Epstein Secrets

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

country of nationality for S years or more? O Yes No Profession/Ocamatka: Accountant Tax ID / SSN: Current Employer: Southern Financial LLC Pomba/Title/Rank: Accountant Address of employer: 6100 Red Hook Quarter B3 St Thomas Virgin Islands, US. 00802 Does the person work as senior executive of a

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

country of nationality for S years or more? O Yes @No Profession/Ocamatka: Accountant Tax ID / SSN: Current Employer: Southern Financial LLC Pomba/Title/Rank: Accountant Address of employer: 6100 Red Hook Quarter B3 St Thomas Virgin Islands, US. 00802 Does the person work as senior executive of a

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

er country of nationality for S years or more? CI yes @No Profession/Ocamatka: Accountant Tax ID / SSN: Current Employer: Southern Mantel LLC Pomba/Title/Rank: Accountant Address of employer: 6100 Red Hook Quarter B3 St Thomas Virgin Islands, US. 00802 Does the person work as senior executive of a