House Oversight FD-515 Form – No substantive investigative leads identified

we $ FD-515 (Rev. 12-19-06) * quad supervisor approval (please initial) Accomplishment Report (Accomplishment must be reported and loaded into ISRAA within 30 days from date of accomplishment) S/E- MM =[0F O22. 4. Used, but did not help 2. Helped, minimally Drugs A Fugitive oO Bankruptcy Fraud O Computer Fraud/Abuse O Corruption of Public Official 1 Money Laundering Sub Invest Asst by FO(s) Asst. FO(s) A. B.C. OD. Rate FO IAT Rate FO IAT [Fecacabei |_| Fareatass | [| F [onsen won| - [evsuarrn |_| Evid. Purchase Inf/CW Info F. Conviction CO Federal [I Loca! Conviction Date: A. Complaint / Information/ Indictment (Federal CILocal Complaint Date: Check if Civil Rico Compiaint 0 (J International (C1 international Subject Description Code ——= . For 6F, G, H-Include Agency Code (1) Felony or (Plea ‘or State: Information Date: (1 Misdemeanor ( Triat Judicial District: Indictment Date: B, Locate / Arrest (JFederal [Local [[] International : Subject Priority; DIA OB (Jc Locate Date: Arrest Date: (2 Subject Resisted Arrest (CD Subject Arrested was Armed G, U.S, Code Violation Required for sections A, B, F and J (Federal Only) Title Section # Counts Cc. Summons Date: (Federal [] Local D, Recovery / Restitution / PELP X [} Federal [JLocal [7] International Recovery Date: Code ®_. vy )=Amount $ Code * ¥ Amount $ Restitution Dates [] Court Ordered ([) Pretrial Diversion Code*_ y= «Amount $ PELP Date: Code * : H. Sentence Date: Sentence Type: t Months__ Months____ Months_____ In Jail: Years, Suspended: Years. Probation: Years Fines: $ ¥ Amount § 1, Disruption/Dismantlement: Vv E. Hostages(s) Released Date:, . . Disruption Date: Released by: [J Terrorist [[] Other Dismantlement Date: Number of Hostages: __. Completion of FD-515a Side 2 Mandatory P, Subject Information - Requireg for all blocks excluding block D (Recovery/PELP), blocks E, I, Land N —— | Race? | Data of Birth O Subject related to an Completa FD-5152, Side 1 Blocks A-E mandatory, F-H as appropriate, Investigative Assistance or Technique Used For Sub. Invest. Assist. by other FO(s) indicate A, B, C, D for corresponding FO fan revsn |_| Penrose |_| acco fevsunrrise| | | seoenWeranl! | Tsocass. |_| B svatveon |_| ech. area] [ehone Ta Rec] [| vc0-crupi | | Fist oh. am] | [eo crevor] hy Asian Organized Crime (AQC), Italian Organized Come (IOC), Russtan/Enstern European, Caribbean, of Nigenan Organized Crime Group - Date Prepared 27 & Date Loaded ag b6 Date Loader’s Initials b7C b7E 3. Helped, substantially 4, Absolutely essential Rate FO WAT Rate FO (AT B | fuco-narBack] Be NCAVC! Vi-CAP . Jorimis net Assil | Jorisis Neg. Fed __| crisis Neg-Local |_| ERT Asst. ae Butte - ITC Sav - ITC |_| Broce || fienFatteoee] |_| J. Civil Rico Matters Date: Also complete “Section G” Other Civil Matters Date: Judgment Judicial Outcome___.___ OX Amount $ Suspension: Years CART ext separa leer Pd Months_____ K. Administrative Sanction Date: Subject Description Code Type: Length: A Suspension {J Permanent Debarment or Months Injunction Year. L. Asset Seizure Date: Asset Forfelture Date: CATS # Mandatory —__ Circle below 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: N. Drug Selzures “ Date: Drug Code ® Weight FDIN Do nat indicate $ in Section D O. Child Victim Information Child located identified Date: _O of oprey PRriving (1) Deceased Code ®, b6 b7c Social Security No. (if available) Subject related to an OC/Drug organization, a VCMO Program National Gang Stralegy target group, ora VCMO Program Naliona! Priorily Inilialive targel group - Complete FD-515a, Side 1 Blocks A-C only, x Additional information may be added by attaching another form or a plain sheet of paper for additional entries. e See codes on reverse side. Serial No. of FD-515 v Requires that an explanation be attached and loaded into ISRAA for recovery over $1 m and PELP over $5 m, disruption, dismantlement, and drug seizures. WE - MU-~ (0 8062-203 HOUSE_OVERSIGHT_021626