EFTA01345173.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: [JEFFREYE EPSTEIN,SOLEMEMBER b Name of Legal Entity, Type of Legal Entity, and Address of Legal Entity for which the Account is Being Opened: PLAN 0, LLC, A LIMITEDUABIUTY COMPANY 6100REDHOOKUSVI ST.THOMAS,USVIQUARTER, 00802 B3 c. The following information for each individual, if any, who, directly or indirectly, through any understanding, relationship or otherwise, owns 25 percent or more of the equity interests ofcontract arrangement the legal entity listed above: I Harr* Dale el Binh Legal Address 6100REDHOOK I fro LI.S. Parsons: Snot SeCIVCIV Number For Non-U.S.Passont (Set fOOlth014,tier one+ 'MUMPS to Social Sir-J(4y thenter) JEFFREYE. EPSTEIN ST.THOMAS,USVIQUARTER, 00802 63 Fo: Non-U.S. Persons. in adoPo to I SOCial Semite number or a Pasrpon Number with Country and counny of issuance of air/other govefnment-issued tfecumenl evidenci-v of Issuance. an awn leant-doe:ion raid nester, or numnar noticnarcy or residence and warkso a ph:nag:ado or simika safer:um should tre provided. (If no mcl:ntlual meets tnis deli:Ikon. please write "Not Apolicooe.") 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 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 Oats of Bonn I Legal Address For U.S. Poisons: I For Non-US. Portent Social Seaway (See footnote? for ailenualvas I Number j to SQC:01 Security Number) I JEFFREYE. EPSTEIN SEE 'ABOVE t I i I i ......._.! , For Nen•us. Persons, in addition ton Said Security Number or a Riau= Number ...4th Country o! Issuance, an atm idantilicanan card mutter. or monbef and tourer/ of Issuance M any BunnS.GveinaltnI4SSOC41 document evidencing nationality c, reactance ono hearing s Mtagetiraph Or SinterVailtWarci 5.40uld to Provided. rat person opening the account), hereby certify, to the best of q.ve is complete and correct. I. 7/24118 Dalt Legal entity !demurer (Optional) sirjuke 0#41 CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) DB-SDNY-0031359 CONFIDENTIAL SDNY_GM 00177543 EFTA01345173