EFTA01384799.pdf

DataSet-10 1 page 386 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, 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 Name Date of Bird, LecialAttdrass I For U.S. Parsons: j Zover.rtf: feCurifY For Plone!.).S.Pesons: t seotrat .euf.., tor ir y Nolte:be:m a ems ---- JEFFREY E. EPSTEIN 7. For NomUS. Persons. in addition too Social Security Number or a Nastiest Number with Country of ISSUO5Ce an aden identircoton card number. or ilUrneer area courery of issuance of any Od ler governtotnt•issued document arab:lying nationally cv residence ann rmarins a phateorapn OS °forlorn cr Smear safeguard shook. (If no incliktual coatis this d4hiitiCet Oen: tvflIC 'Not APPliCithl47) 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 Date of Beth f Leo Addams For US. Persona: kin s. Perform: Social Security (Sea foolnew I for *Nana:ins' Numb& to Social Security Number) ABOVE JEFFREY E. EPSTEIN SEE For Non-PAS. Persons. in Wail tan to a Social Semeity Number or a Passport Niermer with Country of Issuance. an alien Identificaton ca end country of !store/ of any other govetrtment-issoed crocument 'tribe-win naciebarity or 'abidancean° imaging a photograph rs number, or bombe be provided. Or simile: sefecrkutf should me of natural person opening the account), hereby certify, to the best of ded above is complete and correct. 7/24/18 Date ;(ertA Sr w-e Cei Date CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-OO85323 CONFIDENTIAL SONY GM_OO2315O7 EFTA01384799
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6a84d4be16959a0167fb6413479f59fc11eed148c7440488a6180075e705d469
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EFTA01384799
Dataset
DataSet-10
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document
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1

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