EFTA01266498.pdf

CLAIMEOX. INC. D. 631.205.1200 905 MARCONI AVE RONKONKOMA. NV 11779 E. 631.205.1211 CLAIMSOX.COM CLAIMFOI CONSIDER IT DONE Prohibition of Pe-Disclosure ClaimFox, Inc. makes every effort possible to protect our clients' confidential claimant information. As claims files may contain a portion of the claimant's medical record, ClaimFox follows the same standards and guidelines set forth for releasing patient medical records, as outlined in the HIPAA Security and Privacy Act. The attached or enclosed information may have been disclosed to you from records whose privacy is protected from disclosure by federal and state law including, as applicable, 45 CFP Part 160 (HIPAA), 42 CFP Part 2 (alcohol and drug treatment) and other state laws. The applicable law or laws may prohibit you from making any further disclosure without the specific written authorization by the individual to whom it pertains or their authorized representative, or as otherwise permitted or required by law. A general authorization for release of information is not sufficient for this purpose unless it conforms to the specific requirements of the applicable law or laws. Further disclosure not in accordance with applicable federal and state law may result in civil and/or criminal penalties. Based upon guidelines outlined by the American Health Information Management Association, these records should be destroyed after the stated need has been fulfilled. All claims files that have been disclosed to you have been carefully reviewed to assure that proper disclosure is made only to the authorized requestor. If you have any questions, please contact ClaimFox at: Toll Direc in SDNY_GM_00010165 EFTA_00 I 20819 EFTA01266498  Declaration of Custodian of Records Pursuant to 28 § 1746, I, the undersigned, hereby declare: My name is • Isabel Luna (namnot declarant) . •• • • . . I am a.United States citizen and I am over eighteen years of age. I am the pustodian of records of the business named below, or I am otherwise qualified as a result of my position with. • the business named belowto make this declaration. , • • ' lam in receipt of a &Mid Jury -Subpoena, dated December 11, 2019, and signed by Assistant United States Attorney Mourne Comey, requesting specified records of the business named below. Pursuant to Rules 902(11) and 803(6) of the Federal Rules.of Evidence, I hereby certify that the records provided herewith and in response to the Subpoena: (1) were made at or near the time of the occurrence of the matters set forth in the records, by,•or from information transmitted by, a person with knowledge of those Matters; , (2) were kept in the course of regularly conducted business activity; and •• (3) were made by the regularly conducted business activity as a regular practice. ideclare under penalty of perjury that the foregoing is true and correct. Executed on December 19, 2019 ••• (date) kAk (signature of declarant) Isabel Luna (name and title of declarant) USAA Federal Sevin Bank (name of business) 10750 McDermott Freeway, San Ant Mo, Tens 78288 (business address) . • Definitions of terms used above: As defined in Fed. R. Evid. .803(6), "record" Includes a memorandum, report, record, or data