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SECKENDORF HASSON & REILLY, CpA'S 11C
May 20, 2015
JEFFREY E. EPSTEIN
6100 RED HOOK QUARTER B3
ST. THOMAS, VI 00802
Dear Jeffrey,
Enclosed for your review and filing are the following:
Form 114 Report of Foreign Bank & Financial Accounts
Each tax return or form listed above should be filed in accordance with the enclosed filing
Instructions.
Mail all returns ceitfied return receipt for proof of timely filing. Please be sure to call if you have
any questions.
Sincerely,
DAVID M. HASSON, CPA
EFTA01136011
2014 FEDERAL FILING INSTRUCTIONS
JEFFREY EPSTEIN
FORM TO FILE:
FORM 114 - REPORT OF FOREIGN BANK AND FINANCIAL ACCOUNTS
THE ABOVE TAX RETURN WILL BE ELECTRONICALLY FILED WITH FINCEN,
DEPARTMENT OF THE TREASURY FINANCIAL CRIMES ENFORCEMENT NETWORK, UPON
RECEIPT OF A SIGNED FORM 114A.
PAYMENT:
'.0 fkli EN'T IS REQUIRLD.
TIMELY FILING:
A FOREIGN BANK REPORTING FORM 114 MUST BE 'ACCEPTED' OR 'ACCEPTED WITH
ERRORS' BY JUNE 30, 2015 FOR THE FINANCIAL CRIMES ENFORCEMENT NETWORK
(FINCEN) TO CONSIDER IT TIMELY FILED. IF AN ORIGINAL FORM 114 IS
F-FILED AFTER THE JUNE 30, 2015 DEADLINE, THE LATE FILING EXPLANATION
PORTION OF THE FORM 114 MUST BE COMPLETED. FINCEN CAN LEVY PENALTIES
WHEN THE ORIGINAL FOREIGN BANK REPORTING FORM 114 IS E -FILED AFTER THE
DEADLINE.
IF THE FOREIGN BANK REPORTING FORM 114 IS REJECTED IT MUST BE
RESUBMITTED AND ACCEPTED BY THE FINANCIAL CRIMES ENFORCEMENT NETWORK
(FINCEN) BY JUNE 30, 2015. THE FINANCIAL CRIMES ENFORCEMENT NETWORK
(FINCEN) DOES NOT ALLOW A PERFECTION PERIOD FOR CORRECTING REJECTED
SUBMISSIONS. IF THE ORIGINAL FOREIGN BANK REPORTING FORM 114 E-FILING
IS 'REJECTED' BY FINCEN AND THE SUBSEQUENT E-FILING OF THE ORIGINAL
FORM 114 TAKES PLACE AFTER THE FILING DEADLINE, THE LATE FILING
EXPLANATION PORTION OF THE FORM 114 MUST BE COMPLETED.
IF THE FOREIGN BANK REPORTING FORM 114 IS 'ACCEPTED WITH ERRORS' BY
JUNE 30, 2015 DEADLINE, FINCEN WOULD LIKE TO SEE AN AMENDED FORM 114
E-FILED WITHIN 30 DAYS
EFTA01136012
,t,ctud.co
Record of Authorization to
Forrn 114a
Department of the Treasury
Electronically File FBARs
(See instructions below for completion)
* rt le'
Financial Crimes Enforcement
Network (FInCEN)
Do not send to FInCEN. Retain this form for your racerdis.
October 2013
.. .. .
Part V.' Persons who have an obligation to file a Report of Foreign Bank and Financial Account(s)
1. Owner last name or entlys legal name 2. Owner first name 3. Owner M. I.
EPSTEIN JEFFREY
5. Spouse first name 6. Spouse It I.
4. Spouse last name (If Jointly tiling FBAR - see instructions below)
Uwe declare that I1we have provided Information concerning 2 (en er number of accounts) foreign bank and financial account(s) for the
filing year ending December 31 2014 , to the preparer listed in Part II that this Information Is to the best of my/our knowledge true, coned,
Crimes Enforcement Network (FInCEN) a
and complete; that Wee authorize the preparer listed In Patti to complete and submit to the Financial
Report of Foreign Bank and Financial Accounts (FBAR) based on the information that I/we have provided; and that lAve authorize the preparer
Inquiries and resolve issues relating to this submission. Uwe acknowledge that,
fisted in Part II to receive Information horn FinCEN. answer
g this dedatation, it is mylour legal responsibety, not that of the preparer listed in Part II, to tirnoiy file an FBAR If required by law
nohvihstandin
to do so.
