EFTA01291958.pdf

WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION AND WILL NOT BE PROCESSED BY FINCEN. Currency Transaction Report Version Number 1.1 OMB No. 1506-0064 Filing Name 62.6406 9 Type of filing z Initial report ❑ Correct/amend prior report ❑ FinCEN directed Backfaing Document Control Number / BSA Identifier Save Validate Print I Under penalties of perjury. I declare that I have examined this transmittal, including accompanying documents, and to the best of my knowledge and belief it is correct and complete. In the case of documents without recipients identifying numbers, I have complied with the requirements of the law in attempting to secure such numbers from the receipts. I declare that this filing represents all Documents filed during this reporting period except for those transactions reported on paper. Skin with PIN SDNY_GM_00049884 CONFIDENTIAL - PURSUANT TO FED. R.CON(F IDENTIAL DB-SONY-0012708 EFTA_00160492 EFTA01291958  WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION AND WILL NOT BE PROCESSED BY FINCEN. Part I Person Involved in Transaction 1 of 2 00 a O Person conducting Person conducting Person on whose behalf ❑ '2 Courier transaction on own behalf b transaction for another c O transaction was conducted d Seivim (Private) 3 O Multiple transactions Check ❑ If entity '4 Individual's last name O Unknown lndyke or entity's legal name '5 First name O Unknown Darren 6 Middle name K. Suffix 7 Gender Male 8 Alternate Name 9 Occupation or type of business Attorney; owner of law firm 9a NAICS Code '10 Address O Unknown 2 Kean CT •11 City O Unknown Livingston •12 State O Unknown '13 ZIP/Postal Code 0 Unknown 07039 '14 Country O Unknown is •15 TIN 0 Unknown 18 TIN type SSN4TIN '17 Date of birth ❑ UNcrimi 18 Contact phone number 19 E-mail address '20 Form of identification used to verify identity OUnknown El Drivers license/State O Alien Registration O Other Number US Issuing State NJ 21 Cash in amount for individual or entity listed in Item 4 Account number 0 0 22 Cash out amount for Individual or entity listed in Item 4 $ 36.000 Account number [ • Page 2 of 5 SDNY_GM_00049885 CONFIDENTIAL - PURSUANT TO FED. R.QQN(F IDENTIAL DB-SONY-0012709 EFTA_00160493 EFTA01291959  WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION AND WILL NOT BE PROCESSED BY FINCEN. Part I Person Involved in Transaction 2 of 2 00 '2 Person conducting Person conducting ® Person on whose behalf ❑ a ❑ Servloe - fl transaction on own behalf 1- 1 transaction for another c transaction was conducted d Courier (Private) 3 ❑ Muftiple transactions Check O If entity '4 Individuars last name O Unknown Epstein or entity's legal name '5 First name O Unknown Jeffrey 6 Middle name Suffix 7 Gender 8 Alternate Name 9 Occupation or type of business President of SouthemElnanclal 9a NAICS Code '10 Address O Unknown 6100 Red Hook Quarter, B3 '11 City O Unknown St. Thomas •12 State O Unknown VI '13 ZIP/Postal Code 0 Unknown 00802 '14 Count!), O Unknown US "15 TIN 0 Unknown 090443348 16 TIN type SSN4TIN '17 Date of birth 0 Unknown 01/2011953 18 Contact phone number Ext. 19 E-mail address '20 Form of identification used to verify identity OUnIcnovm ig Drivers license/State ID O Passport O Alien Registration O Other Number 000000029913 Country US Issuing State VI 21 Cash in amount for individual or entity listed in Item 4 Account number 100 22 Cash out amount for Individual or entity listed in Item 4 $ 36.000 Account number [3.5269691 10 • Page 3 of S SDNY_GM_00049886 CONFIDENTIAL - PURSUANT TO FED. R.CON(F IDENTIAL DB-SONY-0012710 EFTA_00 I 60494 EFTA01291960  WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION AND WILL NOT BE PROCESSED BY FINCEN. Part II Amount and Type of Transaction(s). Check all boxes that apply. '23 Date of transaction 0911912017 24 El Armored car (FI Contract) ❑ ATM ❑ Mail Deposit or Shipment ❑ Night Deposit ❑ Aggregated transactions 15 CASH IN: (in U.S. dollar equivalent) '27 CASH OUT: (In U.S. dollar equivalent) a Deposit(s) a Withdramal(s) S b Payments) .00 b Advance(s) on credit (including markers) .00 c Currency reserved for funds translor(s) out .00 C Potency paid from funds transfot(s) .00 d Purchase of negotiable instrument (s) .00 d Negotiable instrument(s) cashed 35,000,00 e Currency exchangem) 00 e Currency exchange(s) .00 f Currency to prepaid access .00 I Currency from prepaid across .00 g Purchases of casinos chiles, tokens a Redamplion(s) of casino depe tokens, and other gaming instruments 00 TITO tickets and other gaming instruments 00 h Cimency vrager(s) including h Payrnenhs) on wages) 0nciuding lace money plays .00 and OTB or sports goon .00 Travel and complimentary expenses and I Bills inserted into gaining devices .00 book gaming Incentives .00 Payment for tournament. contest a other z Offer (speedy): promotions .00 .00 Z Other (specify) .00 Total Cash in .00 Total Cash out 35.000.00 26 Foreign Cash in Foreign Country 0 0 28 Foreign Cash out Foreign Country 0 0 Page 4 of 5 SDNY_GM_00049887 CONFIDENTIAL - PURSUANT TO FED. R.QQN(E IDENTIAL DB-SONY-0012711 EFTA_(()I60495 EFTA01291961  WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION AND WILL NOT BE PROCESSED BY FINCEN. Part III Financial Institution Where Transaction(s) Takes Place 1 of 1 0 0 17 Type of financial institution Depository institution Other (specify) /9 Primary federal regulator Federal Reserve Board (FRB) 38 If 37a - Casino/Card Club is checked, indicate type (chedc only one) ❑ State licensed casino ❑ Tribal authorized casino 0 Card club ❑ Other '30 Legal name of financial institution I Deutsche Bank Trust Company Americas 31 Alternate name, e.g. trade name. DBA '32 EIN *33 Address 346 Park Ave '34 City New York *35 State NY '36 ZIP Code j10154 39 Financial institution ID type ID number '40 Contact office DB PB AML '41 Phone number Ext. '42 Date Filed (Dale filed wal be auto -populated when lho form is signed.) Page 5 of 5 SDNY_GM_00049888 CONFIDENTIAL - PURSUANT TO FED. R.CON(F IDENTIAL DB-SONY-0012712 EFTA_(()160496 EFTA01291962