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+ Vv. 12-19-06) * Accomplishment Report Date Prepared Cf, Squad supervisor approval (Accomplishment must be reported and loaded into Date Loaded (please initial) ISRAA within 30 days from date of accomplishment) Date Loaders Initials investigative Assistance or Technique Used File Number 1. Used, but did not help 3. Helped, substantially E-MM—(oY0G2 2. Helped, minimally 4, Absolutely essential For Sub. Invest. Assist. by other FO(s) indicate A, B, C, D for corresponding FO Rate FO IAT Rate FO 0 QO Bankruptcy Fraud oO IAT Rate FO 1AT Rata FO Computer Fraud/Abuse O Y | i | Fin.Analyst | | Lab. Field Sup | | UCO - Nat.Back | | Corruption of Public Official : — see ee AircrattAss. | | | Pen Revisters NCAVCIVECAP| _| ialtept haan es = BS ris it ass Photo C Sub Invest Asst by FO(s) (J P | ft] oto Cover |_| Crim/NS Intel Asst] —_| (AT CART [Ft ipo r A. Complaint / Information/ Indictment (Federal [JLocat [1 International Complaint Date: ce oe San Asst. FO) fecsursrisc| | [search Warrant] MMMEGisisNoo.-Local| I x Coco ae acess] | fe as | soca | — flone= ro —| — [Legats Asst. | [MMM Tech. AgiEcuip.| MB Poc- iro |__| || [vid Purchase] II Phone Tot Rec] MBF. Mon.-iTo || Ce a oo [Wiss cx cen] | [uco-cewpt| i verrsiee] F. Conviction J. Civil Rico Matters Date: [Federal [Local [7 Intemational Also complete “Section G” Conviction Date: Other Civil Matters Date: Check if Civil Rico Complaint 1 Subject Description Code *(.——)* Judge —— are mmm” , ord G, Wiwinded daa Judicial Outcome__ OX Information Date: Or OF, G, h-Inciuce Agency Co ° Amount $ Indictment Date: 5 Faleny or 5 nal Suspension: Years Months Plea or Trial B. Locate / Arrest State: Judicial District: (Federal []Locat [international - Subject Priority. 1A [18 {Jc K. Administrative Sanction Date: Subject Description Code ° Type: “Length: G. U.S, Code Violation Required for sections A, B, F and J Suspension [{] Permanent Locate Date: (Federal Only) Debarment or Arrest Date: Title Section # Counts Injunction Year. Months (2 Subject Resisted Arrest (J Subject Arrested was Armed L. Asset Seizure Date: Asset Forfelture Date; CATS # Mandatory _E Circle below one of the three asset forfeiture: Admin, Civil Judicial, or Criminal C. Summons Date: (Federal [Jj Local . Recovery / Restitution / PELP X [Federal [Local [] international H, Sentence Date: Recovery Date: Sentence Type: : Do not indicate $ value in Section D M. Acquittal/ Dismissal/ Pretrial Diversion . (Circle one) Date: Code Amun & In Jail: Years._____._ Months. Code * ¥ Amount $ Suspended: Years__——. Months____._. N. Drug Seizures “ Date: Restitution Dates (Court Ordered ([] Pretrial Diversion Probation: = Years___..__ Months___. Drug Code * “ Code*__ yy ~Amount$_ Fines: §—______. oT Code PELP Date: ’ Do not indicate $ in Section D Code * v Amount $ L Disruption/Dismantlement; ~“ E. Hostages(s) Released Date: Disruption Date: Released by: [1] Terrorist [[] Other O, Child Victim Information Child located / identified Date: b[20/ "4 Buiving _ [Deceased Dismantlement Date: Number of Hostages: Completion of FD-515a Side 2 Mandatory EB P, Subject Information - Required for all blocks excluding block D (Recovery/PELP), blocks E, |, Land N a ee ee ee ee 0 Subyect related to an LCN, Asian Organized Crime (AOC), Naltan Organized Crime (1OC), Russian/Eastern European, Caribbean, or Nigerian Organized Crime Group - Complete FD-518a, Sido 1 Blocks A-E mandatory, F-H as appropriate. oO Subject related to an OC/Drug organization, a VCMO Program National Gang Strategy targa! group, or a VCMO Program National Priority (nilialive targel group + Complete FO-515a, Side 4 Blocks A-C only, x Additional information may be added by attaching another form or a plain sheet of paper for additional entries. Senge. of res 15 e See codes on reverse side. | v Requires that an explanation be attached and loaded into ISRAA for recovery over $1 m and PELP over $5 m, disruption, dismantlement, and drug seizures. BJE-MN- 1080b2- [py b7c b7E b6 b7Cc HOUSE_OVERSIGHT_021592