Epstein Secrets

ctioned of (OFAC), H. Does the dent or related party have any financial or other association/ interactions within high risk D yes 2 No ccuntries> I. Corporate Documentation Attached (Legal Entities Only) RI Yes • No O Not Applicable J. Undisclosed Principal Form Complete (Intermediaries Only) 0 Yes 0 No 5 Not Applicable K. If

age o of 14 One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summa 3A. Individual Details (for all parties) IndMduars Name: Harry Beller - Date of Birth. Country of Residence: USA Country d CAtenshlp: USA Address of primary residence: Has client resided outsi

(OFAC)? H. Does have financial interactions high the client or related party any or other associatkri/ within risk . Yes 0 No countries? I. Corporate Documentation Attached (Legal Enblies Only) S Yes • No • Not Appkable J. Undisclosed Principal Form Complete (Intermediaries Only) • Yes • No IS Not Appicabie K. If Led

ge 6 of I I One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summa 3A. Individual Details (for all parties) IndMduars Name: Harry Beller - Date of Birth. Country of Residence: USA Country d Ctzenship: USA Address of primary residence: Has client resided outsi

tioned of (OFAC)' H. Does the client or related party have any financial or other assoaalion/ Interactions within high risk o yes 2 No countries, I. Corporate Documentation Attached (Legal Enbbes Only) 0 Yes • No • Not Appkable 1. Undisclosed Principal Form Complete (b iaries Only) • Yes • No 74 Not Appkabk K. U Leds/Nexis

C Print Page 6 of 13 must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summa 3A. Individual Details (for all parties) IndMduars Name: Harry Beller - Date of Birth. Country of Residence: USA Country d Ctienship: USA Address of primary residence: Has client resided outsi