Exhibit 100 — USA v. McCabe (Dkt. 91.84)

Summary

A Knoxville TVA Employees Credit Union business account card for Florida Scuba Charters Inc, filed as a government exhibit in United States v. McCabe (Case 9:24-cr-80103-AMC) and entered 03/10/2025. The account was opened Nov 21, 2019, with checking, online banking and mobile banking, and signed by Dustin McCabe as President and Kristy McCabe as Secretary. The attached certification of beneficial owners lists Dustin Sean McCabe and Kristy M McCabe as owners of the corporation and Dustin Sean McCabe as the person with significant responsibility for managing it.

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Record facts

Full text

Case 9:24-cr-80103-AMC   Document 91-84   Entered on FLSD Docket 03/10/2025   Page 1 of 4
301 Wall Ave., P.O. Box 15994
Knoxville, TN 37901

New 1 Update Date: 11/21/2019

KNOXVILLE TVA EMPLOYEES CREDIT UNION

Telephone: (865) 544-5400 * (800) 467-5427

Entered on FLSD}| 25 Page 1of 4
GOVERNMENT
EXHIBIT
CASE 24-CR-80103-AMC
NO.
ia Gx100
BUSINESS ACCOUNT CARD

IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING AN ACCOUNT

To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that
identifies each person or business that opens an account. What this means for you: When you open an account, we will ask for your name, address, date of birth, if
applicable, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.

MEMBER/ACCOUNT OWNER |[_] UPDATE (describe):

BUSINESS/ORGANIZATION NAME FLORIDA SCUBA CHARTERS INC

MEMBER/ACCOUNT NUMBER
M3600

OTHER TRADE OR D/B/A NAME

MEMBERSHIP ELIGIBILITY

P = Partnership

STATE ORGANIZED EIN/TIN 247 NATURE OF BUSINESS
TYPE OF BUSINESS/ . ve ae Part hio:
ORGANIZATION Os cCorporation C1 |Limited Liability Company (LLC) [1] Partnership:
I = S Corporation Select Tax Classification: O01 _ General
1 Sole Proprietorship C =C Corporation O sLimited
Single Member LLC S = S Corporation O sLimited Liability

Trust/Estate
O Unincorporated Organization/Association
OO Other:

BUSINESS LICENSE NUMBER ISSUED BY

ISSUANCE DATE

EXPIRATION DATE

MAILING ADDRESS
633 Se Monet Dr
Port St Lucie, Fl 34984

PHYSICAL ADDRESS

BUSINESS PHONE

eo)
(000) 000-0000 in

EMAIL ADDRESS

AUTHORIZED PERSON | TC] UPDATE (describe):

NAME
Dustin Sean Mccabe

SSN/TIN

DADEOF BIRTH
io7s

HOME ADDRESS
484 Wells Spring Road

Dandridge, Tn 37725

DRIVER’S LICENSE/PERSONAL ID NO.

STATE ID ISSUED BY
TN

TITLE /POSITION

ID ISSUANCE DATE

ID EXPIRATION DATE

OWNERSHIP % (IF ANY)

CELL PHONE

BUSINESS PHONE

AUTHORIZED PERSON | L] uroate (describe):

Kristy M Mccabe

‘Piidies228

F BIRTH
‘falar '980

HOME ADDRESS

Lenior City, Tn

DRIVER’S LICENSE/PERSONAL ID NO.

STATE ID ISSUED BY

TITLE /POSITION

ID ISSUANCE DATE

ID EXPIRATION DATE

OWNERSHIP % (IF ANY) (body OUdEso= PHONE CELL PHONE BUSINESS PHONE
AUTHORIZED PERSON | L_] uppate (describe):
NAME SSN/TIN DATE OF BIRTH

HOME ADDRESS

DRIVER’S LICENSE/PERSONAL ID NO.

STATE ID ISSUED BY

TITLE /POSITION

ID ISSUANCE DATE

ID EXPIRATION DATE

OWNERSHIP % (IF ANY) LANDLINE/HOME PHONE CELL PHONE BUSINESS PHONE
AUTHORIZED PERSON | [_] uppare (describe):
NAME SSN/TIN DATE OF BIRTH

HOME ADDRESS

DRIVER’S LICENSE/PERSONAL ID NO.

STATE ID ISSUED BY

TITLE /POSITION

ID ISSUANCE DATE

ID EXPIRATION DATE

OWNERSHIP % (IF ANY) LANDLINE/HOME PHONE | CELL PHONE BUSINESS PHONE
©CUNA Mutual Group 2004, 05, 08, 14, 14, 18, All Rights Reserved Page 1 of 4 DB110C-E
Case 9:24-cr-80103-AMC   Document 91-84   Entered on FLSD Docket 03/10/2025   Page 2 of 4
ACCOUNT TYPE | UPDATE (describe):

I] SHARE/SAVINGS: 00

[1 MONEY MARKET:

SHARE DRAFT/CHECKING: 70

C1 OTHER:

[1 SHARE CERTIFICATE/CERTIFICATE:

CO OTHER:

ACCOUNT SERVICES UPDATE (describe):
DEBIT CARD: OVERDRAFT SERVICES (indicate transfer priority):
KK] ONLINE BANKING: 1.
BX MOBILE BANKING: 2.
AUDIO RESPONSE: 3.

