Case File
efta-01481662DOJ Data Set 10OtherEFTA01481662
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01481662
Pages
13
Persons
0
Integrity
Extracted Text (OCR)
EFTA DisclosureText extracted via OCR from the original document. May contain errors from the scanning process.
USCG Due Diligence Report - Corporation
DDR Name: HBRK Associates Inc. —
DDR Status: Process Completed
Banker Information
Banker:
Paul V Morris/JPMCHASE
LE/OU:
Banker SID:
Banker BAC:
Banker FNEN:
Banker History:
03/04/2010 11:23:27 PM - CRD / Notrix changed: Banker from Mary C Casey/-
JPMCHASE to Paul V Morris/JPMCHASE.
DM ID Link Information
The DM for this DDR is DM Name -JEFFREY E EPSTEIN CAS ID - 9710670708.
The following DDR's are associated with this Decision Maker .
DDR Name
Banker
116 East 65th St., LLC
Darren K. Indyke PLLC
EMMCAC, LLC
Epstein, Jeffrey
Financial Trust Company, Inc.
Financial Trust Company, Inc.
Freedom Air International, Inc.
HBRK Associates Inc.
Hyperion Air, Inc.
I-Correct.com LLC
Indyke, Darren K
Jege, Inc.
LYN & JOJO LLC
MAX Foundation
New York Strategy Group, LLC
Plan D, Inc.
The 2007 Jeffrey E Epstein Insurance Trust
#2 - November 1, 2007
The 2007 Jeffrey E Epstein Insurance Trust
#3 dtd November 1, 2007
The 2007 Jeffrey E. Epstein Insurance
Trust #1 Dtd November 1, 2007
The C.O.U.Q. Foundation, Inc.
The Haze Trust
Corporation Name/Contact Information
Morris, Paul V
Morris, Paul V
Morris, Paul V
Morris, Paul V
Morris, Paul V
Morris, Paul V
EFTA01481662
Morris, Paul V
Morris, Paul V
Morris, Paul V
Morris, Paul V
Morris, Paul V
Morris, Paul V
Morris, Paul V
Morris, Paul V
Morris, Paul V
Morris, Paul V
Morris, Paul V
Morris, Paul V
Morris, Paul V
Morris, Paul V
Morris, Paul V
Morris, Paul V
Morris, Paul V
102/29338
N256838
8634--CHBG
01
Security Services Search Date
02/02/2009
10/17/2008
02/08/2004
08/06/2004
03/07/2011
08/11/1999
05/21/2003
03/11/2010
10/17/2008
02/03/2009
01/30/2009
01/15/2010
02/03/2009
07/31/2006
02/08/2004
12/10/2009
04/16/2003
01/30/2009
12/01/2008
12/02/2008
11/25/2008
01/28/2004
Only Select "New Client" if this entity will be a PCN.
Full Legal Corporate
Name:
HBRK Associates Inc.
(No P.O. Box address. Must be a physical address.)
JPMC Internal Use Only
EFTA01481663
EFTA01481664
Primary Corporate Address
Name:
Attention:
Address Line 1:
Address Line 2:
City:
State:
Province:
Postal/Zip Code:
Tax ID # :
Business Phone:
State of Domicile:
Where is the Company
Incorporated?
What document did you obtain to
evidence state of domicile?
Articles of Incorporation,
Partnership Agreement, etc
10022
UNITED STATES
HBRK Associates Inc.
Richard Kahn
457 Madison Ave.
New York
NY
300503838
Remember to collect W-8's or other applicable tax forms for each
jurisdiction.
()NY
Certificate
of Incorporation
Introduction / Financial Information
Introduction Type:
Related Client A/C
Specific Information:
Have you met with the Principal/Authorized
Individual?
Legal Entity:
Corporation
Jeffrey Epstein is a longstanding client
(Please identify referral source, etc.)
Corporation
What is the nature of the business operations?
(Describe products and services offered, how
long in business, etc. If this is an operating
company, indicate appx. number of locations
and appx. number of employees, list a website
if available)
Public or Privately owned? (if public, where
traded?)
EFTA01481665
Locations served?
