IncliAlualt Name: Jeffrey Lpsten - Dated Birth: 1/20/1953 Country d Residence: USV1 Country of Otizenship: USA Address of primary residence: Utte Saint James Saint Thomas 00802 US Virgin Wands Has client resided outside of his/her cony of nationality for 5 years or more? O yes 0 No Profession/Occupation: S

Jeffrey Epstein - 00000483289 Date of Birth: 1/20/1953 Country of Residence: USVI Country of Citizenship: USA Address of primary residence: Utte Saint James Saint Thomas 00802 US Virgin Islands Has dent resided outside of his/her country of natonsity for 5 years or more? CI yes g No Professen/Ccupation: S

Indwiduars Name: Jeffrey Epstein Date of Birth: 1/20/1953 Country of Residence: USVI Country of Otizenship: USA Address of phmary residence: Utte Saint James Saint Thomas 00802 US Virgin Islands Has client resided outside of his/her COUNT). of nationality for S years or more. o Yes O No ProfineaVOcapatim S

Jeffrey E. Epstein - 00000483289 Date of Birth: 1/20/1953 Country of Residence: USVI Country of Otizenship: USA Address of primary naidence: Utte Saint James Saint Thomas 00802 United States Has client resided outside of his/her country of nationality fix 5 years or nxte? O yes O No Profinsam/Ocapatim: Sel