EFTA01582847.pdf

Primary Corporate Address Name: 116 East 65th St., LLC Attention: Address Line 1: 301 East 66th St., Suite 10B Address Line 2: City: New York State: NY Province: Postal/Zip Code: 10065 Country: UNITED STATES Tax ID x: 134138373 Remember to collect W-8's or other applicable tax forms for each jurisdiction. Business Phone: O- State of Domicile: NY Where is the Company Incorporated? What document did you obtain to LLC Operating Agreement evidence state of domicile? Articles of Incorporation, Partnership Agreement, etc Introduction / Financial Information Introduction Type: Related Client NC Specific Information: Jeffrey Epstein (Please identify referral source, etc.) Have you met with the Principal/Authorized r Yes a No Individual? If you did not meet with the I have not met with Ms. Maxwell but know her advisor, Jeffrey Principal/Authorized Individual, please indicate Epstein. Jes Staley has met with Ms. Maxwell. why you have not met and when you will. Legal Entity: Limited Liability Company Limited Liability Corporation What is the purpose for forming the LLC? The account holds Ghislaine Maxwell's NY residence and is used to pay real estate taxes and operating expenses. Princpal Beneficial Owner(s)/Shareholder(s) Identify the principal beneficial owner(s)/shareholder(s). If the entity is owned by an intermediate legal structure e.g. LLC or Partnership), list the ultimate individual beneficial owner(s). A beneficial owner s any person on behalf of whom the account Is maintained. Last Name: First Name: % of SSN 00B Form of Govt Issued Citizenship Ownership ID Obtained Maxwell Ghislaine 100 12/25/1961 Passport UNITED STATES Source of wealth of the beneficial Other owner(s)/shareholder(s): Source of wealth of the Partners: Other (Provide detailed and specific information) Upon opening her account, Ms. Maxwell indicated that she is a real estate professional in NY. She is also the daughter of the late Robert Maxwell. Is this an operating company? r Yes No Entity/Client Net Worth: $ 10.00 (USD millions) Documentation/ Information obtained to Her assets at JPM and our understanding of her balance sheet. confirm stated net worth of the Entity/Client: Industry Code: PRIVATE HOUSEHOLDS The Business Type is the industry in which the NAIC Code: 814100 client derives the majority of its Income. Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00062425 EFTA01582847