EFTA01480834.pdf

Form of government issued Drivers License identification obtained for the files Primary Identification Number Issued By UNITED STATES Florida Date issued 08092005 Expiration Date 04.0712012 Source Of Wealth! Financial Information Details Source Of Wealth -Identify the Clients Source of Wealth from followine list of o• Ions Introduction Non Individual Entity Type Limited Liability Company • For Profit For Profit? Yes Locations Served? Domestic Are beneficial ownersiprincipal shareholders associated with No this business? Who owns this entity? Individual Please Provide ownership details Jeffrey E Epstein s the sole creme( of Ihrs account Ownership is not equal to 100%7 No Are there any authorized signers or any other Individuals Yes with authority over the entity? What independent background check, in addition to the JPMC Network Global Corporate Security ("GCS") background check, has been carried out? Check all that apply and provide the date In which the background check was conducted. (at least 1 must be selected) JPMC Network Date 01/03/2012 JPMC Network Comments Mr. Jeffrey Epstein is an exiting client of the Private Bank. Politically Exposed Person Are any of the beneficial owners/authorized signers or other No individuals with authority over this entity a current or former Senior United States o Non-USA Political Official f also known as a Politically Exposed Person (PEP)or related to one? Source of Wealth/Financial Information Client Category(for SOW) For Profit Souice of Wealth- Identify the clients source of wealth from Other the following list of options Provide detailed and specific Information. Jeffrey Epstein is an existing client of P8 In years past, ho was an adive brokerage client. Formerly. Jeffrey Epstein was a money manager for high not worth individuals, rnoSt notably Leslie Woxnor. Wexner vas a JPM client and then retained Epstein as his advisor in the late 90s. Which country(ies)islarel the Client's primary Souice of UNITED STATES Wealth or Income derived? Is this an Operating Company? No Total Net Worth $ 300000000.00 What was the total net worth based on? Other a. Please describe: Jeffrey Epstein is an existing client of the Promo Bank is this client a Professional Service Provider acting as a No financial intermediary (Gatekeeper/Financial Liaison), with assets held on behalf of one or more unidentified underlying clients unknown to the bank? Is this entity a Private Equity Fund (Venture Capital Fund or No Leveraged Buyout)? Is this a Hedge Fund? (Pooled Investment vehicles (often No partner ships)that primarily invest financial capital of third patty investors in enterprises that are too risky for the standard capital markets or bank loans.) Confidential Treatment Requested by JPM-SDNY-00003063 JPMorgan Chase CONFIDENTIAL SDNY_GM_00272261 EFTA01480834