EFTA01291941

WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION AND WILL NOT BE PROCESSED BY FINCEN. Currency Transaction Report OMB No. 1506-0064 Filing Name (62.6266 Version Number 1.1 '1 Type of filing Minitel report K Correctiamend prior report K FunCEN directed Backfiling 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_00049867 CONFIDENTIAL - PURSUANT TO FED. R.CON(F IDENTIAL DB-SDNY-0012691 EFTA_001 60475 EFTA01291941 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 ri Person conducting .2 8 transaction on own behalf 3 O Multiple transactions Person conducting Person on whose behalf b transaction for another c ❑transaction was conducted O Cmiller Service (private) Check O If entity '4 Indwiduars last name O Unknown or entity's legal name •5 First name O Unknown 6 Middle name Suffix 7 Gender 8 Alternate Name 9 Occupation or type of business Indyke Darren K. Male Attorney; owner of law arm 9a NAICS Code '10 Address O Unknown •11 City K Unknown •12 State O Unknown '14 Country O Unknown '15 TIN 0 Unknown •17 Date of birth El Unknown 18 Contact phone number 19 E-mail address '13 ZIP/Postal le TIN type Ext. Code 0 Unknown NJ [ • US SSN.ITIN '20 Form of identification used to verify identity Number OUnknown cg Drivers scene/Stale ID O Passport O Alien Registration K Other Country US 21 Cash In amount for individual or entity listed in Item 4 Account number Issuing State NJ 22 Cash out amount for Individual or entity listed in Item 4 $ 40.000 Account number) 0 0 1 0 • Page 2 of 5 SDNY_GM_00049868 CONFIDENTIAL - PURSUANT TO FED. R.CONIF IDENTIAL DB-SONY-0012692 EFTA_00 160476 EFTA01291942 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 Person conducting 11 a - K transaction on own behalf I—I transaction for another 3 O Multiple transactions Check El If entity '4 Individual's last name O Unknown or entity's legal name •5 First name K Unknown Person on whose behalf c d O E transaction was conducted Courier Service (Private) 6 Middle name Suffix 7 Gender 8 Alternate Name 9 Occupation or type of business Darren K. Indyke PLLC 9a NAICS Code '10 Address '11 City •12 State '14 Country •15 TIN •17 Date of birth 18 Contact phone number 19 E-mail address O Unknown O Unknown O Unknown O Unknown D Unknown 0 Unknown New York '13 ZIP/Postal 16 TIN type I Ext. Code 0 Unknown NY 10022 US E1N '20 Form of identification used to verify identity Number Unknown O Drivers scene/Stale II) O Passport K Mien Registration D Other Country 21 Cash In amount for individual or entity listed in Item 4 Account number Issuing State 22 Cash out amount for Individual or entity fisted in Item 4 40.000 Account number [ 0 0 Page 3 of 5 SDNY_GM_00049869 CONFIDENTIAL - PURSUANT TO FED. R.CON(F IDENTIAL DB-SONY-00 12693 EFTA_00160477 EFTA01291943 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 [e6/27/2014 24 K Armored car (FI Contract) K ATM K Mail Deposit or Shipment K Night Deposit K Aggregated traneadions 15 CASH IN: (in U.S. dollar equivalent) '27 CASH OUT: (In U.S. dollar equivalent) a Deposit(s) a Wilhdravraes) 00 b Paymenes) .00 b Advance(s) c Currency on credit (Including markers) .00 c Currency received for funds transter(s) out .00 pad horn lunds transients/ In .00 0 Purchase of negotiable instrument (s) .00 d Negotiable instrument(s) cashed 40,000,00 e Currency exchangers) 00 e Currency exchangers) .00 Currency to prepaid access .00 f Currency from prepaid access .00 Purchases of casinos chips. tokens Redemphonee of casino chips. tokens. and other gaming Instruments 00 TITO tickets end other gaming instruments 00 h Currency wagergt) including h Payment(s) on wagen(s) (including root mane/ *Ts .00 and OTB or sports pool) .00 Travel and congernentary expenses and I Bills inserted kite craning devices .00 took gaffing Incentives .00 Payment la tournament. contest or other a Other (specify): promotions 00 .00 a Other (specify) Total Cash in ._..._._•00 40,000.00 Total Cash out 26 Foreign Cash in Foreign Country 0 0 28 Foreign Cash out Foreign Count!). 0 0 Page 4 of 5 SDNY_GM_00049870 CONFIDENTIAL - PURSUANT TO FED. R.CON(FIDENTIAL DB-SONY-00 12694 EFTA_00 160478 EFTA01291944 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) '29 Primary federal regulator I Federal Reserve Board (FRB) 38 If 37a - Casino/Card Club is checked, indicate type (child( only one) K State licensed casino 0 Tribal authorized casino K Card club '30 Legal name of financial institution 31 Alternate name, e.g. trade name, DBA '32 EIN *33 Address '34 City '35 State K Other IDeutsche Bank Trust Company Americas New York NY '36 2IP Code j10154 39 Financial institution ID type ID number '40 Contact offite '41 Phone number '42 Date Filed DB PB AML (Dale filed will be auto -populated when Ihe form is signed.) Page 5 of 5 SDNY_GM_00049871 CONFIDENTIAL - PURSUANT TO FED. R.QQN(F IDENTIAL DB-SONY-00 12695 EFTA_00 160479 EFTA01291945