te of Birth: 1/20/1953 Country of Residence: Virgin Islands, U.S. Corny of Otizenship: United States Address of primary residence: Little Saint James Sant Thomas 00802 Vrgn Islands, U.S. Has client resided outside of his/her coLntry of nationality for 5 years a more? • yin No Profession/Occupation

pstein - 00000483289 Date of Birth: 1/20/1953 Country of Residence: USV1 Country of Citizenship: USA Address of primary residence: Utte Saint James Sant Thomas 00802 Has client resided outside of his/her cony of rationality for S years a more? O yes 2 No ProfessiorVOccupation: Set Empolyed Tax

e: Jeffrey Epstein - Date of Bath: 1/20/1953 Country of Residence: USW Country of Citizenship: USA Address d prirnary residence: Little Saint James Sant Thomas 00802 US Virgin Islands Has dent resided outside of his/her country of nationally for 5 years or more? • yes la No Profession/Occupation:

e: Jeffrey E. Epstein - Dated Earth: 1/20/1953 Country of Residence: USVI Country of Otlzenship: USA Addess of plenary residence: Late Saint James Sant Thomas 00802 United States Has dent resided outside of his/her country of nationality fe 5 yeas or more? O yes @No Profession/Occupation: Self