3
Shared Docs
3
Same-Page
3 / 3
Mentions
ce immediately) the client or related party have any financial or other association / interactions F ''' within countries or regimes sanctioned by the Office of Foreign Assets Control (OFAC)? F Yes No C'' H. F Yes F No Does the client or related party have any financial or other association/ interactions within high risk counb
: Harry Beller - 00000487202 Date of Birth: 5/9/1956 Country of Residence: USA Country of Citizenship: USA Address of primary residence: 12 Golar Drive Monsey NY 10952 USA Profession/Occupation: Accountant Tax ID / SSN: 081-52-0727 Current Employer: HBRK Associates Position/Tide/Rank: Address of employ
ce immecfately) Does the client or related party have any financial or other association / interactions G. within counties or regimes sanctioned by the Office of Foreign Assets Control O yes Pi No (OFAC)? Does the client or related party have any financial or other association/ interactions i—i H. L.J Yes ...?, No within high r
arry Belle - 00000S Date of Birth: Country of Residence: United States Country of Citizenship: United States Address of primary residence: 12 Golar Drive Monsey NY 10952 United States Has client resided outside of his/her country of nationality for 5 years or mere? O Yes 1.;.e..No • - Profession/Occupatio
tely) Does the client or related party have any financial or other association / interactions r•-• F G' within countries or regimes sanctioned by the Office of Foreign Assets Control (OFAC)? ' yes No „. Does the client or related party have any financial or other association/ interactions r yes F No " within high risk counti
ual's Name: Harry Beller - 00000487202 Date of Birth: Country of Residence: USA Country of Citizenship: USA Address of primary residence: 12 Golar Drive Monsey NY 10952 USA Profession/Occupation: Accountant Tax ID / SSN: Current Employer: HBRK Associates Posibon/Trbe/Rank: Address of employer: 575 Lexin
Entities connected to both the Office of Foreign Assets Control and Golar Drive Monsey NY

Jeffrey Epstein
PERSON
Dow Jones
ORGANIZATION
Eric Holder
PERSON
U.S. Virgin Islands
LOCATION
Les Wexner
PERSON
Financial Trust Company
ORGANIZATIONDarren Indyke
PERSONMartindale-Hubbell
ORGANIZATION
Paul Morris
PERSONTrustee/Co-Trustee
ORGANIZATIONLawyers/Law Firms
ORGANIZATIONHarry Beller
PERSONLexis/Nexis
ORGANIZATIONJ. Epstein & Co.
ORGANIZATIONJanice Franklin
PERSONBrian M. Biggar
PERSONQuality Mgt
ORGANIZATIONWeakh
LOCATIONQuarter B3 St
ORGANIZATIONNew York NY USA
ORGANIZATION