Epstein Secrets

G ' Does the cbent or related party have any financial or other association / interactkins within countries or O yes 2 to regimes sanctioned by the Office of Foreign Assets Control (0fAC)? II. Does the client or related party have any financial or other association/ Interactions within high risk O yes 2 No countries? I. Co

lee/Co-Trustee O Bearer Shares MI DO Employee 4. Attachmeob A. Type of Photo ID Provided O Driven License A Passport • National/State ID 00thee B. Checklist of names (individuals and/or entities) that were submitted for database searches is attached @yes O rio C. Please Indicate the results of the datab

mtnedoately) G. Does the client or related patty have any financial or other association / Interactions within El counties a regimes sanctioned by the Office of Foreign Assets Control (OFAC)' K ves 5 No H. Does the client or related party have any financial or other association/ Interactions within high risk D yes 2 No countries*

ustee/Co-Trustee O Bearer Shares • DB Employee 4. Attachments A. Type of Photo ID Provided Defiers License O Passport ONational/State ID O0ther B. Checklist of names (individuals and/or entitles) that were submitted for database searches is attached rl Yes O No C. Please Indicate the results of the dat

edately) G' Does the client a related party have any financial or other association / nteractions within sales Thres a No or regimes sanctioned by the Office of Foreign Assets Control (OFAC)? H. financial Does the client or related party have any or other association/ interactions within high risk • Yesm No countries? I. Corp

es 4. Attachments A. 0 Drivers License 2 Pass. • O NabonaffState ID • Other : Darren & Typed Photo ID Provided Richard- ; Jean Anne - 487647 B. Checklist of names (indroduals and/or entities) that were submitted for database searches Is attached @yes O No C. Please Indicate the results of the database

Does the client or related party have any financial or other association / interactions within countries Ll I—I Yes No or regimes sanctioned by the Office of Foreign Assets Control (OFAC)? Does the client or related party have any financial or other association/ interactions within high risk i_J I—I Yes g No H. countries? I.

. Attachments A. Type of Photo ID Provided RI Drivers License P Passport 0 Nabonal/State ID 0 Odle.'" Indyke & Richard Kahn GUS a 486405 & KYC # B. Checklist of names (individuals and/or entitles) that were submitted for database searches is RI Yes • No attached C. Please indicate the results of the dat