EFTA01298072.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 LIABILITY COMPANY
18100 RED HOOK QUARTER, 63
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 Date of Birth legal Address I Foe US. Newry& For Non-U.S.Fyitons: .
SooialSOFterlf Wee fOtmtite I for alternatives
Number to Social Security Millbrae,
6100 RED HOOK QUARTER, B3
JEFFREY E. EPSTEIN 1120153 ST. THOMAS, USVI 00802
F cia o o r N co o t n s - -m U y S o . M f is a s r u te a n n s c e in o a f d a d n i y ti o o n th t e o r e g S ov o e c r ia n l m S e e n c t u -i r s it s y u N ed u n d : o O c t u r m or e a n t k e v v it i s d p e o n r c t i n N g u n m a b ti e o r n v a e l l i t t h y C ow o r n e r s o io y e o n f e is r s o v n a o r c o e rc , e a e n l c a a km oh id o e lo n g t r ir e c o e n ti o o r n s c im ar i d la n r e s r e t l u e v w r. a o r r o n s u h m ou b l e d r
00 Dttlneta.
Of no mdiveaset meats this definition please vane Not ApOlicable.1
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)).
Name Date of Beth LegatAaderss I For DS dorsi:etc kw Non-U.S. downs-.
SotaiSctulLy Mee facnoze 1k : atterriedvcs
1 uumbef to Social Security Woman)
ABOVE
JEFFREY E. EPSTEIN SEE
•
I a F b n o it d r m N c o o o u u n l - n d U t e r . d y S . o . A f 4 ti s 0 u 4 a 4 d . d e in o ° f d a a n t y io o n th t e o r a g S ov o e c r ia n l m S e e n c t u -i r s it s y u H ed u m do p c y u m es e a n t P e a v s id w e o n e c t i N ng io n n a t t i i e o r n y a is li t t h y C or o r u c n s t ic ry k n a o t r I a s s a u n a d n b c e e a , a ri n n g O a r p h k o io to n g ti r f a ie p s h t i o o r n s c im ar i d le n : u s m ef b o e g r n . o ar r d n s u h m o b u e ld r
TEN
e of natural person opening the account), hereby certify, to the best of
ded above is complete and correct.
•
Sign-
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Legal Entity Identifier (Optclad
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IDENfiIAL
SDNY_GM_00082014
CONFIDENTIAL — PURSUANT TO FED R caNt DB-SDNY-0024839
EFTA_00172524
EFTA01298072