EFTA01291963.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 '1 Type of filing z initai report E Correctiamend prior report ❑ FinCEN directed Backfihng Document Control Number / BSA Identifier Save Validate Print 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. Sign with PIN SDNY_GM_00049889 CONFIDENTIAL - PURSUANT TO FED. R.CON(F IDENTIAL DB-SONY-0012713 EFTA_00I 60497 EFTA01291963  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 Person conducting ici Person conducting Person on whose behalf '2 O Courier Service (private) ❑ transaction on own behalf b law transaction for another c I—I transaction was conducted 3 O Multiple transactions Check ❑ If entity '4 Individual's last name O Unknown Indyke 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 lirm 9a NAICS Code '10 Address O Unknown 2 Kean CT 91 City O Unknown Livingston •12 State O Unknown NJ '13 ZIP/Postal Code 0 Unknown 07039 '14 Country O Unknown I US •15 TIN 0 Unknown 16 TIN type '17 Date of birth 0 Unknown 07/1911965 18 Contact phone number Ext. 19 E-mail address '20 Form of identification used to verify identity OUnknown IX Drivers license/State ID O Passpon O Alien Registration O Other Number Country 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 14.700 Account number [ 00 Page 2 of 5 SDNY_GM_00049890 CONFIDENTIAL - PURSUANT TO FED. R.CON(F IDENTIAL DB-SONY-0012714 EFTA_DO I 60498 EFTA01291964  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 0 0 '2 Person conducting r—r Person conducting Person on whose behalf -n a ❑ transaction on own behalf 1- 1 transaction for another c transaction was conducted d O Courier Service (Private) 3 O Multiple transactions Check O If entity '4 Individual's last name O Unknown Epstein or entilys 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 SouthemFinanelal 9a NAICS Code '10 Address O Unknown 6100 Red Hook Quarter, B3 •11 City O Unknown St. Thomas •12 State '14 Country O Unknown O Unknown VI US '13 ZIP/Postal Code 0 Unknown • •15 TIN 0 Unknown 16 TIN type '17 Date of birth 0 Unknown 0112011963 18 Contact phone number Ext. 19 E-mail address '20 Form of identification used to verify identity OUnknown rg Drivers kcenseiState ID O Passport O Alien Registration O Other Number [ Country US Issuing State VI 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 14,700 Account number [ 10 0 Page 3 of 5 SDNY_GM_00049891 CONFIDENTIAL - PURSUANT TO FED. R.CON(F IDENTIAL DB-SONY-0012715 EFTA_00I 60499 EFTA01291965  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 10/0612017 24 ❑ 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 Wilhdravral(s) b Payments) .00 b Advance(*) on credit (including markers) .00 c Currency reserved for funds transfor(s) out .00 C Cimino/ pail from funds transfer(s) in .00 d Purchase of negotiable instrument (s) .00 d Negotiable instrument(s) cashed 7,500,00 e Currency exchangers) 00 e Currency exchange(s) 7,200.00 f Currency to prepaid access .00 I Currency from prepaid aeons .00 g Purchases of casinos chios, tokens 9 Redemplion(s) or casino chips. tokens, and other gaming instruments 00 TITO tickets and other gaming instruments 00 ti Currency vrager(s) including h Payment(s) on ...agars) On/Siding lace money plays .00 and OTB or sports pooh .00 Travel and complimentary expenses and Bills inserted into gaming devices .00 book gaming Incentives .00 Payment for tournament. contest or other z Other (specify): promotions .00 .00 z Other (specify). .00 Total Cash in .00 Total Cash out 14,700.00 26 Foreign Cash in Foreign Country 0 0 28 Foreign Cash out 6,000 Foreign Country BE 0 0 Page 4 of 5 SDNY_GM_00049892 CONFIDENTIAL - PURSUANT TO FED. R.QPN(E IDENTIAL DB-SONY-0012716 EFTA_00I 60500 EFTA01291966  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 I Depository institution Other (specify) 19 Primary federal regulator ! Federal Reserve Board (FRB) 38 If 37a - Casino/Card Club is checked, indicate type (check only one) ❑ State licensed casino 0 Tribal authorized casino ❑ Card dub ❑ Other '30 Legal name of financial institution Deutsche Bank Trust Company Americas 31 Alternate name, e.g. trade name. DBA I '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 ofrce DB PB AML '41 Phone number '42 Date Filed (Dale filed wal be auto -populated when lho form is signed.) Page 5 of 5 SDNY_GM_00049893 CONFIDENTIAL - PURSUANT TO FED. R.CON(F IDENTIAL DB-SONY-0012717 EFTA_00160501 EFTA01291967