EFTA01384798.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: [JEFFREYE EPSTEIN,SOLEMEMBER b Name of Legal Entity, Type of Legal Entity, and Address of Legal Entity for which the Account is Being Opened: PLAN 0, LLC, A LIMITEDUABIUTY COMPANY 6100REDHOOKUSVI St THOMAS,USVIQUARTER, 00802 B3 c. The following information for each individual, if any, who, direcliy or indirectly, through any understanding, relationship or otherwise, owns 25 percent or more of the equity interests ofcontract arrangement the legal entity listed above: I Name date of Seth Legal Addres$ Foe U.S. Parsons: I For Non-US. Passont Social Securhy (See (competitor ohm natives Member ! to Sacial Seta! Melte') ....! 6100REDHOOK JEFFREYE. EPSTEIN ST.THOMAS,USVIQUARTER, 00802 63 I I .-. ......... • Fo: Non-U.S. Persons. In alai, on to a SOCial Semite Number or a Posrpon Number with Country and coundy of issuance of any other genefnment-issued document evidenci-v of Issuance. an Niro ktenta-cation rani number, or numnar raticmahty or residence arts bearing a ph:hag:ado or simika sefeguart should be provided. (If no meantfual meets tnis deli:Ikon. please write "Not Appacobe.") 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 Managing Member, General Partner, President, Vice President Treasurer); or Officer. • 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)). Name Oats of Binh I ugamooress For U.S. Persons: I For NomUS. Potent SO614 Seetoky (See footnote1 for ailemailvas I Number j to SOCIIIISecurhy Number) I JEFFREYE. EPSTEIN SEE 'ABOVE i I i I i ......._.! , For Nen•us. Persons in addition toe Said Security Number or a Riau= Number ...hth Country of Issuance, art atm identificationcard flthliber. or monber and tourer/ of Issuance M any 01:10, S.V.refAtIleflI4SSOC4 document evioencing nationality o, residence ono bearings IglagetiraPh Or SintarYSiltWiltd5.40Uld to Provided. ral person opening the account), hereby certify, to the best of eve is complete and correct. 7/24118 Signature Ve Dalt Legal entity !denture( (Optional) Name( Date: sirjuke 0#41 CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) DB-SDNY-0085322 CONFIDENTIAL SDNY_GM 00231506 EFTA01384798