EFTA00257768.pdf

• • FD-340e (4-11-03) File Number 31e- N - 30,395g Field Office Acquiring Evidence NV/ b Serial # of Originating Document Date Received From A4/2O lel -(Pci te I ki (Name ottontautorfinterviewee) (Address) By (City and State) To Be Retuned 0 Yes 0 No Receipt Given 0 Yes 0 No Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e) Federal Rules of Criminal Procedure 0 Yes 0 No Federal Taxpayer Information (FTI) 0 Yes 0 No Title: -Arrest 0-r fpsitin Reference: (Communication Enclosing Material) Description: 0 Original notes re interview of lAsa r ra n , arrect popes work ) advttie of r IA ) rQre ipt -6)y pp-apes-hi 2 EFTA00257768 FD-395 Revised 11-05-2002 FEDERAL BUREAU OF INVESTIGATION ADVICE OF RIGHTS LOCATION Place: •-re5W X 19OY-b kilp0121-- YOUR RIGHTS Date: -1/0// Time: te to FAA Before we ask you any questions, you must understand your rights. You have the right to remain silent. Anything you say can be used against you in court. You have the right to talk to a lawyer for advice before we ask you any questions. You have the right to have a lawyer with you during questioning. If you cannot afford a lawyer, one will be appointed for you before any questioning if you wish. If you decide to answer questions now without a lawyer present, you have the right to stop answering at any time. CONSENT I have read this statement of my rights and I understand what my rights are. At this time, I am willing to answer questions without a lawyer present. Signed: WITNESS Witness: Witness: Time: to: 11pm FD-395 (Revised 11-05-2002) Page 1 of. 1 FEDERAL BUREAU OF INVESTIGATION EFTA00257769 LAW ENFORCEMENT SENSITIVE U.S. Department of Justice United Slates Marshals Service Personal History of Defendant Taken ' to Federal custody by the following: Street Arrest (not from a correctional/detention facility) 0 Custodial Arrest (from a correctional/detention facility) Last Name: - 45-Writ Used (Must provide copy of writ) ri, ex e rr - El Prior Federal Arrest or Safekeeper - Register 4: K Safekeeper Location: Sex: r 0 Transgender Pregnant: • N Race: Flair: 6 r-... 185 . Eyes: e 40^,C lkight: Weight: /et — DOB: / 2 City of Birth: adia State/Coun ry of Birth: Citizenship: FBI 4: State ID#: Alien : SSN Resident Address/City/StateTLIP: I tome Phone: Agency: Agent Last Name: Cell Phone Location/Facility of Arrest: 7 ec A eyw. 7°02 Agency ORI: First Name: Arrest Date: Court Docket N: CR Known Detainers/Warrants: 'ieao.CT, /ere/eye/ ea AUSA(s) Assigned: NCIC Code Charge Description ste -2-e-Anitti (Must provide a ropy of any detainers) Title/Code usc. 7/ 0 Y - Agency: CAUTIONS AND M Knit Long Term Medical Conditions (e.g.. heart problems. diabetes. asthma. luberculosis. lIIV. AIDS. hepatitis, etc.): N K 1§... Psychiatric/Emotionally Disturbed (e.g.. mental health M concerns, suicidal. .): N 0 Y Injuries/Medical Ailments/Post-Op Recovery:a< 0 Y Do the above conditions requ're: Medical attention? Medication? K Y Medical clearance by a