Intake (Rev. 5.23.17)

Intake (Rev. 5.23.17) 50D-NY-3027571 Serial 625 UNCLASSIFIED FEDERAL BUREAU OF INVESTIGATION Intake Date: 09/09/2021 Case ID #: SOD-NY-3027571 (U) EPSTEIN, JEFFREY; CHILD SEX TRAFFICKING Drafted By: Date/Time Received: 09/09/2021 11:13 AM EDT Details: On 9/9/2021, at 10:51 AM Eastern Time, =, date of birth submitted an online tip to the FBI National Threat Operations Center (NTOC) via tips.fbi.gov, regarding being a sex trafficking victim of Jeffrey Epstein & Ghislaine Maxwell. Date Submitted: 09/09/2021 10:51:00 AM EST Transaction Number: 8y6jpzxr Violation: Other Emergency: False Threat To Life: False Submitted Text: In 1994 I met Ghislaine Maxwell She introduced me to Jeffrey Epstein. I became involved with them for a period of a few years. They befriended me and ultimately directly raped/assaulted me in at least three locations. They subsequently trafficked me into prostitution. I also traveled with them, or on their behalf to and Violation Questions What was the exact crime that occurred?: Rape, Trafficking UNCLASSIFIED 3501.502-001 Page I of 4 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00096454 EFTA01250188 50D-NY-3027571 Serial 625 UNCLASSIFIED Re: SOD-NY-3027571, 09/09/2021 When did the crime/incident occur? (Please provide an approximate date and time): Approx 1994-1997 Where did the crime/incident occur? (Please provide the specific location/address if possible): Subject Information First Name: Ghislaine Middle Name: Last Name: Maxwell DOB: Age: 59 Type: Other Address: MDC 80 29th St. City: Brooklyn State: NY Zip: 11232 Additional Info: I submitted a claim to the Epstein Victims Compensation Fund earlier this year. How is Contact Known: Former "friend" Witness Information First Name: Middle Name: Last Name: DOB: Age:. UNCLASSIFIED 2 3501.502-001 Page 2 of 4 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00096455 EFTA01250189 50D-NY-3027571 Serial 625 UNCLASSIFIED Re: 50D-NY-3027571, 09/09/2021 Phone Type: Cell International: False Phone Number: Phone Ext: Type: Residential Address: Additional Info: I don't think Maxwell has social media accounts at this point. Epstein is deceased. How is Contact Known: I am the witness Complainant Information First Name: Middle Name: Last Name: DOB: Phone Type: Cell International: False Phone Number: Phone Ext: Email: Type: Residential Address: - UNCLASSIFIED 3501.502-001 Page 3 of 4 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00096456 EFTA01250190 50D-NY-3027571 Serial 625 UNCLASSIFIED Re: SOD-NY-3027571, 09/09/2021 City: Additional Info: IP Address: Remote Host: api.fbi.gov Http Referrer: https://tips.tbi.gov/ User Agent: Mozilla/5.0 (Linux; Android 10; SM-A2056) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/92.0.4515.166 Mobile Safari/537.36 Latitude: Country: US Region: ♦♦ UNCLASSIFIED 4 3501.502-001 Page 4 of 4 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00096457 EFTA01250191