EFTA00140897.pdf

LAW ENFORCEMENT SENSITIVE U.S. Department of Justice United States Marshals Service Personal History of Defendant Taken into Federal custody by the following: is Street Arrest (not from a correctional/detention facility) K Custodial Arrest (from a correctional/detention facility) o Writ Used (Must provide copy of writ) EI Prior Federal Arrest or Safekeeper - Register II: o Safekeeper Location: Last Name: I liOMAS I First Name: MICHAEL I Middle Name: Sex: M OF K Transgender Pregnant: O Y ON Race: B-Blacic/Black Hi is Hair: BLACK j Eyes: BROWN Height: Weight DOB City of Birth: min State/Coun ry of Birth: Citizenship USA FBI #: Slate ID#: Resident Address/City/State/ZIP: Home Phone: Agency: FBI Agent Last Name Agent Phone Cell Phone Location/Facility of Arrest: 290 BROADWAY FBI NY Court Docket IS: CR AUSA(s) Assigned: Alien It: First Name SSN: Marital Status: Single Agency ORI: NYFBINY00 Arrest Date: 11/19/2019 NOW Code Charge Description Title/Code MAKING FALSE STATEMENTS IS USC 1001 CONSPIRACY TO MAKE FALSE STATEMENTS 18 USC 371 Known Detainers/Warrants: N OY - Agency: CAUTIONS AND MEDICAI. (Must provide a copy of soy detainers) Long Term Medical Conditions (e.g., heart problems, diabetes, asthma. tuberculosis, HIV. AIDS, hepatitis, etc): igN El Y Psychiatric/Emotionally Disturbed (e.g., mental health concerns, suicidal, etc.): N K Y Injuries/Medical Ailments/Post-Op Recovery: N K Y Do the above conditions require: Medical attention? N Medication? N O Y Medical clearance by a licensed physician: ON OY Is Defendant under the influence of drugs or akohol: Languages - English: O N O Limited Other Language: N - List: U/LES Page 1 of 3 Form USM-312 Rev. 11/17 S0NY_MT_00000212 EFTA00140897 REMARKS LAW ENFORCEMENT SENSITIVE Security Cautions: K Current or former military K Current or former public official K Eligible for diplomatic immunity K Threat to witness (Describe below) Remarks: ALIAS Last Name ALIAS First, MI Current or former LE/corrections Assault on LE/corrections Leadership role CI (Describe below) Remark K Current or former intelligence K SAM subject or candidate K Separation needs (Describe below) K Other (Describe below) Date of Birth ASSOCIATES / CO-DEFENDANTS / RELATIVES / CHILDREN SIGNIFICANT OTHER Relationship Co-Defendant MARKS Last Name First, MI Iteuiso TOVA NOEL Scar/Mark/Tattoo (Specify) Vehicle Year License Number MISCELLANEOUS NUMBERS Color(s) License State Description Vehicle Style State and Plate k Phone t Address, City, State, /IP ode Registration Date State Driver's License VIN Remarks (e4_ !Sluing Salt or Country, etc.) Miscellaneous Number Type (Sara from dropdown menu or type below) Occupation: BOP CORRECTIONS OFFICER Company/Employer Name: FEDERAL BOP Employment Address: 150 PARK ROW NEW YORK NY Start Date: End Date: Bank Name Branch Account Type Entry Date Point of Contact: AccountU Discharge Date Discharge Type Phone: Branch Address Military Occupation Phone /I Remarks ScItlil riot I IF, r m I Item:irk. ( U/LES Page 2 of 3 Form USM-312 Rev 11117 SDNY_MT_00000213 EFTA00140898 LAW ENFORCEMENT SENSITIVE PRI >I 1 1 I Defendant Risks: *Requires remarks below El Escapee D Planned Murder O Organized Crime* 0 Protected Witness O International Terrorist 0 Domestic Terrorist 0 Gang Member' 0 Significant Criminal History g Multiple Defendants 0 Death Penalty Case Sex Offender: ET Arrest K Registered Criminal History (Select from dropdown menu or type offense below) Remarks (e.g., name of gang or criminal organization, etc.): K Conviction K Registration Violation Arrest HO NONE + Add History Conviction (#) Money Launderer K Kingpin IV( ERN sOl l((C E Internet Source K Violent Offender Remarks (e.g., email address, website address, username, etc.) NOTICE TO ARRESTING AGENTS: As a courtesy, the USMS may temporarily hold an arrestee received by non-USMS personnel in the cellblock until the arresting agent(s) make arrangements for the prisoner's initial appearance before a United States Magistrate. A prisoner remains the responsibility of the arresting agency until remanded to the custody of the USMS by the courts. When a courtesy hold is allowed by the USMS to be housed in a USMS cellblock, a minimum of one agent from the arresting agency must be available to respond to the cellblock in order to address any issues with their prisoner (e.g., medical, disciplinary). If the arresting agency refuses to comply with USMS procedures, the courtesy hold may be refused. Meals are not provided by the USMS, and remain the responsibility of the arresting agent(s). ARRESTEE PROCESSING CHECKLIST For Arresting Officer Only K USM-312 (Personal History of Defendant) K Medical clearance (from licensed physician), if necessary O Copy of Arrest Warrant, if issued O Copy of Complaint, Information, or Indictment, if completed O Copy of Detainer(s), if issued O Copy of Writ, if applicable K Correctional facility discharge papers, if applicable O Correctional facility prisoner receipt, if applicable K Correctional facility medical summary, if applicable Prepared By - Name: Agency: FBIINYPD Cell Phone: Date: 11/19/2019 ARRESTEE PROCESSING CHECKLIST For US NS Personnel Only O Confirm all arresting agent documentation is completed and inserted into prisoner's file K USM-312 (Personal History of Defendant) - reviewed. signed and dated by intake DUSMIDEO K USM-552 (Prisoner Medical Records Release Form)- completed signed and dated by intake DUSMIDEO K USM-I 8 (Federal Prisoner Property Receipt) - completed signed and dated by intake DUSM/DEO K USM-40/4 I (Prisoner Remand) - inserted into prisoner's file K USM-I 30 (Prisoner Custody Alert Notice), if applicable - inserted into prisoner's file K FD-249 (Fingerprint Card) - printed and inverted into prisoner's file K Prisoner Photograph (from Booking Package) - printed and inserted Into prisoner's file Reviewed By: Badge X: U/LES Page 3 of 3 Date: Form tISM-312 Rev. 11/17 SDNY_MT_00000214 EFTA00140899 U.S. Department of Justice United States Marshals Service FEDERAL PRISONER'S PROPERTY RECEIPT (Instructions on Reverse) ITEMS RECEIVED: NO PROPERTY// NO PROPERTY// NO PROPERTY NO PROPERTY// NO PROPERTY// NO PROPERTY NO PROPERTY,/ NO PROPERTY// NO PROPERTY