EFTA01291946

WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION AND WILL NOT BE PROCESSED BY FINCEN. Filing Name Currency Transaction Report OMB No. 1506-0064 Version Number 1.1 '1 Type of filing Z Initial report E Correct'amend prior report K 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_00 I 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 •2 a O Person conducting b Person conducting transaction on own behalf law transaction for another 3 O Multiple transactions r--1 Person on whose behalf a 1—, transaction was conducted d O °airier Service (Private) Check entity '4 Individuals last name O Unknown or entilys legal name •5 First name O Unknown 6 Middle name Suffix 7 Gender 8 Alternate Name Indyke Darren Male 9 Occupation or type of business 9a NAICS Code '10 Address O Unknown •11 City O Unknown •12 State O Unknown '14 Country O Unknown "15 TIN 0 Unknown •17 Date of birth 0 Unknown 18 Contact phone number 19 E-mail address Attorney; owner of law flrm 2 Kean CT Livingston [ NJ '13 ZIP/Postal 18 TIN type Ext. Code 0 Unknown 07039 US 1 098648698 SSWITIN 02/1911966 '20 Form of identification used to verify identity Number OUnknown (22 Drivers scene/State ID O Passport O Alien Registration O Other 168941687202654 Country US 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 0 0 [36266976 1 Account number [42953707 1 0 0 Issuing State NJ Page 2 of 6 SDNY_GM_00049873 CONFIDENTIAL - PURSUANT TO FED. R.CON(F IDENTIAL DB-SONY-00 12697 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 a n - K transaction on own behalf b I—I transaction for another 3 O Multiple transactions Person on whose behalf c transaction was conducted d O Courier Service (Private) Check El If entity '4 inaviouars last name O Unknown or entilys legal name '5 First name K Unknown 6 Middle name Suffix 7 Gender 8 Alternate Name 9 Occupation or type of business Darren K. Indyke PLLC 9a NAICS Code '10 Address O Unknown 576 Lexington Ave Ith FL '11 City O Unknown New York •12 State O Unknown NY '14 Count!), O Unknown US •15 TIN 0 Unknown 1300503849 '17 Date of birth 0 Unknown 18 Contact phone number 19 E-mail address '20 Form of identification used to verify identity Number '13 ZIP/Postal Code 0 Unknown 18 TIN type EIN Ext. r-----------1 10022 NUnknown O Drivers license/State ID O Passpon 0 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 indrvidual or entity listed in Item 4 $ 4.000 Account number [42063707 0 0 • Page 3 of 6 SDNY_GM_00049874 CONFIDENTIAL - PURSUANT TO FED. R.QQN(F IDENTIAL DB-SONY-00 12698 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 - n transaction on own behalf b rn transaction for another 3 O Multiple transactions Person on whose behalf c transaction was conducted dO Courier Service (Private) Check O If entity '4 Individuars 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 Epstein Jeffrey 9a NAICS Code '10 Address O Unknown •11 City O Unknown •12 State O Unknown '14 Country O Unknown •15 TIN p Unknown '17 Date of birth 0 Unknown 18 Contact phone number 19 E-mail address 6100 Red Hook Quarter, B3 St. Thomas '13 ZIP/Postal 16 TIN type Ext. Code 0 Unknown VI 00802 US 090443348 SSN4TIN 01/20/1963 '20 Form of identification used to verify identity Number OUnknown (22 Drivers kcense/State ID O Passport O Alien Registration O Other c00000002$913 Country US 2t Cash in amount for individual or entity listed in Item 4 Account number Issuing State VI 22 Cash out amount for individual or entity listed in Item 4 $ 7.600 Account number [36266976 0 0 1 0 0 Page 4 of 6 SDNY_GM_00049875 CONFIDENTIAL - PURSUANT TO FED. R.QQN(F IDENTIAL DB-SONY-00 12699 EFTA_00 160483 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 K Armored car (FI Contract) K ATM K Mail Deposit or Shipment K Night Deposit K 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) c Currency on credit (including markers) .00 c Currency received for funds transter(s) out .00 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 0 0 26 Foreign Cash in Foreign Country 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-00 12700 EFTA_00 I 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 Other (specify) /9 Primary federal regulator Depository institution Federal Reserve Board (FRB) 38 If 37a - Casino/Card Club is checked, indicate type (chedc only one) K State licensed casino Tribal authorized casino K Card dub K Other '30 Legal name of financial institution Deutsche Bank Trust Company Americas 31 Alternate name, e.g. trade name. DBA '32 EIN *33 Address '34 City '35 State 1 134941247 I 346 Park Ave New Yock NY '36 ZIP Code 110154 39 Financial institution ID type ID number '40 Contact office '41 Phone number '42 Date Filed DB PB AML 2122607936 Ext. (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