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2 @ * ¢ D-515 (Rev. 12-19-06) Accomplishment Report Date Prepared 24, Q ‘4 Squad supervisor approval {Accomplishment must be reported and loaded into Date Loaded x bé (please initial) ° ISRAA within 30 days from date of accomplishment) Date Loader’s Initials b7c b7E Investigative Assistance or Technique Used 1. Used, but did not help 3, Helped, substantially 2, Helped, minimally 4. Absolutely essential. For Sub. Invest. Assist. by other FO(s) indicate A, B, C, D for corresponding FO File Number Drugs A Fugitive Bankruptcy Fraud Computer Fraud/Abuse Corruption of Public Official J] Money Laundering 1A Rate FO {AT Rate FO 1A 7 [Finvanayst | MB isp. ricwsuo | || | [enesisers | A . Photo Cover | | [Poverann |_| |__| Sub Invest Asst by FO(s) ro [Photo Cover _| [Squad Asst. FO(S) rat ATP R-2_| ecsur/Fisc| | | [search Warrant] | [soGAsst.__| | |_| . JFtMon.-tTo |_| ME eno.Fitasp.| | [socass. |_| attean fe Fah sain ci corre ccc Soc , —— Rate FO (AT T UCO - NatBack |_| Viet-Witn Coor bbooo Bvcavervicar| | . BE isis Nog.-Local| | BB ERT Asst jsv-iro || tak oi. exam| | |vco-cmupit] fh vonrarvabe| | A. Complaint / Information/ Indictment F. Conviction J. Civil Rico Matters Date: (Federal [JLocal [] Intemational (Federal [JLocat [(] Intemational Also complete “Section G” Complaint Date: Conviction Date; Other Civil Matters Date: Check if Civil Rico Complaint 01 Subject Description Code *(_._)* sug Mert a a ee” Judicial Outcome. ex Information Date: For 6F, G, H-Include Agency Code Indictment Date: (J Felony or (J Misdemeanor (J Plea or CI Trial . B. Locate / Arrest State:._______._ Judicial District: _____. K. Administrative Sanction Date: LiFederal [Local [J intemational - ; Subject Description Code ; . G. U.S, Code Violation Type: Length: Subject Priority: TIA (JB (Jc __ Required for sections A, B, F and J . [] Suspension [1] Permanent Locate Date: (Federal Only) | Debarment or Arrest Date: Title Section # Counts {_} Injunction Year. Months Amount $ Suspension: Years Months (2 Subject Resisted Arrest a —_— —_—— L. Asset Seizure Date: LD Subject Arrested was Armed Asset Forfeiture Date: To —— CATS # Mandatory Cc. Summons Date: Circle below one of the three asset forfeiture: (Federal [[] Local Admin, Civil Judicial, or Criminal - Do not indicate $ value in Section D D, Recovery / Restitution / PELP X (]Federal []Local [J Internationat H. Sentence Date: Recovery Date: Sentence Type: ' . Circle one) Date: Code vy Amount $0 In Jail: Years_______._ Months____ f Code * y Amount $ Restitution Dates. [Court Ordered (7) Pretrial Diversion Probation: = Years______. Months___ Drug Code * - Code*_ ey «=Amount $_ Fines: $——__________ a eSHE PELP Date: ; Do not indicate $ in Section D Code*__ y= Amount § —________ {. Disruption/Dismantlement: E. Hostages(s) Released Date;_____ Disruption Date: 0. Child Victim Information Released by: (] Terrorist [Other Child located / identified Date: OC/ZO 0 y' Dismantlement Date: Number of Hostages: PRivi Completion of FD-515a Side 2 Mandatory wing [| Deceased M. Acquittal/ Dismissal/ Pretrial Diversion Suspended: Years... Months___ N. Drug Selzures Y Date: P. Subject Information - Required for all blocks excluding block D (Recovery/PELP), blocks E, |, L and N A Subject related to an LCN, Asian Organized Crime (AOC), Italtan Organized Crime (10C), Russlan/Eastern European, Carlbbean, or Nigetian Organized Came Group - Complete FO-5152, Side 1 Blocks A-E mandatory, F-H as appropriate. Subject related to an OC/Drug organization, a VCMO Program National Gang Strategy torgel group, or a VCMO Program National Priority Initative largel group - Complele FD-5152, 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. Sala Nb: 9 FRASAS « See codes on reverse side. Ld v Requires that an explanation be attached and foaded into ISRAA for recovery over $1 m and PELP over $5 m, disruption, dismantlement, and drug seizures. BLE Un -(08062 — 194 HOUSE_OVERSIGHT_021608