compilation, inany.form, of acts, events, Conditions, opinions, or diagnoses.. The term "business" • as used in Fed. R. Evid. 103(6) and the above declaration includes business, institution, association, protest; occupation, and calling of every kind, whether or not conducted for profit • SONY_GM_00010166 • EF1'A_00120820 EFTA01266499 Form Code: 82706 Member Number Date Recieved: • Address: Email: Subject: Online pp Ica ion or: FraudPhoneIndicator No FraudEmployerlndicator - No FraudAddressIndicator No RecommendedApplicationAction - PROCEED AppSubmitter - Member P rimaryAppName - SCOTT<>G<>BORGERSON<> PrimaryAppAddrLinel 44 RIVER RD PrimaryAppCity - GLOUCESTER PrimaryAppState - MA PrimaryAppZip - 01930-1352 PrimaryAppSSN PrimaryAppDOB - PrimaryAppPriEmai PrimaryAppPhysAddrLinel PrimaryAppPhysAddrCity PrimaryAppPhysAddrState PrimaryAppPhysAddrZip 0 PrimaryAppPhysAddrCountry PrimaryAppCountryofCitizenship U.S. PrimaryAppUSCitizen - Yes DepositAccountType - USAA Four Star Checking Account DebitRewardType - NR WantDirectDeposit NewAccountNumber FundingMethod - Initial Funds Transfe FundDepositTransferUSAAFundsAcctNbr FundingAccountNumber TotalFundingAmount 1000.00 CheckingFundingAmount 1000.00 SONY_GM_00010167 EFTA_00120821 EFTA01266500 WantWebBillPay • No WBPEmailFlag • No WBPTermsConditionsFlag • N WantOverdraftProtection • Yes OverdraftProtectionAccountType • Performance First Savings OverdraftP rotectionAccountNbr OverdraftDisplayAcctNum WantDebitOrATMCard • Yes OriginationState • TX ResponsibleState • TX StateCd_TaxWB • MA ApplicationType • Individual NbrCoApplicant • 0 SONY_GM_00010168 EFTA_00120822 EFTA01266501  USAA ft% FEDERAL SAVINGS USAA BANK PAGE 1 SCOTT BORGERSON MEI 0 16 ACCOUNTNUPA3F_R ACCOUNTTYPE STATEMENT PERIOD USAA CLASSIC CHECKING 10/16/18 • 11/16/18 BALANCE DEBITS TOTAL AMOUNT NO. OF TOTAL AMOUNT SERVICE BALANCE THIS LAST STATEMENT PAID OF DEBITS PAID CEP OF DEPOSITS MADE CHARGES STATEMENT 78,894.52 11 23,849.47 2 40.53 .00 55,085.58 •00000 ma.* itointlialely on, iepoti n .........I a eo .re ................. CO dem the etenoll von in co, .... • a••••ci TOTAL TOTAL NONSUFF CIENFEET FUNDS (NSF) OVERDRAFT FEES (OD) THIS STATEMENT n nn n nn THIS YEARS STATEMENTS n nn n nn lot. ..... $01./191•••• .0.10 It USA. nel ..... u. Wises ea Ills alit. DEPOSITS AND OTHER CREDITS DATE AMOUNT.TRANSACTION DESCRIPTION 10/22 40.00 DEPOSIT @ MOBILE 11/16 0.53 INTEREST PAID CHECKS DATE..CHECK NO AMOUNT DATE..0 AMOUNT 10/18 10.00 11/09 10.00 OTHER DEBITS DATE AMOUNT.TRANSACTION ACM 10/17 49.99DEBIT USAA.COM PAY DESCRIPTION INT LIFE *.k..1739 10/24 16,779.15 USAA CREDIT CARD PMT CREDIT CARD ENDING IN 8171 10/29 188.55 USAA INSURANCE PAYMEN 10/30 381.89 ACH DEBIT NATIONAL GRID ONLINE PMT 4POS 11/01 205.10 USAA FUNDS TRANSFER DB TO Scott Borgerson CHECKING #2621, CONF# 11/01 5,500.00 USAA FUNDS TRANSFER DB TO Scott Borgerson CHECKING #2621, CON 11/06 276.97 ACH DEBIT COMCAST ONLINE PMT 4POS 11/14 197.82 ACH DEBIT COMCAST ONLINE PMT 4POS 11/16 250.00 USAA FUNDS TRANSFER DB FDIC INSURED TO Scott Borgerson SONY_GM_00010169 CHECKING #2621, CONF# 93526-0814_05 BMIFRT EFTA_00120823 EFTA01266502  USAA FEDERAL SAVINGS BANK 10750 McDermott Freeway San Antonio. TX 782880544 800.531-8722 PLEASE EXAMINE THIS