EFTA Document EFTA01654374

FinCEN Financial Crimes Enforcement Network United State. ()Tatman of the ricbuty FBAR Transcript BSA: 31000087159762 and DCN: Filing Information Filing Type(s) Initial Report Filing Date 06/13/2016 Received Date 06/13/2016 Entry Date 06/14/2016 Report for Calendar Year 2015 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 Middle Name E 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 2015 Page 1 The enclosed nifolmatico V•3: cclected and disseminated under provisions of the Bank Secrecy Act (the BSA) and U.S. Depatment of the Treasury regulations implementing the BSA. See 31 U.S.C. 5311. et seq.: 31 CFRChapter X. The eformation is sensitive n nature and is. to be treats accordingly. The information may be used only la a purpose con ustent with acrmns tax. or regulatory nvestigation or proceeding. 01 in the conduct of ntelligence or counterntelligence activities. includng 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 Feancial Crates Enforcement Network or he authorized delegate. Suspicious activity reports feed under the GSA must be treated' ith particular care given that they contain unsubstantiated allegations of passiale criminal activity. akin to confidential informant tips. Unauthorized release of information collected wider the BSA may result in criminal or civil sanctions. Z9L6811800001.£ VSe EFTA01654374 FinCEN I Financial Crimes Enforcement Network United ken pep:orient of the 11 entity FBAR Transcript BSA: 31000087159762 and DCN: Information on Financial Account(s) Owned Separately 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 0293300000062351 Maximum value of Account During Calendar Year Reported $103,416 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 2015 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 0293300000061444 Maximum value of Account During Calendar Year Reported $96,798 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 Page 2 The enclosed aitormatice was collected and disseminated under provisions of the Bank Secrecy Act (the SSA) and U.S. Department of the Treasury reguLations implementing the BSA. See 31 U.S.C. 5311. et seq.: 31 cra Chaplet X. The alternation is sensitive al nature and is to be treats acccddingly. The information may be used only for a purpose consistent with acre-mat tax. or regulatory , ivestigatien or proceeding, or in the conduct of etelligence or counteretelligence activities. inductig 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 Netwarkor he authorised delegate. Suspicious activity reports feed under the GSA must be treated mth particular care given that they contain unsubstantiated allegations of passable criminal activity. akin to ccolldential informant tips. Unauthorised release of information collected wider the BSA may result in criminal or civil sanctions. 19/.691/.80000 LC VSO EFTA01654375 FinCEN I Financial Crimes Enforcement Network United S(40 Dtpartmaic ut the 1 cooly FBAR Transcript BSA: 31000087159762 and DCN: Information on Financial Account(s) Owned Separately City PARIS PARIS - Enhanced ZIP Code 75009 75009 - Enhanced Country FR FR - Enhanced Signature Signature Date 06/13/2016 Third Party Preparer Use Only Preparer's Last Name HASSON 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 Preparers Address Address Type Third Party Preparer Address Street Address 3000 MARCUS AVE STE 3W4 3000 MARCUS AVE STE 3W4 - 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 The enclosed nformation was collected and disseminated under provisions of the Bank Secrecy Act (the SSA) and U.S. Department of the Treasury regdations implementing the BSA. See 31 U S C. 5311. et seq.: 31 CMChaplet X. The nformation is sensitive n nature and is to be treats accadingly. The information may be used only fa a purpose consistent with acrmoa tax. or regulatory =westigation or proceeding. Or in the conduct of ntelligence or counterntelligence activities. indueUig 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 Fnancial Craws Enforcement Netwakor his authorized delegate. Suspicious activity reports feed under the GSA "rust be treated with particular care given that they contain unsubstantiated allegations of passable criminal activity. akin to confidential informant tips. Unauthorized release of information collected wider the BSA may result in criminal or civil sanction:. Z9L691/.80000 LE VS9 EFTA01654376