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L INFORMS REIN IS WNILASSTZIEZ TE G2-2 t| 7-76-02) Squad supervisor approval {please initial) ‘Accomplishment involves: ICH CONTAINED RYS Accomplishment Report {Accomplishment must be reported and loaded into ISRA: within 30 days from date of accomplishment) Date Prepared A Date Loaded Data Loader's Initials (check ail that apply) ae Investigative Assistance or Technique Used indictment Date: Drugs U t-Used, but did not help 3- Helped, substantially AFugiti 2-Helped, minimally . 4 - Absolutely essential ugiive a For Sub. Invest. Assist, by other FO (6) indicate 'A,B,C,D for corresponding FO Bankruptcy Fraud g Stat Agent Soc. Sec. No. Rate_€O iat Rate_ FG ‘Computer Fraud/Abuse 6&1 co: Gout | b6 -l-4 Comuption of Public Otfeials [2 Sal Agent Name co amp a] p7c -14 Money Laundering o DIE -8) 3 Sub Invest Asst by FO(s) CO - Nat. Back ! ar ———_————} CAVE /VI- CAN b3 -2o0r Asst. FO()_, 4 _ | TIMING Intel Asst JO Wanted Flyer isis Neg. - Fed. SARS Task Force isis Neg. - Local ART ERT Asst. \sset Forf Prog Assisting Agencies x * |Butte- IT | ‘orf Support Pro} A. sav -ITC. | 2, Pos - 1 | | A, Complaint/ Information / Indictment F. Conviction J. Civi Rico Matters Date: Ci Federal 1) Local (1 International (Federal [) Locat (J international Also Complete "Section G” Complaint Date: Conviction Date: Other Civil Matters Dates, «Cel Ri , Judgment . Check if Civil Rico Complaint 3 Subject Description Code: grr Information Date: - ° Judicial Outcome x Information Date: For 6F, G, H-include Agency Code Amount § Suspension: Years Months . Administrative Sanction Date: Subject Description Code. . ‘Type: Length: U Suspension [J Permanent UJ Debarment or BD Injunction gy Year, Mofths™= Mofiths? r Asset Seizure Date: Asset Forfeiture Date: CATS # Mandatory Circle below one of the three asset forfeiture: Admin, Civil Judicial, or Criminal Do not indicate $ value in Section D shay 1 Felony or OD Misdemeanor B. Locate/ Arrest O Plea or =O Trial GyFederal_ 1) Local L international State: Judicfal District: @& oB oc 7 G. U.S. Code Violation Arrest Date: _9- 2- 20Q3 Required for sections A,8,Fand J [1 Subject Resisted Arrest (Federal Only) sect #Couts oct tle Section ‘oun OF Subject Aresied was Armed Bist, ¢080 [aMSe oe ©. Summons Date: kegs 10239 Ca) 2) O Federal Local D. Recovery/Restitution/PELP X Ci Federal C] Local [international Recovery Date: H. Sentence Date: Code * v Amount §, Sentence Type: __. . Code *___v Amount §. In Jail: Years, Months Restitution Date: Suspended: Years Months CiCourt Ordered] Pretrial Diversion Probation: Years, Months Code * v Amount $. Fines: $ , PELP Date: Code * ¥ Amount $. 1. Disruption/Dismantlement: / E. Hostage(s) Released Date: Disruption Daje® Released by: L)Terroist_[].Otner rember ol Sesoes a Dismant]s ent Date: np Completion of FD-515a Side 2 Mandatory oO. ild located/iderttitied Date: 1 Living Deceased Drug Seizures /__ Date:#:80—————"}_ Drig Code | Weigh za PodP danz L FOIN AAR Do pot indicate $ valugiin, Seahion D 206 b7Cc Chil PB sibject information - Required for all blocks exefeaing block D (Recovery/PELP), blocks &, I, L, and N. = { Name 7 Race *[ Sex | DateofBith | Social Security No. (Ravailable) Git ULE OMS, Céba2 G2 \A9\8-8O-0I ON 2- F- OKO Eor Indiétments/Convictions only: a, Complete FD? Complete FD-5154, Side 1 Blocks A-G oni ‘Subject elated to an LCN, Asian Organized ote {AOC}, Italian Organized Crime (00), Russian/Eastern European, Caribbean, or Nigerian Organized Cyfne Group - ide 1 Blocks A-E mandgfory, F-H as appropriate, (1 Subject related to an OC/Drug.Qiganization#a VEMO Program National Gang Strategy target group, or a VCMO Program National Priority titative tas group - 7 X Additional information may be added by attaching another form or a plain sheet of paper for additional entries. + See codes on reverse side. ¥ Requires that an explanation be attached and loaded into ISRAA for recovery over $im and PELP over $5, disruption, dismantiem: FBI(19-cv-1495)-328