EFTA01480798.pdf

Client Service Team CHBG (DE )4 Entity Type Decision Maket Identification Withholding Federal Status Withholding SSNMN Certification Date SSNITIN/EIN 090443348 Form of government Issued Drivers I_ X:I Se identification obtained for the files Primary Identification Number 0000025874 ' !Issued B VIRGIN ISLANDS. US. Date Issued 01/152010 Ex •nation Date 0112012015 Introduction & Wealth introducdon &Win! JPMo !an Client - Inside LOB Net Worth of ellen 50.000.000 00 Source Of Wealth / Financial Information Details Source Of Wealth -Identify the Clients Source of Wealth from Other followin, list of o • Ions Introduction Non Individual Entity Type Corporation . For Profit For Profit? Yes Locations Served? Domestic Public or Pr watt Private Are beneficial owners/principal shareholders associated with Yes this business? Who owns this entity? Individual Please Provide ownership details Jeffrey Epstein is the sole owner of the company Jeffrey Epstein DOB: 01/20/1953 SSN: 090-44-3348 Ownership is not equal to 100%? No Are there any authorized signers or any other Individuals No with authority over the entity? What independent background check, in addition to the JPMC Network Global Corporate Security ("GCS") background check, has been carried out? Check all that apply and provide the date in which the background check was conducted. (at least 1 must be selected) JPMC Network Date 05122,2012 JPMC Network Comments This is another pan of an existing client relationship with Jeff Epstein. The client has requested the opening of a checking account for company. Politically Exposed Person Are any of the benenclal ownersiauthorized signers or other No Individuals with authOrIty over this entity a current or former Senior United States or Non-USA Political Official r also known as a Politically Exposed Person (PEP) or related to one? Source of Wealth/Financial Information Client Cat • ci for SO Fa• Profit Source of Wealth- identify the clients source of wealth from Other the followin• list of o • tions Confidential Treatment Requested by JPM-SDNY-00003020 JPMorgan Chase CONFIDENTIAL SDNY_GM_00272218 EFTA01480798