Case File
efta-efta01136011DOJ Data Set 9OtherDS9 Document EFTA01136011
Date
Unknown
Source
DOJ Data Set 9
Reference
efta-efta01136011
Pages
5
Persons
0
Integrity
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&RR
SECKENDORF HASSON & REILLY, CpA'S 11C
May 20, 2015
JEFFREY E. EPSTEIN
6100 RED HOOK QUARTER B3
ST. THOMAS, VI 00802
Dear Jeffrey,
Enclosed for your review and filing are the following:
Form 114
Report of Foreign Bank & Financial Accounts
Each tax return or form listed above should be filed in accordance with the enclosed filing
Instructions.
Mail all returns ceitfied return receipt for proof of timely filing. Please be sure to call if you have
any questions.
Sincerely,
DAVID M. HASSON, CPA
EFTA01136011
2014
FEDERAL FILING INSTRUCTIONS
JEFFREY EPSTEIN
FORM TO FILE:
FORM 114 - REPORT OF FOREIGN BANK AND FINANCIAL ACCOUNTS
THE ABOVE TAX RETURN WILL BE ELECTRONICALLY FILED WITH FINCEN,
DEPARTMENT OF THE TREASURY FINANCIAL CRIMES ENFORCEMENT NETWORK, UPON
RECEIPT OF A SIGNED FORM 114A.
PAYMENT:
'.0
fkli EN'T IS REQUIRLD.
TIMELY FILING:
A FOREIGN BANK REPORTING FORM 114 MUST BE 'ACCEPTED' OR 'ACCEPTED WITH
ERRORS' BY JUNE 30, 2015 FOR THE FINANCIAL CRIMES ENFORCEMENT NETWORK
(FINCEN) TO CONSIDER IT TIMELY FILED. IF AN ORIGINAL FORM 114 IS
F-FILED AFTER THE JUNE 30, 2015 DEADLINE, THE LATE FILING EXPLANATION
PORTION OF THE FORM 114 MUST BE COMPLETED. FINCEN CAN LEVY PENALTIES
WHEN THE ORIGINAL FOREIGN BANK REPORTING FORM 114 IS E-FILED AFTER THE
DEADLINE.
IF THE FOREIGN BANK REPORTING FORM 114 IS REJECTED IT MUST BE
RESUBMITTED AND ACCEPTED BY THE FINANCIAL CRIMES ENFORCEMENT NETWORK
(FINCEN) BY JUNE 30, 2015. THE FINANCIAL CRIMES ENFORCEMENT NETWORK
(FINCEN) DOES NOT ALLOW A PERFECTION PERIOD FOR CORRECTING REJECTED
SUBMISSIONS. IF THE ORIGINAL FOREIGN BANK REPORTING FORM 114 E-FILING
IS 'REJECTED' BY FINCEN AND THE SUBSEQUENT E-FILING OF THE ORIGINAL
FORM 114 TAKES PLACE AFTER THE FILING DEADLINE, THE LATE FILING
EXPLANATION PORTION OF THE FORM 114 MUST BE COMPLETED.
IF THE FOREIGN BANK REPORTING FORM 114 IS 'ACCEPTED WITH ERRORS' BY
JUNE 30, 2015 DEADLINE, FINCEN WOULD LIKE TO SEE AN AMENDED FORM 114
E-FILED WITHIN 30 DAYS
EFTA01136012
Forrn 114a
Department of the Treasury
Financial Crimes Enforcement
Network (FInCEN)
October 2013
Record of Authorization to
Electronically File FBARs
(See instructions below for completion)
Do not send to FInCEN. Retain this form for your racer dis.
,t,ctud.co
* rt
le'
..
..
.
Part V.'
Persons who have an obligation to file a Report of Foreign Bank and Financial Account(s)
1. Owner last name or entlys legal name
EPSTEIN
2. Owner first name
JEFFREY
3. Owner M. I.
4. Spouse last name (If Jointly tiling FBAR - see instructions below)
5. Spouse first name
6. Spouse It I.
Uwe declare that I1we have provided Information concerning
2
(en er number of accounts) foreign bank and financial account(s) for the
filing year ending December 31 2014 to the preparer listed in Part II that this Information Is to the best of my/our knowledge true, coned,
,
and complete; that Wee authorize the preparer listed In Patti to complete and submit to the Financial Crimes Enforcement Network (FInCEN) a
Report of Foreign Bank and Financial Accounts (FBAR) based on the information that I/we have provided; and that lAve authorize the preparer
fisted in Part II to receive Information horn FinCEN. answer Inquiries and resolve issues relating to this submission. Uwe acknowledge that,
nohvihstanding this dedatation, it is mylour legal responsibety, not that of the preparer listed in Part II, to tirnoiy file an FBAR If required by law
to do so.
