EFTA01370740
EFTA01370741 DataSet-10
EFTA01370742

EFTA01370741.pdf

DataSet-10 1 page 439 words document
P17 V16 V15 V11 D6
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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 Openin g Account JEFFREY E. EPSTEIN, SOLE MEMBER b. Name of Legal Entity. Type of Legal Entity, and Address of Legal Entity for Which the Accou nt is Being Opened: HYPERION AIR, LLC, A USVI LIMITED LIABIL ITY COMPANY 6100 RED HOOK QUARTER, B3 St THOMAS, USVI 00802 c. The following information for each individ ual, if any, who, directly or indirectly, throug understanding, relationship or otherwise, h any contract, arrangement, owns 25 percent or more of the equity interes ts of the legal entity listed above: Name I D3t0 Of Birth —1T.egai Anoress f For U.S. Pet tans*. For tlw-L1.S. N!Gont .•• • : SOC.OlbeCutily (See footoote 1 for bi101nitiVeSI I —I — , Mater to Sattal Stayny ittrzef) I ' 6100 RED HOOK QUARTER, 83 JEFFREY E. EPSTEIN t 1/20/53 ST. THOMAS. USVI 00802 I 7 I I Ii iI i L_____ I I Eii ' For Itir.-U.S. Persons. in addition to 3 Social Security Number or a Passport Number wail Country of issuance, an and country of iSSUartCe of any othe, govemment•issu alien identh cation card quite. o! numb& rd Continent evittenchc natkinaCty or,esiaeoct aria basting be orn‘i0cO. a photograph ce simAz Safeguart snoulo Of iv este:it:to' moats this stinhton. pietete write 'Not Apa:icabie.1 d. The following information for one individual with significant responsibility for managing the such as: legal entity listed above, • An executive officer or senior manager (e.g., Chief Executive Officer, Chief Financial Officer. Managing Member, General Partner, Presid Chief Operating Officer. ent, Vice President Treasurer); or • Any other individual who regularly perform s similar functions. (If appropriate, an individual listed under section (e) above may also be listed in this section (d)). Name Date of Binh Legal Milress ! For U.S. Persona For Non-US. Arsons: Social S.:A:thy Mae fOomote I :or Waetnatim. Number to Social &why Number) ABOVE JEFFREY E. EPSTEIN (SEE 1 For NOts•U.S. Ponons, in addition to a Social Smithy Number or a Passport hltrobonattt Countryof ;UAWta an one twat); of issuance or any otho' governnwint•issueo acclaim al±en kientification cora nunter, or mutiny Oa OrGYWCO. oratitc.aihy o feu:lance ono cemtrig a photon, atti or Sellildr refocus ,0 sncuto J PREY E. EPSTEIN natural person opening the account), hereby m knowledge, that t e information it certify to the best of complete and correct Signature Verif 7/24/18 S tire •••_ Name ( legal Entity identifier (Optional) The: stm t. &ad CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) DB-SDNY-0063750 CONFIDENTIAL SDNY_GM_00209934 EFTA01370741
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891f9adc57fed8be23bf8e1bcb96fa8cc62bd21a10a90283966264a8c4da5adc
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EFTA01370741
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DataSet-10
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document
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1

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