EFTA00624824.pdf

IIIIII111 INIIII 71111 41111'03321 II ' 31111 r rN I EW YORK Sex Offender STATE Registry To: JEFFREY EPSTEIN LITTLE ST JAMES April 10,2017 6100 RED HOOK QUARTER. 83 Offender ID: 33216 ST THOMAS VI 00802 From: Sex Offender Registry Unit, NYS Division of Criminal Justice Services RE: Annual Address Verification Sex Offender Registry Annual Address Verification Form The Sex Offender Registration Act (SORA) requires you to review, update, and sign this Annual Address Verification Form and mail this form back to the Division of Criminal Justice Services within 10 days from receipt of this form. You must do this whether or not you have reported updated information to parole, probation or a law enforcement agency. If you attend, are enrolled at, reside at, or are employed at any institution of higher education, you must provide that information on this form. You must also report your intemet service provider(s), all screen names, all e-mail addresses and all other information listed on the form. If you are a level 2 or 3 sex offender, you must report the name and address of all employers. INSTRUCTIONS: • Review each line of information on this form carefully. • If you find any information that is incorrect or outdated, cross out incorrect or outdated Information with a single line. • Enter any corrections or any new/additional information in the blank boxes provided. THIS FORM MUST BE SIGNED AND ALL PAGES RETURNED EVEN IF NONE OF THE INFORMAT ION HAS CHANGED. FAILURE TO RETURN ALL PAGES OF THIS FORM WITHIN 10 DAYS OF RECEIPT IS A FELONY AND MAY RESULT IN THE ISSUANCE OF A WARRANT FOR YOUR ARREST. Please contact the Sex Offender Registry at 518-417-3384 with any questions about this form. OFFENDER INFORMATION LAST NAME FIRST NAME MIDDLE SSN EPSTEIN JEFFREY E Make 090443348 corenuons o_ here OTHER NAMES EPSTEIN,JEFFREY EDWARD Enter any aliases, nick names or other names used in the following section. Page . 1 04 11 EFTA00624824  IIIII,II0001111,1 401 1111111 PHYSICAL ATTRIBUTES BIRTHRATE HEIGHT WEIGHT HAIR • EYES GLASSES 01 /20 /1953 600 180 Gray Blue Make erections <— hoc! SCARS/MARKS/TATTOOS Enter any other scars/marks/tattoos. PR MARY ADDRESS Primary address is the address where you live most of the time. NUMBER/STREET/APT CITY LITTLE ST JAMES, 6100 RED HOOK ClIARTER.B3 ST THOMAS Make WHO:ft 1 — Mee STATE 2IP COUNTY COUNTRY VI 00802 US Mao COrmelkos e— WI? PlIone SI DI INS aaress (212)533- 3739 Elver OMB ft correacil here -->see 0 Ark_c\ c h al E.: ) \,.. Name of Collage / UnNersIty. Fk - h tbnCi l C:' ?cA r ioile Nk teNtr ?t Page • 2 of 11 EFTA00624825  IIIIII ID:33216 III11111111111111111 1000001171403 SECONDARY ADDRESS Secondary Address is the address where you Nye some of the time. NUfalEFUSTREET/APT CITY 358 EL ERILLO WAY PALM BEACH Make cenectons 1 4— here STATE ZIP COUNTY COUNTRY FL 33460 US Make cc/moons •.- here Abort a at this address Enter phone a cortottron her — k --. , . ...r .c. (L.-- %.:, - ‘. - 1, “„ N1. .1 11 a,L .1. Name of College I University, NUMBER/STREETIAPT CITY GREAT ST JAMES. Make oureczons 2 <- here ('--t. ,. \, ,.0)ei £ l. :. STATE ZIP COUNTY COUNTRY VI US Make convetraks OC) ..<() 4— Mee - Phone a at Mis address. I Erter pone a oaneetion here —a Qjec (pAncy \reck I Name of College / University: NUMBER/STREET/APT CITY WM, COCC000,5 3 ... <— NCO I I, --)- .