7. Owner signature (Authorized representative if entity)
TirDate
9 Owner or entity TIN
10 TIN
a L
Vile b
e
EIN
SSN/IT1N
Foreign
tat 1 LID f YYYY
13 Spouse TIN
14 TIN
a
type b
C
EIN
SSNATIN
LForeign
1. Spouse signature
12 Date
WA /DO 1 ifitYY
.epee, Individual or Entity Authortted to File FBAR on behalf of Persons who have an obligation to file.
15. Preparer last name
CPA
16. Preparer first name
DAVID
17. Preparer M.I.
18. Preparet PTIN
19 Address
20 City
21 State
22 ZIP/postal code
23 Country
code
24 Preparers (item 15) employers (Entity) name
SIM CPA'S LLC
25. Employer EIN
90-0436485
26. Preparers signature
Instructions for completing the FBAR Signature Authorization Record
This record may be completed by the individual or entity granting such authorization (Part I) OR the individualtentily authorized to perform such
services. The completed record must be signed by the individual(s)/entity granting the authorization (Part I) and the individual/entity that will fie the
FBAR. The Preparerhiling entity must be registered with FinCEN BSA E-File system. (See hfip://bsaefiling.fncentress.gov/main.htrri for registration).
Read and complete the account owner statement In Pall.
To authorize a third party to file the Foreign Bards and Financial Accounts Report (FBAR), the account owner should complete Part I, items 1 through
3 (as required), sign and date the document In Pan I, Items 7/8 and complete items 9 and 10.
Accounts Jointly Owned by Spouses (see exceptions In the FBAR instructions)
If the account owner is filing an FBAR folntly with his/her spouse, the spouse must also complete Part I, items 4 through 6. The spouse must also
sign and date the report in items 11/12, and complete items 13 and 14. A third party preparer may be one of the spouses of the Jointly owned
foreign account In this case, both spouses must complete Part I of form 114a in its entirety. The third party preparer (spouse) that will file the FBAR
on behalf of both spouses will complete Part II in its entirety (do not use such terms as see above, or same as Item number x ).
Complete Part II, Items 15 through 18 with the prepares information. The address, Items 19 through 23, Is that of the preparer or the preparers
employer if the preparer is an employee. Record the employer's information (d any) in items 24 and 25. If the preparer does not have a PTIN, leave
kern 18 blank. The third pasty prepare/ must sign In nem 26 of Part II Indicating that the FEAR will be tiled as directed by the authorizing authority.
The person(s) listed in Part I, and the person listed In Pad II as authorized to file on behalf of the person(s) listed in Part I, should retain copies
of this record of authorization and the fang itself, both for a period of 5 years. See 31 CFR 1010.430(d).
DO NOT SEND THIS RECORD TO FinCEN UNLESS REQUESTED TO DO SO.
SPA
CBA40301i. egflart4
Rev. 10.4 July 11, 2013
EFTA01136013
* * * * * * *
* *
DO NOT MAIL
FinCEN Fonn 114
Departnient of te Treasury
01/13 no. 1506-0039
Gav Spaat 2013)
Filer information
2 Type «Film
• p leavidual
---
MUST BE ELECTRONICALLY FILED
REPORT OF FOREIGN BANK
AND FINANCIAL ACCOUNTS
Do NOT file with your Tederst Tex Return
Do not use previous erStIons of this form
**********
1 Tak report Is lor Mond&
>eer ened 12731
2014
Amended
I
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giSSIUMN
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a TYPe D Passend
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b Nieter
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5
InclivIduars dab of bib
b11.143D/TYYY
1/20/1953
4 lastdan aOrpankaVettkon
EPSTEIN
7 Fint Name
JEFFREY
8 aas Initlal
8. Stars
9 Beting addrea (mieter, stoel and opetenl or mbo ~ober)
6100 RED HOOK QOARTER B3
eà
10
ST THOMAS
II
Va
VI
12 2791Øl code
00802
DI Cargo/
US
14a Doos be film hem a finarnial bami el 25 or more emnes nceourM7
9 va
Ener total ~maar ol fout
Da.
Do nol omelet/ Part II or Part III. tut raintain moords of te ~Pon.
