EFTA00298426.pdf
PDF Source (No Download)
Extracted Text (OCR)
Registration No: 436693
Person Number: 73274
FDLE SEXUAL PREDATOR/OFFENDER REGISTRATION FORM
Agency Name: Palm Beach County SO
Note: Your next ReRegistration month is July of 2012
Registration For: January 2012 • SEXUAL OFFENDER
Reason For Registration
0 Iota: Registration
0
Scheduled ReRegairaton
O Inforwabon Update
O Eany/Laa ReFlegisUaeon
Registrant Information
Name:
JEFFREY E EPSTEIN
"SSN:
000: 01120/1953 Race:
White
(First Moe,. Last. Suffix)
Sex Male
'Disclosure of your Social Security Number (SSN) is mandatory pursuant to Florida law. sections 77521.943 0435. 944 607. 985.481, F S . and federal law. 42 USO 16901. et
seq. Use at your SSN a for the purposes of kleoUlkation. FDLE may share the inionnation with the other agencies for the same purpose.
FL DI. or ID Card Jr.
Hair:
Grey
Eyes:
Blue
Height• 6'00 '
Weight. 1130 lbs
Place of pith: United States Of America (usa)
Cunently on Probation/Parole: 0
No
O yes
Probation Type:
O
State
O Federal
0
County
Officer Name:
Phone. (
)
State
Officer Name
Phone: (
)
City
Od.*
Officer Name:
Phone:(
Out of State Travel Information (Complete if permanent, temporary, or transient address Is out of state)
•
Permanently leaving Florida to establish a residence in another state
O
Temporarily leaving Florida to visit another stale
O Moving from another stale to permanently establish a residence in Florida
O Visiting from another slate and establishing a temporary address in Florida
▪
Other (please describe)
Date or Deparlure
Date of Arnwiti iI
boi a_ I
Mr. EPSTEIN vdt be staying at his Temporary address 358 El Breo Way Pevn Beach FL 33410 until OSa
ata
Previous Permanent Address
Curreyt Permanent Address
6100 Red Hook Quarter/Ste B9
(Address Line 1)
(Address Line 1)
Little St James Islandsfr"
(Address Line 2)
(Address Line 2)
SI Thomas
VI
00802
(City)
County
(Vale)
(70)
Erd Date:
(AY)
(Slate)
(20)
County St Thomas
Stan Oat 07/19/2010
O I do NOT have a permanent address at this time.
Page 1 of 0
201201.24 3,1a9226I
EFTA00298426
Registration No: 436693
Person Number: 73274
Temporary
3
have a temporary address
additional temporary addresses not displayed here.
Addresses • I do NOT
Please note: The registrant has reported
1. 22 Avenue Foch 2dd
Pars
(C.tyl
YY
00000
(Street Address)
County: GIS "COINIMMONS,..
Pain
. S
Dales you will be al this address
From.
(Siam)
(Zip)
To:
2. 9 E MI St
New York
From.
NY
10021.4102
(Street Address)
County: New York
(sly)
Dales you will be at this address
(3W44
(Zip)
To:
3. 49 Zorro Ranch Rd
Stanley
NM
87056.9743
(Street Address)
County: Santa Fe
(City)
1•
9
C.
Dates you will be al this address:
'
Prom:
Most
_.
(zip)
To:
—
co
c
•
r
34-TO
Transient Addresses
_
-I
0 I de NO7 hen a trenelent addreee
1.
_
(Street Address rar Wesson)
County:
(Cy)
Dates you will be at this address
From:
(Sire)
..._
(zip)
To
2.
(Street Address or locason)
County:
(Obi)
Dates you will be at this address
Prom
(Stall)
(Zip)
To.
3.
,
From:
(Sires:Address at mason)
County:
(C y)
Dales you will be at this address
(Suite)
(Zep)
To:
_
Employment
an
eurreritly wiemplayed
1.
Start Data:
rr
Employerer__glindow . 'a.i
1 Keck
'. ti t
klateal
/Ilia
°Mt/Pah:XI: Owner
Address' 6100 Redhook Quaver Ste 83
St Thomas
00802
(Street Address)
(City)
County:
UgViniiin Island, "• SeV. clAinliwt..$
Contact Person:
(State)
(Zip)
2, Employer.
Occupation:
Start Date.
