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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
9/30/2014 3.41/15 Please complete the detailed schedules fisted for all of the assets, both tangible and intangible. held by you. your spouse and your Dependent Children. on the appropriate schedule as noted below. Enter the amount as of the date of this Statement. AS listed assets must be described fully on the appr
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 $
firsoapiz 3/31/2013 Please complete the detailed schedules listed for al of the assets. both tangible and intangible, held by you, your spouse and your Dependent Children, on the appropriate schedule as noted below. Enter the amount as of the date of this Statement NI listed assets must be described fully on the appro
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
e STATEMENT OF ASSETS Please complete the detailed schedules listed for all of the assets both tangible and intangible held by you, your spouse and your Dependent Children, on the appropriate schedule as noted below Enter the amount as of the date of this Statement. Al listed assets must be described fuly on the approp
Entities connected to both Leon D. Black Insurance Trust and your Dependent Children
Leon Black
PERSON
JPMorgan Chase
ORGANIZATIONJohn Hancock
PERSONMercedes Benz S 600
ORGANIZATIONArt Collections
ORGANIZATION
Honda
ORGANIZATIONPacific Life
LOCATION
Chevrolet
ORGANIZATIONNew York Life
ORGANIZATIONHamlet Holdings LLC
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