Ill First Bank
Ill First Bank
Together we are one Document Checklist for
Business Accounts File
Important note: Please refer to the Account Opening Procedures for specific information on the various types of documents required at account opening.
Account Title: I Account Number: Date Opened: '1:311 1,,c2
General Documents
es)::„d , i Check El if Is completed
or
NIA If not applicable Remarks
Signature Cards r.,
Client Due Diligence Easiness Accounts vy
Due Diligence for High Risk Business Accounts (Checklist) o,"
Observations al Place of Business 2>
OFAC9LC (pint evidence of verification)
Document Checklist for Business Accounts File ...-7
Appropriate W-8 Form (if non-U. S. entity)
Disclosures that must be given to client:
USA Patriot Act Customer Information Program Notice ...----
Rates and Fees Schedule k---
Account Agreement 4...-
FDIC Insuring Your Deposit Brochure (USVI only) ,.....-
NOM of Negative Information Disclosure ..---
First BanCorp Information Sharng and Privacy Policy fr."
Other Documents Check EI if is completed
or
WA if not applicable
-Ziertetteoe ,,,,4witZ,r1 Remarks
fitalifilitankranalaitiaitiltairty. , vratia
Cake* of Incorporation or Certificate ol Clualfration (A a U.S based corporation)
Business/Trade License (current)
Cerofrate of Good Standing
Arodes ol incoroorason (stamped by the Office ol the lieutenant Governor if USVI and ere
Registrar olComparies ki the BVI)
Certificate of Trade Name
Corporate Resolution (with Corporate Seal)
Corporate Resolution and Corporate Authorization and Indemnity Agreement for
TelephonelTelex/Facsimile/Written Instructions. (This document is only required if
client requests fund transfers by phone fax or messenger)
• O.. •(0,-I'L.-e “
Partnership Letter and Searrip Agreement
Business/Traderipens° (current)
Partnership Agreement (A it exists)
Cerbfr.ate of Trade Name (it appricabie)
Cenificate of Limited Partnership (il applicable)
Resoknon where Partnership contains Corporation as a Partner (il appwaleot
Partnership Contain Limited Gadfly Company as a Partner (A apphcatle)
Partnership Calains Trust as a Partner (il meltable)
Pannershoecntains Joint venture as a Partner (1 applicable)
Seco* Procedure Agreement tor TehiphonerFar Issuance of Payment Orders or Request for
international Drafts Fl requested)
_ .
Sole Propriebr Agreement (Individual)
Sole Proprietorship Multi* Authorized Signers (if apt:arable)
Businessgrale License (current)
Calera of Trade Name (il applicable)
Secunty Procedure Agreement for Teleptone'Fax Isspance of Payment Orders a Request for
liternational Draft (if requested)
.:.,7.7C‘c!7;-• 2. riWi'W,T,;Tt2:31,..., 2;:tfiff...1n1-2711,31:742,-;sr, -,Issitdi.,...L._— 1....„--I;NcL,. ..-
SONY GM_00013710 Unincorporated AssociatInn Resolution (signed by the )
Secunty Procedure Agreement for Telephone/Fait !sue erviispENTIAL.......•_•__•._..• irstban
EFTA_DO 24053
EFTA01269520
cri fat ItafMcfalleWi lfge*NDOMM
Limited Liability Company Letter and Secunty Agreement
Business/Trade License (anent)
Operating Agreemert
Amdes of Organriaten or Certificate of Fcemation (nor-bank form- a me PLLC a anew Ptt.0
Cerefrate of Existence
Sectay Procecure Agreement for Teleohonaf ax Issuance of Payment Orders or Request for
International Drafts (1 requested) -B taincorporated
Limited Labia Company Contains Corporate ktmbevMsnager (4 applicable)
Limited Liability Comeau Conlon Limited Liability Company as a MemberMarager (4
apt:doable)
Limited Liability Company Contans Limited Liabity Partnership as a Member/Manager (if
enAt-able)
Limited Liability Company Contains Partnership as a MemberiManager td applicable}
Limited Liability Company Contains Trust as a Priemberktanager (it applicable)
Limited Liability Company Unincorporated Association as a Mentedllanager (t writable)
Limited Lability Company Contains Joint Venture as a MentenManager (4 applicable)
.,
Corporate Resolution
Certificate of Incorporatien or Certificate of Oualifirabon (d a U.S. based corporation)
Artioes of Mcaporation (stamped by the Moe al the Lieutenant Gaynor)
BusinessfTrade License (current)
Corporate Resolution and Corporate Authorization and Indemnity Agreement for
Teleftwnerfelex/FacsimileNVritten Instructions. (This document is only required if
client requests fund transfers by phone, fax or messenger)
United Liability Careen) Letter & Secuity Agree-nent
Business/Trade license (Centre) i I 4( it f;.'::.: -i- /1.'1 , 1: , ( , 11•,,, „ ,
Certificate of Trade Nam (If applicable) CACI
Operating Agreement
Articles of Organization cr Certifesate of Pamela:in (non-bank tom-required it lie LW is a 'nevi
LW) /
Certificate of Existence
Sean* Ptocedure Agreement for Telephone* ax Issuance of Payment Orders a Request to
Intentationel Drafts (it requested)
Limited lethally Company Cortex.* Corporate litemberiManager(d applicable)
Limited Liability Company Contains Limited Liability Canpany as a Member/Maragei (il
applicable)
Limited Leaky Germany Conan Limited Lability Partnership as a Member/Amager (if
applkable)
Limited Liability Company Contain Partnership as a klemtertmanagee (it applicable)
Limited Lebrity Company Cor4ahs Tiust as a Membecilitarager (A applicable)
Limited Liability Comely Contains Unincorporated Association as a MemberManager Of
applcable)
Limited Liability Company Contains Joint Venture as a lAemberiblaneger (d applicable)
b e - tit ...1.fizy x
Limited Liabitty ParinersIV Letter and Security Agreement
Celt:foaled Limited Parinersip (Limeed Pamership) - Not required when opening accounts for
law firms or secunty brokerage 60uSes
Cerbfrate of Existerce
Businessrf rade License (current)
Operating Agreement
Statement of Clualkation or Statement of Foreign Qualification
Certificate of Trade Name (4apotuable)
Security Procedure Agreement tot Terephcoef ax Issuance of Payment Orders or Request for
International Drafts (V requested)
Limited Lability Partnership Contains United Liability Company as a klembetiMariager (fil
applicable)
tinted Liability Partnership Contains Limbed May Partnershp as a Memberiblanaget (d
applicable)
Limited Liability Partnership Contains Partnership as a MenterlAanager Of applicable)
Notice of Appointment (Court Order or Court Appointment Papers)
Security Procedure Agreement for Telephone ax Isscance of Payment Orders or Request for
International Drafts (4 requested) SONY_OM_00013711
AICI
. —..—.— —..—...
