Case File
efta-01654882DOJ Data Set 10OtherEFTA01654882
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01654882
Pages
5
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
FinCEN
Financial Crimes Enforcement Network
United Stan Dcpar malt of Me Ttimuty
FBAR Transcript
BSA: 31 0001 55991 288 and DCN:
Filing Information
Filing Type(s) Initial Report
Filing Date 10/13/2019
Received Date 10/15/2019
Entry Date 10/16/2019
Report for Calendar Year 2018
Submission Method Electronic batch filing
Submitted by Authorized Third
Party
Yes
Filer Information
Filer Role Foreign account filer
Filer TIN
Identification Type SSN/ITIN
Identification Number
Type of Filer Individual
Filer Last Name or
Organization Name
MAXWELL
Filer First Name GHISLAINE
Filer Date of Birth
Filer Address
Address Type Forei .n account filer address
Street Address
I
I
I
City
State
ZIP Code I
I
I
Country
Financial Interest in 25 or
More Accounts
No
Signature Authority in 25 or
More Accounts
No
Information on Financial Account(s) Owned Separately
Account 1 of 5
Report For Calendar Year 2018
Filer Role Foreign account filer
Page 1
The enclosed reformation was corrected and disseminated under provisions of the Bank Secrecy Act (Me SSA) and U.S. Department of the Treasury regaations implementing the BSA. See 31 U S C.
5311. et seq.: 31 CFR Chapter X. The reformation is sensitive n nature and is to be heated accadingly. The information may be used only fa a purpose con ustent with a crtnnal. tax. or regulatory
nvestigation or proceeding. or in the conduct of intelligence or counterntelligence activities. incluctn analysis, to protect against ntemational terrorism. See 31 U.S.C. 5311. The information cannot be
further released. disseminated. disclosed. or transmitted without prior approval of the Director of Fnancial Craws Enforcement Netwakun his authorized delegate. Suspicious activity reports fed under
the GSA must be treated with particular care given that they contain unsubstantiated allegations of paastle criminal activity. akin to confidential informant tips. Unauthorized release of information
collected wider the BSA may result in criminal or civil sanctions.
991166991000 LE :VS9
EFTA01654882
FinCEN Financial Crimes Enforcement Network
United Stan Dept matt of the Ticouty
FBAR Transcript
BSA: 31000155991288 and DCN:
Information on Financial Account(s) Owned Separately
Filer TIN
Identification Type SSN/ITIN
Identification Number
Type of Filer Individual
Filer Last Name or
Organization Name
MAXWELL
Account Type Bank
Account Number or Other
Designation
Maximum value of Account
During Calendar Year Reported
$1,956,801
Name of Financial Institution
in which the Account is Held
BARCLAYS
Financial Institution Address
Address Type Fore • n account financial institution address
Street Address
City
ZIP Code
Country
Account 2 of 5
Report For Calendar Year 2018
Filer Role Foreign account filer
Filer TIN
Identification Type SSN/ITIN
Identification Number
Individual
Type of Filer
Filer Last Name or
Organization Name
MAXWELL
Account Type : . • .
Account Number or Other
Designation
Maximum value of Account
During Calendar Year Reported
$644,686
Name of Financial Institution
in which the Account is Held
BARCLAYS
Financial Institution Address
Address Type Fore • n account financial institution address
Street Address
City
Page 2
The enclosed nformatico was connected and disseminated under provisions of the Bank Secrecy Act (Me SSA) and U.S. Department of the Treasury regOations implementing the BSA. See 31 U.S.C.
5311. et seq.: 31 CFR Chapter X. The nformation a sensitive n nature and is to be treats accadingty. The information may be used only for a purpose consistent with a crrnmat. tax. or regulatory
investigation or proceeding. or in the conduct of ntelligence or counterntelligence activities. inclueng analysis. to protect against etemational terrorism. See 31 U.S.C. 5311. The information cannot be
further released. disseminated. disclosed. or transmitted without prior approval of the Director of Feancial Crates Enforcement Network or he authorized delegate. Suspicious activity reports filed under
the GSA must be treated with particular care given that they contain unsubstantiated allegations of passible criminal activity. akin to ccofidenhal informant tips. Unauthorized release of information
collected Ceder the BSA may result in criminsi or civil :wens:.
88Z166991000LE.VS9
EFTA01654883
FinCEN I Financial Crimes Enforcement Network
Units
Depattmatt of the ricaouty
FBAR Transcript
BSA: 31000155991288 and DCN:
Information on Financial Account(s) Owned Se .aratel
Account 3 of 5
Report For Calendar Year
ZIP Code
Country
2018
Filer Role Foreign account filer
Filer TIN
Identification Type SSN ITIN
Identification Number
Type of Filer Individual
Filer Last Name or
Organization Name
MAXWELL
Account Type Bank
Account Number or Other
Designation
Maximum value of Account
During Calendar Year Reported
$41,291
Name of Financial Institution
in which the Account is Held
BARCLAYS
Financial Institution Address
Address Type Forei
financial institution
• n account
address
Street Address
City
ZIP Code
Country
Account 4 of S
Report For Calendar Year 2018
Filer Role Foreign account filer
Filer TIN
Identification Type SSN/ITIN
Identification Number
Individual
Type of Filer
Filer Last Name or
Organization Name
MAXWELL
Account Type Other
Other Type of Account PENSION
Page 3
The enclosed nformatico was caected and disseminated under provisions of the Bank Secrecy Act (the SSA) and U.S. Department of the Treasury regOations implementing the BSA. See 31 U.S.C.
