EFTA Document EFTA01654347

FinCEN I Financial Crimes Enforcement Network Daitoi States Department tithe Ticaouty BCTR Transcript BSA: 31000036626342 and DCN: Filing Information Type of Report Initial Report Filing Date 11/15/2013 Received Date 11/15/2013 Entry Date 11/17/2013 Submission Method Electronic discrete filing Person(s) Involved in Transaction(s) • •rs•n . . •f 2: Bell•r Person Involved Type Person conducting transaction for another Individual/Organization Individual Last(or Entity) Name Beller First Name Harry Middle Initial I Sex Male Date of Birth SSN/ITIN Form(s) of Identification Identification Type Driver's license/State ID Identification Number Issuing State Code NY Issuing State New York Issuing Country Code US Address(es) Address Type Subject permanent/mailing address Street Address - Enhanced City Monsey MONSEY - Enhanced State NY NY - Enhanced ZIP Code 10952 10952-2845 - Enhanced Country US US - Enhanced Occupation/Type of Business Accountant Cash Out Amount $20,723 Account Number(s) for Cash Out Amount ••rs•nlnv.ly- a I . - Page 1 The enclosed information was collected and disseminated under provision: of the Bank Secrecy Act (Me SSA) and U.S. Department of the Treasury regulations implementing the BSA. See 31 U.S.C. 5311, et sect .31 CFR Chapter X. The information is sensitive n nature and is. to be treated accadingly The information may be used only !cc a purpose consistent with acr.-mat tax. or regulatory investigation or proceeding. or in the conduct of intelligence or counterntelligence activities. inducYm analysis. to protect against nternational terrorism. See 31 U.S.C. 5311. The information cannot be further released. disseminated. disclosed. or transmitted without prior approval ol the Director of Fnancial Crnses Enforcement Network or his authorized delegate Suspicious activity reports feed under the BSA must be treated voth particular care given that they contain unsubstantiated allegations of passable criminal activity. akin to confidential informant tips. Unauthorized release ol information collected under the BSA may result in criminal or civil sanction:. ZPE9Z99£0000 LC VS9 EFTA01654347 FinCEN Financial Crimes Enforcement Network Llaitcd Stan peps beau tithe Ticauty BCTR Transcript BSA: 31000036626342 and DCN: Person(s) Involved in Transaction(s) Person Involved Type Person on whose behalf this transaction was conducted Individual/Organization Individual Last(or Entity) Name Epstein First Name Jeffrey Sex Male Date of Birth SSN/ITIN Form(s) of Identification Identification Unknown Yes Address(es) Address Type Subject permanent/mailing address Street Address 9 E 71 St 9 E 71ST ST - Enhanced City New York NEW YORK - Enhanced State NY NY - Enhanced ZIP Code 10021 10021-4102 - Enhanced Country US US - Enhanced Cash Out Amount $20,723 Account Number(s) for Cash Out Amount Amount and Type of Transaction(s) Transaction Date 11/15/2013 Total Cash Out $20,723 Cash Out Types Currency exchange out $20,723 Foreign Currency Transactions Foreign currency out 15,000 BELGIUM Activity Location Role Transaction location business Primary Federal Regulator Federal Reserve Legal Name of Financial Institution Deutsche Bank Trust Company Americas EIN Address Address Type Address where transaction occurred Street Address 345 Park Ave Page 2 The enclosed information was colected and disseminated under provision: of the Bank Secrecy Act (the BSA) and U.S. Department of the Treasury regaations implementing the BSA. See 31 U.S.C. 5311, et sect .31 CFR Chapati X. The mformation is sensitive n nature and is to be treats accadingly. The information may be used only fa a purpose con ustent with a crennal. tax. or regulatory investigation or proceeding. or in the conduct of intelligence or counterntelligence activities. induckig 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 Estancia Craws Enforcement Network or he authorized delegate. Suspicious activity reports filed under the OSA must be treated with particular care given that they contain unsubstantiated allegations of passable criminal activity. akin to confidential informant tips. Unauthorized release of information collected under the BSA may result in criminal or civil sanction:. ZPE9Z99£0000 IC VS9 EFTA01654348 FinCEN I Financial Crimes Enforcement Network United States Depazonan tithe Tiegouty BCTR Transcript BSA: 31000036626342 and DCN: Activity Location 345 PARK AVE - Enhanced City New York NEW YORK - Enhanced State NY NY - Enhanced ZIP Code 10154 10154-0004 - Enhanced Country US - Enhanced Type of Financial Institution Depository institution Filer Location Primary Federal Regulator Federal Reserve Legal Name of Financial Institution Deutsche Bank Trust Company Americas EIN Address Address Type Reporting party address Street Address 345 Park Ave 345 PARK AVE - Enhanced City New York NEW YORK - Enhanced State NY NY - Enhanced ZIP Code 10154 10154-0004 - Enhanced Country US - Enhanced Contact Person/Office DB PB AML Phone Number Reviewer Signature Yes Page 3 The enclosed information was collected and disseminated under pcovizicns 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 sect .31 CFR Chapter X. The mformation is sensitive m nature and is. to be heated accadingly. The information may be used only fa a purpose con ustent with acrmna tax. or regulatory investigation or proceeding. or in the conduct of intelligence or counterntelligence activities. inducYlg 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 Network or his authorized delegate. Suspicious activity reports filed under the 0SA must be treated voth particular care given that they contain unsubstantiated allegations of paystale criminal activity. akin to ccordential inform ant tips. Unauthorized release of information collected under the GSA may rezult in criminal or civil sanction:. ZPE9Z99£0000 LC VS9 EFTA01654349