EFTA00313895.pdf

Registration No: 1026221 Person Number: 73274 FDLE SEXUAL PREDATOR/OFFENDER REGISTRATION FORM Agency Name: Palm Beach County SO Note: Your next ReRec;stration month is July of 2018 Registration For: January 2018 - SEXUAL OFFENDER CCS User Name: jepsteln Reason For Registration O informabon Update Registrant Information Name: JEFFREY E EPSTEIN Mtddle Last Suffix) .SS DOB: 0112W1953 Race: White Sex Male lascionee er your Sods Soarer Number (SSN) s mania, pursuant to Rada tat sectons 77521.9410435. 044.607.9035.481. FS., and federal ars, 42 USC 16901. et alp. Use of sour WI Is for the ;purposes of identacaban. FIX:Emmy Mew the Homan ash tee other agoras for the gams purpose. FL DL or ID Card g- E123425630200 Height 6' 00 weight 180 Ds Hair Grey Eyes: Blue Place of 8km Immigration Status' Not MOW* Currently on ProbabonCargie: 0 No O Yes PtObatian Type: O Stan O Federal K County Officer Name: Phone: ( ) Sum Officer Name: Phone: ( ) City Officer Name: Phone: ( County Out of State Travel Information (Complete If permanent, temporary, or transient address is out of state) Pe•-nanently leaving Florida to establish a residence in an t 0 Temboranly leaving Florida to visit another state/country 9 Moving from anolhe- state to permanent), establish a residence in Florida 9 Veiling from anothe- stale and establishing a temporary address in Florida K Other (please descrbe) Date of Departao r:ateolArtival: Current Permanent Address Future Permanent Address 6100 Red Hook Openers Ste B3 (Address tine 1 ) LIM St James I stands (Address tin 1) (Address Lite 2) St Thomas VI 00802 (Adckees lira 2) (COO (Stew) (Zip) Cooly: St Thomas End Dap: (Gay) Casty: ' (Oa) (2, 0) Stet Dew 0 I do NOT have ads a permanent address at lime. Page 1 of =frotee e07:17 AM EFTA00313895