Epstein Secrets

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

re) CI DB Employee D De Managed PIC 0 DB is Ins:tee/Co-Trustee • Bearer Shares 4. Attachments A. Type cf Photo ID Provided 1210thers License 0 Passport 0 National/State ID 0 Other for Checklist of names (ndericluals and/or entities) that were submitted database searches Is B. 1:4' Yes • No attached C. Please i

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

ore (Compiance Signature) 0 DB Employee 0 DB Managed PIC Trustee/Co-Trustee 0 Bearer Shares • DB is 4. Attachments A. E Z Divers License 2 Passport 0 National/State ID MI Other - Darren Type of Photo ID ProIded Intlyke & Richard Kahn GCIS * 486405 & • m* theckltst of names (inctviduals and/or entities) that

Assets Control (OFAC)? H Does the client a related party have any financial or other association/ interactions within high risk 0 Yesg No counmes? I. Corporate Documentation Attached (Legal Entities Only) 2 Yes • No 0 Not Applicable J. undadosed Principal Form Complete (Intermediaries Only) 0 Yes 0 No 2 Not Applicable K. If Le

re) D 136 Employee 0 OS Managed PIC 0 OS is Trustee/Co-Trustee 0 Bearer Shares 4. Attachments A. Type of Photo ID Provided 2 Drivers License 0 Passport 0 National/State ID • Other O. Checklist of names (indroduals and/or entities) that were submitted for database searches Is attached 2 Yes El No C. Please Indicate