Exhibit 69 — USA v. Crowther (Dkt. 136.47)

Summary

A bank form filed March 31, 2021 as Doc. 136-47, Exhibit 69 in USA v. Crowther, No. 2:20-cr-00114, in the U.S. District Court for the Middle District of Florida. It has business and owner sections for Target Roofing, listing Lee County Florida as the state where registered and LOCAL as the primary trade area. The form lists expected DOMESTIC ACH and wire activity, with Monthly Wire Frequency NONE. Its owner/signer sections name Casey D Crowther with the occupation OWNER OF ROOFING CO and Steven D Adkins with the occupation VP OF ROOFING CO.

Summary drafted by a model from the document's text below and checked by script against that text before publication. It is a navigation aid, not a reading of what the document proves. Where AI is used

Record facts

Full text

Text recognized from a scanned document; may contain errors.

Case 2:20-cr-00114-JES-M_M Document 136-47 Filed 03/31/21 Page1ofi1 PagelD -

COMMUNITY BANK

Opened By KRISTIN DIIORIO BUSINESS NEW ACCOUNT SCORECARD
51 Date Opened 08/03/2017 === Account # Source of Deposits SALES
B] initial Deposit 160.00 Account Type Corporation _—- Purpose of this Acct OPERATING
g Expected Avg Monthly Balance 50,001 + Expected ACH Activity DOMESTIC
Expected Wire Activity DOMESTIC Monthly ACH Amount $0 - $10,000
Monthly Wire Frequency NONE Monthly Cash In/Out Amount $0 - $500
Monthly Wire Amount $0 - $10,000 Monthly Cash In/Out Frequency LESS THAN 5
2] Business Name TARGET ROOFING AND SHEET METALINC New or existing customer? Is there a store front?
=
5 Tax ID 47-4767409 [x] New [x] Yes
| Physical Address 2043 WEST FIRST ST C] Existi [| N
ul FORT MYERS , FL 33904 isting 0
o State Where Registered LEE COUNTY FLORIDA Internet Gambling Business?
m@! Description of Business OOFING COMPANY. (| Yes ifyes, DO NOT OPEN.
Primary Trade Area LOCAL [x] No
Own/Maintain ATMs? Non-Profit or Charity?
[ Yes ‘fyes, customer must provide a copy of the [] Yes /fyes, a copy of the IRS 501C Designation must be forwarded to BSA Department.

OWNER/SIGNER/BENEF OWNER OWNERI/SIGNER/BENEF OWNER

Processor or !SO Agreement AND a copy of the
[x] No ATM equipment Sale or Lease Agreement. No
Forward documentation to the BSA department.

If yes, how does the entity receive contributions?

The Bank DOES NOT Open Money Service Business Accounts.
Contact BSA Department if the customer provides any of the following services.

[ Cash Checks [ ] Sell Lottery Tickets ["] Gaming Activities i.e. Bingo [| Currency Exchanges/Dealers
[| Money Order Sales [| Prepaid Card Sales [| Third Party Payment Processor [ ] Exchange of Virtual Currency
[_] Traveler Check Sales [| Money Transmitter

Name CASEY D CROWTHER DOB 09/02/1985

Tax ID 593-88-8937 Phys. Address 3950 WILLIAMSON RD
Residency Status US Citizen FORT MYERS , FL 33905
Citizenship United States Primary ID Drivers License
Employer TARGET ROOFING Secondary ID ID Verification (2nd ID)
Occupation OWNER OF ROOFING CO

Is customer a Politically Exposed Person (Senior Political Figure, Member of a Senior Political Figure's immediate family, or a close
associate of a Senior Foreign Political figure?)

[x] No [_]ves If yes, explain

Name STEVEN D ADKINS DOB 04/10/1987

Tax ID 287-54-5858 Phys. Address 17651 WELLS RD
Residency Status US Citizen N FORT MYERS , FL 33917
Citizenship United States Primary ID Drivers License

Employer ° TARGET ROOFING Secondary ID _—_ID Verification (2nd ID)
Occupation VP OF ROOFING CO

Is customer a Politically Exposed Person (Senior Political Figure, Member of a Senior Political Figure's immediate family, or a close
associate of a Senior Foreign Political figure?)

[x] No [ ] Yes‘ If yes, explain

EX_69_001


File and source

File

gov.uscourts.flmd.381779.136.47.pdf

Size

88,330 bytes

SHA-256

5cf56ff0df4cead3b103c09521e944f2d7be16ae18d77aa7e673bb10588c1a01

Our copy

gov.uscourts.flmd.381779.136.47.pdf

Original

PACER (login required)