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| FD-515 (Rev. 12-19-06) 6 Accomplishment Report Date Prepared quad 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 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 Rate FO IAT Rate FO IAT {AT fires] | [uco-naoa] I Peneites | Il oaver vices! — Al [A rasan | Mice Fal PTT seer wana] — eno] _ J Accomplishment involves: (check all that apply) File Number Rate FO AT Rate FO = oe im O Bankruptcy Fraud O Computer Fraud/Abuse O Corruption of Public Official C1 Money Laundering Asst. FO(s) v(t J Oo i : =e [socaes | [iieue-iro |_| | vt | _| Ss i I | I [ [evs Pio] — fl Prone et Reo| I Non. -rro | = free | - Fincwine | | _|c0-croupi | fl Fox Lananeat || [tas ov.exam{ | [uco-crovpn| —Iiivenrercebes| | J. Civil Rico Matters Date: Also complete “Section G" A. Complaint / information/ indictment F, Conviction CFederat [JLocat [1] International (1 Federal (Local [J] Intemational Complaint Date: Check if Civil Rico Complaint 0 Information Date: Conviction Date: Subject Description Code © (oo ele For 6F, G, H-Include Agency Code Other Civil Matters Date: Judgment__ Judicial Qutcome_____ x Amount $ indictment Date: [Felony or [7 Misdemeanor (Plea or (Trial B. Locate / Arrest State Judicial District: Subject Description Code (Federal ([JLocal [[] International - oe ; _. G. U.S. Code Violation Type: Length: Subject Priority. A (48 jc Required for sections A, B, F and J . H Suspension _[[] Permanent Suspension: Years Months K. Administrative Sanctlon Date: Locate Date: (Federal Only) Debarment or Arrest Date: Title Section # Counts Injunction Year Months (C2 Subject Resisted Arrest (J Subject Arrested was Armed L. Asset Seizure Date: Asset Forfeiture Date: CATS # Mandatory Cc, Summons Date: Circle below one of the three asset forfeiture: (Federat [] Local D, Recovery / Restitution / PELP X [] Federal [JLocal [Z] International Recovery Date: Sentence Type: ' 4 Circle one) Date: Gade ° y Amount $ ‘In Jail; Years____.. Months. ( } Code*_ os ¥ ~=Amount $ Restitution Date: (1) Court Ordered = [[] Pretrial Diversion Probation: Years___.__. Months____. Drug Code ® ; Code*_ sv) Amount $ Fines: 5 Weight ________. Code PELP Date: Fells e Do not indicate $ in Section D Code * vy Amount $ 1. Disruption/Dismantlement: ¢ r 0. Child Victim Information Disruption Date: Child located / identified Date: OS/3O 0” Dismantiement Date; Number of Hostages: Phivi ° D d , Completion of FD-518a Side 2 Mandatory 8 , [)Decease Admin, Civil Judicial, or. Criminal Do not indicate $ value in Section D H. Sentence Date: M. Acquittal/ Dismissal/ Pretrial Diversion . Suspended; Years____—— Months. N. Drug Seizures Y Date: E. Hostages(s) Released Date: Released by: [J Terrorist [[) Other P, Subject Information - Required for all blocks excluding block D (Recovery/PELP), blocks E, !, Land N 2 Subject related to an LCN, Asian Organized Crime (AOC), itatian Organized Cnme (IOC), Russian/Eastern European, Caribbean, or Nigerian Organized Came Group - Complete FD-515a, Side 1 Blocks A-E mandatory, F-H as appropriate, | Subject related to an OC/Drug organization, a VCMO Program National Gang Stralegy target group, or a VCMO Program Nalional Priority Initialive target group + Complate FD-615a, 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. Beye] Ne OF PLYSIS e See codes on reverse side. | —~SYS v 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. 3/E-Uw- 108062 -29] HOUSE_OVERSIGHT_021622