EFTA01291958

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 62.6406 9 Type of filing Version Number 1.1 z Initial report K Correct/amend prior report K FinCEN directed Backfaing Document Control Number / BSA Identifier Save Validate Print I 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. Skin with PIN SDNY_GM_00049884 CONFIDENTIAL - PURSUANT TO FED. R.CON(F IDENTIAL DB-SONY-00 12708 EFTA_001 60492 EFTA01291958 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 '2 a O Person conducting Person conducting transaction on own behalf b transaction for another 3 O Multiple transactions Person on whose behalf c O transaction was conducted d K Courier Seivim (Private) Check K If entity '4 Individual's last name O Unknown or entity's legal name '5 First name O Unknown 6 Middle name Suffix 7 Gender 8 Alternate Name lndyke Darren K. 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 K UNcrimi 18 Contact phone number 19 E-mail address Attorney; owner of law firm 2 Kean CT Livingston '13 ZIP/Postal 18 TIN type Code 0 Unknown 07039 is SSN4TIN '20 Form of identification used to verify identity El Drivers license/State Number OUnknown O Alien Registration O Other 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 $ 36.000 Account number [ 0 0 • Page 2 of 5 SDNY_GM_00049885 CONFIDENTIAL - PURSUANT TO FED. R.QQN(F IDENTIAL DB-SONY-00 12709 EFTA_001 60493 EFTA01291959 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 00 '2 Person conducting Person conducting fl a - K transaction on own behalf 1- 1 transaction for another 3 K Muftiple transactions Person on whose behalf c ® transaction was conducted d K Courier Servloe (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 Epstein Jeffrey 9 Occupation or type of business 9a NAICS Code '10 Address O Unknown '11 City O Unknown •12 State O Unknown '14 Count!), O Unknown "15 TIN 0 Unknown '17 Date of birth 0 Unknown 18 Contact phone number 19 E-mail address President of SouthemElnanclal 6100 Red Hook Quarter, B3 St. Thomas '13 ZIP/Postal 16 TIN type Ext. Code 0 Unknown VI 00802 US 090443348 SSN4TIN 01/2011953 '20 Form of identification used to verify identity Number OUnIcnovm ig Drivers license/State ID O Passport O Alien Registration O Other 000000029913 Country US 21 Cash in amount for individual or entity listed in Item 4 Account number Issuing State VI 100 22 Cash out amount for Individual or entity listed in Item 4 $ 36.000 Account number [3.5269691 1 0 • Page 3 of S SDNY_GM_00049886 CONFIDENTIAL - PURSUANT TO FED. R.CON(F IDENTIAL DB-SONY-0012710 EFTA_00 I 60494 EFTA01291960 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 0911912017 24 El Armored car (FI Contract) K ATM K Mail Deposit or Shipment K Night Deposit K Aggregated transactions 15 CASH IN: (in U.S. dollar equivalent) a Deposit(s) b Payments) c Currency reserved for funds translor(s) out d Purchase of negotiable instrument (s) e Currency exchangem) f Currency to prepaid access g Purchases of casinos chiles, tokens and other gaming instruments h Cimency vrager(s) including money plays I Bills inserted into gaining devices z Offer (speedy): Total Cash in .00 .00 .00 00 .00 00 .00 .00 .00 .00 26 Foreign Cash in 28 Foreign Cash out '27 CASH OUT: (In U.S. dollar equivalent) a Withdramal(s) S b Advance(s) on credit (including markers) C Potency paid from funds transfot(s) d Negotiable instrument(s) cashed e Currency exchange(s) I Currency from prepaid across a h Z Other (specify) .00 .00 35,000,00 .00 .00 Redamplion(s) of casino depe tokens, TITO tickets and other gaming instruments Payrnenhs) on wages) 0nciuding lace and OTB or sports goon Travel and complimentary expenses and book gaming Incentives Payment for tournament. contest a other promotions Total Cash out Foreign Country Foreign Country 00 .00 .00 .00 .00 35.000.00 0 0 0 0 Page 4 of 5 SDNY_GM_00049887 CONFIDENTIAL - PURSUANT TO FED. R.QQN(E IDENTIAL DB-SONY-0012711 EFTA_(() I60495 EFTA01291961 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 K Tribal authorized casino 0 Card club K Other '30 Legal name of financial institution I Deutsche Bank Trust Company Americas 31 Alternate name, e.g. trade name. DBA '32 EIN *33 Address '34 City *35 State 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 Ext. (Dale filed wal be auto -populated when lho form is signed.) Page 5 of 5 SDNY_GM_00049888 CONFIDENTIAL - PURSUANT TO FED. R.CON(F IDENTIAL DB-SONY-0012712 EFTA_(() 160496 EFTA01291962