Court filing
Exhibit 112 — USA v. Crowther (Dkt. 136.90)
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. 136-90 · 2021-03-31 · Docket on CourtListener
Full text
2 COMMUNITY BANK Opened By KRISTIN DIIORIO BUSINESS NEW ACCOUNT SCORECARD 5] Date Opened 04/30/2018 Account# 29068841 Source of Deposits RENTAL INCOME 5 Initial Deposit 100.00 Account Type LLC Purpose of this Acct RENTAL S) z Expected Avg Monthly Balance $5,004 - $10,000 Expected ACH Activity DOMESTIC Expected Wire Activity DOMESTIC Monthly ACH Amount $0 - $10,000 Monthly Wire Frequency 1-4 Monthly Cash In/Out Amount $0 -$500 Monthly Wire Amount $0 - $10,000 Monthly Cash In/Out Frequency LESS THAN 5 | Business Name 3801 JADE AVENUE LLC New or existing customer? Is there a store front? = fa Tax 1B 82-5300988 New Yes wm} Physical Address 2043 WEST FIRST ST C4 _ c] ” i FORT MYERS FL_33901 aranng 0 Q State Where Registered LEE COUNTY FL Internet Gambling Business? @! Description of Business RESIDENTIAL RENTAL INCOME PROPERTY [| Yes ifyes, DO NOT OPEN. OWNER/SIGNER/BENEF OWNER OWNER/SIGNER/BENEF OWNER Primary Trade Area LOCAL [x] 196 Own/Maintain ATMs? Non-Profit or Charity? [] Yes If yes, customer must provide a copy of the [| Yes /fyes, a copy of the IRS 501C Designation must be forwarded to BSA Department. Processor or |SO Agreement AND a copy of the No ATM equipment Sale or Lease Agreement. X| 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 —_— 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 ROOFING Secondary ID Other 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?) No [ | Yes If yes, explain 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 Other 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?) No [ ] Yes If yes, explain EX 112 001
File and source
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- gov.uscourts.flmd.381779.136.90.pdf
- Size
- 378,967 bytes
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- 3848c733ccabde520d5136a24549659baa0f8a32d04f1fd7619f73beda661ad8
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