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FD-515 (Rev. 12-19-06) Accomplishment Report e Date Prepared O/2: of f 2 “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 Accomplishment involves: (check all that apply) Investigative Assistance or Technique Used File Number 1. Used, but did not hetp 3. Helped, substantially = = = 2. Helped, minimali 4, Absolutely essential Drugs E-mMmM-ioxoez Pp y ly im] A Fugitive O Bankruptcy Fraud i) Computer Fraud/Abuse [1] Corruption of Public Official (1) , Money Laundering Sub invest Asst by FO(s) For Sub, invest. Assist. by other FO(s) indicate A, B, C, D for corresponding FO Rate FO IAT Rate FO IAT IAT [iss.ret'se | | [uco-nataoa] | PenRegisters | INCAVCIVE-CAP| | | 10 Wanted Fiyer| || Photo Cover Jorimns tntet Asst! | [Polyaragh | IM cisis Neo Feal JAT Rate FO [Fnac |_| B Arconasse |_| _| [conpusr |_| Asst. FO(s) eLsur/Fisc| | ‘|Search Warrant] IMME Crisis Nog.- Local Asset Fort Prog A. B.C, D. ELSUR /T. Il Show Money Bev Asst. | [MMMM For! Support Pro} Sav - {TC . free | Pd Tech. AgiEquip. EE Legats Asst. |_| Evid. Purchase Phone Toll Rec In¥/CW Info | |uco-Group! JFor.LangAsst. | | ii ok can] [Juco crew] Ive rsttsveel | J. Civil Rico Matters Date: Also complete “Section G” Other Civit Matters Date: || = | | | [socasst | | | = F. Conviction O Federal (Local (7) International Conviction Date:, A. Complaint / Infermation/ Indictment (Federal [JLocal (7 Intemational Complaint Date: Check if Civil Rico Complaint Subject Description Code *()* Judgment —_ ___.__ __* For 6F. G, H-Include A Soil Judicial Outcome___ . PX Information Date: or OF, G, H-Include Agency Co ° Amount $ Indictment Date: = Felony or 5 ad Suspension: Years Months Plea or Trial B. Locate / Arrest State: Judicial District: (Federal [Local {international - Subject Priority: OA OB 1c K. Administrative Sanction Date: Subject Description Code * Type: Length: G. U.S. Cade Violation Required for sections A, B, F and J Suspension ([] Permanent Locate Date: (Federal Only) Debarment or Avesist Date: Title Section # Counts Injunction Year. Months ([] Subject Resisted Arrest (1 Subject Arrested was Armed L. Asset Seizure Date:, Asset Forfeiture Date: CATS # Mandatory Circle befow one of the three asset forfeiture: Admin, Civil Judicial, or Criminal Cc. Summons Date: (Federal [J Local D. Recovery / Restitution / PELP X (DFederal [Local [7] Intemational Recovery Date: Code * vy Amount $ Code*_ sv =Amount $ Restitution Date: Do not indicate $ value in Section D H. Sentence Date: Sentence Type: . M. Acquittal! Dismissal/ Pretrial Diversion (Circle one) Date: Months___-_ Months___. In Jail: Years Suspended: Years. N. Drug Seizures Vv Date: Di Court Ordered ([] Pretrial Diversion Probation: Years, Months____ Drug Code ® Code * Y Amount $ Fines: $ it iT Code PELP Date: . Do not indicate $ in Section D Code * v Amount $ |. Disruption/Dismantlement: E. Hostages(s) Released Date:. Disruption Date: Released by: [[] Terrorist (1) Other 0. Child Victim Information Child located / identified Date: b/ 20/ oY Buiving _ {Deceased + Dismantlement Date: Number of Hostages: Completion of FD-515a Side 2 Mandatory EJ P, Subject Information - Required for all blocks excluding block D (Recovery/PELP), blocks &, |, Land N Po oO Subject related to an LCN, Asian Organized Crime (AOC), Italian Organized Crime (10C), Russian/Eastern European, Caribbean, or Nigenan Organized Crime Group - Completa FD-515a, Side 1 Blocks A-E mandatory, F-H as appropriate. O Subject related to an OC/Drug organization, a VCMO Program Nalional Gang Stralegy target group, or a VCMO Program National Priority Initiative target 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. ssa Ng TD Rie e See codes on reverse side, | Y 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. BIE - MU- [08062 ~ 13% b6 b7c bTE b7C HOUSE_OVERSIGHT_021596