EFTA00109004.pdf
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U.S. Department of Justice
United States Attorney
Southern District of New York
The Silvio J. Mollo Building
One Saint Andrew's Plan
Ncw York. Ncw York 10007
October 2, 2019
Credit One Bank
Sonya Foster-Brown
Custodian of Records
To whom it may concern:
Please be advised that the accompanying grand jury subpoena has been issued in
connection with an official criminal investigation of a suspected felony being conducted by a
federal grand jury. The Government hereby requests that you voluntarily refrain from disclosing
the existence of the subpoena to any third party. While you are under no obligation to comply
with our request, we are requesting you not to make any disclosure in order to preserve the
confidentiality of the investigation and because disclosure of the existence of this investigation
might interfere with and impede the investigation.
Moreover, if you intend to disclose the existence of this subpoena to a third party, please
let me know before making any such disclosure.
Thank you for your cooperation in this matter.
Sincerely,
GEOFFREY S. BERMAN
Assistant United States Attorneys
EFTA00109004
Grand Jury Subpoena
Pnitebc*tatesPistritt axxurt
SOUTHERN DISTRICT OF NEW YORK
TO:
Credit One Bank
Sonya Foster-Brown
GREETINGS:
WE COMMAND YOU that all and singular business and excuses being laid aside, you appear and attend before
the GRAND JURY of the people of the United States for the Southern District of New York, at the United States
Courthouse, 40 Foley Square, Room 220, in the Borough of Manhattan, City of New York, New York, in
the Southern District of New York. at the following date, time and place:
Appearance Date:
October 16, 2019
Appearance Time: 10:00 a.m.
to testify and give evidence in regard to an alleged violation of :
18 U.S.C. §§ 1791, 201
and not to depart the Grand Jury without leave thereof, or of the United States Attorney, and that you
bring with you and produce at the above time and place the following:
See Attached Rider
N.B.:
Personal appearance is not rewired if the requested documents are: (I) produced on or before the return
date to Assistant U.S. Attorney
, U.S. Attorne 's ffice for the Southern District of New
York, One Saint Andrew's Plaza, New York, NY 10007,
and (2)
accompanied by an executed copy of the attached Declaration of Custodian of Records.
Failure to attend and produce any items hereby demanded will constitute contempt of court and will
subject you to civil sanctions and criminal penalties, in addition to other penalties of the Law.
DATED:
New York, New York
buffw2S. gaw6thirt
GEOFFREY S. BERMAN
United States Attorney for the
Southern District of New York
Assistant United States Attorneys
One St. Andrew's Plaza
New York, New York 10007
Telephone:
rev. 02.01.12
EFTA00109005
RIDER
Grand Jury Subpoena to Credit One Bank dated October 2, 2019
Reference #
REQUEST:
For the following account, and any other account controlled by the account holder of the below
account:
Account number
Account Holder: Robert Adams
Please provide any and all documents, to include, but not limited to those identified below, for
the period January 1, 2018 until the present:
a. Account opening documents, including applications and signature cards;
b. Records of account holders for debit and credit cards liked to the accounts;
c. Account statements and ledgers;
d. Images of checks (both front and back) deposited in account;
e. Images of canceled checks (both front and back) drawn on account;
f. Images of cashier's checks (both front and back) and depositing bank account
information;
g. Account deposit slips, withdrawal slips, debit & credit memos, and cash tickets;
h. Detailed wire transfer records, ACH transfer records (including routing/account numbers
funds transferred to/from), money orders, and traveler's check records;
i. All credit card and line of credit records, including, but not limited to: applications,
monthly statements, billing slips, and records evidencing the source of payment (copies
of checks, ACH records (including routing/account numbers funds transferred to/from),
or cash received slips);
j. Customer information associated with the account, including name(s), address(es),
telephone number(s), e-mail address(es), and any other identifying or contact
information.