licensed physician:10N K Y Is Defendant under the influence of drugs or alcohol: 1PN 0 Languages - English: 17 \ N wgi< 0 Limited Other Language: N 0 Y - List: Security Cautions: C rrent or former military or former public official rgible for diplomatic immunity 0 Threat to witness (Describe below) 0 Current or former LE/corrections El Assault on LE/corrections 0 Leadership role 0 Cl (Describe below) D Current or fonner intelligence 0 SAM subject or candidate 0 Separation needs (Describe below) 0 Other (Describe below) U/LES Page I of 3 Form USM.312 Rev. 11/17 EFTA00257770 LAW ENFORCEMENT SENSITIVE Remarks: ALIAS Last Name ALIAS First, Mt Remark Date of Birth ASSOCIATES / CO-DEFEND %NTS/ RELATIVES/CHILDREN /SIGNIFICANT OTIIER Relationship Last Name First, MI MARKS car/ lark/Tattoo (Specify) Vehicle Year License Number Location Model MISCELLANEOUS NUMBERS Color(s) License State Register a State Driver's License Resident Address, City, State, ZIP Code Description Vehicle Style Remarks .r.g.. Issuing Stale or COuntrit. etc.) Miscellaneous Number Type (Select from dropdown menu or rape below) OCCUPATIONS State and Plater, Registration Date Occupation: 6 .12-°P - tgt / 04 Company/Employer Name: Sa c Employment Address: VI Rog/ ..1,9„zefj. Start Date: ANCIAI. Bank Name VIN Phone Phone: A/ "ger ea A Br. nth Rank End Date: Entry Discharge Date Date Account Type a i id I t lona! Information/Remarks/Continuation: PROFILE Defy itclanl Risks: *Requires remarks Moir K Escapee O Planned Murder O Organized Crime* O Protected Witness O International Terrorist O Gang Member* El Multiple Defendants Point of Contact: Account a Discharge Type O Domestic Terrorist O Significant Criminal History Ei Death Penalty Case GILES Page 2 of 3 Branch Address Military Occupation Sex Offender: O Arrest O Registered Remarks O Conviction O Registration Violation Phone N Form USM-312 Rev. t1/17 EFTA00257771 LAW ENFORCEMENT SENSITIVE Criminal History (Select from drooduwn menu or type offense below) Arrest (11) Conviction (a) v Remarks e.g., name of gang or criminal organization, etc.): /Pr 0 Money Launderer 0 Kingpin 0 Violent Offender Internet Source Remarks (e.g., email address, ,a ebsite 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 cellbleck in order to address any issues with their prisoner (eg...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 ',nesting Officer Only 4 USM-312 (Personal History of Defendant) Medical clearance (from licensed physician). ii'necessaly ip 'opy of Arrest Warrant. if issued Copy of Complaint. Information. or Indictment, if completed O Copy of Detainer(s). if issued O Copy of Writ. if applicable O Correctional facility discharge papers. if applicable O Correctional facility prisoner receipt. if applicable O Correctional facility medical summary, if applicable Prepared By - Name: Agency: Ai Cell Phone. / 21-€7)fiet (eget/49 Oa< e f I-7"/ ARRESTEE PROCESSING CIIECKLIST For USMS Personnel Only O Confirm all arresting