4
Shared Docs
4
Same-Page
4 / 4
Mentions
6.001-U0.000 O °thee 30- $1000 Type: O oath O Oaths O Assam Transfers O Vats Transfers O PCS Current O O Otos Moths O marethee O Yee O No Acton, clecks:Mceity Criers D kcn O per CASH Gwent O Yea O No Ace:until Aoactert PS: Arscral Mt Fraredli tit I, %nand." inseam ..,„.m,........,...
(3) Its Delscalti d a U.S emity. (Goa Out subpart Val if it is not true. N Statement 3 is not true. cross out and complete an apprepliste Rem V&S) The Internal Revenue Service does not require your consent to any provision of this document other than the Certification required to avoid I backup withholding. Date n 5. In
MOD fcr TX mew es) C trAINGMA C Tracery on Death MD) I it., wen to one tee 1/41trarg ICCOIrt1(z1K4 11.1141 iota.) Checirg Cat 3 U.ry Monet Coma Acton 0 Ikaratat NanaGerentatied Parte Mr ow (discmool ire) N Assevanionar I ones in set a tint [rase nes w mr Ina ACto.nt o Yes (1.I.1 foin tea be ron
h foreign accounts do not have the benefit of any domestic preference applicable to U.S Banks; certain Foreign accounts are considered reportable to the Internal Revenue Service on a Report of Foreign Bank and Financial Accounts (TD F 90-22.1). Fund manager disclosure Information available upon request If you have an inves
d wenn Ina land aucCon. Mete is no assotencelhat a secondary marker mg deveatpot that the secunty wt trade at pm or any Whet price tennedon sienna's Acton:logy, investors should not rely on pncang nommen nweanng m thee statements wen tespectro ARS AddltIonal Miamian About Vow Accounts Smashes purchase
h foreign accounts do not have the benefit of any Domestic preference applicable to U.S Banks: certain Foreign accounts are considered reportable to the Internal Revenue Service on a Report of Foreign Bank and Financial Account (TD F 90-22.1). Page 11 of 11 SB1062192-F1 3075 EFTA01664947 THIS PAGE INTENTIONALLY LEFT BLA
eeping has no legal effect cn your account You concha-op your kindly account names, through Online Services a by contacting WS F eventual Advise. Acton overview • VA" of your accountlpwriolw Net of assets id liabilaas • Asset_ Includes available cash balances, webs f or restricted security lest),
u with an updated year-end valuation in January 2018 This 2017 yearend value of your IRA (or the updated value, if applicable) will be furnished to the Internal Revenue Service. December 29 value $57,676.64 Beneficiaries you've named for this account The beneficiaries listed below reflect the information in our records a
Entities connected to both Acton and the Internal Revenue Service

JPMorgan Chase
ORGANIZATION
Jeffrey Epstein
PERSON
Newark
LOCATIONSecurities Investor Protection Corporation
ORGANIZATION
Ghislaine Maxwell
PERSON
Nassau
LOCATIONthe State of New York
LOCATIONAmerican Century Funds
ORGANIZATION
Federal Reserve
ORGANIZATION
United States
LOCATION
George W. Bush
PERSON
Bank of America
ORGANIZATIONLeon Black
PERSONMaria Farmer
PERSON
Prince Andrew
PERSON
Department of Justice
ORGANIZATION
Bradley Edwards
PERSONDarren Indyke
PERSON
NEW YORK NY
LOCATION
Alan Dershowitz
PERSON