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0000489504 United States 301 E 66th St, Apt.8H New York NY 10065 United States Interior Decorator JSC Interiors LLC 575 Lexington Ave 14th Floor New York NY United States 10022 Does the person work as senior executive of a DB-recognized regulated entity in the financial industry? or an entity listed on
as indicated in Section 2) Nature of the Individual's Business: Primary Country of source of wealth/source of Funds? Primary industry of source of Wealth/Source of Funds? Summarize Source of Wealth: Homemaker. Solely relies on income from who is a United States Other Business Owner it Salary/Earnings Investment
of registration: incorporatio on: / 11(7/2014 Volcker Status: Volcker Flag: Address (city, street, post code): 57S Lexington Avenue, 4th Fl New York NY 10022 USA USA US. TIWEIN: 47.2294796 Provide a description of the entity's organizational structure, its ownership structure and its Top Managemen
as kidicated in Section 2) Nature of the Individual's Business: Primary Country of source of wealtlVsouroe of Funds? Primary industry of source of Wealth/Source of Funds? Summarize Source of Wealth: O Business OWE! O Salary/Earnings O Investment O Inheritance/Gifts • Other: Further Describe Source of Wealth /Detail
t ranter): O DB Group: Other Boot iii Colter (Indicate 08 location and account details): El Cther Institution (Indicate name & kxation)c 10Morgan. New York NY O Physical Deposits (specify calk securkies, cheques, — R What is the expected size arid frequency of regular infkmis and outflows for the account
tion 2) Nature of the Individual's Business: Private investments Primary Country of source of wealth/source of Funds? Primary tidos* of source of Wealth/Source of Funds? Surnnwire Source of Wealth: Ea Business Owner OSalary/Eamings a Investment O Inheritance/Gifts • Other: Further Describe Source of Wealth Metal t
ll - Date of Birth: Country of Resdence: Country of Citizenship: Address of primary residence: cio HBRK Associates 575 Lexington Avenue, 4th Fl New York NY 10022 USA Has client resided outside of hoiher country of nationality for 5 years or more' yes I No Profession/Occupation: Tax ID / 55N: Curren
as indicated in Section 2) Nature of the Individual's Business: Primary Country of source of wealth/source of Funds> Primary industry of source of Wealth/Source of Funds? Summarize Source of Wealth: i. • Business Owner Salary/Earnings Investment Inheritance/Gifts Other: Further Describe Source of Wealth /Detail
ame: Date of Birth: Country of Resdence: Country of Citizenship: Address of primary residence: c/o HBRK Associates •75 Lexington Avenue, 4th Fl New York NY 1O022 USA Has client resided outside of lusiher country of nationality for 5 years or more' I yes No Profession/Occupation: Tax ID / SSN: Cur
as indicated in Section 2) Nature of the Individual's Business: Primary Country of source of wealth/source of Funds> Primary industry of source of Wealth/Source of Funds? Summarize Source of Wealth: i. • Business Owner Salary/Earnings Investment Inheritance/Gifts Other: Further Describe Source of Wealth /Detail
l - Date of Birth: Country of Resdence: Country of Citizenship: Address of primary residence: cito HBRK Associates 575 Lexington Avenue, 4th Fl New York NY 10022 USA Has client resided outside of hrsiher country of nationality for 5 years or more' yes I No Profession/Occupation: Tax ID / 55N: Curre
as indicated in Section 2) Nature of the Individual's Business: Primary Country of source of wealth/source of Funds> Primary industry of source of Wealth/Source of Funds? Summarize Source of Wealth: i. • Business Owner Salary/Earnings Investment Inheritance/Gifts Other: Further Describe Source of Wealth /Detail
- 00000486407 Date of Birth: 12/6/1972 Country of Residence: USA Country of Citizenship: USA Address of primary residence: 130 E 75th St, g7E New York NY 10021 United States Has client resided outside of hit/her country of nationality for 5 years or more> L....) yes 1. No Profession/Occupation: A
as indicated in Secton 2) Nature of the Individual's Business: Primary Country of source of wealth/source of Funds> Primary industry of source of Wealth/Source of Funds> Summarize Source of Wealth: ' . Business Owner Salary/F-amings . Investment • Inheritance/Gifts Other: Further Describe Source of Wealth /De
Entities connected to both NEW YORK NY and Wealth/Source of Funds

Jeffrey Epstein
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Richard Kahn
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Ghislaine Maxwell
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Lesley Groff
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Marc Rich
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Martha Stewart
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George W. Bush
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John Brennan
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United States
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Stewart Oldfield
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Alan Dershowitz
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Karyna Shuliak
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Eric Holder
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Alfredo Rodriguez
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Joi Ito
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Financial Trust Company
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Deutsche Bank
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