EFTA00622787.pdf

FOIA - Freedom of Information Act hups://foiaonlinesegulations.gov/foia/action/registered/createR... Preview Request Agency Selection Agency : U.S. Customs and Border Protection — Contact Information Prefix : Mailing Address Location : United First Name : Darren States/U.S. Territories Middle Initial : K Address Line 1 : 575 Last Name : Indyke Lexington Ave Organization : Address Line 2 : 4th Floor Email Address : City : New Phone Number : York State/Province : New York Fax Number : Zip Code/Postal Code : 10022 — Additional Information Type of Records Requested : Entry/Exit On Behalf Of (First) : Jeffrey On Behalf Of (Middle) : Edward On Behalf Of (Last) : Epstein Date of Birth : 01/20/1953 Alias/(es) : N/A Alien Number : N/A Parents' Names : N/A I of 3 11/6/14, 1:43 PM EFTA00622787 FOIA - Freedom of Information Act hitps://foiaonline.regulations.gov/foidactionfregisteredkreateR... — Processing Fees Will Pay Up To : $ 1,000.00 Description : Disclosure of any records(1) documents, files, communications, memoranda, orders, agreements and/or instructions relating to or referring to Jeffrey Edward Epstein ("Epstein") that were created from November 1, 2013 to November 6, 2014, and were prepared received, transmitted, collected, and/or maintained by the U.S. Customs and Border Protection, Department of Homeland Security, including, but not limited to, the following: 1. Any records relating or referring to, or giving rise to, inspections or examinations upon Epstein's arrival at or departure from a U.S. Port of Entry during the requested period. 2. Any records on the entry and exit of Epstein arriving at or departing from a U.S. Port of Entry during the requested period. 3. Any records that document monitoring, surveillance, observation, questioning, interrogation, investigation, and/or collection of information relating or referring to Epstein during the requested period. 4. Any records relating or referring to how, why, or when Epstein was selected to be a subject of any such monitoring, surveillance, observation, questioning, interrogation, investigation, and/or collection of information. [1] The term "records" as used herein includes all records or communications preserved in electronic or written form, including but not limited to correspondence, documents, data, videotapes, audiotapes, faxes, files, guidance, guidelines, evaluations, instructions, analysis, memoranda, agreements, notes, orders, policies, procedures, protocols, reports, rules, technical manuals, technical specifications, training manuals, or studies. Request a Fee Waiver Request Expedited Handling Make Request ? No Make Request ? No 2 of 3 11/6/14,1:43 PM EFTA00622788 FOIA - Freedom of Information Act hups://foiaonlinesegulations.gov/foialaction/registered/creatcR... Attach Supporting Files Attached File Type Size (MB) JEE Privacy Act Statement 0.05 it Agree to Privacy Act Statement. I have read the Privacy Act Statement and agree to the terms set forth. Affirmation. Pursuant to 28 USC § 1746, I declare and affirm that under penalty of perjury under the laws of the United States of America that all of the foregoing information, statements, and signatures submitted in connection with this request and in any supporting documents are true and correct to the best of my knowledge. 3 of 3 1I/6/14,1:43 PM EFTA00622789