-7--)n.Ln,':_\cf--1{-kvier* -1,-Hcl ( -)Ci i \ er) STATE ZIP COUNTY COUNTRY FN Make orrectices <— item Phone Sat Mos address Erie, phone Si oarrecodo Ix*e •">,, (__,e Name of College I University. NUMBEIUSTREEVAPT CITY 9 E 71ST ST NEW YORK Make corrector's 4 .,_ here STATE ZIP COUNTY COUNTRY NY 100214102 New York US Melee corrections C.- hire Prone # at thes address Erter phone i i omecton here — t '9 • ,>c, C., \ cy-.v--ler i Name of College / UnNeMily- NUMBEFUSTREETMPT CITY 49 ZCRRO RANCH RD STANLEY Mato conectoen 5 <.... nye STATE ZIP COUNTY COUNTRY NM 07050 US Maim oxretoons 4— here Prone 0 at eta address Ewer photo a C0/1004:41Pere , ,( 2. 1 1 k1:1—*C1 Name of College / Unive MKT: Enter any additional Secondary Address in the following section NUMBER/STREET/APT CITY 1 STATE ZIP COUNTY COUNTRY Enter phone a bore — r If the above address is on the campus of a Cottage or Urinrersitysnler ihi name Page-3of11 EFTA00624826  IIIIII111 1111 011,11 11 11°3")1 NUMBER/STREET/APT CITY 2 STATE ZIP COUNTY COUNTRY Eiger chono a here • > If the above address is on the campus of a College or Uravers ilyontor Its name PO BOX ADDRESS PO Box Address is allowed if mail cannot be delivered to the prima ry address. PO Box Address must be approved by the Post Master and Law Enforcement. Enter any PO BOX Information in the following section PO BOX CITY i STATE ZIP COUNTY COUNTRY EMPLOYMENT INFORMATION EMPLOYERS NAME NUMBER/STREET/APT ECUTHERN TRUST COMPANY INC SOUTHERN TRUST COMPANY 6100 RED HOOK QUARTO:UM 1 Make corrections <— bore CITY STATE ZIP COUNTY COUNTRY ST THOMAS VI UO280 US Make corrector's c.— mre Name of College / Univorsay: En er any additional employment information in the following section EMPLOYERS NAME NUMBER/STREET/APT 1 CITY STATE ZIP COUNTY COUNTRY If the above address is on the campus of a Cottage or UnNorsilyenter Its name EMPLOYER'S NAME NUMBER/STREET/APT 2 CITY STATE ZIP COUNTY COUNTRY If the above address is on the campus of a Collage or Univorsity,onter Its name HIGHER EDUCATION INFORMATION Higher education includes any 2 or 4 year colleges or any trade or vocational schools. Enter any additional education information in the following section SCHOOL NAME NUMBER/STREET/APT 1 CITY STATE ZIP COUNTY COUNTRY Dates of Alleedance. Ernoloynent or Enrollme nt From Date Chock one To Oree 0 Enrolled • Empeoyed • Attend/le Page - 4 of EFTA00624827  III 0000 il1i,111,1111 1O.33 SCHOOL NAME NUMBER/STREET/APT 2 CITY STATE ZIP COUNTY COUNTRY Dales of Allen:Isnot Errcloymenl or Enna/net% Checkz one From Dale To Date MI Emoted CI Erpoyed II AIIending Page - 5 all EFTA00624828  fee Mached - utumd3kteS IIIIIIIIIIIIIIIIIIIIIIIIIA"1"1112 VEHICLE INFORMATION MOW'S ccci nutrafk Information of any vehicle that you own or drive. YEAR MAKE MODEL COLOR LIC PLATE STATE 2007 Hummer Hummer II Black CPK643 NM Make corn/013ns 4— we 2002 Mercedes-Benz 500 Settee Black NHL552 NM mow corfeceens C.—here 2010 Chevrolet Suburban Black TED218 VI MO* cceectons C.- hero 1968 Aircraft Unknown N908JE VI UMW astabons e. k n0 ' .nai See. IDIAi-C-Ivted 1968 2583TC VI Make tottectens t_._me, u-v\c,"(-.6 1:2 / Ane cave 2008 2907TC VI Mao comIcliOns Procak. .3(DI c... tere 2006 0730TC VI Wk.cot/coons Cape 4,-)(0 '2)i ) <._ bete 2011 4105TC VI Make coffintons \ InCrilhn \iMSWA —ICie) 4.- two 2011 4106TC VI Make COlt0Ct01111 \ I: Ac it iV n \I <._ nine tic(1)n .