Address
(Street Address)
(City)
County
Contact Person:
'
(Suite)
29)
3. Employer
Occupation:
Start Date:
Address
(Street Address)
(Cry)
County
Contact Person
I
(Stale)
(7p)
F19.2 ore
1612-01-24_367.03 PM
EFTA00298427
Registration No: 436693
Person Number: 73274
Mailing
ss
arm as Permanent
O Sam as Temporary
Please nolo The registrant has reported ecligginel
Phone Numbers phones not displayed hers.
S 4, e ki4fi actuata
O I do NOT have or use any home or mobile phone numbers
1.
2.
3.
4.
5
Phone Number
Phone Type:
Nome
9i 7fst
Cdi lOC Q.t.,: 4,L.v.: Gax.-4t.--
(Address Line 1)
St4.- s- 1
NOM
(Address Line 2)
V i
00 Tr; a
Near Yok----S4-..
nbc,bge,S
Mai
10021—
Mobile
(City)
. VS. 3/Mit
lava—
(stew
MO
Casty:
';"
.
erC
c4... 1 beu,,,,s;
End Oster
Fax
Vehicles
Oleo NOT own a use a vehicle, RV, trailer or mobile heat'.
5. ac diti locitga....,f.
Please note: The registrant has regrind adelltional vehicles not displayed here.
1. 2005
Cadillac
Other
_
Black
Truck
(Teal
(License Tag 0)
(Moto)
4.415V I
This vehicle is;
(Model)
(Color/Color Scheme)
O Used as * retideaCe
(Vehicle Type)
li3 NOT used et a residence
(State)
2. 2002
Mercedes-bens
500 Sales
Black
Auto
(Year)
(License Tag a)
(Make)
FL
This vehicle le:
(Mode)
0
NOT used as a residence
(Color/Color Scheme)
O Used
(Vehicle Typo)
es a resider's.
(State)
3. 2010
Chevrolet
Surburban
Black
Truck
(Vear)
(License Tag N)
(lane)
er
. .,
..
(SUM)
This vehicle is:
thiortnii
El NOT usei as a ratidert0
(Color/Cow Scheme)
O Used as a residence
(Vehicle Type)
4. 2006
Bentley
Amage
_ .
____
Black
Auto
redo
(License Tag It)
(Mot.)
FL
This "gab* is
(mode')
(mode'')
I:l NOT used as a resderce
(C.olor/Color Scheme)
O Used as a residence
(Vehicle Type)
(Slate)
Vessels
O I do NOT own a
1 or houseboat.
Please note: The registrant Me reported additional vessels not displayed hare.
S 4 C.
,t 4. E
1. 2010
Other
While
(Veer)
Wessel Type)
This vessel is.
(Color/Color Scheme
Fl NOT used as a residence
(Name et Vessel)
n used as a residence
Plegisirotch 10
2. 2000
Other
White
(Year)
(Vessel Type)
This vessel is
(C.0101/C010, Scheme)
DI NOT used as a residence
(Name of Vessel)
El Used as a residence
(Registrailon a)
3.
(Year)
(Vassal Type)
Thltatessel is:
(Color/Color Scheme)
El NOT used as a residence
(Name of Venal)
K Used as a resdence
eglsV
iln.
4. 2008
Other
mite
Little C
(Tear)
(Regnvatron U)
(Vessel Type)
This vessel Is:
(Color/Color Scheme)
(Nemo ol Vessel)
n Used as a resderce
0 NOT used as a stridence
Page 3 of 6
2012-01.24 307:0 PM
EFTA00298428
Registration No: 436693
Person Number: 73274
Campus Activity
Ell am NOT s student. employee, or volunteer st • university or Institution of higher laming.
1. 0 Student 0
Employee 0
Volunteer
University/School Name:
Stan Dale:
End Date-.
Campus:
Address:
I
(Street Address)
County:
Employer:
(C.ty)
Contact:
(Sten)
(Zap)
2. 0
SUMMA' 0
Employee 0
volunteer
University/School Name:
Stan Date:
Eno Date
._
Campus:
Address:
1
(Street Address)
County:
Employer.
(City)
Contact.
(Stele)
(Zip)
3. 0
Student 0
Employee 0
Volunteer
University/School Name:
Start Date:
End Date:_
Campus:
Address:
(suet Address)
County:
Employer.
(City)
Contact.
ISone)
tzppt
Cyber Communication Accounts
El I do NOT use any amS
ti
addresses or Instant lalsre screen names.
$4c- tk-trc
Email Addresses
1. jeeprojectelyanoo.com
2. teevecalionl@me.com
3. jeevacalion@grnail.com
4. L44 ;I( CJI rt.%
•A
tat—%
5. lltaAsmsialesta+64ivi
i i
Instant Message Screen Names
cPr4e..rie ay 6 friSA t I
2.
