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efta-01654360DOJ Data Set 10Other

EFTA01654360

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DOJ Data Set 10
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efta-01654360
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3
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
FinCEN Financial Crimes Enforcement Network United Stan Dept:undo d the Tomo: y FBAR Transcript BSA: 31000131780703 and DCN: Filing Information Filing Type(s) Initial Report Filing Date 08/18/2018 Received Date 08/24/2018 Entry Date 08/27/2018 Report for Calendar Year 2017 Submission Method Electronic batch filing Submitted by Authorized Third Party Yes Filer Information Filer Role Foreign account filer Filer TIN Identification Type SSN/ITIN Identification Number Type of Filer Individual Filer Last Name or Organization Name EPSTEIN Filer First Name JEFFREY Filer Middle Name E Filer Date of Birth 01/20/1953 Filer Address Address Type Foreign account filer address Street Address 6100 RED HOOK QUARTER B3 6100 RED HOOK QUARTER B3 - Enhanced City ST. THOMAS ST. THOMAS - Enhanced State VI VI - Enhanced ZIP Code 00802 00802 - Enhanced Country US US - Enhanced Financial Interest in 25 or More Accounts No Signature Authority in 25 or More Accounts No Information on Financial Account(s) Owned Separately Account 1 of 2 Report For Calendar Year 2017 Page 1 The enclosed information was collected and disseminated under provisions of the Bank Secrecy Act (the SSA) and U.S. Department of the Treasury regOations implementing the BSA. See 31 U.S.C. 5311. et seg.: 31 CFR Chapter X. The mformation is sensitive n nature and is to be treats accordingly. The information may be used only for a purpose consistent with a crrnmat. tax. or regulatory nvesfigation or proceeding. or in the conduct of mtelligence or countermtelligence activities. includen analysis. to protect against mtemational terrorism. See 31 U.S.C. 5311. The information cannot be further released. disseminated. disclosed. or transmitted without prior approval of the Director of Financial Crates Enforcement Network or his authorized delegate. Suspicious activity reports feed under the 0SA must be treated vath particular care given that they contain unsubstantiated allegations of passtle criminal activity. akin to confidential informant tips. Unauthorized release of information collected wider the BSA may result in criminal or civil sanction:. EOLO8L LEL000 LE VS9 EFTA01654360 FinCEN I Financial Crimes Enforcement Network united urn Dcs °sent of the To:bury FBAR Transcript BSA: 31000131780703 and DCN: Information on Financial Account(s) Owned Separately Filer Role Foreign account filer Filer TIN Identification Type SSN/ITIN Identification Number Type of Filer Individual Filer Last Name or Organization Name EPSTEIN Account Type Bank Account Number or Other Designation 0293300000061444 Maximum value of Account During Calendar Year Reported $105,463 Name of Financial Institution in which the Account is Held BNP PARIBAS Financial Institution Address Address Type Foreign account financial institution address Street Address 16 BOULEVARD DES ITALIANS 16 BOULEVARD DES ITALIANS - Enhanced City PARIS PARIS - Enhanced ZIP Code 75009 75009 - Enhanced Country FR FR - Enhanced Account 2 of 2 Report For Calendar Year 2017 Filer Role Foreign account filer Filer TIN Identification Type SSN/ITIN Identification Number Type of Filer Individual Filer Last Name or Organization Name EPSTEIN Account Type Bank Account Number or Other Designation 0293300000062351 Maximum value of Account During Calendar Year Reported $165,201 Name of Financial Institution in which the Account is Held BNP PARIBAS Financial Institution Address Address Type Foreign account financial institution address Street Address 16 BOULEVARD DES ITALIANS 16 BOULEVARD DES ITALIANS - Enhanced Page 2 The enclosed 4110/1113:11X1Vra: collected and disseminated under provisions of the Bank Secrecy Act (the SSA) and U.S. Department of the Treasury reguLstions implementing the BSA. See 31 U.S.C. 5311. et sec' : 31 CFR Chapter )(. The mformation is sensitive m nature and is to be treats accordingly. The information may be used only toe a purpose consistent with acr.-n.1ak tax. or regulatory nvestigation or proceeding. or in the conduct of mtelligence or countermtelligence activities. includwg analysis. to protect against mtemational terrorism. See 31 U.S.C. 5311. The information cannot be further released. disseminated. disclosed. or transmitted without prior approval of the Director of Financial Crates Enforcement Network or he authorized delegate. Suspicious activity reports feed under the OSA must be treated 'nth particular care given that they contain unsubstantiated allegations of passtle criminal activity. akin to confidential informant tips. Unauthorized release of information collected wider the OSA may result in criminal or civil sanction:. SOLOS! 161000 LE VS9 EFTA01654361 FinCEN Financial Crimes Enforcement Network United Saws Department ul thc fi caury FBAR Transcript BSA: 31000131780703 and DCN: Information on Financial Account(s) Owned Separately City PARIS PARIS - Enhanced ZIP Code 75009 75009 - Enhanced Country FR FR - Enhanced Signature Signature Date 108/18/2018 Third Party Preparer Use Only Preparer's Last Name HASSON, CPA Preparer's First Name DAVID Preparer's MI M. Preparer's TIN Identification Type PTIN Identification Number Phone Number Preparing Firm's Name SECKENDORF HASSON AND REILLY CPA's Lit Preparing Firm's TIN Identification Type EIN Identification Number Preparer's Address Address Type Third Party Preparer Firm Address Street Address 3000 MARCUS AVE STE 1W5 3000 MARCUS AVE STE 1W5 - Enhanced City LAKE SUCCESS NEW HYDE PARK - Enhanced State NY NY - Enhanced ZIP Code 11042-1009 11042-1007 - Enhanced Country US US - Enhanced Page 3 The enclosed information was collected and disseminated under provision: of the Bank Secrecy Act (Me BSA) and U.S. Department of the Treasury regaations implementing the BSA. See 31 U S C. 5311. et sect :31 CFR Chapter X. The nformation is sensitive n nature and is to be treats accccdingty. The information may be used only !cc a purpose convent with acrmna tax. or regulatory nvestigation or proceeding. or in the conduct of intelligence or counterntelligence activities. incluctn analysis. to protect against ntemational terrorism. See 31 U. S.C. 5311. The information cannot be further released. disseminated. disclosed. or transmitted without prior approval of the Director of Fnancial Craws Enforcement Netwarkor his authorized delegate. Suspicious activity reports feed under the OSA must be treated vath particular care given that they contain unsubstantiated allegations of pass.ble criminal activity. akin to ccofidential informant tips. Unauthorized release of information collected wider the 0S11 may result in criminal or civil sanction:. £OLO8L LE MOO LE:VSEI EFTA01654362

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