INSTRUCTIONS FOR PRODUCTION OF DOCUMENTS:
1. All transactions-based information, include wire and ACH transfers, withdrawals/deposits,
charges/payments, and bank account activity should be provided in electronic spreadsheet
format (either Microsoft Excel or similarly compatible format). Specifically:
a. For wires and other types of transfers, the account holder name, account number, and
bank name of both the originator and beneficiary of the transaction should be clearly
stated in separate fields.
b. Cash and check transactions should be indicated within a transaction type field.
EFTA00109006
i. Check transactions should include the name of the payee in the recipient
field. Additionally, check images should be attached in graphic data files in a
commonly readable, non-proprietary format with the highest image quality
maintained, and named in a manner that uniquely associates them with the relevant
transaction record(s).
ii. Cash withdrawals should be indicated with CASH written in the recipient field.
iii. Cash deposits should be indicated with CASH written in the sender/originator field.
c. Field headers should be included for each column of data, and a data dictionary or other
explanation of the contents of each column provided.
2. Where more than one account is being requested, each account's transaction records
should be returned in a separate file.
3. All document images are to be produced in electronic PDF format. Where images of
checks, deposit slips, withdrawal slips, or cash tickets are being produced, they should be
produced no more than two per page.
4. In lieu of an appearance you may comply with this subpoena by providing the requested
information, along with a business records certification pursuant to Fed. R. Evid. 803(6)
to Assistant U.S. Attorney
of the United States Attorne 's Office, 1
St.
Andrew's
Plaza
New
York, NY
10007. Tel:
email:
EFTA00109007
Declaration of Custodian of Records
Pursuant to 28 U.S.C. § 1746, I, the undersigned, hereby declare:
My name is
(name of declarant)
I am a United States citizen and I am over eighteen years of age. I am the custodian of
records of the business named below, or I am otherwise qualified as a result of my position with
the business named below to make this declaration.
I am in receipt of a Grand Jury Sub oena, dated
and signed by Assistant
United States Attorney
requesting specified records of the business named
below. Pursuant to Rules 902(11) and 803(6) of the Federal Rules of Evidence, I hereby certify
that the records provided herewith and in response to the Subpoena:
(1) were made at or near the time of the occurrence of the matters set forth in the records,
by, or from information transmitted by, a person with knowledge of those matters;
(2) were kept in the course of regularly conducted business activity; and
(3) were made by the regularly conducted business activity as a regular practice.
I declare under penalty of perjury that the foregoing is true and correct.
Executed on
(date)
(signature of declarant)
(name and title of declarant)
(name of business)
(business address)
Definitions of terms used above:
As defined in Fed. R. Evid. 803(6), "record" includes a memorandum, report, record, or data compilation, in any
form, of acts, events, conditions, opinions, or diagnoses. The term "business" as used in Fed. R. Evid. 803(6) and
the above declaration includes business, institution, association, profession, occupation, and calling of every kind,
whether or not conducted for profit.
EFTA00109008
U.S. Department of Justice
United States Attorney
Southern District of New York
The Silvio J. Mono Building
One Saint Andrew's Plaza
New York New Yea* 10007
October 2, 2019
Credit One Bank
Sonya Foster-Brown
Custodian of Records
Dear Sir/Madam:
This letter describes the procedure for requesting reimbursement for subpoenaed records.
12 CFR part 219 (subpart A), issued by the Board of Governors of Federal Reserve
System under section 1115 of the Right to Financial Privacy Act (12 U.S.C. 3415), sets the rates
and conditions for reimbursement of costs directly incurred by financial institutions in
assembling or providing customer financial records to a government authority pursuant to the
Act. No costs are reimbursable if the records are those of a corporation or a partnership
comprised of more than five individuals.
If reimbursement is authorized, and the estimated billinzto the overnment will exceed
$500, advance permission is necessary from
If the subpoenaed records indicated on the rider are eligible for reimbursement, please
complete section B of the enclosed form OBD-211, which will serve as your invoice, and return
it with a copy of the subpoena to the following address:
U.S. Attorney's Office - SDNY
Accounts Payable Department
86 Chambers Street, r floor
New York, NY 10007
EFTA00109009
Please send your invoice to the above address within 60 days of the submission of the
subpoenaed records. If no invoice is received within 120 days, funds will not be available to pay
the invoice.
