EFTA00133702 ## Page 1 Account Name Member Name Information:
Title:
First Name:ANDREA
Middle Name:
Last Name:
Suffix:
Name Format:Individual
Preferred Contact:Not Specified:
Home Phone:
Work Phone:
Work Phone Ext:
Mobile Phone:
Phone Type:Domestic
Pager Number:
E-Mail Address:
Alt E-Mail Address:
Preferred Contact Method:Not Specified
DBA Title:
DBA First Name:
DBA Middle Name:
DBA Last Name:
DBA Suffix:
DBA Name Format:Individual
## Military APR Information:
Active Duty:Not in Active Duty Service
Active Duty Verification Date:___/___
Active Duty Start Date:___/___
Active Duty Separation Date:___/___
Member Address Information:
Address Type:Domestic address
Street:SAME
City:
State:
Zip Code:
## Name Record Information:
MBR Number Link:
MBR Number Link Chg Date:01/21/20
License:
Address Verify Date:/___/___
Mail Override:No override
ECOA Code:Individual
Beneficiary Percent:0.000%
Extra Information:
SSN Change Date:/___/___
SSN/TIN Override:No override
SSN/TIN Certification:SSN/TIN is certified
IRS Correction:No Correction
Amendment Number:0
Credit Report Consumer Info:
Credit Rpt Consumer Date:/___/___
Use as Marketing Address:No
Identification 1: 09/04/2019
Documentary Flag 1:Non-documentary Identification
ID Type 1:Unknown
ID Description 1:
| Description | Value | | :--- | :--- | | Birth Date: | | | Death Date: | | | Sex: | | | Mother's Maiden Name: | | | SSN/TIN: | | | SSN/TIN Type: | Individual SSN | | U.S. Person Flag: | U.S. Person | | Current Employer: | | | Occupation: | | | Curr Gross Mo Pay: | 0.00 | | Curr Net Mo Pay: | 0.00 | | Curr Mo Pay Last Updated: | __/___ | | Restricted Access: | Normal | | MBR Status: | Non Member | Nonresident Alien Reporting:
FinCEN Information:
CTR Exempt:Not Exempt
Legal Entity Identifier:
Beneficial Owner Type:None
Beneficial Owner Percentage:0.000%
IRS Country Code:
NRA Tax Rate:30.000%
NRA Exemption Code:
Form W-8 On File:No
W-8 Expiration Date:/ / /
Foreign TIN:
Chapter 4 Status Code:23
GIIN:
Substantial Owner:No
LOB Code:
Extra Address:
Country:
Country Code:
Carrier Route:
ADDR Number Link:
ADDR Number Link Chg Date:01/21/2009
Copy other Name:
Name Type:Beneficiary
Name SubType:0
Name Change Date:01/21/2009
Address Change Date:01/21/2009
Credit Rpt Address Change Date:01/21/2009
Effective Date:/ / /
Expiration Date:/ / /
Last FM Date:01/21/2009
MBR Last FM Date:01/21/2009
ADDR Last FM Date:01/21/2009
Confidential:Unclassified
Credit Rpt Address Indicator:
CR Address Indicator Date:/ / /
Identification 2:
Documentary Flag 2:Non-documentary Identification
ID Type 2:Unknown
ID Description 2:
EFTA00133703 ## Page 2 ID Number 1: ID Issuance Date 1: ID Expiration Date 1: ID Verification Date 1: 09/04/2019 ## Identification 3: Documentary Flag 3: ID Type 3: ID Description 3: ID Number 3: ID Issuance Date 3: ID Expiration Date 3: ID Verification Date 3: ## Custom Fields: Custom Fields: Membership Card Order: MIP Verified: Place of Birth: Relation to Primary/Joint: ID Number 2: ID Issuance Date 2: ID Expiration Date 2: ID Verification Date 2: Non-documentary Identification Unknown EFTA00133704
Page 1Account09/04/2019
Account Number:0
Branch:201Regular
Account Type:General MembershipRegular
Member Group:213Rel Override Efdate
Restricted Access:NormalRel Override Exp Date
Open Date:01/21/2009Head of Household: Head of Household
Last FM Date:08/07/2019Household Account:
Record Change Date:09/04/2019Household Statement: Do not consolidate statement