agent documentation is completed and inserted into prisoner's file O LiSM-3 L2 (Personal History of Defendant) - reviewed signed undiluted by intake Dl IVO K USM-552 (Prisoner Medical Records Release Form) - completed signed and doted by intake DI S.11 DEO O USM- I 8 (Federal Prisoner Property Receipt) - completed signed and doted by intake Ol'SAl UFO K USM4014 I (Prisoner Remand) - knelled into prisoner's file K USM-130 (Prisoner Custody Alert Notice), if applicable - inserted into prisoner's file K FD-249 (Fingerprint Card) - printed and inserted into prisoner'sfile O Prisoner Photograph (from Booking Package) - printed and inserted inm prisoner's file Reviewed By: Badge fl: Date: U/LES Page 3 of 3 Form USM-312 Rev. 11/17 EFTA00257772 AKAs: BP-5377.058 PRISONER REMAND CDFRN FEB 04 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS ARRESTING OFFICER WILL COMPLETE ALL REQUIRED DATA ON THIS FORM PRIOR TO COMMITTING TO MCC/MDCs. First Register Number 76 2 /80 Middle r(444?( 1/ P I C T U R Race ( heck) __ __ B W A __I Se (Check) 1 F Ethnic Origin (Check) _Hispanic or _Other D,O.B. • FBI: 1/ 24/ INS: Other: CHARGES "2„....G( FiagrY OF CHARGES(S): MISDEMEANOR CIVIL CONTEMPT MATERIAL WITNESS OTHER NARRATI162 Title: / USC: S7/ Sec --/RAPielocidvi Co Al slohesitc.), NARRATIV Title: USC:12151 776)/4f4)( 2 ) S'ex-7-4,4fi.fric/e/Ac, oFfit/Atexs-- Date of Offense: Date of Arrest: 17- 45 -7) F Place of Arrest:e41,A4r4 45KeilorCr e :kit) f 'rth Country of Cip.;pnship yeS- Current A.divess 7'6 7/ . i Hr r eeer /ea/1/4 r/e/<; Ai/ Zip Code 01 2 / ftIgh6 , In:00 yper gAil EYzi e Scars006arks / Tattoos Injuri s / Medication P • /4"/A, Emergency Contect:(Name, Address, Ph Number) OM, (40 rre/A1 er Arraigpeed —_ Y )IN Senten x % Special Handling: Y or )64 Remarks: IN IN IN IN IN Remanding Official (Name) Sign Print Agency/District Phone/24 Hour Number OUT OUT OUT OUT OUT Removing Official (Name) Sign Print Agency/District Phone/24 Hour Number Receiving Official (Name) Sign Print FOR BOP USE ONLY Date / Time Releasing Official (Name) Sign Print Date / Time Sentry Load Data: (Must Initial) Name Search Completed by: Clearance/Separate Checked by: (OPTIONAL USE) ARS Code Staff Init. Add AKA's Create Cash Account Deposit Cash Amt. Detainers Court Clothing Bag RIGHT THUMBPRINT Original-for ISM as Remanding-Removal receipt; Copy-for Control as Removal Receipt (NCIC); Copy-For Removing Official; Copy-for Control as Remanding Receipt (Inmate); Copy-INS-Alien in Cdstody. (This form may be replicated via WP) This form replaces BP-S377(58) and BP-377(58) of JUL 91 i. tot POZIPOIROC12110•01 EFTA00257773 Unitedflealtlicare Health PUN MEMO) 911-87726-04 Meats 854905597 Member JEFFREY EPSTEIN 011a $20 ER $200 Wire $75 Spec $30 Group Number. 