Generic Law Enforcement Accomplishment Report Form (HOUSE_OVERSIGHT_021594)

Oo Accomplishment Report B ev, 12-19-06) ® Date Prepared Of Ps oy Squad supervisor approval (Accomplishment must be reported and loaded into Date Loaded (please initial) ISRAA within 30 days from date of accomplishment) Date Loader’s Initiats Investigative Assistance or Technique Used File Number 1. Used, but did not help 3. Helped, substantially D ES-MM-1loF0e2 2. Helped, minimally 4. Absolutely essential em For Sub. Invest. Assist. by other FO(s) indicate A, B, C, D for corresponding FO ugitive Bankruptcy Fraud Rate FO lar Rate FO Rate FO 1a Rate FO 1aT (AT Bernas | MMs rose | | Juco-naisead | 7 | AircrattAsst. | | | Pen Registers | | - INcavervi-caP| | [Consen Mon. | [MMB Poiveron | PM crisis Neg. Feal | fecsur/risc| | ‘search Warrant] MMNECrisis Neg. Local ecsun/t. | JM shownoney | iMerrass, | | [Eno.Fiest| | |socass. | [MBewe-mc | | | Eng. Tene ex | MM svatteom | sero | Legats Asst, | [MM Tech. Agiéavin,| MM Poo-iro_ | | [Evie Purcheso| Phone Tree] [MEPL Mon.-7o || [tab oi Exam] | [uco- Groot] fNonrortanex| | | J. Civil Rico Matters Date: Also complete “Section G" Other Civil Matters Date: Computer Fraud/Abuse O Corruption of Public Official Money Laundering mi] O Sub Invest Asst by FO(s) Asst. FO(s) A.B. GCG. OD. Vict-Witn Coor BP Wieder Basso For Pe leer | Pd A. Complaint / Information/ Indictment (Federal [JLocal {International Complaint Date: F. Conviction (1) Federal CiLocal [] Intemational Conviction Date: Check if Civil Rico Complaint C1] Subject Description Code *(__-)* Sud gM Et a nn aman? . For SE G, H-Inctude A God Judicial Outcome___.____ EX Information Date: or GF, G, H-Include Agency Co: i Amount $ Indictment Date: = Feleny or 5 Missemenner Suspension: Years Months Plea or Trial B. Locate / Arrest State: Judicial District: {J Federal [JLocal [International - Subject Priority; TTA OB 1c K. Administrative Sanction Date: Subject Description Code Type: Length: G, U.S. Code Violation Required for sections A, B, F and J Suspension [[] Permanent Locate Date: (Federal Only) Debarment or Aresst Batee Title Section # Counts Injunction Year. Months. (2) Subject Resisted Arrest (J Subject Arrested was Armed L. Asset Seizure Date: Asset Forfelture Date: CATS # Mandatory._SEE Circle below one of the three asset forfeiture: Admin, Civil Judicial, or Criminal C, Summons Date: (Federat {[] Local Do not indicate $ value in Section D « Recovery / Restitution / PELP X [Federal [Local [J International Recovery Date: Code ® v Amount $ Code*__ vy =Amount $ Restitution Date: H. Sentence Date: M. Acquittal/ Dismissal/ Pretrial Diversion Sentence Type: $ (Circle one) Date: Years..___.___.. Months, Months, In Jail: Suspended: Years N. Drug Seizures “ Date: [1] Court Ordered [J Pretrial Diversion Probation: Years, Months___ Drug Code * : Code * ¥ Amount $ Fines: $ ee Code PELP Date: y Do not indicate $ in Section D Code * ¥ Amount $ lL. Disruption/Dismantlement: “ E. Hostages(s) Released Date:, Disruption Date: Released by: [1] Terrorist (1) Other O. Child Victim Information Child located / identified Date: bof 2F 4 bLiving _ (Deceased Dismantlement Date: Number of Hostages: Completion of FD-515a Side 2 Mandatory > P, Subject Information - Required for all blocks excluding block D (Recovery/PELP), blocks &, I, L and N iT O*dYSC Race [sex |, Date ofgith | Social Security No. (if available) 1 ces es es For indicnents/Convietions only: (j ¥ oO Subject related to an LCN, Asian Organized Crime (AOC), tlalian Organized Crime (IOC), Russian/Eastern European, Caribbean, of Nigenan Organized Cnme Group - Complale FD-515a, Sida 1 Blocks A-E mandatory, F-H as appropriate. O Subject related to on OC/Drug organization, a VCMO Program Nalional Gang Strategy target group, or a VCMO Program National Priority Initialiva 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. Setiel over Peete « See codes on reverse side. LP ~ 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. YWE- UX-(0F062 -( $7 5 Oe b 6 b7Cc b7E b6 b7C HOUSE_OVERSIGHT_021594 |