EFTA01388727.pdf

DataSet-10 1 page 407 words document
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II. Certification of beneficial owners) 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 Addres s of Legal Entity for Which the Account is Being Opened: HYPERION AIR, LLC, A USVI LIMITED LIABILITY COMP ANY 6100 RED HOOK QUARTER, B3 ST. THOMAS, USVI 00802 c. The following information for each individual, if any. understanding, relationship or otherwise, owns 25 who, directly or indirectly, through any contract, arrangement, percent or more of the equity interests of the legal entity listed above: ; Name I (Woof Birth I Legal tuictefl For LS. Pettans*. For tlwi-U.S. a.,!!sons SeCtal Seoutill. (See 100trqtt 1 for MN nice/es' 4 6100 RED Hunter to Sattoo Sttwny Mr.ker) HOOK QUARTER, 63 JEFFREY E. EPSTEIN ST. THOMAS. USVI 00802 I I ' For Non-U.S. Persons. in addition to 3 Social Security Number or a Passport Number wan Country of issuance, an and counts of issuance of any othe, government.issur 31;en identil cation card flume. or number d document evidenckc natkinaCty or leSideme aria basting* be **(hided. photograph Cr sirnaz Safeguart snoulo Of iv individual meals this StiniVare piett,e write 'Not Apa:icabie.1 d. The following information for one individual with signific such as: ant responsibility for managing the legal entity listed above, • An executive officer or senior manager (e.g., Chief Executive Officer, Chief Financial Officer. Chief Opera Managing Member, General Partner, President, Vice Presid ting Officer. • Any other individual who regularly performs similar functio ent Treasurer); or (If appropriate, an individual listed under section (e) above ns. may also be listed in this section (d)). Nam. I Date of tuns I Legal Address ! For U.S. Persona For Nom-US. Arsons: I Social SoSurky I i--- Number (taSn Soc krairor a lkiw y Nrunitbner I JEFFREY E. EPSTEIN I SEE i ABOVE • 1 I i ....j 'Fog r4ort.u.s. Persons, in addition to a Socials 3/00w Number or . Passport 610 rowan; of issuance or any otho! gentThritzlt•IStuett accoun Nirnts witri Country01 ;Mance. OA alien kientific be OtaMICO. t initiore.'llba MrilCality fa f &licence ono cesdng a onotoor ation Cara aunty. or massy atti or Senildr Tecesua,osnou:o natural person opening the acco complete and correct. 7124/18 togas Entity fdrzttifier (Optional) susna4arc 0,4 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-OO92449 roNFIDFNTIAL SDNY GM_00238633 EFTA01388727
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c9533617cf3796175c37c6f3823a7f0a9068b2b5021a62bee76881a3ed7e70fa
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EFTA01388727
Dataset
DataSet-10
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document
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1

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