EFTA01654356.pdf

FinCEN I Financial Crimes Enforcement Network United Sum Depaantau *hitt Lawry L46 LSC9 L0000 LC VS0 FBAR Transcript BSA: 31000016351947 and DCN:20121736062060 Filing Information Filing Type(s) Initial Report Filing Date 06/21/2012 Received Date 06/23/2012 Entry Date 10/31/2012 Report for Calendar Year 2011 Submission Method Paper filing Filer Information Filer Role Foreign account filer Filer TIN Identification Type SSN/ITIN Identification Number Type of Filer Individual Filer Last Name or EPSTEIN Organization Name Filer First Name JEFFREY E Filer Date of Birth 01/20/1953 Filer Address Address Type Foreign account filer address Street Address 6100 RED HOOK QUARTER B3 6100 RED HOOK QUARTER B3 - Enhanced City ST THOMAS ST THOMAS - Enhanced State VI VI - Enhanced ZIP Code 00802 00802 - Enhanced County US US - Enhanced Financial Interest in 25 or No More Accounts Information on Financial Account(s) Owned Separately Account 1 of 2 Report For Calendar Year 2011 Filer Role Foreign account filer Filer TIN Identification Type SSN/ITIN Identification Number Type of Filer Individual Page 1 The co:Io,ecl 11,0/1113,RXIV•3: collected and disseminated under pcoviziss of the Bank Secrecy Act (Ne SSA) and U.S. Department of the Treasury regaations imptementing the BSA. See 31 U S C. 5311, e seg.. 31 CFR Chapter X. The mformation a sensitive n natwe and is to be treats accadingly. The information may be used only fa a purpose con ustent with acr.-n.1*. tax. or regulatory nvestigation cr woceeding or in the conduct of mtelligence or countermtelligence activities. incluttn analysis, to protect against mtemational terrorism. See 31 U.S.C. $311. The information cannot be further released. disseminated. disclosed. or transmitted without prior approval of the Director of Financial Crimes Enforcement Netwakor his authorized delegate. Suspicious activity reports filed under the OSA must be treated .mth particular care given that they contain unsubstantiated allegations of passiale criminal activity. akin to confidential informant tips. Unauthorized release of infamaton collected wide: the GSA may result in criminal or civil :miens:. EFTA01654356  FinCEN Financial Crimes Enforcement Network United Smith Departmair rA the rtaauty L461.9£91.0000 LC VSEI FBAR Transcript BSA: 31000016351947 and DCN:20121736062060 Information on Financial Account(s) Owned Separately Filer Last Name or EPSTEIN Organization Name Account Type Bank Account Number or Other 0293300030061444 Designation Maximum value of Account $50,000 During Calendar Year Reported Name of Financial Institution BNP PARIBAS in which the Account is Held Financial Institution Address Address Type Foreign account financial institution address Street Address 16 BOULEVARD DES ITALIANS 16 BOULEVARD DES ITALIANS - Enhanced City PARIS PARIS - Enhanced ZIP Code 75009 75009 - Enhanced Country FR FR - Enhanced Report For Calendar Year 2011 Filer Role Foreign account filer Filer TIN Identification Type SSN/ITIN Identification Number Type of Filer Individual Filer Last Name or EPSTEIN Organization Name Account Type Bank Account Number or Other 0293300000062351 Designation Maximum value of Account $57,668 During Calendar Year Reported Name of Financial Institution BNP PARIBAS in which the Account is Held Financial Institution Address Address Type Foreign account financial institution address Street Address 16 BOULEVARD DES ITALIANS 16 BOULEVARD DES ITALIANS - Enhanced City PARIS PARIS - Enhanced ZIP Code 75009 75009 - Enhanced Page 2 The cot ned ellatmatext was collected and disseminated under provisions of the Bank Secrecy Act (the SSA) and U.S. Department of the Treasury regaations implementing the BSA. See 31 U S C. 5311, et sect. 31 CFR Chapter X. The mformation a senative m nature and is to be treats accadingly. The information may be used only fa a purpose con ustent with a crrnmat. tax. or regulatory nvestigation cr pleceeding or in the conduct of mtelligence or countermtelligence activities. indueng analysis. to protect against mtemational terrorism. See 31 U S.C. 5311. The information cannot be further relea ed. disseminated. disclosed. or transmitted without prior approval of the Director of Financial Grins Enforcement Netwakor his authorized delegate. Suspicious activity reports filed under the OSA must