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Gift Certificate Authorization Form
S PA
THE PENINSULA
This form has been created in order to allow you to have third party expenses
charged to your credit card. Please provide all the information
A AA COOP A al
LAI erfle
A
ELECTION
AGENCY
Elmsford, NY 10523
August 26, 2016
Dear
COLLECTION AGENCY
01 IBM MG 438 005/2811
You may conta
at the phone
number above. If M
is unavailable,
Weed Cornell Physician Organization
Wei!I Med;r2( Collage of Cornell University
CREDIT CARD PAYMENT AUTHORIZATION FORM
Cardholder Fax Number:
Department Fax Number
Department Contact:
41/11/C
4
Credit Card Authorization Form
Type of Card
Visa
— MasterCard
s American Express
Account Number
Expriration Date
06/21
Security Code
9049
Name on the Card
Jeffrey Epstein
Company Name
Bil
Credit Card Authorization Form
Type of Card
Visa
L2 Master Card
i American Express
Account Number
Expnration Date
06/21
Security Code
9049
Name on the Card
Jeffrey Epstein
Company Name
Bi
California Cryobank
Specimen Storage Agreement
Account Number:
THIS SPECIMEN STORAGE AGREEMENT (-Agreement) is made and entered into by and between CALIFORNIA CRYOBANK. LLC
("Cryobank-) and -- ic
II]
DORAL INN & SUITES
Third Party Credit Card Authorization Form
This form has been created in order to allow you to have third party expenses charged to your credit/debit card. I understand that
Nuclear Medicine Associates
1 Gustave Levy Place #1141
New York, NY 10029 (212) 241-5998
Patient Last Name:
S 1 eod
Patient First Name:
Date of Birth: RTIT,
r4 r
o, iqs3
Address:
—
1 Social S
Aarnott.
HOTELS & RESORTS
Credit Card Authorization Form
Dear Sir Ni44:1111,
This form has been created in order to allow you to have third party expenses charged to your credit/debit card. Please
)Xarruott.
HOTELS & RESORTS
Credit Card Authorization Form
Dear Sir/Madam,
This form has been credted in order to allow you to have third party expenses charged to your credit/debit card. Please
Akarnott.
HOTELS & RESORTS
Credit Card Authorization Form
Dear Sir/ Madsen,
This form has been cicala in order to allow you to have thinl party expenses charged 41 your creditklebit card. Please
p
Xarnott,
HOTELS & RESORTS
Credit Card Authorization Form
Dear Sir/Madam,
This form has been created in order to allow you to have third party expenses charged to your credit/debit card. Please
pr
TIIE Ruh [ -t
I
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Credit Card Authorization Form
II '711C. In
Dear Guest,
This form has been created in order to al loo you to have third party expenses charged to your credit cant Please pnni
Merrill Lynch
Bank of America Corporation
MR DANIEL M GROFF
Y K GROFFIlli.
Account No.
Tax a er No.
Page
1 of 7
2013 TAX REPORTING STATEMENT
ORIGINAL 1099 01/27/2014
Table of Contents
Page
Merrill Lynch
Bank of America Corporation
loft2
MR DANIEL M GROFF
Y K GROFF
T
Page
2012 TAX REPORTING STATEMENT
ORIGINAL 1099 01/26/2013
Table of Contents
Page
Summary Pages
3
Sale Proce
dealagki
QIBLIST CERTIFICATION
CERTIFICATE OF RULE 144A QUALIFIED INSTITUTIONAL BUYER
AND SECTION 3(C)(7) QUALIFIED PURCHASER
Fax
I. In connection with a purchase or purchases of privately offered
BUTTERFLY TRUST
DESIGNATION AND ACCEPTANCE OF SUCCESSOR TRUSTEE
Pursuant to the provisions of Article SIXTH, Paragraph A of the BUTTERFLY
TRUST, created under that certain trust agreement dated Dec
Your InkIv Business Card has arrived.
from cHASE 0
Account Number:
JEFFREY EPSTEIN
LSJ LLC
575 LEXINGTON AVE 4TH FLOOR
661
C/O HBRK ASSOC.
