he Relationship Manager (RM)/Investment Advisor (IA) in reviewing the certifications provided by the Account Holder, any Controlling Persons and any Ultimate Beneficial Owners as part of the Client Risk Program. This form should be completed by the RM / IA and submitted together with the Self-Certification as described in

of Directors/Annual Report/3rd Party Auditor/internal Legal Counsel) - 11) Senior Management - 5 Control Person(s) or all if fewer - 12) List of all Ultimate Beneficial Owners (25% or more): a. Full Legal Name - Epstcu) b. Nationality - USA c. Date of Birth — Jnouhry 2C, 1953 d. Exact amount of ownership interest - n0

he Relationship Manager (RM)/Investment Advisor (IA) in reviewing the certifications provided by the Account Holder, any Controlling Persons and any Ultimate Beneficial Owners as part of the Client Risk Program. This form should be completed by the RM / IA and submitted together with the Self-Certification as described in

of Directors/- Annual Report/3rd Party Auditor/internal Legal Counsel) - 11) Senior Management - 5 Control Person(s) or all if fewer 12) List of all Ultimate Beneficial Owners (25% or more): a. Full Legal Name - Jeffrey Epstein b. Nationality - USA c. Date of Birth — January 20, 1953 d. Exact amount of ownership inter

of Directors/- Annual Report/3rd Party Auditor/internal Legal Counsel) - 11) Senior Management - 5 Control Person(s) or all if fewer 12) List of all Ultimate Beneficial Owners (25% or more): a. Full Legal Name - b. Nationality - c. Date of Birth - d. Exact amount of ownership interest - e. Source of wealth - For above UBOs