EFTA_00 I 24354
EFTA01269521
iu
If the PAC is an Unincorporated ASSCCaten, then a leder signed by the presided of the
assocabon Nat PI the association purpose and an UnonanDrab 9d Associaton Resokiton
rewired
It Me PAC's a Nof for profit Ciorpotatign, a Certificate ol Incorporating fora Nen-Clod(
Corporation is moored
A cergficalion hen the Virgin Islands Board of Elections
Additional Documents (supporting documents)
Bureau Report
OCreds °Other
In-house Bank Reference
Other Banking References
Income dedication
Professional association amnion
litarketinprochures. business Web site and other market media
See Photos, Unities rooms (itater,sleckaity. telepficno)
Sample ol entity stationery (presentation card, letter head paper, envelopes...1
Other:
_Other:
_Other:
Other:_
Other.
Other:
Other: Check El if is obtained or
WA if not applicable Remarks
OR ACCOUNT REFERALS ONLY:
If this account opening was referred by a Department's Officer, other than the Branch's Officer, please fill out the following certification.
This account was referred by (name) (title) of (Department) to be opened at Branch. I certify that I complied with
the Customer Identification Program aid reviewed this customer's profile and supporting documentation in compliance with the Customer Due
Diligence and Enhance Due Diligence processes.
Name & Title Signature Date
CONFIDENTIAL SDNY_GM_00013712
CONFIDENTIAL FirstBankPR000875
EFTA_OOI 24355
EFTA01269522
DUE DILIGENCE FOR HIGH RISK BUSINESS (CHECKLIST)
Account Title
FSF, LLC Account Number:
7322000576 I First Bank
Together we are one
High Risk Business require additional due diligence. If more than one type of business applies. then follow the requirements for all the types of business that
does apply. Some Hioh Risk Businesses require the completion of the "Observation at Place ob Business Form". If a Business is under construction or the
client has not yet established a 'facility' and our Manager must approve the delay in completing the Observation Form. All 'high risk' business is not
necessarily listed below. If you believe a business to be 'high nsk'. and it is not listed below, you must contact BSA Compliance Office for direction and
guidance. Where BSA Compliance consultation or approval required, the requirement cannot be waned.
BUSINESS TYPE
O Financial Institutions (Credit Union. Commercial and Pnvate Lencers,
Mortgage Brokers, Private Bank and National Bank)
❑ Non-Bank Financial Institution (Currency Exchange, Foreign Exchange
and Casino)
O Cash Intensive Business (Any retail business whose transaction Profile
shows $30,000 or more in cash per week and who is not a recognized
regional or national chain, e.g. Walgreens, TGI Fridays. Chills, Amigo.
etc.)
- Foods and chinking places
- Grocery Stores
- Beer. wine and liquor store
- Art dealers
- Vending Machine Operators
O Telecommunications/ Phone Cards/ Telephone Centers
O Travel Agency
O Import/ Export Business (Physical Inventory in store or warehouse can be
observed)
O Jewelry/ Genii Precious Metals
O Electronics (who'esale)
❑ Gas Stations
O Gambling/Gaming Establishments (" 20% of the activity)
O Import/Expon Broker (never takes possession of goods. either home base
or no physical location accessible to demonstrate business)
O Used Car Sale (no sales location)
O Freight Transportation
O Transit and Ground Transportation
❑ Off-Shore Corporations (review the Articles of Incorporation. If Corporate
Structure uses 'bearer shares' do no open the account). Under no
circumstances may the business be incorporated in a financial haven
country. See for a listing of theses countries. REQUIRED ACTION
Note: FIRSTBANK does not open account for money transmitters or
check cashing business.
O Operating accounts for Financial and Non-Bank Institutions Do not require
the approval of FirstBank's BSA Compliance Department. In this case
you will:
— Need a letter form the customer on company letterhead
— Staling the account is for operational purposes only. and
— No customer funds will flow through the account.
— Third parties cannot fund operating accounts
O The BSA Compliance Officer approval required prior to opening for all
other typos of accounts. Call 787-993-5150.
O Visit the place of business and complete the 'Observations at the Place of
Business' form. This must be done within 4 weeks of account opening. If
the business is no located in you marketplace (i.e. Customer lives in
Ponce and open an account in Hato Rey Branch) the Bank Office opening
the account must indicated the reason for opening the account at Branch
on the Observation. at trio Place of Business Form and why this
explanation makes business sense.
O ATM Verify if privately owned ATMs are located on the premises. If yes,
obtain copy of Third Pasty Agreements.
O If the business sells monetary instruments (money order) and/or prepaid
cards, obtain copy of the Sales Agent Agreement.
O Car/Boat/ Plane Dealership
O Stock Brokerage
O Foreign Business no registered to do business in the United States
(including Puerto Rico). United States Virgin Islands, or British Virgin
Islands
❑ Internal Business — Any business that sells the majority of its goods and
services over the Internet (Not a retail outlet that also has a web page).
O Personal Investment Company
O Investment Management Business
C'ONFIDENTIAL - CONFI Obtain at least 2 or more of any of the following (copy for the file)
O Invoices
O Shipping documents
O Contracts
These must be supportive of the volume of business anticipated in the
Transaction Profile. For example: If a company indicated that wires in
$200,000 range will be received, 2 invoices for $460 are not acceptable.
Sample IRS Fenn 8300 for review. If customer indicates cash sales do not
exceed $10,000 to a customer, indicate this on the Observations at the Place
of Business form.
Visit the place of business and complete the 'Observations at the Pace of
Business' form. This must be done within 4 weeks of account opening. It the
business is no located in you marketplace (i.e. Customer lives in Ponce and
open an account in Caguas) the Bank Office opening the account must
incficated the reason (or opening the account at Branch on the Observation, at
the Place of Business Form and why this explanation makes business sense.
Note: At present. FIRSTBANK does not open accounts for foreign
business not registered to do business In the United States.
You must review the website to ensure that there Is no Information that could
result in embarrassment or negative publicity for FIRST BANK. (Examples:
adult entertainment. pornography. etc.)
