EFTA01736117.pdf

113:33 1111111IIIOE11011111 Slate of New York Division of Criminal Justice Services •0 South Swan St Albany, NY 12210 To: JEFFREY EPSTEIN April 9, 2015 LITTLE ST JAMES Offender ID: 33216 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 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 • If you find any information that is incorrect or outdated, cross out incorrect or outdated information with a single line.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 Make JEFFREY E ecetectons C--- /we OTHER NAMES EPSTEIN,JEFFREY EDWARD L Enter any aliases, nick names or other names used in the following section. Pag• • 10l 11 Cl60Z000— L8—Vid3 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 --14,=Leei JM4E6, eiRRTERS-SicliTiE-04— ST THOMAS Mae inereceons . ,- 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 Page 2 of 11 1460Z000- L8-Vid3 EFTA01736118  Itj11111 0I,JIIIIMI 3IiiID.332I6 SECONDARY ADDRESS Secondary Address is the address where you live some of the time. NUMBFJUSTREET/APT CITY 9E71STST NEWYORK Make caw:Ions 1 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. NUMBENSTREETIAPT CITY makemoutons 2 f ''' , here 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 NUMBER/STREET/APT CITY 358 EL BRILLO WAY PALM BEACH Make ceerectons 3 <— 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 NUMBERISTREETIAPT CITY 49 ZORRO RANCH RD STANLEY MEW Co.eapons 4 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 NUMBER/STREET/APT CITY . 1 STATE ZIP COUNTY COUNTRY Enter phone a here —> II the above address Is on the campus of a Cones, Or UniverSily.enter its name NUMBER/STREET/APT CITY 2 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 PEge - 3 of 1! Sl60Z000— L8—Vid3 EFTA01736119  1000000879443 ID:3 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 . PO BOX CITY i STATE ZIP COUNTY COUNTRY EMPLOYMENT INFORMATION EMPLOYER'S NAME NUMBER/STREET/APT -SOUTHESIN-TRUS-T-OOMP,4•24.- -SOUR4ERNTRUST-COMPAN6400-- -..C81USSR OLI P2ERS-SeirE-03— Make torsalons . .1 ,,, •( )5 4— Mrs 1 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 EMPLOYER'S NAME NUMBER/STREET/APT - 1 CITY STATE VP COUNTY COUNTRY lithe above address it on the campus of a College or Universly,enter its name EMPLOYER'S NAME NUMBER/STREET/APT 2 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 SCHOOL NAME NUMBERISTREET/APT 1 CITY STATE ZIP COUNTY • COUNTRY Dales or Attendance. Employment or Enrollment Check one From Dale To Oats 0 ' Enrolled • Employed El Ntenohng %RAHN.. NAM. NUMBER/STREET/API 2 CITY STATE ZIP COUNTY COUNTRY Cites of Allandencro. Employmont ot Enrollment Chedc one From Date To Dale • Enrolled 0 Employed • Anericlng Page - 4 of 11 9l60Z000— L8—Vid3 EFTA01736120  ID:33216 I1,11119,11 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 1 <- - Iwo 2008 2907TC VI mikx rex-orioni '.ti I I _.; • k . ,./ 2006 07307C VI lAisoi cart ockoe 3 0.— how I I , Ck 4105TC VI Maw cawcbc.n. <— /We -,k9 0I 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 UTX3155 - -4F1--- i:;., ca:ricbceis 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 Dodge Caravan Black TEM492 FL Arnkkn <:rwc.1<wk 2013 nae 2013 Ford Expedition Black 522RZZ NM ro.,t9 4:aro:op- I N331JE M: .a ckti wpki..!oni. 2001 4._hero k ) ion-- -444231T - -he— in:., «..v., <_ now 2012 4641TC Make corrocLO^c I .ice • 5 'Jilt Ll60Z000— LerVid3 i)i)sn'iry-kfriter Se,\1 Imo kn.., IC EFTA01736121  11,1119"111,l) 414131III1O:332I6 Enter any additional vehicle information In the following section Se 4 YEAR MAKE MODEL COLOR UC PLATE , STATE 301Irt.