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:
FIE-EPERS, INC., A USVI CORPORATION
6100 RED HOOK QUARTER, B3
ST. THOMAS, USVI 00802
c. The following information for each individual, if arty, 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 Birth Legal Address 1 For US. Persons: For Non-US. Persorue
-
I Socha Security
1 Number
(See footnote'. for alternatives
to Social Smelly Number)
6100 RED HOOK QUARTER, B3 1
JEFFREY E. EPSTEIN 1120/53 ST. THOMAS, USVI 00802
I
....
1 For Non-U.S. Penn M addition too Social Sceurdy Number or a Paseport Number with Country of issuance.
I
An
and Canary of ISsunnee of anyother government-Lauded document evidencing nationality or residence and bearingalien identification card number, or number
e photograpn a Simi% utleguard should
be c.-elcted,
(If AO Lndlyidual arms this dellnitkin. please WI he 'Not Aopticapice)
d. The following information for one individual with significant responsibility for managing the legal entity
such as: listed above.
• An executive officer or senior manager (e.g.. Chief Executive Officer, Chief Financial Officer. Chief Operating
Officer.
Managing Member, General Partner, President, Vice Presklent, Treasurer); or
• Any other individual who regularly performs similar functions.
(If appropriate, an individual listed under section (a) above may also be listed in this section OD.
Nome Date of SW) Least Address For U.S. Persons; t For Non U.S. Person:
Social Security I (See Footnote 1 for akernative4
**robe? to Social Security Number)
1 ABOVE
!JEFFREY E. EPSTEIN I SEE
' For Non-U.S. Persons. in addition too Social Security Number or a Passport Number:4*h Country of Esser nce,
on alien idenhficatton card number. or number
and =miry ol issuance of any Ober gbeerterent-Nsued document ovioenciog cuiticoeity ce residence and Luring
bo Orovkted. a pilot-avow, or singer safeguard should
JEFF Y E. EPSTEIN
oral person opening the account), hereby certify, to the best of
to and correct.
7/24118
Date
LLgaii':ntity (eption3C)
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0061244
CONFIDENTIAL SDNY_GM_00207428
EFTA01369136