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

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) CONFIDENTIAL State/Province Zip/Postal Code Count,. NIVIRMNI 02014 U

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

nteer 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/Province Zip/Postai Code Country AC-MZ (Rev 12/14) O2014 UBS Financial Se

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

ed 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 ignts eserved. Member StPC. ;)a-lc 3! CONFIDENTIAL