Activity Date:09/04/2019Statement Mail Code: Use individual mail codes
Purged Rec Activity Dt:01/21/2009E-Statement Email Notification: No E-mail notification
Correspondence Date:/___/E-Statement Enable: E-Statement not enabled
Proxy Date:/___/State Reporting:
Close Date:/___/Created By User: 9999
FM History Purge Date:04/30/2019Created At Branch: 0
Reference:US Cash Rovd Amount: 0.00
Membership Status:Natural PersonUS Cash Disb Amount: 0.00
Commercial Code:ConsumerFrgn Cash Rovd Amt: 0.00
Check Hold Base Amount:0.00Frgn Cash Disb Amt: 0.00
Check Dep Total Amount:0.00Frgn Cash Rovd Units: 0.00
Check Dep Total Date:/___/Frgn Cash Disb Units: 0.00
Non-Reg CC Check Hold Base Amt:0.00Wire Received Amount: 0.00
Non-Reg CC Check Dep Total Amt:0.00Wire Disbursed Amount: 0.00
Enable Floats:No CU Float allowed
Warnings:
Warning 01 Code:<None>Warning 01 Expiration: ___
Warning 02 Code:<None>Warning 02 Expiration: ___
Warning 03 Code:<None>Warning 03 Expiration: ___
Warning 04 Code:<None>Warning 04 Expiration: ___
Warning 05 Code:<None>Warning 05 Expiration: ___
Warning 06 Code:<None>Warning 06 Expiration: ___
Warning 07 Code:<None>Warning 07 Expiration: ___
Warning 08 Code:<None>Warning 08 Expiration: ___
Warning 09 Code:<None>Warning 09 Expiration: ___
Warning 10 Code:<None>Warning 10 Expiration: ___
Warning 11 Code:<None>Warning 11 Expiration: ___
Warning 12 Code:<None>Warning 12 Expiration: ___
Warning 13 Code:<None>Warning 13 Expiration: ___
Warning 14 Code:<None>Warning 14 Expiration: ___
Warning 15 Code:<None>Warning 15 Expiration: ___
Warning 16 Code:<None>Warning 16 Expiration: ___
Warning 17 Code:<None>Warning 17 Expiration: ___
Warning 18 Code:<None>Warning 18 Expiration: ___
Warning 19 Code:<None>Warning 19 Expiration: ___
Warning 20 Code:<None>Warning 20 Expiration: ___
Payment History:
Payments Made:0Audio/HB Frozen Node: Audio/HB is not frozen
16-30 Days DQ:0Invalid Attempt Count: 0
31-60 Days DQ:0Last Inv Attempt Date: 04/08/2017
61-90 Days DQ:0Last Inv Attempt Time: 10:32 AM
91-120 Days DQ:0
121 and up Days DQ:0
NSF History:
NSF Month 01 Day Count:0NSF Month 13 Day Count: 0
NSF Month 02 Day Count:0NSF Month 14 Day Count: 0
NSF Month 03 Day Count:0NSF Month 15 Day Count: 1
NSF Month 04 Day Count:0NSF Month 16 Day Count: 2
NSF Month 05 Day Count:0NSF Month 17 Day Count: 0
EFTA00133705 ## Page 2 ## Account
09/04/2019
NSF Month 06 Day Count:0NSF Month 18 Day Count: 3
NSF Month 07 Day Count:0NSF Month 19 Day Count: 1
NSF Month 08 Day Count:0NSF Month 20 Day Count: 0
NSF Month 09 Day Count:0NSF Month 21 Day Count: 0
NSF Month 10 Day Count:0NSF Month 22 Day Count: 0
NSF Month 11 Day Count:0NSF Month 23 Day Count: 0
NSF Month 12 Day Count:0NSF Month 24 Day Count: 0
NSF Today Count: 0
Fee Capping:
Capped Fees Amount Cap:0.00Capped Fees Amount This Period: 0.00
Capped Fees Count Cap:0Capped Fees Count This Period: 0
Daily Limits:
Limit Usage Date:09/04/2019
Limit 1 Description:
Limit 1:0.00Limit 4: 0.00
Limit 1 Amount:0.00Limit 4 Amount: 0.00
Limit 1 Count Limit:0Limit 4 Count Limit: 0
Limit 1 Count:0Limit 4 Count: 0
Limit 1 Per Item Limit:0.00Limit 4 Per Item Limit: 0.00
Limit 2 Description:
Limit 2:0.00Limit 5: 0.00
Limit 2 Amount:0.00Limit 5 Amount: 0.00
Limit 2 Count Limit:0Limit 5 Count Limit: 0
Limit 2 Count:0Limit 5 Count: 0
Limit 2 Per Item Limit:0.00Limit 5 Per Item Limit: 0.00
Limit 3 Description:
Limit 3:0.00Limit 6: 0.00
