FinCEN I Financial Crimes Enforcement Network

FinCEN I Financial Crimes Enforcement Network Vaal Saes Damara d she Trasury BSAR Transcript BSA: 31 0001 5041 6250 and DCN: Filing Information Type of Report Initial Report Filing Date 07/13/2019 Received Date 07/13/2019 Entry Date 07/15/2019 Submission Method Electronic discrete filing Subject Information Surjectl •f3:E'STEIN Role Subject Subject Type Purchaser/Sender Individual/Organization Individual Last(or Entity) Name EPSTEIN First Name JEFFREY Gender Type Male Date of Birth SSN/ITIN Form(s) of Identification Identification Type Passport Identification Number Issuing Country Code US Address(es) Address Type Subject permanent/mailing address Street Address City State ZIP Code Country Phone Number(s) Type Work Number Email(s) Occupation/Type of Business Executive/Southern Trust Co. Corroborative Statement to Filer No Relationship to Financial Institution TIN I Page 1 The enclosed reformation was collected and disseminated under provisions of