EFTA01388728.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, PRESIDENT b. Name of Legal Entity. Type of Legal Entity, and Address of Legal Entity for Which the Account is Being Opened: J. EPSTEIN VIRGIN ISLANDS FOUNDATION, INC., A 501(6X3) PRIVATE FOUNDATIONIUSVI CORPORATION 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 understanding. relationship or otherwise. owns 25 percent or more of the equity interests of the legalarrangement. entity listed above: Name I Date of Sidi" Legal Address 1 Fo' U.S. PICSOIS: Fit NcrpU.S.Persans Social Security (See lootnote t to' alternatives! Number to Sotia!Seorizy Niger:Carl NOT APPLICABLE 1 • NoMIS. Persona. In addition to a SeedSorority Numbor or a Pasapoit Plumper witn Country of issuaniA on alien iaeoPftallon tato number. Cr *WV& and country of issuance of onY dinar gOvernioloo:453444 doeuntent evickekPev neEtnabty or lasktence and tearing a ahocapr pn be provided. oak/nerd shoub (11 IX) inekiChlall meets this Odinnion. pease write 'Not AoPhoebt•-) 0. 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 (a. I NMI* . Date of afro Loco Address I For U.S.Perin For Nott-U S. Fano= ! Soda( Sappily (See footnote! for allUnarivosi Norntter to Seta Securitv NU:Ube* 1 - 1 6100 RED HOOK QUARTER, 83 JEFFREY E. EPSTEIN 11/20/53 I 4 ST. THOMAS, USVI 00802 P=. • For Non-V.S. Persona in addition to a Socui Security Nunn*: tri a Passport Number with County of Issuance. en alien identilication card wear, or ramiber one county of is of anyeine: gam ntnera-istvad aoarnent otnatrting nittiOnsfity Of mikterat anti IkMetng a onotovaon or be DMA:Wet 3,014Y saff‘ogurc shout a of natural person opening the account)• hereby certify, to the best of is complete and correct. Signatur 7/24/18 Na Leo Entky idenaiier (Optional) Title: Dole: 4 srplitc.044 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0092450 CONFIDENTIAL SDNY GM_0023134334 EFTA01388728