Limit 3 Amount:0.00Limit 6 Amount: 0.00
Limit 3 Count Limit:0Limit 6 Count Limit: 0
Limit 3 Count:0Limit 6 Count: 0
Limit 3 Per Item Limit:0.00Limit 6 Per Item Limit: 0.00
## Custom Fields: 09/04/2019 Custom Fields: Privacy Option: Membership Source: Certified By: Marketing Promo Code: EFTA00133706 ## Page 1 Member Name Information: Title: First Name: Middle Name: Last Name: Suffix:
Name Format:Individual
Preferred Contact:Not Specified:
Home Phone:
Work Phone:
Work Phone Ext:
Mobile Phone:
Phone Type:Domestic
Pager Number:
E-Mail Address:@bop.gov
Alt E-Mail Address:
Preferred Contact Method:Not Specified
DBA Title:
DBA First Name:
DBA Middle Name:
DBA Last Name:
DBA Suffix:
DBA Name Format:Individual
## Military APR Information:
Active Duty:Not in Active Duty Service
Active Duty Verification Date:/ / /
Active Duty Start Date:/ / /
Active Duty Separation Date:/ / /
Member Address Information:
Address Type:Domestic address
Street:BROOKLYN
City:
State:NY
Zip Code:11205-2228
## Name Record Information:
MBR Number Link:
MBR Number Link Chg Date:01/21/2009
License:
Address Verify Date:_/_/_
Mail Override:No override
ECOA Code:Individual
Beneficiary Percent:0.000%
Extra Information:
SSN Change Date:01/21/2009
SSN/TIN Override:No override
SSN/TIN Certification:SSN/TIN is certified
IRS Correction:No Correction
Amendment Number:0
Credit Report Consumer Info:
Credit Rpt Consumer Date:_/_/_
Use as Marketing Address:No
Identification 1:
Identification 1:
Documentary Flag 1:Non-documentary Identification
ID Type 1:State Drivers License
ID Description 1:NYSDL
09/04/2019 | Description | Value | | :--- | :--- | | Birth Date: | 11/01/1984 | | Death Date: | __/___ | | Sex: | | | Mother's Maiden Name: | | | SSN/TIN: | | | SSN/TIN Type: | Individual SSN | | U.S. Person Flag: | U.S. Person | | Current Employer: | DEPT OF PROBATION | | Occupation: | | | Curr Gross Mo Pay: | 0.00 | | Curr Net Mo Pay: | 0.00 | | Curr Mo Pay Last Updated: | __/___ | | Restricted Access: | Normal | | MBR Status: | Member |
FinCEN Information:
CTR Exempt:Not Exempt
Legal Entity Identifier:
Beneficial Owner Type:None
Beneficial Owner Percentage:0.000%
Nonresident Alien Reporting:
IRS Country Code:
NRA Tax Rate:30.000%
NRA Exemption Code:
Form W-8 On File:No
W-8 Expiration Date:/ / /
Foreign TIN:
Chapter 4 Status Code:23
GIIN:
Substantial Owner:No
LOB Code:
Extra Address:
Country:
Country Code:
Carrier Route:C014
ADDR Number Link:
ADDR Number Link Chg Date:01/21/2009
Copy other Name:
Name Type:Primary
Name SubType:0
Name Change Date:01/21/2009
Address Change Date:04/30/2012
Credit Rpt Address Change Date:04/30/2012
Effective Date:___/___
Expiration Date:___/___
Last FM Date:08/08/2015
MBR Last FM Date:08/08/2015
ADDR Last FM Date:01/21/2009
Confidential:Unclassified
Credit Rpt Address Indicator:
CR Address Indicator Date:___/___
Identification 2:
Documentary Flag 2:Non-documentary Identification
ID Type 2:US Enhanced Drivers License
ID Description 2:PROBATION
EFTA00133707 ## Page 2 ID Number 1: ID Issuance Date 1: ID Expiration Date 1: ID Verification Date 1: # Identification 3: Documentary Flag 3: ID Type 3: ID Description 3: ID Number 3: ID Issuance Date 3: ID Expiration Date 3: ID Verification Date 3: **Custom Fields:** Membership Card Order: MIP Verified: Place of Birth: Relation to Primary/Joint: ID Number 2: ID Issuance Date 2: ID Expiration Date 2: ID Verification Date 2: Non-documentary Identification Unknown