EFTA Document EFTA01736117

1111111IIIOE11011111 113:332 Slate of New York Division of Criminal Justice Services •0 South Swan St Albany, NY 12210 Cl60Z000—L8—Vid3 To: JEFFREY EPSTEIN LITTLE ST JAMES 8100 RED HOOK QUARTERS, SUITE B3 ST THOMAS VI 00802 From: Sex Offender Registry Unit, NYS Division of Criminal Justice Services RE: Annual Address Verification Sex Offender Registry Annual Address Verification Form April 9, 2015 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 provider(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 • If you find any information that is incorrect or outdated, cross out incorrect or outdated information with a single line.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 new/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 Registry at 518-457-3167 with any questions about this form. OFFENDER INFORMATION LAST NAME FIRST NAME MIDDLE SSN EPSTEIN JEFFREY E Make ecetectons C--- /we OTHER NAMES LEPSTEIN,JEFFREY EDWARD Enter any aliases, nick names or other names used in the following section. Pag• • 10l 11 EFTA01736117 III ly ID:3"I6 PHYSICAL ATTRIBUTES BIRTHRATE HEIGHT WEIGHT HAIR EYES GLASSES 01 . h953 600 180 Gray Blue tam. cambons 4.— Mn SCARS/MARKS/TATTOOS Enter any other scars/marks/tattoos. PR MARY ADDRESS Primary address is the address where you live most of the time. NUMBER/STREET/APT CITY ST THOMAS Mae inereceons --14,=Leei JM4E6, eiRRTERS-SicliTiE-04— ,- i : 1 `, t. ‘. i i i• , ‘ i k i . STATE ZIP COUNTY COUNTRY vl 00002 US Make carKSIOM C-. Are Phone a el this acklress:16111)^168-7414S— I Enter phone l/ correcUsn here —s • ‘) . I ".• 1 Name of Coltege / University 1460Z000-L8-Vid3 Page 2 of 11 EFTA01736118 It j11111 0I,JIIIIMI 3Iii ID.332I6 SECONDARY ADDRESS Secondary Address is the address where you live some of the time. 1 NUMBFJUSTREET/APT CITY 9E71STST NEWYORK Make caw:Ions C.- here STATE ZIP COUNTY COUNTRY NY 100214102 New York US Make axreclans 4.- bete Phone N at Pm address: I Enler phone N correction here —a • Name of College / UtwerSily. 2 NUMBENSTREETIAPT CITY makemoutons here f ''' , 1 1-_, STATE ZIP COUNTY COUNTRY FN Maks orremons C.- ha° Phone 8 ill this eddies. Enper phone IT catechon hero —, , 3 Name of College I University 3 NUMBER/STREET/APT CITY 358 EL BRILLO WAY PALM BEACH Make ceerectons <— two STATE ZIP COUNTY COUNTRY FL 33480 .1$ Make Cirecu0ns <— here P11O1111i8lItes address Es Sr phone a correction hare --a' ,,.. . .. Name of College / Univers/1y 4 NUMBERISTREETIAPT CITY 49 ZORRO RANCH RD STANLEY MEW Co.eapons C-- here STATE ZIP COUNTY COUNTRY NM 87056 US Make catemons Phone e at this address I Enter phone 8 corredan hen) —> I - i Name of College / UniverSoly Enter any additional Secondary Address in the following section 1 NUMBER/STREET/APT CITY . STATE ZIP COUNTY COUNTRY Enter phone a here —> II the above address Is on the campus of a Cones, Or UniverSily.enter its name 2 NUMBER/STREET/APT CITY STATE ZIP COUNTY COUNTRY Enler phone a here a If the above address is on ihe campus of a College or Unrvers4y.enter its name Sl60Z000—L8—Vid3 PEge - 3 of 1! EFTA01736119 ID:33 1000000879443 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 . i PO BOX CITY STATE ZIP COUNTY COUNTRY EMPLOYMENT INFORMATION 1 EMPLOYER'S NAME NUMBER/STREET/APT -SOUTHESIN-TRUS-T-OOMP,4•24.