be treated wqh particular care given that they contain unsubstantiated allegations of pass.ble criminal activity. akin to ccofidential informant tips. Unauthorized release of information collected wide: die OSA may result in criminal or civil :webs:. EFTA01654357  FinCEN Financial Crimes Enforcement Network United Sc Depatimait a the Ticanuty LV6 LSC9 L0000 LE VS9 FBAR Transcript BSA: 31000016351947 and DCN:20121736062060 Information on Financial Account(s) Owned Separately Country FR FR - Enhanced Information on Financial Account(s) Where Filer has Signature Authority but No Financial Interest in the Account(s) Report For Calendar Year 2011 Filer Role Foreign account filer Filer TIN Identification Type SSN/ITIN Identification Number Type of Filer Individual Filer Last Name or EPSTEIN Organization Name Account Type Securities Account Number or Other 303258 Designation Maximum value of Account $5,353,277 During Calendar Year Reported Name of Financial Institution VALARTIS BANK AG in which the Account is Held Financial Institution Address Address Type Foreign account financial institution address Street Address SIHLSTRASSE 24 SIHLSTRASSE 24 - Enhanced City ZURICH ZURICH - Enhanced ZIP Code 8021 8021 - Enhanced Country SZ CH - Enhanced Role of Owner Foreign account owner (other than filer) TIN of Account Owner Identification Type EIN Identification Number 660567418 Owner Last Name or FINANCIAL TRUST COMPANY INC Organization Name Owner Address Address Type Foreign account owner address Street Address 6100 RED HOOK QUARTER B3 6100 RED HOOK QUARTER B3 - Enhanced City ST THOMAS ST THOMAS - Enhanced State VI Page 3 Iht col:Tined efoirnwax, war: collected and disseminated under provisions of the Bank Secrecy Act (Me SSA) and U.S. Department of the Treasury regOations implementing the BSA. See 31 U.S.C. 5311, e. sect. 31 CFR Chapter X. The mformation is sensitive in nature and is to be treats accadingly. The information may be used only for a purpose con ustent with a crrnmat. tax. or regulatory nvestigation cr mac:ceding or in the conduct of mtelligence or countermtelligence activities. inclucralg analysis, to protect against mtemational terrorism. See 31 U.S.C. 5311. The information cannot be further relexed. disseminated. disclosed. or transmitted without prior approval of the Director of Financial Cranes Enforcement Network or his authorized delegate. Suspicious activity reports ftled under the BSA must be treated with particular care given that they contain unsubstantiated allegations of paystale criminal activity. akin to confidential informant tips. Unauthorized release of information collected uncle: the BSA may result in criminal or civil :webs:. EFTA01654358  FinCEN I Financial Crimes Enforcement Network United Stat. ()Tamale a the riceuty LV6 LS6910000 LC VSEI FBAR Transcript BSA: 31000016351947 and DCN:20121736062060 Information on Financial Account(s) Where Filer has Signature Authority but No Financial Interest in the Account(s) VI - Enhanced ZIP Code 00802 00802 - Enhanced Country US US - Enhanced Filers Title with this Owner OFFICER SHAREHOLDER Signature Signature Yes Signature Date 06/21/2012 Third Party Preparer Use Only No Third Party Preparer Use Only Information Available Page 4 The enclosed iriformataxi was collected and disseminated under pcovizicn: of the Bank Secrecy Act (the SSA) and U.S. Department of the Treasury regOations implementing the BSA. See 31 U.S.C. 5311. et sect. 31 CFA Chaplet X. The nformation is sensitive ri nature and is. to be treated accordingly. The information may be used only foe a purpose con ustent with acr.-net*. tax. or regulatory rwestigation cr ploceeding. or in the conduct of ntelligence or counterntelligence activities. includng analysis, to protect against nternational terrorism. See 31 U.S.C. 5311. The information carnet be further released. disseminated. disclosed. or transmitted without prior approval of the Director of Friancial Crates Enforcement Network or his authorized delegate. Suspicious activity reports feed under the 0SA must be treated with particular care given that they contain unsubstantiated allegations of paystale criminal activity. akin to confidential informant tips. Unauthorized release of information collected wide: the 0SA may rezult in criminal or civil zanclicns. EFTA01654359