I tin •- r its iiiestment busingewjsc nateggigqihtopproval of
n . h case. you will need: — -
ter fen rnennony letterhaerl etaHnn the anneint
FirstBankPR000876
EFTA_00124356
EFTA01269523
BUSINESS TYPE REQUIRED ACTION
O Nome Based Business
O Legal Services
O Accounting, Tax Preparation. and Payroll Services
O Computer System Design and Related Services
O Business Accepting thirdparly checks
❑ Embassies/Consulates and other Representative Office of Foreign
Governments
O Charitable Organizations. Not for Profits and religious Organizations
- Religous Organizations
- Grant making and giving services
- Civic and Social Organizations
O Initial Deposit greater Than S600K Obtain any two (2) of the following (copies for filo):
• Invoices forte supple's
• Contracts with customer
• Telephone verification with customers in lieu of contracts
• Copy of a license to engage in a particular business (if required by
your state)
Any document from a third party to the ownedegnedbusiness
evidencing that the business is engaged in the activity they claim
which can be verified by telephone.
If the business owner has maintained his personal checking account of
another business account with First Bank for 6 month or more or longer. The
Branch Manager may waive the requirement for invoices/ contracts. etc. If
deemed prudent to do so. The following information must be documented in
the accountketabonship filo.
• Owner's name
• Customer or other business account number
• Date opened
Branch management must provide a justification memo to be kept on file
explaining the reason for opening the relationship. This justification should
clearly indicate the relationship between the Branch customer and the third
party whose checks are being deposited. All reevant documentation. e.g.
Customer Due Diligence (CDD) Profile, customer contractual agreements, a
listing of the businesses' customers. etc. must be sent with the justification
memo. Needs the approval of the Branch Manager.
O The BSA Compliance Officer approval required prior to opening these
types of accounts. Call 787-993-5150.
Obtain the following information and document in the observation at piece of
business document (copies on file):
• Purpose and objective of their activities
• Organization structure
• The donor and volunteer base
• Funding and disbursement criteria
• Large contributors
• Affiliation with other Charitable Groups
• Fundng end disbursement criteria
The Source of Wealth must be determined and recorded. Refer to Guide for
Ft pave reviewed the customer profile of this prospect and determined that thl Is not a high risk business and the )1
Approved
O Denied (Reason):
0 Approved subject to:
Illaciatut at, Business Manager Name/Officer in Charge Signa
This account was classified high risk business and the account opening reques nt opening request was:
to
5:
• Approved
O Denied (Reason):
O Approved subject to:
Business Manager Name/Officer in Charge Signature Date
CONFIDENTIAL SDNY_GM_00013714
CONFIDENTIAL FirstBankPR000877
EFTA_00124357
EFTA01269524
Due Diligence For High Risk Individuals (Checklist)
Account Title:
JeffreyEpstein Account Number: First Bank
Together we are one
High Risk Individuals require additional due diligence. Examples of High Risk Individuals are Nonresident Aliens, Foreign
Individuals and Politically Exposed Persons. Where BSA Compliance consultation or approval required, the requirement cannot be
waived.
O Nonresident Aliens and Foreign Individuals
El Foreign Public Figure/ Related Individuals
O A 'Public Figure' is any foreign (non US-citlzen) vitro
occupies or recently occupied, is actively seeking or is
being considered for a senior position in a government
(or political party), or any department (including th
ID Senior foreign executives of foreign government- owe
military), agency, or instrumentality thereof. nod
corporations are also considered public figures.
❑ A "Related Individual" is a member of the immediate
family of a public figure (e.g., a spouse, parent, sibling,
or child) or a senior advisor closely associated with a
public figure.
O Legal entities in which public figures or related
individuals have a substantial ownership interest.
O Initial Deposit greater than $100K Accounts where Nonresident Aliens and Foreign Individuals
have a substantial ownership Interest the following procedures
shall be followed:
• Requiring current passport, accompanied by a current visa.
form non citizens.
• Comparing the individuals country of origin to current "high
risk" jurisdictions.
• For people with permission to work in U.S., assuring that
the W8-BEN reflects an SSN.
• Inquiring about the destinations and sources of financial
transactions involving foreign countries.
• Inquiring as whether he/she is a 'Foreign Public Figure' or
'Related Individual'.
• The following individuals must approve the account
opening:
❑ Branch Manager
Additional requirements for foreign public figures (FPF), or
related individual, or legal entities in which public figures or
related individuals have a substantial ownership interest the
following procedures shall be followed:
• The sources of wealth must be determined and recorded.
Refer to Guide for Instructions.
An inquiry must be made as to the reputation of the FPF or
related individual.
Rem contact BSA Compliance to perform a World Check
search.
• The following individuals must approve the account
opening:
❑ Director of Sales and Distribution
❑ FirstBank BSA Compliance Unit
• The sources of wealth must be determined and recorded.
(Refer to GyidaTorinst ans
I have reviewed the customer profile of this prospect and determined at this is not a high risk individual a4:1 the account opening
request was:
Approved
El Denied (Reason):
O Approved subject to:
maid.. at. Business Manager Name/Officer in Ghee 0 N CONFIDENTIAL Date
FirstBankPR000878
EFTA_00124358
EFTA01269525
I First Bank
Wpm Islands Client Due Diligence
Business Accounts
•
t ;f0
s-,-/z 1. Business Information
Account Title ("Depositor'):
FSF, LLC Account Number:
S.S./TIN/EIN:
Physical Address: Mailing Address:
6100 Red Hook Quarter Suite B3 Sarno
St. Thomas, US Virgin Islands
00802
Business Telephone il Business Fax t IntemetWebsite Address: N/A
Line of Business: Holding Company NAICS Code 550- COO Date Established: 10/21/2008
Annual Salos: se- 41 lea) - Ntir. of Offices/Branches: 1 Nbr. of Employees: 0
Property Status: O Own 0 Lease Referred By: O Advertisement 0 Current Client • Other:
Contact Person Name 8 Title: Jeanne Brennan Contact Person Teleran. II
2. Account Type
• Sole Proprietorship O Partnership O Corporation O Non-Profs O LLP 0 LLC O Other
NI Commercial Checkivg
Commercial DBA Checking
o Checking
O commercial Checking IOLTA O Arranged 00
O Arranged 00 Offshore (BV1)
O Arranged OD OBA
['Government Statement SV O
•
•
III Convnercial Statement SV
Commercial DBA Stalement SV
Commercial Maxmizer SV
Commercial DBA Maximizer SV O Commercial Passbook SavIngs
O Goverment Passbook Savings
O Certificate of Deposit
O Other
--.-
7.--
.v-r; 3. Authorizer . . - • • • . .eachauth•rize•si•n-r.)