NO PROPERTY// NO PROPERTY// NO PROPERTY NO PROPERTY// NO PROPERTY// NO PROPERTY NO PROPERTY// NO PROPERTY// NO PROPERTY NO PROPERTY// NO PROPERTY// NO PROPERTY NO PROPERTY// NO PROPERTY// NO PROPERTY NO PROPERTY// NO PROPERTY// NO PROPERTY NO PROPERTY// NO PROPERTY// NO PROPERTY CELLBLOCK INMATE NAME: MICHAEL THOMAS MDC BROOKLYN I I/19.'2019 INMATE SIGNATURE: Original (White) - To Committing Officer Duplicate (Yellow) - To Jailer Triplicate (Blue) - To Prisoner Quadruplicate (White) - Extra FORM USM-IS (Rev 4185) Automated 01:01 SDNY_MT_00000215 EFTA00140900 INSTRUCTIONS I. This Federal Prisoner's Property Receipt (Form USM-I 8) should be prepared in quadruplicate. Copies should be distributed as directed on the last line of each copy Original (White) - To Committing Officer Duplicate (Yellow) - To Jailer Triplicate (Blue) - To Prisoner Quadruplicate (White) - Extra 2. When a Federal prisoner is placed in a non-federal institution by a U.S, marshal, a deputy marshal, or other employee of the marshal, all spaces above the double lines should be filled in and the receiving officer should sign in the space provided, a-, evidence of the receipt of the prisoner's ro en Co i should then be distributed as set forth above. 3. When a prisoner is released. the last two boxes on the jailer's copy will be filled in as evidence of the jailer's return of the Properly. 4. If, while in jail, the prisoner is allowed to spend or otherwise dispose of any money or other property listed, that fact should be noted on the jailer's copy over the prisoner's signature. 5. If a prisoner is to be released to someone other than the committing officer, the original of the receipt should be attached to the commitment. removal, or other papers, for delivery to the marshal to whom the prisoner will be released. SDNY_MT_00000216 EFTA00140901 United States Marshals Service (USMS) PRISONER MEDICAL RECORDS RELEASE FORM INSTRUCTIONS: Section I is to be completed by the USMS Intake Officer. Sections II & III are to be completed by the prisoner. Section Il may be completed by the USMS Intake Officer if the prisoner is unable or unwilling, but Section III must be signed by the prisoner. If prisoner refuses to sign, note that in the signature block. All refusals should be immediately reported to the Office of Interagency Medical Services, Prisoner Services Division. The completed Form USM-552 is to be retained in the prisoner's files. Section I - USMS Prisoner Information I. Prisoner Name (Last, First, MI) 1111M4 S, t1iC 3. District Name 4. District / 2. USMS Prisoner 5. CustodyDate (Mo/Day/Yr) 1111.0q Seel inn II - Prisoner Personal Data And Medical In formation 6. Date of Birt (M Day/Yr) 7. Social Security No. 8. Medical Insurance Information A) Insurance Company Name B) Policy Number C) Medicare /Medicaid Coverage? El Yes 9. Name of Your Physician 10. Phone Nu nber ( ) Section III - Medical Consent And Records Release I certify that the information I have provided above is true to the best of my knowledge. I hereby authorize the United Slates Marshals Service to request, review, and