TIN CERTIFICATION AND BACKUP WITHHOLDING INFORMATION

Under penalties of perjury, the undersigned certifies on behalf of the Account Owner that:

1. The number shown on this form is the Account Owner's correct taxpayer identification number (or the Account Owner is waiting
for a number to be issued), and

2. The Account Owner is not subject to backup withholding because: (a) it is exempt from backup withholding, or (b) it has not been
notified by the Internal Revenue Service (IRS) that it is subject to backup withholding as a result of a failure to report all interest or
dividends, or (c) the IRS has notified the Account Owner that it is no longer subject to backup withholding, and

3. The Account Owner is a U.S. citizen or other U.S. person. For federal tax purposes, the Account Owner is considered a U.S.
person if the Account Owner is: an individual who is a U.S. citizen or U.S. resident alien; a partnership, corporation, company, or
association created or organized in the United States or under the law s of the United States; an estate (other than a foreign
estate); or a domestic trust (as defined in Regulations section 301.7701-7).

4. The FATCA code(s) entered on this form (if any) indicating that the Account Owner is exempt from FATCA reporting is correct.

Certification Instructions. Check the box for item 2 above if the Account Owner has been notified by the IRS that it is currently subject to backup
withholding because it has failed to report all interest and dividends on its tax return. Checking the box serves to strike out the language related to
underreporting. Complete the appropriate W-8 form if the Account Owner is not a U.S. person. If a separate W-8 form is completed, your signature does
not serve to certify this section.

Exempt payee code (if any) Exemption from FATCA reporting code (if any)

AUTHORIZATION

By signing or otherwise authenticating, the undersigned, on behalf of the Account Owner, acknowledge(s) receipt of and agree(s) to the terms of this
Business Account Card, the Business Membership and Account Agreement, the Funds Availability Policy Disclosure, additional documents and
disclosures the Credit Union has provided, and to any amendments the Credit Union may make from time to time, which are applicable to the accounts
and services requested herein. The undersigned also agree(s) that the information contained on this document is accurate, that any information updates
identified on this Business Account Card amend all previously authenticated Business Account Card(s), and that such updates are subject to the terms
and conditions of the applicable disclosures noted herein.

The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid
backup withholding.

Signature Date Signature Date
. . Nov 21, 2019
Dustin Me Cabe Nov 21, 2019 X Kristy M McCabe ov
Dustin McCabe (Nov 21, 2019) (Seal) Kristy M McCabe (Nov 21, 2019) (Seal)

TITLE: Dustin McCabe - President TITLE: Kristy McCabe - Secretary

Signature Date Signature Date
X (Seal) X (Seal)
TITLE: TITLE:

FOR CREDIT UNION USE ONLY

MEMBERSHIP EFFECTIVE DATE MEMBER VERIFICATION

OPENED/APPROVED BY
019 JCM JCM

ENTITY FORMATION DOCUMENTS REVIEWED BY JCM

COPIES OBTAINED

CORPORATE RESOLUTION ARTICLES OF INCORPORATION/ORGANIZATION | OPERATING AGREEMENT IX} = FINANCIAL STATEMENTS

(PARTNERSHIP AGREEMENT (1 syLaws or CODE OF REGULATIONS IX] cREDIT REPORT Kl otner: Questionnaire, EIN

CHECKED By. Chad Mitchell

xX) OFAC/SDN LIST CHECKED DATE CHECKED:

Cracchitcret (hoy Zt 26ts7

Page 2 of 4 DB110C-E
Case 9:24-cr-80103-AMC   Document 91-84   Entered on FLSD Docket 03/10/2025   Page 3 of 4
CERTIFICATION REGARDING BENEFICIAL OWNERS
OF LEGAL ENTITY CUSTOMERS

WHAT IS THIS FORM?

To help the government fight financial crime, Federal regulation requires certain financial institutions to obtain, verify, and record
information about the beneficial owners of legal entity customers. Legal entities can be abused to disguise involvement in terrorist
financing, money laundering, tax evasion, corruption, fraud, and other financial crimes. Requiring the disclosure of key individuals who
own or control a legal entity (i.e., the beneficial owners) helps law enforcement investigate and prosecute these crimes.

WHO HAS TO COMPLETE THIS FORM?

This form must be completed by the person opening a new account on behalf of a legal entity with any of the following U.S. financial
institutions: (i) a bank or credit union; (ii) a broker or dealer in securities; (iii) a mutual fund; (iv) a futures commission merchant; or (v)
an introducing broker in commodities.

For the purposes of this form, a legal entity includes a corporation, limited liability company, or other entity that is created by a filing of
a public document with a Secretary of State or similar office, a general partnership, and any similar business entity formed in the United
States or a foreign country. Legal entity does not include sole proprietorships, unincorporated associations, or natural persons opening
accounts on their own behalf.

