Date of Birth :(mm/dd/yyyy) What form of goverment issued identification document did you obtain for the files? Driver's License If the grantor is deceased, please select "Other" and input a date of death. Tax ID / Social Security Number You must ensure that a copy of an IRS application for tax id has been received from the client as evidence per Private Bank Policy. Passport/Drivers License # List any additional grantors in the following table.If the grantor is deceased, indicate this in the Name field .If an Organization, rovide the legal name. Name Date of Birth (mm/dd/yyyy) Form of Govt Issued ID Obtained Passport # / DL * Tax ID Beneficiary (-les): Name Relationship to Grantor,Trustee/Executor Mark Lawrence Epstein Eva B Andersson Grantor's brother Grantor's friend Introduction Information Introduction Type: Other Specific Information Existing client Met with Non JPM Trustee(s)/ a. Yes C No Executor(s) Background / Financial Information Occupation, Business or Employer of Non-)PM Trustee(s)/Executor(s) Profession/Business Type: money manager Trust's/Estate's Value: $ (USD millions) Source Of Wealth/Assets of the trust: Other Other (Provide detailed and specific information) Jeffrey Epstein earned his wealth managing money for wealthy individuals 'Transaction Profile/Expected Account Activity What is the purpose/intended use of this account? checking account What is the expected source of account funding ? Wire Approximate $ amount to fund the account $10,000 Please select each "Product Type" that applies. Within each product type, please check ALL transaction types that apply and provide a description of expected account activity. (document expected sources of inflows and destinations of transfers,countries, and types of payors/payees.Include where is the money coming from - example . A specific bank or firm and purpose of specific transactions, if known) Product Type - Select all that apply Transaction Types - Select all that apply and expected activity level ( L = 1-5, M = 6-12, H =>12 transactions per month) Anticipated $ Amount Totals per month - Please provide at least an estimate Deposit/Current Accounts (Checking, Savings, Money Market) a Yes C No Cash ( withdrawals/deposits) - (14/ Low C medium r High Check deposits / Check paid - 4- Low r Medium r High Below $100000 Wire Incoming & Outgoing - Below $1MM Confidential Treatment Requested by JPMorgan Chase CONFIDENTIAL JPM-SDNY-00002930 SDNY_GM_00272128 EFTA01480714