FD-1057 (Rev. 5-8-10)

FD-1057 (Rev. 5-8-10) (Overall Document Classification Required) FEDERAL BUREAU OF INVESTIGATION Electronic Communication Title: (U//FOUO) TO DOCUMENT VICTIM INFORMATION. Date: 12/04/201s PLEASE REFER TO THE Approved By: Drafted By: V Case ID #: 31E-MM-NEW (U) EPSTEIN, JEFFREY Details: Precedence: ROUTINE Date: 08/08/2006 To: Miami From: Miami PB2/Palm Beach County Resident Agency Contact: Approved By: Drafted By: V Case ID #: 31E-MM-108062 (Pending) 1888-MM-105207-C (Pending) Title: VICTIM NOTIFICATION FORM Synopsis: To document victim information. Please refer to the Victim Notification System for the additional pertinent information on the following victims: and Reference: 31E-MM-108062 Serial 1 Details: VnsCasett: 31E-MM- 108062 CAgtName: • BusEIN : BusAcct : VicDate 20060725 F Addr : Addr2 : City : West Palm Beach State : FL Country : US Zip : Email : HPhone : Fax : VWrkAddr: VWrkadd2: VWrkCity: VWrkSt : VWrkCtry: VWrkZip WEmail : WPhone : WFax : VicPager: NOKFirN : NOKMidN : NOKLastN: NOKRel NOKAddr NOKAddr2: NOKCity : NOKState: NOKCtry : NOKZip NOKHEmal: NOKWEmal: NOKHPho : NOKWPho : NOKHFax : NOKWFax : NOKPager: GrdFirN : GrdMidN : GrdLastN: GrdRel : Parent GrdAddr : GrdAddr2: GrdCity : West Palm Beach GrdState: FL GrdCtry : US GrdZip GrdHEmal: GrdWEmal: GrdHPho : GrdWPho : GrdHFax GrdWFax GrdPager: PropRet : N TotLoss : 000000000 Lang. : EN Disable : VicFirN : VicDOD : VicMinor: Y DOB : Race : W Sex : PContact: Guardian BusName : VicMidN : VicLastN: SSAN (Overall Document Classification Required) EFTA _00044535 EFTA01250477