Court filing
Exhibit 100 — USA v. Crowther (Dkt. 136.78)
Filed March 31, 2021 in USA v. Crowther; one of 318 filings from this case.
Record facts
| Court | U.S. District Court for the Middle District of Florida |
|---|---|
| Filed | 2021-03-31 |
U.S. District Court for the Middle District of Florida · No. 2:20-cr-00114 · Doc. 136-78 · 2021-03-31 · Docket on CourtListener
Full text
COMMUNITY BANK Opened By DIANE JEFFERSON BUSINESS NEW ACCOUNT SCORECARD 5] Date Opened 03/23/2020 SS Account # Source of Deposits INVOICE ENTS 5 Initial Deposit 93,100.00 Account Type Corporation .______ Purpose of this Acct OPERATING QI 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 =] Business Name TARGET ROOFING AND SHEET METALINC New or existing customer? Is there a store front? = Z Tax ID 47-4767409 [| New [x] Yes wi Physical Address 1841 ORTIZ AVE [x] Exist C] N ut FORT MYERS FL_33905 isting ° EA State Where Registered LEE COUNTY FLORIDA Internet Gambling Business? ©" Description of Business ie) 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 OWNER/SIGNER/BENEF OWNER Processor or ISO 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 6651 NALLE GRADE RD Residency Status US Citizen NORTH FORT MYERS FL 33917 Citizenship United States Primary ID Drivers License Employer TARGET ROOFING Secondary ID Social Security Card (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 04/10/1967 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 BUILDERS Secondary ID Other Occupation P_OF BUILDERS 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 !f yes, explain EX_100_001
File and source
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- gov.uscourts.flmd.381779.136.78.pdf
- Size
- 89,484 bytes
- SHA-256
- 004ec02af77bfaf3899199d660d2f772caecca195211fc7bd7c75678bb42899c
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