EPSTEIN
page 1 / 3040 . OCR, unverified
Dataset10 171
--- SOURCE: IMAGES__0171__EFTA01654353.txt ---
METADATA_SOURCE: IMAGES0171
METADATA_FILENAME: EFTA01654353.pdf
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FinCEN I
Financial Crimes Enforcement Network
United ScACS Depattment of the ricaoury
FBAR Transcript
BSA: 31000176415090 and DCN:
Filing Information
Filing Type(s) Initial Report
Filing Date 10/12/2020
Received Date 10/12/2020
Entry Date 10/13/2020
Report for Calendar Year 2019
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 C/O KELLERHALS, 9053 ESTATE THOMAS SUITE 101
C/O KELLERHALS, 9053 ESTATE THOMAS SUITE 101 - 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
Report For Calendar Year 2019
Filer Role Foreign account filer
Page 1
The enclosed information war: colected and disseminated under provision: of the Bank Secrecy Act (Me BSA) and U.S. Deportment of the Treasury regaations implementing the BSA. See 31 U.S.C.
5311. et seq.; 31 CFR Chapter X. The mformation is sensitive m nature and is to be treats accordingly. The information may be used only foe a purpose con ustent with acrmioa 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 carnet be
further released, disseminated. disclosed. or transmitted without prior approval of the Director of Fmancial Cranes Enforcement Netwakor his authorized delegate. Suspicious activity reports feed under
the BSA must be treated with particular care given that they contain unsubstantiated allegations of paystle criminal activity. akin to confidential informant tips. Unauthorized release of information
collected wider the BSA may rezult in criminsi or civil sanction:.
0609 LV9L I.000 LC VS9
EFTA01654353
--- PAGE 2 ---
FinCEN
Financial Crimes Enforcement Network
coital Scams Departmair a the ricbuty
FBAR Transcript
BSA: 31 0001 7641 5090 and DCN:
Information on Financial Account(s) Owned Separately
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
NOTAVAILABLE
Amount Unknown Yes
Name of Financial Institution
in which the Account is Held
THRU SCI JEP LTD
Financial Institution Address
Address Type Foreign account financial institution address
Street Address 22 AVENUE FOCH
AVENUE FOCH - Enhanced
City PARIS
PARIS - Enhanced
ZIP Code 75016
75016 - Enhanced
Country FR
FR - Enhanced
Signature
Signature Date 10/12/2020
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 REILLY AND KOBAY CPA'S
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
Page 2
The enclosed ntomietIon 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 USG.
5311. et seq.; 31 CFRChapter X. The reformation is sensitive si nature and is to be treated accordingly. The information may be used only la a purpose conustent with a crane{ tax. or regulatory
investigationor proceeding. or in the conduct of ntelligence or counterntelligence activities. includeg analysis. to protect against nternational terrorism. See 31 LLS.C. 5311. The information cannot be
further released. disseminated. dixlosed. or transmitted without Ow approval of the Director of Filene's/ Crates Enforcement Network or has authorized delegate_ Suspicious activity reports fled under
the BSA must be treated with particular care given that they contain unsubstantiated allegations of passable criminal activity. akin to confelenbal informant tips_ Unauthorized release of information
collected wider the BSA may result in criminal or civil sanctions.
0609149L1000 IC VS9
EFTA01654354
--- PAGE 3 ---
FinCEN I Financial Crimes Enforcement Network
LiftlICII NOLO Deparmait a the Trimuty
FBAR Transcript
BSA: 31 0001 7641 5090 and DCN:
Third Party Preparer Use Only
NEW HYDE PARK - Enhanced