EFTA01380830.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: FIE-EPERS, INC., A USVI CORPORATION 6100 RED HOOK QUARTER, B3 ST. THOMAS, USVI 00802 c. The following information for each individual, if arty, 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: Name Date of Birth Legal Address i For US. Pwisonsi For Non-US.Persoroe - I1 Number Soma: Security (See footnote'. for alternatives to Social Seceny Number) 6100 RED HOOK QUARTER, B3 1 JEFFREY E. EPSTEIN 1120/53 ST. THOMAS, USVI 00802 i .... 1 1For Non-U.S.Penn inaddition too Social Security Number or a Psseparl Number with Country of issuance. an and Canary of ISsunnee of anyother government-issued document evidencing nationality or residence and bearingalien identification card number, or number o photograpn a Simile' utleguard should be c.-Yicted, (If AO Lndlyittual meets this definition. please 'Mite -Not APplicable,-; 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 Officer. Managing Member, General Partner, President, Vice Presklent, 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)). Nome Date of 6!!t Legal Address For U.S. Persona: i For Non U.S. bosons: Social Security I (See footnote 1 for aketnative4 thfrebee toSocialSecurity Number) 1 ABOVE !JEFFREY E. EPSTEIN I SEE ' For Non-U.S. Persons. in addition to a Social Security Number or a Passport Number :bah Cautery of lone rice, on alien idenhfication cord number. or number and =ochry& issuance or any other government-issued document ovine:taloa netionatity ce readear.e and Luring be Provkted. a photagiacn or setae,ssfeatiard should E. EPSTEIN (name of natural person opening the account), hereby certify, to the best of the ided above is complete and correct. 7/24118 Date Legal Entity Identified (Optional) CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0079391 CONFIDENTIAL SDNY_GM_00225575 EFTA01380830