Full Legal Corporate
Full Legal Corporate
Name: lege, Inc.
a (No
Primary Corporate Address P.O. Box address. Must be a physical address.)
Name: Jege, Inc.
Attention: c/o HBRK Associates Inc.
Address Line 1: 301 East 66th St., Suite 10B
Address Line 2:
City: New York
State: NY
Province:
Postal/Zip Code: 10065
Country: UNITED STATES
Tax ID a :
Remember to collect W-8's or other applicable tax forms for each jurisdiction.
Business Phone: O-
State of Domicile:
Where is the Company
Incorporated?
What document did you obtain to Certificate of Incorporation
evidence state of domicile?
Articles of Incorporation,
Partnership Agreement, etc DE
Introduction / Financial Information
Introduction Type: Related Client NC
Specific Information: Jeffrey Epstein
(Please identify referral source, etc.)
Have you met with the Principal/Authorized
Individual? Yes r No
Legal Entity:
Corporation Corporation
What is the nature of the business operations?
(Describe products and services offered, how
long in business, etc. If this is an operating
company, indicate appx. number of locations
and appx. number of employees, list a website
if available)
Public or Privately owned? (if public, where Private
traded?)
Locations served? When the account was opened, the client informed us that the
company was related to his financial advisory business.
44 Domestic r International
Is this a cash intensive business or a business
that uses cash as it's principal activity? (e.g.
convenience store, restaurants, retail stores,
liquor stores, cigarette distributor, vending
machine operator, parking garage, any other
business in which cash is its principal activity)
Principal Shareholder(s):
Identify the principal shareholders. If the entity is owned by an intermediate legal structure
e.g. LLC or PartnerstYp), please list the ultimate individual shareholder(s) on whose behalf
the account is maintained.
Last Name: First Name: % of Ownership: SSN DOB Form of Govt
Issued ID Obtained
Epstein Jeffrey 100 01/20/1953 driver's License r Yes f. No
Confidential Treatment Requested by
JPMorgan Chase
CONFIDENTIAL JPM-SDNY-00002787
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