- -SOUR4ERNTRUST-COMPAN6400-- -..C81 USSR OLI P2ERS-SeirE-03— Make torsalons 4— Mrs . .1 ,,, •( )5 CITY STATE ZIP COUNTY COUNTRY ST THOMAS V1 00802 US . mike oximmons C. hate Name of Corege / University' En er any additional employment information in the following section 1 EMPLOYER'S NAME NUMBER/STREET/APT - CITY STATE VP COUNTY COUNTRY lithe above address it on the campus of a College or Universly,enter its name 2 EMPLOYER'S NAME NUMBER/STREET/APT CITY STATE zur, COUNTY COUNTRY If the above address 13 an Ihe Campus of a College or UnNersily enter its name HIGHER EDUCATION INFORMATION Higher education includes any 2 or 4 year colleges or any trade or vocational schools. Enter any additional education information in the following section 9l60Z000—L8—Vid3 1 SCHOOL NAME NUMBERISTREET/APT CITY STATE ZIP COUNTY • COUNTRY Dales or Attendance. Employment or Enrollment From Dale To Oats Check one 0 ' Enrolled • Employed El Ntenohng 2 %RAHN.. NAM. NUMBER/STREET/API CITY STATE ZIP COUNTY COUNTRY Cites of Allandencro. Employmont ot Enrollment From Date To Dale Chedc one • Enrolled 0 Employed • Anericlng Page - 4 of 11 EFTA01736120 I 1,11119,11 ID:33216 Ll60Z000—LerVid3 VEHICLE INFORMATION Information of any vehicle that you own or drive. YEAR MAKE MODEL COLOR LIC PLATE STATE 2006 Bentley Amage Black V752DS - NY'- maw cur re< .E.knk < Ww 2007 Hummer Hummer II Black CPK643 NM Mu:. <kr • s k—. rave 2002 Mercedes-Benz 500 Series Black C165SP FL Mat.. c roC.,.., I. 2010 Chevrolet Suburban Bled( TED218 VI MI/No <wroc.ors NM Mots coiloC%Or I < Vii: de 1968 N908JE - V1- Mew correcw.” <— hew 1968 2583TC VI Yaks Urroccals <- - Iwo 1 2008 2907TC VI mikx rex-orioni I _.; • k '.ti I . ,./ 2006 07307C VI lAisoi cart ockoe 3 0.— how I I , Ck 4105TC VI Maw cawcbc.n. <— /We -,k9 0 I I VC: \ Mn hn 41061C VI ),.‘ '...a c .crw I I. i I li 1999 2709113 VI Mt.!, caronvil C— how 2012 Cadillac Escalade Black - -4F1--- i:;., ca:ricbceis UTX3155 2010 Chevrolet Suburban Black BDLH78 .T.L no c,r,oc,,N-. C.- here 2008 Lend Rover Range Rover Black MLD718 NM Vskt reckcow C. two 2013 Dodge Caravan Black TEM492 FL Arnkkn <:rwc.1<wk nae 2013 Ford Expedition Black 522RZZ NM ro.,t9 4:aro:op- I 2001 N331JE M: .a ckti wpki..!oni. 4._hero k) ion-- -444231T - -he— in:., «..v., <_ now 2012 4641TC Make corrocLO^c i)i)sn'iry-kfriter I .ice • Se,\1 5 'Jilt Imo kn.., IC EFTA01736121 11,1119"111,l) 414131 III 1O:332I6 Enter any additional vehicle information In the following section Se 4 YEAR MAKE MODEL COLOR UC PLATE STATE 301 Irt.- :' Vrtlet A.Onkirkenn F3Inci.._ No, LI5q , KIM ;)0 ice. 1W, Iti4cin \Firth P„‘Or r TF T .T15 \II a.)01 CSICik1100, c--:SrOlrlila NOCK_ GWG WM I NN DRIVER'S LICENSE INFORMATION DRIVER'S LICENSE NUMBER ISSUING STATE C0000 002 - VI maxe carman coonnonniu -7- ' (r) 0000026874 VI Malta earecoan Enter any additional driver's license information in the following section 2l60Z000— ld—Vid DRIVER'S LICENSE NUMBER ISSUING STATE Por,K, of EFTA01736122 1000000879443 INTFRNFT INFORMATION SERVICE PROVIDER SERVICE PROVIDER AT&T h. Ma ORANGE TELECOM ..10.9 reflection. . ,Nn COMCAST MAO 001.0.4eXiii SPRINT - i.,* canclhonii 4- Immo \ 1. e kr_ L. TIME VVARNL FACE-000K <— nom PINTEREST Mike =Mebane .