STATEMENT AT ONCE. IF NO ERROR IS REPORTED IN 60 DAYS. THIS STATEMENT WILL BE CONSIDERED CORRECT. ALL ITEMS ARE CREDITED SUBJECT TO PAYMENT. In Case of Errors or Questions About Your Electronic Transfers. Telephone us or Write us at the address and number listed at the top of this page as soon as you can. if you think your statement or receipt is wrong or if you need more information about a transfer on the statement or receipt. We must hear from you no later than 60 days after we sent you the FIRST statement on which the error or problem appeared. • Tell us your name and account number (if any). • Describe the error or the transfer you are unsure about, and explain as clearly as you can why you believe it is an error or why you need more information. Tell us the dollar amount of the suspected error. We will investigate your complaint and will correct any error promptly. If we take more than 10 business days to do this, we will credit your account for the amount you think is in error. so that you will have the use of the money during the time it takes us to complete our investigation. THIS FORM IS PROVIDED TO HELP YOU RECONCILE THIS STATEMENT BALANCE TO YOUR CHECKBOOK BALANCE. CHECKS OUTSTANDING (Those written which have not BANK BALANCE been charged to your account) CI-IECK# AMOUNT (1) BALANCE THIS STATEMENT (SHOWN ON FRONT PAGE) S (2) ADD DEPOSITS NOT SHOWN ON THIS STATEMENT (IF ANY) (3) SUBTOTAL S (4) SUBTRACT TOTAL OF CHECKS OUTSTANDING (IF ANY) (5) ADJUSTED BANK BALANCE S YOUR BALANCE (6) CHECK REGISTER BALANCE S (7) ADD CREDITS WHICH APPEAR ON THIS STATEMENT THAT HAVE NOT BEEN RECORDED IN YOUR REGISTER (IF ANY) (8) ADD INTEREST CREDITED TO YOUR ACCOUNT (IF ANY) (9) SUBTRACT OTHER CHARGES (IF ANY) (10) ADJUSTED CHECK REGISTER S TOTAL $ BALANCE • Be sure to record in your check register. Line 5 and Line 10 should now agree. If not, check the following Items In your register: -Are all deposits accounted for? -Are all amounts entered correctly? -Are all automatic transactions accounted for? -Are all additions and subtractions accurate? FDIC INSURED SONY GM 00010170 TERMS AND CONDITIONS: All transactions are subject to the USAA Federal Savings Bank Depository Agreement. I26406'0714 SINIBCK EFTA_00I 20824 EFTA01266503  USAA FEDERAL SAVINGS USM BANK PA GE 2 SCOTT BORGERSON 0 16 ism ACCOUNT BALANCE SUMMARY DATE BALANCE DATE ACCOUNT TYPE USAA CLASSIC CHECKING BALANCE STATEMENT PERIOD 10/16/18 - 11/16/18 10/16 78,894.52 10/30 61,524.94 10/17 78,844.53 11/01 55,819.84 10/18 78,834.53 11/06 55,542.87 10/22 78,874.53 11/09 55,532.87 10/24 62,095.38 11/14 55,335.05 10/29 61,906.83 11/16 55,085.58 * * * INTEREST PAID INFORMATION * * * * * * * * YOUR INTEREST PAID WAS CALCULATED USING YOUR DAILY BALANCE FOR 31 DAYS FOR AN ANNUAL PERCENTAGE YIELD EARNED OF 0.01%. THIS BRINGS YOUR YTD INTEREST PAID TO 3.44. FDIC INSURED SONY_GM_00010171 105846.0814_06 BA1F131A EFTA _00I20825 EFTA01266504 Check: 995328 Amount:10.00 Check: 995332 Amount:10.00 SONY_GM_00010172 EFTA_00120826 EFTA01266505  USAA ft% FEDERAL SAVINGS USAA BANK PAGE 1 SCOTT BORGERSON 0 16 ACCOUNTNUMEER ACCOUNTTYPE STATEMENT PERIOD USAA CLASSIC CHECKING 11/16/18 • 12/17/18 NOOF NO.OF TOTALAMOUNT SERVICE BALANCE THIS BMAACE DEBITS