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~~ Vv. 12-19-06) Squad supervisor approval Accomplishment Report (Accomplishment must be reported and loaded into Date Prepared OH 29] 0 4 b6 a Date Loaded (please initial) ISRAA within 30 days from date of accomplishment) Date Loader’s Initials alo : b7E - - Investigative Assistance or Technique Used ec etia a ee ope 1. Used, but did not help 3. Helped, substantially E-MM- (lo Koz 2. Helped, minimally 4. Absolutely essential For Sub. Invest. Assist. by other FO(s) indicate A, B, C, D for corresponding FO | AT Rate FO AT Rate FO rN Rate FO JAT Computer Fraud/Abuse B[rimavat | WMMMfisi rosie | [aco nao] IM iin cor Corruption of Public Official C1 | AircraftAsst. |_| _[PenRegisters | [MRIRNCAvcrvicap] i Money Laundering ; | Computer | [| Photo Cover || 7 Jorimmis intet Asst] —_| . | Consen Mon. | [MMMM Powvarapn | MBorisis Noo. Feal | Asst. FO(S) fecsur/risc| | |Search Warrant] i PM Ero. Ficttse. [| |socasst | peut. irc SS Em Em Pac [Legats Asst | MM toch. Agitquip.| MM Poc- tro |_| |_| Evid, Purchaso| [III Phone Tou Rec [MFt.Mon.-iT |_| fF intowinio [| _|uco-croupi | [MM Fo tenons | irre | [isb:bv.Bam] | [uco-Groupn| —Illvionroievex] | |_| A. Complaint / Information/ Indictment F. Conviction J. Civil Rico Matters Date: (Federal [JLocat {] International (Federal [JLocal [1] International Also complete “Section G” Complaint Date: Conviction Date: Other Civil Matters Date: Check if Civil Rico Complaint Subject Description Code “(“_)* SUE en . Judicial Outcome. OX Information Date: For 6F, G, H-Include Agency Code Amount ; Indictment Date; L Felony or [) Misdemeanor Suspension: Years Months (Plea or OD Trial B. Locate / Arrest State: Judicial District: K. Administrative Sanction Date: CFederal [Local [1 internationat « Subject Description Code G, U.S. Code Violation Type: Length: Subject Priority: A [1B Oc Required for sections A, B, F and J [] Suspension [] Permanent Locate Date: (Federal Only) . [_] Debarment or Arrest Date: Title Section # Counts L} Injunction Year. Months. (2 Subject Resisted Arrest L. Asset Seizure Date: (1 Subject Arrested was Armed Asset Forfeiture Date: CATS # Mandatory —____SESEEee C. Summons Date: Circle below one of the three asset forfeiture: (Federal [J Local Admin, Civil Judicial, or Criminal D. Recovery / Restitution / PELP X omens ban Do not indicate $ value in Section D j I. ence Date: Neen vate Local EV Intermatiorsal Sentence Type: ; M. Acquittal/ Dismissal/ Pretrial Diversion ome F 7 PRGDHE 8 In Jail: Years, Months, SNE GOR) leh Bade * Y Amount § Suspended: Years. Months N. Drug Seizures “ Date: Restitution Date: [Court Ordered {[] Pretrial Diversion Probation: Years Months Drug Code © Code* sy Amount $ Fines: $ Weight Code * PELP Date: Fen aor 7 " 3 Do not indicate $ in Section D Code*_ vy =Amount $ |, Disruption/Dismantlement: “ E. Hostages(s) Released Date: . O. Child Victim Information Disruption Date: f ; Released by: [] Terrorist [1] Other Child located / identified Date: & OY Dismantlement Date: , MES Et SEES Completion of FD-518a Side 2 Mandatory baivng [) Deceased > P, Subject Information - Required for all blacks excluding block D (Recovery/PELP), blocks E, |, L and N b6 [ace | Ser For Indictments/Convictlons only: Social Security No. (if available) b7c oO Subject related fo an LCN, Asian Organized Crime (AOC), Italian Organized Cima (1OC), Russian/Eastern European, Caribbean, or Nigenan Organized Cnme Group + Completa FD-515a, Side 1 Blocks A-E mandatory, F-H as appropriate. Subject related to an OC/Drug organization, a VCMO Program National Gang Strategy target group, or a VCMO Program National Priority Inilialive target group - Complete FO-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. e See codes on reverse side. Serial No. of FD-515 ” 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, B3/E-MU- (08062-1490 HOUSE_OVERSIGHT_021600