Epstein Secrets

575 Lexington Avenue, 4th Fl Livingston NY United States 10022 Does the person work as senior executive of a DB•recognized regulated entity in the Mandel industry? or an entity listed on a DB.recognisei exchange? (Not applicable for operating entities r-i Li Yes 5 No Is the incWidual a Political/1y

e of Assets (OFAC)? Does the dent or related party have any financial or other association/ interactions within high risk • Yes No countries? I. Corporate Documentation Attached (Legal Entities Only) 2 Yes 0 No 0 Not Applicable J. Undsdosed Principal Form Complete (Intermediaries Only) • Yes • No Not Applicable K. If Lex

er: 575 Lexington Avenue, 4th Roor Halsey NY United States 10022 Does the person work as senior executive of a DBrecognlzed regulated entity in the Mandel ndusby? or an entity listed on a DDreccgnised exchange? (Not applicalie for operating entitles in yes 2 Pb I--I Is the individual a Politically Ex

Control (OFAC)? Does the dent or related party have any financial ix other association! interacbons within high risk I—I H. Yes 2 No countries? I. Corporate Documentation Attached (Legal Entities Only) El Yes O No O Net Applicable 3. Undisclosed Principal Form Compiete (Intermediaries Orgy) O Yes O No 2 Not Applicable IC If

t Quaky/4qt. LJ Yes 2 No (talAWInft)Or the Regulatory Canino/Group the note& Cootollance en/ moats') G. Does the client or related party have any Mandel or other association / remotions within wales • by the Office Foreign Assets Control Yes 2 No or regimes sanctioned of (OFAC)? H Does the clie

(OFAC)? H Does the client a related party have any financial or other association/ interactions within high risk r❑L...I i Yes PI No countries? I. Corporate Documentation Attached (Legal Entities Only) El Yes O No O Not Applicable J. Undsdosed Principal Form Complete (Intermediaries Only) O Yes O No 2 Not Applicable K. If L

er: 575 Lexington Avenue, 4th Roor Halsey NY United States 10022 Does the person work as sensor executive of a DBrecognlzed regulated entity in the Mandel ndusby? or an entity listed on a DDreccgnised exchange? (Not applicalie for operating entitles in yes 2 Pb I--I Is the individual a Politically Ex

C)? U Yes RI No H. Does the dent or related party have any finandal or other association/ interactions within ugh r❑I--I i Yes 2 No countries? I. Corporate Documentation Attached (Legal Entities Only) 2 Yes O No O Not Applicable: ). Undisclosed Prinopal Form Complete (Intermediaries Only) • Yes O No 2 Not Applicable: IC If

er: 575 Lexington Avenue, 4th Roor Money NY United States 10022 Does the person work as senor executive of a DB-reccgritzed regulated entity in the Mandel ndusby? or an entity listed on a DB.reccgrilsed exchange? (Not applicalie for operating entitles in yes 2 Pb I--I Is the individual a Politically

Control (OFAC)? H. Does the dent or related party have any financial or other association! interacbons within high risk LJI—I Yes 2 No countries? I. Corporate Documentation Attached (Legal Entities Only) El Yes O No O Net Applicable 3. Undisclosed Prince:el Form Compiete (Intermediaries Orgy) O Yes O No 2 Not Applicable IC If