EFTA00168531

For Internal Use Only

# Biennial Statement



1379614


Business Name:

NINE EAST 71ST STREET CORPORATION

| DOS ID: | 1379614 |

| :--- | :--- |

## ONLINE FILING:

- See reverse side for instructions. Please note Farm Corporations must file a paper form.

## PAPER FILING:

- Farm corporations are exempt but must notify the Department by checking the Farm Corporation Exemption Box below, completing the signer information section and mailing this form to the Department of State at the address on the reverse side of this form. Forms may also be faxed to (518) 486-4680. No fee is required.

- All other corporations should provide or update information, if necessary, in Parts 1 through 3 below and complete the signer information section. Mail the form to the address on the reverse side of this form along with the filing fee. The fee is payable by check, VISA, MasterCard or American Express. Checks must be payable to the "Department of State". Credit Card/Debit Card Authorization forms can be found on our website at www.dos.ny.gov. This form, along with the Credit Card/Debit Card Authorization form, can also be faxed to (518) 486-4680.

## Farm Corporation Exemption



This is a farm corporation engaged in the production of crops, livestock and livestock products on the land used in agricultural production, as defined in Agriculture and Markets Law Section 301. Farm corporations are exempt from the Biennial Statement fitting requirement.

Check if applicable

Part 1 - Chief Executive Officer’s Name and Business Address

<table border="1"><tr><td rowspan="3">JEFFREY E EPSTEIN
6100 RED HOOK QTR STE B03
ST THOMAS VIRGIN ISL US 00802</td><td colspan="3">Name</td></tr><tr><td colspan="3">Address</td></tr><tr><td>City</td><td>State</td><td>Zip Code</td></tr></table>

Part 2 - Street Address of Principal Executive Office (A Post Office Box cannot be used)

<table border="1"><tr><td rowspan="3">NINE EAST 71ST STREET CORPORATION</td><td colspan="3">Address Line 1
C/o Darren K. Indyke, PLLC</td></tr><tr><td colspan="3">Address Line 2
575 Lexington Ave., 4th FL</td></tr><tr><td>City
New York</td><td>State
NY</td><td>Zip Code
10022</td></tr></table>

Part 3 - Service of Process Address (Address must be within the United States or its territories)

<table border="1"><tr><td rowspan="3">DARREN K INDYKE ESQ</td><td colspan="3">Name Darren K. Indyke Esq.</td></tr><tr><td colspan="3">Address 575 Lexington Avenue, 4th Fl.</td></tr><tr><td>City New York</td><td>State NY</td><td>Zip Code 10022</td></tr></table>

Signer Information

| Capacity of Signer (check one) |
|--------------------------------|
| ☐ Officer                        |
| □ Director                       |
| □ Authorized Person              |

Name of Signer (Please Print)

Signature

DOS-1179 (2011/12)



USAO 000875


| EFTA_00018785 |
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