TOTALAMCUNT LAST STATEMENT PAID OF DEBITS PAID CEP OF DEPOSITS MADE CHARGES STATEMENT 55,085.58 10 47,000.16 1 0.25 .00 8,085.67 • 00000 etate” neteetalely gad toping 00000000 I. II ee ts ..... ••• melon ell dem the eenunt lie eget.... • a••••ci TOTAL Taut NONSUFFCENTFUNDS(NS9 CNERD Fon (OD) Fan THIS STATEMENT n nn n nn THIS YEARS STATEMENTS n nn n nn IOW F....... $01.trell•••• .lide It US u ............................... t. DEPOSITS AND OTHER CREDITS DATE AMOUNT.TRANSACTION DESCRIPTION 12/17 0.25 INTEREST PAID CHECKS DATE..CHECK NO AMOUNT DATE..CHECK NO AMOUNT 12/13 995334 10.00 OTHER DEBITS DATE AMOUNT.TRANSACTION DESCRIPTION 11/19 473.55 USAA INSURANCE PAYMENT 11/19 21,829.83 USAA CREDIT CARD PMT CREDIT CARD ENDING I 11/19 49.99 ACH DEBIT USAA.COM PAY INT LIF 739 11/20 341.20 ACH DEBIT NATIONAL GRID ONL POS 11/20 640.50 ACH DEBIT EASTERN PROPANE ONL POS 12/03 5,500.00 USAA FUNDS TRANSFER TO Scott Borgerson CHECKING #2621, 12/12 473.55 USAA INSURANCE PAYME 12/13 754.85 ACH DEBIT EASTERN PROPANE ONLINE PMT 4POS 12/17 16,926.69 USAA CREDIT CARD PMT CREDIT CARD ENDING IN 8171 SONY_GM_00010173 93526-0814_05 BMIFRT EFTA_00120827 EFTA01266506  USAA FEDERAL SAVINGS BANK 10750 McDermott Freeway San Antonio. TX 782880544 800.531-8722 PLEASE EXAMINE THIS STATEMENT AT ONCE. IF NO ERROR IS REPORTED IN 60 DAYS. THIS STATEMENT WILL BE CONSIDERED CORRECT. ALL ITEMS ARE CREDITED SUBJECT TO PAYMENT. In Case of Errors or Questions About Your Electronic Transfers. Telephone us or Write us at the address and number listed at the top of this page as soon as you can. if you think your statement or receipt is wrong or if you need more information about a transfer on the statement or receipt. We must hear from you no later than 60 days after we sent you the FIRST statement on which the error or problem appeared. • Tell us your name and account number (if any). • Describe the error or the transfer you are unsure about, and explain as clearly as you can why you believe it is an error or why you need more information. Tell us the dollar amount of the suspected error. We will investigate your complaint and will correct any error promptly. If we take more than 10 business days to do this, we will credit your account for the amount you think is in error. so that you will have the use of the money during the time it takes us to complete our investigation. THIS FORM IS PROVIDED TO HELP YOU RECONCILE THIS STATEMENT BALANCE TO YOUR CHECKBOOK BALANCE. CHECKS OUTSTANDING (Those written which have not BANK BALANCE been charged to your account) CI-IECK# AMOUNT (1) BALANCE THIS STATEMENT (SHOWN ON FRONT PAGE) S (2) ADD DEPOSITS NOT SHOWN ON THIS STATEMENT (IF ANY) (3) SUBTOTAL S (4) SUBTRACT TOTAL OF CHECKS OUTSTANDING (IF ANY) (5) ADJUSTED BANK BALANCE S YOUR BALANCE (6) CHECK REGISTER BALANCE S (7) ADD CREDITS WHICH APPEAR ON THIS STATEMENT THAT HAVE NOT BEEN RECORDED IN YOUR REGISTER (IF ANY) (8) ADD INTEREST CREDITED TO YOUR ACCOUNT (IF ANY) (9) SUBTRACT OTHER CHARGES (IF ANY) (10) ADJUSTED CHECK REGISTER S TOTAL $ BALANCE • Be sure to record in your check register. Line 5 and Line 10 should now agree. If not, check the following Items In your register: -Are all deposits accounted for? -Are all amounts entered correctly? -Are all automatic transactions accounted for? -Are all additions and subtractions accurate? FDIC INSURED SONY GM 00010174 TERMS AND CONDITIONS: All transactions are subject to the USAA Federal Savings Bank Depository Agreement. 