EFTA01345174
EFTA01345175 DataSet-10
EFTA01345176

EFTA01345175.pdf

DataSet-10 1 page 407 words document
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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: ZORRO MANAGEMENT, LLC, A USVI LIMITED LIABILITY COMPANY 61D0 RED HOOK QUARTER, B.3 ST. THOMAS, USVI 00802 c. The following information for each individual, If any, who, directly 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: Name Date of 881.1 Legal Addles% For U.S. Persona: For Non-US. Person, &gialSecuf;ty (See footnote I lor °Remo:Nest Niter 0.1: to Social Seratt.y Number) I 6100 RED HOOK QUARTER, 83 JEFFREY E. EPSTEIN ST. THOMAS, USVI 00802 For Non-US Persons. in addition too Social Security :lumbar or a Passport Number .win Country of Issuance. en alien identification card numort. or turnut end totarry ci faces:Ice of any othbr gulieinment-issood document evidencing nationaltyce residence aco herring a pbotowoph be PrOvitled. o wallas tokenism; st:carkt (If no individual:nem Pis Wlkin,. darewrite 'Not Applicable.") 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 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)). Pen I Date of Elm Legal Address I For US. Persons: j For Non-U.S. Persons: Social Security c:a footnote I Ittt. ak t ei;forks Nu Social y Nimb ABOVE I JEFFREY E. EPSTEIN I SEE For Non-US. Persons. in *Sidon to 8 Social Security Number cr a Passport Number wen Country of Issuance. an earns Identification era country of Issuance of Arty Atha! 9overnment-ISSued oocumenr evidencing GoOOnalily re resktente and 889ting a phorograp,) n Card number. tit maybe sisna.r safeguard stave: be DrOviCed. kfriErFiltri PsTEIN (name of natural person opening the account), hereby certify, to the best of /my knowledge, let the information prowl beware eemplete and correct. Signatu 7/24/18 Owe Name( Legs] £ntay Identifier (Optional). — Tide. st ow, (1 Dale: CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DI3-SDNY-0031361 CONFIDENTIAL SDNY_GM 00177545 EFTA01345175
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EFTA01345175
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DataSet-10
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document
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1

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