EFTA01291968.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 152-5423
9 Type of filing Z Initial report E Correctiamend 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_00049894
IDENTIAL
CONFIDENTIAL — PURSUANT TO FED. R.CON(F DB-SONY-0012718
EFTA_00 I 60502
EFTA01291968

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 Person conducting Flo Person conducting ri Person on whose behalf
a- 1q 1 transaction on own behalf b law transaction for another b I—I transaction was conducted d O Courier Service (Private)
O
3 Multiple transactions
Check q If entity
'4 Individual's last name
O Unknown Indyke
or entitys legal name
•5 First name O Unknown Darren
LK.
6 Middle name
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
O
'11 City Unknown Livingston
•12 State O Unknown NJ '13 ZIP/Postal Code 0 Unknown 07039
'14 Country O Unknown US
•15 TIN q Unknownil 16 TIN type SSN4TIN
•17 Date of birth q Unknowl.
18 Contact phone number Ext.
19 E-mail address
'20 Form of identification used to verify identity OUnknown
ig
Drivers kcense/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 $ 16.991
•
Account number [
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SDNY_GM_00049895
IDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R.QPN(F DB-SONY-0012719
EFTA_00 I 60503
EFTA01291969

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
Person conducting Person conducting ro., Person on whose behalf
'2 n O Courier Service (private)
- transaction on own behalf b ri transaction for another c la' d transaction was conducted
3 O Multiple transactions
Check O If entity
'4 Individual's last name
or entity's legal name O Unknown Epstein
'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
oc.2
l
•12 State O Unknown VI '13 ZIP/Postal Code 0 Unknown
'14 Country O Unknown US
•15 TIN 0 Unknown 16 TIN type SSN4TIN
F
'17 Date of birth 0 Unknown 1112011963
18 Contact phone number Ext.
19 E-mail address
'20 Form of identification used to verify identity OUnknown
IX
Drivers license/State ID O Passport O Mien Registration O Other
Number Country US Issuing State VI
21 Cash in amount for individual or entity listed in Item 4
Account number 0 0
22 Cash out amount for IMNidlial or entity listed in Item 4 $ 16.991
Account number
Page 3 of 5
SDNY_GM_00049896
IDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R.QQN(F DB-SONY-00 12720
EFTA_00 I 60504
EFTA01291970

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 12/19/2017
24 O Armored car (FI Contract) 0 ATM 0 Mail Deposit or Shipment O Night Deposit 0 Aggregated transactions
'25 CASH IN: (in U.S. dollar equivalent) '27 CASH OUT: (In U.S. dollar equivalent)
.00
a Deposit(s) $ a Vathdrawal(s) .00
.00
• Payrneal(s) • Advance(s) on credit (ncluding markers) .00
c Currency received for funds
transkri(s) out .00 c Currency pad horn funds trans(( H(s) in .00
d Purchase of negotiable instrument (s) .00 d Negotiable instrument(s) cashed 7,500,00
e Currency exchanges) 00 e Cunonry exchango(s) 9,491.00
Currency to prepaid access .00 f Currency horn prepaid access .00
g Purchases of casinos Gilts, tokens a Redempien(s) ot casino chips. tokens.
and other gaming instruments 00 TITO tickets end other earning instruments 00
h Currency wager(s) ncluding h Payments) on war(s) (Inducing race
ninny PleYs .00 and OTB or scats pool) .00
Travel and complimentary expenses and
I Bills inserted inlo gang devices .00 took gaming Incentives .00
Payment for tournament. contest or other
• Other (specify): promotions .00
.00 Z Other (specify)
.00
Total Cash in .00 Total Cash Out 15,99100
O 0
26 Foreign Cash in Foreign Country
O 0
28 Foreign Cash out 7,000 Foreign Country BE
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SDNY_GM_00049897
IDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R.CON(F DB-SONY-0012721
EFTA_00 I 60505
EFTA01291971

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 Card dub q Other
I
'30 Legal name of financial institubon Deutsche Bank Trust Company Americas
31 Alternate name, e.g. trade name, DBA
12 EIN
*33 Address 346 Park Ave
'34 City New York
*35 State NY
'36 2IP Code I10154
39 Financial institution ID type
ID number
'40 Contact ofhte DB PB AML
'41 Phone number Ext.
'42 Date Filed (Dale filed wal be aut-opopulated when la, form is signed.)
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SDNY_GM_00049898
IDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R.CON(F DB-SONY-0012722
EFTA_00I 60506
EFTA01291972