EFTA01340981.pdf

VIRGIN ISI.ANS DEPARTMENT OF JUSTICE OFFICE OF THE ATTORNEY GENERAL DEPARINIFNI OF /USW* VIRGIN ISLANDS SEXUAL OFFENDER VIRGIN ISLANDS ATIORNFY GEM:RAI SECTION L- Offense Information VICTIM I i Afar: .1 Al klit,, i , Ac-q.s7nNJ m Reason of Ward) REGISTRY OFFICE Of TUE REGISTRY DR at Coneelen Peen. Cornmateq Sven or. ..xi ' t..of Eonyttkon EW.La Cade-owl No AG No SEXUAL Of FENDER VIRGIN ISLANDS 06002008. PROCURING A MINOR Fr.1$ _ t F_LDWDA - .. REGISTRATION FORM FOR PROSTITUTION _ Notification of Duty to Report 'I rat el OFFENDER SEXUAL _._ .... ._ ., . ENFORCEMENT AGENCIES FOR USE SY LAW Are You Registered as a Sex Offender in !mother State. f IND( X I YES If YES, which state: - NEW YORK and at what LEVEL in Name of recipient jeffreki S.es \-ct n CONIPLI.TE ALL SECTIONS On this 154" day of MM. PLEASE PRINT - gClI0NM- PLEASE READ CAREFULLY BEFORE SIGNING 2019 . I have been advised, and I understand, Pa-Me Asa Sexual °gender ate to VI C § 1121. I 731)lou are r gs1L0N A - t terrStatuS I IProbate° Sdpenrsed ReIease Travel to US Jurisdictions Xl Trier ' Wtw tree (31 business days of mown; 0 ugstfaxin current in earn ,Lnseicson in %Oct, I. That pursuant to Chapter 86, 1 iTer n Section 1724 (6)(1) in the event of a t, ITe Itt nonCOmpernatedand mothkerachnles, ar in temporary lodging. I am change Nten In the event Fete n a change in your name I., ip.:, - -.. .......- . . :r ,—. .r., required to inform the Virgin mos SSN. a -du np , oft.. ',Mon. vehicle mforrnatron, or person, of any changes to my Islands Department of Justice, in bp Date internal ideMifiers. sou are rewired to appear r, prxan m re ono/Dien, of Jualia not lace than three 131 working days after such temporary lodging information and WOW -RegistaftWebdormaMonFAMIaRD change. in which I will be temporarily shall notify the jurisdiction _SW)099Pafli staying. N MEOWS Licensee 3 In Me event that you moveoulsdeof the Unreel States ;Nun islands you rUS". register your new address will the Department of AISIC. POW ree-CD----- ityals 00g tr&1_951 ___. Kat f r ee AA_ Stan. Marks. TatlX6 bebre you leave and )eke must also regime, in your new state not later than three (3) business days after arrival there it your new state uox _A_ Ht_it has a regotralon reomement 2. That "temporary lodging" refers _ Sex 4 In me event Tat sou are Irmetrg outsdeol Me Drgn ltiands your are to reoured td appear in Person at tIe DePrvImont oF to a place where I abide, lodge. Race JosbIe PhD, including, but not limited to vacation, or reside, to your departure and PcOnde your tract deSICtalcn dates of travel piaces of arr.xal and deArture tnerary details. address Nita, business, or personal travel U.S. Virgin Islands. destinations outside of the telephone rrrennatton and purpose of Part; . 5 Depenleg on the type el sex dense tor *Mien ,cu ra.e trfer. cc.' :rt..: ra :: , r...4....0.1 T ar0cm ,0 person at me Deparyent Cr ot Initials Justice to Ven't )0V irkerratcn and fn • br. . C, ',ex .0crudr.lok. when necessary ( I every three ill months I I entry six !6) months I ;Ctry tat:. International Travel tesgnatonsm monners 6 DeremInq on me type of sex offense tar wit, ex. doo, 1,-..... 0,..., :0.0 ., r . .... ,eurrui to aceem on person al the Department .... Messagng addresses and AFDC* T venly )0.,)! irforirasor ant to Urn a 0.0root cr0tDraot when heceSSary, la a perod ..' addresses used. Instant I. That pursuant to Chapter 86. wry WOWS IdeOlifierS 1 IAA I 115 years i ) 2Syears ( I for Me. Section 1724 (b) (4)1 ant required Internet en Bata -UM sooal Mere& 7 Fate to comply arm thew obigatons subjects )VU D prosecute, for larldm to regster or update your in person at the Virgin to appear c1 1. ard postwgs. and regisyaton pursuant to Islands Department of Justice at mrenei commorsaWns a Virgin Islands Code, Title 14, Section 1730, punishable by a line not less than $3,000 nor more than $5,000, or prior to any intended traxcl least twenty one (21) calendar days imprisonment for not less than three months nor more than two years. Or both: and outside of the United States _EMAn. information and provide pertinent travel b. Federal Law, IS U.S.C. Section 2250, punishable by up to 10 years of imprisonment. ( lUeernMoVe4 occu:L.,.. I X I Employed _ Be Reminded That under Teeter To Idarn WalSh Act erelled Me 'Sexual Offender Registralron and hookah:in Act %SORRA), ai Employment ! ___Liki_Contad Person _____ 2. actgQ4 - _ _ indroduais onnvcted at a sox offer4e at reoa red 10 register and keep tee' regmluton current n each ,U, SOCIPOI where he a She If a reduction in the 2Iday notice requirement is 0 'I TRU weID1E B3 oxbantsoty requested I must AdrYeSS I recces rs an emolnyee and is a sf.cem submit infommtion in support ErPlEname;:rht of the request for appros al Teteptione Yer .1 775225--- _ _- HOMODale Erridery °c"P of Justice at the dismount of. the Telephom___— ----- Employot __ _____ __ Department moan _ _ FAILURE TO DO SO MAY SUBJEC r YOU TO CRIMINAL PROSECUTION Lt " — Dubps Initials 1 WA Volunteer Inlormabon I Contact Peron __ g_agacti - mites, _ YOUR NEXT REGISTRATION DATE: 03/125/2020 Required Information for Travel Organization _ _ --- TeephOne _ . ContaCt Person . I That when I appear in —Aoess Registrant: Witness: person to inform the Organuation _ . _ - - - --- -- I acknowledge the above requirements as set loan hare been I eervy that I speohcaty in formed tne offender of hiS met lutes as sel intent to Travel. I must provide the following Department of Justice of my teephore _ _ _ _ _ WA ex/Anne:I I e atone and he indicated at Te an understan6ng of those' oes information. InlOarlatiOn X I i. Destination Occupational License OWxrpaberlat Lgense Issuer aCTI0N_ I- Oa( l i di , CINti I1 7 ii. Dates of travel Dates Etched SO" OIRred, Dee t 59u ci "WV rte iii. Places of anival IntorrnatiOn IX I WA _ and departure errT - Education ____-_ Address _ — -- - - P.n. far* 4 ?...ric..E2_ . Pnney put Name iv. Itinerary details v. Addressor, in Vessel. Etc. 1 1WA SON fl E lieu. telephone contact -Vehicle. Trailer. aA011 (YWrilafteMedelColor Scher.) _VEHIC olVersele Vi. Purpose of information Permanent:Red-lent Locabon travel Desenpton __________ _ vii. Any other required ____ VIII% information MOPS ROW nitials OVER TO CONTINUE DOOPSOR-16 COMPLETE - TURN PAGE FORM NOT S1004,10a.1 YOOYSOR.1 SDNY_GM_00168299 EFTA01340981