Epstein Secrets

0 Yes RI No H. M Does the client or related party have any &NOS' or other association/ interactions within high ra Yes MI No risk countries' I. Corporate Documentation Attached (Legal Entities Only) 2 Yes 0 No 0 Not Applicable J. Undisclosed Principal Form Complete (Intermediaries Only) O Yes • No 74 Not Applicable K. If

me: Jeffrey Epstein - 00000483289 Date of Bete 1/20/1953 Country of Residence: USVI Country of Citizenship: USA Address of primary residence: Lae Sant lames Saint Thomas 00802 US Virgo Wands HIS dent resided outside of his/her country of natiOnalky for 5 years or mete? O Yes ?allo Profession/Oc

ol (OFAC)' financial H. Does the client or related party have any or other association/ Interactkos within high ra • Yes Ml No risk countries' I. Corporate Documentation Attached (Legal Entities Only) WI Yes O No O Not Applicable J. Undisclosed Principal Form Complete (Intermediaries Only) • Yes ON* !i Not Applicable K. If

me: Jeffrey Epstein - 00000483289 Date of Birth 1/20/199 Country of Residence: USVI Country of Citizenship: USA Address of primary residence Lae Sant lames Saint Thomas 00802 US Virgo Islands Has client resided outside of hie/her country of natharsalRy ter 5 years or mete? O yes ?allo Professi

Control (OFAC)? H. financial Does the client or related party have any or other associabon/ interactions within high yes 2 No risk countries? I. Corporate Documentation Attached (Legal EntRies Only) 74 Yes El No • Not Applicable J. Undisclosed Principal Form Complete (IMermedia ries Only) • Yes O No Not Applicable K. U L

rties) Individuars Name: Jeffrey Epstein - Date of Birth Country of Residence: USVI Country of Citizenship: USA Address of primary residence Lae Sant lames Saint Thomas 00802 US Virgo Islands HIS client resided outside of his/her country of natiOnalky for 5 years or mete? O yes ?allo Professio