EFTA01373040.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: JEFFREY E. EPSTEIN, PRESIDENT b. Name of Legal Entity, Type of Legal Entity, and Address of Legal Entity for Which the Account is Being Opened: JEGE, INC., A DELAWARE CORPORATION 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: None I Date*,Dinh legal Address For U.S. Persons: i Fe NoruU Parsons: 6100 RED HOOK QUARTER, 83 I ‘aa So : St:, its Number (Soo footnote I fat alter natives! f to &clotSett/fay monbaf) JEFFREY E. EPSTEIN ST. THOMAS, USVI 00802 For Non-U.S, Persons. M addition to a Socol Semsny Number or.) Passport Number faith Country of Issuance, en alien dentifieation care numb?'. 0' number and couture o' issuane•of any other goveurneni:usued Oadxnere evitiuncina nationatity orresidence anti Waring a ohamdrapn or sinker tateuuerci shoule be provided, (If no individual meets this definition. Please veito "Not AppiicaS.1 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 (0)). ! Nay* 041e of Birth 1 Legal Address For U.S. Persons: For Non.U.S. Persons: Social Seconty feerote? for alternatives' Number to Soda( Seaver Number) I ABOVE JEFFREY E. EPSTEIN SEE Foe Non-U.S. Persons. in addition to a Sadie' Securieillumber or a Passport Number with Country of Issuance. an eaen icentif CatIDO Card halite% a nurnbe and country of issuance el any ore ocvornment-issued document outdo:lobto nancrelity reSiOence ant beminn a photorirePh or snide *atelier) anOrril be provided. JEFF (name of natural person opening the account), hereby car!' to the best of my k lo mprotifdecrebbve • complete and correct. Signature V 7124118 Siang re Date Na lint): Gnrti Legal Entity Itteedificr (OODS) craw Cad Date: '11-111 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0067029 CONFIDENTIAL SDNY_GM_00213213 EFTA01373040