EFTA01291946.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
'1 Type of filing Z Initial report E Correct'amend prior report q FinCEN directed Backfiling
Document Control Number / BSA Identifier I
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_00049872
IDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R.QQN(F DB-SONY-0012696
EFTA_00 I 60480
EFTA01291946

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 3 00
a O Person conducting b Person conducting r--1 Person on whose behalf
•2
transaction on own behalf law transaction for another a 1—, transaction was conducted d O °airier Service (Private)
3 O Multiple transactions
Check entity
'4 Individuals last name
O Unknown Indyke
or entilys legal name
•5 First name O Unknown Darren
6 Middle name
Suffix
7 Gender Male
8 Alternate Name
9 Occupation or type of business Attorney; owner of law flrm
9a NAICS Code
'10 Address O Unknown 2 Kean CT
•11 City O Unknown Livingston
•12 State O Unknown [ NJ '13 ZIP/Postal Code 0 Unknown 07039
1
'14 Country O Unknown US
"15 TIN 0 Unknown 098648698 18 TIN type SSWITIN
•17 Date of birth 0 Unknown 02/1911966
18 Contact phone number Ext.
19 E-mail address
'20 Form of identification used to verify identity OUnknown
(22
Drivers scene/State ID O Passport O Alien Registration O Other
Number 168941687202654 Country US Issuing State NJ
21 Cash in amount for individual or entity listed in Item 4
0 0
Account number
22 Cash out amount for IMNIdlial or entity listed in Item 4 $ 11.600
1 0 0
Account number [36266976
1 0 0
Account number [42953707
Page 2 of 6
SDNY_GM_00049873
IDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R.CON(F DB-SONY-00 12697
EFTA_00160481
EFTA01291947

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 3 00
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3 O Multiple transactions
Check El If entity
'4 inaviouars last name
O Unknown Darren K. Indyke PLLC
or entilys legal name
'5 First name q Unknown
6 Middle name
Suffix
7 Gender
8 Alternate Name
9 Occupation or type of business
9a NAICS Code
'10 Address O Unknown 576 Lexington Ave Ith FL
'11 City O Unknown New York
•12 State O Unknown NY '13 ZIP/Postal Code 0 Unknown 10022
'14 Count!), O Unknown US
1
•15 TIN 0 Unknown 300503849 18 TIN type EIN
'17 Date of birth 0 Unknown
r-----------1
18 Contact phone number
Ext.
19 E-mail address
'20 Form of identification used to verify identity NUnknown
O Drivers license/State ID O Passpon 0 Mien Registration D Other
Number Country Issuing State
21 Cash In amount for individual or entity listed in Item 4
0 0
Account number
22 Cash out amount for indrvidual or entity listed in Item 4 $ 4.000
•
Account number [42063707
Page 3 of 6
SDNY_GM_00049874
IDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R.QQN(F DB-SONY-00 12698
EFTA_00 I 60482
EFTA01291948

WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Part 1 Person Involved in Transaction 3 of 3 00
'2 Person conducting Person conducting Person on whose behalf
- n transaction on own behalf b rn transaction for another c transaction was conducted dO Courier Service (Private)
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
8 Alternate Name
9 Occupation or type of business
9a NAICS Code
'10 Address O Unknown 6100 Red Hook Quarter, B3
•11 City O Unknown St. Thomas
•12 State O Unknown VI '13 ZIP/Postal Code 0 Unknown 00802
'14 Country O Unknown US
•15 TIN p Unknown 090443348 16 TIN type SSN4TIN
'17 Date of birth 0 Unknown 01/20/1963
18 Contact phone number Ext.
19 E-mail address
'20 Form of identification used to verify identity OUnknown
(22
Drivers kcense/State ID O Passport O Alien Registration O Other
Number c00000002$913 Country US Issuing State VI
2t Cash in amount for individual or entity listed in Item 4
0 0
Account number
22 Cash out amount for individual or entity listed in Item 4 $ 7.600
1 0 0
Account number [36266976
Page 4 of 6
SDNY_GM_00049875
IDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R.QQN(F DB-SONY-00 12699
EFTA_00 160483
EFTA01291949

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 02/11/2018
24 q 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 Withdravtal(s) $ .00
b Payment(s) .00 b Advance(s) on credit (including markers) .00
c Currency received for funds
transter(s) out .00 c Currency paid horn funds trander(s) in .00
0 Purchase of negotiable instrument (s) .00 d Negotiable instrument(s) cashed 11,600,00
e Currency exchangers) 00 e Currency exchange(s) .00
Currency to prepaid access .00 f Currency from prepaid access .00
Purchases of casinos chips. tokens Redemphon(s) of casino claps. tokens.
end other gaming Instruments 00 TITO tickets end other gaming instruments 00
h Currency wager(*) including h Payment(s) on weare(s) rincluding mot
maxi *Vs .00 and OTB or scats pool) .00
Travel and complanentary expenses and
I Ws inserted into °erring devices .00 book gaming Incenthres .00
Payment tor tournament. contest or other
2 Other (specify): promotions .00
.00 z Other (specify)
.00
Total Cash in .00 Total Cash out 11,500,00
0 0
26 Foreign Cash in Foreign Country
0 0
28 Foreign Cash out Foreign Country
Page 5 of 6
SDNY_GM_00049876
IDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R.CON(F DB-SONY-00 12700
EFTA_00 I 60484
EFTA01291950

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)
/9 Primary federal regulator Federal Reserve Board (FRB)
38 If 37a - Casino/Card Club is checked, indicate type (chedc only one)
q State licensed casino Tribal authorized casino q Card dub q Other
'30 Legal name of financial institution Deutsche Bank Trust Company Americas
I
31 Alternate name, e.g. trade name. DBA
1
'32 EIN 134941247
*33 Address 346 Park Ave
'34 City New Yock
'35 State NY
'36 ZIP Code 110154
39 Financial institution ID type
ID number
'40 Contact office DB PB AML
'41 Phone number 2122607936 Ext.
'42 Date Filed (Dale filed wal be aut-opopulated when lho form is signed.)
Page 6 of 6
SDNY_GM_00049877
IDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R.QQN(F DB-SDNY-0012701
EFTA_(()1 60485
EFTA01291951