7. Owner signature (Authorized representative if entity) TirDate 9 Owner or entity TIN 10 TIN a
Vile b
e
L EIN
SSN/IT1N
Foreign
tat1LID f YYYY
EIN
1. Spouse signature 12 Date 13 Spouse TIN 14 TIN a
type b SSNATIN
WA /DO 1 ifitYY C LForeign
.epee, Individual or Entity Authortted to File FBAR
on behalf of Persons who have an obligation to file.
16. Preparer first name 17. Preparer M.I. 18. Preparet PTIN
15. Preparer last name
CPA DAVID
19 Address 20 City 21 State 22 ZIP/postal code
24 Preparers (item 15) employers (Entity) name 25. Employer EIN 26. Preparers signature
23 Country
code
SIM CPA'S LLC 90-0436485
Instructions for completing the FBAR Signature Authorization Record
to perform such
This record may be completed by the individual or entity granting such authorization (Part I) OR the individualtentily authorized
must be signed by the individual(s)/en tity granting the authorization (Part I) and the individual/entit y that will fie the
services. The completed record registration).
system. (See hfip://bsaefiling .fncentress.gov /main.htrri for
FBAR. The Preparerhiling entity must be registered with FinCEN BSA E-File
Read and complete the account owner statement In Pall.
owner should complete Part I, items 1 through
To authorize a third party to file the Foreign Bards and Financial Accounts Report (FBAR), the account
3 (as required), sign and date the document In Pan I, Items 7/8 and complete items 9 and 10.
Accounts Jointly Owned by Spouses (see exceptions In the FBAR instructions)
4 through 6. The spouse must also
If the account owner is filing an FBAR folntly with his/her spouse, the spouse must also complete Part I, items
one of the spouses of the Jointly owned
sign and date the report in items 11/12, and complete items 13 and 14. A third party preparer may be
preparer (spouse) that will file the FBAR
foreign account In this case, both spouses must complete Part I of form 114a in its entirety. The third party
use such terms as see above, or same as Item number x ).
on behalf of both spouses will complete Part II in its entirety (do not
of the preparer or the preparers
Complete Part II, Items 15 through 18 with the prepares information. The address, Items 19 through 23,IfIsthethat
preparer does not have a PTIN, leave
employer if the preparer is an employee. Record the employer's information (dany) in items 24 and 25.
directed by the authorizing authority.
kern 18 blank. The third pasty prepare/ must sign In nem 26 of Part II Indicating that the FEAR will be tiled as
in Part I, should retain copies
The person(s) listed in Part I, and the person listed In Pad II as authorized to file on behalf of the person(s) listed
of this record of authorization and the fang itself, both for a period of 5 years. See 31 CFR 1010.430(d).
DO NOT SEND THIS RECORD TO FinCEN UNLESS REQUESTED TO DO SO.
CBA40301i. egflart4 Rev. 10.4 July 11, 2013
SPA
EFTA01136013
**********
* * * * * * * * * DO NOT MAIL --- MUST BE ELECTRONICALLY FILED
FinCEN Fonn 114 REPORT OF FOREIGN BANK 1 Tak report Is lor Mond&
AND FINANCIAL ACCOUNTS >eer ened 12731
Departnient of te Treasury
01/13 no. 1506-0039 Do NOT file with your Tederst Tex Return 2014
Do not use previous erStIons of this form Amended
Gav Spaat 2013)
Filer information
2 Type «Film
•p leavidual I OPerintriNp t DCorpongon d Colsolittaled • El Ficktiary Ober — Ester boe
Foreim Panlik:~ erConalele gakt Rem 3 Is n* appactrbley 5 InclivIduars dab of bib
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7 Fint Name
c Country el Isve 1/20/1953
8 aas Initlal 8. Stars
4 lastdan aOrpankaVettkon
EPSTEIN JEFFREY
9 Beting addrea (mieter, stoel and opetenl or mbo ~ober)
6100 RED HOOK QOARTER B3
II Va 12 2791Øl code DI Cargo/
10 eà
ST THOMAS VI 00802 US
14a Doos be film hem a finarnial bami el 25 or more emnes nceourM7
9 va Ener total ~maar ol fout Do nol omelet/ Part II or Part III. tut raintain moords of te ~Pon.
