Epstein Secrets

Compliance immediately) client or related party have any financial or other association / interactions `'' within counties or regimes sanctioned by the Office of Foreign Assets Control (OFAC)? F Yes F No C'" H. Does the client or related party have any financial or other association/ interactions within high risk countries? r Ye

(FIM) ‘%) Significant (>-25%) Non-plc entity (indicate ownership Other (please describe other roles and/or indicate relationship between Parbes) 1 F F Mort, Inc F F F F r F r 2 r r Harry Beller F F r F F F r 3 F F Jeffrey Epstein r F F F r7 r r 4 F F Darren Indyke F

tely) the client or related party have any financial or other association / interactions r Yes F No G-"" within counties or regimes sanctioned by the Office of Foreign Assets Control (OFAC)? ' H. Does the client or related party have any financial or other association/ interactions F within hig h risk countries? F Yes No I.

d to . s account Foundation Van-pic entity (indicate ownership %) Other (please describe other roles and/or indicate relationship between Parbes) 1 F F The Haze Trust F r r r r F r 2 r r Darren Indyke F r r F F r r Trustee:; 3 F F Jeffrey Epstein r F F F F F F SDNY_

mmediately) Does the client ar related party have any financial or other association / interactions F G' within countries or regimes sanctioned by the Office of Foreign Assets Control (CFAC)? F Yes No H. Does the client or related party have any financial or other associahoni interactions F within high rtsk counties?s? r Yes N

s related to s account Foundation on-PIC City indicate ii) ership Other (please describe other roles and/or indicate relationship between Parbes) 1 F F Jeffrey Epstein r r r F r n r Sole shareholder of Southern Trust; 2 F F Southern Trust Company, Inc. F F F F r r r SDN