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@ Vv. 12-19-06) e' Accomplishment Report Date Prepared cif 29 b6 quad supervisor approval (Accomplishment must be reported and loaded into Date Loaded “ff 2 b7c (please initial) ISRAA within 30 days from date of accomplishment) Date Loader’s Initials b7E ~ - Investigative Assistance or Technique Used File Number 1. Used, but did not help 3. Helped, substantially EC-MmM-loxoe2 2. Helped, minimally 4. Absolutely essential For Sub. Invest. Assist. by other FO(s) indicate A, B, C, D for corresponding FO Banknupley Fraud ee aT sale FO. IAT.—séRate FO. AT_—s Rata FO IAT Computer Fraud/Abuse . | Fin Analyst | | Jiab. Field sup | |_| UCO - Nat.Back Y | sali gherleaaaia [Airrattasst. | | _|PenRegisters | [IB Ncavcrvi-car| NM 10 Wantod Flyer oney Laundering | Computer | | | Photocover |_| Crim/NS Intel Asei| | Se Se || Search Warrant] [IMMECiss Nop Locat| pecsur/T. | MB showMoney | MMB ert Asst, | (MMI Fort suppor Proj PE eno Ficttse | | |socass, | [MMBeute-rrc | N TrosictD | EE Ee ee | Legats Asst, | [MMM Tech asiquip.| MM Poc-ro | |__| Evie. Purchase] I Phone TollRec | [MBF Mon.-i7 || | [initowinfo [| | [uco-croupt | MB For.LengAsst.| [pre | tab. oie Exam] | _[uco-Groupit| fl vonretved | |_| A. Complaint / Information! Indictment F, Conviction J. Civil Rico Matters Date: CFederal [Jtocal [7 International C)Federal ([JLocal [Intemational Also complete "Section G” Complaint Date: Conviction Date: Other Civil Matters Date: . a gs e Check if Civil Rico Complaint 0 Subject Description Code *(___)» Judgment — —. ____ ‘ For GF. G, Heinclude A Cod Judicial Outcome __-__ x ‘ F or 6F, G, H-Include Agency Code . Information Date: gency Amount $ Indictment Date: [) Felony Of [1 Misdemeanor Suspension: Years Months (Plea or 0 Trial B. Locate / Arrest State: Judicial District: K. Administrative Sanction Date: ()Federat ([]Local [International - Subject Description Code ; _. G. U.S. Code Violation Type: Length: Subject Priority: TIA OB [He Required for sections A, B, F and J Suspension (C] Permanent Locate Date: (Federal Only) A Debarment or Avrest Dates Title Section # Counts Injunction Year, Months (-] Subject Resisted Arrest L. Asset Selzure Date: (1 Subject Arrested was Armed Asset Forfeiture Date: CATS # Mandatory ___ C. Summons Date: Circle below one of the three asset forfeiture: [] Federal [1] Local Admin, Civil Judicial, or Criminal Do not indicate $ value in Section D D, Recovery / Restitution / PELP X Hl Sentence Dat Basinaleals sevaie Wrsealion CD Federal [JLecat =] International smensence: Date: : a, Sentence Type: M. Acquittal/ Dismissal/ Pretrial Diversion ° (Circle one) Date: cote y Ampont § In Jail: Years Months___ ) ode ° v Amount $ Suspended: Years. Months ‘ N.D Seizures “ Date: Restitution Dater__ P me ae (Court Ordered [F] Pretrial Diversion Probation: Years, Months Drug Code © - Code * v Amount $ Fines: $ Weight Code PELP Date: FOIN ate: ° Do not indicate $ in Section D Code*_ sv =Amount $ L Disruption/Dismantlement: Vv E. Hostages(s) Released Date: . . O, Child Victim Information Disruption Date: be Released by: [J Terrorist ( Other Child located / identified Date: oY Dismantlement Date: . Number of Hostages: Kft ii Completion of FD-515a Side 2 Mandatory ming C) Deceased b6 P. Subject Information - Reqjtired for all blocks excluding block D (Recovery/PELP), blocks &, I, Land N b7c Date of Birth Social Security No. (if available) ébject related to an LCN, Asian Organized Crime (AOC), Italian Organized Crime (IOC), Ruasian/Enstern European, Caribbean, or Nigerian Organized Crime Group + Complete FD-515a, Side 1 Blocks A-E mandatory, F-H as appropriate, oO Subject relatad to an OC/Drug organization, a VCMO Program National Gang Stratogy targel group, or a VCMO' Program Nalionol Priority Initiative target group - Complete FD-515a, Side 14 Blocks AC only, x Additional information may be added by attaching another form or a plain sheet of paper for additional entries. Seal No: ol Powe e See codes on reverse side. | —sdCY ¥ 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. BA E-HH - (08062 — (G2. HOUSE_OVERSIGHT_021604