4
Shared Docs
4
Same-Page
5 / 4
Mentions
aSSOCIallon created or example, income paid to you, real estate transactions, mortgage Interest organized in the United States or under the laws of No United States. you paid, acquisition or abandonment or secured property, cenCel eten • An estate (other than a foreign estate), or of debt, or oontjtutlons you
foreign person, and pay the withholding tax. Therefore. 1 you arc a U.S person that is a partner in a pannerstip conducting a trade or business in the United Stales, provider Form W-9 to tic partnership to establish your U.S. status and avoid witNolding on your share of partnership income. Cm. No. 10231% CONFI
mer Due Diligence for Additional signers or Authorized Signatures on Business Entities Accounts (elf. 611112010) Observations at Place of Business OFAC/PLC (print evidence of verification) (611112010 for new octant clients without an active deposit account al the time of account opening) Document Checl
emb: US paraani ',ogee • Pa Incialdual *tab.' U.S. citkan a US tetkunt elan. •A pednersha corporation. OCOTrony, a OSSOOatko awed or organized In the United State a older Ott Ira or the unxts Sawa • An were (cext Malt faeign encl. a • A 00ni.W.0 'MI lsa dotted h Regitherts octal 301.1101.7). SoecaaI need for
umber. Emil Address. ThNiISWaal Plums Menileceticn Type 6 Mastic Idenatcation Expraion Date: csocsysmas explain O tliellall111111 IIIIIIIIS OFAC/PLC O _ ellaliltiliglitti O Yes O No, explain wily, illitillilil Authorized Signer Name: PhysiCal (Home/Adana ItilitaiSARt_____ OccUpall011: Per
ed or dissolved as far as the records of my office show. Wherefore, the aforementioned entity is duly formed under the laws of the Virgin Islands of the United States, is duly authorized to transact business, and,.is hereby declared to be in good standing as witnessed by my seal below. Entity Type: Domestic Profi
rc 5.444504MiSmenosion Type a Number: lOonllifiCalkal batmen OMB 0 CHEXSYSTEMS , explain why 01/162022 0 YES Oratennill—.-- kW -- allegalla OFAC/PLC 0 nettleniftEta 0 Yes!: No, exp/an sty Authorized Signer Physical (Home) Name: JEANNE Address: Ell 10 ST THOMAS, K BRENNAN CAI3RITA VI 00302
itizen or U.S. resident alien, • A partnership, corporation, company, or association created or organized in the United States or under the laws of the United States, • An estate (other than a foreign estate), or • A domestic trust (as defined in Regulations section 301.7701-7). Special rules for partnerships.
Diligence for Additional signers or Authorized Signatures on Business Entities Accounts (eff. 6111/2010) V i V Observations at Place of Business OFAC/PLC (print evidence of verification) (611112010 for new account clients without an active deposit account at the lime d account opening) DocumentiCheck
Entities connected to both United States and OFAC/PLC

Jeffrey Epstein
PERSON
George W. Bush
PERSON
Ghislaine Maxwell
PERSONDarren Indyke
PERSON
Richard Kahn
PERSON
U.S. Virgin Islands
LOCATION
Joi Ito
PERSON
Lawrence Krauss
PERSON
Sarah Ferguson
PERSON
St Thomas
LOCATION
Charlotte Amalie
LOCATION
Mike Pence
PERSON
Adriana Ross
PERSON
John Brennan
PERSONU.S. Virgin
LOCATIONHorne
LOCATIONJeanne Brennan
PERSONGregory Riches
PERSONSalem
LOCATIONFirst Bank
ORGANIZATION