EFTA Document EFTA01654384

FinCEN I Financial Crimes Enforcement Network United Scam Dopmunau ci this Treasury FBAR Transcript BSA: 31000067238915 and DCN: Filing Information Filing Type(s) Initial Report Filing Date 06/02/2015 Received Date 06/02/2015 Entry Date 06/03/2015 Report for Calendar Year 2014 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 2014 Page 1 The enclosed information was collected and disseminated under provisions of the Bank Secrecy Act (Me SSA) and U.S. Department of the Treasury regttations implementing the BSA. See 31 U.S.C. 5311. et sett ; 31 CFR Chapter X. The mformation is sensitive m nature and is to be treats accadingty. The information may be used only fa a purpose consistent with acrmnal, tax. or regulatory investigation or proceeding. or in the conduct of mtelligence or countermtelligence activities. incluctn analysis. to protect against mtemational terrorism. See 31 U S.C. 5311. The information cannot be lunher released. disseminated. disclosed. or transmitted without prior approval of the Director of Financial Cremes Enforcement Netwakor he authorized delegate. Suspicious activity reports feed under the GSA mint 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 wider the GSA may result in criminal or civil sanctions. 9 1.68CZL90000 IC VS9 EFTA01654384 FinCEN I Financial Crimes Enforcement Network United Stan pepsman of due I taw: y FBAR Transcript BSA: 31000067238915 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 $110,267 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 2014 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 $98,894 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 alternation was collected and disseminated under provisions of the Bank Secrecy Act (the SSA) and U.S. Department of the Treasury reguLations implementing the BSA. See 31 U.S.C. 5311. et sett . 31 CFR Chapter X. The reformation a senative ti nature and is. to be heated wows:tingly. The information may be used only fa a purpose conorient with acrmoa tax. or regulatory investigation or proceeding..r in the conduct of intelligence or counterntelligence activities. incluttn analysis. to protect against nternational terrorism. See 31 U S.C. 5311. The information cannot be tuner rekased. disseminated. disclosed. or transmitted without prior approval of the Director of Frnancial Crtnes Enforcement Netwakor his authorized delegate. Suspicious activity reports feed under the GSA must be treated with particular care given that they contain unsubstantiated allegations of passable criminal activity. akin to ccolldenhal informant tips. Unauthorized release of information collected wider the GSA may result in criminal or civil sanctions. 9 1.68SZL90000 IC VS9 EFTA01654385 FinCEN Financial Crimes Enforcement Network UMW States 1.1 cps map d the Ticsauty FBAR Transcript BSA: 31000067238915 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 106/02/2015 Third Party Preparer Use Only Preparer's Last Name CPA Preparer's First Name DAVID Preparer's TIN Identification Type PTIN Identification Number P00035228 Phone Number (516) 488-8400 Preparing Firm% Name SHR, CPA S LLC Preparing Firm's TIN Identification Type EIN Identification Number 900436485 Preparer's Address Address Type Third Party Preparer Address Street Address 3000 MARCUS AVE STE 3W4 3000 MARCUS AVE STE 3W4 - Enhanced City LAKE SUCCESS NEW HYDE PARK - Enhanced State NY NY - Enhanced ZIP Code 11042-1009 11042-1009 - Enhanced Country US US - Enhanced Page 3 The enclosed information was collected and disseminated under provisions of the Bank Secrecy Act (Me SSA) and U.S. Department of the Treasury regaations implementing the BSA. See 31 U.S.C. 5311. et sett . 31 CFR Chaplet K. The mformation a sensitive m nature and is to be treats accadingly. The information may be used only foe a purpose consistent with a crrnmat. tax. or regulatory investigation or proceetIng, a 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 lusher released. disseminated. disclosed. or transmitted without prior approval of the Director of Financial Crates Enforcement Network or h's authorized delegate. Suspicious activity reports feed under the GSA must be treated with particular care given that they contain unsubstantiated allegations of paystale criminal activity. akin to confidential informant tips. Unauthorized release of information collected wider the GSA may result in criminal or civil sanction:. 9 1.68SZL90000 IC VS9 EFTA01654386