1165
NEW YORK NY 10022-6146
Company Credit Line:
$
Presenting your JPMorgan Select Card with smart chip technology, superior personal
service and an exceptional rewards program
J.P. Morgan
Number of Cards:
Account Number:
1
JEFFREY E EPSTEIN
9E
Form 966
(Rev December 2010)
Dewimew or me Tamen
inner Arena Serra
Corporate Dissolution or Liquidation
(Required under section 6043(a) of the Internal Revenue Code)
OMB No. 1545-0041
Name of c
J.P.Morgan
October 24, 2013
Darren K. Indyke, Esq.
575 Lexington Avenue, 4th floor
New York, NY 10022
Re: Jeffrey Epstein
Dear Mr. Indyke:
I am the General Counsel of the J.P. Morgan Private Ba
Registration No: 567563
Person Number: 73274
FDLE SEXUAL PREDATOR/OFFENDER REGISTRATION FORM
Agency Name: Palm Beach County SO
"*" Note: Your next ReRegistration month is January of 2014'""
Regis
IIII
ElARKANNII III
011447
Department of Treasury
Internal Revenue Service
IRS
PO BOX
HOLT
9 IE012
SVIL NY 11742-9012
011447.364035.0078.002 2 AT 0.384 1404
DANIEL M & LESLEY GROFF
Propos
COLLEAGUES TRUST
ARTICLE I
CREATION OF TRUST
Introductory Clause. This Trust Agreement is dated December 22, 2011.
The formal name of this Trust and the designation to be used for the transfer of
M. Morgan Entity Account Application
a
A. Entity Information
Type of Business CORPORATION
Date of Incorporation/Organization 07/18/1991
Tax ID:
ill 06
F21
State of Incorporation/Organization
P10 1ST
NM CHASE()
Inks Business Card
JOINT & SEVERAL LIABILITY
Sent Ono Product 0
left Phar
Ern up to S Points Per It Spent
introductory Annum' Foe of SO the
fiat yea then $95
0
ink awd•• P
THE CHOCOLATE CHARITABLE REMAINDER UNITRUST
On this December 28, 2012, I, JEFFREY E. EPSTEIN, a resident of the U.S. Virgin Islands (the
"Senior"), desiring to establish a charitable remainder unitr
COLLEAGUES TRUST
ARTICLE I
CREATION OF TRUST
Introductory Clause. This Trust Agreement is dated December 22, 2011.
The formal name of this Trust and the designation to be used for the transfer of
MATCH - Donor Application
To be completed by the donor, on-line. Donors will receive a unique link to access their online
application after the school submits an on-line gift application via the MAT
MATCH - Donor Application
To be completed by the donor, on-line. Donors will receive a unique link to access their online
application after the school submits an on-line gift application via the MAT
FINANCIAL TRUST COMPANY, INC.
6100 Red Hook Quarter, B3
St. Thomas, USVI 00802
October 17, 2012
VIA FEDERAL EXPRESS
AND EMAIL (Brian.barrett
1
ML Hertz Co-Investor GP, LLC
General Partner
ML
Structured Healthcare .
Management, Inc.
meet
Mart
JEFFREY EPSTEIN
STATEMENT DATE
01/09/2012
magic.
1
AMT. ONE MOM ranter
30.00
ACCT NO.
053177
=I=
A
Ct REOUESTED
Office PhoneMM.