3..The-reSC-1
Name:
jarel
e tesit•In
Provider:
My.lt
efskiv. I
ert,
..:prry-ef
trevist clasetitet
E COs.a.triter
4.
S.
Adjudication information
Date Adjudicated
Crime
Location of AtfjudicatioNConviNion
Victim Information
1.
0 Minot 0
Adue
Gender:
2.
(County)
(Mae)
0
'Ana 0
Adult
Gender:
3.
(County)
(State)
0
Wier 0
NAM Gender
(County)
(Stele)
4.
0
Minot 0
Adult
Gender.
(County)
(Stale)
Were you or are you subject to registration or community notification in another state/
0
ves 9
No
If Yes. in what stale?
Page 4 of 6
7012-01-24 31)L0321(
EFTA00298429
Registration No: 436693
Person Number: 73274
NOTICE OF SEXUAL PREDATOR AND SEXUAL OFFENDER OBLIGATIONS
As a sexual predator (F.S. 775.21) or sexual offender (F.S. 943.0435; 944.607; or 985.4815) I understand that I am required
by law to abide by the following:
"Permanent residence" means a place where the person abides, lodges, or resides for 5 or more consecutive days.
"Temporary residence" means a place where the person abides. lodges, or resides, including but not limited to, vacation,
business, or personal travel destinations in or out of this state, for a period of 5 or more days in the aggregate during any
calendar year and which is not the person's permanent address or, for a person whose permanent residence is not in this
state, a place where the person is employed, practices a vocation, or is enrolled as a student for any period of time in this state.
"Transient residence" means a place or county where a person lives, remains, or is located for a period of 5 or more days in
the aggregate during a calendar year and which is not the person's permanent or temporary address. The term includes, but
is not limited to. a place where the person sleeps or seeks shelter and a location that has no specific street address.
FAILURE TO COMPLY WITH ANY OF THE FOLLOWING REQUIREMENTS
IS A FELONY OF THE THIRD DEGREE (UNLESS OTHERWISE NOTED),
1. I MUST report in person to the local Sheriffs Office within 48 hours of establishing or maintaining a residence in this state,
within 48 hours of release from custody and/or supervision of the Department of Corrections (DOC). the Department of
Children and Family Services (DCFS), or the Department of Juvenile Justice (DJJ), or in the county of conviction within
48 hours of conviction if not under custody and/or supervision of DOC to register my temporary, transient, or permanent
address and other information specified in statute. {F.S. 943.0435(2Xa); 775.21(6)(e)1}.
2. At initial registration, I MUST provide the following information to the department: name, date of birth, social security number,
race, sex, height, weight, hair and eye color, photograph, home telephone number and any cellular telephone number, any
electronic mail address and any instant message name required to be provided pursuant to paragraph s. 943.0435(4)(d)
F.S., address of legal residence, address of any current temporary residence, if no permanent or temporary residence, any
transient residence within the state, dates of any current or known future temporary residence within the stale or out of state,
occupation and place of employment, date and place of each conviction, fingerprints, and a brief description of the crime
or crimes committed. (F.S. 943.0435(2)(b); 775.21(6)(a)1}.
3. Within 48 hours after the initial report required as stated in requirement k2 above, I MUST report In perspn to the driver's
license office of the Department of Highway Safety and Motor Vehicles (OHSMV) and provide proof of initial registration
as a sexual offender or predator to secure or renew a valid Florida driver's license or identification card displaying one
of the following designations: "775.21. F.S." or "943.0435, F.S.", unless a driver's license or identification card with such
designation was previously secured or updated. The sexual offender shall submit to the taking of a photograph for use by
the department in maintaining current records of sexual offenders. {F.S. 943.0435(3); 775.21(6)(f)}.
4. Each time my driver's license or identification card is subject to renewal, or within 48 hours after any change in my permanent,
temporary, or transient residence or change in name made by marriage or other legal process, I MUST report ittaerign to a
driver's license office to update my driver's license or identification card and ensure that the driver's license or identification
card displays the designations as identified in requirement #3. (F.S. 943.0435(4)(a); 775.21(6Xg)1).
5. If I am enrolled, employed or carrying on a vocation at an institution of higher education in Florida, I MUST provide the name,
address and county of each institution including each campus, enrollment or employment status. including each change
in enrollment or employment status, i.e. commencement or termination in person at the Sheriffs Office; OR. for a sexual
offender on supervision with the Florida DOC or DJJ, this information must be reported to the sexual offenders probation
officer, within 48 hours after any change in status. {F.S. 943.0435(2)(b)2; 775.21(6)(a)b).