Authorized Signer Name: Jeffrey Epstein Financial Member
Profession: Consultant Corporate Tulle:
Physical (Home) Address: Personal Mailing Address:
Little Saint James Island 6100 Red Hook Quarter B3
St. Thomas, US Virgin Islands St. Thomas US Virgin Islands
Social Security Number. I Date Of Bah:1/20/1953 I Place Of Birth:New YOdc I Citizen Of-.USA
Hem T I N liter. Rusin I n N mbar
-Type Business Fax Number: MOWetrkmber. .
Email Address 4
Years n pat Photo Identification 3 Number: VI Drivers License Identification euiratica Date:
01/20/09 ,--
(2/0FAC
i
OPLC ISCHEXSYSTEMS called O Yes 0No, explain why: I
SSN Response: Year. iqpi State: Y i ID Response: K CASS-2A-,O
_./...neti
• BANK REFERENCE requested O Yes O No, explainivAir
Response:
0 Check here if mere are additional signers on reverse side of the Cent Information Sheet (KYC) Business Accounts.
4. Account Agreement Acceptance and Taxpayer Status Certification
The Depositor hereby certifies that the FirstBank has been designated as a depository of the depositor and that it has reviewed the information oontaned in
this Client Information Sheet (KYC) and finds it accurate on this date. The Depositor has received and agrees to the Terms and Agreements for Commercial
Accounts and Rates and Fees Schedule currently in effect and as may be amended for the type ol account and services It has selected. I
Under penalties of perjury, the Depositor centres that (1) The number shown on this form is the correct lax identification number and (2) that the Depositor !
is not subject to backup withholding either because: (a) it has not been notified by the internal Revenue Service (IRS) that it is subject to withholding as a
result of failure to report all interest or dividends, or (b) that the IRS has notified the Depositor that it is no longer subject to backup withholding or it is exempt
from backup withnoldng. (3) the Depositor is a U.S. entity. (Cross out subpart 2(a) if it Is not true. If Statement 3 is not true, cross out and complete
an appropriate Form W-8)
The Internal Revenue Service does not require your consent to any provision of this document other than the Certification required to avoid
backup withholding. ..
Date Authorized Signature Title: (Secretary/If reasuredCashied
10/23/2008
5. Initial Deposit
Type: O Mgr CM/ __
/ e 2-Y ol
O Other' Amount 'Mai Member
• If the initial deposit is over $500,000
• Cash Money Order/
Egi Check Travelers Chk
to Transfer please document source of funds or source
of wealth. (Refer to Guide for instructicns)
D. Expected Transactions (Monthly)
ria •.a.• Inosnel tn elasWit rAeinite month earn ma re Il '
CONFIDENTIAL FirstBankPR000879
EFTA_00124359
EFTA01269526
Financial Institution:
First Bank Bank Financial II-81100n:
8. Additional Authorized Signers (Complete the following information for each authorized signer.)
Authorized Signer Name: Profession: Corporate Title:
Physical (Home) Address: Personal Mailing Address:
Social Security Number: Date Of Birth: Place Of Birth: Citizen Of:
Home Telephone Number Business Telephone Number. Business Fax Number. Motile Number. Email Address:
Yews ii Occtoadon: Photo Identification Type & Number.
20 Identification iration Date:
•
OPLC OFAC CHEXSYSTEMS called M Yes O No, explain why:
SSN Response: Year: State: ID Response:
BANK REFERENCE requested Yes No, explain why:
Response:
Authorized Signer Name: ProJessica rate Title:
Physical (Home) Address: Personal Mailing Address:
/
/
Social Security Number. I Date Of Birth: Place Of Binh: Citizen Of:
Home Telephone Number. Business Telephone Number. Business Fax Number. fr,tfle Number Email Address:
Years n Candice: Photo Identification Type &
25 Number. Identification Expiration Date:
0
M OFAC
PLC CHEXSYSTEMS called • Yes O No, explain why:
SSN Response: Year: State: ID Response:
O BANK REFERENCE requested O Yes O NO, explain y:
Response:
Authorized Signer Name: Profession: Corporate Title:
Physical (Home) Address: Personal Mailing Address:
/ i
Social Security Number. Date Of Birth: /
/ Place Of Birth: Citizen Of
Home Telephone Number Business Telephone Numbey Business Fax Number. Mobile Number. Email Address:
Yews ri Occupation: Photo Identification Type & Number Identification Expiration Date:
O OFAC
OPLC /
CHEXSYSTEMS called 0,Yes M No, explain why:
SSN Response: Year/ State: ID Response:
• BANK REFERENCE requested • Yes • No, explain why.
Response: /
Authorized Signer Name: Profession: Corporate Title:
Physical (Home) Address: Personal Mailing Address:
Social Security tarn . Date Of Birth: Place Of Birth: Citizen Of:
Home Telephone umber: Business Telephone Number Business Fax Number. Mobile Number Email Address:
Years in Photo Identification Type & Number. Identification Expiration Date:
0 OF LJ CHEXSYSTEMS called • Yes O No. explain why:
SSN Response: Year: State: ID Response:
9 Lc • BANK REFERENCE reqCON SONY GM 00013717
: _ _
__.•_•__•._.• Response: r rumTIAL _. rirstbanKFKUUUMU
EFTA_00 I 24360
EFTA01269527
Validate Business Entity Results Page I of I
CONFIDENTIAL Validate Business Entity_Results for FSF, LLC
RESULTS SUMMARY
OFAC CHECK: PASSED
ID CHECK: OVERRIDE
EN: FAILED
Input EIN:
NAME MATCH: PASSED
Input Name: FSF, LLC
ADDRESS MATCH: FAILED
Input Address: 6100 Red Hook Ste B3 St. Thomas VI 00802
Dif. Info: E 707 224TH ST BRONX NY 10466
Dif. Info: RIDGELAND MS 39110
Dlr. Info: E 418 MAIN ST CHARLESTON AR 72933
Alternative Verifications
-- ------ ----
PHONE MATCH: PLEASE VERIFY
Input Phone:
Dif. Info:
DI?. Info:
Dif. Info:
Additional Actions taken:
* Note - Please confirm the EIN.
j Override Comments:
On 10/31/08 at 02:29:07 Janice Stridiron Added: Cleared - Other (type in reason) Letter from
the IRS verifying their Tax Id * on file. ,Cleared - Obvious Address Mismatch Business had
previous address prior; before using their current address.
