Epstein Secrets

ified funVorganization before the account can be opened a trading authority becomes effective Is the Agent an employee or related to an employee of UBS AG, its subsidiaries or affiliates (e g., UBS Financial Services Inc., UBS Securities (IC)? O No O Yes • specify AffiliaterSubsithaa Employee Firs

Employed El Sell-Employed [3 Student O Relined O Self-Supported E Volunteer O Unemployed fl Work in the Home Occupation Busness Phone (optional) Business Fax (optional) Employer Name Industry (re., Construction, Service, etc) (optional) Address line 1 Address Line 2 City AC-MZ (Rev. 12/14) CONFIDENT

ified haniorganization before the account can be went° or trading authority becomes effective Is the Agent an employee or related to an employee of UBS AG. its subsidiaries or affiliates le g, UBS Financial Services Inc U85 Securities 1.1.0 ) 9 No K yes . specify Alf ilia leSUbSidialy Employee Fail N

Employed LI Self.Employed C Student 9 Retired 5 Self•Supponed 5 Volunteer 9 Unemployed C Work in the Home Occupation Busmen Phone (00henal) Business Fax (oPtiOnal) Employer Name kit uStry Ice, Construction. setvice. etcl (optional) Address Line 1 Address Line 2 City AC•M2 )Rev 12/14) State/Prov

ied film/organizatiOn before the account can be opened or trading authority becomes effective. Is the Agent an employee or related to an employee of UBS AG, its subsidanes or affiliates (e. g., UBS Financial Services Inc UBS Secunties DX)? Z No K Yes . specify Affiliate/Subsidiary Employee First Name

ed K Self-Employed K Student K Retired K Self-Supported 0 Volunteer K Unemployed K Work in the Home Other Occupation Business Phone(optional) Business Fax (optional) Marks Paneth Other Employer Name , Construction, Service, etc) (optional) ine ess Line 2 United States of America ity State/Prov

ed firm/organization before the account can be opened or trading authority becomes effective. Is the Agent an employee or related to an employee of UBS AG, its subsidiaries or affiliates (e g . UBS Financial Services Inc., UBS Securities U.C)? Z No K Yes , specify Affiliate/Subsidiary Employee First

K Self-Supported K Volunteer K Unemployed K Work in the Home Occupation Emplo r Name Addr City AC-M7. (Rev. 12/14) Business Phone (optional) Business Fax (optional) Industry (i.e.. Construction, Service, etc) (optional) Stale/Province Zip/Postai Code Country O2014 UBS Financial Services Inc All ig