EFTA01298072.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 LIABILITY COMPANY 18100 RED HOOK QUARTER, 63 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 arrangement. of the legal entity listed above: I Name Date of Birth legal Address I Foe US. Newry& For Non-U.S.Fyitons: . SooialSOFterlf Wee fOtmtite I for alternatives Number to Social Security Millbrae, 6100 RED HOOK QUARTER, B3 JEFFREY E. EPSTEIN 1120153 ST. THOMAS, USVI 00802 For Non-US. Martens in addition toe Social Security Nun:Otr or a kvitspor t Number velth Conroy of issvarce, ciao cots-myof issuance of any other government-issued document evidencing nationality ow resioener an akm identircetion card nertuvr. or number ono orceelc a ohologreon or similar selewaro should 00 Dttlneta. Of no mdiveaset meats this definition please vane Not ApOlicable.1 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)). Name Date of Beth LegatAaderss I For DS dorsi:etc kw Non-U.S. downs-. SotaiSctulLy Mee facnoze 1k: atterriedvcs 1 uumbef to Social Security Woman) ABOVE JEFFREY E. EPSTEIN SEE • I For Non-U.S. Ati044. in°dation to a Social Security Humpy es a Paswoet Niontier yisth Country at Issuance, an Or kiontifiestion and country of 4suadde of any other government-issued document evidencing nationality or rcsicknora and bearing card number. or number a photograph or simile: sefognard should bit moulded. TEN e of natural person opening the account), hereby certify, to the best of ded above is complete and correct. Sign- • Siralum Legal Entity Identifier (Optclad ;KS ii:44^/z ad Date • SDNY_GM_00082014 CONFIDENTIAL — PURSUANT TO FED R caNt IDENfiIAL DB-SDNY-0024839 EFTA_00172524 EFTA01298072