EFTA01384794.pdf

DataSet-10 1 page 404 words document
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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 AccounC 1JEFFREY 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: JEGE, LLC, A USVI LIMITED LIABILITY COMPANY • 6100 RED HOOK QUARTER, B3 ST. THOMAS, USVI 00802 c. The following information for each individual, if any, who, directly or indirectly, through any contract, understanding, relationship or otherwise, owns 25 percent or more of the equity interests of the legalarrangement, entity listed above: Name Date of Binh I Legal Morose For U.S. Parsons: For tIon-U.SNAC2IS: Social Security (See footnote 1!cr aternatiyni Nuomer to SOCiIII Senrry Number) I 16100 RED HOOK QUARTER, B3 JEFFREY E. EPSTEIN 1/20/53 I ST. THOMAS, USVI 00802 ' For Non.U.S. Poisons. In aOcittiOn too Social Security Hunter ore Onssport Numb& min Country of issuance. an as WegitiliCition Card nut. Or ewer.::: end :cagey Wissuance of any other covet document itArtencing naaonality or resilence and °caring a ohotnown or sintilar oferanic snoiAn Oe provicerl. (If no exaviduae meets this tiefinitaxi. Ple3SO write 'Not Apohcaoiel d. The following information for one individual with significant responsibility for managing the legal entity such as: listed above, • 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 Date of Birth !i Legal Address For U.S. Persoim For aton.U.S.PanOn.1: 1 Social SeCuray (See footnote t fee illternath•CS Number to Social Secuagy taterroeri i ABOVE JEFFREY E. EPSTEIN I SEE I o For Non-US. Persona In etIclition to a Sock Security Number ore paSSOrrrt Manner with Country of 'nuance. en aim laentification Card numbly. and Critelli' Or issuanceof any =et governr.ern-issuect document mice:ming nationality ce resistance and or WOW: bearing a onotoqrapn or sierita• safeguard shone be aeoviouil. EIN (name of natural person opening the account), hereby certify he est of d above is complete and correct r14/ Signature Verifica 7/24/18 • /A Name (Print): 0Thec Legal Entity Itkntifier (Optional) Tale: VP Doty 11-17/ 17 sir jhAte CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) DB-SDNY-0085317 CONFIDENTIAL SDNY_GM_00231501 EFTA01384794
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ce8c0df873040052fef4fce235101bfccef835fe1ebb566dfa382688167dfbc9
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EFTA01384794
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DataSet-10
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document
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1

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