272605 SOUTHERN TRUST COMPANY Payer ID 87726 Ram 610279 Re PCN 9999 Rx Grp UHC UrilledHonilliame Choice Phis lirdsidiseledUelleadolftemeldeetenc•Coadedi MEDICARE HEALTH INSURANCE Namdleombee JEFFREY E EPSTEIN Medxerr Numberaiumero de Medicare 3NQ7-CY2-HR64 (decent staqvCebetivee eMPiela HOSPITAL (PART A) 01-01-2018 MEDICAL (PART B) 02-01-2018 `U.S. (Virgin Islands • USA POIOPOIRIC03 DRIVER'S LICENSE vi r..Ar0000025874 -ass A EPSTEIN., JEFFREY E. unit ST. JAMES 5T THOMAS V1 00802 Se. M niArt 6'0" `Eves ooe 1/20/1953 E.P.AN 1/20/2024 as 3/6/2010 to C4330020001330 IDENTIFICATION CARD 17 E123-425-53 -020 40 JEFFREY E EPSTEIN 361 EL BRILLO WAY PALM SICK FL 334604730 DOS 0140-1953 sex M «GI 6.00 ISSUED 06314009 f te‘ 9094090 Waal, Local Boaters Option Registration Card k I Name: J 1/4 1 ftC Number: BR- C. At c,55 US. Customs and Border Protection MEDI RE .4 HEALTH INSURANCE 1-800-MEDICARE (1.800.633-4227) JEFFREY E EPSTEIN 090-44-3348-T MALE FfECTIVF HOSPITAL (PART A) 01-01-2018 MEDICAL (PART B) 0243 018 EFTA00257774 I WYNIMEMPIIME61111"6 Members: We're here o help Check benefits, view claims, find a doctor, ask a question and more. Web www.myuhc.com Gal anytime tO Speak Email Advocate4meauhc.COM Atli a Nurse Phone 800-782-3740 Mental Health 800-842-2065 Providers: 877-842-32100, www UnitedHoalthcareOnline corn Medical Claims P O BOX 740803 ATLANTA GA 303740800 PR MAPFRE - PO Box70297, San Juan, PR 00936.8297 •41 -47v1M1Yli MAPFRE Pharmacists: 888-290-5416 Pharmacy Claims OplumRx PG Sex 29044 Hot Springs, AR 71903 You may be asked to snow the tare when you gel health care services Only give your personal Medicare information to health carp providers your insurers. or people you gust who work with Medicare on your behalf WARNING: Intentionally misusing Des card may be considered fraud andor other notation of federal law and es punishable by law Es posiblo quo le pidan quo moose° esta tarjeta cuando recrba servicios de cuidado medico. Solamente de su inlormacion personal do Medicare a los proyeedoros do salad. sus aseguradores 0 Personas do so confianza gue trabajan con Medicare en su hombre. El vial use intentional de fists Maisie puede sod cons•derado como fraude ylu okra wolacien do la ley federal sancronada per la ley. 1-800-MEDICARE (t-600833.4227 TTY. 1.877.48620480. sterticanipey I letWIltitlitit:iiITE Ittl CLASS: A- Private I Endorsements) RI PIACEINIIT LICENSE REQUINDVATHM DAYS OF ADDROSCHMOt OR MAIN SHAW* 1* .d= C!C:ti e:Mk wont em. vi gay Ti,. bide S Flervd• slams all PC ....SF ,V •• h.•.1 4 taw • mos4.1•Nsi. eliegOotO see. , COS*. Itssr t kenos taw Ineav Ogle II in 3 858400 15000 Please confirm you have received your new Card by calling 1.800.362.6033. 1040715 To Report Arrival, Call: Puerto Rico 1-877-529-6840 or (787) 729-6840 Port of St. Thomas (340) 774-6755 Port of St. John (340) 776-6741 Port of St. Croix (340) 773-1011 1. Carry your cid with you when you're away from home 2. Let your hospital or doctor see your card when you need hospital. medical. or health services under Medicare. 