EFTA01480441.pdf

State of Domicile: Where is the Company Incorporated? What document did you obtain to evidence state of domicile? Articles of Incorporation, Partnership Agreement, etc Introduction / Financial Information Introduction Type: Specific Information: Part of the Epstein relationship (Please identify Client, Type of Account etc.) Met with Principal? 0 Yes r No Name Of Principal: Jeffrey Epstein Legal Structure: Principal Beneficial Owner(s) Identify the principal beneficial owner(s). If the entity is owned by an intermediate legal structure (e.g. LLC or Partnership), please list the ultimate individual beneficial owner. A beneficial owner is any person on behalf of whom the account Is maintained. Last Name: First Name: % of Ownership: Tax ID DOS What form of identification document did you obtain for the files? Other If Other ,Please Describe: information already on file Passport # NA Please Describe: investments Corporation's Net Worth: $ 1.00 (USD millions) Sales: $ (USD millions) Total Assets: $ 1.00 (USD millions) Total Debt: $ (USD millions) Specific Information account documentation Are the controlling Shareholders the same as G Yes r No the beneficial owners ? Controlling Shareholder(s): Jeffrey Epstein Industry Code: Investors (Misc.) The Business Type is the industry in which the NAIC Code: client derives the majority of its income. fIransaction Profile/Expected Account Activity What is the purpose/intended use of this account? Please check the types of account and expected activity for this legal entity inflows and outflows of securities and cash) - check ALL that apply: Activity Level: Low (1-5 transactions/month) Account Medium (6-12 trs/month) High (over 12 trs/month) DDA/MMIA: r Low Medium r High SDI: r Low r Medium r High Confidential Treatment Requested by JPM-SDNY-00002602 JPMorgan Chase CONFIDENTIAL SDNY_GM_00271800 EFTA01480441