EFTA01379572.pdf

DataSet-10 1 page 429 words document
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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, SOLE MEMBER 1 b. Name of Legal Entity. Type of Legal Entity, and Address of Legal Entity for Which the Account is Being Opene d: HYPERION AIR, LLC, A USVI LIMITED LIABILITY COMP ANY 6100 RED HOOK QUARTER, B3 ST. THOMAS, USVI 00802 c. The following information for each individual, if any, understanding, relationship or otherwise, owns 25 who, directly or indirectiy, through any cantfa Gt. arrangement, percent or more of the equity interests of the legal entity listed above: i i Data of Birth ! Legal Andress Fort-LS. Pei cans*. I For No.'s-U.S. N!!sons I Secuillr I (See icetnate 1for aiming:vas' --I— )Junto, to So:tat Sstarny Huntall I I ' 6100 RED HOOK QUARTER, B3 JEFFREY E. EPSTEIN 1/20/53 ST. THOMAS. USVI 00802 ' For Non-U.S. Persons, in Meinon toa Social Seaway Numbs.; el- a Passport ttantgln uran Country of anci counts, of issuance of any othe, govetnenent•issue ~nee, an alien ideninicatioa cord larnbe. er number d document evidencat nationaEly or lesideme ana basc;nii • onnv»ec. 3 prigitaflog, Cr sintaxtafeguatc skuls tit isa ante:ids:al meats Vsis ditinatOn. please write 'Nat App:icabie."; d. The following information for one individual with signific such as: ant responsibility for managing the legal entity listed above, • An executive officer or senior manager (e.g., Chief Execut Managing Member, General Partner, President, Vice Presid ive Officer. Chief Financial Officer, Chief Operating Officer. • Any other individual who regularly performs similar functio ent Treasurer); or (If appropriate, an individual listed under section (c) above ns. may also be listed in this section (d)). Name i I Date of Binh i Legal Address I For U.S. Persons: For Non-US.()noes: i I i ABOVE Seas:thy ' Ntunber r a nSoctal; Plit Scutlai° ;Nan wri .tbneri i JEFFREY E. EPSTEIN I SEE • i I For NOn-U.S. Persons. in addition toa Social 3/away Number of a Passport Ntrntkenvitn Countryof Ifstiaggse. on anen end ~try of issuance of any nth°, govannistnt•issueo docifirkn kientiftcation data nuntes. or NMI»: t otaitc.ality o reaaance ane ~Ong 3 PnOIJOgatgg or pa otavalco. Ognnigir saiesua, Ci sncu I J FREY E. EPSTEIN gl• knowledge, that t e information p natural person opening thseigan caco tuure ntv ). ehreirreby verify to the best of complete and correct. 7124/18 ••_ Dew Name( togsi Entay Identifier (0pieanai) Title: Ogle: StpMfdilet, 0" -C1 CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) DB-SDNY-0077177 CONFIDENTIAL SDNY_GM_00223361 EFTA01379572
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640fd844136152812b71e0011e909dc3108d6169f15bb71c5e7891f75836c03b
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EFTA01379572
Dataset
DataSet-10
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document
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1

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