have access to all medical records of care provided to me during the time that I am in the custody of that agency, and to all other medical records deemed necessary for the purposes of providing me with appropriate medical care, adjudicating medical bills for health care services provided to me while in the custody of the United States Marshals Service, and for infectious disease clearances. Signature of Prisoner Date Signature of USMS Intake Officer Date Original--Prisoner File Copy to District File Copy Upon Transfer Rem USM-552 Est. 6/98 SONY N1T_00000217 EFTA00140902 Message Detail Additional Inquiry Response ORI: NYFBINYOO Federal Bureau of Investigation - New York New York State Division of Criminal Justice Services Alfred E. Smith Building, 80 South Swan St. Albany. New York 12210. Tel:1-800-262-DCJS Michael C.Green. Executive Deputy Commissioner of the NYS Division of Criminal Justice Services a III Information * The following Information is provided In response to your request for a III search from the State of New Jersey based on: FBI number: 2584711)9 Purpose Code: ATN/GREENES3 THIS RECORD IS BASED ON THE SID NUMBER IN YOUR REQUEST- SIDi NEW JERSEY CRIMINAL HISTORY DETAILED RECORD USE OF THIS RECORD IS GOVERNED BY FEDERAL AND STATE REGULATIONS. UNLESS FINGERPRINTS ACCOMPANIED YOUR INQUIRY, THE STATE BUREAU OF IDENTIFICATION CANNOT GUARANTEE THIS RECORD RELATES TO THE PERSON WHO IS THE SUBJECT OF YOUR REQUEST. USE OF THIS RECORD SHALL BE LIMITED SOLELY TO THE AUTHORIZED PURPOSE FOR WHICH IT WAS GIVEN AND IT SHALL NOT BE DISSEMINATED TO ANY UNAUTHORIZED PERSONS. TO ELIMINATE A POSSIBLE DISSEMINATION VIOLATION, AND TO COMPLY WITH FUTURE EXPUNGEMENT ORDERS, THIS RECORD SHALL BE DESTROYED ;IMMEDIATELY• AFTER IT HAS SERVED ITS INTENDED AND AUTHORIZED PURPOSES. ANY PERSON VIOLATING FEDERAL OR STATE REGULATIONS GOVERNING ACCESS TO CRIMINAL HISTORY RECORD INFORMATION MAY BE SUBJECT TO CRIMINAL AND/OR CIVIL PENALTIES. THIS RECORD IS CERTIFIED AS A TRUE COPY OF THE CRIMINAL HISTORY RECORD INFORMATION ON FILE FOR THE ASSIGNED STATE IDENTIFICATION NUMBER. SONY_MT_00000218 EFTA00140903 STATE ID NO 11/18/2019 NAME: THOMAS, MICHAEL A. FBI NO. a DATE REQUESTED. SEX RACE BIRTH EIGHT WEIGHT EYES HAIR BIRTH PLACE M B BRO BLK ■ RECEIVING AGENCY: NYFBINY00 U.S. CITIZEN: YES FPC: ARRRRALALL AFIS NO: SINGLE STATE STATUS: NOT REQUIRED ALIAS NAMES/OTHER BIRTH DATES THOMASSR, MICHAEL A. SOCIAL SECURITY NUMBERS SCARS/MARKS/TATTOOS/MISC NUMBERS TATTOO RIGHT ARM LION WTRIBAL DESIGN *************************** •****** ******* ARRESTED 06/11/2010 AGENCY CASE NO: AGENCY: NJ0201200 PLAINFIELD PD UNION NAME USED: THOMAS, MICHAEL A. DOB USED: OFFENSE DATE: 06/11/2010 001 CNT 2C:12-1B(7) AGG ASSAULT-ATTEMPT/CAUSE SIGNI 001 CNT 2C:13-2A CRIMINAL RESTRAINT - RISK OF SB 001 CNT 2C:17-3A(1) CRIMINAL MISCHIEF-DAMAGE PROPER 001 CNT 2C:33-4 HARASSMENT 001 CNT 2C:39-4A POSS FIREARM UNLAWFUL PURPOSE III: DNA SAMPLE COLLECTION ARREST 001 PRE-TRIAL INTERVENTION DOMESTIC VIOLENCE 42694 SUMMONS/WARRANT 001 AOC NUMBER: UNN10002235- SDNY_MT_00000219 EFTA00140904 NO: W 20100010592012 09/19/2011 