5311. et seq.: 31 CFR Chapter X. The nformation a sensitive ti nature and is to be treats accadingty. The information may be used only fa a purpose consistent with acrmnal, tax. or regulatory
nvestigation or proceeding. or in the conduct of intelligence or counterntelligence activities. inductn analysis. to protect against nternational terrorism. See 31 U S.C. 5311. The information cannot be
further released. disseminated. disclosed. or transmitted without prior approval of the Director of Frnancial Craws Enforcement Network or he authorized delegate. Suspicious activity reports filed under
the BSA must be treated with particular care given that they contain unsubstantiated allegations of paystale criminal actmty. akin to ccofidential informant tips. Unauthorized release of infccmaton
collected wider the BSA may result in criminal or civil sanctions.
8821669910001E .VS9
EFTA01654884
FinCEN I Financial Crimes Enforcement Network
United NJICS Dcar bunt of the Treasury
FBAR Transcript
BSA: 31000155991288 and DCN:
Information on Financ' I A
• n s) Owned Separately
Account Number or Othe
Designatio
Maximum value of Account
During Calendar Year Reported
$48,113
Name of Financial Institution
in which the Account is Held
WEALTH AT WORK LIMITED
Financial Institution Address
Address Type Forei • n account financial institution address
Street Address
City
ZIP Code
Country
Account 5 of 5
Report For Calendar Year 2018
Filer Role Foreign account filer
Filer TIN
Identification Type
Identification Number
Type of Filer Individual
Filer Last Name or
Organization Name
MAXWELL
Account Type
Account Number or Other
Designation
Maximum value of Account
During Calendar Year Reported
$640,205
Name of Financial Institution
in which the Account is Held
BARCLAYS
Financial Institution Address
Address Type Foreign account financial institution address
Street Address
City
ZIP Code
Country
Page 4
The enclosed reformation was collected and disseminated under provisions of the Bank Secrecy Act (the SSA) and U.S. Department of the Treasury regaations implementing the BSA. See 31 U.S.C.
5311. et seq.: 31 CFR Chapter X. The reformation is sensitive n nature and is to be treats accadingly. The information may be used only for a purpose con ustent with acrmnS, tax. or regulatory
nvestigation or proceeding. or in the conduct of ntelligence or counterntelligence activities. inclueng analysis, to protect against nternational terrorism. See 31 U.S.C. 5311. The information cannot be
further released. disseminated. disclosed. or transmitted without prior approval of the Director of Feancial Crates Enforcement Network or his authorized delegate. Suspicious activity reports filed under
the GSA must be treated mth particular care given that they contain unsubstantiated allegations of psastle criminal activity. akin to ccofidenhal informant tip: Unauthorized release of infamaten
collected alder the BSA may rezult in criminai or civil :wens:.
89Z16659LOONC.VS9
EFTA01654885
FinCEN I Financial Crimes Enforcement Network
United SUM ()Taman of the rtanuty
FBAR Transcript
BSA: 31 0001 55991 288 and DCN:
Signature
Signature Date 110/13/2019
Third Party Preparer Us
nl
Preparer's Last Name
Preparer's First Name LAURA
Preparer's MI K
Preparer's TIN
Identification Type PTIN
Identification Number
Phone Number
Preparing Firm's Name
,
& COMPANY, LLP
Preparing Firm's TIN
Identification Type EIN
Identification Numbe
Preparer's Address
Address Type Third Pa
Pr .arer Firm Address
Street Address
City
State
ZIP Code
Country
Page 5
The enclosed reformation was connected and disseminated under provisions of the Bank Secrecy Act (the BSA) and U.S. Department of the Treasury reguLstions implementing the BSA. See 31 U.S.C.
5311. et seq.: 31 CFR Chapter X. The eformation is sensitive m nature and is to be treats accadingly. The information may be used only for a purpose con ustent with acrrnma tax. or regulatory
investigation or proceeding. or in the conduct of etelligence or counteretelligence activities. inclueng analysis, to protect against etemational terrorism. See 31 U.S.C. 5311. The information cannot be
further released. disseminated. disclosed. or transmitted without prior approval of the Director of Feancial Cranes Enforcement Network or he authorized delegate. Suspicious activity reports filed under
the GSA must be treated with particular care given that they contain unsubstantiated allegations of cossele criminal activity. akin to confidential informant tips. Unauthorized release of information
collected under the BSA may result in criminal or civil :wens:.
8821666510001E VS9
EFTA01654886
Technical Artifacts (4)
View in Artifacts BrowserEmail addresses, URLs, phone numbers, and other technical indicators extracted from this document.
Phone
5991288Phone
6991000SWIFT/BIC
BARCLAYSWire Ref
reformationForum Discussions
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