EFTA01380829.pdf

II. Certification of beneficial owner(s) Persons opening art account on behalf of a legal entity must provide the following information: a. Name and Title of Natural Person Opening Axount: , 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: 1-.6100 ).EPSTEIN VIRGIN ISLANDS FOUNDATION, INC., A 601(c)(3) PRIVATE FOUNDATIONIUSVI CORPORATION 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: Nanut Bate of Birth Legal Address For US. ANSCIftt Fm Norult.S.Nrsont —1 Soc,at Seculief (See footnote t for alternatives Number tOSocielBeteity Number) NOT APPLICABLE For Non-US. Persons, inaddition to a Social Smithy Number or a Patriot Number with Co:mtry ef issuance. an alien identification card ntinear, or numnor and country of issuance of any ether government espuee document evioencing nationality or residence and bearing 0 be trovidtd. photograph or seni-Sti ureguatc shook% (lino individual meats this definition, please mile "Not Auelicabiel a. 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)). Nan. : Detect Beth I Legal Address I For US. Peron: Cot Noot,I.S. Penton& ' I Soca, Security (Bee footnote l Ice altmlativos i i Number -i- i to Scotal Seamy NItIteri I , 16100 RED HOOK QUARTER, 93 !JEFFREY E. EPSTEIN 1/20/53 I St THOMAS, USVI 00802 ' For Non-US. Persons, in addition to a Social Seatrity Number ore Passport Number with Country of 19503,14%.. en alien Ida:ultimate,' and country ofIssuance of any Mho gown tyrant-Waled cleannant evidencing notionNey or residence and Dearing peed MUM% or numbs be brovided. a neotograph or shutter safeguard should FREY E. E TEIN tame of natural person opening the account), hereby certify, to the best of y knowledge, that t e infp is complete and correct. 7/24/18 Date Legal Entity Identifier tOpponag CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0079390 CONFIDENTIAL SDNY_GM_00225574 EFTA01380829