EFTA01388730.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, SOLE MEMBER : b. Name of Legal Entity, Type of Legal Entity, and Address of Legal Entity for which the Account is Being Opened: LSJE, LLC, A USVI LIMITED LIABILITY COMPANY 6100 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: Name Dote of Binh Legal Address rot US. Persons: For Nomi).S: Prams: Social Security I (See footnote I for alternatives Number to Social Setwey atkenbei) 6100 RED HOOK QUARTER, B3 JEFFREY E. EPSTEIN 1120/63 ST. THOMAS, USVI 00802 09044-3348 r -- For Non-U.S. Person& in adohion to a Social Security aimbo: or a Pampa Nude°, With Counlry ['lasso not: on ellen identircorion card numbs:. or molar and comity of issuance of any olive government-issoW WO-event e-:ittenzingi natiractafity Or Tesidenet and tearing a pholograort or similar safeguoto shoutc: 0 orovreieu. Of no individuat meets this defection, please:vita Wet Atpticah:O.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. Of appropriate. en individual listed under section (c) above may also be listed in this section (d)). i Nam* Date of Beth Legal Address t For U.S. Persons: For Nan-u.s. Pcsons Sotial Security Met footnote I for atleditIWS Nurnoet 10 Satiol Security Number) ABOVE 1 !JEFFREY E. EPSTEIN I SEE For Non.U.S. Person& in addition to a Social Security Number or a Passport Number with Country of Issuance, on oriels identlficat iOn cord numbr. a number Sid COUIWY iSSUtrott of any other government-Sewed document ear.onemil natiotality as residence am hearing a oho:3gram or sinutte sok-pare should ho provided. REY E. E TEIN ne of natural person opening the account), hereby ce to the best of m knowledge, that t information pve Is complete and correct. Signature 7/24118 Sign Da:C. 77 14. IT C Name Lego: Entity Identifier (OPtketel) Tale: Mee: Srprivre CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0092454 CONFIDENTIAL SDNY_GM_00238638 EFTA01388730