126405-0714 BM1BCK EFTA_001.20828 EFTA01266507  USAA FEDERAL SAVINGS USM BANK PAGE 2 SCOTT BORGERSON 0 16 ACCOUNT NU1.42ER ACCOUNT TYPE STATEMENT PERIOD USAA CLASSIC CHECKING 11/16/18 - 12/17/18 ACCOUNT BALANCE SUMMARY DATE BALANCE DATE BALANCE 11/16 55,085.58 12/12 25,776.96 11/19 32,732.21 12/13 25,012.11 11/20 31,750.51 12/17 8,085.67 12/03 26,250.51 %, * * %, * %, INTEREST PAID INFORMATION * * * * * * * * YOUR INTEREST PAID WAS CALCULATED USING YOUR DAILY BALANCE FOR 31 DAYS FOR AN ANNUAL PERCENTAGE YIELD EARNED OF 0.01%. THIS BRINGS YOUR YTD INTEREST PAID TO 3.69. FDIC INSURED SDNY_GM_00010175 105846.0814_06 B81FRIA EFTA 00120829 EFTA01266508 *are. PAVIA/AT rom •0031,111.4 atteit•Of KIM MOP ..1.40.• 4.• SONY_GM_00010176 EFTA 00120830 EFTA01266509  USAA ft% FEDERAL SAVINGS USAA° BANK PAGE 1 SCOTT BORGERSON 0 16 ACCOUNTTYPE STATEMENT PERIOD USAA CLASSIC CHECKING 12/17/16 • 01/16/19 DEBITS TOTAL AMOUNT NO. P OF TOTAL AMOUNT SERVICE BALANCE THIS LAST STATEMENT PAID OF DEBITS PAID CE OF DEPOSITS MADE CHARMS STATEMENT 8,085.67 7 10,132.27 4 69,201.64 .00 67,155.04 no•dilaiely Il e loon ******** II •0 .00 ri ***** ••• 00 del,. thil OPPOUIlt 00/0.***** TOTAL TOTAL NONSUFF CIENFEET FUNDS (NSF) OVERDRAFT FEES (OD) THIS STATEMENT n nn n nn THIS YEARS STATEMENTS n nn n nn IOW IV/ ***** $01.trell•••• .lide It USA..... .el ........................ t. DEPOSITS AND OTHER CREDITS DATE AMOUNT.TRANSACTION DESCRIPTION 01/02 10,000.00 USAA FUNDS TRANSFER CR FROM Scott G CHECKING 01/02 59,011.70 WIRE IN 001190102844719 01/07 189.62 DEPOSIT 8 MOBILE 01/16 0.32 INTEREST PAID OTHER DEBITS DATE AMOUNT.TRANSACTION DESCRIPTIO 12/18 49.99 ACH DEBIT USAA.COM PAY INT LIFE 1739 12/18 225.27 ACH DEBIT COMCAST ONLINE 4POS 12/18 401.62 ACH DEBIT NATIONAL GRID ONLINE 4POS 01/07 4,213.41 USAA CREDIT CARD PMT CREDIT CARD ENDING IN 01/08 55.00 DEBIT CARD PURCHASE 5691010719 JEAN SHOP K NY 01/08 639.97 ACH DEBIT EASTERN PROPANE ONLIN ****4POS 01/11 4,547.01 USAA INSURANCE PAYMENT SO NY_GM_00010177 93526-0814_05 BMIFRT EFTA_00120831 EFTA01266510  USAA FEDERAL SAVINGS BANK 10750 McDermott Freeway San Antonio. TX 782880544 800.531-8722 PLEASE EXAMINE THIS STATEMENT AT ONCE. IF NO ERROR IS REPORTED IN 60 DAYS. THIS STATEMENT WILL BE CONSIDERED CORRECT. ALL ITEMS ARE CREDITED SUBJECT TO PAYMENT. In Case of Errors or Questions About Your Electronic Transfers. Telephone us or Write us at the address and number listed at the top of this page as soon as you can. if you think your statement or receipt is wrong or if you need more information about a transfer on the statement or receipt. We must hear from you no later than 60 days after we sent you the FIRST statement on which the error or problem appeared. • Tell us your name and account number (if any). • Describe the error or the transfer you are unsure about, and explain as clearly as you can why you believe it is an error or why you need more information. Tell us the dollar amount of the suspected error. We will investigate your complaint