AGENCY: NJ020081J DISPOSITION: PTI DISMISSED DISPOSITION DATE: MUNICIPAL COURT PLAINFIELD 001 CNT: 2C:12-1B(7) DEG: 0 AGG ASSAULT- ATTEMPT/CAUSE SIGN DISPOSITION: PTI DISMISSED 001 CNT: 2C:13-2A DEG: 0 CRIMINAL RESTRAINT - RISK OF S DISPOSITION: PTI DISMISSED 001 CNT: 2C:39-4A DEG: 0 POSS FIREARM UNLAWFUL PURPOSE SUMMONS/WARRANT 001 NO: W 20100010602012 09/19/2011 AGENCY: NJ020081J DISPOSITION: PTI DISMISSED 001 CNT: 2C:17-3A(1) DEG: 0 DAMAGE PROPE DISPOSITION: PTI DISMISSED 001 CNT: 2C:33-4A DEG: 0 MANNER TO C AOC NUMBER: UNN10002235- DISPOSITION DATE: MUNICIPAL COURT PLAINFIELD AGGREGATE SENTENCE DATE: 09/29/2010 150 CRIMINAL MISCHIEF- HARASSMENT-COMM IN COURT: NJ020043J UNION CO SUPERIOR COURT DIVER PROGRM TRM12M AMOUNT ASSESSED $ ****** ************************ ****** **************************** ******** DEPARTMENT OF CORRECTIONS DATA NOT FOUND FOR THIS SID NUMBER **************************************************************** ******** CRIMINAL HISTORY DIVERSION PROGRAM AND INDICTABLE CONVICTION SUMMARY PRE-TRIAL INTERVENTION: 001 SDNY_MT_00000220 EFTA00140905 CONDITIONAL DISCHARGE: 000 INDICTABLE CONVICTIONS: 000 VIOLATION OF PROBATION: 000 COURT DISPOSITION INFORMATION CONTAINED IN THIS RECORD IS REPORTED ELECTRONICALLY FROM THE SENTENCING COURT. QUESTIONS CONCERNING DISPOSITION INFORMATION SHOULD BE DIRECTED TO THE MUNICIPAL OR SUPERIOR COURT LISTED ON THE RECORD. INFORMATION REGARDING CORRECTIONS TO THIS RECORD MAY BE DIRECTED TO THE COURT OF SENTENCING. END OF CCH RECORD END OF RECORD 80 South Swan St. Albany. New York 12210. Tel:I-800-262-DCJS Michael C.Green, Executive Deputy Commissioner of the NYS Division of Criminal Justice Services OIIIIMrorimatimn* The following information is provided in response to your request for a search ante HI based on: Name: THOMAS, MICHAEL Set: Unknown Race: Unknown Date of Birth: Purpose Code: NYFBINY00 THIS NCIC INTERSTATE IDENTIFICATION INDEX MULTIPLE RESPONSE IS THE RESULT OF YOUR INQUIRY ON NAM/THOMAS,MICHAEL DOB/ SEX/X RAC/U PUR/C ATN/GREENES3 NAME FBI NO. INQUIRY DATE WILKIE-THOMAS,MICHAEL JR 2019/11/18 SDNY_MT_00000221 EFTA00140906 ALIAS NAMES SCARS-MARKS- TATTOOS SOCIAL SECURITY TAT L ARM SC L WRIST IDENTIFICATION DATA UPDATED 2019/05/15 THE CRIMINAL HISTORY RECORD IS MAINTAINED AND AVAILABLE FROM THE FOLLOWING: SOUTH CAROLINA - STATE ID GEORGIA - STATE ID WASHINGTON STATE ID INDIANA - STATE ID NORTH CAROLINA - STATE ID END - 1ST NCIC III RECORD OF MULTIPLE RESPONSE NAME FBI NO. INQUIRY DATE THOMAS,MICHAEL A 2019/11/18 SEX RACE HEIGHT WEIGHT EYES HAIR PHOTO N B BRO BLK N FINGERPRINT CLASS PATTERN CLASS ALIAS NAMES THOMAS, MICHAEL ALBERT THOMASSR,MICHAEL A THOMAS,MICHEAL ALBERT SCARS-MARKS- TATTOOS SOCIAL SECURITY MISC NUMBERS TAT UR ARM IDENTIFICATION DATA UPDATED 2019/06/13 THE CRIMINAL HISTORY RECORD IS MAINTAINED AND AVAILABLE FROM THE SDNY_MT_00000222 EFTA00140907 FOLLOWING: NEW JERSEY - STATE ID/ END - LAST NCIC III RECORD OF MULTIPLE RESPONSE THE RECORD(S) CAN BE OBTAINED THROUGH THE INTERSTATE IDENTIFICATION INDEX BY USING THE APPROPRIATE NCIC TRANSACTION. END SDNY_MT_00000223 EFTA00140908