— We N ) Meke ocinumna 4— Mm GRANT WATCH . nab COMICIAMI harry GOGGLE MAPS harry - SPAEENE4-SA-IalTE-SERVICES- - Male Cancions e« Mn CHOICE COMMUNICATIONS Mae Catea0n$ c--vs. --A-UT /11.4-TELECom Maks COTS. harry FREE i Et E-COM Mak* CaireaCCM 4-1.1.11 C-. here 61.60e000— Ld—Vid3 EFTA01736123 1 ID:33216 SCREEN NAME SCREEN NAME THEJEFFREYEPSTEINFOUNOATION Make cannon, JEFFREYEPSTEIN Mike Canaan. - - JEFFREYEPSTEINORG Make «taxicab THE JEFFREY EPSTEIN VI FOUNDATION NUM Careaoni JEFFREYEPSTEINFOUNDATION Make correebona JEFFREY EPSTEIN "like Canaan <— hats JEFFRETEPSTEIN1 MM. tarecUons TVVITTERJEFFREY_EPSTEIN Melt* Cankbant JEFFREYEPSTEINI2 MekA carecla <— hell Wks cortectain <-.Mr. — 11 71 —F . 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VIAMNJEFIBEYEP-MtilL0G.00M , wicket,. <— Nes —VdtWeefeEeiett4F0RWM130.*-- eiste oarrockets MAILJEFFREtEP_STEINUSVI COM Maa «ontkom .:._Mo. vonitierr-s3c,- • -:foteem•- <•- hors Y..'vWV:JEfl-R:. v'EPStelNee Mae cØ lel caredions <-110111 -WV.V9V-3~E.PfrieWeettet~sekt C0LUMBIADENTAL1WAH00 CC:1M MIMI tilMWOrdi c—riene JEFFREYEPSTEINCOLIVE.C.OM 1411$4 camions 7-FFREYCL/EFFREYEPSTEJN.0RG ris alom <._ bye lak< cm roctons 4.-mare ti. i-81: Yfeli:E~ERNATiCh4ALahl — --. —~JEFFRE-YEASTEU4NE-~COJA-- itao carrecmcs Make wrik hom <— ben Pan rarocbons Pagentisof • • EFTA01736125 II 1000000879443 Enter any additional internet information in the following section SERVICE PROVIDER SCREEN NAME E-MAIL ADDRESS I CERTIFY THAT THE INFORMATION ON THIS FORM IS COMPLETE AND ACCURATE. I HAVE CROSSED OUT ALL INFORMATION THAT IS INCORRECT OR OUTDATED. I HAVE ADDED ALL CORRECTIONS AND ALL NEW INFORMATION. I UNDERSTAND THAT FAILING TO PROVIDE THIS INFORMATION OR PROVIDING FALSE INFORMATION IS A FELONY. Sex Offender's Signature 1e i2 .;kern Sex Offender's Name(print) Date THIS FORM MUST BE SIGNED AND ALL PAGES RETURNED EVEN IF NONE OF THE INFORMATION HAS CHANGED. FAILURE TO RETURN ALL PAGES OF THIS FORM WITHIN 10 DAYS OF RECEIPT IS A FELONY AND MAY RESULT IN THE ISSUANCE OF A WARRANT FOR YOUR ARREST. Return to: ZZ60Z000-ld-VJA3 Division of Criminal Justice Services - SOR 80 South Swan St Albany, NY 12210 Page 'C ofl EFTA01736126 ATTACHMENT TO SEXUAL OFFENDER REGISTRATION FORM JEFFREY EPSTEIN Automobiles, Boats, Aircraft, Telephone Numbers, Email Addresses, and Internet Related IrdormstIon . _ • License • State WM 1 2010 Chevrolet Sansban lIGNUCKEOSAR225550 2.2002 Mercedes Bent 5500 V310 2A217037 3:2010 Chevrolet Suburban riNUKKE3OAR251129 4 2007 Hunimer H2 I 5GfiGN23U57H1002.9 5 20138 Bentley Amage RL 82012 Cadillac Escalade 7'2008 Range Rover _ 8 2013 Dodge Caravan _ . 