assport Nurnberg orber song, nurnbeh 15a. State of issuance: 150. Country of Issuance: 16. Ownership % NOTE: In eau of o passport number, Namtl.S. Poisons may also provide a Social Sew* Number, en alien identirtaan 'cord number, or number end country of issuance of any other povennuent-Issuod docuntant

n individual listed under section (c) above may also be listed in this section (d)). Name Oats of Sinn Legal Address For U.S. Persons: For kanil.S. Poisons. • SOCial Setv:Ity Nurnte (See too:ram 1 for atlematowsl to Social Smoky Mane.) ABOVE JEFFREY E. EPSTEIN SEE Fe- Non• LIS. Pomona in 400e:on