Account Status: OPENED
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https://production.penleyinc.ctp kyrkiri
tit NiltAct=print&oisi3ofmati363 8
FirstBankPRO00881
EFTA 00121361
EFTA01269528
ID Verification Results Page I of I
CONFIDENTIAL ID Verification Results for Jeffrey Epstein
RESULTS SUMMARY
OFAC CHECK: PASSED
ID CHECK: OVERRIDE
SSN: PASSED
Issued between 01/01/1967 and 12/31/1969 in New York.
Input SSN:
NAME MATCH: PASSED
Input Name: Jeffrey Epstein
-- - --- --- - -
[ ADDRESS MATCH: FAILED
Input Address: Little Saint James Island St. Thomas VI 00802
Dif. Info: 457 MADISON AVE NEW YORK NY 10022
Dif. Info: 358 EL BRILLO WAY PALM BEACH FL 33480
Dif. Info: AMERICAN YATCH HBR MARINA DEL REY CA 90292
DATE OF BIRTH MATCH: PASSED
Input Date of Birth: 01/20/1953 r
Alternative Verifications
HOME PHONE MATCH: No Data Available
Input Home Phone:
LICENSE MATCH: PLEASE VERIFY
Input License Number: •
Dif. Info:
Dif. Info: I
i
DECEASED: NO
-----
Account Status: OPENED
Override Comments:
On 10/31/08 at 02:24:23 Janice Stridiron Added: Cleared - Obvious Address Mismatch Client
verified previous address, prior moving to the VI.
print This Pegs - Ono
haps://production.penleyinc.cottyNtrnaLtrerAtnoda-pritst&NY_ari .01008
FirstBankPRO00882
EFTA 00124362
EFTA01269529
QualiFile (NAC) Page 1 of 1
CONFIDENTIAL [QuaIIHMS Response
Consumer Information (As Captured)
Jeffrey Epstein SSN:
Little Saint James Island DOB: 01201953
St Thomas VI 00802 DLS:
DL STATE: VI
Phone: 3407143802
Country of Citizenship: US
Account Actions
Action: REVIEW
Recommended Actions:
Product Offer
Product Limits A.P.R.
Identification Information
SSN Validation: BECAME AVAILABLE FOR ISSUANCE IN 1967 IN NY SSN:Y
DL Validation: VALID DRIVERS LICENSE FORMAT
Cho cSystems History
Previous Inquiries: No Previous Inquiries Found.
Closures:
No closure history found for this consumer.
Retail: NOTE * THERE IS NO RETAIL INDICATOR
Reference Detail
Debit Bureau Refit:
Transaction Tracking ID: 1225480761721:33383:PHXID068_PI:
Cheaystems pi ....red iw
rf umis O. Closed ra- /9 All services are provided by ChexSystems, Inc., a wholly-owned subsidiary of etun
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https://production.penleyinc.cottnrcity•• s • •Atio?oid=4115follY,Gki_ O4108
FirstBankPR000883
EFTA 00124363
EFTA01269530
COMMERCIAL CHECKING rcer-ri
. Sign. Req. I Date:
1 COM 10/31/20(
6100 RED HOOK OTRS SA 83 HOME
ST.THOMAS, VI 00802-0000 CTRY- VI WORK:
Name: FSF.LLC SSN: 66.0719849
ID Type:
No.
Name:
CI Name:
C49
Name: SSN
ID Type.
No.
SSN:
ID Type:
No.
SSN:
ID Type:
OtNo homey acanowicage inning received
the Depout Account Agreement. Om Fret
BanCosp Informaton Shanng and Privacy
Bator. and the orceuct ;Nes and lees. Prepared by: J ICE STRIDIRON
Authorized by:
W.ICIE IMOD API all
Account type:
FSF, LLC ACME! number Sign. Req. Date:
,j.54...)-ic 3d :1
Hoire:
Address: 6100 Red Hook Quarter B3 St. Thomas Wot 3407752525
Name: JEFFREY EPSTEIN SSN:
;ID Type: LAL,
j No
Na .."/- ‘BSN:
ID Type:
No:
Name:
CI,S?§9 SSN:
ID Type:
No:
Name: 1 31 iel SSN:
ID Type:
No:
Prepared by: H-SZINBO
Authorized bylladDas. .
CONFIDENTIAL S0NY_GM_00013721
CONFIDENTIAL FirstBankPR000884
EFTA_00124364
EFTA01269531
LAW OFFICES OF
HODGE & FRANCOIS
MARIA TANKENSON HODGE, P.C.
DENISE FRANCOIS. P.C.
July 23, 2009
Ms. Hedy Szabo
Assistant Vice President
Select Banking Manager
I First Bank Virgin Islands
Yacht Haven Grande
St. Thomas VI
Re: FSF, LLC
Dear Ms. Szabo:
This office represents FSF, LLC. I write to clarify, for your records, the lack of a certificate of
existence for this recently formed Virgin Islands limited liability company.
After my firm was verbally advised of the availability of the name FSF, LLC and the articles of
organization were filed, date stamped copies were used to open a bank account pending receipt
of the certificate of existence which is always issued later but never within a uniform amount of
time. In the case at hand, months after the articles were filed and the account was opened my
office subsequently received notification that the Division of Corporations was contending that
the name of FSF, LLC was the same as, or too similar as to cause confusion, with the name of
another registrar. My office has been trying to obtain a basis for this after the fact objection to
the name but none has been rot-du:urn:rig and as a result, we are continuing to communicate with
the Division of Corporations to reach a resolution of this matter. Most importantly, this after the
fact objection is inconsistent with both what my office had been told verbally when the Articles
were first filed and with the acceptance of the Articles for filing. With respect to the matter of an
operating agreement for FSF, LI.C. the V.I. Code does not require an operating agreement [see
13VIC 1104(a)]. written or otherwise, and due to the uncertainty as to the status of the name, my
office did not prepare a written operating agreement.