Is this a cash intensive business or a business
that uses cash as it's principal activity? (e.g.
convenience store, restaurants, retail stores,
liquor stores, cigarette distributor, vending
machine operator, parking garage, any other
business in which cash is its principal activity)
Principal Shareholder(s):
Identify the principal shareholders. If the entity is owned by an
intermediate legal structure
(e.g. LLC or Partnership), please list the ultimate individual
shareholder(s) on whose behalf
the account is maintained.
Last Name:
First Name:
Kahn
Beller
Richard
Harry
% of Ownership:
50
50
SSN
Consulting
privately owned
DOB
Form of Govt
Obtained
drivers license
drivers license
Is this an operating company?
EFTA01481666
Entity/Client Net Worth:
$ 1.00 (USD millions)
Documentation/ Information obtained to
confirm stated net worth of the Entity/Client:
Industry Code:
The Business Type is the industry in which the
client derives the majority of its income.
Transaction Profile/Expected Account Activity
What is the purpose/intended use of this
account?
What is the expected source of account
funding ?
Approximate $ amount to fund the account
receipt and distribution of consulting fees
Wire
200,000
Please select each "Product Type" that applies. Within each product type,
please check ALL transaction types that apply
and provide a description of expected account activity. (document expected
sources of inflows and destinations of
transfers,countries, and types of payors/payees.Include where is the money
coming from - example : A specific bank or
firm and purpose of specific transactions, if known)
Product Type - Select all that apply
Transaction Types - Select all that apply and expected
activity level ( L = 1-5, M = 6-12, H =>12 transactions
per month)
Deposit/Current Accounts
(Checking, Savings, Money Market)
Cash ( withdrawals/deposits) -
Check deposits / Check paid -
Wire Incoming & Outgoing
Internal Transfers
Other
Please describe in detail expected account activity for this product :
Investment Products
(Custody, Brokerage,Agency,Margin)
Fiduciary
(Investment Mgmt. / Trust)
Credit type facilities
(Line of Credit, Mortgage, Letter of Credit)
Required Security Services Checks
Security Search Type:
Note for Security Services:
Please list any specific search
requests/instructions to Security
Services here
Security Services Information
A Security Services Check is REQUIRED for New Clients and Prospects
This section to be completed by the Security Services Group:
EFTA01481667
List Individuals and Corporate Entities Investigated:
Attachment:
Please Note: All research is subject to the availability of electronic
database resources.
Operational activity
to support a small
office.
Anticipated $
Amount Totals per
month — Please
provide at least an
estimate
Below $10000
Below $100000
Below $1MM
conversation with client
PRIVATE HOUSEHOLDS
NAIC Code: 814100
Media Searches Only
The company was just recently formed.
EFTA01481668
Search Type
Is
Security Service Details:
Further
Review
by
Banker
Require
d?
Company Information
Corporate Records
Other Database Searches
(RDC/CDC/MIS)
Internal Database Search
(CSSS/FPS)
State Court Searches
No
No
No
No
No
Federal Court Searches No
Personal Particulars
Publications
Regulatory Sanctions
No
No
No
OFAC/Control List Search No
Not Requested.
Not Requested.
Not Requested.
No records were found.
Not Requested.
Not Requested.
Not Requested.
Publications revealed nothing derogatory.
No records were found.
No records were found.
Has this been identified as a Red Dot DDR? :
Expense No.:
Total Costs:
Signed by:
Dated:
99/31167
$0.00
Vanessa A Budhu
10/17/2008 08:28:48 PM
Banker
Response:
Background Checks conducted in addition to Security Services
EFTA01481669
Background Check
Date
(Required If Check Carried
Out)
10/03/2008
Comments
(Required If Check Carried Out)
Jeffrey Epstein is a longstanding client. He has dissolved his
family office (New York Strategy Group) and has split it in two:
HBRK Associates Inc. and Darren K Indyke PLLC. HBRK provides
consulting and accounting services to Mr. Epstein.
Summary
Summary Of Findings:
Anticipated Product(s)
Jeffrey Epstein is a longstanding client. He has dissolved his family office
(New York
Strategy Group) and has split it in two: HBRK Associates Inc. and Darren K
Indyke PLLC.
