EFTA01291952

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 152-6374 Version Number 1.1 9 Type of filing Z Initial report E Correctsmend prior report K FinCEN directed Backfiiing 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_00049878 CONFIDENTIAL — PURSUANT TO FED. R.CON(F IDENTIAL DB-SONY-00 12702 EFTA_00 I 60486 EFTA01291952 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 1 of 3 00 •2 a O Person conducting Person conducting transaction on own behalf b transaction for another 3 O Multiple transactions Check D If entity '4 Individual's last name O Unknown or entity's legal name '5 First name O Unknown Person on whose behalf c I—I transaction was conducted d O Courier Service (Private) 6 Middle name Suffix 7 Gender 8 Alternate Name Indyke Darren LK. 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 Kum CT Livingston '13 ZIP/Postal 18 TIN type Ext. Code 0 Unknown NJ [ 07039 US 098648698 SSWITIN 0211911988 '20 Form of identification used to verify identity Number O Unknown (22 Drivers scene/State ID O Passpon O Alien Registration O Other 168941687202864 Country US 21 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 $ 11.600 Account number 0 0 135289891 1 Account number [42953707 1 0 0 Issuing State NJ Page 2 of 6 SDNY_GM_00049879 CONFIDENTIAL - PURSUANT TO FED. R.CON(F IDENTIAL DB-SONY-00 12703 EFTA_OOI 60487 EFTA01291953 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 - n transaction on own behalf r.-1 Person conducting transaction for another 3 O Muftiple transactions Check El If entity '4 Individual's last name O Unknown or entity's legal name '5 First name K Unknown 6 Middle name Suffix 7 Gender 8 Alternate Name 9 Occupation or type of business poi Person on whose behalf c Ida4 O Courier transaction was conducted d Service (Ovals) Darren K. Indyke PLLC 9a NAICS Code '10 Address O Unknown 676 Lexington Ave Ith FL '11 City O Unknown New York •12 State O Unknown NY '14 Country O Unknown US •15 TIN K Unknown [3006031349 '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 16 TIN type 1 ed EIN 10022 NUnknown O Drivers license/State II) O Passpon O Mien Registration K Other Country 2t Cash in amount for individual or entity listed in Item 4 Account number Issuing State 22 Cash out amount for irxlmdual or entity listed in Item 4 $ 4.000 Account number [42.63707 0 0 • Page 3 of 6 SDNY_GM_00049880 CONFIDENTIAL - PURSUANT TO FED. R.CON(F IDENTIAL DB-SONY-00 12704 EFTA_00 I 60488 EFTA01291954 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 3 of 3 00 '2 Person conducting Person conducting 8 n transaction on own behalf b rn transaction for another 3 O Multiple transactions Check O If entity '4 Individuars last name O Unknown or entity's legal name '5 First name O Unknown Person on whose behalf c g transaction was conducted d O Ccurier Service (Private) 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 K Unknown •12 State O Unknown '14 Country O Unknown •15 TIN D Unknown '17 Date of birth D 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 SSWITIN 01/20/1953 '20 Form of identification used to verify identity Number OUnknown ig Drivers kcense/State ID D Passport O Mien Registration O Other c000000029913 Country US 21 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 [35269691 0 0 100 Page 4 of 6 SDNY_GM_00049881 CONFIDENTIAL - PURSUANT TO FED. R.CON(F IDENTIAL DB-SONY-00 12705 EFTA_00 I 60489 EFTA01291955 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 1211 312016 24 O Armored car (FI Contract) K ATM K Mail Deposit or Shipment ['Night Deposit K Aggregated transaction 15 CASH IN: (in U.S. dollar equivalent) a Deposit(s) b Payment(s) c Currency reserved for funds transien(s) out d Purchase of negotiable instrument (s) e Currency exchange(&) Cuttonty to prepaid atoms g Purchases of casinos chlas, tokens and other gaming instruments ti Gwent,/ vrager(s) including money plays I Bills inserted into gaming devices z Other (specify): Total Cash in .00 .00 .00 00 .00 00 .00 .00 26 Foreign Cash in 28 Foreign Cash out .00 .00 '27 CASH OUT: (In U.S. dollar equivalent) a Withdtarral(s) b Advance(s) on credit (Including markers) C Cermency paid from funds transfer(s) d Negotiable instrumem(s) cashed e Cunency exchange(%) .00 .00 11400,00 .00 I Currency Iran prepaid access g Redomplion(s) or casket chips. tokens, TITO tickets and other gaming instruments h Payrnonl(s) on motet (s) (including rate and OTB or sports poor I Travel and complementary expenses and took gaming Incentives Payment fa tournament contest a other promotions Z Other (specify) Total Cash out Foreign Country Foreign Country .00 00 .00 .00 .00 .00 11,500.00 0 0 0 0 Page 5 of 6 SDNY_GM_00049882 CONFIDENTIAL - PURSUANT TO FED. R.QQN(E IDENTIAL DB-SONY-0012706 EFTA_00 I 60490 EFTA01291956 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 '37 Type of financial institution I Depository institution Other (specify) '29 Primary federal regulator I Federal Reserve Board (FRB) 38 If 37a - Casino/Card Club is checked, indicate type (chedc only one) 0 State licensed casino fl Tribal authorized casino fl Card club O 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 '36 State 1 134941247 I 346 Park Ave New York NY '36 ZIP Code j10154 39 Financial institution ID type ID number '40 Contact office '41 Phone number '42 Date Filed DB PB AML 2122607936 Ext. (Dale filed will be auto -populated when Ibis form is signed.) Page 6 of 6 SDNY_GM_00049883 CONFIDENTIAL - PURSUANT TO FED. R.CON(F IDENTIAL DB-SONY-0012707 EFTA_00 I 60491 EFTA01291957