Letter of Guarantee
Letter of Guarantee
(Vim) 2015 (Month) 04 (Day) 21
To: Consul-General of Japan in New York
VIss_. Applicant
Nationality: Russian
Occupation: Executive Assistant to Mr Jeffrey Epstein, CEO of Southern Trust Company. Inc.
Full name (Female)
Date of birth: (Age 31)
(Year) / (Month) / (Day)
'Please refer to the list of the applicants for additional applicants' information.
I will guarantee the following items regarding the above-mentioned applicants' entry Into
Japan:
1. Expenses for the applicant's stay in Japan
2. Return travel expenses
3. Compliance with Japanese laws and regulations
I hereby declare that the above is true.
Guarantor
Address: 150-0043
Occupation/Name of
Full name: Dogenzaka Pia 9F. 1-22-7.
organization: Co-founder Dogenzaka, Shibuya-ku.
and Representative
Seal: Tokyo.
Director, Loftwork Japan
Inc.
Date of birth. (Age 43 ) iT
(Year) / (Month) / (Day) O
Telephone number: 03-5459-5123 r— cal
Fax number, 03-5469-6667
Relationship with the visa applicants: Visa applicants are assisting Mr. Epstein. on his travel to
Japan. Loftwork Inc. will discuss collaboration with Mr. Epstein and his company on supporting
the US startups in launching in Japan and bringing Japanese startups to the US.
Contact person's division: Global Division, Loftwork Inc.
Contact person's full name: Mika Tanaka
Contact person's telephone number: 080-1300-7497
Contact person's fax number 03-5489-6667
EFTA01205859
Letter of Reason for Invitation
(Year) 2015 (Month) 04 (Day) 21
To: Consul-General of Japan in New York
Inviting Person
Omitted (same as Guarantor) Seal:
Contact person's division: Global Division. Loftwork Inc.
Contact person's full name: Mika Tanaka
Contact person's telephone number: 080-1300-7497
Contact person's fax number: 03-5489-6667
Visa Applicant
Nationality: Russian
Occupation: Executive Assistant to Mr Jeffrey Epstein, CEO of Southern Trust Company, Inc.
Full name: (Female)
Date of birth (Age 31)
(Year) / (Month) / (Day)
'Please refer to the list of the applicants for additional applicants' information.
The purpose of inviting the above persons is as follows:
(1) Purpose of invitation
Loftwork Inc. is inviting Mr. Jeffrey Epstein. CEO of the company of the visa applicants, to
discuss collaboration on supporting the US startups interested in launching in Japan as well
and bringing Japanese startups to the US.
(2) Background to invitation
Mr Epstein advises a number of investors in the US interested in expanding their investment
focus to Japan and will be presenting their interests in addition to his own. Loftwork Inc. and
the visa applicants' company have been seeking for collaboration on investments in startups
in Japan.
(3) Relationship with visa applicants
The visa applicants are assisting Mr. Epstein, on his travel to Japan. Loftwork Inc. will
discuss collaboration with Mr. Epstein and his company on supporting the US startups in
launching in Japan and bringing Japanese startups to the US.
EFTA01205860
Ust of Visa Applicants
Applicant 1
Nationality: Russian
Occupation: Executive Assistant to Mr. Jeffrey Epstein, CEO of Southern
Trust Company, Inc.
Full name: (Female)
Date of birth: (Age 31)
(Year) / (Month) / (Day)
Applicant 2
Nationality: Russian
Occupation: Executive Assistant to Mr. Jeffrey Epstein, CEO of Southern
Trust Company, Inc.
Full name: (Female)
Date of birth: (Age 25)
(Year) / (Month) / (Day)
Applicant 3
Nationality: Belarus
Occupation: Executive Assistant to Mr. Jeffrey Epstein, CEO of Southern
Trust Company, Inc.
Full name: Karyna Shuliak (Female)
Date of birth: (Age 25)
(Year) / (Month) / (Day)
EFTA01205861
(Year) 2015 (Month) 04 (Day) 21
Schedule of Stay
The schedule of stay In Japan of the visa applicant and two others is as follows:
Date Planned Activites Contact Accommodation
May 22, 2015 Arrive in Narita
from New York JFK
by flight, DL473 Loftwork Inc.
Global Division
Mika Tanaka
Tel: 080-1300-7497 Andaz Tokyo
1-234 Toranomon
Minatoku, Tokyo
Tel: 03.6830-1234
May 23, 2015 Business meeting
at Loftwork Inc.
1-22-7, Dogenzaka,
Shibuya-ku, Tokyo Loftwork Inc.
Global Division
Mika Tanaka
Tel: 080-1300-7497 Andaz Tokyo
1-234 Toranomon
Minatoku, Tokyo
Tel: 03-6830-1234
May 24, 2015 Business meeting
at Digital Garage Inc.
3-5-7 Ebisu Minami
Shibuya-ku, Tokyo Digital Garage Inc.
Group CEO Room
Miki Aiba
Tel: 03-6367-1112 Andaz Tokyo
1-23-4 Toranomon
Minatoku, Tokyo
Tel: 03-6830-1234
May 25, 2015 Business meeting
at NHK
2-2-1, Jinnan
Shibuya-ku, Tokyo NHK
Mizuto Tanaka
Tel: 03-5455-7907 Andaz Tokyo
1-23-4 Toranomon
Minatoku, Tokyo
Tel: 03-6830-1234
May 26, 2015 Business meeting
at CCC Co. Ltd.
16-17 Nanpeidai
Shibuya-ku, Tokyo Tsutaya Tokyo Company
Keita Sugiura
Tel: 03-6800-4732 Andaz Tokyo
1-23-4 Toranomon
Minatoku, Tokyo
Tel: 03-6830-1234
May 27, 2015 Business meeting
at KADOKAWA
2-13-3 Fujimi
Chiyoda-ku, Tokyo KADOKAWA
Tadashi Fukuda
Tel: 090-3810-7080 Andaz Tokyo
1-23-4 Toranomon
Minatoku, Tokyo
Tel: 03-6830-1234
May 28, 2015 Business meeting
at Mod Building Co., Ltd.
6-10-1 Roppongi
Minato-ku, Tokyo Mod Building Co., Ltd.
Corporate Planning Office
Takehiko Raijo
Tel: 03-6406-3899 Andaz Tokyo
1-234 Toranomon
Minatoku, Tokyo
Tel: 03-6830-1234
May 29, 2015 Sightseeing in Tokyo Loftwork Inc.
Global Division
Mika Tanaka
Tel: 080-1300-7497 Andaz Tokyo
1-23-4 Toranomon
Minatoku, Tokyo
Tel: 03-6830-1234
May 30, 2015 Return to New York JFK
from Narita
by flight, DL172 Loftwork Inc.
Global Division
Mika Tanaka
Tel: 080-1300-7497 Andaz Tokyo
1-23-4 Toranomon
Minatoku, Tokyo
Tel: 03.6830-1234
EFTA01205862