3
Shared Docs
3
Same-Page
3 / 4
Mentions
o Ito avoid I Seeloi security member backup viiihholding. For individuals. this Is your social security number (SSN). However, for a resident j • Alton. Sots proprietor. or aimed:tided entity, see the Part I Instructions on page 3. Foe other entitles, It Is Your employer IdenUfkatico nor/Dm (E114).
ith Title 13 of the Virgin Islands Code. IN WI t WHEREOF, I have hereunto set my signature this 27th day of October, 2011. rguson LLP r Erika A Kellerhals, Pa tner bscribed and om to before me this 27th day of October, 2011. lic in and the 7 enitOry of the United States Virgin Islands m ion expire
rdance with Title 13 of the Virgin Islands Code. IN WI t WHEREOF, I have hereunto set my signature this 27th day of October, 2011. rguson LLP r Erika A Kellerhals, Pa tner bscribed and om to before me this 27th day of October, 2011. lic in and the 7 enitOry of the United States Virgin Islands
Stearns early in his career and then formed his own firm, J. Epstein 8 Co. He lives in the US Virgin Islands. Epstein taught calculus and physics at the Dalton School in Manhattan from 1973 to 1975. Among his students was awn of Alan C. Greenberg, chairman of Bear Stearns n 1978, Epstein started work as an options
cabilityeettlor and beneficiaries.etc.: This is a 501 (c)3 foundation with Jeffrey Epstein serving as the President. Darren Indyke serves as VP and Erika Kellerhals as Secretary/Treasurer. The signors on this account are Jeffrey Epstein, Darren Indyke and Paul Barrett Please indicate how ownership of the legal
an underage gel for prostitution, for which he served 13 months in prison. He lives in the US Virgin Islands. Epstein taught calculus and physics at the Dalton School in Manhattan from 1973 to 1975. Among his students was a son of Alan C. Greenberg, chairman of Bear Stearns. In 1976, Epstein started week as an opt
dyke Please ixIcate how ownership of the legal entity is reflected: 501(c)3 founder:tn. Jeffrey Epstein is president, Darren Indyke is treasurer and Erika Kek•rhals is Secretary Shares - Indicate where shares are custodied: • Special attention: Bearer Describe the chain from the direct owner of the
Entities connected to both Dalton School and Erika Kellerhals

Jeffrey Epstein
PERSON
Sarah Ferguson
PERSON
Lesley Groff
PERSONDarren Indyke
PERSON
Richard Kahn
PERSON
Marc Rich
PERSON
Alan Dershowitz
PERSON
Woody Allen
PERSON
U.S. Virgin Islands
LOCATION
Prince Andrew
PERSONLeon Black
PERSON
George Mitchell
PERSONJeanne Brennan
PERSON
John Brennan
PERSONEnka Kellerhals
ORGANIZATION
Martha Stewart
PERSON
United States
LOCATION
Lawrence Krauss
PERSON
George W. Bush
PERSONLarry Visoski
PERSON