EFTA01345174.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, MANAGER b. Name of Legal Entity, Type of Legal Entity, and Address of Legal Entity for Which the Account is Being Opened: SOUTHERN FINANCIAL, LLC, A USVI LIMITED LABILITY COMPANY 8100 RED HOOK QUARTER, B3 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: i Name I Date of Birth LegolAtterese For U.S. Parrionc: For Plon.U.S. Pt ons: So. kill Securer (Sec roc:notes. tor Men...viers J Number to Sobel &storey Ntrr.boA 8100 RED HOOK QUARTER, 83 JEFFREY E. EPSTEIN St THOMAS, USVI 00802 1 7. For Non•US. Persons. in &coition too Social Security Number or a Nssport Number MO Country of IssuanCe. an Oren idontiScotIon card number. Or ivurn0er end courery of issuance of any Ced ter governintnt-issued document avelencing nationally cv residence ant: matins a photograph Cr OS °mean ItMaar safeguard shook. (If no incliktual meets finis d4hiitiCet dense tvflIC 'Nat Applicabil.-) 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, art individual listed under section (c) above may also be listed in this section (d)). Name I Date of Beth f Leo Adorers For US. Persona: klr Non-0.S. Pertain: Social Security (See foolnatal for *Narratives' Numb& to SoriaiSeturity Number, II ABOVE JEFFREY E. EPSTEIN I SEE For Non-U .S. Persor4 in addition to a Social Semoity Number or o Passport Nientior with Country of stuance. an alien Identificaton and countryof !stereo of any other govetrtment-issoed document cans number, or number natiOnMity or reeicience and beating a photograph Or similar sofogoord should be provided. me of natural person opening the account), hereby certify, to the best of ded above is complete and correct. Signo 7124/18 Crate (Pr 7 -ij ?Pi Date: Sr CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-OO3136O CONFIDENTIAL SONY GM_OO177544 EFTA01345174