Epstein Secrets

ncy immediately) Does the client or related party have arty financial or other association / interactions within G. Mirada or regimes sanctioned by the Office of Foreign Assets Control (OFAC)' 0 yes 2 No Does have financial interactions high the client or related party any or other association/ within risk o yes .5 No H

ure) 0 Ce Employee 0 DB Managed PIC 0 DB Is Trustee/Co-Trustee D Bearer Shares 4. Attachment; A. Type r0 Photo ID Provided 2 Drtvers License 0 Passport 0 National/State ID 0 other for Checklist of names (indielduals and/or entries) that were submitted database searches is B. 1:4. Yes Elio attached C. Please in

ett•ly) Does the dent or rated party have any financial or other association interactions within countries ri Yes 21 No G. or retarna sanctioned by the Office of Foreign Assets Control (OFAC)? Does the dent or related party have any financial ix other association! interacbons within high risk I—I H. Yes 2 No countries? I. Corpo

ore (Compiance Signature) 0 DB Employee 0 DB Managed PIC Trustee/Co-Trustee 0 Bearer Shares • DB is 4. Attachments A. E Z Divers License 2 Passport 0 National/State ID MI Other - Darren Type of Photo ID ProIded Intlyke & Richard Kahn GCIS * 486405 & • m* theckltst of names (inctviduals and/or entities) that

KYC Print Page 10 of 12 Does the client a Mated party have any financial or other association / interacbons wtthin countries or mama sanctioned by the Office of Foreign Assets Control (OFAC)? K Does the dent a related party have any financial a other association/ interactions within Ngh risk countries? • Yes 21 No I. Corporate

atty) 0 DB Employee 0 DB Managed PIC Trustee/Co-Tn.stee 0 Bearer Shares • DB IS 4. Attachments A. Type of Photo ID Provided E DMUS License 0 Passport 0 National/State ID 0 Other B. Cher.kkst of names (individuals and/or motes) that were subnitted fct database searches is FA Yes 0 No attached C. Please indicate

lee:W*1 G Does the dent or related party have any finandal or other association / interactions withal countries D yes @ No or regimes sanctioned by the Office of Foreign Assets Control (OFAC)? H Does the client a related party have any financial or other association/ interactions within high risk 0 Yesg No counmes? I. Corporate D

re) D 136 Employee 0 OS Managed PIC 0 OS is Trustee/Co-Trustee 0 Bearer Shares 4. Attachments A. Type of Photo ID Provided 2 Drivers License 0 Passport 0 National/State ID • Other O. Checklist of names (indroduals and/or entities) that were submitted for database searches Is attached 2 Yes El No C. Please Indicate

nt Page 23 of 25 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)? H. Does the client or related path have any finance' or other association/ interactions within high risk O Yes 2 No countries? I. Corporat

) 0 DB Employee El DB Managed PIC D DB is Trustee/Co-Trustee CI Bearer Shares 4. Attachments A. Type of Photo ID Provided 121Crivers License 0 Passport 0 National/State ID 0 Other B Cheddist of names (individuals and/or entities) that were submitted for database searches is Tr yes 0 No attached C. Please indicate

elY) a Brenda' Does the thee cr related party have any or other association / nterathons within countries — • Yes No or regimes sancticoed by the Office of Foreign Assets Control (OFAC)? H. Does the client a related party have any financial or other association/ interactions within high risk i_i r—r countries? Yes 2 No I.

re) D (38 Employee 0 DB Managed PIC 0 DB is Trustee/Co-Trustee 0 Bearer Shares 4. Attachments A. Type of Photo ID Provided 2 Drivers License 0 Passport 0 National/State ID • Other B. Checklist of names (individuals and/or entities) that were submitted for database searches is attached 2 Yes 0 No C. Please Indicate