3
Shared Docs
3
Same-Page
5 / 3
Mentions
d pay the section 1446 withholding tax. Therefore. a you are a U.S. person that is a partner In a partnership conducting a trade or business in the United Stales, provide Form W-9 to the partnership to establish your U.S. status and avoid section 1446 withholding on your share of partrier5114) income. Cal. N
e through a UBS advisory program (rn) Please check the appropriate box below that most accurately describes the Undersigned flAn individual that is a United States Person (including his or her trusts) ❑An individual that is not a United Slates Person (inclucEng his or her trusts) ❑A broker-dealer CI An Insura
S. citizen a U.S. resident seen. • A pannershp. corporation. company, or association created or organized in the United States or under the laws of the United Slates. • An estate (other than a foreign estate). or • A domestic trust (as defined in Regulations SeCtion 301.7701.7). Special rules for partnerships.
money laundering or terrorist activities, exuding those Pereens Or entilieS that are included on any relevant lists mantaine0 by the US Treasury Department's Office of Foreign Assets Control, any senior foreign poatical figures, their mime:kale family members and close associates, and any forergr stell
or indirectly: (a) in contravention of any U.S., international or other money laundering regulations or conventions, including, without limitation, the United States Bank Secrecy Act, the United States Money Laundering Control Act of 1986, the United States International Money Laundering Abatement and Anti-Terrorist
r any of its constituents: (a) are or will be conducting any business or engaging in any transaction with any person appearing on the U.S. Treasury Department's Office of Foreign Assets Control list of restrictions and prohibited persons; or (b) are a person described in §1 of the Anti-Terrorism Order, and t
or indirectly: (a) in contravention of any U.S., international or other money laundering regulations or conventions, including, without limitation, the United States Bank Secrecy Act, the United States Money Laundering Control Act of 1986, the United States International Money Laundering Abatement and Anti-Terror
or any of its constituents: (a) are or will be conducting an business or engaging in any transaction with any person appearing on the U.S. Treasury Department's Office of Foreign Assets Control list of restrictions and prohibited persons: or (b) are a person described in §1 of the Anti-Terrorism Order, and t
Entities connected to both United States and Department's

Jeffrey Epstein
PERSON
Ghislaine Maxwell
PERSON
Department of Justice
ORGANIZATION
New York
LOCATION
Martha Stewart
PERSON
George Mitchell
PERSONthe City of New York
LOCATION
David Mitchell
PERSONUtilities
ORGANIZATION
Review
ORGANIZATIONthe United States Money Laundering Control Act
LOCATIONPermits
LOCATIONEOUIPMENT
ORGANIZATIONthe United States Treasury Department
LOCATIONthe Title Company
ORGANIZATIONMitchell Holdings
ORGANIZATIONthe Uniform System of Accounts
ORGANIZATIONthe American Hotel & Motel Association
ORGANIZATIONKatsky Korins LLP
ORGANIZATIONWITNESSETH
ORGANIZATION