Epstein Secrets

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mm 3A. Individual Details Oct all parties) Individuals Name: karYna Shullak - Date of Birth: Country of Residence: USA Country of Otizenship: Slovakia Address of primary residence: Has client resided outside of his/ler cony of nationality for 5 years a more? O yes 2 No Profession/Occupation:

d Panes related to this account Account:51C Holder OwnerTrust Settlor of / Founder of Foundation

ry 3A. Individual Details (fa all parties) Individual's Name: Karyna Sh., at. Date of Birth: County of Residence: USA Country of Citizenship: Slovakia Address of primary residence: Has dent resided outside of lusther country of natenaitty for S years or more? O yes No Professien/Occupatien:

case. If checklist is missing or blank, WM NOC AOG will reject the case and send back to FO. Mandatory fields on the form to be checked are account Holder name and account Manager Signature. Accounts in scope — GAT DPM and Custody accounts. Go live date — 06th March 2019. MIFID II Documents checklis

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one of the following must apply: Entity Account Holder meets the UK High Net Worth Company (HNWC) Exempt

, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, United Kingdom, Iceland, Liechtenstein and Norway. Cross Border (EEA) New EEA Lead/Prospect Upon completion of the non-

t to change domicile to a non-US country Account Holder(s) Name: I EEA Specific? Task Description 1

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VESTMENT FOR AN INDEFINITE PERIOD OF TIME. EACH HOLDER OF INTERESTS WILL BE REQUIRED UPON REQUEST BY THE

gary, Iceland, Republic of Ireland, Italy, Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, The Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden and the United Kingdom of Great Britain and Northern Ireland. undertakes any offering of Interests; respect to the in

VESTMENT FOR AN INDEFINITE PERIOD OF TIME. EACH HOLDER OF INTERESTS WILL BE REQUIRED UPON REQUEST BY THE

gary, Iceland, Republic of Ireland, Italy, Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, The Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden and the United Kingdom of Great Britain and Northern Ireland. undertakes any offering of Interests; respect to the in

VESTMENT FOR AN INDEFINITE PERIOD OF TIME. EACH HOLDER OF INTERESTS WILL BE REQUIRED UPON REQUEST BY THE

gary, Iceland, Republic of Ireland, Italy, Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, The Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden and the United Kingdom of Great Britain and Northern Ireland. undertakes any offering of Interests; respect to the in

VESTMENT FOR AN INDEFINITE PERIOD OF TIME. EACH HOLDER OF INTERESTS WILL BE REQUIRED UPON REQUEST BY THE

gary, Iceland, Republic of Ireland, Italy, Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, The Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden and the United Kingdom of Great Britain and Northern Ireland. undertakes any offering of Interests; respect to the in

VESTMENT FOR AN INDEFINITE PERIOD OF TIME. EACH HOLDER OF INTERESTS WILL BE REQUIRED UPON REQUEST BY THE

gary, Iceland, Republic of Ireland, Italy, Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, The Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden and the United Kingdom of Great Britain and Northern Ireland. undertakes any offering of Interests; respect to the in