6. I MUST report any electronic mail address or instant message name, prior to using such, during registration/reregistration
or by providing all updates through the online system maintained by the Florida Department of Law Enforcement. (F.S.
943.0435(4)(d); 775.21(6)(g)4).
7. If I vacate a permanent, temporary, or transient residence, and do not have another permanent, temporary, or transient
residence, I MUST report in person to the Sheriffs Office in the county where I am located within 48 hours. {F.S. 943.0435(4)
(b); 775.21(6)(9)2y
8. If I report that I have vacated a permanent, temporary, or transient residence and then remain at that residence, I MUST
report jriperson to the Sheriffs Office where I reported vacating my residence. Failure to report this information is a felony
of the second degree. {F.S. 943.0435(4)(c): 775.21(6)(g)3}.
Page 6 of 6
2012.01.24 307.03 PM
EFTA00298430
Registration No: 436693
Person Number: 73274
9. I understand that my address will be verified by county, state or local law enforcement agencies. (F.S. 943.0435(6);
775.21(8)).
10. If I intend on establishing a permanent, temporary, or transient residence in another state or jurisdiction other than the State
of Florida. I MUST report in person to the Sheriffs Office in the county of my current residence within 48 hours before the
date that I intend to leave this state to establish residence in another state or jurisdiction. (F.S. 943.0435(7); 775.21(6)(i)}.
11. If I intend to establish a permanent, temporary, or transient residence in another State or jurisdiction other than the State
of Florida and later decide to remain in this state, I MUST report in person to the Sheriffs Office to which I reported
my intention of leaving the state within 48 hours after the intended departure date. Failure to report this information is a
felony in the second degree. {F.S. 943.0435(8); 775.21(6)(j)}.
12. I MUST report in person either twice a year (during the month of my birth and during the 6th month following my birth
month) or low times a year (once during the month of my birth and every 3rd month thereafter), depending upon my
offense/designation, to the Sheriffs Office in the county in which I reside or am otherwise located to reregister, unless
otherwise notified by FDLE.
All sexual predators, sexual offenders convicted for offenses specified in F.S 943.0435(14)(b),
and juvenile sexual offenders requ red to register per F.S 943.0435(1)(a)l.d are required to
reregister four times a year. All other sexual offenders are required to reregister twice a year.
I AM REQUIRED TO REREGISTER
TWO TIMES A YEAR; I MUST
REREGISTER AS NOTED BELOW.
(Pursuant to Sections 775.21(8)(a),
943.0435(14)(b 944.607(13)(b),
944.4815(13)(a), Florida Statutes}
I AM REQUIRED TO REREGISTER FC/U_R TIMES A
YEAR; I MUST REREGISTER AS NOTED BELOW.
(Pursuant to Sections 775.21(8)(a), 943.0435(14)(b),
944.607(13)(b), 944.4815(13)(a), Florida Statutes}
Month
of Birth
I must
reregister in:
Month
of Birth
I must
reregister in:
Month
of Birth
I must reregister
in the months of:
Month
of Birth
I must reregister
in the months of:
Jan
Jan & July
July
Jan & July
Jan
Jan, Apnl, July & Oct
July
Jan, April, July & Oct
Feb
Feb & Aug
Aug
Feb & Aug
Feb
Feb. May. Aug. & Nov
Aug
Feb, May, Aug. & Nov
Mar
Mar & Sept
Sept
Mar & Sept
Mar
Mar. June. Sept & Dec
Sept
Mar, June. Sept & Dec
April
April & Oct
Oct
April & Oct
April
April, July, Oct & Jan
Oct
April, July, Oct & Jan
May
May & Nov
Nov
May & Nov
May
May, Aug, Nov & Feb
Nov
May, Aug, Nov & Feb
June
June & Dec
Dec
June & Dec
June
June, Sept. Dec & Mar
Dec
June, Sept, Dec & Mar
13. If I live in another state, but work or attend school in Florida, I MUST register my work or school address as a temporary
address within 48 hours by reporting in person to the local Sheriffs Office. {F.S. 943.0435(2); 775.21(6)(a)1b).
14. I MUST respond to any address verification correspondence
correspondence. (F.S. 943.0435(14)(c)4; 775.21(10)(a)).
