EFTA01480692.pdf

Legal Entity: Trust Trust Tax ID # You must ensure that a copy of an IRS application for tax id has been received from the client as evidence per Private Bank Policy. Trust / Estate Situs (Domicile): XX JPM Executor or Trustee? ✓ Yes - Sole ✓ Yes - Joint 6 No Fiduciary Manager Non JPM Trustee(s) / Executor(s): Complete this section for Non-JPM trustees / executors. Primary Non JPM 6 Individual r Organization Trustee/Executor is an List the following information for the Primary Non JPM trustee / executor.lf an Organization, please list under 'Last Name" section and mark "First name" with a dash (-). Last Name : Indyke First name : Darren Middle Name/Initial: Address Line 1: 457 Madison Avenue Address Line 2: 4th Floor City: NY State NY Province: Country: UNITED STATES Postal/Zip Code: 10022 Contact Phone: Date of Birth :(mm/dd/yyyy) 02/19/1965 What form of goverment issued identification document did you obtain for the files? Driver's License Tax ID / Social Security Number Passport/Drivers License # NJ List any additional Non JPM trustees / executors in the following table. Name Date of Birth Form of Govt Issued ID Passport # / DL # Tax ID (mm/dd/yyyy) Obtained Lawrence Newman Driver's License Grantor of Trust / Estate Assets: List the following information for the grantor. Grantor is an F Individual r Organization If an Organization, Please list the legal name under "Last Name" section and mark "First name" with a dash (-). Is the Grantor Deceased ? ✓ Yes 6 No Last Name : Epstein First name : Jeffrey Middle Name/Initial: Address Line 1: 1 457 Madison Ave Address Line 2: 4th Floor City: NY State: NY Confidential Treatment Requested by JPM-SDNY-00002907 JPMorgan Chase CONFIDENTIAL SDNY_GM_00272105 EFTA01480692