Thank you,
Accounts Payable
De artment
Enclosure: OBD-211
EFTA00109010
INSTRUCTIONS
Form USA-211
ATTORNEYS:
I . Fill in blocks 2, 3, 4 (name only), 8, 9, and 10.
2. Mail the subpoena and the USA-211 to the financial institution. (A copy of
this "Instructions" sheet and the attached "Important Notice" must be
included with each USA-211).
In a situation where the financial institution directly retu►ns to you the USA-211
with an invoice and the subpoena/rider please forward to Budget and sign Box 14,
15 and the bottom of Box 22 to acknowledge receipt of the requested service.
FINANCIAL OFFICIAL COMPLETES THE FOLLOWING:
1. Complete block 4 (address).
Section B.
2. Complete block 11A and 11B (payments cannot be processed without a Tax
ID Number).
3. Either complete or write "See attached invoice" and attach to the USA-211.
4. Sign block 12 and Date block 13. Note carefully the certification in
conjunction with the attached "Important Notice".
5. Send the following documents to --> U.S. Attorney's Office — SDNY
Budget / Fiscal Unit
86 Chambers Street — 3rd Floor
New York, NY 10007
a. Completed USA-211
b. Copy of Subpoena and Rider
c. Attach invoice, if applicable
EFTA00109011
IMPORTANT NOTICE
Pursuant to the Right to Financial Privacy Act (RFPA), Title 12. United States Code, Section 3415, financial institutions may
be reimbursed for necessary costs actually incurred for producing subpoenaed financial records. Reimbursement may only
be made in connection with financial records of checking, savings, share, loan or credit card accounts if the accounts
belong to individuals or partnerships of five or fewer partners. Reimbursement may only be made to an entity defined as
a financial institution under the RFPA. The Federal Reserve Board has established the following guidelines:
1. Search and Processing Costs — May be billed at the following rates of:
Clerical/Technical, hourly rate - $22.00
Computer Support Specialist, hourly rate - $30.00*
Manager/Supervisory, hourly rate - $30.00
*If itemized separately, personnel time for computer searches may be paid at the rates set for specialized computer suppon orS'
when compliance with the request for information requires that the financial institution use programming or other higher level
technical services of specialized computer support in order to reproduce electronically stored information in the format requested
by the government authority.
Reproduction Costs — May be billed at the following rates of:
Photocopy. per page • $0.25**
Paper copies of microfiche, per frame - $0.25
Duplicate microfiche, per microfiche - S0.50
Storage Media (CD, flash storage device, etc.) — Actual Cost***
**Reimbursement is not permitted on a per-page basis for production of paper documents that had been stored
electronically, unless the government specifically requested production of paper documents. ***Storage media may
include encryption technologies.
3. Transportation Costs — If itemized separately, financial institutions may bill for:
Reasonably necessary costs directly incurred to transport personnel to locate and retrieve the requested
information, and to deliver such material to the place of examination.
Reasonable measures taken to insure against a data breach, such as the use of registered mail or courier services
as required.
No fixed reimbursement will be available for transmittal made by email. However, financial institutions may be
reimbursed for personnel costs and other identified costs incurred related to making email transmissions.
REIMBURSEMENTS CANNOT BE MADE FOR RECORDS RELATING TO ACCOUNTS OF:
1. Corporations
2. Large Partnerships (6 or more partners)
3. Associations
4. Trusts
5. State and local government agencies
6. Other legal entities
Unless otherwise requested all financial record requests should be delivered in an electronic format.
•
Section B, item numbers II through 13 of the attached purchase order form must be completed and returned to the
United States Attorney's Office to support reimbursement.
•
To assure prompt payment, please submit an invoice within 60 days. Mail should be directed to the attorney whose
name and address appears on the subpoena. Please include the appropriate tax ID number.
Note: If invoicing for these services is expected to exceed 120 days, please notify the United States Attorney's Office
immediately to ensure funds remain available for payment.