15. If I am employed, carry on a vocation, am a student, or become a resident of another state, I am on notice that I may have
a requirement to register under the laws of that state.
16. I MUST maintain registration for the duration of my life. (F.S. 943.0435(11); 775.21(6)(I)).
PLEASE READ CAREFULLY BEFORE SIGNING
As a Sexual Predator (Florida Statute 775.21) or Sexual Offender (Florida Statute 943.0435. 944 607. Or 985.4815), I
am required by law to abide by the requirements listed on this form. BY SIGNING BELOW, I ACKNOWLEDGE THAT
I HAVE READ OR HAVE BEEN READ THE REQUIREMENTS ON THIS FORM, AND THAT I UNDERSTAND THESE
REQUIREMENTS. Under penalty of perjury I declare the above is true and correct.
YOU ARE REQUIRED TO REREGISTER EACH YEAR AT THE SHERIFFS OFFICE IN THE MONTHS OF
January AND July.
Registrant:
sg
Printed Name: JEFFREY E EP
from FDLE within three weeks of the date of the
Witnessed by Reporting Offic
Date: 0112412012
Printed Name: timothy barcSn
• OFFICIAL DOCUMENT
DO NOT DESTROY'
NOTE: Your next ReRegIstration month is July of 2012.
Date: 01/24/2012
Page 6 of 6
20.12-0.114.3:07.03.PM
EFTA00298431
ATTACHMENT TO ANNUAL ADDRESS VERIFICATION FORM
JEFFREY EPSTEIN
Automobiles, Boats, Aircraft, Telephone Numbers, Email Addresses, Twitter & Other Internet Account Information
..
. .
License
AUTOMOBILES
1 2004 Cheverelet Suburban
22005 Cadillac Escalade
312010 Cheverolet Suburban
4:2002 Mercedes Benz S500
644010 Chevrolet Suburban
6.2005 Cadillac Escalade
_
7 2007 Hummer H2
8 2000 Chevrolet Suburban
9 2006 Bentley Amiga
Cadillac
''''''
''''' ''
10 2012
Boat
BOATS
Names
1 1999 3V Riblec with Yamaha Engine
Nana
2 1984 4O Logical Catamaran
Lady G
3 2000 34' Calypso Pfiogue
Calypso
4 2011 Yamaha VX1800A-KB
n/a
5'2010 30 Midnight Express Cuddy Cabin Md Express
62000 33* Donzi Cuddy
'Revelation
7 2011 Yamaha VX1800A.KB
a
8.2006 31' Cape Horn
•PRD
—9. 1998 55' Midship Marine
lady K
10 2008 36' Procat
tittle C
11 Miss Ava - 1968 73' LMC-13 (barge)
Ire N
AIRCRAFT
1 1968 Boeing 727
2.1974 Gulfstream G-IIB
- 82001 Bell 430
4
.$
10
11
12
13
14
15
16
17
19
21
22
23
25
27
28
Street & 12th Ave
Registration
Tail Number
Registration
Hull ID
Number
Number
Airports - for al locations
State
:etuistprect Color
Property
USVI
Black LSJ
"' •
USVI
Black LSJ
USVI
Black LSJ
lorida
Black Florida
Florida
Black Florida
New Mexico Black New Mexico
::Bir« Mexico Black New Mexico
6•1‘44 ' MeXico Black New Mexico
Florida
Black :NeWYork
NY
BtacR New Yäk • " •
LSJ
LSJ
LSJ
LSJ
LSJ
Florda
LSJ
LSJ
LSJ
LSJ
LSJ
N908JE
The L'irifETking airport in St Thomas
N909JE
West Palm Beach International & Boca Raton Airport
.N331JE
Santa Fe Munrupal Airport &Abguergue International. New Mexico
.
.
. John F Kennedy International Airport, Newark InternationalAirport &
Teterboro. NJ plus East 34th Street Heliport - 34th Street & FDR Drive.
t was Street Heliport - Pier 6 & FDR Drive & VIP Heliport - West 30th
I
LANDLINES
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EFTA00298432
staff lines
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.„
5ELLPHONE
1
EMAIL ADDRESSES
eevacabonfltme.com
.1
Florida
•
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:Florida
.
:Florida
Florida
Florida
New Mexico
New Mexico
. New Mexico
1
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| Filename | EFTA00298426.pdf |
| File Size | 2072.2 KB |
| OCR Confidence | 85.0% |
| Has Readable Text | Yes |
| Text Length | 24,162 characters |
| Indexed | 2026-02-11T13:24:22.671537 |