EFTA01298071.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, SOLE MEMBER b. Name of Legal Entity, Type of Legal Entity, and Address of Legal Entity for Which the Account is Being Opened: LSJE, LLC, A USVI LIMITED LIABILITY COMPANY 6100 RED HOOK QUARTER, 83 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: [Warne Date of Olin LeviAdd:ors I Per U.S. Persona.. rot Non , U.S Pomona Social Setooty (See fitCtnOtt t 40r slim natives Niumber to Sosiai SeCu,41 Writhe) 6100 RED HOOK QUARTER, 83 JEFFREY E. EPSTEIN 1/20/53 ST. THOMAS, USVI 00802 I i [---- i I . , For Non-U.S. Persons, in addition to a SocelSeturey Nu:aim:or a Passport Number with Country of issuance. an alien identification taro nonter. Cr numaer and county of issuance of any outer goyeenment4ssued document eventing nationality or faSiOenCt and bearing o coottirtedn Of Serhir sgeount silted bo motiocc. (If no indMinual meets snit definition. please virile 'Not nparkatgoi) d. 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)). Nam. Date of Beth Masi Address For U.S. ref:west For Non-U.S. PaSene i Social Secunty woman pre footnote for adernaitivitsi IC Social Securey Nutrato I ABOVE JEFFREY E. EPSTEIN I SEE ' cog ttomU.S. Persons. in addition to a Social &Minty Number or a Passport Number mat Country of Issuance. an goo ide.nercation card numbe, oi number and country of iscuence of any Other 9OvorrentnI•isSued document pottlineing not:Cray Or resmenro and tittering 3 ronotograpn or tint salegualo should be provided. EY E. TEIN e of natural person opening the account), hereby ce to the best of m knowledge, that t information ,eve is complete and correct. Signal.. re 7/24/18 Name Legal Enter Identifier (OnSonal) (Print):t_ A stempiAve ()etc SDNY_GM_00062013 CONFIDENTIAL - PURSUANT TO FED. R.cp.,NEIDENTIAL DB-SDNY-0024838 EFTA_00I 72523 EFTA01298071