EFTA01388732.pdf

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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 Nome I Date o! Belli Legal Attdrese I For U.S. Parson: For Plon.U.S.Pnons: Soc Nuiol lbet Scourity (Sec footnotes. toe alternatives 1 to Soria: Seco* Number) 8100 RED HOOK QUARTER, 83 JEFFREY E. EPSTEIN 1/20153 St THOMAS, USVI 00802 For NoriaUS. Portions. in &coition too Social Security Number or a Nevelt Number with Country of Is$0105Ce. an Oren identification card area boweryof issuance of any Ced ler governtotnt-issued document ev'elcnoing nationally o. residence ono matins a oftatogrape Cr *Nat number. Of twrnifer OS oroviclers sainuarc *haulm (If no inclik'h;almitelj this O4htlitiCa Olen: write 'Not APPliCithin 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 Addrttss For US. Pesono: kir Non-0 S. Armour Social Security (See foolnote I for ahanativcil Numb& to Social Security Number) ABOVE JEFFREY E. EPSTEIN SEE 1 For Non-U.S. Persor4 in admit ion to a Social Sembity Number or o Passport thentiet with Country of issuance. an alien Identification cans end countryof issuarxe of any other govetrtment-issoed document tide-wino nationeety or rcoicience end camp number. or !loathe be pro.mted. a ouotcgrach or similar surecakuo snood 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-0092459 CONFIDENTIAL SDNY GM_00238643 EFTA01388732
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451064afd69c4232ec135b288671ad7e85e24de809a777f5d0367e0fee964f6b
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EFTA01388732
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DataSet-10
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document
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1

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