EFTA01291958.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 62.6406
9 Type of filing z Initial report q Correct/amend prior report q FinCEN directed Backfaing
Document Control Number / BSA Identifier
Save Validate Print I
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.
Skin with PIN
SDNY_GM_00049884
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EFTA_0016 0492
EFTA01291958

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
a O Person conducting Person conducting Person on whose behalf q
'2 Courier
transaction on own behalf b transaction for another c O transaction was conducted d Seivim (Private)
3 O Multiple transactions
Check q If entity
'4 Individual's last name
O Unknown lndyke
or entity's legal name
'5 First name O Unknown Darren
6 Middle name K.
Suffix
7 Gender Male
8 Alternate Name
9 Occupation or type of business Attorney; owner of law firm
9a NAICS Code
'10 Address O Unknown 2 Kean CT
•11 City O Unknown Livingston
•12 State O Unknown '13 ZIP/Postal Code 0 Unknown 07039
'14 Country O Unknown is
•15 TIN 0 Unknown 18 TIN type SSN4TIN
'17 Date of birth q UNcrimi
18 Contact phone number
19 E-mail address
'20 Form of identification used to verify identity OUnknown
El Drivers license/State O Alien Registration O Other
Number 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 Individual or entity listed in Item 4 $ 36.000
•
Account number [
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SDNY_GM_00049885
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EFTA_0016 0493
EFTA01291959

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 Person conducting Person conducting ® Person on whose behalf q
a - q fl transaction on own behalf 1- 1 transaction for another c transaction was conducted d Courier Servloe (Private)
3 q Muftiple 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 President of SouthemElnanclal
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 Count!), O Unknown US
"15 TIN 0 Unknown 090443348 16 TIN type SSN4TIN
'17 Date of birth 0 Unknown 01/2011953
18 Contact phone number
Ext.
19 E-mail address
'20 Form of identification used to verify identity OUnIcnovm
ig
Drivers license/State ID O Passport O Alien Registration O Other
Number 000000029913 Country US Issuing State VI
21 Cash in amount for individual or entity listed in Item 4
100
Account number
22 Cash out amount for Individual or entity listed in Item 4 $ 36.000
1 0 •
Account number [3.5269691
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SDNY_GM_00049886
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CONFIDENTIAL - PURSUANT TO FED. R.CON(F DB-SONY-0012710
EFTA_00 I 60494
EFTA01291960

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 0911912017
24 El Armored car (FI Contract) q ATM q Mail Deposit or Shipment q Night Deposit q Aggregated transactions
15 CASH IN: (in U.S. dollar equivalent) '27 CASH OUT: (In U.S. dollar equivalent)
a Deposit(s) a Withdramal(s) S
b Payments) .00 b Advance(s) on credit (including markers) .00
c Currency reserved for funds
translor(s) out .00 C Potency paid from funds transfot(s) .00
d Purchase of negotiable instrument (s) .00 d Negotiable instrument(s) cashed 35,000,00
e Currency exchangem) 00 e Currency exchange(s) .00
f Currency to prepaid access .00 I Currency from prepaid across .00
g Purchases of casinos chiles, tokens a Redamplion(s) of casino depe tokens,
and other gaming instruments 00 TITO tickets and other gaming instruments 00
h Cimency vrager(s) including h Payrnenhs) on wages) 0nciuding lace
money plays .00 and OTB or sports goon .00
Travel and complimentary expenses and
I Bills inserted into gaining devices .00 book gaming Incentives .00
Payment for tournament. contest a other
z Offer (speedy): promotions .00
.00 Z Other (specify)
.00
Total Cash in .00 Total Cash out 35.000.00
0 0
26 Foreign Cash in Foreign Country
0 0
28 Foreign Cash out Foreign Country
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EFTA_(()I 60495
EFTA01291961

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 q Tribal authorized casino 0 Card club q Other
'30 Legal name of financial institution I Deutsche Bank Trust Company Americas
31 Alternate name, e.g. trade name. DBA
'32 EIN
*33 Address 346 Park Ave
'34 City New York
*35 State NY
'36 ZIP Code j10154
39 Financial institution ID type
ID number
'40 Contact office DB PB AML
'41 Phone number Ext.
'42 Date Filed (Dale filed wal be aut-opopulated when lho form is signed.)
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EFTA01291962