Funds Transfer Request Effective Date: (Please Type Instructions) 39/C4/13 mane enter current a 'Wore 6910 only Sefect Appreciate Payment Type and Fields will be Displayed 0 JPMC Transfer 0 ACH 0 Check 0 Domestic Wire Receiving Bank ABA: Receiving Bank Name: Beneficiary Account Beneficiary Name: Account Type: Intermidiary Bank Account/Code: $1,395.08 739110438 Income: racivA :tta' St. Debit Account Title: 021000021 JPMorgan Chase .17920 Ronald Rogers ruN7 Cry Pe,:1v • II Intermediary Bank Name: 7:475-tr TA. 0 DDA (US) 0 Swift tt, "31 folatalMfo Payment Details (Reference! Advice Description/Addenda) O J.P.Morgan International Wire Jeffrey E. Epstein Address 1: Address 2: City: State: 0 Other Zip Code: Reimbursement of Expenses • LSJE Pict iurizet1 y 09/04/13 Date ID 036309042684762 DATE 09/01/2013 17 01 00 Page 3 of 4 DID CSID INDEX? INDEX2 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059514 EFTA01580224