiraph Or Saarl.Yieltworci 5.40uld to Provided. ral person opening the account), hereby certify, to the best of tive is complete and correct. 7/24118 Signature Ve Dalt Legal entity !demurer (Optional) Name( Date: sirjuke 0#41 CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) DB-SDNY-0051893 CONFIDENTIAL SDNY_GM 00198077 EFTA01362472