14b Does be film have sianstue afharkt over Put no Snoodst ~ni
In 25 or mors afsnel:d accounts?
Yn
Eger tred momber ol account
re
Complete Part ar. gene 34 trough 43 b each wam on tee Sehall te tier has sitnatMll aubordY•
IMaaj Information on financial account(s) ovned separately
15 ~rum nek* al account Mat% cafedm Raf
(Sta hemsene ende Aerot tY 414014"4140 2)
16 Typt« account
a t IOar*
b r I Seartftes
c
Ober — Eger type bobs
17 Hang of grondel Instilkon in %Rica smout b hdd
PART II INFORMATION WILL PRINT ON PAGE 2
18 ~wat nuit or olm dostgnatIon
1g Wang addreen ~bef, streel or wie marter) el finandel Insfitutioa in ~oh account is helt
20 GR),
21 Slete, If known
22 ronde" postal wik termen
Carl?
Ma Check hen IXIi ilt reaal is congleled Werk] Pak/ PreParar ad ~PIS 8m Ø
Pal" Ifiltraler 'Ska-
44 Film Sepots,
11g nood va be tenctonicolly
algoed ellen filmt
45 Fee Me, b nol reportInt a Personal
ur
44
OM* (11INDDIVYYV)
!!tipdak ril aulotill ween ta
FElaR b erechordeellystmed
Third Party
Preparer
Use Only
07 Pronter: lel nare
CPA
52 Con'act gehore no.
48 net name
524 Exl
55 turnt. name
49 la
150 Check n
setentienel
51 TIN
54 Pam'. 1lN
SHR, CPA'S LLC
90-0436485
51a TUI bye
9914417t4 31
Pree
Forelan
11N b,*
Elv
Paar
55 maar° !Meest (nuabar. snee, neerboog or aui nuntm)
54 ai
57 State 58 ZIP/Pastel Code
58 Country
US
Ibis font ~d
mi ~I lo recort e &gnoe, Intenst In. sIgnakre aulhaity. or oma outogy mee ons of more financier co"
In brei countles, as required by te Doorboog or te
Tressury Rsoulairoras 31 CFR 1010.350. No wort e febèred if bei aggingele VOL< of lbe *CCOUntS dil not eccerl $10.000. Sec insta:bons lor defobons.
PRIVACY
ska Ø PAPERWCRK
REDUCRON
ACT htillt£
Paraat* to te requironeMs cd Public lang 93-579 it ktracy Ad of 1974). race b liertiby Oma trol b• aulhogy b tang bloringion on FIWEN Ferm 1141n morfine wil 5 UW 557s (e)
:$ PUblIC tam 91-5513; 31 UW 5314: 5 WC 301; 31 CER 1010.33°. The 0080Pal FerPose lex colocting tie inlormatim e b assen ~garoe «report Willffiá ad) IIJPOtt of feCiXdS uwe
PIP] rbignea cl umfulnesa N ~Ins. hu, or reoillalmy InvoggatIons or Ixoceedinlls. The thernation 00590880 inm, be ProMed to those Oxers are ornboYee4 d 41T4 COrilaient °Wit of be
Departner* or ir Tremen tete have a meed fra M teards In te performance ot bei Sem. Te geronk may be refornedWrg ober dopen* nr regency a be timend Sabra upon
request ot Ta houd of gab depertment or sgenb• 10r a h a aantelt tas. or rellobtry teasteation or proceeding.
infOnrabon oollegod may &babi Prereged b aloproorbie state, wal.
eng Igor law cedoroment Mud reig.gastwy parscene le be prefonnanon or Mek eed& ~los. Dledosui• a bee 1nfortnetion is m,ydawy. Cel and «triool penallios. inolufing in eenst
oirainstanoas a fine ot eot rote bal 5500.000 afd lmgcisonmere ot me mors tree ave )sars, are Pfigtad br leame 10 bio a Wort, lor teWa b sØ Woonstion, arie sti 0•00 • felst a
fraudolont moet (*doms or be Sorial %neb momber is troneettay. lie auto* 10 coatct is 31 CER 1010.350. lbo Soda' Steurt/ nut! MI be tsed as a mams b itlenley ms
indngkral lbo rees te report The estImaied overige omen associse ion mb collecten of ~om
Is 60 aanga rm rawoodontot rating keopor, deptnap et inclIvijual
citosnstances. Conments regardirg te accuracy of OM borden cs6nele, and suppegions lor nabob3 be borden baad be dirscted lo to Fatargal Crimes Ertorcement Nework,EE. Box
39, Vlrinnex VA 22183. Ann: Me of Raadden Pdicy.
