EFTA Document EFTA01656563

FinCEN I Financial Crimes Enforcement Network United Stan Devilment tithe ricasuty FBAR Transcript BSA: 31000144822550 and DCN: Filing Information Filing Type(s) Initial Report Filing Date 04/09/2019 Received Date 04/09/2019 Entry Date 04/10/2019 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 EPSTEIN Filer First Name JEFFREY Filer Middle Name E Filer Date of Birth 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 12018 Page 1 The enclosed mformatico was caected and disseminated under provisions of the Bank Secrecy Act (the BSA) and U.S. Department of the Treasury regOations implementing the BSA. See 31 U.S.C. 5311. et seq.: 31 CFA Chapter X. The mformation is sensitive n natute and is to be heated accadingty. The information may be used only for a purpose con ustent with acrmns, tax. or regulatory investigation or proceeding. or in the conduct of ntelligence or counterntelligence activities. inclueng 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 Crates Enforcement Network or his authorized delegate. Suspicious activity reports filed under the BSA must be treated mth particular care given that they contain unsubstantmted allegations of paystale criminal activity. akin to ccofidential informant tips. Unauthorized release of infccmaten collected wider the BSA may result in criminal or civil sanctions. 099ZZ8VVLOONC.VSO EFTA01656563 FinCEN I Financial Crimes Enforcement Network United Sr so Department d the iimuty FBAR Transcript BSA: 31000144822550 and DCN: Information on Financial Account(s) Owned Separately Filer Role Foreign account filer Filer TIN Identification Type SSN/ITIN Identification Number Individual Type of Filer Filer Last Name or Organization Name EPSTEIN Account Type Bank Account Number or Other Designation Maximum value of Account During Calendar Year Reported $90,049 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 2018 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 Maximum value of Account During Calendar Year Reported $116,863 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 nformatico was caected and disseminated under provisions of the Bank Secrecy Act (the SSA) and U.S. Department of the Treasury regttations implementing the BSA. See 31 U S C. 5311. et seq.: 31 CFR Chapter X. The nformation is sensitive n nature and is to be treats accadingly. The information may be used only fa a purpose con ustent with acrmna 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 Ow approval of the Director of Frnancial Crames Enforcement Network or his authorized delegate. Suspicious activity reports filed under the GSA must be treated with particular care given that they contain unsubstantiated allegations of passtle criminal activity. akin to confidential informant tips. Unauthorized release of information collected wider the BSA may result in criminal or civil :webs:. IN9ZZ8V41000IC VS8 EFTA01656564 FinCEN I Financial Crimes Enforcement Network United !Kates Department of the Treasury FBAR Transcript BSA: 31000144822550 and DCN: Information on Financial Account(s) Owned Separately City PARIS PARIS - Enhanced ZIP Code 75009 75009 - Enhanced Country FR FR - Enhanced Signature Signature Dated 04/09/2019 Third Party Preparer Use Only Preparer's Last Name HASSON, CPA Preparer's First Name DAVID Preparer's MI M. Preparer's TIN Identification Type PTIN Identification Number Phone Number Preparing Firm's Name SECKENDORF HASSON AND REILLY CPA's Lit Preparing Firm's TIN Identification Type EIN Identification Number Address Type Third Party Preparer Firm Address Preparer's Address Street Address 3000 MARCUS AVE STE 1W5 3000 MARCUS AVE STE 1W5 - Enhanced City LAKE SUCCESS NEW HYDE PARK - Enhanced State NY NY - Enhanced ZIP Code 11042-1009 11042-1007 - Enhanced Country US US - Enhanced Page 3 The enclosed nformatico was caected and disseminated under provisions of the Bank Secrecy Act Otte SSA) and U.S. Department of the Treasury regttations 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 accadingly. The information may be used only fa a purpose consistent with a crennal. tax. or regulatory nvestigation or proceeding. or in the conduct of intelligence or counterntelligence activities. inclucYlg 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 Network or his authorized delegate. Suspicious activity reports fed under the GSA must be treated with particular care given that they contain unsubstantiated allegations of posstle criminal activity. akin to ccofidential informant tips. Unauthorised release of information collected wider the OSA may result in criminal or civil :wens:. 059ZZ8V41000IC VS8 EFTA01656565