HBRK provides consulting services to Mr. Epstein.
Deposits
EFTA01481670
Client Hierarchy Assignments
GRAY SHADED AREA CONTAINS SPN/CAS ID ASSIGNMENT INFORMATION
Banker SID
N256838
Banker BAC:
FNEN:
Does the DDR have Multiple
Entities?
8634--CHBG
01
No
Client Hierarchy and Additional Entity Assignment:
Name
HBRK ASSOCIATES INC.
Linked to DM Name
JEFFREY E EPSTEIN
Date of Birth
No
Tax ID #
Existing
CAS Id
SPN No
Contact Information for each entity named within the Client Hierarchy Table:
Associated Entity
Goverment issued
I.D Obtained
HBRK ASSOCIATES INC.
Do any of the above entities require a joint SPN?
Select Yes, if multiple entities will share the same
account (OMNI, CASII or Olympic)
Does the DDR have Multiple Owners?
No
This area is used to document individuals who DO NOT require a new CAS or
SPN, but have authority over the entity or
entities for which this DDR was created. Individuals documented within the
above client hierarchy area do not need to be
repeated in this section
Name
Goverment issued
I.D Obtained
Attention
State
Citizenship
Address Line 1
Zip
Tax ID #
Date of Birth
EFTA01481671
Tax ID #
Linking to
DM Id
9710670
708
Citizenship
Address Line 2
City
Province
Country
Approval Information
Public/High Profile Figure
No
High Risk Jurisdiction
High Risk Business
Is this a Foreign Bank?
"Foreign Bank" as defined in the USA
PATRIOT Act.
Banker:
LE/OU:
Senior Manager:
Paul V Morris/JPMCHASE
102/29338
Marcus Sheridan/JPMCHASE
No
No
No
Annual / Periodic Review Information
Annual/Periodic Review
Due in:
36 months
EFTA01481672
Periodic Review Comments :
Temporary Waiver Information
Waiver Status:
Reason for Waiver:
Waiver Requested By:
Date of Waiver Request:
Approver for Waiver:
Waiver Approved On:
Banker Approval Information
Sponsorship affirmation -
Based on my due diligence and the information provided , I approve and
accept sponsorship of HBRK Associates Inc. —
as a Client from inception and throughout the client relationship.
Mary C Casey 10/20/2008 08:41:29 AM
Senior Manager Approval Information
Based on the information provided and the approval granted by Mary C Casey,
I approve the acceptance of HBRK Associates
Inc. — as a Client.
Marcus Sheridan 10/20/2008 03:36:15 PM
Admin Comments
Admin Comments:
By:
Admin Comments History :
Document History
Created: 10/03/2008
Last Modified: 10/20/2008
Submitted: 10/17/2008 08:28:49 PM
Audit History
8. 'Senior Manager Approval' performed by: Marcus Sheridan on: 10/20/2008
03:36:14 PM
7. 'Banker Approval' performed by: Mary C Casey on: 10/20/2008 08:41:30 AM
6. Submitted for Banker Approval SS Type = Media Searches Only performed by:
Vanessa A Budhu on: 10/17/2008
08:28:56 PM
5. Button: 'Flag: Security Check has begun' performed by: Vanessa A Budhu
on: 10/13/2008 12:23:36 AM
4. Button: 'Print' performed by: Desmia X Dale on: 10/03/2008 03:06:36 PM
3. Button: 'Approve Waiver' performed by: Elizabeth X Hogan on: 10/03/2008
11:22:16 AM
2. Button :'Request Waiver' performed by: Mary C Casey on: 10/03/2008
11:14:09 AM
1. Submitted for Security Services Approval performed by: Mary C Casey on:
10/03/2008 11:13:19 AM
Converted Tracking Document History:
DDR Complete
Security Services is still performing the client background check.
Mary C Casey
10/03/2008
Elizabeth X Hogan
10/03/2008
EFTA01481673
By: Mary C Casey
By: Marcus Sheridan
By: Vanessa A Budhu
CN=Sharad ..lajoo/0=3PMCHASE: 9015808b.doc
EFTA01481674
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