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August 7, 2023 to opt-out, or be excluded, from the Settlement. I All capitalized terms not otherwise defined herein have the meanings set forth in the Stipulation of Settlement dated June 22, 2023. To the extent there is any conflict between the definitions of capitalized terms in these Settlement Forms and the Stipulation,
will be rejected, and you will not receive any recovery from the Net Settlement Fund created in connection with the Settlement. You may submit your Questionnaire and Release in your preferred language. The Claims Administrator has English and Russian language versions of this form that can be found by visiti
ed Jane Doe 1 v. JPMorgan Chase Bank, N.A., Case No. 1:22-CV-10019 (JSR) (the "Litigation"), you (or your counsel, on your behalf) must complete the Questionnaire and Release' included in this document and submit it pursuant to the instructions below. You (or your counsel, on your behalf) must mail or upload o
hearing (the "Settlement Hearing") to be held by the Court to consider the fairness, reasonableness, and adequacy of the Settlement as set forth in the Stipulation of Settlement dated June 22, 2023 (the "Stipulation") by and between Class Representative Jane Doe 1 ("Class Representative"), on behalf of itself and the Class
5.4 For the avoidance of doubt, should the Claims Administrator have concerns as to the accuracy of a Participating Claimant's claim form answers, Questionnaire answers, allegations, or any other information submitted, the Claims Administrator shall promptly notify Class Counsel in writing of those concerns
their insurers and reinsurers. 4.3 All Class Members who apply for an Allocated Amount will submit an additional release form included within the Questionnaire and Release. 5. Evaluation of Claims, Plan of Allocation, Final Awards, Supervision and Distribution of the Settlement Fund, and Reversion 5.1 T
after reading this letter and seek support as needed. All capitalized terms not otherwise defined herein have the meaning set forth and defined in the Stipulation of Settlement dated June 22, 2023 (the "JPM Stipulation") [ECF No. 181-1]. I have fully evaluated all Questionnaires and Releases submitted to me from Participat
ted to me from Participating Claimants and this letter ("Determination Notice") constitutes notice of your Allocated Amount. After considering your Questionnaire and Release using the guidelines and evaluation factors enumerated in Section 5.2 of the JPM Stipulation and the totality of the circumstances, I ha
Entities connected to both the Stipulation of Settlement and Questionnaire

Jeffrey Epstein
PERSON
Bradley Edwards
PERSONGoldberger & Weiss
ORGANIZATIONScott Rothstein
PERSON
Searcy Denney Scarola Barnhart & Shipley
ORGANIZATIONPalm Beach Lakes Boulevard
LOCATIONJack Goldberger
PERSONJack Scarola
PERSON
Palm Beach County
LOCATIONAllocated Amount
ORGANIZATIONthe Settlement Forms
ORGANIZATION
JPMorgan Chase
ORGANIZATION
Henderson
LOCATION
Brittany Henderson
PERSONDeutsche Bank Aktiengesellschaft
ORGANIZATIONStipulation
ORGANIZATIONthe Released Defendant Parties
ORGANIZATIONCalifornia Civil
ORGANIZATION