EFTA00298426.pdf

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 Sex Male (First Moe,. Last. Suffix) '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. Height• 6'00 ' Weight. 1130 lbs Hair: Grey Eyes: Blue Place of pith: United States Of America (usa) Cunently on Probation/Parole: 0 No O yes Probation Type: O State Officer Name: Phone. ( ) State O Federal Officer Name Phone: ( ) City 0 County Officer Name: Phone:( Od.* 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 Date or Deparlure O Temporarily leaving Florida to visit another stale O Moving from another stale to permanently establish a residence in Florida Date of Arnwiti iI boi a_ I O Visiting from another slate and establishing a temporary address in Florida ▪ Other (please describe) 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) (Vale) (70) (AY) (Slate) (20) County Erd Date: 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 Addresses • I do NOT have a temporary address Please note: The registrant has reported additional temporary addresses not displayed here. 1. 22 Avenue Foch 2dd Pars YY 00000 (Street Address) (C.tyl (Siam) (Zip) County: GIS "COINIMMONS,.. Pain .S Dales you will be al this address From. To: 2. 9 E MI St New York NY 10021.4102 (Street Address) (sly) (3W44 (Zip) County: New York Dales you will be at this address From. To: 3. 49 Zorro Ranch Rd Stanley NM 87056.9743 (Street Address) (City) ' Most (zip) County: Santa Fe Dates you will be al this address: Prom: To: 1• 9 C. _. — co cr 3 34-TO _ • -I Transient Addresses 0 I de NO7hen a trenelent addreee 1. _ ..._ (Street Address rar Wesson) (Cy) (Sire) (zip) County: Dates you will be at this address From: To 2. (Street Address or locason) (Obi) (Stall) (Zip) County: Dates you will be at this address Prom To. 3. (Sires:Address at mason) (C y) , (Suite) (Zep) County: Dales you will be at this address From: To: _ Employment an eurreritly wiemplayed rr 1. Employerer__glindow . 'a.i 1 Keck '. ti t klateal /Ilia °Mt/Pah:XI: Owner Start Data: Address' 6100 Redhook Quaver Ste 83 St Thomas 00802 (Street Address) (City) (State) (Zip) County: UgViniiin Island, "• SeV. clAinliwt..$ Contact Person: 2, Employer. Occupation: Start Date. Address (Street Address) (City) ' (Suite) 29) County Contact Person: 3. Employer Occupation: Start Date: Address (Street Address) (Cry) I (Stale) (7p) County Contact Person F19.2 ore 1612-01-24_367.03 PM EFTA00298427  Registration No: 436693 Person Number: 73274 Please nolo The registrant has reported ecligginel Mailing ss Phone Numbers phones not displayed hers. 4, e ki4fi act uata S arm as Permanent O Sam as Temporary O I do NOT have or use any home or mobile phone numbers 9i 7fst Cdi lOC Q.t.,: 4,L.v.: Gax.-4t.-- Phone Number Phone Type: (Address Line 1) 1. Nome St4.- s- 1 2. NOM (Address Line 2) V i 00 Tr; a NearYok----S4-.. nbc,bge,S Mai 10021— 3. Mobile (City) (stew MO 4. . VS. 3/Mit lava— Casty: erC';" . c4... 1 beu,,,,s; End Oster 5 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 (Moto) (Model) (Color/Color Scheme) (Vehicle Type) 4.415V I This vehicle is; li3 NOT used et a residence O Used as * retideaCe (License Tag 0) (State) 2. 2002 Mercedes-bens 500 Sales Black Auto (Year) (Make) (Mode) (Color/Color Scheme) (Vehicle Typo) FL This vehicle le: 0 NOT used as a residence O Used es a resider's. (License Tag a) (State) 3. 2010 Chevrolet Surburban Black Truck (Vear) (lane) thiortnii (Color/Cow Scheme) (Vehicle Type) er . ., This vehicle is: El NOT usei as a ratidert0 O Used as a residence .. (License Tag N) (SUM) 4. 2006 Bentley Amage _ . Black Auto redo (Mot.) (mode'') (mode') ____ (C.olor/Color Scheme) (Vehicle Type) FL This "gab* is I:l NOT used as a resderce O Used as a residence (License Tag It) (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) (Color/Color Scheme (Name et Vessel) This vessel is. Fl NOT used as a residence n used as a residence Plegisirotch 10 2. 2000 Other White (Year) (Vessel Type) (C.0101/C010, Scheme) (Name of Vessel) This vessel is DI NOT used as a residence El Used as a residence (Registrailon a) 3. (Year) (Vassal Type) (Color/Color Scheme) (Name of Venal) Thltatessel is: El NOT used as a residence ❑ Used as a resdence iln.eglsV 4. 2008 Other mite Little C (Tear) (Vessel Type) (Color/Color Scheme) (Nemo ol Vessel) This vessel Is: 0 NOT used as a stridence n Used as a resderce (Regnvatron U) 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 Stan Dale: End Date-. University/School Name: Campus: Address: (Street Address) (C.ty) I (Sten) (Zap) County: Employer: Contact: 2. 0 SUMMA' 0 Employee 0 volunteer Stan Date: Eno Date ._ University/School Name: Campus: Address: (Street Address) (City) 1 (Stele) (Zip) County: Employer. Contact. 3. 