EFTA01291946.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 Initial report E Correct'amend prior report ❑ FinCEN directed Backfiling Document Control Number / BSA Identifier I 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_00049872 CONFIDENTIAL - PURSUANT TO FED. R.QQN(F IDENTIAL DB-SONY-0012696 EFTA_00I 60480 EFTA01291946  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 3 00 a O Person conducting b Person conducting r--1 Person on whose behalf •2 transaction on own behalf law transaction for another a 1—, transaction was conducted d O °airier Service (Private) 3 O Multiple transactions Check entity '4 Individuals last name O Unknown Indyke or entilys legal name •5 First name O Unknown Darren 6 Middle name Suffix 7 Gender Male 8 Alternate Name 9 Occupation or type of business Attorney; owner of law flrm 9a NAICS Code '10 Address O Unknown 2 Kean CT •11 City O Unknown Livingston •12 State O Unknown [ NJ '13 ZIP/Postal Code 0 Unknown 07039 '14 Country O Unknown US 1 "15 TIN 0 Unknown 098648698 18 TIN type SSWITIN •17 Date of birth 0 Unknown 02/1911966 18 Contact phone number Ext. 19 E-mail address '20 Form of identification used to verify identity OUnknown (22 Drivers scene/State ID O Passport O Alien Registration O Other Number 168941687202654 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 IMNIdlial or entity listed in Item 4 $ 11.600 Account number [36266976 10 0 Account number [42953707 10 0 Page 2 of 6 SDNY_GM_00049873 CONFIDENTIAL - PURSUANT TO FED. R.CON(F IDENTIAL DB-SONY-0012697 EFTA_00160481 EFTA01291947  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 3 00 '2 Person conducting ri Person conducting Person on whose behalf Courier Service a❑ -n transaction on own behalf b I—I transaction for another c transaction was conducted d O (Private) 3 O Multiple transactions Check El If entity '4 inaviouars last name O Unknown Darren K. Indyke PLLC or entilys legal name '5 First name ❑ Unknown 6 Middle name Suffix 7 Gender 8 Alternate Name 9 Occupation or type of business 9a NAICS Code '10 Address O Unknown 576 Lexington Ave Ith FL '11 City O Unknown New York •12 State O Unknown NY '13 ZIP/Postal Code 0 Unknown 10022 '14 Count!), O Unknown US •15 TIN 0 1 Unknown 300503849 18 TIN type EIN '17 Date of birth 0 Unknown 18 Contact phone number 19 E-mail address Ext. r-----------1 '20 Form of identification used to verify identity NUnknown O Drivers license/State ID O Passpon 0 Mien Registration D Other Number Country Issuing State 21 Cash In amount for individual or entity listed in Item 4 Account number 0 0 22 Cash out amount for indrvidual or entity listed in Item 4 $ 4.000 Account number [42063707 • Page 3 of 6 SDNY_GM_00049874 CONFIDENTIAL - PURSUANT TO FED. R.QQN(F IDENTIAL DB-SONY-0012698 EFTA_00 I 60482 EFTA01291948  WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION AND WILL NOT BE PROCESSED BY FINCEN. Part 1 Person Involved in Transaction 3 of 3 00 '2 Person conducting Person conducting Person on whose behalf -n transaction on own behalf b rn transaction for another c transaction was conducted dO Courier Service (Private) 3 O Multiple 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 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 Country O Unknown US •15 TIN p Unknown 090443348 16 TIN type SSN4TIN '17 Date of birth 0 Unknown 01/20/1963 18 Contact phone number Ext. 19 E-mail address '20 Form of identification used to verify identity OUnknown (22 Drivers kcense/State ID O Passport O Alien Registration O Other Number c00000002$913 Country US Issuing State VI 2t 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 $ 7.600 Account number [36266976 10 0 Page 4 of 6 SDNY_GM_00049875 CONFIDENTIAL - PURSUANT TO FED. R.QQN(F IDENTIAL DB-SONY-0012699 EFTA_00160483 EFTA01291949  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 02/11/2018 24 ❑ Armored car (FI Contract) ❑ ATM ❑ Mail Deposit or Shipment ❑ Night Deposit ❑ Aggregated transactions '25 CASH IN: (in U.S. dollar equivalent) '27 CASH OUT: (In U.S. dollar equivalent) a Deposit(s) a Withdravtal(s) $ .00 b Payment(s) .00 b Advance(s) on credit (including markers) .00 c Currency received for funds transter(s) out .00 c Currency paid horn funds trander(s) in .00 0 Purchase of negotiable instrument (s) .00 d Negotiable instrument(s) cashed 11,600,00 e Currency exchangers) 00 e Currency exchange(s) .00 Currency to prepaid access .00 f Currency from prepaid access .00 Purchases of casinos chips. tokens Redemphon(s) of casino claps. tokens. end other gaming Instruments 00 TITO tickets end other gaming instruments 00 h Currency wager(*) including h Payment(s) on weare(s) rincluding mot maxi *Vs .00 and OTB or scats pool) .00 Travel and complanentary expenses and I Ws inserted into °erring devices .00 book gaming Incenthres .00 Payment tor tournament. contest or other 2 Other (specify): promotions .00 .00 z Other (specify) .00 Total Cash in .00 Total Cash out 11,500,00 26 Foreign Cash in Foreign Country 0 0 28 Foreign Cash out Foreign Country 0 0 Page 5 of 6 SDNY_GM_00049876 CONFIDENTIAL - PURSUANT TO FED. R.CON(F IDENTIAL DB-SONY-0012700 EFTA_00I 60484 EFTA01291950  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 ❑ 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 1134941247 *33 Address 346 Park Ave '34 City New Yock '35 State NY '36 ZIP Code 110154 39 Financial institution ID type ID number '40 Contact office DB PB AML '41 Phone number 2122607936 Ext. '42 Date Filed (Dale filed wal be auto -populated when lho form is signed.) Page 6 of 6 SDNY_GM_00049877 CONFIDENTIAL - PURSUANT TO FED. R.QQN(F IDENTIAL DB-SDNY-0012701 EFTA_(()160485 EFTA01291951