EFTA00109012
Washington, D.C. 20530
US. Department of Justice
Request for Financial Information Under the Right to Financial Privacy Act (RFPA)
(Authorization, Purchase Order and Receiving Report)
This form shall be used when requesting financial records of individuah and partnerships of five or fewer individuals under the RFPA.
I Tracking Number
j2 Date Order Prepared:
Section A - Authorization and Purchase Order
4 Name and Address of Financial Institution:
Credit One Bank
5 Deliver Records To:
See attached subpoena for delivery instructions
A.
Funding Certification &
Authorization:
Send Completed USA-211 Form & Invoice To:
U.S. Attorneys Office • SDNY
Budget 1 Fiscal Unit
86 (.Timbers Street. led Floor New York. NY 10007
A N m
•
N/A
Budget Official Signature
Funding Available
Date
B.
54-8113
Approving Official Signature
Date
6 Return Date:
See attached
7 Remarks: Do not proceed with compliance if the total cost will exceed S 500.00
without prior approval. To obtain approval, call the requestor listed in Item S.
If invoicing for these services is expected to exceed 120 days. please notify the United States Attorney's Office immediately to ensure funds remain available
for payment. Please see the attached Important Notice for additional information on invoicing and other requirements for reimbursement.
8 Name of attestor
AUSA
I IA Invoice Number:
I1B Tax ID Number:
I IC Service(s)/Records Provided:
A. Searching and processing costs (clerical or technical personnel)
B. Searching and processing costs (management/supervisory personnel)
C. Searching and processing costs (computer support specialist)
D. Reproduction Costs (Photocopying) - **Note: Copy charges will be disallowed if
the information is stored electronically. unless the US Attorney's Office requests paper.
E. Reproduction Costs (Paper Copies of Microfiche: provide justification)
F. Reproduction Costs (Duplicate Microfiche: provide justification)
G. Storage Media Cost (e.g.. Compact Disc. DVD, etc.. at Actual Cost)
H. Transportation Costs (Direct Costs Only)
Telephone Number
Section B - Financial Institution Invoice
10 Date of request:
10/02/2019
No Payment Shall Be Madc Unless Expenses Arc Itemized Below Or Set Forth On Your Attached Invoice.
In Item 412. I certify that the services invoiced above were not performed relative to any corporate
accounts and pertain only to accounts of individuals and partnerships of five or fewer individuals.
12 Signature of Financial Institution Official:
Quantity
Unit Price
Cost
Per
$22.00
Hour
430.00
Hour
430.00
Hour
40.25
Page
40.25
Frame
50.50
Microfiche
Amount
Section C - Receiving Report
14 I certify that the articles and services listed were received:
I3 Date Signed:
15 Date Received:
Total Amount Claimed
By Financial Institution
I8 Right to Financial Privacy Act - Public Law 95-630
(12 U.S.C. 3401-3422) Request Pursuant To: (Check One Only)
SECTION
r , gee
3405
3406
3407
3408
3413
3414
Customer Authorization
Administrative Subpoena or Summons
Search Warrant
Judicial Subpoena
Fomtal Written Request
Grand Jury Subpoena
Special Procedures
OBJECT
CLASS
2545
2545
2545
2545
2545
2545
2545
22 Remarks:
16 Disallowance
(See Attached)
17 Net to
Financial
Institution
19 Signature of Approving Official:
20 Funding Source
Accounting Code:
Program
21 Other Accounting/Fund Information:
Program Code: NIA
Project Code: NIA
YREGDOC:
54-8113
Call Number (if applicable):
OBL Month (YRNICI):
Tax ID Number.
To the best of my knowledge. the financial records received. for which we are being billed. are those of an individual or partnership of five or fewer
was.
Signature of United States Attorney's (Nike Representative
Date
FORM USA-211
FEB. NM
EFTA00109013
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| Filename | EFTA00109004.pdf |
| File Size | 598.9 KB |
| OCR Confidence | 85.0% |
| Has Readable Text | Yes |
| Text Length | 17,821 characters |
| Indexed | 2026-02-11T10:40:15.294023 |