BAA
FEAA02011. 03Øf14
Rev 5.7 • 6f3/2013
EFTA01136014
**********
DO NOT MAIL
---
MUST BE ELECTRONICALLY FILED
*****
*****
Pert 11_1 Information on financial account(s) owned separately
Complete a separate block for each account owned separately
Add an additional Part I I page as many tirnes as necessary in order to provide information on all accounts
FinCEN Form 114
Page Number
2
of
2
1
Nand for Mender Yale
2014
15 Maximum was of account duaq calesdar year
Insetafain war Monatary *moat t, OW 2)
98,894.
Chuck apeman* Idenufkiltron number
Taxpayer landflabon Nate
Forthon ideal/Inaba number
lanai nutter beec
15a frarroure
adman
bast name ce orgimialas norm
EPSTEIN
Bonk
b U SoarMbs
a
I0thr — Eater type balm
17 Marna of Flremitil Institution in Mich Kama la imia
BNP PARIBAS
18 Avast meter or allw designation
0293300000062351
20 City
PARIS
IS Maximum who al ratouril duala calendar your
(See instructions miler Monetary amounts, slop 2)
110,267.
17 Name of Financial eastitaJon in which acaunt is trid
BNP PARIBAS
III ACM/A make or ad.. dialgrolion
0293300030061444
20 city
PARIS
15 Maimum Moe of appal dire* caerdar Oar
(Um instrustors mar Mcnotary anotinta. sap 2)
IS WON address (number, street a sit Mit 0 al Oneecial itsliSdan kr which Emma Is Mid
16 BOULEVARD DES ITALIANS
I 22 FON* —
code, V Norm
21 Mae. Imam
75009
Bank
b
mites
Caber — Enter type beim.
19
Mailing alarm (number, atm& a sub number) or financial instil/AM in Mach account is held
16 BOULEVARD DES ITALIANS
11 Ma Renown
I 22
Pareke Peal cods. if known 23
cm/dry
75009
FR
17 Name of Francial institutias Si which accom is lad E
S. Mast
16 Type of moat
• Uillank
b USecuales
j
edair — Enter type below
18 Account motor or other designetim
19 martin address (number. street. or wale farts) d financial inserullan in which account is NM
20 City
21
Stale, if known
15 Maximum Moe of await tar* calendar year
(See inseedenkt under Monetary errat. step n
17 Name a remota Inanition in wadi atom* iv Mid
15• Mica
Maim
0
22 Foliar postal code, if knovm l 13
Country
16
'Typo or account a Lida*
bUSecureass
eliOlher — Enter lore baba
18 Account Mentes or an Magadan
19 Meiling address (rumba, street or ado nuts) of financial Inseuticas in with amount it hold
20 City
21 Slat...Venom
22
For
postal code. if loom
Seca
15 Madman value al account dump arenas yea
(See imitations tat Monetary amounts, step n
17 Nam of Franca instlition m rebid, amoral is held
16a Anna
16 typed account • MBank
Mier — Enter two below
16 Account roam a odor compete
19 Madly address (number, street or who ratted of fins-alai irselution in With aCcount is hold
20 City
21
Sista, d known
IS Madman aloe of account diabg calendar year
(Sam nwencdons under Monetary arroonts. step 1)
15a Amount
Maws
22
Foreign Pods, code. if known 23
C.ormay
16
Type of accost al
I Bank
Hiawatha
alit:Ana -- Enter type below
17 Name of Randal InsieutOn b which commie hold
Maya
dent,
19 Malin° sonless (number, anat. or seta noted at final& baltdort In aids wawa S hold
Mabel or olw
am
21
State. d Nam
22 Facial metal code, 9 town 23
Cowley
raNuitioa 02878714
EFTA01136015
Technical Artifacts (15)
View in Artifacts BrowserEmail addresses, URLs, phone numbers, and other technical indicators extracted from this document.
Domain
bsaefiling.fncentress.govDomain
ctud.coPhone
1506-0039Phone
2878714SWIFT/BIC
ACCEPTEDSWIFT/BIC
ACCOUNTSSWIFT/BIC
ENFORCEMENTSWIFT/BIC
EXPLANATIONSWIFT/BIC
ITALIANSSWIFT/BIC
REJECTEDSWIFT/BIC
REQUIRLDSWIFT/BIC
RESUBMITTEDSWIFT/BIC
SUBMISSIONSSWIFT/BIC
TREASURYWire Ref
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