EFTA02725606

"1)3216 S r. or New von: owsen or D.neel ,J sure Sevres 0 So..", Sea- si Aws NY 12210 To JEFFREY EPSTEIN LITTLE ST JAMES 6100 RED NOOK OuARTEPS SLATE 03 ST THOMAS v100602 From Sex Offender Registry Unit NYS Division of CrImir?' Justice Sevres RE Annual Address Vennoal on Sex Offender Registry Annual Address Verification Form Apni 9. 2014 Offender ID 33216 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 Internet service proyoder(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 If you find any information that is incorrect or outdated. cross out incorrect or outdated information with a single line.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 now:additional information in the blank boxes provided. THIS FORM MUST BE SIGNED AND ALL PAGES RETURNED EVEN IF NONE OF THE INFORMATION 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 Retstry at 518-457.3167 with any questions abo.,1:n s firm OFFENDER INFORMATION LAST NAME r ipsT NAME MIDDLE SSN L 2S7E % .EFERCY E or. OTHER NAMES ERSTE N ,EFFREY ECWARD Enter any aitases. nick names or other names used in the following section PROT14 PROT0 1000000747916 PHYSICAL ATTRIBUTES BIRTHDAYS HEIGHT WEIGHT HAIR EYES GLASSES 600 Griy EOLO Man :ernie, (04 SCARSIMARKS/TATTOOS Enter any other scarsimarksaattoos PR MARY ADDRESS Primary address is the address where you live most of the We I NI.JVISERISTREEVAIT COY ST Te.C..1.MS use e.t.a...a r. •01Treiv•Witita.r.-Gratrobratirgeir It.* • irs• . '1 '1 • t S SLOE ii I CCOPITY Cassillty •il 0.).K.1 iS Mee CrlICW. r. OW* I M In4 a IE.w CW.0 • an•Chr • re -, Name at COrgro, Unws'ir PROT15 PROT1 10:33216 - )73O747916 SECONDARY ADDRESS Secondary A.tldress ro the address where you live some of the ti NUMEVASTNEETLIPT CITY 1 NE .IST ST PC•N'COr. Pee PYT000% 4.- WS zip COUNTY COUNTRT •DC211,02 Ple. TOP LS Yee cormaea. net PTCoe • r se mins* tine gay • ga nal. , ^41 - ' .. , " ..- v., I Nit oy Car ) un ,e , NOME*, rAT Say maT ANT•owks 2 1 .N.. VA STATE VP COUNTY CCvNTRy eN Mani Canter. I ETA, rocs s Tarot:Tyro -•• • ••••••••1•TY 3 Nor/min s ear Lt APT CITY PALM (ANC- 4 au • Pp./POP% MIt STATE ZIP COUNTT COuNntw FL >TAO 45 Met t•y•toom ' " re t Ppm. Al si tly *WON ICA* Tone • carsose MP -• • c•r P, t * . ',1.1 NAT • PST i t hT•mbl f 4 NuMEMPATSEIIPART CITY PO ZOIRO MAC.' AO CrAA.CY 440 :2•11•IIPPS S'A't. ZIP CCONT, COMPORT Ca. .4S map p.p.44.• rMne •••, ,,e 6 V Pis 44.7,11 I EMI? CPC 'II IF CP•PC, PIP -•• • ••_C- P.1. -Vc 5i , at Geier i Urintrwy En er any additional Secondary Address in the !ono*ng section I KVIIIIVIATTIIVAPT CITY STATE to CCLJN'T COUNTRY I I Le 'sore nes - N 4 to oboes Alen sit CA re amp.