-. K32) 1999 2709TC VI Make tottectan -, t— t -\\C)A-PC, ,Th --::: 2008 Land Rover Range Rover Black M1D718 NM Melts tomsItens 4.- here 2013 Dodge Caravan I Black TEM492 VI Make tocieCteris 2013 Ford Expedition Black 522RZZ NM Make correCtalti . g.- Iwo 2001 N331JE Make camas:on _ i1 4?.)i Of Lek \CT\tett See N-verned 1988 N212JE NY Make pomace* ,. L:`,Li14" -;--\-ittion C',-l'1Ava:in( i- 2012 See ;lc-kr-Art-wet 4641TC VI Make amnions F1 filk- C1I-211PIr ..PQ N X-) 2015 Chevrolet Suburban Black NAL159 NM Make cortIntalli 4-here 2015 General Motor Corp. Yukon Black TET575 VI "Ulm°Menem .1•-• hen —204-5-- Chevrolet Suburban Black HCP5713 NY Make Ocaecleal 'l 0'(C) <--hen 2013 4772TC VI Make cared:cm I : -:)0()(41 .: -) Page • 6 of 11 <— hew nnq A 01,nle lt \MOM EFTA00624829  1000001171403 1111 11111111111111ID3"16 See A4-100-tid - Enter any additional vehicle information in the following section I PCC rind tocircroci- YEAR MAKE MODEL COLOR LIC PLATE STATE cam. Cadillac Esc.ok-xcie. BlX.L NHL-32.I IN\ On (905 erne yuvnn ?)kccr_ 15112t114 -\-:L. a01(D Chevrolet _gt Aburhnn Bloch 1-r3rsK55 C L ICR°1 ft 3ArsUlt 031 (4" 3.5L-R--rc 'FL (900-i 11 skreern 6550 IN3t-At5Lrn see c DRIVER'S LICENSE INFORMATION DRIVERS LICENSE NUMBER ISSUING STATE 0000025874 VI Hake correction <— htee C000000074316 VI Make Oeueetan c— here Enter any additional drivers license information in the following section DRIVER'S LICENSE NUMBER ISSUING STATE Page - 7 of 11 EFTA00624830  INTERNET INFORMATION See A-k-kachej-Inkerne + Qua-keci I111111111111nu 1,11"' relCaffrer ic‘CrI and C11 1 1•K)Aes 1 P(PIO SERVICE PROVIDER SERVICE PROVIDER AT&T ORANGE TELECOM Wk. arrechons <— Mee COMCAST yak* cortecfcms g— hen THE WARNER Mahe creak.% <—• hen —PINTEREER--- Wake conectort See, getow * c_ IIeTe --thiono---- Mall CCITOCIo” 4e 42De\ow 4- .... here --GRANT-WATCA4---. Mike conector4 See Mow -Yr `Nero --GOGGL-E-MAPS-- Mate coroectbns See getow * c— hem CHOICE COMMUNICATIONS Maknonelhans 4— hem FREE TELECOM Make COUICONIS <— NOW VERIZON Make Corioctions e— WO *See A-k-coned- Okher Interne-1- Peco.inkInformaiion ore -vre. Niot m reciocctd\okme b‘scepritnuect use oc Accoun-ks Se* for- -wereqy SCORee. P(b\AC\-e( Page • 8 of 11 EFTA00624831  ID:33216 kiaecliesihe --12keetC) t ingxma e"CtinC hm r rchnok II'll Jene c_kszc(vfirtio;J use or Au screen Names 4 -te len 00000 71403 \n Necoched, iv-c1LIcAtOg-khoR 8elow, Ex SK\WL ) SCREEN NAME - and S“ria k SCREEN NAME TREJEFFREYEPSTEINFOCINDATION PAahe corroctschn JEFFREYEPSTEIN P.I;+ h.e curie:Win JEFF REYEPSTEINORG Make ccetoctonS THE JEFFREY EPSTEIN VI FOUNDATION make COlIOCI411b JEFFR EYEPSTEINFOUNDATION Make corn-tan JEFFREY EPSTEIN Make cocromons JEFFREYEPSTEINI Malonotiocton. C...bere TV.ITTER JEFFREY EPSTEIN Make axieecas <.--bee JEFFREYEPSTEINI2 'Like) C011OCLORS JEFFREYEPSTEIN2 Make ccoeCtalf <--here JEFFREY EPSTEIN VI FOUNDATION Make correctons JEFFREY EPSTEIN Make cogocLOnS <— het* INSTAGRAM JEEPROJECT Make CCoectonS C. heo JEEPROJECT Make compact's JEFFREY-EPSTEIN Make Coneclen TVWFTER JEFFREY EPSTEIN MAC corrochons SKYPE %Like C4411:ClOIS \ te \ICAC.C.Ii)%.,ci( gmc. l- `urn <-- bete FACETIME Make CceteCtonS (at31533- 313q — _ c_.M1ere L .Q Q)533—Si Bos Pogo .9 0111 EFTA00624832  ar 1D:33216 Pmc A""cr‘A INC AN EsedlYN Ctti recinchebk,e MoN‘ClU — 1000001 71403 CX All aral Pin Se Se-14/ r n -Me E-MAIL ADDRESS “N, ,9*()Vir5X,,Icev).haexc 3eec tolmon cralLecin eei nr_wzy ma‘l. COM E-MAIL ADDRESS JEEPROJECTQYAHOO.COM c._ Make Canaan bete JEEVACATIONGMECOM C._ Mato correCtIons bore blEEVACATIONOGMAL,C42M c—. Make CeereCnonS here JEFFREYEPS_T_EINORG@GMAIL.COM C.