Full Legal Corporate Name: Darren K. Indyke PLLC 0 Primary Corporate Address (No P.O. Box address. Must be a physiCal address.) Name: Darren K. Indyke PLLC Attention: Address Line 1: 457 Madison Ave. Address Line 2: City: New York State: NY Province: Postal/Zip Code: 10022 Country: UNITED STATES Tax ID C : 300503849 Remember to collect W-8's or other applicable tax forms for each jurisdiction. Business Phone: OState of Domicile: Where is the Company Incorporated' What document did you obtain to Articles of Organization evidence state of domicile? Articles of Incorporation, Partnership Agreement, etc NY Introduction / Financial Information Introduction Type: Related Client NC Specific Information: Jeffrey Epstein is a longstanding client. (Please identify referral source, etc.) Have you met with the Principal/Authorized Individual? 0 Yes r No Legal Entity: Limited Liability Corporation What is the purpose for forming the LLC? Limited Liability Company To provide legal services to Jeffrey Epstein. Princpal Beneficial Owner(s)/Shareholder(s) Identify the principal beneficial owner(s)/shareholder(s). If the entity is owned by an intermediate legal structure (e.g. LLC or Partnership), list the ultimate individual beneficial owner(s). A beneficial owner is any person on behalf of whom the account is maintained. Last Name: First Name: % of Ownership SSN DOB Form of Govt Issued ID Obtained Citizenship Indyke Darren 100 drivers license UNITED STATES Source of wealth of the beneficial owner(s)/shareholder(s): Source of wealth of the Partners: Executive Management/Professional Executive Management/Professional What Is the client's current executive management position? (Include any former positions, if significant to source of wealth) List the approximate number of years in current 15 position. (Include any former positions, if significant to source of wealth) Approximate yearly income/salary/bonus/distribution and other compensation history (accumulated earned Income) attorney $1.7mm Confidential Treatment Requested by JPMorgan Chase CONFIDENTIAL JPM-SDNY-00002851 SDNY_GM_00272049 EFTA01480642