Epstein Secrets

Ownership Summa 3A. Individual Details (for all parties) Individual's Name: Harry Beller • Date of Birth: CoLntry of Residence: United States Canby of Ctzenship: United States Address of primary residence: Has dient resided outside of hi/her country of nationality for 5 years a more? • yin

gn Assets Control (OFAC)? Does the dent or related party have any financial or other associatoV interactions within high risk 0 yiN 2 No countnes? I. Corporate Documentation Attached (Legal Entities Only) @Yes O No • Not Applicable J. Unclsdosed Principal Form Complete (Intermediaries Only) OYis O No 2 Not Applicable K. If Lex

ential Amount to be invested with PWM ($): 300,000.00 Other Known Wanda Institutions: Insolation: Country: Est. Assets Under Mgt: Institution: Canby: Est. Assets Under Mgt: Institution: Canby: Est. Assets Under Mgt: One sheet mu t be established for EACH LEGAL ENTITY In Section 2. Account Sum

ioned of (OFAC)? It Does the client or related party have any financial or other associadort/ interactions within high risk 0 Yes 2 No counties? I. Corporate Documentation Attached (Legal Entities Only) @Yes 0 No 0 Not Appkable I Undisclosed Principal Form Complete (Intermediarlit Only) 0 Yes 0 No 2 Not Applr_able K. If Led

h($): Amount of assets planned to invest with PWN($): Other Known Fnandal Institutions: Institution: Courtry: S. Assets Under Mgt: InAitutico: Canby: S. Assets Under Mgt: Canby: S. Assets Under Mgt: Institution: CONFIDENTIAL — PURSUANT TO FED. R. IA I ON FIDENTIAL h tps://dbforcepb.my.sale

e of Assets (OFAC)? Does the dent or related party have any financial or other association/ interactions within high risk • Yes No countries? I. Corporate Documentation Attached (Legal Entities Only) 2 Yes 0 No 0 Not Applicable J. Undsdosed Principal Form Complete (Intermediaries Only) • Yes • No Not Applicable K. If Lex

3A. Individual Details (for all parties) Individual's Name: Jeffrey Epstein - 00000983289 Date of Birth: 1/20/1953 Country of Residence: USVI Canby of Ckizenship: USA Address d panary residence: Utte Saint James Saint 'Tomas 00802 US Virgin Islands Has client resided outside of his/her count

rol (OFAC)? H. Does have financial Interactions high the dent or related party any or other association/ vdthin risk . mesa No countries? I. Corporate Documentation Attached (Legal Entities Only) 121 yes O No ONot Applicable SDNY_GM_00039699 https://dbforcepb.my.salesforceLINErilDnEglardiA1000000D9Di&e... 7/18/2019 C

tment lanthropicaartable ommercial O • Foundation/Association • Partnership • Type of Entity Other (specify): Purpose et Entity Other (Walt Canby of incorporation/registration: US Virgin Islands Date of Incorporation / registration: 2/25/2013 Volker Status: Volcker Flag: Address (city,

... 7/30/2019 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0002619 EFTA_00150404 EFTA01283893 KYC Print Page 14 of 16 countries? I. Corporate Documentation Attached (Legal Entities Only) Yes ❑No K Not Applicable J. Undisclosed Pcirupal Form Complete (Intermediaries Only) ❑yes O No @Not Applicable K. If Lexis

NT TO FED. R. CRIM. P. 6(e) DB-SDNY-0002779 EFTA_00 I 50564 EFTA01284042 KYC Print Page 8 of 12 Institution: Country: Est. Assets Under Mgt Canby Eft Meal Under Mgt SONY_GM_00039956 t ps://dbforcepb.my.salesforcaINEJIDEgriNIIIAL000000D9Di&e... 7/30/2019 CONFIDENTIAL - PURSUANT TO FED R CRIM

(OFAC)? 0 Yes El No H. Does the client or rated party have any financial or other association/ interactions within high O Yes No risk countries? I. Corporate Documentation Attached (Legal Entities Only) Ri Yes • No • Not Amicable J. Undisclosed Principal Form Complete (Intermediaries Only) 0 Yes 0 No RI Not App cable K. If L

mount of assets planned to invest with PWM($): 2,000.00 Other Known Finance' Institutions: Insbtution: County: Est Assets Under Mgt Insmution: Canby: Est. Assets Under Mgt: Instiwtlon: Canby: Est. Assets Under Mgt: CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. le). DB-SONY-0000008 https://dbf

Control (OFAC)? Does the dent or related party have any financial ix other association! interacbons within high risk I—I H. Yes 2 No countries? I. Corporate Documentation Attached (Legal Entities Only) El Yes O No O Net Applicable 3. Undisclosed Principal Form Compiete (Intermediaries Orgy) O Yes O No 2 Not Applicable IC If

38. Wealth Details (Orly for parties requiring soiree of wealth description as indicated in Section 2) Nature of the Inilvidues Cosiness: Primary Canby of source of wealth/source of Fula? Primary indusoy of source of Wealth/Sotsce of Funds? Summarize Source of Wealth: O Business Owner OSalarygarni

(OFAC)? H Does the client a related party have any financial or other association/ interactions within high risk r❑L...I i Yes PI No countries? I. Corporate Documentation Attached (Legal Entities Only) El Yes O No O Not Applicable J. Undsdosed Principal Form Complete (Intermediaries Only) O Yes O No 2 Not Applicable K. If L

Islands, U.S. Number of employees: 3 3D. Wealth Profile (Only for parties requiring source of math descriptor, as indicated in Section 2) Primary Canby of source of wealth/source of Funds? United States Primary industry of source of Wealth/Source of Funds? High Risk Financial Institutions Provide

C)? U Yes RI No H. Does the dent or related party have any finandal or other association/ interactions within ugh r❑I--I i Yes 2 No countries? I. Corporate Documentation Attached (Legal Entities Only) 2 Yes O No O Not Applicable: ). Undisclosed Prinopal Form Complete (Intermediaries Only) • Yes O No 2 Not Applicable: IC If