EFTA01291936.pdf

WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Currency Transaction Report Version Number 1.1
OMB No. 1506-0064
Filing Name 162.6248
9 Type of filing Minitel report q Correct ia mend prior report q FinCEN directed Backfiling
Document Control Number / BSA Identifier
Save Validate Print
Under penalties of perjury. I declare that I have examined this transmittal, including accompanying
documents, and to the best of my knowledge and belief it is correct and complete. In the case of documents
without recipients identifying numbers, I have complied with the requirements of the law in attempting to
secure such numbers from the receipts. I declare that this filing represents all Documents filed during this
reporting period except for those transactions reported on paper.
Sign with PIN
SDNY_GM_00049862
IDENTIAL
CONFIDENTIAL — PURSUANT TO FED. R.CON(F DB-SONY-0012686
EFTA_00I 60470
EFTA01291936

WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Part I Person Involved in Transaction 1 of 2 00
'2 a- n - t P ra e n rs s o a n c t c io o n n d o u n c o ti w ng n behalf b l F a l w o t P ra e n rs s o a n c t c io o n n d fo u r c a ti n n o g t her c 1 r — — , . P tra e n rs s o a n c t o io n n w w h a o s s e co b n e d h u a c l t f e d d O c4urier Service (private)
3 O Multiple transactions
Check q If entity
'4 Indwiduabe last name
O Unknown Seller
or entitys legal name
•5 First name O Unknown Harry
6 Middle name
Suffix
7 Gender Male
8 Alternate Name
9 Occupation or type of business Accountant
9a NAICS Code
'10 Address O Unknown
'11 City O Unknowil
•
•12 State ❑Unknown [ '13 ZIP/Postal Code 0 Unknown
•14 Country 0 Unknown US
•15 TIN 0 Unknown 16 TIN type SSN4TIN
•17 Date of birth 0 Unknowl
18 Contact phone number Ext.
19 E-mail address
'20 Form of identification used to verify identity OUnknown
ig Drivers koensetState ID q Passport O Alien Registration O Other
•
Number 628678340 Country US Issuing State
21 Cash in amount for individual or entity listed in Item 4
I 00
Account number
22 Cash out amount for Individual or entity listed in Item 4 $ 60.776
1 0 •
Account number)
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SDNY_GM_00049863
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CONFIDENTIAL - PURSUANT TO FED. R.QPN(F DB-SONY-00 12687
EFTA_0016O47 I
EFTA01291937

WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Part I Person Involved in Transaction 2 of 2 00
'2 a rn Person conducting r—r Person conducting — Person on whose behalf q
I—I transaction on own behalf b 1- 1 transaction for another c 1'6 transaction was conducted d Cslal"r Service (rx"ed
3 O Multiple transactions
Check O If entity
'4 Individuars last name
O Unknown Epstein
or entity's legal name
•5 First name O Unknown Jeffrey
6 Middle name
Suffix
7 Gender Male
8 Alternate Name
9 Occupation or type of business
9a NAICS Code
'10 Address O Unknown 6100 Red Hook Quarter 83
'11 City 0 Unknown I St. Thomas
°unknown
•12 State VI '13 ZIP/Postal Code 0 Unknown 00802
•14 Country O Unknown I. US
l=11
'IS TIN 0 Unknown 18 TIN type SSICITIN
•17 Date of birth 0 Unknown 0112011963
18 Contact phone number
19 Email address
'20 Form of identification used to verify identity NUnknown
Ei
O Drivers scene/Stale ID O Passport O Alien Registration Other
Number Country Issuing State
21 Cash in amount for individual or entity listed in Item 4
I 00
Account number
22 Cash out amount for individual or entity listed in Item 4 $ 60.776
I 0 0
Account number [
Page 3 of 5
SDNY_GM_00049864
IDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R.QPN(F DB-SONY-00 12688
EFTA_00 160472
EFTA01291938

WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Part II Amount and Type of Transaction(s). Check all boxes that apply.
'23 Date of transaction 01/3112014
24 O Armored car (FI Contract) q ATM q Mail Deposit or Shipment q Night Deposit q Aggregated transactions
'25 CASH IN: (in U.S. dollar equivalent) '27 CASH OUT: (In U.S. dollar equivalent)
a Deposit(s) a Withdrawal(s) 00
b Payment(s) .00 b Advance(s) on credit Including markers) .00
c Currency received for funds
tranalin(s) out .00 C Costing pad from funds tram/m(s)in .00
d Purchase of negotiable instrument (s) .00 d Negotiable instrument(s) cashed 40,000,00
e Cuirency exchanges) 00 e Currency exchange(%) 20,776.00
Currency to prepaid nouns .00 Currency from prepaid aeons .00
g Purchases of casinos °hada, tokens a Redemplion(s)o/ casks, chips. tokens,
and other gaming instruments 00 TITO tickets and other gaming instruments 00
h Currency vrager(s) including h Payments) on wasegs) (including nice
money plays 00 and OTB or sports noon .00
Travel and complimentary expenses and
Bills inserted into gaining devices .00 Cook gaming Incentives .00
Payment for tournament. contest or other
z Other (specify): promotions .00
.00 Z Other (specify)
.00
Total Cash in .00 Total Cash out $ 60.775.00
0 0
26 Foreign Cash in Foreign Country
0 0
28 Foreign Cash out 15,000 Foreign Country BE
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SDNY_GM_00049865
IDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R.cON(E DB-SONY-00 12689
EFTA_00 160473
EFTA01291939

WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Part III Financial Institution Where Transaction(s) Takes Place 1 of 1 0 0
17 Type of financial institution Depository institution
Other (specify)
19 Primary federal regulator Federal Reserve Board (FRB)
38 If 37a - Casino/Card Club is checked, indicate type (chedc only one)
q State licensed casino 0 Tribal authorized casino q Card dub q Other
'30 Legal name of financial institution Deutsche Bank Trust Company Americas
31 Alternate name, e.g. trade name. OSA
'32 EIN ! 134941247
'33 Address 346 Park Ave
'34 City New York
I ■
15 State
'36 ZIP Code j10154
39 Financial institution 10 type
ID number
'40 Contact ofrce DB PB AML
'41 Phone number Ext.
'42 Date Filed (Dale filed will be aut-opopulated when Ihe form is signed.)
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SDNY_GM_00049866
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CONFIDENTIAL - PURSUANT TO FED. R.CON(F DB-SONY-00 12690
EFTA_00160474
EFTA01291940