EFTA Document EFTA01654371

FinCEN I Financial Crimes Enforcement Network DAIS Sexes Department a the Itcbuty FBAR Transcript BSA: 31000049066241 and DCN: Filing Information Filing Type(s) Initial Report Filing Date 06/27/2014 Received Date 06/27/2014 Entry Date 06/29/2014 Report for Calendar Year 2013 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 EPSTEIN Filer First Name JEFFREY Filer Date of Birth 01/20/1953 Filer Address Address Type Foreign account filer address Street Address 6100 RED HOOK QUARTER B3 6100 RED HOOK QUARTER B3 - Enhanced City ST THOMAS ST THOMAS - Enhanced State VI VI - Enhanced ZIP Code 00802 00802 - Enhanced Country US US - Enhanced 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 2 Report For Calendar Year 2013 Filer Role Foreign account filer Page 1 thy enclosed nformation was colected and disseminated under provision: 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 CFRChaplet X. The mfonnation is sensitive m nature and is to be treats accordingly. The information may be used only for a purpose con ustent with acrimns, tax. or regulatory nye:ligation o, ploceeding. or in the conduct of mtelligence or countermtelligence activities. induCen analysis, to protect against mtemational terrorism. See 31 U.S.C. 5311. The information cannot be further relexed. dissem.i+ated. disclosed. or transmitted without prior approval of the Director of Financial Crates Enforcement Network or his authorized delegate. Suspicious activity reports fed under the BSA must be treated ,mth particular care given that they contain unsubstantiated allegations of paystale criminal activity. akin to ccordential informant tips. Unauthorized release of information collected under the 0SA may result in criminal or civil :webs:. 1429906400001E VS9 EFTA01654371 FinCEN I Financial Crimes Enforcement Network United Scitc, Department of the 1 cauty FBAR Transcript BSA: 31000049066241 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 EPSTEIN Account Type Bank Account Number or Other Designation 0293300000062351 Maximum value of Account During Calendar Year Reported $111,425 Name of Financial Institution in which the Account is Held BNP PARIBAS Financial Institution Address Address Type Foreign account financial institution address Street Address 16 BOULEVARD DES ITALIANS 16 BOULEVARD DES ITALIANS - Enhanced City PARIS PARIS - Enhanced ZIP Code 75009 75009 - Enhanced Country FR FR - Enhanced Account 2 of 2 Report For Calendar Year 2013 Filer Role Foreign account filer Filer TIN Identification Type SSN/ITIN Identification Number Type of Filer Individual Filer Last Name or Organization Name EPSTEIN Account Type Bank Account Number or Other Designation 0293300030061444 Maximum value of Account During Calendar Year Reported $76,651 Name of Financial Institution in which the Account is Held BNP PARIBAS Financial Institution Address Address Type Foreign account financial institution address Street Address 16 BOULEVARD DES ITALIANS 16 BOULEVARD DES ITALIANS - Enhanced City PARIS Page 2 The enclosed information Vca:coiected and disseminated under scovizicns 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 CIAChaplet X. The mformation a senative m nature and is to be heated accadingly. The information may be used only for a purpose con ustent with a crrnmat. tax. or regulatory nvestigation c, proceeding. or in the conduct of mlelligence or countermtelligence activities, inductn analysis, to protect against mtemational terrorism. See 31 U S.C. 5311. The information cannot be further relewed. disseminated. disclosed. or transmitted without vim approval of the Director of Fmancial Crimes Enforcement Network or his authorized delegate. Suspicious activity reports filed under the BSA must be treated ,mth particular care given that they contain unsubstantiated allegations of paystale criminal activity. akin to confidential informant tips. Unauthorized release of information collected under the BSA may rezult in criminal or civil sanclicns. 142990640000 LC VS9 EFTA01654372 FinCEN I Financial Crimes Enforcement Network United Stan Department a the Treasury FBAR Transcript BSA: 31000049066241 and DCN: Information on Financial Account(s) Owned Separately PARIS - Enhanced ZIP Code 75009 75009 - Enhanced Country FR FR - Enhanced Signature Signature Date 06/27/2014 Third Party Preparer Use Only Preparer's Last Name CPA Preparer's First Name DAVID Preparer's TIN Identification Type PTIN Identification Number Phone Number Preparing Firm's Name SHR, CPA S LLC Preparing Firm's TIN Identification Type EIN Identification Number Preparer's Address Address Type Third Party Preparer Address Street Address 3000 MARCUS AVE STE 3W4 3000 MARCUS AVE STE WM - Enhanced City LAKE SUCCESS NEW HYDE PARK - Enhanced State NY NY - Enhanced ZIP Code 11042-1009 11042-1009 - Enhanced Country US US - Enhanced Page 3 Iht iformaticei was coiected and disseminated under provi:ion: 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 r.ey '21 CIRChapier X. The nformation is senative ri nature and is to be treats accadengly. The information may be used only fa a purpose convent with a crrnmat. tax. or regulatory ye:ligation e, proceeding. or in the conduct of intelligence or counterntelligence activities. inductn analysis. w 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 Friancial Crfnes Enforcement Netwaker he authorized delegate Suspicious activity reports filed under the BSA must be treated ‘mth particular care given that they contain unsubstantiated allegations of paystale criminal actnity. akin to confidential informant tips. Unauthorized release of infamaton collected under the BSA may rezult in criminal or civil sanclicos. 14Z990640000 LC VSEI EFTA01654373