In the meantime. V. I. law does provide that "[u]nless a delayed date is specified. the existence
of a limited liability company begins when the articles of organization arc filed." 13 VIC
1202(c). 1340 TAARNEBERG
ST. THOMAS. VI 00802
TELEPHONE: • TELEFAX:
TELEFAX NO
(VIA HAND DELIVERY' MARK
GATLIN VOGEL
rinsed
‘47 i9
CONFIDENTIAL SD NY_GM_000 13722
CONFIDENTIAL FirstBankPR000885
EFTA_00124365
EFTA01269532
Letter to Ms. Hedy Szabo
FIRSTBANK
July.23, 2009
The lack of a certificate of existence has been a source of frustration for FSF, LLC and my client
and I regret any inconvenience that this may have caused you or FirstBank. Please advise
FirstBank management that the lack of a certificate of existence was due to factors beyond our
control.
Sincerely,
CAA.,
enise Francois
c: FSF, LLC OLAA,c,000
2 Closed 1013jty
ckh
CONFIDENTIAL SONY_GM_000 13723
CONFIDENTIAL FirstBankPR000886
EFTA_00124366
EFTA01269533
Notes to File:
Date:
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Notes:
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CONFIDENTIAL SONY_GM_000 13724
CONFIDENTIAL FirstBankPR000887
EFTA_00124367
EFTA01269534
I First Bank
Virgin is/ands
We the undersigned Members, Managers, or Officers of FSF, LW
('Company') located at American Yacht Harbor St. Thomas
HEREBY CERTIFY that Company, a Limited Liability Company formed pursuant to
is composed of the following
Members:
Jeffrey Epstein, Member
and the following Manager or Officer(s): Jeffrey Epstein, Member Manager
ondkate Woe or Malona wame(s) or Mast of Moon Limited Liability Company
Letter and Security Agreement
22.20.38
V.S. Virgh Islands Law,
(am itristbr)
To induce you in your discretion to act and rely hereon and on the signature of any of the designated present or future Managers, Members, Officers,
employees or agents ol Company ("Authorized Person(s)'), we agree and certify on behalf of Company as follows:
1. FirstBank (Tank') is hereby designated as depository of Company, and any Authorized Person is authorized to deposit or designate for
deposit any funds of Company in Bank at any of its branches. Bank may at any time refuse to accept and/or may return by ordinary mail or
otherwise the whole or any pan of a deposit.
ci 9 2. The following duly appointed Authorized Person(s) Member
lie signing singly
(For purposes ol signing Items. ndicaie eg , angry, any two. Mc)
and their successors are hereby authorized to sign, by hand or by facsimile (including, but not limited to, computer generated) signature(s),
checks, drafts, acceptances and other Instruments (hereinafter each collectively referred to as "Item(s)'). Notwithstanding the above, any
Authorized Person is authorized singly to: (1) initiate Automated Clearing House ("ACH") debits without a signature; (2) initiate payments by
use of Depository Transfer Checks ('DTC') without a signature other than the name of Company printed on the DTC; or (3) Oye Instructions,
by means other than the signing of an item, with respect to any account transaction, including, but not limited to the payment, transfer or
withdrawal of funds by wire, computer or other electronic means or otherwise, or of money, credits, items or property at any time held by Bank
for account of Company ("Instructions').
3. Bank is hereby authorized to honor and pay Items, whether signed by hand or by facsimile (including, but not limited to, computer generated)
signature(s). In the case of facsimile signatures, Bank is authorized to pay any Item it the signature, regardless of how or by whom affixed,
and whether or not the form of signature used on such Item was actually prepared by or for Company, resembles the specimens filed with
Bank by Company. Bari( is further authorized to honor and pay DTCs, ACHs, Instructions, and other orders given singty by any Authorized
Person, including such as may bring about a increase an overdraft and such as may be payable to or for the benefit of any Authorized Person
or other Manager or Member or employee individually, without inquiry as to the circumstances of the issuance or the disposition of the
proceeds thereof and without limit as to amount.
4. Bank is hereby authorized to accept for deposit. for credit, or for collection, or otherwise, Items endorsed by any person or by stamp or other
impression in the name or account number of Company without inquiry as to the circumstances of the endorsement or any lack of
endorsement or the disposition of the proceeds.
5. The following Authorized Persons Member,
of Company, signing singly(Indicate by name Mose autionzed to stied Loam Maces. etc)
(radicate hyr notes, etc are to be signet e.g. singly, any two, e't)
are hereby authorized to effect loans and advances and obtain credit at any time for Company from Bank (and guarantee on behalf of
Company the obligations of others to Bank), secured or unsecured, and for such loans and advances and credit and guarantees to make,
execute and deliver promissory notes and ether written obligations or evidence of indebtedness of Company, applications for letters of credit,
instruments of guarantee an' indemnity and any agreements or undertakings, general or specific, with respect to any of the foregoing, and as
security for the payment of loans, advances, indebtedness, guarantees and liabilities of, or credit given to, Company or others to pledge,
hypothecate, mortgage, assign, transfer, grant Dens and security interests in, give rights with respect to. endorse and deliver properly of any
description, real or personal. and any interest therein and evidence of any thereof at any time hek:1 by company, and to execute mortgages,
deeds of trust, security agreements, i , e f ?homey and othiniffegMeRMPTalauments
which may be necessary or desirabkaCCINEMEAr era‘ts ,. Bank, commercial paper, receivable,
CONFIDENTIAL FirstBankPR000888
EFTA_00124368
EFTA01269535
called 'Obligations") upon any and all moneys, securities and any and all other property atompany and the proceeds thereof, now or
hereafter actually or constructively held or received by or in transit in any manner to or from Bank. its correspondents or agents from or for
Company, whether for safekeeping, custody, pledge, transmission, collection or otherwise coming into the possession of Bank in any way.
8. In case of conflicting claims or cisputes, or doubt on Bank's part as to the validity, extent, modification, revocation or exercise of any of the
authorities herein contained, Bank may, but need not recognize nor give any effect to any notice from any Manager or Member of Company, or
from any other person purporting to cancel, restrict or change any of said authorities, or the exercise thereof, unless Bank is required to do so
by the judgment, decree or order of a court having jurisdiction of the subject matter and of the parties to such conflicting claims or disputes.
9. Company agrees to be bound by the Terms and Conditions lor Business Accounts and Services, currently in effect and as amended hereafter,
as well as any signature card, deposit ticket, checkbook, passbook. statement of account, receipt, instrument, document or other agreements,
such as, but not limited to, funds transfer agreements, delivered or made available to Company from Bank and by all notices posted at the
office of Bank at which the account of Company is maintained, in each case with the same effect as if each and every term thereof wore set
forth in full herein and made a part hereof.
