Epstein Secrets

int Page 24 of 26 Does the client or related party have any financial or other associabon / interactiors within countries or regimes sanctioned by the Office of Foreign Assets Control (OFAC)? H. Does the client or related party have any financial or other asscoation/ interactions within 'ugh risk ri Yes countries? LJ 0 No I. Corp

ss is transacted: USA Number of employees: 1 3D. Wealth Profile (Only for parties requiring source of wealth descnpaon as indicated in Se. i 2) Pnmary Country of solace of wealth/source of Funds? Pnmary industry of source of Wealth/Source of Funds? Provide Evidence of Corporate Assets (e.g. balance sheet

ately) G. Does the dent or related party have any financial or other association / interactions within • Yes 2 No counties or regimes sandioned by the Office of Foreign Assets Control (OFAC)? Does the dent or related party have any financial or other associatoV interactions within high risk 0 yiN 2 No countnes? I. Corporate Docu

Details (Only for parties requiring source of wealth description as indicated ri Section 2) Nature of the Individual's Busness: Private investment Pnmary Country of source of wealth/source of Funds? United States Pnmary industry of sane of Wealth/Source of Funds? High Risk Frontlet Institutions Summarize S

e immediately) G. Does the client or related party have any financial or other association / interactions within countries or regimes sanctioned by the Office of Foreign Assets Control (MC)? 0 Yes 2 No H. Does the client or related party have any financial or other association/ interactions within high O yes g No risk countries?

B. Wealth Details (Only for parties requinng source of wealth description as indicated in Section 2) Nature of the Individuals Business: homemaker Pnmary Country of source or wealth/source of Funds, Primary industry of source of Wealth/Source of Funds' Summarize Source of Wealth: 1 DOther: E Business Owner

nce imnweiatety) G. Does the client or rated party have any financial or other association / interactions within countries or regimes sanctioned by the Office of Foreign Assets Control (OFAC), O Yes FA No H. Does the client or related party have any financial or other association/ interactions within high risk countries? O Yes

Details (Only for parbes requiring source of wealth description as indicated in Section 2) Nature of the Individuars Business: Private investments Pnmary Country of source of wealth/source of Funds? Primary industry of source of Weakh/Source of Funds' Summarize Source of Wealth: Z Business Omer 0 Salary/Ear

nce immediately) G. Does the client or rated party have any financial or other association /'interactions within countries or regimes sanctioned by the Office of Foreign Assets Control (OFAC)? 0 Yes El No H. Does the client or rated party have any financial or other association/ interactions within high O Yes No risk countries?

th Details (Only for parbes requinng source of wealth description as indkated In Section 2) Nature of the Individuals Business: Pnvate investments Pnmary Country of source of wealth/source of Funds' Primary industry of source of Wealth/Source of Funds' Summarize Source of Wealth: DOther: Z Business Owner O

e immediately) G. Does the client or related party have any financial or other association / interactions within countries or regimes sanctioned by the Office of Foreign Assets Control (OFAC)? El Yes 2 No H. Does the client or related party have any financial or other association/ nteractions within high risk • yes 2 No countries

etails (Only for parties requiring source of wealth description as Indicated in Section 2) Nature of the Indvicluars Business: Private investments Pnmary Country of source of wealth/source of Funds? United States Primary industry of source of Wealth/Source of Funds? High Risk Frontlet Institutions Summariz