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olicy Number Date Issued Applicant: Leon D. Black Beneficiary(les) Face Value Annual Premiums Cash Surrender Value Prudential 4/28/1999 Leon D. Black Insurance Trust 42 $20.000.000.00 $179.595.00 $3.962.435.79 New York Life 4/28/1999 Leon D. Black Insurance Trust 42 $20.000.000.00 $196.080.00 4,139.064.14
FINANCIAL ANALYSIS SUMMARY Leon D. Black President and Managing Member Hamlet Holdings LLC Date PREVIOUS NET WORTH CURRENT SUBMITTED NET WORTH Difference STATEMENT OF ASSETS 9/30/2014 3.41/15 Please complete the detailed schedule
Face Annual Cash Surrender Premiums Value Date of Insurance Carrier Number Issued Beneficiary(les) Value Prudential V1 016 844 9/1/1999 Leon D. Black Insurance Trust #1 $30,000.000.00 $502,335.00 $4.737,189.00 AXA Equitable 49 232 126 9/1/1999 Leon D. Black Insurance Trust #1 $15,000,000.00 $264.894.00 $
Date STATEMENT OF ASSETS FINANCIAL ANALYSIS SUMMARY Leon D. Black President and Managing Member Hamlet Holdings LLC PREVIOUS NET WORTH CURRENT SUBMITTED NET WORTH Difference Comments firsoapiz 3/31/2013 Please complete the detailed schedules listed for
er Date Issued Applicant: Leon D. Black Beneflciary(les) Face Value Annual Cash Surrender Premiums Value Prudential V0 001 958 4/28/1999 Leon D. Black Insurance Trust N2 620,000,000.00 S179.595.00 63,962,435.79 New York Life 75 500 858 4/28/1999 Leon D. Black Insurance Trust N2 $20.000,000.00 $196,080.00
FINANCIAL ANALYSIS SUMMARY Leon D. Black President and Managing Member Hamlet Holdings LLC Date STATEMENT OF ASSETS Please complete the detailed schedules listed for all of the assets both tangible and intangible held by you, your spouse
Entities connected to both Leon D. Black Insurance Trust and Hamlet Holdings LLC
Leon Black
PERSON
JPMorgan Chase
ORGANIZATIONJohn Hancock
PERSONMercedes Benz S 600
ORGANIZATIONArt Collections
ORGANIZATION
Honda
ORGANIZATIONPacific Life
LOCATION
Chevrolet
ORGANIZATIONNew York Life
ORGANIZATIONyour Dependent Children
ORGANIZATIONAXA Equitable
ORGANIZATION
Charlotte
LOCATION
American Express
ORGANIZATION
Joshua
PERSONLeon Black Family Foundation
ORGANIZATIONBRH Holdings LP
ORGANIZATIONLBF Holdings LLC
ORGANIZATIONLEON D. BLACK TO FAMILY
PERSOND. Cont
PERSONLeon D. Black / NY
PERSON