EFTA01291963

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 Version Number 1.1 '1 Type of filing z initai report E Correctiamend prior report K FinCEN directed Backfihng 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_00049889 CONFIDENTIAL - PURSUANT TO FED. R.CON(F IDENTIAL DB-SONY-0012713 EFTA_00 I 60497 EFTA01291963 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 Person conducting ici Person conducting K transaction on own behalf b law transaction for another 3 O Multiple transactions Person on whose behalf O Courier Service (private) c I—I transaction was conducted 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 Indyke Darren K. Male 9 Occupation or type of business 9a NAICS Code '10 Address O Unknown 91 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 lirm 2 Kean CT Livingston '13 ZIP/Postal 16 TIN type Ext. Code 0 Unknown NJ 07039 US I 07/1911965 '20 Form of identification used to verify identity Number OUnknown IX Drivers license/State ID O Passpon O Alien Registration O 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 14.700 Account number [ 0 0 00 Page 2 of 5 SDNY_GM_00049890 CONFIDENTIAL - PURSUANT TO FED. R.CON(F IDENTIAL DB-SONY-0012714 EFTA_DO I 60498 EFTA01291964 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 r—r Person conducting a n - K transaction on own behalf 1- 1 transaction for another 3 O Multiple transactions Person on whose behalf c transaction was conducted d O Courier Service (Private) Check O If entity '4 Individual's last name O Unknown or entilys 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 Country O Unknown •15 TIN 0 Unknown '17 Date of birth 0 Unknown 18 Contact phone number 19 E-mail address President of SouthemFinanelal 6100 Red Hook Quarter, B3 St. Thomas '13 ZIP/Postal 16 TIN type Ext. Code 0 Unknown VI • US 0112011963 '20 Form of identification used to verify identity OUnknown rg Drivers kcenseiState ID O Passport O Alien Registration O Other Number [ 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 14,700 Account number [ 0 0 1 0 0 Page 3 of 5 SDNY_GM_00049891 CONFIDENTIAL - PURSUANT TO FED. R.CON(F IDENTIAL DB-SONY-0012715 EFTA_00I 60499 EFTA01291965 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 10/0612017 24 K 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 transfor(s) out d Purchase of negotiable instrument (s) e Currency exchangers) f Currency to prepaid access g Purchases of casinos chios, tokens and other gaming instruments ti Currency vrager(s) including money plays Bills inserted into gaming devices z Other (specify): .00 .00 .00 00 .00 00 .00 .00 .00 Total Cash in .00 26 Foreign Cash in 28 Foreign Cash out 6,000 '27 CASH OUT: (In U.S. dollar equivalent) a Wilhdravral(s) b Advance(*) on credit (including markers) C Cimino/ pail from funds transfer(s) in d Negotiable instrument(s) cashed e Currency exchange(s) I Currency from prepaid aeons 9 h z Other (specify). .00 .00 7,500,00 7,200.00 .00 Redemplion(s) or casino chips. tokens, TITO tickets and other gaming instruments Payment(s) on ...agars) On/Siding lace and OTB or sports pooh Travel and complimentary expenses and book gaming Incentives Payment for tournament. contest or other promotions Total Cash out Foreign Country Foreign Country 00 .00 .00 .00 .00 14,700.00 BE 0 0 0 0 Page 4 of 5 SDNY_GM_00049892 CONFIDENTIAL - PURSUANT TO FED. R.QPN(E IDENTIAL DB-SONY-0012716 EFTA_00 I 60500 EFTA01291966 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 I Depository institution Other (specify) 19 Primary federal regulator ! Federal Reserve Board (FRB) 38 If 37a - Casino/Card Club is checked, indicate type (check only one) K State licensed casino 0 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 I 346 Park Ave New York NY '36 ZIP Code j10154 39 Financial institution ID type ID number '40 Contact ofrce '41 Phone number '42 Date Filed DB PB AML (Dale filed wal be auto -populated when lho form is signed.) Page 5 of 5 SDNY_GM_00049893 CONFIDENTIAL - PURSUANT TO FED. R.CON(F IDENTIAL DB-SONY-0012717 EFTA_00160501 EFTA01291967