EFTA01480693.pdf

Province: Country: UNITED STATES Postal/Zip Code: 10022 Contact Phone: () Date of Birth :(mm/cld/r/YY) What form of goverment issued identification document did you obtain for the files? Driver's License If the grantor is deceased, please select "Other" and input a date of death. Tax ID / Social Security Number I ou ensure that a copy of an IRS application for tax id has been received from the client as evidence per Private Bank Policy. Passport/Drivers License # List any additional grantors in the following table.If the grantor is deceased, indicate this in the Name field if an Organization, rovide the legal name. Name Date of Birth Form of Govt Issued ID Passport * / DL # Tax ID (mm/dd/yyyy) Obtained Beneficiary (-ies): Name Relationship to Grantor,Trustee/Executor Mark Lawrence Epstein Grantor's brother Introduction Information Introduction Type: Related Client NC Specific Information Existing client. Met with Non JPM Trustee(s)/ r Yes C No Executor(s) ? Background / Financial Information Occupation, Business or Employer of Non-JPM money manager Trustee(s)/Executor(s) Profession/Business Type: Trust's/Estate's Value: $ (USD millions) Source Of Wealth/Assets of the trust: Other Other (Provide detailed and specific information) Jeffrey Epstein made his money managing the assets of wealthy individuals Transaction Profile/Expected Account Activity What is the purpose/intended use of this checking account account? What is the expected source of account Wire funding ? Approximate $ amount to fund the account $10,000 Please select each "Product Type" that applies. Within each product type, please Check ALL transaction types that apply and provide a description of expected account activity. (document expected sources of inflows and destinations of transfers,countries, and types of payors/payees.Include where is the money coming from - example . A specific bank or firm and purpose of specific transactions, if known) Product Type - Select all that apply Transaction Types - Select all that apply and expected Anticipated $ activity level ( L = 1-5, M = 6-12, H =>12 transactions Amount Totals per per month) month - Please provide at least an estimate Deposit/Current Accounts Cash ( withdrawals/deposits) - (Checking, Savings, Money Market) r Low r Medium C High Confidential Treatment Requested by JPM-SDNY-00002908 JPMorgan Chase CONFIDENTIAL SDNY_GM_00272106 EFTA01480693