* AT a Coins of Jr Lys!, ealv Ps Are 2 NUMILUPSINIEVAP7 CITY ,••t• ZIP COUNTY COUNTRY VIVO lahroi • .. • . PI pwi &boys Ali <Ls L co we Tampa CA • Comps co wanner TAW a PPP* PROT16 PROT2 1033216 .00.07479:6 PO BOX ADDRESS PO Box Address is allowed if mail cannot be delivered tO the primary address PO Box Address must be approved by the Post Master and Law Enforcement Enter any PO BOX Information in the following section 11 .0 SOT CITY STATE Tn COUNTY COUNTRY EMPLOYMENT INFORMATION 1 IMPLOTEITS NAME IMASTASTRIEVAITT Ye•tmoem ' Sete. - r I. w . . • ,".. _ , 1 in l ' ' i' i CITY STATE I 1:. COUNTY COUNTRY or tratAS VI C0002 US mon coy.*** NO** of CORO* f UnvOrToT Enter any additional employment information in the following section 1 tfAiTLOYEN1 NAVE NUTONINSTRICT APT CITY STATE Ct• COUNTY CaPORY if ME at*. alCooss s ix, r• cam.. of a Color at yawn.' sew es non. 2 EMPLOYER% NAME NIAISIRSTITIETIATIt CM STATE I ZIP COUNTY COUNTRY i 1. "6 .Dow assma • 0. P'T Tr% T Tea 7,04404 a UnnTrwly ma TS TIM HIGHER EDUCATION INFORMATION Higher education includes any 2 or 4 year colleges Or any trade or vocational schools. En er any additional education intormaton in the following section I 5CHOCI. MAYO InulatitSTAtErrAinr CITY TAT[ I ZIP CCTOM COMTAY yl Dam 00 AnanSOCTI inneTtel z CNN:Meg ht. Oro M On w'4,1 VI O ."N5 IM € ^i221.0 CI Arra, ' 2 5540001 NANO NUNIKTOSTREIVAIT CITY ETATS ZIP COMTY COUNTRY Oates cl mnioce. Telocrenem co 1 TetTnym trea. CMG Ta On <nen an• CI imp ea I0 ENM44 CI Ain") Pips .4 0. • 1 PROT17 PROT3 9111JI VEHICLE INFORMATION c At , •• '••••.k. II Ina inctin.ri I MI e..7 YEAR MAKE MODEL COLOR LIC PLATE STATE manactee• etr Posoom-- 496•04••••- 2006 Demi.) Am•012 Bonk JAS Poe • v).;:c,.. i.-- 2000 I Crtociet Suburban (Pack NM wo-• Can 2007 Kolirref Hue, MICH Bin VIA •••••<*irti r I a.-N. -1St -04,04.-. 4Seillr -Me - V. nc.rps 2002 Yerceoes.8anz 500 Units Sacs F. 'AD.:sena.. 2010 CNIv10101 $ a:v*3n Eli c.. VI ye". :o-.:: " 2005 Caosac Escalfle 131.0a vI 46.0•••- *Ow :own I P, 11 - 1 .) L n 1958 w Ku@ ginClenil or i 1 t." 196$ VI vanterirv• C. i - ...• I 2006 VI t. • •-'s -.1% % I ale - VI v.., ,,, c,, t.tb, k Ck' 1 .- • Pt .....i% VI VMS.( h -a. IS '959 yi u....• trona. Z i PO a ; 4) 1 {:1 P ., 2012 CildEN Eidt,00 ElleCk NY IMINBCWICWil 11: &Main Bin FL Mpg wIrtne SX5 Cacilin Etealiie Sn NM 14•••4tellt.0, 11 4... rt. 200$ Lana Rove, Rave Rove ENKA NM vs. rfrir,C.1 rine • 5 V !I PROT18 PROT4 I IIIINIIIIIII I 111111111 Enter an additional vehicle information in the following section YEAR SURE MOIL COLOR UC PLATE STATE t S I : 9 % .7.1-4 it - t: t t., tet - C - .. 1 r I \ • 1 f -, Na 1 t '1 ..< DRIVERS LICENSE INFORMATION DRIVER'S LICENSE NUMBER I ISSUING STATE vs Enter any additional driver's license information •P the follOmng secflon DRIVER'S LICENSE NUMBER ISSUING STATE PROT19 13134 PROT5 I;II~IIIIII,I~NIIIIIVI '° 33:I6 INTERNET INFORMATION SERVICE PROVIDER SERVICE PROVIDER 1 AT&T "... cote< -, TREE me. d • F.