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n section. Mail the form to the address on the reverse side of this form along with the filing fee. The fee is payable by check, VISA, MasterCard or American Express. Checks must be payable to the 'Department of State'. Credit Card/Debit Card Authorization forms can be found on our website at www.dos.ny.gov. This
PERIOD FEE 1379614 08/2003 S9.00 If there are no changes to the information printed in Part B, sign Part C and return with payment payable to the Dept. of State 6 40:090200 ovrio &ISO MIRZS snb humagsg 117S WV BM EFTA00073339 IMPORTANT NOTICE k New York Corporation Which is no longer conducting busin
n section. Mail the form to the address on the reverse side of this form along with the filing fee. The fee is payable by check. VISA, MasterCard or American Express. Checks must be payable to the "Department of State. Credit Card/Debit Card Authorization forms can be found on our • .dos.ny.gov. This form, alon
PERIOD FEE 1379614 08/2003 89.00 If there are no changes to the information printed in Part B, sign Part C and return with payment payable to the Dept. of State Alecto:090200 a 71/4/0 mAn MARES ItEtOm TIC LINE (yell( MOST SIGN ON PFVERSPV 005.1175 437/SSI SDNY_GM_D0 173797 EFTA_00 195452 EFTA01305697
n section. Mail the form to the address on the reverse side of this form along with the filing fee. The fee is payable by check, VISA. MasterCard or American Express. Checks must be payable to the "Department of State". Credit Card/Debit Card Authorization forms can be found on our website at www.dos.ny.gov. This
PERIOD FEE 1379614 08/2003 89.00 If there are no changes to the information printed in Part B, sign Part C and return with payment payable to the Dept. of State Alecto:090200 a 71/4/0 mAn MARES ItEtOm TIC LINE (yell( MOST SIGN ON PFVERSPV 005.1175 437/SSI SDNY_GM_D0 173335 EFTA_00 194990 EFTA01305235
Entities connected to both American Express and the Dept. of State

Jeffrey Epstein
PERSON
George W. Bush
PERSON
New York City
LOCATION
NEW YORK NY
LOCATIONDarren Indyke
PERSON
Prince Andrew
PERSON
Ghislaine Maxwell
PERSON
MasterCard
ORGANIZATION
New York
LOCATION
U.S. Virgin Islands
LOCATIONFBI
ORGANIZATIONthe Southern District
LOCATION
Apple
ORGANIZATION
New York State
LOCATION
Columbus
LOCATION
Les Wexner
PERSONthe State of New York
LOCATIONNew Albany
LOCATION
Andrew Cuomo
PERSON
Foley Square
LOCATION