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 1 | Account | 09/04/2019 |
|---|---|---|
| Account Number: | 0 | |
| Branch: | 201 | Regular |
| Account Type: | General Membership | Regular |
| Member Group: | 213 | Rel Override Efdate |
| Restricted Access: | Normal | Rel Override Exp Date |
| Open Date: | 01/21/2009 | Head of Household: Head of Household |
| Last FM Date: | 08/07/2019 | Household Account: |
| Record Change Date: | 09/04/2019 | Household Statement: Do not consolidate statement |
| Activity Date: | 09/04/2019 | Statement Mail Code: Use individual mail codes |
| Purged Rec Activity Dt: | 01/21/2009 | E-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: | 04/30/2019 | Created At Branch: 0 |
| Reference: | US Cash Rovd Amount: 0.00 | |
| Membership Status: | Natural Person | US Cash Disb Amount: 0.00 |
| Commercial Code: | Consumer | Frgn Cash Rovd Amt: 0.00 |
| Check Hold Base Amount: | 0.00 | Frgn Cash Disb Amt: 0.00 |
| Check Dep Total Amount: | 0.00 | Frgn Cash Rovd Units: 0.00 |
| Check Dep Total Date: | /___/ | Frgn Cash Disb Units: 0.00 |
| Non-Reg CC Check Hold Base Amt: | 0.00 | Wire Received Amount: 0.00 |
| Non-Reg CC Check Dep Total Amt: | 0.00 | Wire 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: | 0 | Audio/HB Frozen Node: Audio/HB is not frozen |
| 16-30 Days DQ: | 0 | Invalid Attempt Count: 0 |
| 31-60 Days DQ: | 0 | Last Inv Attempt Date: 04/08/2017 |
| 61-90 Days DQ: | 0 | Last Inv Attempt Time: 10:32 AM |
| 91-120 Days DQ: | 0 | |
| 121 and up Days DQ: | 0 | |
| NSF History: | ||
| NSF Month 01 Day Count: | 0 | NSF Month 13 Day Count: 0 |
| NSF Month 02 Day Count: | 0 | NSF Month 14 Day Count: 0 |
| NSF Month 03 Day Count: | 0 | NSF Month 15 Day Count: 1 |
| NSF Month 04 Day Count: | 0 | NSF Month 16 Day Count: 2 |
| NSF Month 05 Day Count: | 0 | NSF Month 17 Day Count: 0 |
EFTA00133705¶
Page 2¶
Account¶
| 09/04/2019 | ||
|---|---|---|
| NSF Month 06 Day Count: | 0 | NSF Month 18 Day Count: 3 |
| NSF Month 07 Day Count: | 0 | NSF Month 19 Day Count: 1 |
| NSF Month 08 Day Count: | 0 | NSF Month 20 Day Count: 0 |
| NSF Month 09 Day Count: | 0 | NSF Month 21 Day Count: 0 |
| NSF Month 10 Day Count: | 0 | NSF Month 22 Day Count: 0 |
| NSF Month 11 Day Count: | 0 | NSF Month 23 Day Count: 0 |
| NSF Month 12 Day Count: | 0 | NSF Month 24 Day Count: 0 |
| NSF Today Count: 0 | ||
| Fee Capping: | ||
| Capped Fees Amount Cap: | 0.00 | Capped Fees Amount This Period: 0.00 |
| Capped Fees Count Cap: | 0 | Capped Fees Count This Period: 0 |
| Daily Limits: | ||
| Limit Usage Date: | 09/04/2019 | |
| Limit 1 Description: | ||
| Limit 1: | 0.00 | Limit 4: 0.00 |
| Limit 1 Amount: | 0.00 | Limit 4 Amount: 0.00 |
| Limit 1 Count Limit: | 0 | Limit 4 Count Limit: 0 |
| Limit 1 Count: | 0 | Limit 4 Count: 0 |
| Limit 1 Per Item Limit: | 0.00 | Limit 4 Per Item Limit: 0.00 |
| Limit 2 Description: | ||
| Limit 2: | 0.00 | Limit 5: 0.00 |
| Limit 2 Amount: | 0.00 | Limit 5 Amount: 0.00 |
| Limit 2 Count Limit: | 0 | Limit 5 Count Limit: 0 |
| Limit 2 Count: | 0 | Limit 5 Count: 0 |
| Limit 2 Per Item Limit: | 0.00 | Limit 5 Per Item Limit: 0.00 |
| Limit 3 Description: | ||
| Limit 3: | 0.00 | Limit 6: 0.00 |
| Limit 3 Amount: | 0.00 | Limit 6 Amount: 0.00 |
| Limit 3 Count Limit: | 0 | Limit 6 Count Limit: 0 |
| Limit 3 Count: | 0 | Limit 6 Count: 0 |
| Limit 3 Per Item Limit: | 0.00 | Limit 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¶