EPSTEIN
page 3 / 2844 . OCR, unverified
refer to the above
Document Control Number
Date of Notice:
JULY 14, 2011
Taxpayer Identifying
Number: 090443348
Contact: Correspondence
Unit
Call: (313) 234-1493
Hours: 7:30 am • 2:30 pm
EST
Dear Sir or Madam:
We find that some of the required information is incomplete, incorrect, or
illegible on the Form TD P 90-22.1, Report of Foreign Bank and Financial
Accounts, which was previously filed.
Please review the item(s) identified on the last page and complete or correct
the necessary information on the enclosed computer generated facsimile
of the form. Return the corrected/completed facsimile to us within 30
days of the date on this letter. Do not send a new form.
If you have any q
tions about this latter, write to the Detroit
Computing Center
. Box 33107, Detroit, NI 48232-5107 or call the
number showy. in t•
e eliding of this letter. Thank you for your
cooperation.
Sincerely yours,
Cecil K. Marshall
Department Manager
Rdit and Error Resolution
Enclosures:
Facsimile of Form TD F 90.22.1
Return Envelope
NOTE
RETURN ADDRESS IS BELOW
DEPARTMENT OF THE TREASURY
Detroit Computing Center
Box 33107
Detroit, Michigan 48232.5107
PLEASE RETURN ALL MATERIAL
WITH YOUR REPLY - ADDRESS
BELOW MUST APPEAR IN WINDOW
OF RETURN ENVELOPE
004862
EFTA00614938
--- PAGE 7 ---
TD F 90-22.1
01444. Genes ?OM)
Depedmevaol Yr Tteenoy
Do not use dawns 'Marts ol
Oas lam dem
Deegan& 31, 2000
rtin Filar Information
Typo d Fir
REPORT Of FOREIGN BANK
AND FINANCIAL ACCOUNTS
Do NOT Me wIln your Federal Tax Return
• El Indindliai
b K
Pronnet•Np
20101821223560
0103 No.1506-0239
Tly.RrrM a lor tatends
Yew W-
ed 1241
2009
Amended 0
c K COlporaIltm d K Cara ldaisd • 0
Flatthaty or GIs - Eider typo
U.S. Towner kkesilculkin Number
090443348
II liar has no U.S. IdentlItcdlon
Number couplet Item 4.
total Nene ceOrgasznics Nome
005091 EPSTEIN
Forty Idendenikel (Coition Onif If tem 3 le nal nielleilin)
e Panne.
• Fyn: 0
Ni,pait
b Caner of lotus
K
Olher
Fad Mama
JEFFREY
Indatignal Delo of MN
01/20/1953
hildde etas
E
/Nina (44unnerjesaitl. end Pet or ado No.)
6100 RED HOOK QTR STE 3B
coy
ST THOMAS
VI
20F4Fintal Cods
00802
IS Carry
US
Gee nor 344. hove • Mandal kkotest in 25 or mato fl ed! acconte
K
Yes
II Ye, enla loleJ number Cl account
(H Yes le clime ha d. do net complete Pad a a P•41 e1, but ottaln record., of this Inloemalkoa)
ON.
PIM
information on Financial Accounts) Ownad Sa arately
Moan yaks dm
l
uncludni enkvsin yaw resat)
IN in.. 44 meal a I3 unk h 0 union e 0 alerfew bpi below
1? Nano a (irarteisl lataluian wit which account a hold
-
Peewit matter id ern emigration
l
UP Staling Additcss Chlwribee, Skeet. Sale Nueiber)d inandal MOWS= In with eacsant a held
Olt
1111112321:i
Fter Senoltre
SIGNATURE PRESENT
*nun mana.
2/p4Paild Cole. 1 beam I 23 Caney
IS Ftie lined not spunky • mooned mowed
Deli
06/20/2010
File Pas lam a*: U S. Depalmenl tal the ?mammy,
Box 32621. Dointa, MI 48232-0821
This butt should be mad tampon a 61100CW illtelt.s1 I. slainha nudxxIty or other audio* over one or more Ilninclal acacias In beim
couniffin, us rayed by In Oppationant of tau ?nastily Rs-gut-600n> (31 CF R bipolar X). No report Is rammed the aggregate value 011ie
mcotifils dd ad exceed St 0.000
Xe:::7
3.*:457.,lecg.,:z4Z;53 ;
**2:4 41f4VgAtifteX,:•
-0
Cu No. 129960
nr2,2FAW7RWII;V!;i1T-in.):4
40I.
tam TO F 90-22-1 (Rev. 10401e)
"“
affil
7-1;::•:;12
EFTA00614939
--- PAGE 8 ---
FILER TIN: 090443348
gItTAMAMLOW
DC N
20101621223560
IranontInued-InforMatIon on Financial Accounlis) Owned Separately
Form TO F 90.22.1
Complete a Separate Block for Each Account Owned Separately
Pflo hkrnbor
This Ode can Um ccpled m maw Urns es necessary leaden) Prue* istaseserm en ed mceoffnls.
002 a 002
I MO lot ez4enctar
lbw
2009
3-I Chita educe mete 1O8olkolloo Nardi.
b000rrt Ideolletylko Number
Fumian IdereliosannNomfau
EnUr liboalizelbn ,utter hem:
060463346
Last Noma or Orgsressecn Name
EPSTEIN
IS Wakeman ?sue of mous clueing abort year reveled
990,733
I7 Nome d Fbenelal baton wila width macula I Mid
HSBC PRIVATE BK SA
II Type of mown' • 0
two, b MI S.cw.s a K 00m -Erfea type Wawa
II Armee moan or saw doecro9M5
003031
1207997
Mane Meese (Number. SlreeL Se/. Maalam) of Webb Waal In Weds amount Is Sd
PO BOX 3580
2) CRy
GENEVA 3
SIN& known
Z.0/Postal WA 0 known
Cote-ft
CH1211
SZ
Medownm mew of accowe Mirky carder yeserreprOid
3,802.298
IT Neese of Renal ImMunan via which sceseM h Mil
IISBC PRIVATE Ill( SA
to Amore rowan CO It( de elarmllea
4093
aty
GENEVA 3
IS Maria was Of scant theabfillsedir yaw repsoled
Typed moon • 0
Beek b 0 Swaim a
Other-Erew bps be
Wing Address 'Number. Skeet Buie Number) delrdco Imialen in did, smooth Mid
PO BOX 3580
31•14. linos
21)0Posal Code.6 known
County
CH1211
SZ
Tool account • 0 Met* 0 Semite e d
Oftmf-Erier kebob/Are
1) Name or Flrendil mita° Mth *NM accwnl ill Sd