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EFTA01291963.pdf

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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 initai report E Correctiamend prior report q FinCEN directed Backfihng
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_00049889
IDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R.CON(F DB-SONY-0012713
EFTA_00 I 60497
EFTA01291963

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 Person conducting ici Person conducting Person on whose behalf
'2 q transaction on own behalf blaw transaction for another c I—I transaction was conducted O Courier Service (private)
3 O Multiple transactions
Check q If entity
'4 Individual's last name
or entity's legal name O Unknown Indyke
'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 lirm
9a NAICS Code
'10 Address O Unknown 2 Kean CT
91 City O Unknown Livingston
•12 State O Unknown NJ '13 ZIP/Postal Code 0 Unknown 07039
'14 Country O Unknown I US
•15 TIN 0 Unknown 16 TIN type
'17 Date of birth 0 Unknown 07/1911965
18 Contact phone number Ext.
19 E-mail address
'20 Form of identification used to verify identity OUnknown
IX Drivers license/State ID O Passpon O Alien Registration O Other
Number 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 Individual or entity listed in Item 4 14.700
00
Account number [
Page 2 of 5
SDNY_GM_00049890
IDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R.CON(F DB-SONY-0012714
EFTA_DO I 60498
EFTA01291964

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 0 0
'2 Person conducting r—r Person conducting Person on whose behalf
a- nq
transaction on own behalf 1- 1 transaction for another c transaction was conducted d O Courier Service (Private)
3 O Multiple transactions
Check O If entity
'4 Individual's last name
O Unknown Epstein
or entilys 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 SouthemFinanelal
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
'14 Country O Unknown US
•15 TIN 0 Unknown 16 TIN type
'17 Date of birth 0 Unknown 0112011963
18 Contact phone number Ext.
19 E-mail address
'20 Form of identification used to verify identity OUnknown
rg Drivers kcenseiState ID O Passport O Alien Registration O Other
[
Number Country US Issuing State VI
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 14,700
1 0 0
Account number [
Page 3 of 5
SDNY_GM_00049891
IDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R.CON(F DB-SONY-0012715
EFTA_00I 60499
EFTA01291965

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 10/0612017
24 q 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 Wilhdravral(s)
b Payments) .00 b Advance(*) on credit (including markers) .00
c Currency reserved for funds
transfor(s) out .00 C Cimino/ pail from funds transfer(s) in .00
d Purchase of negotiable instrument (s) .00 d Negotiable instrument(s) cashed 7,500,00
e Currency exchangers) 00 e Currency exchange(s) 7,200.00
f Currency to prepaid access .00 I Currency from prepaid aeons .00
g Purchases of casinos chios, tokens 9 Redemplion(s) or casino chips. tokens,
and other gaming instruments 00 TITO tickets and other gaming instruments 00
ti Currency vrager(s) including h Payment(s) on ...agars) On/Siding lace
money plays .00 and OTB or sports pooh .00
Travel and complimentary expenses and
Bills inserted into gaming devices .00 book 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 14,700.00
0 0
26 Foreign Cash in Foreign Country
0 0
28 Foreign Cash out 6,000 Foreign Country BE
Page 4 of 5
SDNY_GM_00049892
IDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R.QPN(E DB-SONY-0012716
EFTA_00 I 60500
EFTA01291966

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 I Depository institution
Other (specify)
19 Primary federal regulator ! Federal Reserve Board (FRB)
38 If 37a - Casino/Card Club is checked, indicate type (check 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
I
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 ofrce DB PB AML
'41 Phone number
'42 Date Filed (Dale filed wal be aut-opopulated when lho form is signed.)
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SDNY_GM_00049893
IDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R.CON(F DB-SONY-0012717
EFTA_00160501
EFTA01291967