Da.
14b Does be film have sianstue afharkt over Put no Snoodst ~ni In 25 or mors afsnel:d accounts?
Yn Eger tred momber ol account Complete Part ar. gene 34 trough 43 b each wam on tee Sehall te tier has sitnatMll aubordY•
re
IMaaj Information on financial account(s) ovned separately Ober — Eger type bobs
16 Typt« account a t IOar* b r I Seartftes c
15 ~rum nek* al account Mat% cafedm Raf
(Sta hemsene ende Aerot tY 414014"4140 2)
17 Hang of grondelInstilkon in %Rica smout b hdd
PART II INFORMATION WILL PRINT ON PAGE 2
18 ~wat nuit or olm dostgnatIon 1g Wang addreen ~bef, streel or wie marter) el finandel Insfitutioa in ~oh account is helt
21 Slete, If known 22 ronde" postal wik termen Carl?
20 GR),
Ma Check hen IXIi ilt reaal is congleled Werk ] Pak/ PreParar ad ~PIS 8m Ø Pal" Ifiltraler 'Ska-
45 Fee Me, b nol reportInt a Personal ur 44 OM* (11INDDIVYYV)
44 Film Sepots, !!tipdak ril aulotill ween ta
11g nood va be tenctonicolly FElaR b erechordeellystmed
algoed ellen filmt
48 net name 49 la 150 Check n 51 TIN 51a TUI bye Pree
07 Pronter: lel nare
setentienel 9914417t4
31 Forelan
Third Party
CPA
52 Con'act gehore no. 524 Exl 55 turnt. name 54 Pam'. 1lN 11Nb,* Elv
Preparer Paar
SHR, CPA'S LLC 90-0436485
Use Only 57 State 58 ZIP/Pastel Code 58 Country
55 maar° !Meest (nuabar. snee, neerboog or aui nuntm) 54 ai
US
financier co" In brei countles, as required by te Doorboog or te
Ibis font ~d mi ~I lo recort e &gnoe, Intenst In. sIgnakre aulhaity. or oma outogy mee ons of more Sec insta:bons lor defobons.
No wort e febèred if bei aggingele VOL< of lbe *CCOUntS dil not eccerl $10.000.
Tressury Rsoulairoras 31 CFR 1010.350.
skaØPAPERWCREDUCRO
PRIVACY N
RK ACThtillt£ tang bloringion on FIWEN Ferm 1141n morfine wil 5 UW 557s (e)
Paraat* to te requironeMs cd Public lang 93-579 itktracy Ad of 1974). race b liertiby Oma trol b• aulhogy b
31 The 0080 Pal FerPose lex colocting tie inlormatim e b assen ~garoe «report Willffiá ad) IIJPOtt of feCiXdS uwe
:$ PUblIC tam 91-5513; UW 5314: 5 WC 301; 31 CER 1010.33°.
PIP] rbignea cl umfulnesa N ~Ins. hu, or reoillalmy InvoggatIons or Ixoceedinlls. The thernation 00590880 inm, be ProMed to those Oxers are ornboYee4 d 41T4 COrilaient °Wit of be
Te geronk may be refornedWrg ober dopen* nr regency a be timend Sabra upon
Departner* or ir Tremen tete have a meed fra M teards In te performance ot bei Sem.
infOnrabon oollegod may &babi Prereged b aloproorbie state, wal.
request ot Ta houd of gab depertment or sgenb• 10r a h a aantelt tas. or rellobtry teasteation or proceeding. Cel and «triool penallios. inolufing in eenst
eng Igor law cedoroment Mud reig.gastwy parscene le be prefonnanon or Mek eed& ~los. Dledosui• a bee 1nfortnetion is m,ydawy.
br
oirainstanoas a fine ot eot rote bal 5500.000 afd lmgcisonmere ot me mors tree ave )sars, are Pfigtad leame 10 bio a Wort, lor teWa b sØ Woonstion, arie sti 0•00 • felst a
lbo Soda' Steurt/ nut! MI be tsed as a mams b itlenley ms
fraudolont moet (*doms or be Sorial %neb momber is troneettay. lie auto* 10 coatct is 31 CER 1010.350.