10. Subject to paragraph 10 above, all the foregoing authorities shall remain in full force and effect until revoked or limited by written notice to
Bank provided that such notice shall not be effective with respect to any revocation or modification of said authorities until Bank shall have had
a reasonable opportunity to act thereon and in no event prior to the receipt or the payment of money or the withdrawal of funds dated on or
prior to the date of such notice, but presented to Bank after receipt of such notice and Bank is hereby authorized at an times to rely upon the
last notice, certification or communication received by it as to the persons who from time to time may be signatories of Company, or as to their
respective specimen signatures and/or as to any other Company matters, and Bank shall be held harmless in such reliance.
11. Tne Managers, Members, and Officers of Company, or any one or more of them are hereby authorized to act for Company in all other matters
and transactions relating to any of its business with Bank including, but not limited to, the execution and delivery of any agreements or
contracts necessary to effect the foregoing Resolutions.
12. Company hereby represents and warrants that none of the authorities herein contained are contrary to or inconsistent with any other
agreements among Members of Company, or between Company and other parties.
13. Bank is hereby released from any liability and shall be indemnified against any loss, liability or expense arisng from honoring this Agreement.
14. The signature(s) below is/are the signature(s) of the Manager(s), if Company is manager-managed, the signature(s) of the Member(s) if
Company is member-managed, or the signature(s) of the Officer(s) if Company is governed by a board of directors.
NOTE: In case the Manager. Member, or Officer is authorized
to sign by the above provisions, this Agreement should be
signed by a second Manager, Member, of Officer.
Mariam Member. arOMrW The) Very truly yours,
FSF, LLC
tensor Company
6100 Red Hook Quarter B3 St. Thomas USV1 00802
Address
ClopsOd
cgs)
CONFIDENTIAL SDNY_GM_000 13726
CONFIDENTIAL FirstBankPR000889
EFTA 00124369
EFTA01269536
AFFIDAVIT RE NOT DOING BUSINESS
Jeffrey Epstein being of lawful age and after having been duly sworn, state
that:
1. I am, and have been from the date of the filing of the Articles of
Organization, a copy of which is attached hereto, the Sole Member
of FSF, L.L.C. ("the Company").
2. I hereby confirm that the Company never did any business of any
kind from the date of the filing of the Articles of Organization
through the date of this statement and we further state that the
Company has no intention of doing any business in the foreseeable
future.
3. I hereby further confirm that the Company did not do business and
does not intend to do business because it is a holding company,
which was not and is not intended to be used for any type of
business.
4. I hereby further confirm that the Company will not do any business
of any kind prior to applying for and obtaining a United States
Virgin Islands Business License, a copy of which will be delivered to
the Bank.
5. The Company requires a bank account for the purpose of corporate
expenses.
6. I have personal knowledge of the fads herein s
IN WITNESS WHEREOF the parties have signed and sealed this agreement
this 71/44' day of Oc\o‘.e.,-- 2008
SUBSCRIBED AND SWORN to me this Vi46-day of 0e-Aitider 2008
NOTARY PLILIC•SL;TE Or YLOR1DA
40Nayanira Alanis
Commission 4 DD375561
Expires: NOV 29, 2008 Bonded Thru ;thuaic Bonding Co.. lac. \c\O-v\eugja,
Notary Public
CONFIDENTIAL Clos d Iola le
CONFIDENTIAL FirstBankPR000890
EFTA 00124370
EFTA01269537
ARTICLES OF ORGANIZATION
OF
FSF, LLC
I, the undersigned natural person of the age of eighteen years or more, acting as organizer
of a limited liability company under the Uniform Limited Liability Company Act, Chapter 15,
Title 13, Virgin islands Code ("Uniform Limited Liability Company Act"), do hereby adopt the
following Articles of Organization for such limited liability company:
ARTICLE ONE
NAME, ADDRESS AND PRINCIPAL OFFICE
C)O
Name and Address
1. The Name and Address of the limited liability company shall be FSF, LLC (die;
"Company"), of 6100 Red Hook Quarter, Suite B-3, American Yacht Harbor, St homes, ;12-1
Virgin Islands 00802. The mailing address of the Company shall be is 6100 RO Honk
Quarter, Suite B-3, American Yacht Harbor, St. Thomas, Virgin Islands 00802. iro"
Principal Office
2. The principal office and permanent address for the transaction of business of the
Company shall be the address stated in paragraph 1 of these Articles as the physical
address of the Company.
Registered Agent and Office
3 The mailing address of the Company's initial registered agent is 1340 Taarneberg, St
Thomas, VI 00802.
4. The physical address of the Company's registered agent is 1340 Taarneberg, St. Thomas,
VI 00802.
5. The name of the initial registered agent at such address is Maria Tankenson Hodge.
6. The business address of the registered agent and the address of the registered office are
identical.
CONFIDENTIAL CONFIDENTIAL FirstBankPR000891
EFTA 90124371
EFTA01269538
ARTICLE TWO
PURPOSE
The purpose for which the Company is organized is to engage in the any and all lawful
business for which a limited liability company may be organized under the Uniform Limited
Liability Company Act and the other laws of the US Virgin Islands.
ras The foregoing paragraph shall be construed as enumerating both objects and purpgSes of,.
this company, and it is hereby expressly provided that the foregoing numerationey
purposes shall not be held to limit or restrict in any manner the purposes of this Compan3rrs, b
wise permitted by law.
ARTICLE THREE
DURATION AND CONTINUITY
The period of duration of this company shall be perpetual. No member or manager shall
have the power to dissolve the Company by his or her independent act of any kind, without the
unanimous consent of all members.
ARTICLE FOUR
ORGANIZER
The name and address of the organizer of this Company is:
Maria Tankenson Hodge
1340 Taameberg
St. Thomas, Virgin Islands 00802
ARTICLE FIVE
MANAGEMENT
The Company shall be member-managed.
ARTICLE SIX
CAPITAL
The Company shall begin business with capital in the amount of One Thousand Dollars
(81,000.00).
