Effective Date: Funds Transfer Request ft . (Please Type Insts.cdoney xitff"'5V- •?V re:ltf ?Tr - •. 07/02/13 Please enter current or future date only Select Appropiate Payment Type and Fields will be Displayed O JPMC Transfer Principal: MOnator4 Debit Account 9: Receiving Bank ABA: O ACH O Check 0 Domestic Wire 31,015.00 Receiving Bank Name: Bar* of America Beneficiary Account N: Beneficiary Name: Intermidiary Bank Account/Code: Intermediary Bank Name: tricorns: Debit Account Title Terra Luna Yachting Ire. Payment Details (Reference/Advice Description/Addenda) O J.1 '.Morgan International Wire Jeffrey E. Epstein Address I: Address 2. State: Zip Code: Reimbursement of Sep 2013 Health Insurance Premium Authorized 07/02/13 Date ID: 036307028825609 DATE 07/02/2013 21 00 00 Page 0 of 4 DID: 8887316607 CSID: INDEX/: INDEX? Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059472 EFTA01580193