EFTA01298374.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
L
b. Name of Legal Entity. Type of Legal Entity, and Address of Legal Entity for which the Account is Being Opened:
I HYPERION AIR LW A USVI LIMITED LIABILITY COMPANY
I
ST. THOMAS. USVI 00802
c. u T n h d e e fo rs ll t o a w nd in in g g i , n r f e o l r a m tio a n tio sh n i p fo o r r e o a t c h h e i r n w d i i s v e id . u o a w l n , i s f 2 a 5 n y p , e w r h ce o n , d t i o re r m ct o ly r e o r o in f d th ir e e e c q tl u y, it t y h i r n o t u e g re h s a ts n y o f c t o h n e t r l a e c g t a , l a e r n ra t n ity g e li m st e e n d t a , bove:
•
• Name &moot Beth i /teal Attess I For U.S. Pavans: For Non•US. aat sons:
H I &dal Secretly (See loornore I for Am:AM.'
I Neater to Sear Security Rata/ i
i JEFFREY E. EPSTEIN 1120/53 I ST. TH • MAS. USVI 00802
' a F n o d r o N r c a o o r n u lu • n U e rv . a y S . o . P f i e s r s s u o a n n s c . e m o S f a a n t y a o n th t o o r a g S ov o e c r ia n l r S na o n c p ie ia ty s u N a u l r d n o I c x u e m or e a n t P in a i s g s n p m or a t n M g a na te tio r n v a a li h ty C o o r u re n s t i r d y e o n f c I e SS o U n 3 o /1 I C n e a . t a ir n l i e j V a e p n h iC oi e c n s r g ifi a c r a a z i o o r n S c e o n e d d . ) n : & ut e a g e o r. a N nt c i u a m m b b er
Ili no Individual fratel$ this clef bit ion pale Write "Na; APAICSMC)
d. s T u h c e h f o as ll : o wing information for one individual with significant responsibility for managing the legal entity listed above.
• • A M A n n a y n e o a x t g e h i c n e u g r t i i v M n e d e i o m v f i f d b ic u e e a r, r l G w or e h n s o e e r n r e a i g o l P u r m l a a r a r t l n n y e a p r g , e e P r r f r o ( e e r s m . i g d s . e , s C n i t m h , i V i e la i f c r E e f x u P e n r c c e u t s i t o i i v d n e e s n O . t f f T ic re e a r. s C ur h e ie r) f F o i r n ancial Officer, Chief Operating Officer.
(if appropriate, an individual listed under section (c) above may also be listed in this section (d}).
Name Date of Binh Legal MilreSS Vol- U.S. Persons: I For Non-USPe:sons:
Social Security (See footrove I for rettenatmesk
Number to Sava, Security Number, I
JEFFREY E. EPSTEIN SEE
• a F ore n o d r D N c iG o o o n v n - id U t h r . y S l. o . P r i e s r s s u o a n n s c , e in o a ra d n d Y iti o o r n h t a o • 3 o a S n o r c n ia m l S en ta t- i l r e * a ? u N e0 o n m oa a rm o e r a n t P e a v s k s l p a o c rt i n N o u . m na b t e io r n Iw ae o r . y t o a r w fo n e y ic ? a o n i c I e s s a i n v d in a v v a e a rt n n 9 a l a ie .. n a i o tr l e o n g t r i` o C ; a a t i o a r n a c rn a a rd Lr m r s i a n k te tu r. a o t r 0 r M arr a ob io er
JF REY E. EPSTEIN
knowledge, that e Information com n p a l t e u t r e a a l p n a d r c s o o r n r e o c p t e . ning the account), hereby eerily to the n best of
Signature Veri
7/24118
tore Dare
Name (
logal Entity Idiatifier (Ogional) Tide:
. stsnaAvvi-t &d
SDNY_GM_00062719
ID ENTFAL
CONFIDENTIAL - PURSUANT TO FED R.QPIN(F DB-SDNY-0025544
EFTA_00173227
EFTA01298374