EFTA01373046.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: ZORRO MANAGEMENT, LLC, A USVI LIMITED LIABILITY COMPANY St DO RED HOOK QUARTER, B.3 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: Name Date of Binh lliffdlAddren , For U.S. Persons: For Non-US. Persons- ! &weal Security (See footnote I or °Rama:Nell t.- Numb& to Social Secitt.y Number) I —1 6100 RED HOOK QUARTER, 83 JEFFREY E. EPSTEIN MOMS ST. THOMAS, USVI 00802 I for Non-US Persons. in addition too Social Security Number or a Passport Number .win Country of Issuance, alien en and tOtanty ci facoance oi any CAW" gvueinmeot-issued document evidencing nafianalty ce residence aro bearing identification card ncntz-..r. or num del a obotowaph o wallas scleguaw sygnikt be provided. (If no fr.drvidtsal meats Pis cafanitiOl dare write 'Not Applicabla.") 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)). Pen I Date of Ben Legal Address I For US. Persons: j For Non-U.S. Persons: Soctal Security 114.T. footnote I akt e.;flanks ro 0 Social y Nimb ABOVE I JEFFREY E. EPSTEIN ISEE For NoruUS, Persons. in addition to 8 Social Security Number cr a Passport Numb*, %An Count!), of Issuance. en alien leentirtcauon Card number. ce maybe wan country of Issuance of any Othe 90veffirnatnnudd of/co:11am' evidenCing nauortalityor rasktencc and basting a photOgraon at lenity safeguard Shaft be DrOviCed. kfriErFiltriPsmiN (name of natural person opening the account), hereby certify, to the best of /my knowledge, tat the information prowl beve;seamplete and correct. Signatu 7/24116 Date fre Name( Leos] £ntey Identifier iOptional). Tale. st ow, (1 Data: CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0067037 CONFIDENTIAL SDNY_GM_00213221 EFTA01373046