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Squad supervisor approval ALL INFORMS SEREIN FD-515 (Rev. 7-16-02) 6 (Accomplishment must be feporied and loaded into [SA IoM SCNTAINES Is UHTLASS 41-2010 B aAscomp within 30 days from date of accomplishment) Date Prepared tlaoloy Date Loaded Initials D. Recovery/Restitution/PELP X J Federal [J Local [J Internationat Recovery Date: Code *___ Amount $, Code *___v Amount $. Restitution Date: ()Court Ordered) Prettial Diversion Code * v Amount §, PELP Date: Code *__v¥ Amount $, E. Hostage(s) Released Date Released by: [] Terrorist [J Other H. Sentence Date: Sentence Type: Circle betow one of the three asset forfeiture: Admin, Civil Judicial, or Criminal Do not indicate $ value in Section D M. Acquittal/Dismissal/Pretrial Diversion (circle one) Date: tn Jail: Years. Months Suspended: Years, Months icures / Probation: Years, Months N. Drug Seizures v” Datey, Fines: 5 Drug Code * Ines: Weight Code * FDIN |. Disruption/Dismantlement: / Disruption Date: Do not indicate $ value in Section D O. Child Victim information Number of Hostages: Dismantlement Date: Chitd locatedfidentitied Date: Completion of FD-515a Side 2 Mandatory O living =O Deceased P. Subject information - Required for all blocks excluding block D (Recovery/PELP), blocks E, , L, and N. Fa Name [ Race *] Sex | Date of Birth [Social Security No. {if available) ALAMO Ly [a BOLO: TH: (204 For indictments/Conviations oily: Complete FD-615a, Side 1 Blocks A-C only. [1 Subject related to an LON, Asian Organized Crime (AOC), italian Organized Crime (IOC), Russian/Eastern European, Caribbean, or Nigerian Organized Crime Group - Complete FD-516a, Side i Blocks A-E mandatory, F-H as appropriale. 2 Subject related to an OC/Drug Organization, a YCMO Program Nalional Gang Strategy target group, or a VOMO Program National Priosily Initiative target group - X Additional information may be added by atlaching 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 $1m and PELP over $5, disruption, dismantiement. and drug seizures. FBI(19-cv-1495)-907 Seriat_No, of FO-515 -8 (please initial) Data Loader's b3 -2 ‘Recompiishment involves: b6 -1 (check all that apply) Investigative Assistance or Technique Used C-1 1-Uised, but did not help 3-Helped, substantially Drugs Tugs a 2-Helped, minimally 4-Absolutely essentiat «= P7E ~3-8 A Fugitive Oo For Sub. invest. Assist. by other FO (s) indicate A,B,C,D for corresponding FO omputer mouse Lao, Div. Exar WSO - GroupT Ft Monit Corzuption of Public Officials lab. Field S Money Laundering oO [Lab. Field Sup UCO- Group It For. Lang Asst, Sub invest Asst by FO() [Pen Registers | luco- Net Back Non FSI Lab Es| [Photo Cover. | NoAVO?Vi- CA fice Wtn Cor Asst. FO(S)_, _. _, — k - AB, 6, D Polygraph |CrimiNS Intel Ass HO Wanted Flyer — [Searon Warren Crisis Neg, - Fed, SARs fask Force [Show Money [sis Neg, - Loc ART Jsocass. | [ERT Asst. isset Fort Prog Swat Team | Jeute - 17 ‘ori Support Pro} fech. AgfEquip | |sav ITC Name: pnone Tot Red Poo. ITC A. Complaint(information indictment F. Conviction J. Civil Rico Matters Date: (federal 1] Local 1 international (efederal C1 Local Also Complete “Section G" Complaint Date: Conviction Date: Other Civil Matters Date: Check if Civil Rico Compfaint I] Judgment —__ _____* bTE ; : Judicial Outcome x Information Date: _f For 6F, G, H-Include Agency Code Amount §. > Indictment Date: i y (Felony or) Misdemeanor Suspension: Years Months 8. Locate/ Arrest WPiea or Triat ( Federal [ Local [1] International stato: NY Judiiatpistice SONY | K. Administrative Sanction Date: Subject Priority: GA OB OC Subject Description Code — Locate Date: G. US. Code Violation ype ‘ ength: ° is OO Suspension [1] Permanent Arrest Date: Required for sections A,B,Fand J 1 Debarment or D Subject Resisted Arrest {Federal Only) ; © Injunction Year. Months Subject Arrested was Armed ia . Section #Coynts 1030 LZ L. Asset Seizure Date: . Summons Date: Asset Forfeiture Date: OFederat Local CATS # Mandatory