Is 60 aanga rm rawoodontot rating keopor, deptnap et inclIvijual
indngkral lbo rees te report The estImaied overige omen associse ion mb collecten of ~om
nabob3 be borden baad be dirscted lo to Fatargal Crimes Ertorcement Nework,EE. Box
citosnstances. Conments regardirg te accuracy of OM borden cs6nele, and suppegions lor
39, Vlrinnex VA 22183. Ann: Me of Raadden Pdicy.
Rev 5.7 • 6f3/2013
BAA FEAA02011. 03Øf14
EFTA01136014
***** *****
********** DO NOT MAIL --- MUST BE ELECTRONICALLY FILED
Pert 11_1Information on financial account(s) owned separately FinCEN Form 114
Page Number
Complete a separate block for each account owned separately
Add an additional Part I I page as many tirnes as necessary in order to provide information on all accounts 2 of 2
1 Nand for Mender Yale Chuck apeman* Idenufkiltron number bast name ce orgimialas norm
Taxpayer landflabon Nate
2014 Forthon ideal/Inaba number EPSTEIN
lanai nutter beec
Bonk b U SoarMbs a I0thr — Eater type balm
15 Maximum was of account duaq calesdar year 15a frarroure
Insetafain war Monatary *moatt, OW 2) adman
98,894.
17 Marna of Flremitil Institution in Mich Kama la imia
BNP PARIBAS
18 Avast meter or allw designation IS WON address (number, street a sit Mit 0 al Oneecial itsliSdan kr which Emma Is Mid
0293300000062351 16 BOULEVARD DES ITALIANS
21 Mae. Imam I 22 FON* — code, V Norm
20 City
75009
PARIS
Bank b mites Caber — Enter type beim.
IS Maximum who al ratouril duala calendar your
(See instructions miler Monetary amounts, slop 2)
110,267.
17 Name of Financial eastitaJon in which acaunt is trid
BNP PARIBAS
III ACM/A make or ad.. dialgrolion 19 Mailing alarm (number, atm& a sub number) or financial instil/AM in Mach account is held
0293300030061444 16 BOULEVARD DES ITALIANS
23 cm/dry
20 city 11 Ma Renown I 22 Pareke Peal cods. if known
75009 FR
PARIS edair — Enter type below
16 Type of moat • Uillank b USecuales
j
E
15 Maimum Moe of appal dire* caerdar Oar S. Mast
(Um instrustors mar Mcnotary anotinta. sap 2)
17 Name of Francial institutias Si which accom is lad
18 Account motor or other designetim 19 martin address (number. street. or wale farts) d financial inserullan in which account is NM
21 Stale, if known 22 Foliar postal code, if knovm l 13 Country
20 City
15• Mica 16 'Typo or account a Lida* bUSecureass eliOlher — Enter lore baba
15 Maximum Moe of await tar* calendar year
(See inseedenkt under Monetary errat. step n Maim
0
17 Name a remota Inanition in wadi atom* iv Mid
18 Account Mentes or an Magadan 19 Meiling address (rumba, street or ado nuts) of financial Inseuticas in with amount it hold
21 Slat...Venom 22 For postal code. if loom
20 City
16a Anna 16 typed account • MBank Seca Mier — Enter two below
15 Madman value al account dump arenas yea
(See imitations tat Monetary amounts, step n
17 Nam of Franca instlition m rebid, amoral is held
16 Account roam a odor compete 19 Madly address (number, street or who ratted of fins-alai irselution in With aCcount is hold
21 Sista, d known 22 Foreign Pods, code. if known 23 C.ormay
20 City
15a Amount 16 Type of accost al I Bank Hiawatha alit:Ana -- Enter type below
IS Madman aloe of account diabg calendar year Maws
(Sam nwencdons under Monetary arroonts. step 1)
17 Name of Randal InsieutOn b which commie hold
Maya Mabel or olw dent, am 19 Malin° sonless (number, anat. or seta noted at final& baltdort In aids wawa S hold
21 State. d Nam 22 Facial metal code, 9 town 23 Cowley
raNuitioa 02878714
EFTA01136015
ℹ️ Document Details
SHA-256
8d348ff8284ee7bc9ea238c63fefae5c4989719d5fdd8f007ed623b3401ded7b
Bates Number
EFTA01136011
Dataset
DataSet-9
Type
document
Pages
5
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