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‘ o& Accomplishment Report s ev, 12-19-06) ® Date Prepared Of Z xy Squad supervisor approval (Accomplishment must be reported and loaded into Date Loaded (please initial) ISRAA within 30 days from date of accomplishment) Date Loader’s Initials Investigative Assistance or Technique Used File Number 1. Used, but did not help 3. Helped, substantially Drugs EC-MM—- (oF o0c2 2. Helped, minimally 4. Absolutely essential A Fugitive Bankruptcy Fraud Computer Fraud/Abuse O Corruption of Public Official Money Laundering O Sub Invest Asst by FO(s) Asst. FO(s) A.B. GCG. OD. For Sub. Invest. Assist. by other FO(s) indicate A, B, C, D for corresponding FO Rate FO IAT Rate FO Rate FO IAT Rate FO (AT (AT Fear | MMi rosso] | [uco-naizear] I vaxwin coo | BD iccansest || [PonRegiies [IM ncavcr vicar| — 1 Waried yer Se Se Sor Com PeisuR/rso| | | seo Waren! — MM cis ene nea| ase Fee Pevsuns i | fl stow voney | [iewrass. |_| [Eno. Fass | [soca —| [ewer | topo | AMM svetteom | [save [| [toons ast | [MM Toh Aatcn| — QMMroc-tro | So Co ec fist. on. am] | [uco- coum] —llvonrariebes| || | J. Civil Rico Matters Date: Also complete “Section G” Other Civil Matters Date: A. Complaint / Information/ Indictment (Federal [Local {International Complaint Date: F. Conviction (1) Federal CiLocal [1] Intemational Conviction Date: Check if Civil Rico Complaint 1] Subject Description Cade *(__-)* Sug MEN an nn aman? . For SE G, HeInctude A God Judicial Outcome. _____ eX Information Date: or GF, G, H-Include Agency Co: i Amount $ Indictment Date: = Felony or 5 Missemenner Suspension: Years Months Plea or Trial B. Locate / Arrest State: Judicial District: {J Federal [JLocal [J International - Subject Priority, TTA OB 1c 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 Aresst Bates Title Section # Counts Injunction Year, Months. (2) Subject Resisted Arrest (J Subject Arrested was Armed L. Asset Seizure Date: Asset Forfelture Date: CATS # Mandatory.__SEEe Circle below one of the three asset forfeiture: Admin, Civil Judicial, or Criminal Cc, Summons Date: (Federat [[] Local Do not indicate $ value in Section D . Recovery / Restitution / PELP X [Federal [Local [J international Recovery Date: Code ® v Amount $ Code*__ vy =Amount $ Restitution Date: H. Sentence Date: M. Acquittal/ Dismissal/ Pretrial Diversion Sentence Type: $ (Circle one) Date: Years..___.___.. Months, Months____ In Jail: Suspended: Years. N. Drug Seizures “ Date: [1] Court Ordered [J Pretrial Diversion Probation: Years, Months___. Drug Code * 7 Code * ¥ Amount $ Fines: $ es Code PELP Date: yi Do not indicate $ in Section D Code * ¥ Amount $ l. Disruption/Dismantlement: “ E. Hostages(s) Released Date:. Disruption Date: Released by: [] Terrorist (1) Other O. Child Victim Information Child located / identified Date: bof 2F 4 bLiving _ (Deceased Dismantlement Date: Number of Hostages: Completion of FD-515a Side 2 Mandatory > P, Subject Information - Required for all blocks excluding block D (Recovery/PELP), blocks &, I, L and N ic ~*~ Race | sex |, Dateofgith | Social Security No. (if available) 1 coer es es For indicnents/Convietions only: (j ¥ Oo Subject related to an LCN, Asian Organized Crime (AOC), tlalian Organized Crime (IOC), Russian/Eastern European, Caribbean, of Nigenan Organizad Cnme Group - Complale FD-515a, Sida 1 Blocks A-E mandatory, F-H as appropriate. QO Subject related to an OC/Drug organizatien, a VCMO Program Nalional Gang Strategy target group, or a VCMO Program National Priority Initialiva tatgel group + Complete FD-515a, Side 1 Blocks A-C only, x Additional information may be added by attaching another form or a plain sheet of paper for additional entries. Senal Mover t Pale « See codes on reverse side. ne ~ 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. YWE- UX-(0F062 -(&7 5 Joe b 6 b7Cc bIE b6 b7C HOUSE_OVERSIGHT_021594 |