0 Student 0 Employee 0 Volunteer Start Date: End Date:_ University/School Name: Campus: Address: (suet Address) (City) ISone) tzppt County: Employer. Contact. Cyber Communication Accounts El I do NOT use any amS addresses ti or Instant lalsre screen names. $4c- tk-trc Email Addresses Instant Message Screen Names Name: Provider: 1. jeeprojectelyanoo.com cPr4e..rie ay 6 friSA t I jarel e tesit•In My.lt 2. teevecalionl@me.com 2. ..:prry-ef efskiv. I ert, 3. jeevacalion@grnail.com 3..The-reSC-1 trevist clasetitet E COs.a.triter 4. L44 ;I( CJIrt.% •A tat—% 4. 5. lltaAs ms ialesta+64ivi i i S. Adjudication information Date Adjudicated Crime Location of AtfjudicatioNConviNion Victim Information 1. (County) (Mae) 0 Minot 0 Adue Gender: 2. 0 'Ana 0 Adult (County) Gender: (State) 3. 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), andjuvenile 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 I AM REQUIRED TO REREGISTER FC/U_R TIMES A TWO TIMES A YEAR; I MUST YEAR; I MUST REREGISTER AS NOTED BELOW. REREGISTER AS NOTED BELOW. (Pursuant to Sections 775.21(8)(a), (Pursuant to Sections 775.21(8)(a), 943.0435(14)(b), 943.0435(14)(b 944.607(13)(b), 944.607(13)(b), 944.4815(13)(a), Florida Statutes} 944.4815(13)(a), Florida Statutes} Month I must Month I must Month I must reregister Month I must reregister of Birth reregister in: of Birth reregister in: of Birth in the months of: of Birth 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 from FDLE within three weeks of the date of the 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: Witnessed by Reporting Offic sg Printed Name: JEFFREY E EP Date: 0112412012 Printed Name: timothy barcSn Date: 01/24/2012 • OFFICIAL DOCUMENT DO NOT DESTROY' NOTE: Your next ReRegIstration month is July of 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 AUTOMOBILES License . . State .. :etuistprect Color Property 1 2004 Cheverelet Suburban USVI Black LSJ "' • 22005 Cadillac Escalade USVI Black LSJ 312010 Cheverolet Suburban USVI Black LSJ 4:2002 Mercedes Benz S500 lorida Black Florida 644010 Chevrolet Suburban Florida Black Florida 6.2005 Cadillac Escalade _ New Mexico Black New Mexico 7 2007 Hummer H2 ::Bir« Mexico Black New Mexico 8 2000 Chevrolet Suburban 6•1‘44'MeXico Black New Mexico 9 2006 Bentley Amiga Florida Black :NeWYork 10 2012 Cadillac '''''' ''''' '' NY BtacR New Yäk • " • Boat Registration Hull ID BOATS Names Number Number 1 1999 3V Riblec with Yamaha Engine Nana LSJ 2 1984 4O Logical Catamaran Lady G LSJ 3 2000 34' Calypso Pfiogue Calypso LSJ 4 2011 Yamaha VX1800A-KB n/a LSJ 5'2010 30 Midnight Express Cuddy Cabin Md Express LSJ 62000 33* Donzi Cuddy 'Revelation Florda 7 2011 Yamaha VX1800A.KB a LSJ 8.2006 31' Cape Horn •PRD LSJ — 9. 1998 55' Midship Marine lady K LSJ 10 2008 36' Procat tittle C LSJ 11 Miss Ava - 1968 73' LMC-13 (barge) Ire N LSJ Registration Tail Number Airports - for al locations AIRCRAFT 1 1968 Boeing 727 N908JE The L'irifETking airport in St Thomas 2.1974 Gulfstream G-IIB N909JE West Palm Beach International & Boca Raton Airport - 82001 Bell 430 .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 Street & 12th Ave I LANDLINES - i-- . 6. JEE lines f. LSJ jät fines • i• LSJ JEE lines : LSJ 4 JEE lines .1 ' LSJ :slag lines : LSJ staff lines t LSJ staff lines LSJ .$ staff lines LSJ staff lines 4 - LSJ 10 staff lines : LSJ staff liMeS ! LSJ 11 : 12 staff lines LSJ 13 staff lines •__......_.... : LSJ 14 sta ff lines i LSJ 15 staff lines • LSJ 16 staff lines .• LSJ 17 staff lines LSJ staff lines 4 I. LSJ 19 staff lines :' LSJ staff lines i LSJ . i 21 staff lines • LSJ 22 staff lines : LSJ 23 staff lines .. . :. LSJ staff lines .i. LSJ 25 staff lines i 27 staff lines .: • LSJ staff lines :. - LSJ 28 staff lines LSJ EFTA00298432  29 staff lines LSJ 30 staff lines LSJ 3i staff lines LSJ 32 staff lines LSJ staff lines LSJ Staff lines LSJ 35 Leff lines LSJ tall lines LSJ 37 laff lines LSJ tall lines LSJ tall lines LSJ 40 taa [s Tines LSJ 41 staff lines LSJ .1? !staff lines 4 LSJ staff lines LSJ 44 staff lines 4.- LSJ 45 staff lines • .1 I SJ 48 staff lines LSJ shit fines LSJ staff lines LSJ Neffffnes 50 staff lines •LSJ Wi JEE line Florida Staff Ina : Florida Staff line 4- • :Florida Staff Nne 4- . :Florida 55 SialitNiii • -4— :Florida 56 Florida 57 Staff line Florida Staff Ione t Florida JEE line t 4 New Mexico 59 JEE line I New Mexico 61 Staff We . New Mexico ftiff line New Mexico Staff line i-• i• ; ......... .:.New Mexico 'ea Staff in. t• ! 1 . New Mexico 65 Staff line - New Mexico 603 iiiie New Mexico W Staff line : : New Mexico : Staff tine 4 :. New Mexico Staff line : .• New Mexico 70 Staff line - ...New . Mexico .. 71 Staff line New Mexico 7? Staff line • . New Mexico Staff Iona ma «, New Mexico 74 Staff line