EFTA01369143.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 Tine of Natural Person Opening Account: ;JEFFREY E. EPSTEIN, SOLE MEMBER b. Name of Legal Entity, Type of Legal Entity, and Address of Legal Entity for Which the Account is Being Opened: J p6r`LAN Co, LLC, A USVI LIMITED LJABIUTY COMPANY 100 RED HOOK QUARTER, B3 I ST. THOMAS, USVI 00802 c. The following information for each individual, if any, who, directly or indirectly, through any contract, arrangemen t understanding, relationship or otherwise. owns 25 percent or more of the equity interests of the legal entity listed above: Nome Date of Birth legal Address Far U.S Person' For Non-U.$. Persons: I Soma' Secuilty (See footno for ofteinatives Number to Social Sete:curity Mantel I— I 8100 RED HOOK QUARTER, B3 !JEFFREY E. EPSTEIN 1120153 St THOMAS, USVI 00802 I H I ' For Woo-US. Persona in adoltion to a Social Secunty NWAIW of a Passport titenoor with Country of Novara an and counuy of issuance of any other governmenvissued document otitis:fen nationality octetiKIONNI ellen identification card number. tf, number to provided. and bladog a la\atOgrePh a Wa'aricaole9LfOra should (lf no indivioual motes tnis definition. istease ite -Not AOPlicablen 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)), Nome I Date of Bath legatAtcaess For U.S. Persons: For Non4l S. PerfaiitS Social SeatrAY (See footnote I for altenethattS Number to Social Security Numb..) i 'ABOVE JEFFREY E. EPSTEIN SEE L___ ' For Non-US. Persona in adtEtIon to a Social Security Nwmber or a Passport Nighbar with Ccruntry of Issuance. an Oen identification card number. or nurater end country of issuance of any other government-issued document evidencing rationality or issiderre and blaring a photeemaa a be provided. siiiii‘v safeguard should ural person opening the account), hereby certify, to the best of °rotation e is complete and correct. 7124H8 Date Legal Entity Identdier Motional! CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0061251 CONFIDENTIAL SONY_GM 00207435 EFTA01369143