- Mirk* oorrectIons brio JEFEREYEESI:EINORGOYAHOO.COM •-. mats oennUOre Pere JEEVACATJON1eMECOM C— Mato COtreCtI0115 hole COLUMBIAQENTA LHUMP° COI/ <— Make CarreetiOnS hero ,IEFEREYEPQTEINGLIMESAM 5— Make correCto" here JEFFREY@JEFE8E_YEPSIEJKOBQ c...- Make coirections Note JEEYACATIONGLIGMAJLCOM <.-- Maria ocorectionS here LltrinEstiErFoYAKOO.CONI <.— Make cotrefforn bete Enter any additional internet information in the following sectio n - SERVICE PROVIDER SCREEN NAME E-MAIL ADDRESS SIGNAL UDC) 533-3i3q Levet 3 ComninCertkon enkurs Unki... teeth kr1PC i )0(Mti I. Qtrn I CERTIFY THAT THE INFORMATION ON THIS FORM IS COMPLETE AND ACCURATE. I HAVE CROSSED OUT ALL INFORMATION THAT IS INCORRECT OR OUTD ATED. I HAVE ADDED ALL CORRECTIONS AND ALL NEW INFORMATION. I UNDENS- ?-TAND THAT FAILING TO PROVIDE THIS INFORMAT PRO LSE INFORMAT ION OR 1S A FELONY. EPS#e‘n ylieth Sex Offender's Signature Sex Offenders Date Name(print) THIS FORM MUST BE SIGNED AND ALL PAGE S RETURNED EVEN IF NONE OF THE INFORMATIO HAS CHANGED. FAILURE TO RETURN ALL PAGE N S OF THIS FORM WITHIN 10 DAYS OF RECEIPT FELONY AND MAY RESULT IN THE ISSUANCE IS A OF A WARRANT FOR YOUR ARREST. Return to: Division of Criminal Justice Services - SOR 80 South Swan St Albany, NY 12210 Page - 10 of 11 EFTA00624833  H)IlIIlllhI) I)HI)II'11)川 ID33216 1C3000J. 71403 ／극EW Sex Offender $卜／ YORK 乙入君It Registry New York State Division of Criminal Justice Services Michael C. Green lExecutive Deputy Commissioner Notice of Important Document This is a time-sensitive legal document. Failure to respond could result in ENGLISH C山川nal charges. 什you need 加e.transla如m 小ase call 518-417-3384. Thank you. 心pa加1 Este d어二umento legal tiene fecha de vencimiento. La falta de respuesta puede resultar en una querella penal. Si necesita una traducci6n gratuita, Ilanie al Spanish 引8-417-3384. Muchas gracias. 筒休字 逮是＝1价要求限期回篁的法律文件0 不予回夏可能尋致被刑事指控O 如 Simplified 果悠需要免葵的硼澤件 1 滑致屯 引8-417-3384. 澍澍. C川nese KreyoI Ayisycn Sa a se yon dokhnan legal ki gen dole pou w respekte. Si w par eponn sa ka l可 （;oz akizasyon krirnin机 Si w bezwen tradiksyon gratis, tanpri rele nan 518- Haitian Crc이C 引工招84. Mesi, II presente 6 un documento legale urgente. La inancata risposta' pu6 dar luogo a Itallano un procedimento penale. Per una traduzione gratuita, chiami ii numero 518- Italian 치工羽84. Oraz把． 이것욘 시간을 다투는 법적인 문건입니다. 옹답하치 않는 경우 한국어 형사고발을 당할 수 있습니다. 무료 번역이 핌요하시면, 518-417- Koreaii 3384 번으로 전화하십시오. 갑사합니다． Pyccicsiii STO IOPHJX邙fecKuh% 瓜oxy出II?, Tpefiyloll呻陌eaotnaraTejlsnoro a帥Ma'娜I. HecaoespeMeHMwfl OTBOT MOweT flP}IBCCTH K flpeLMBAeNHJo 뵈7onoa11oro Rn8針an o6BnHenn凡 &：月'is餌 iIyXUthI ecnnai耶ie ycnynt nepeno月a, UOSBOHN作 rio noMepy 518-417-3384. Cnacu6o. Page-il of *1 EFTA00624834  ATTACHMENT TO SEXUAL OFFENDER REGISTRATION FORM JEFFREY EPSTEIN Automobiles, Boats, Aircraft, TIllephOrt9 Numbers, EMI! Addresses, and Internet Related Information AUTOMOBILES License Slate Yrord Bite Be;dgepe Color ft agy 1 2010 Chevrolet Suburban 1GNUCKE05AR225550 TED 218 USVI Black LSJ 2 2002 Mercedes Benz 5500 .VIAD