3. Your card is good wherever you live in the United States WARNINGsIssued only for use of the named beneficiary. Intentional misuse of this card is unlawful and may be punishable by fines. imprisonment. and other penalties If found. drop in nearest U.S. Mail Box Centers for Medicare az Medicaid Services Baltimore, MD 21244-1850 etas 'aye ins0015) Questions about Medicare: • visit Medicare.gov • call 1-800-MEDICARE (1.800-633.42271: (TTY: 1-877-486-20481 EFTA00257775 L L ,L Of the United Stiles. airdino tom s nee perfect C.zog. ellNalkiltgliT. :save Ateate Trap*, nide for dr common ger. mast therm/ II Wirt hare bt 5/61,0ofliber++oorrsehrrad Aeitren cad nulthbis falwi:Am4.4trdvt Wm:Isla ofAmoitx SIGNATURE OF soars S:GNATITRE DU St (CH Atvitr R K 1C Types Ilse EPSTEIN 'sx-nr;" Prom::. NaNxtc. JEFFREY EDWARD Nikkei V,or.a.rte 430=101 UNITED STATES OF AMERICA :Ale al WO Die or -ussFre I kw ,et..1 20 Jan 1953 Ftra CI bah / LAE Ce [minx G.AAN- rua fnerto NEW YORK. U.S.A. T.:. • Dre al ism ;Dile de kali de topelcitn : aoeN4/ Nc &FR-4TO 566672615 Oa Mar 2019 Weal cupola, OF. Senarmaa / FAN 0e SO.C.114 ;494Aar 2029 atisse•-vnts: VoritiNt:Splo1;%!Ararc:se: SEE PAGE 51 `.em: Sec dyi ARAN: NAN AV United States Department of State 1.4. . % x P<USAEPSTEIN<<JEFFREY<EDWARD<<<<<<“<<<<<<“ 5666726154USA5301207M2903079512548414<706904 EFTA00257776 EFTA00257777 EFTA00257778 EFTA00257779 )D-597 (Rev. 4-1340B) Paac a,1 UNITED STATES DEPARTMENT OF JUSTICE FEDERAL BUREAU OF INVESTIGATION Receipt for Property cam: .21c-Ni1/44- goa-75-it on(dsti) o-t,t ton Name) Te Cfre y E Fpshin (Street Address) '9 C 0,54- 71 3i-red- (City) NI CIA)t New Vt.,- 10OZ1 item (s) listed below were: Collected/Seined Received From Returned To Released To Description of Item (s): Ue S . ' al A ri islands Drirtrs A i noyn he r 0000nar7q F147-iAo, Dr;icr Littnst "lunacy E123.4125-5:-ozn-o U.S • Pascpcl+, nUrobtir .544G72415 LUMI-N0C Mtic Stilts 3CSC/39.5c U.5. Passroe+ Red Cover/ca e IPhent in Pori C4tt m tri c Eist ins Cs:44_ ILS,LX-Lattrns_nraa Ca.r.;) /4e dim re vetkrre Cord, Un:4-ect lioalACart Cara, 15O0.0e cr-slu l eit,,, Pork-if ride -"A 41,417 ) Recet 4- fr,„., e.r.hvie n4-of klemela i Screrb Ct Dt+orl-ft-, Nvlicc CL:-.4ccly Reettel- be:1-cabied f'e-cperiy, Nc. i6Z6.3817 IP I Model A1452 Serie] DLACSIStAct6MW3 Received By: Printed Name/Title: Special Received iP m: Prated Nam (Signane) EFTA00257780 }D-597 Bev. 4-13-2015) Pa et te UNITED STATES DEPARTMENT OF JUSTICE FEDERAL BUREAU OF INVESTIGATION Receipt for Property Case ID: ?lc tok4 - 30X S-11 °n (date) Tu , z item (s) listed below were: IS Collected/Seized 0 Received From Returned To Releaced To (Mane) -Te if re E 41 (Street Address) 9 r 71 54-rtek (City) rJ e w )14 • lc Nit w YL, t 10O21 St° Description of Item (s): U.S. V.J 1 k idndi Thr . fl ies S 'IP rite, nwnher 060On ZS 7 gi Fice,cia ;r , i(cs L.t t rice. "turn ber FI2?