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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
32.005'00 $ 13,323.00 Pick Up Truck Owned 2012 2012 Chevrolet Silverado 2500 $ Pickup 44.502.00 15,885.00 Luxury Sedan Owned 2004 2004 Mercedes Benz S 600 $ 122.900.00 8,380.00 Luxury Sports Car Owned 1989 1989 Mercedes Benz 560 SL 2dr $ 64,230.00 4250.00 Sports Utility Vehicle Owned 2012
Name, Address & Telephona# _, of Insurance Carrier Face Value Annual _ Cash Surrender I Beneficia ies _.._. Premium Prudential 9/1/1999 Leon D. Black Insurance Trust #1 AXA Equitable 9/1/1999 Leon D. Black Insurance Trust #1 Security Life of Denver 9/1/1999 Leon 0 Black Insurance Trust #1 Prudential 4/26/1
wned 2010 2011 Chevrolet Silverado LS 1500 pickup Pick Up Truck Owned 2005 2005 Chevrolet Avalanche 2500 LT Luxury Sedan Owned 2004 2004 Mercedes Benz S 600 Luxury Sports Car Owned 1989 1989 Mercedes Benz 560 SL 2dr Sports Utility Vehicle Owned 2001 2001 Chevrolet Tahoe 4dr Lt Sedan Owned 2
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 $
k Owned 2010 2011 Chevrolet Silverado LS 1500 pickup $32,005.00 $13,138.00 Pick Up Truck Owned $15,111.00 Luxury Sedan Owned 2004 2004 Mercedes Benz S 600 $122,900.00 $13,500.00 Luxury Sports Car Owned 1989 1989 Mercedes Benz 560 SL 2dr $64,230.00 $5,000.00 Sports Utility Vehicle Owned 2001
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
2.005 00 ' $ 13.323.00 Pick Up Truck Owned 2012 2012 Chevrolet Silverado 2500 $ Pickup 44.502.00 18885.00 Luxury Sedan Owned 2004 2004 Mercedes Benz S 600 $ 122,900.00 0380.00 Luxury Sports Car Owned 1989 1989 Mercedes Benz 560 SL 20r $ 64,230.00 925000 Sports Utility Vehicle Owned 2012 20
Entities connected to both Leon D. Black Insurance Trust and Mercedes Benz S 600
Leon Black
PERSONArt Collections
ORGANIZATION
Honda
ORGANIZATIONPacific Life
LOCATION
JPMorgan Chase
ORGANIZATION
Chevrolet
ORGANIZATIONJohn Hancock
PERSONyour Dependent Children
ORGANIZATION
American Express
ORGANIZATION
Charlotte
LOCATION
Joshua
PERSONNew York Life
ORGANIZATIONAXA Equitable
ORGANIZATIONHamlet Holdings LLC
ORGANIZATIONBlack Family Partners
ORGANIZATIONUS Trust
ORGANIZATIONOFH LLC
ORGANIZATIONApollo Co-Investors III
ORGANIZATIONSuwon
LOCATIONBlack Family 1997
ORGANIZATION