- :' 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 WMI NN DRIVER'S LICENSE INFORMATION DRIVER'S LICENSE NUMBER ISSUING STATE - VI maxe carman C0000 002 coonnonniu -7- ' (r) 0000026874 VI Malta earecoan Enter any additional driver's license information in the following section DRIVER'S LICENSE NUMBER ISSUING STATE Por,K, of 2l60Z000— ld—Vid 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 Immo \ 1. e kr_ L. 4- 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  ID:33216 1 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 — 11 71 —F . C 7F-FrQF \IFMTED\J -1 <-.Mr. JEFFREYEPSTEIN2 Hem =team* JEFFREY EPSTEIN VI FOUNDATION Mae aerations <— here JEFFREY EPSTEIN Hem Cormace• ,_yeepco0- ins:tci9rorn Pepe - lot 11 OZ60Z000- LWV133 EFTA01736124  I 21 1000000879443 EMAIL ADDRESS -3(c: V-41,1 nic nIt'Ll E4AAIL ADDRESS gEeR0JECTIWAHD0.C0M mam CCMC1011 c— hen JEEMGATI0NOME.00N• itais COrte<liCal ..LEEVACMIONQQAMIL QOM mam prechons JEFFREVEPSTEIN0RGINMAILC0M Maa cort<CIOnil <— hen JEEFR. [email protected] KIM caTOCYOM <— We JEEVACATION102ME.COM Ma COMICI.Oni <— hen —ilt1e1~ -- Seltegrillb M - i — ' ca.c... U3WW..se-1-f ke•ey eosten. 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 - WV.V9V-3~E.PfrieWeettet~sekt lel caredions <-110111 C0LUMBIADENTAL1WAH00 CC:1M MIMI tilMWOrdi c—riene JEFFREYEPSTEINCOLIVE.C.OM 1411$4 camions 7-FFREYCL/EFFREYEPSTEJN.0RG ris alom <._ bye ti. i-81:Yfeli:E~ERNATiCh4ALahl — --. lak< cm roctons 4.-mare —~JEFFRE-YEASTEU4NE-~COJA-- itao carrecmcs Make wrikhom <— ben Pan rarocbons Pagentisof • • LZ603000-LH-V_H3 EFTA01736125  II 1000000879443 Enter any additional internet information in the following section SERVICE PROVIDER SCREEN NAME E-MAIL ADDRESS I CERTIFY THAT THE INFORMATION ON THIS FORM IS COMPLETE AND ACCURATE. I HAVE CROSSED OUT ALL INFORMATION THAT IS INCORRECT OR OUTDATED. I HAVE ADDED ALL CORRECTIONS AND ALL NEW INFORMATION. I UNDERSTAND THAT FAILING TO PROVIDE THIS INFORMATION OR PROVIDING FALSE INFORMATION IS A FELONY. 1e i2 .;kern Sex Offender's Signature Sex Offender's Date Name(print) THIS FORM MUST BE SIGNED AND ALL PAGES RETURNED EVEN IF NONE OF THE INFORMATION HAS CHANGED. FAILURE TO RETURN ALL PAGES OF THIS FORM WITHIN 10 DAYS OF RECEIPT IS A FELONY AND MAY RESULT IN THE ISSUANCE OF A WARRANT FOR YOUR ARREST. Return to: Division of Criminal Justice Services - SOR 80 South Swan St Albany, NY 12210 Page 'C ofl ZZ60Z000-ld-VJA3 EFTA01736126  ATTACHMENT TO SEXUAL OFFENDER REGISTRATION FORM JEFFREY EPSTEIN Automobiles, . _ Boats, Aircraft, Telephone Numbers, Email Addresses, and Internet Related IrdormstIon • License • State WM Mete Ftes,wed 1 2010 Chevrolet Sansban lIGNUCKEOSAR225550 TED 2T8 USVI Black 'LSJ 2.2002 Mercedes Bent 5500 V310 2A217037 C18 5SP Florida — Bradt Florida— 3:2010 Chevrolet Suburban riNUKKE3OAR251129 BOL H78 Frida Black Florida 4 2007 Hunimer H2 I 5GfiGN23U57H1002.9 CM 643 I New Mexico Mack Florida -- 5 20138 Bentley Amage RL ISCWEDG28CX19439 vW i Florida 11sek iNew York 82012 Cadillac Escalade 11GYS4JEF4CR216978 NHL 381 New Met il TNew Mesico 7'2008 Range Rover _ — rUALS~128123 MLD 71$ F New Met 35W- New Medea _8.2013 Dodge Caravan 2C.4ROGBØL~495 492 rervi Thlick LSJ 9 2013 Ford ExpeOlion EL 1FIAIK2A55DEF219W 5/2 RII New Memco 'tack New Mexi 10'2015 Chevrolet Suburban .1GNSKKKC5FR146558 NAL 190-- f New Mexico Mack New Marko 112015 GMC Yukon Denali IlGKS2JKJOFR553299 575 I USVI Black LSJ 12 .2015 Cadillac Escalade -TGYSIUKJ1FR584952 GWG 4871 I New York ,Black New York Boat Registration Hui ID BOATS , ~ Number ' WSW< 1 .1999 35' Rildecwilh Yamaha Engine Nana i2709-TC 99507 2 2011 Yamaha WC1800A-KB Infa i4108-TC US-YAMA28230111 3_2011 Yamaha Vl(T800A-KB Inia Nios-Tic YACAA3205C111 4 2006 31' Cape Hem 1PRO 0730-TC FA831056KM0 5.2008 36' Prom* little C 2907-TC WJF101881-61- IL8J 6 Miss Ave • 1968 7r LMC-6 (barge) wg N 12583-TC 74CM6763 1.8.1 7 2012 Bombadier Sea Doe n/a f4641-TC Troviareeniz 8J Registration Tail Number I Maoris - ter all lot:aeons AIRCRAFT 1 1968 Boeing 727 N908JE .The Cyfl E. King airport in SI. Thomas 2.2001 Bell 430 N331JE Vitt Palm Beach International Upon and Boca Raton Airport 3 1988 Gulfstreaml34V N212JE ISenta Fe Municipal Airport & Albquerque International. New Mexico , • hn Jo F Kennedy Internationfil od, Newark international Airport & Teterboro. NJ plus East 34th Streeiflesport 3401Streel & FOR Drive. Wall Street Heliporl - Par 6 8 FOR Drive 8 VIP Heliport -1Nest 30111 Street & 12111 Ave Long Island MeeArlburAkporl find Stewart International Airport JEE L8.1 JEE lines JEE lines