-ti2C-53-nen-0 U.S. RI cc pnire- ho mkt., S4106 iZed5 I l!Mi- NC< .LjiSS Math 9(; es SCSO tie/ CC Inl t- 4c k V.S. PoSSpor 4'" 1:, e(1 Coverkose I Pill n ne In Pt A CA t_t Wane/. (Arntr,ton Ecerfc$ Cocci / U. C. Coclowit n.v4 Rnr A II I" Pratt+ 2;1-1 n ) se, Z. Me (lira re Health In s tffnyre'rnr, Un..1 eel Henithra rArel iiSoo.oa cash/. Pos4-14: "hie ..,/,411 O,,Anj Rc et ip 4. sr. na. Thip0,4rvien1 cf SC( •ty roe be 4-en4.0-, N.4)(e Catinta Rectiel Ala. /621x388' c( Marie) A I 652 5cr te. I IN( /C GIG M Rikava1/40, Received By: Prhtted Nereffitle: Srtr.91 ATA4- Received Mut Name 44). Printed EFTA00257781 r LEAVE BLANK CRIMINAL (STAPLE HERE} ILEAVEBLMIK STATE USAGE D KFF SECOND SUCRASCON APPACROVATE CLASS AVPUTATION SCAR , STATE USAGE UST NAVE. &PST NAME. IRDIXR NA.... Surfix Epstein, Jeffrey Edward SC%ATIAS CF PERSON FINGER SOW/ SCCUAGY NO. LEAVE ILALK _____.--* ALI &MN LAST KAHL FIRST NAME AI - VE, SUFFIX FBI NO. STATE soormcanom NO. DATE OF WM MM DD VY 01/20/1953 SEX N RACE N NEWT 6' 00" YCOMT 185 IVO ELK IWE GRY -- ...' :A. L. .cg. N t .12 ). isr It p a.? *1 ( - t, ' _': :.. I. A. THUNII ?.11.,!:;, - ' 'Ai c..:4. • 4...,...L.; ..T.t ... . -... "r... 4 : a .5.— i • i . • WI Ity t. fl Pa 4+X % St Y'S.. . .- . " • - 2. FL Ma: . . 7i . 71 .. • *.E...: , . A ..• :...: . t- A - a' ' • . —..‘ • & R.RIMOLITI4 ea'. I t n? . . .. - 1 a• iri• 55 , • ' 1 -1.1.ir . .. .:;:eFt,... -.. • . 4. rt. Altitilr"..4"::°* "..i• al . n 7. Y. % yt v i • .4 • AL ' ' '' : . il ‘ • Ji ; k 7. t. Mitt 7 . • re . Ik ,.*... it i'. . P ^ir ' ICI% ' . • & L f, '4 $4 . ‘,,,A.L ;$ A t#1. t:' ...:Z".' " h • 4:3W 7. . 0 9 Aas -r - .. f.• 9'7 1:4 • wkiiii- c:-fir A:.;:.•::-.V.i.• 5:ik-stt , E-1 TAXER SIVULTANECOSLY mit 44 . - : • - L TIMM c..z. .., . . .- R. 11WM At .`t '17. tt .41 3 a -S21. .. .7: R!CNT Ens TAKE?. a • t, EFTA00257782 FEDERAL BUREAU OF INVESTIGATION, UNITED STATES DEPARTMENT OF JUSTICE CR:M:NAL JUSTICE INFORMATION SERVICES DIVIS!ON, CLARXSEURG, WV 23303 PRIVACY ACT OF 1014 IP.L. 03.510) REQUIRES THAT FEDERAL. STATE. OR LOCAL AGENCIES INFORM INDIVIDUALS WHOSE SOCIAL SECURITY NUMBER IS REQUESTED WHETHER SUCH DISCLOSURE IS MANDATORY OR VOLUNTARY. BAGS OF AUTHORITY FOR SUCH ..OLICITATION. AND USES WHICH WILL SE MADE OF IT. JUVENILE FINGERPRINT . SUBMISSION YES K TREAT AS ADULT YES K DATE OF ARREST MM DD YY 07/06/2019 ORI CONTRIBUTOR NYMINY00 ADDRESS FBI NEW YORK REPLY YES K DESIRED/ V SENO COPY TO: (ENTER ORD DATE OF OFFERSE MM OD YY 01/01/2004 PLACE OF BIRTH (STATE OR COUNTRY) NY COUNTRY OF CITIZENSHIP US MISCELLANEOUS NUMBERS SCARS. MARKS. TATTOOS. AND AMPUTATIONS RESIDENCE/COMPLETE ADDRESS CITY STATE OFFICIAL TAKING FINGERPRINTS (NAME OR NUMBER) LOCAL IOENTIFICATION/REFERENCE PHOTO AVAILABLE/ YES IC I PALM PRINTS TAKEN? YES K EMPLOYER: IF U.S. GOVERNMENT. INDICATE SPECIFIC AGENCY. IF MILITARY. LIST BRANCH OF SERVICE AND SERIAL NO. OCCUPATION CHARGE/CITATION I. 01/01/2004 Title 18 USC 371 sex Trafficking-Conspiracy DISPOSITION I. E. 01/01/2004 Title 18 USC 1591 (a), (b), (2) Sex Trafficking of minors Z. ADDITIONAL ADDITIONAL ADDITIONAL INFORMATION/BASIS FOR CAUTION BUREAU STAMP FD.249(REV. 5.1189) Ggy U.S. GOVERNMENT PRINTING OFFICE: 200.3-.3204$840090 EFTA00257783