EFTA01388731.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, SOLE MEMBER 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 USVI LIMITED UABIUTY COMPANY 6100 RED HOOK QUARTER, B3 ST. THOMAS, USVI 00802 c. The following information for each individual, if any, who, directiy or indirectly, through any contract arrangement understanding, relationship or otherwise, owns 25 percent or more of the equity interests of the legal entity listed above: I Name Dale el Sinn legaiAddres$ Foe US. Parsons: For Non-U.S.Passont &Mal SelonCIV (See fOOMOW 1 ler Olkm 'LIMPS Mambo to Sscial Sticday No'nber) 6100 RED HOOK QUARTER, 63 JEFFREY E. EPSTEIN ST. THOMAS, USVI 00802 For Pion-US. Persons. in aciaipon co I Soria) Sent*, Number or a Pasrpon Number with of and counny of issuance of another gevotnmant -issued tiolanerri evidenci-v noticnarxtyCountry issmante. an Sion Went-ace:ion raid norrees, or numner or residence .IfItt Warkng a pitotoorada or Skralt safer:met should be provided. (If no :nal:Of:bat meets tnis deli:Ikon. please write `Not Apolicat:e.1 d. The following information for one individual with significant responsibility for managing the iegal entity listed above. such as: • An executive officer or senior manager (e.g., Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, Managing Member, General Partner. President. Vice President Treasurer); or • 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 tcgalAciaress For U.S. Poisons: For Non-U S. Portent Social Satisky I (See footnote ?for aitenuelvasi Number j to Social Security Number) i I ABOVE JEFFREY E. EPSTEIN SEE For Non•US. Persons in addition toe Social Security Number or a Pain= Numbest ?Mil Country 0! ISSuallCe, an ebb) and tourgry of Issuance Many prior s.c.veinglIefil4SSOC4 CCCunlent evithNiCing nationality c, ithlAtilitOl.arl CWC Mutt.; or :umber residence and beating ai or Sinutvlilt7hIrci should to Provided. rat person opening the account), hereby certify, to the best of aye is complete and correct. 7124118 Dalt Logaientity !Snuffer (Optional) CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0092458 CONFIDENTIAL SDNY GM_002384142 EFTA01388731