MAKE
THE Butterfly Trust
MEMORANDUM
To
Ted Serure , II) Morgan
From:
Darren K Indyke — Trustee
Richard Kahn - Trustee
Date:
April 13, 2011
Re:
The Butted] Trust
Account #
**********************
KIRKLAND & ELLIS LLP
AND AFFILIATED PARTNERSHIPS
Jay P. Lefkawitz
To Call Wnter Dire
Jeffrey Epstein
Dear Mr. Indyke:
(212) 446-4800
Facsimile:
January 27. 2011
Enclosed please find our invoic
892
t
JEFFREY EPSTEIN
DEUTSCHE BANK TRUST
M
COMPANY AMERICAS
OO RED HOOK QUARTER B3
NEW YORK NEW YORK 10154
ST. THOMAS. USVI 00802-1348
1-103-210
1/15/2016
1
5
PAY TO
I
ORDER
THE
OF
889
JEFFREY EPSTEIN
6100 REO HOOK QUARTER 83
St THOMAS, USVI 00802-1348
PAY TO THE
ORDER OF
Lesley Groff
Eight Hundred Fifty-Two and 91/100
Lesley Groff
MEMO
DEUTSCHE BANK TRUST
COMPANY AMER
Unitedltealthears Insurance Company
GREENSBORO SMALL GROUP
P 0 BOX 740800
ATLANTA. GA 30374-0800
May 12, 2015
JEFFREY EPSTEIN
6100 RED HOOK QUARTER B-3
ST THOMAS VI 00802-0000
Dear Jeffrey Eps
814
JEFFREY EPSTEIN
6100 RED HOOK QUARTER D3
ST. THOMAS. USVI 00802.1348
PAY TO THE
ORDER OF
Kyle. Knon
MEMO
Kyle Kogan
DEUTSCHE BANK TRUST
COMPANY AMERICAS
NEW YORK, NEW YORK 10154
1.1032
apartment or
avenue
eroket
STATE OF CONNECTICUT
DEPARTMENT OF REVENUE SERVICES
TWENTY-FTVE SIGOURNEY STREET, SUTTE 2
F1ARTPORD, CONNECTICUT 06106-5032
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From: AT&T Customer Core for Wireless alt-sernces cn
Subject: Thank you for your recent Sit
Data:
u 8 2014 at 6135 PM
To:
myAT&T Account I Support
Hello JEFFREY EDWARDS,
Thank you for visiting
AIRCRAFT PURCHASE AGREEMENT
THIS AIRCRAFT PURCHASE AGREEMENT (this "Agreement") is entered into as
of April 24, 2012, by and between FREEDOM AIR INTERNATIONAL, INC., a Delaware
corporation having a
February 15, 2012
183 Columbia Holding LLC
do Mitchell Holdings LLC
815 Fifth Avenue
New York, New York 10065
Attention: David Mitchell
Re: Subscription Agreement — Membership Interest in 183 Co
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TX REPORT
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TRANSMISSION OK
TX/RX NO
CONNECTION TEL
SUBADDRESS
CONNECTION ID
ST. TIME
USAGE T
PGS. SENT
RESULT
1477
SAB CAPITAL
10/10
SIXTH AMENDED AND RESTATED
LIMITED PARTNERSHIP AGREEMENT OF
SAB CAPITAL PARTNERS, L.P.
Dated as of March 1, 2002
425337.28
EFTA00310572
TABLE OF CONTENTS
Pum
ARTICLE I Defined Terms
1
Sec. 1
RUSSIA
STEP ONE: Acquire Your Official Invitation
NI applicants must submit an official invitation from Russia. (Invitation letters written by business contacts may be used only for the
Three Year
co
RUSSIA
STEP ONE: Acquire Your Official Invitation
All applicants must submit an official invitation from Russia. (Invitation letters written by business contacts may be used only for the
Three
RUSSIA
STEP ONE: Acquire Your Official Invitation
All applicants must submit an official invitation from Russia. (Invitation letters written by business contacts may be used only for the
Three Year
CIBTvisas
You Have Requested:
Requirements For:
Russia
Type Of Visa:
Tourist, One Entry, Consulate Decides Validity
Traveler Nationality:
United States of America
Account Number:
Information
September
2015
Jeffrey Epstein, President
Southern Trust Company, Inc.
6100 Red Hook Quarter, B3
St. Thomas, USVI 00802
Re:
Letter of Agreement
Dear Jeffrey:
You, on behalf of Southern Trust
Tla RfrZCARD-Cr4.
St. Mkt
Dear Sir/Madam,
Credit Card Authorization Form
This form has been created in order to allow you to have third party expenses charged to your credit card. Please
provid