EFTA01298374.pdf

II. Certification of beneficial owne r(s) Persons opening an account on behalf of a legal entity must provide the following information: a. Name and Title of Natural Person Opening Accoun t: JEFFREY E. EPSTEIN, SOLE MEMBER L b. Name of Legal Entity. Type of Legal Entity, and Addres s of Legal Entity for which the Account is Being Opened: I HYPERION AIR LW A USVI LIMITED LIABILITY COMPA NY I ST. THOMAS. USVI 00802 c. The following information for each individual, if any, who, understanding, relationship or otherwise. owns 25 percendirectly or indirectly, through any contract, arrangement, t or more of the equity interests of the legal entity listed above: •• Name &moot Beth i /teal Attess I For U.S. Pavans: For Non•US. aat sons: I &dal Secretly (See loornore I for Am:AM.' i JEFFREY E. EPSTEIN 1120/53 H I Neater to Sear Security Rata/ i I ST. TH • MAS. USVI 00802 ' For Non•U.S. Persons. m Satan to a Social Society NurnIxe or a Passport Mater vah Country of ISSU3/1Ce. an eVen and counrvy of issuance of any othor governrnanpiasua iCenrificazion coed nutaer. N cumber l document inignmang nationality or residence ono Inatirlij orarluea. a phoicsgara or Send.): &ego ant iamb Ili no Individual fratel$ this clefbit ion pale Write "Na; APAICSMC) d. The following information for one individual with signific ant responsibility for managing the legal entity listed above. such as: • An executive officer or senior manager (e.g., Chief Managing Member, General Partner, President, Vice Executive Officer. Chief Financial Officer, Chief Operating 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 Binh Legal MilreSS Vol- U.S. Persons: I For Non-USPe:sons: Social Security (See footrove I for rettenatmesk Number to Sava, Security Number, I JEFFREY E. EPSTEIN SEE • For Non-U.S. Persons, in addition to 3 Social Stair*? Noma or a Passport Number Iwo. tawny? and coontry or issuance oranY orha• oanrnment-leaue oi Issivinva an alien itrenti`Catian card minter. or rarrober ore DiGvidhl. 0 noarment evklacino .nationaeryor foeicanc e and avertn9 a ..aologro;a or arnaLrr saktuat0 Maio JF REY E. EPSTEIN natural parson opening the account), hereby eerily to knowledge, that e Information the best of complete and correct. n Signature Veri 7/24118 tore Dare Name ( logal Entity Idiatifier (Ogional) Tide: . stsnaAvvi-t &d SDNY_GM_00062719 CONFIDENTIAL - PURSUANT TO FED R.QPIN(F IDENTFAL DB-SDNY-0025544 EFTA_00173227 EFTA01298374