EFTA01654377.pdf

FinCEN Financial Crimes Enforcement Network Unitai Scams Department attic Traauty L£fZ090110001£ VSEI FBAR Transcript BSA: 31000110602437 and DCN: Filing Information Filing Type(s) Initial Report Filing Date 08/18/2017 Received Date 08/18/2017 Entry Date 08/21/2017 Report for Calendar Year 2016 Submission Method Electronic batch filing Submitted by Authorized Third Yes Party Filer Information Filer Role Foreign account filer Filer TIN Identification Type SSN/ITIN Identification Number Type of Filer Individual Filer Last Name or EPSTEIN Organization Name 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 No More Accounts Signature Authority in 25 or No More Accounts Information on Financial Account(s) Owned Separately Account 1 of 2 Report For Calendar Year 2016 Page 1 The enclosed ,formation was colected and disseminated under provisions of the Bank Secrecy Act (the SSA) and U.S. Deportment of the Treasury regaations implementing the BSA. See 31 U.S.C. 5311. et seg.. 31 CFR Chaplet X. The nformation is sensitive ri nature and is to be heated accordingly. The information may be used only Ice a purpose con ustent with aern-nal tax. or regulatory investigation or proceeding. or in the conduct of ntelligence or counterntelligence activities. including analysis, to protect against nternational 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 Cranes Enforcement Netwakor he authorized delegate. Suspicious activity reports filed under the BSA must be heated ?nth particular care given that they contain unsubstantiated allegations of passable aiminal activity. akin to ccofidenhal informant tips. Unauthorized release of infamaton collected raider the OSA may result in aiminal or civil sanction:. EFTA01654377  FinCEN I United Financial Crimes Enforcement Network ()Tamen, a the ftextuty Mato LEVZ090 L000 LC VS9 FBAR Transcript BSA: 31000110602437 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 EPSTEIN Organization Name Account Type Bank Account Number or Other 0293300000061444 Designation Maximum value of Account $213,618 During Calendar Year Reported Name of Financial Institution BNP PARIBAS in which the Account is Held 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 2016 Filer Role Foreign account filer Filer TIN Identification Type SSN/ITIN Identification Number Type of Filer Individual Filer Last Name or EPSTEIN Organization Name Account Type Bank Account Number or Other 0293300000062351 Designation Maximum value of Account $219,742 During Calendar Year Reported Name of Financial Institution BNP PARIBAS in which the Account is Held Financial Institution Address Address Type Foreign account financial institution address Street Address 16 BOULEVARD DES ITALIANS 16 BOULEVARD DES ITALIANS - Enhanced Page 2 The er, i rmatico was coiected and disseminated under provision: of the Bank Secrecy Act (the OSA) and U.S. Deportment of the Treasury reguLations implementing the BSA. See 31 U.S.C. 531'. e 'CUR Chaplet X. The mformation a sensitive n nature and is to be treated accadingly. The information may be used only for a purpose consistent with acrrnma tax. or regulatory investigation or proceeding. or in the conduct of ntelligence or counterntelligence activities. includng analysis. to protect against ntemational terrorism. See 31 U.S.C. 5311. The information cannot be lusher released, disseminated. disclosed. or transmitted without prior approval of the Director of Fnancial Crates Enforcement Netwakor he authorized delegate. Suspicious activity reports filed under the BSA must be treated mth particular care given that they contain unsubstantiated allegations of passable criminal activity. akin to confidential informant tips. Unauthorized release of information collected wider the OSA may result in criminal or civil sanclicns. EFTA01654378  FinCEN I Financial Crimes Enforcement Network L•nired States Department ti the rtaouty LEVZ090 L000 LE VS9 FBAR Transcript BSA: 31000110602437 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 08/18/2017 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 SHR, CPA S LLC Preparing Firm's TIN Identification Type EIN Identification Number 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 nformaticn was colected and disseminated under provisions of the Bank Secrecy Act (the SSA) and U.S. Department of the Treasury reguLations imptementing the BSA. See 31 U.S.C. 5311, et see. 31 CFR Chaplet X. The mformation a sensitive m nature and is to be treated accadingly. The information may be used only for a purpose con ustent with acrrnma tax. or regulatory investigation or proceeding. or in the conduct of mtelligence or countermtelligence activities. inclueng 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 ftled under the BSA must be heated ?nth particular care given that they contain unsubstantiated allegations of passiale criminal activity, akin to confidential informant tips. Unauthorized release of information collected under the BSA may result in criminal or civil sanction:. EFTA01654379