Epstein Secrets

lete details in this fomt • I am aware that providing false details constitutes criminal offense. • l are aware that this form may be provided to the Israeli Tax Authority in case the Israeli Tax Authority so requests, for purposes of audit or otherwise. SIGN HERE P. Signature of Shareholder (or individual authorize

and • The trustee of the trust is NOT an Israeli resident. D.2 O The trust acquired the Shares on or after January I. 2009. PART HI laration by Israeli Bank, Broker or Financial Institution (sec instructions) ► 'IlieuLld not complete this Part HI I hereby declare that: (if correct, mark X in the followi

lete details in this fomt • I am aware that providing false details constitutes criminal offense. • l are aware that this form may be provided to the Israeli Tax Authority in case the Israeli Tax Authority so requests, for purposes of audit or otherwise. SIGN HERE P. Signature of Shareholder (or individual authorize

and • The trustee of the trust is NOT an Israeli resident. D.2 O The trust acquired the Shares on or after January I. 2009. PART HI laration by Israeli Bank, Broker or Financial Institution (sec instructions) ► 'IlieuLld not complete this Part HI I hereby declare that: (if correct, mark X in the followi

and complete details in this form. • I am aware that providing false details constitutes criminal offense. • I are aware that this forn vided to the Israeli Tax Authority, in case the Israeli Tax Authority so requests, for purpose f audit or otherwise. SIGN HERE si• Shareholder (or ' rized to sign on your behalf)

d • The trustee of the trust is NOT an Israeli resident. D.2 O The trust acquired the Shares on or after January I, 2009. PART III Declaration by Israeli Bank, Broker or Financial Institution (see instructions) 0, Non-israelf Residents should not complete this Part III I hereby declare that: (if correct,