WHAT INFORMATION DO I HAVE TO PROVIDE?

This form requires you to provide the name, address, date of birth and Social Security number (or passport number or other similar
information, in the case of Non-U.S. persons) for the following individuals (i.e., the beneficial owners):

(i) Each individual, if any, who owns, directly or indirectly, 25 percent or more of the equity interests of the legal entity customer
(e.g., each natural person that owns 25 percent or more of the shares of a corporation); and

(ii) An individual with significant responsibility for managing the legal entity customer (e.g., a Chief Executive Officer, Chief
Financial Officer, Chief Operating Officer, Managing Member, General Partner, President, Vice President, or Treasurer).

The number of individuals that satisfy this definition of "beneficial owner" may vary. Under section (i), depending on the factual
circumstances, up to four individuals (but as few as zero) may need to be identified. Regardless of the number of individuals identified
under section (i), you must provide the identifying information of one individual under section (ii). It is possible that in some
circumstances the same individual might be identified under both sections (e.g., the President of Acme, Inc. who also holds a 30%
equity interest). Thus, a completed form will contain the identifying information of at least one individual (under section (ii)), and up to
five individuals (i.e., one individual under section (ii) and four 25 percent equity holders under section (i)).

The financial institution may also ask to see a copy of a driver's license or other identifying document for each beneficial owner listed on
this form.

CONTINUE TO THE FOLLOWING PAGE

Page 3 of 4 DB110C-E
Case 9:24-cr-80103-AMC   Document 91-84   Entered on FLSD Docket 03/10/2025   Page 4 of 4
MEMBER/ACCOUNT NUMBER: ISO

CERTIFICATION OF BENEFICIAL OWNER(S)
Persons opening an account on behalf of a legal entity must provide the following information.

a. Name and Title of Natural Person Opening Account:

NAME DUSTIN SEAN MCCABE TITLE Dustin McCabe - President

b. Name, Type and Address of Legal Entity for Which the Account is Being Opened:

ADDRE
NAME FLORIDA SCUBA CHARTERS ING TYPE wt
633 Se Monet Dr
CORPORATION Port St. Lucie, Fl 34984

c. The following information for each individual, if any, who directly or indirectly, through any contract, arrangement, understanding,
relationship or otherwise, owns 25 percent or more of the equity interests of the legal entity listed above. If no individual meets this
definition, please check “Beneficial Owner Not Applicable” below and skip to the next section.

Beneficial Owner Not Applicable

BENEFICIAL OWNER 1

NAME DATE OF BIRTH ADDRESS (Residential or Business Street Address)
484 Wells Spring Road
DUSTIN SEAN MCCABE Ml 975 Dandridge, Tn 37725
ee NUMBER* PASSPORT OR OTHER ID NUMBER* COUNTRY OF ISSUANCE*
BENEFICIAL OWNER 2
NAME DATE OF BIRTH mie: or Business Street Address)
KRISTY M MCCABE + :
BE 950 Lenior City, Tn
SM ooosTY NUMBER* PASSPORT OR OTHER ID NUMBER* COUNTRY OF ISSUANCE*
BENEFICIAL OWNER 3
NAME DATE OF BIRTH ADDRESS (Residential or Business Street Address)
SOCIAL SECURITY NUMBER* PASSPORT OR OTHER ID NUMBER* COUNTRY OF ISSUANCE*
BENEFICIAL OWNER 4
NAME DATE OF BIRTH ADDRESS (Residential or Business Street Address)
SOCIAL SECURITY NUMBER* PASSPORT OR OTHER ID NUMBER* COUNTRY OF ISSUANCE*

d. The following information for one individual with significant responsibility for managing the legal entity listed above, such as:
¢ An executive officer or senior manager (e.g., Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, Managing
Member, General Partner, President, Vice President, Treasurer); or
¢ Any other individual who regularly performs similar functions (if appropriate, an individtal listed under section (c) above may also be
listed in this section (d)).

NAME ADDRESS (Residential or Business Street Address)
DUSTIN SEAN MCCABE ae dhidge Sang ron

TITLE Dustin McCabe - President ebie 5 7SRTH

ee NUMBER* PASSPORT OR OTHER ID NUMBER* COUNTRY OF ISSUANCE*

* For U.S. Persons: Provide a Social Security Number.

For Non-U.S. Persons: Provide a Social Security Number, passport number and country of issuance, or other similar identification number, such as an alien identification
card number or number and country of issuance of any other government-issued document evidencing nationality or residence and bearing a photograph or similar
safeguard.

CERTIFICATION SIGNATURE

|, __ Dustin Sean Mccabe (name of natural person opening account), hereby certify, to the best of my

knowledge, that the information provided above is complete and correct.

Signature Date
LMILIY MCabe Nov 21, 2019
xX Dustin McCabe (Nov 21, 2019) (Seal)

Page 4 of 4 DB110C-E


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