EFTA01298071.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:
LSJE, LLC, A USVI LIMITED LIABILITY COMPANY
6100 RED HOOK QUARTER, 83
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:
[Warne Date of Olin LeviAdd:ors I Per U.S. Persona.. rot Non, U.S Pomona
Social Setooty (See fitCtnOtt t 40r slim natives
Niumber to Sosiai SeCu,41 Writhe)
6100 RED HOOK QUARTER, 83
JEFFREY E. EPSTEIN 1/20/53 ST. THOMAS, USVI 00802 I
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a F n o d r N c o o n u - n U t . y S o . f P i e s r s s u o a n n s c , e in o a f d a d n i y ti o o n u t t e o r a g S oy o e c e e n l m Se en tu t4 re ss y u N ed u d :a o i c m u : m o e r n a t P e a v s e s n po ti r n t g N u n m a b ti e o r n w al i i t t h y C or o f u a n S t i r O y e o n f C is t s a u n a d n b c e e a . r a i n n g al o ie c n o i o d t e t n ir ti t f e i d ca n t i O o f n S ta er r h o i n r o sg n e te ou r. n C t r n s u il m te a d e r
bo motiocc.
(If no indMinual meets snit definition. please virile 'Not nparkatgoi)
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)).
Nam. Date of Beth Masi Address i For U.S. ref:west For Non-U.S. PaSene
Social Secunty pre footnote for adernaitivitsi
woman IC Social Securey Nutrato
I ABOVE
JEFFREY E. EPSTEIN I SEE
' a c n og d t c to ou m n U tr . y S o . f P i e s r c s u o e n n s c . e in o a f d a d n i y ti o O n t h t e o r a 9 O So v c o i r a r l e & nt M nI• i i n s t S y u N ed u d m o b c e u r m or e a n t P p a o s t s t p li o n r e t i n N g u n m o b t e : r C m ra a y t C Or o r u e n s t m ry e o n f r I o s a su n a d n t c it e t . e a ri n n g g o 3 o ro n id o e to .n g e r r a c p a n ti o o r n t c in ar t d n s u a m le b g e u , a o l i o n s u h m ou b l e d r
be provided.
EY E. TEIN
e of natural person opening the account), hereby ce to the best of
m knowledge, that t information ,eve is complete and correct.
Signal.. re
7/24/18
Name
Legal Enter Identifier (OnSonal) (Print):t_
A stempiAve
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R.cp.,NEIDENTIAL SDNY_GM_00062013
CONFIDENTIAL - PURSUANT TO FED. DB-SDNY-0024838
EFTA_00 I 72523
EFTA01298071