DOJ-OGR-00023881.pdf

STATEMENT OF SPONSORING ATTORNEY I hereby certify that I am a licensed member of the bar of the State of New York and that I employ or supervise ______________________________. I authorize ______________________________ to represent me and request that as my representative she/he be allowed to interview and correspond with Jeffrey Epstein ______________________________, Federal Register Number 76318-054 ______________________________, who is currently confined at MDC Brooklyn/ MCC New York, I further certify that ______________________________ is aware of the responsibility of her/his role as my representative and is able to meet this responsibility. I pledge that I will supervise my representative's activities. I accept personal and professional responsibility for all acts of my representative which affect the institution, its inmates or staff. Attorney's printed name: ______________________________ Address: 810 Seventh Ave., Ste. 620 / New York, NY 10019 Telephone Number: 646-801-____________________________ Attorney's Signature ______________________________ Date Completed 7/22/2019 Page 8 of 10 Revised 2/01/08 DOJ-OGR-00023881