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I OR 12/ AMOCAllON Of noarmnolt a aidw4KNyt PRIMED 'IRV NAME AND IASI NAPA CONFIDE I NAAII D DNY_GM_000 10436 EFTA 00121090 EFTA01266736 Richard Kahn 5049 Comers Go: 0444/ Amble. LaBrn Nana 03632 From 34.461SIS Faa • 34776.412 THE UNTIED STAID \ARON ISLANDS OFFICE OF THE LIEUTENANT GOVERNOR
DE N MIS APFUCATION An NOWT 10 OntSIIDADON MID MAT AN! FALSE OR OIENOMIll MIAS TO ANY ENIESTION MAY ill GROOM COPAL OA ION Of MGISTIATION. al SI Richard Kahn doh, PRINTED ARP NAME MC LAST NAME • II THE LAST WORT OOPS NOT COVER NE PEPOD tm.DONTRY PRECEDED n* WORT PERIM COVERED IT DC RIPON. A SUPPIIMEMMY WORT
C_D • _ I NNW. Rua roomy INK AND CORRECT. WI MONADS TNT Mem ItIASIMER PERJUIY. Meta DIE LAW KNOWLEDGE MU ALL ST YO ENT EVOCATION Of PS:hard Kahn OF IM110 SIAM RUGS MANDL THAT AU. SIMMONS CONTAIN° MINT ATTUCATION AND ANY OCCO NO DOCWAINIE. An NAM IN nos ANDCAna. ARE WHICT TO NAUMANN, NO NAT
eport filed 0. Adcbtional capital paid in since Iasi report c. Sum of (a) and (b) d. Paid-in Capital withdrawn since last report e. Paid-in Capital Stock at date of this report f. HIGHEST TOTAL PAID-IN CAPITAL STOCK DURING REPORTING PERIOD 4) COMPUTATION OF TAX: TEL NO) 776-8515 • FAX T340776-44
ll IMAM TO INVESTIGATION AND TWAT AM FALSE OR CRIIIONUT AI N1 OANY CIEMION MAY AI 0•01010$ 102 WHIM OR SMSI 4TtVOC TION Of REGISILMOIL SIGNATURE FtIchard Kahn At. DA. MEW REST tome AND LAST NAME SIGNATURE Joey Epstein DALE POSED REST NAME AND LAST NAME • if DIE LAST REPORT DOES NOT COVER NE PERIOD I
RAC, 10 INVIIMGADON AMC THAI ANY MIK OR DONONESI ANSWER TO ANT (WISDOM MAY III WO* DENIAL OR SMISIQUINI Of REGISMADOK • MEASURE SIGNAM ASMArr1 Kahn MOW HIM NAME AND IASI NAME PRINTED FoosT NMI AND LAST NAME EFTA00073410 THE UNITED STATES IRRGIN ISLANDS OFFICE OF THE LIEUTENANT GOVERNOR DIV
hut ran filed b. Additional capital paid in since lest report c. Sum of 00 and (b) d. Pad-in Capital withdrawn since last report e. Paid-in Capital Stock at date of this report f. HIGHEST TOTAL PAID-IN CAPITAL STOCK DURING REPORTING PERIOD 4) COMPUTATION OF TAX: a. At rate 0151.50 per M (factio
cessor elected , St. Thomas, USVI 00802 Richard Kahn,Treasurer/Director Serves unhl successor elected
ND T. WM FULL KNOWLEISO All STARAMM MADE IN MT APPUCAION AN ILIAC! TO iNVISTIGATION GROUNDS ERR PIRAL OR SlifSIQUENT RE Of REGISTRATION SiGNAPJ Richard Kahn r.,14 0/v PRIMED REST NAME MO LAST NAME PRETroforf SIGNATURE Jeffrey Epstein TA/St OR OISMTHEST A3RTWER TO ANY ouesnoN MAY IN PRINTED ARSE NAME AP
report filed b. Additional capital paid in since last report c. Sum of(a) and (b) d. Paid-in Capital withdrawn since last repot e. Paid-in Capital Stock at date of ibis report t HIGHEST TOTAL PAID-IN CAPITAL STOCK DURING REPORTING PERIOD 4) COMPUTATION OF TAX: a. At rate of$1.50 per M (fraction
TIM ADDRESS TERM EXPIRATION Jeffrey E Epstein, President/Director 6100 Red Hook Quarter, B3, St. Thomas, USVI 00802 SWIMS until successor elected Richard Kahn, Treasurer/Director Serves until successor elected , New York, NY 10021 Darren A toils. Vke ProSiONTUSTraureareat • Livingston, NJ 07039 SeveS me
isin OF PERJURY. UNDER DIE LAWS OF ME tmilt0 SUES MAME ELANDS. THAT ALL STATEMENT ATIMINIS MAW DI PHIS APPLICATION AM UMW TO STGNATIATtr latcrisrd Kahn PODDED TEST NAVE ANDLASTNM* kid!, DA1E SIGNATURE JIMMY Epstein FEARED R PST NAVE AND LAST FLAME DOCUMENTS. AM AVM TO ANY COPISUON MAY II O
n on last report fikd b. Additional capital paid in since lam report c. Sum of (a) and (b) d. Capital withdrawn since last report e. Paid-in Capital Stock at date of this report I. HIGHEST TOTAL PAID-IN CAPITAL STOCK DURING REPORTING PERIOD 4) COMPUTATION OF TAX: DIVISXMOF CORPORATION AND TRADEMAR
L YEAR AND EXPIRATION DATES OF TERMS OF OFFICE Darren Indyke-President/Director Serves until successor elected 2 Kean Court Livingston. NJ 07039 Richard Kahn — Secrctary and Treasurer/Director Serves until successor elected 1365 York Ave Ant 28A New York, NY 10021 Jeanne Brennan - Second Vice President/
ected 2 Kean Court Livingston. NJ 07039 Richard Kahn — Secrctary and Treasurer/Director Serves until
.264805 Additional capital paid in since last report S - Sum of (a) and (b) ...(.:. Paid-in Capital withdrawn since last report S - hid-in Capital Stock at date of this repot :EVA HIGHEST TOTAL PAID-IN CAPITAL STOCK DURING REPORTING PERIOD ...S.261808 4) COMPUTATION OF TAX: a. At rate of51.50
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PERSONDarren Indyke
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Ghislaine Maxwell
PERSONErika Kellerhals
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United States
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LOCATIONHARRY I. BELLER
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LOCATIONLivingston
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ORGANIZATIONDISTRICT OF ST
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