9 2013 Ford ExpeOlion EL 10'2015 Chevrolet Suburban 112015 GMC Yukon Denali 12.2015 Cadillac Escalade ISCWEDG28CX19439 11GYS4JEF4CR216978 — rUALS~128123 2C.4ROGBØL~495 1FIAIK2A55DEF219W .1GNSKKKC5FR146558 IlGKS2JKJOFR553299 -TGYSIUKJ1FR584952 Mete Ftes, wed TED 2T8 USVI Black 'LSJ C18 5SP Florida — Bradt Florida — BOL H78 Frida Black Florida CM 643 I New Mexico Mack Florida -- vW i Florida 11sek iNew York NHL 381 New Met il TNew Mesico MLD 71$ F New Met 35W- New Medea 492 rervi Thlick LSJ 5/2 RII New Memco 'tack New Mexi NAL 190-- f New Mexico Mack New Marko USVI 575 I Black LSJ GWG 4871 I New York ,Black New York Boat BOATS , ~ 1.1999 35' Rildecwilh Yamaha Engine Nana 2 2011 Yamaha WC1800A-KB Infa 3_2011 Yamaha Vl(T800A-KB Inia 4 2006 31' Cape Hem 1PRO 5.2008 36' Prom* little C 6 Miss Ave • 1968 7r LMC-6 (barge) wg N 12583-TC 7 2012 Bombadier Sea Doe n/a f4641-TC Registration Hui ID Number ' WSW< i2709-TC 99507 i4108-TC Nios-Tic YACAA3205C111 0730-TC FA831056KM0 2907-TC WJF101881-61- US-YAMA28230111 AIRCRAFT 1 1968 Boeing 727 2.2001 Bell 430 3 1988 Gulfstreaml34V Registration Tail Number IL8J 1.8.1 74CM6763 Troviareeniz 8J I Maoris - ter all lot:aeons N908JE .The Cyfl E. King airport in SI. Thomas N331JE Vitt Palm Beach International Upon and Boca Raton Airport N212JE ISenta Fe Municipal Airport & Albquerque International. New Mexico , • Jo hn F Kennedy Internationfil od, Newark international Airport & Teterboro. NJ plus East 34th Streeiflesport 3401Streel & FOR Drive. 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Brand Yourself ChamberolCommerca.com - Citysearcn .CltySquares OlinStarch 'Cricket rti tixtbase _ _ user Name Type business directory business directory Public profile business deed article directory business directory comTblog host I online management business directory business directory business directory business directory business direciory scienceJtechrLology___ Delicious DexKnows Olgg Metes eLocal Factual Flicks Enda _'Forbes.com _ Zither 9tFare Go Daddy Go Daddy Go Daddy Goggle + Ctuujile Maps Grant %Meth rant Wa H00Skep _ IH0600 (business directory Jeffrey Epstein VI Foundation ideallstorg _ b such engine Jeffrey Epstein VI Foundation indeed employment directory: Jeffrey Epstein VI Foundation . _ . insiderpages business directory_delfnify Epstein Vi Foundation instagram social niwk directory !Jeffrey Epstein VI Foundation Ins' • ram social ntwk directory jeered Klout ih linkedln Jive IlocalDatabasa 'manta MapOuest MerchantCircle s ce Patch Pe Saver telanthrooy Com ha lririumber business directory ; 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Wog silos, sasociatiMlinhad SWUM* lied caw viebbieed 'wawa and centime seasoning Mr. Epstein, and which ore wiewireninee nay used by Mr. Cpelein. 0•1 et en ebundance ?talon. honaysr W. Epstein ode ban disclosing sod well ronenus io aleclose sub Mint Sated Infentalleo. and say cheroot and addlileme thereto. at God wise such Int ormalion Is demlond ba Min by such Mid perry reputeden management smoke providers. Cattalo accounts doled shove Mat win intabllebed by *WU Meted parry reputation manatee me ret seralte providers provide tens to we:banes, email addressee lad ocher accounts fall alwidth are puled 'bow) macaw We, Mr. Epsi•In andior Ma bUilIta••• SCIMKID *I philanthropic et laied minathee. EFTA_R1_00020926 EFTA01736130