2
CONFIDENTIAL SONCGM_00013729 -
CONFIDENTIAL FirstBankPR000892
EFTA 00124372
EFTA01269539
ARTICLE SEVEN
LIMITATION OF LIABILITY
No organizer of the Company shall be liable to the Company or its member for monetary
damages for an act or an omission in such organizer's capacity as an organizer, except for
liability of an organizer for (i) a willful breach of a organizer's duty of loyalty to the Company or
its members, (ii) an act or omission not in good faith that constitutes a breach of duty of an
organizer to the Company or an act or omission that involves intentional misconduct or a
knowing violation of the law, (iii) a transaction from which an organizer received an improper
benefit, whether or not the benefit resulted from an action taken within the scope of dies
organizer's position, or (iv) an act or omission from which the liability of an organizer is re, expressly provided for by an applicable statue. n cn (In r,•
"...0 •
If the Uniform Liability Company Act or other applicable law is amended to authonze pa
action farther eliminating or limiting the liability of organizers, than the liability of any organizer
of the Company shall be eliminated or limited to the fullest extent permitted by the Uni forfp;. :11
Limited Liability Company Act or other applicable law, as so amended. , If; co
Any repeal or modification of the foregoing paragraph by the members shall- not
adversely affect any right or protection of any organizer existing at the time of such repeal or
modification.
ARTICLE EIGHT
MEMBER LIABILITY
No member of the Company shall be liable for the debts and obligations of the Company
under Section 1303, Subsection (c) of the Uniform Limited Liability Company Act.
ARTICLE NINE
SEVERABILITY
If any phrase, clause, sentence, paragraph, or provision of these Articles of organization
is held to be void or illegal, then it shall not impair or affect the balance of these Articles, and the
undersigned Organizer of the Company does hereby declare that she would have signed and
executed the balance of these Articles without such void or illegal provisions.
IN WITNESS WHEREOF, the undersigned persons have hereunto set their hands as
Organizers of the Company this the 2O day of artre-i-; 2008.
-Lcir see
i 1(19
3
CONFIDENTIAL -CONFIDENTIAL SC+nr"tal 37°
FirstBankPR000893
EFTA 00124373
EFTA01269540
IN THE TERRITORY OF THE UNITED STATES VIRGIN ISLANDS )
DISTRICT OF ST. THOMAS & ST. JOHN
BEFORE ME, the undersigned authority on this 24 day of g , 2008
personally appeared Maria Tankenson Hodge who, being by me first duty sworn, declared that
she is the person who signed the foregoing document as the Organizer of the Company and that
the statements contained in these Articles of Organization are true.
i1/41 ..t
Notary Public in and for th Territory irk,
of the United States Virgin Islands ki id el
My Commission expires:
ois .. ::••• Yee
MarkDialdRedge My Coramissicre Ezpbs: l" April 74 2012
1.24P-00841
CIOSedsir)
•
4
CONFIDENTIAL SONY -GM_008131 -31-
CONFIDENTIAL FirstBankPR000894
EFTA ({)124374
EFTA01269541
CONSENT of AGENT for SERVICE of PROCESS
******
This writing witnesseth that the undersigned MARIA TANKENSON HODGE having been
designated by the limited liability company known as FSF,
as agent of the said company upon whom service of process may be made in all suits arising
against the said company in the Courts of the Virgin Islands, does hereby consent to act as such
agent, and that service of process may be made upon me in accordance with Title 13 of the
Virgin Islands Code.
IN WITNESS WHEREOF, I have hereunto set my signature this 21' day of October,
2008.
Maria Tankenson Hodg
HODGE & FRANCOIS
1340 Taameberg
St. Thomas, VI 00802
,, Subscribed and sworn to before me this .4..t5. day of IJ , 2008 at
Charlotte Amalie, St. Thomas, U.S. Virgin Islands. r to
Mark Daniel Hodge My C0Ultinicti0n Emetic
Aprit20,20/2
LNP-008-08
CONFIDENTIAL t.(
g:t
• it .1 el; . 1-•
/3.1' • •C
SONY-GM 00013732-
CONFIDENTIAL FirstBankPR000895
EFTA 00124375
EFTA01269542
Corp No. 577775
GOVERNMENT OF
THE VIRGIN ISLANDS OF THE UNITED STATES
CHARLOTTE AMALIE, ST. THOMAS, VI 00802
CERTIFICATE OF EXISTENCE
CI...ro ail t[Co Wbom Vick Vresents% *bail €omeeT
I, GREGORY R. FRANCIS, Lieutenant Governor of the Virgin Islands do hereby certify that
I am, by virtue of the laws of the Virgin Islands, the custodian
📷 Images in this document (28 detected; 6 largest described)
AI-generated factual descriptions of embedded images (llava:13b). These are searchable across the corpus.
[Image 1] The image shows a document that appears to be a form or application, possibly related to a government or official agency. The document is partially obscured by a red rectangle, which seems to be a watermark or a security feature. The visible text includes fields such as "Name," "Address," "Contact Number," "Email," and "Signature," along with checkboxes and lines for writing. There are also sectio
[Image 2] The image shows a document titled "Due Diligence for High Risk Business Checklist." It appears to be a checklist with various items to be checked off, possibly related to business due diligence processes. The document is from "1st Bank," as indicated by the logo at the top. The text is too small to read the specific details of the checklist items. The document is a scan, and the text is not legibl
[Image 3] The image shows a document with a table and text. The table appears to be a checklist with various items listed, each followed by a checkbox. The text at the top of the document reads "CONFIDENTIAL." The document is a scan, and the text is not entirely clear due to the resolution and angle of the scan. The visible items on the checklist include "RESPONSIBILITY," "RESPONSIBILITY," "RESPONSIBILITY,"
[Image 4] The image shows a document that appears to be a form or agreement, possibly related to a financial or business transaction. The document is titled "FREE CHECKING ACCOUNT AGREEMENT" and is from "First Bank, Limited Liability Company." It includes sections with checkboxes, fields for signatures, and a section titled "CONFIDENTIALITY." The form contains text that outlines the terms and conditions of
[Image 5] The image shows a document that appears to be a checklist or form from First Bank. It includes sections for "Account Number," "Check Number," "Date," "Amount," and "Description." There are checkboxes next to each item, and some of them are checked, indicating that certain items have been completed or verified. The form also includes a section for "Confidential" at the bottom, which is highlighted.
[Image 6] The image shows a document titled "Certification of Degree Owners." It appears to be a form or certificate with various fields to be filled out, including sections for the name of the degree owner, the name of the issuing institution, and the date of issuance. There are also fields for the degree title, the degree level, and the date of completion. The form includes a section for the signature of