and will correct any error promptly. If we take more than 10 business days to do this, we will credit your account for the amount you think is in error. so that you will have the use of the money during the time it takes us to complete our investigation. THIS FORM IS PROVIDED TO HELP YOU RECONCILE THIS STATEMENT BALANCE TO YOUR CHECKBOOK BALANCE. CHECKS OUTSTANDING (Those written which have not BANK BALANCE been charged to your account) CI-IECK# AMOUNT (1) BALANCE THIS STATEMENT (SHOWN ON FRONT PAGE) S (2) ADD DEPOSITS NOT SHOWN ON THIS STATEMENT (IF ANY) (3) SUBTOTAL S (4) SUBTRACT TOTAL OF CHECKS OUTSTANDING (IF ANY) (5) ADJUSTED BANK BALANCE S YOUR BALANCE (6) CHECK REGISTER BALANCE S (7) ADD CREDITS WHICH APPEAR ON THIS STATEMENT THAT HAVE NOT BEEN RECORDED IN YOUR REGISTER (IF ANY) (8) ADD INTEREST CREDITED TO YOUR ACCOUNT (IF ANY) (9) SUBTRACT OTHER CHARGES (IF ANY) (10) ADJUSTED CHECK REGISTER S TOTAL $ BALANCE • Be sure to record in your check register. Line 5 and Line 10 should now agree. If not, check the following Items In your register: -Are all deposits accounted for? -Are all amounts entered correctly? -Are all automatic transactions accounted for? -Are all additions and subtractions accurate? FDIC INSURED SONY GM 00010178 TERMS AND CONDITIONS: All transactions are subject to the USAA Federal Savings Bank Depository Agreement. I26406'0714 SINIBCK EFTA_00I .20832 EFTA01266511  USAA FEDERAL SAVINGS USM BANK PAGE 2 SCOTT BORGERSON 0 16 ACCOUNTNUWER ACCOUNT TYPE STATEMENT PERIOD USAA CLASSIC CHECKING 12/17/18 - 01/16/19 ACCOUNT BALANCE SUMMARY DATE BALANCE DATE BALANCE 12/17 8,085.67 01/08 71,701.73 12/18 7,408.79 01/11 67,154.72 01/02 76,420.49 01/16 67,155.04 01/07 72,396.70 * * * INTEREST PAID INFORMATION * * * * * * * YOUR INTEREST PAID WAS CALCULATED USING YOUR DAILY BALANCE FOR 30 DAYS FOR AN ANNUAL PERCENTAGE YIELD EARNED OF 0.01%. THIS BRINGS YOUR YTD INTEREST PAID TO 0.32. FDIC INSURED SDNY_GM_00010179 105846.0814_06 BAWRIA EFTA_00 II 20833 EFTA01266512  USAA ft% FEDERAL SAVINGS USAA BANK PAGE 1 SCOTT BORGERSON OR GHISLAINE MAXWELL 0 16 ACCOUNTTYPE STATEMENT PERIOD USAA CLASSIC CHECKING 01/16/19 • 02/14/19 OE SERVICE BALANCE THIS MACE DEB WTS TOTALAMCUNT NO.OF TOTALAMOUNT LAST STATEMENT PAID OF DEBITS PAID CEP OF DEPOSITS MADE CHARGES STATEMENT 67,155.04 16 34,365.04 2 7.33 .00 32,797.33 • 00000 nos.* em•Olaiely gad toped n 00000000 II eo ire .1 ..... ••• CO aloys. the etc•v•i • t. ... TOTAL TOTAL NONSUFFCENTFUNDS(NS9 CNERDWAFTP FEES D) FEE THIS STATEMENT n nn n nn MISYEAFESSTATEMENTS n nn n nn il•I• ..... toistr•i•••• .1de It USA................................t. DEPOSITS AND OTHER CREDITS DATE AMOUNT.TRANSACTION DESCRIPTION 02/14 7.00 ATM SURCHARGE REBATE 02/14 0.33 INTEREST PAID CHECKS DATE..CHECK NO AMOUNT DATE..CHECK NO AMOUNT 01/22 995339 10.00 02/08 10.00 OTHER DEBITS DATE AMOUNT.TRANSACTION DESCRIPTI 01/17 49.99 ACH DEBIT USAA.COM PAY INT LIFE *.***1739 01/18 503.50 ATM DB NONLOCAL 6011011819 CITIZENS BANK40 BEACH STER MA 01/18 10,853.14 USAA CREDIT CARD PMT CREDIT CARD ENDING IN 01/22 13,350.00 WIRE OUT 001190122902463 01/23 503.50 ATM DB NONLOCAL 6011012319 CITIZENS BANK40 BEACH STER MA 01/24 400.00 USAA FUNDS TRANSFER TO Scott Borgerson CHECKING