sted in this section (d)). i Name I Date of Binh i Legal Address I I For U.S. Persons: Seas:thy ' Ntunber For Non-US. ()noes: rn a Soctal;Sc Plitutlai°;Nan wri.tbneri i i JEFFREY E. EPSTEIN I SEE i i ABOVE I • For NOn-U.S. Persons. in addition toa Social 3/away Number of a Passport Ntrntkenvi