FLORIDA BOARD OF BAR EXAMINERS

FLORIDA BOARD OF BAR EXAMINERS Form 10-C Rev. 08117 Administrative Board of the Supreme Court of Florida 1891 Eider Court Tallahassee, Florida 32399-1750 (850)487-1292 Michele A. Gavagni Executive Director Jeffrey Epstein 6100 Red Hook Quarter, B3 St. Thomas, VI 00802 NAME: Mr. Darren Keith Indyke PRESENT ADDRESS: 6030 Le Lac Rd., Boca Raton, FL 333496 * 6 FILE NO. DATE: 01/16/2019 You are being contacted as someone who may have knowledge of the above-named applicant who is seeking admission to The Florida Bar. The Board investigates the background of all applicants for admission to the bar. The applicant has authorized sources to cooperate by making information available to the Board and has released and exonerated all sources from any and all liability of every nature and kind pertaining to the furnishing of information to the Board. This form was developed to facilitate your reply; however, if you prefer to write a personal letter, please attach it to this inquiry form (that contains a bar code for automated receipt of your response) and return both documents. 1. Please check yes or no below: OYes ONo a. Do you know the applicant? Length of time: years Relationship: OYes ONo b. Would you recommend the applicant for a position of trust? If no, please state reasons below. 2. Please check yes or no below. If your answer to either is no, provide a short summary of details below. OYes ONo a. Is the applicant honest? OYes ONo b. Is the applicant thorough in fulfilling obligations? OYes ONo c. Does the applicant meet deadlines? OYes ONo d. Does the applicant treat others with civility? 3. Please list the names, addresses and occupations of other persons who may have knowledge of this applicant. Name Occupation Address, City, State, Zip a. b. (Page 1 of 2) EFTA00811408 4. Please check yes or no. If your answer to any is yes, provide a short summary below. To your knowledge has the applicant: OYes ONo a. been accused of a violation of the honor code or student conduct code, warned, placed on scholastic or disciplinary probation, suspended, requested or advised to discontinue studies, dropped, expelled, or requested to resign or otherwise subjected to discipline for academic or personal conduct reasons by any educational institution? OYes ONo b. been a party to legal or administrative proceedings? OYes ONo c. violated a court order? ❑Yes ONo d. been charged with, arrested or cited for any violation of a law or an ordinance? OYes ONo e. been accused of a violation of trust? ❑Yes ONo f. been denied admission to the Bar of any other state? OYes ONo g. had a pattern of unexcused absences from school or work? OYes ONo h. been dismissed or asked to resign from any employment? OYes ONo i. demonstrated violent or disruptive behavior? OYes ONo j. within the last 5 years, been diagnosed with, suffered from or been treated for a mental illness involving a severe thought disorder (including, but not limited to, schizophrenia), a severe mood disorder (including, but not limited to, major depressive disorder or bipolar disorder) or substance use disorder (including, but not limited to, abuse of or addiction to/dependence on alcohol, marijuana, cocaine, or prescription medications)? OYes ONo k. had a mental health condition that currently impairs or limits, or if left untreated could impair or limit, the ability to practice law in a competent and professional manner? OYes ONo I. been delinquent in any financial obligations? 5. Your personal remarks are solicited. Please attach a separate sheet of paper if needed. The Board sincerely appreciates your cooperation in completing this form and assures you that the information furnished by you will be revealed only in accordance with the Rules of the Supreme Court Relating to Admissions to the Bar. The information furnished by me is true and correct to the best of my knowledge and belief. Date: Print Name: Title: Signature: Enclosure: Return Envelope (Page 2 of 2) EFTA00811409