<;. , L i ORANGE TELECOM v.. .. CONIC.A.ST SORRY! TIME VI.PdPNER FACESOCK P NTEREST INDEED GRANT WATCH rdi.p....i...: etnntli MAPS mi., , <c 1- -cc-Ft k. r, PROT20 PROT6 ID "16 000000747916 SCREEN NAME SCREEN NAME THEJEFFREYEPSTEiNFOCNOPTiON ...4 :>E..•. JEFFREYEASTE IN 44.44.44, es JEFFREYERETERICAG 4440 worn - . THE JEFFREY EPSTEIN yi FOUNDATION v,..• t.•,... JEFFREYEPSTENFOuNDAYON SOrt :comas. JEFFREYEPSIEN v...;. v: vs ._w. JEFFRE +EPSTE Ni vs. wan-. ^MITER £FFREYJPSTEIN %tan .3.44:1••• s...." JEFFREYEPSTEIN12 wr:e«w. JEFFREY w.. Cal.cel 4- gra siEFFREVERSTEIN2 MP* :.x i'S JEFFREY EPSTEIN VI FOUNDATION vs.:. ,...... .-.N.. EMAIL ADDRESS SNAIL ADDRESS JEEPROJECTEPAE100 COM JEEVACE,NONatmE com Men 1.040:414S JEEVACATIONZGMM-COY .......,A.v. ,EcrREYEAsyENQAC4GMAI,I. COM .0•••• :Y•04.44 41 .4T; TL Lc Pc% NCRGOWTXLC0M va.• :rt. eN JEEVACATIONI$ME•COM Ref :VIK. 044 Pape •F C. PROT21 PROT7 11111114J 411119 '`)33216 EMAIL ADDRESS \ mem? jureEyEESTEIN US 1r• tre ,.I .I. WNW JEFEREYEPSTEeMLOc.COM MS• :at: VI MVN a FERFJEPSTENCORMY COY Mkt tf•Ill! It. 4.-••• WWNJEFEREYEPSTEINvS,ACOM WwAUEFFREYEntettnO.COM .0104 tirttwe• 4 - on ANWEJEFFREYERSTEUECO menner. ...-e. WNW jefratrEPSTEINEOuCakON COY .........er, :OLAtEEADENTALICIA1/0000M ....n.r. 4EFFREyEPSIEINSILIVE-COM u..... rc, . JEFEREvapEFFREtEPSYEihORG 'IMW JEfFREYEPSTEMSNTERNATiONALCcm v.. .. 4 WAVEJEFEREEERSTEINNEwYORA Coy ye. v.;.< . Mn . Enter any afeltiona! Internet information in the following section SERVICE PROVIDER SCREEN NAME EMAIL ADDRESS L A PROT22 PROT8 I CERTIFY THAT THE INFORMATION ON THIS FORM IS COMPLETE AND ACCURATE I HAVE CROSSED OUT ALL INFORMATION THAT IS INCORRECT OR OUTDATED. I HAVE ADDED ALL CORRECTIONS AND ALL NEW INFORMATION. I UNDERSTAND THAT FAILING TO PROVIDE THIS INFORMATION OR PROVIDING FALSE INFORMATION ISA FELONY Sex Offenders Signatir 'r C 7-C I Sex Offender's Name(print) Date THIS FORM MUST BE SIGNED AND ALL PAGES RETURNED EVEN IF NONE OF THE INFORMATION 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. Return to Division of Cnnvnal Justice Services SOP 80 South Swan St Albany, NY 12210 PROT23 PROT9 ATTACHMENT TO SEXUAL OFFENDER REGISTRATION FORM JE FFREY EPSTEIN Autaenobiles Boa Adorer, Telephone Numbers. Entad Agates... ana 'arne Reated {nt °maton AUTOMOBILES L -ansa S:tre we 4 P éré Reetweg CA« Peerti : 2003 Caddies [Par.< US9I Sucs ISJ 2 2010 Oneet041 Satevean Lr5Ve Bac. LSJ 3 2002 easecen Ben 5500 Forer BleA F 4N ega 4.2 016 Ce44-04•4471$40:44034 • Fonese 8,4C'y FOnP] 5 200$ Crende Fines Ma. Mente 9ieen New MenNo 6 2007 ...orner ln2 *te. Miwco 9'K. Ni...ounce 7 2030 Ceentat SJØ nies Mea(/' 9 en. New Pence. Il 2006 Benn boue RL Sonda Sac. tas Tort 9 20+2 ClOl9c Escale» Nen•Yet 9.." Ne% Yc" 10 2038 Rente Rave %en. W.*, ex. Ne* MEn.c. 119011 badge Dewar, IS's EL«. LSJ '2 2013 ind Sexe:ion Et Ses Un sa 91asn New Men•C0 BOATS SOM Rees•••• cn m. 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