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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
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 4/26/1999 Leon D. Black
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 $
ber 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 $2,191,174.00 Security Life of Denver 610014742.00 9/1/1999
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
000,000.00 $33,218.00 666.260.80 John Hancock 20 039 301 4/28/1999 Leon D. Black Insurance Trust N2 630,000,000.00 $359.022.00 7.780,251.83 AXA Equitable 49 232 123 4/28/1999 Leon D. Black Insurance Trust N2 $25.000.000.00 5205.246.00 3.948.483.29 TOTAL: S 20,496,495.85 EFTA_R1_02123393 EFTA0
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