EFTA01379576.pdf

II. Certification of beneficial Ownef(S) Persons opening an account on behalf of a legal entity must provide the following information: a. Name and Title of Natural Person Opening AccounC 1JEFFREY 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: JEGE, 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, understanding, relationship or otherwise, owns 25 percent or more of the equity interests of the legalarrangement, entity listed above: Name Date of Binh I Legalaldose For U.S. Parsons: For lion-U.SP*MooS: Social Security (See footnote 1!or oternativell NUMbe to SOCiIII Senrry Number) I 16100 RED HOOK QUARTER, B3 JEFFREY E. EPSTEIN I ST. THOMAS, USVI 00802 • ' For Non.U.S. Petsorc In arrIcitOOn Ku a Social Security Horner ore Possport Numb& min Country of /Swum an alien WegilIliCition Card nut. Or nontOro enet county Wiest:Once of any other covet rrient-Issued document itArtencing nakinallty or residence and scaring 00 provided. a Ohornown or Vorrilas Oferpart snotrrn (If no inOividua? 'nen this delinitaxi. Pleate write "Not Aopficaotel d. The following information for one individual with significant responsibility for managing the legal entity such as: listed above, • An executive officer or senior manager (e.g., Chief Executive Officer, Chief Financial Officer, Chief Operating Managing Member. General Partner, President, Vice President. Treasurer): or Officer. • 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)). Name Date of Birth !i Legal address For U.S. Persoor For Non.U.S.PanOn.1: 1 Saab! Seennty (See footttoto tier nIternathys Number to Social Secuagy Nurnberi i ABOVE JEFFREY E. EPSTEIN I SEE i For Non-US. Persons. In addition to a Sock Security Number rre PaSSOCrt Number with Country of 'nuance. en alk% kientification cob norribtr. or WOW: aid Critelli' Of issuance of any =et governr.ent-issued document mice:ming nationality ce residence ono bearing a pnottaqraph or sieriab oofeguaret shone be aeoveled. EIN (name of natural person opening the account), hereby certify he est of d above is complete and correct r14/ Signature Verifica 7124118 •/A Name (Print): 4-1Thec Legal Entity Identifier (Optional) Title: VP Dote* 11-17/ sir jhAte CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) DB-SDNY-0077181 CONFIDENTIAL SDNY_GM_00223365 EFTA01379576