ye 4
Accomplishment Report
v. 12-49-08) gS F
quad supervisor approval
(Accomplishment must be reported and loaded into (please initial)
ISRAA within 30 days from date of accomplishment)
Accomplishment involves: (check all that apply) Drugs A Fugitive
Bankruptcy Fraud Computer Fraud/Abuse Corruption of Public Official Money Laundering
Sub Invest Asst by FO(s)
Asst. FO(s) AB. OG. OD.
[| |
A. Complaint / Information/ Indictment
CJ Federal C1 Local Complaint Date:
1. Used, but did not help 2. Helped, minimally
File Number
Rate FO
[eave] _ | Faisanasee [|_|
DOOODOOo
Foarennton | ELSUR/T.IM |_|
IAT
[o-Topo || Legats Asst. |_| | =
Evid. Purchase Inf/CW Info | | Lab. Div. Exam] [| F, Conviction [] Federal []Local
Conviction Date:
(7 International (7 International
Check if Civil Rico Complaint J Subject Description Code
e w_-)® For 6F, G, H-Include Agency Code
(Felony
(Plea State:
Information Date: or (C] Misdemeanor or DO Trial
Judicial District:
Indictment Date:
B. Locate / Arrest (Federal []Loca! [[] international -
Subject Priority: TA OB [ic Locate Date:
G. U.S. Code Violation Required for sections A, B, F and J (Federal Only)
Titte Section # Counts
Arrest Date: (] Subject Resisted Arrest (1 Subject Arrested was Armed
Cc. Summons Date: [J Federal [([] Local
D. Recovery / Restitution / PELP X (J Federal Dteca! [International Recovery Date: Code * v Amount $ Code ° v¥ Amount $ Restitution Dates. C1 Court Ordered {J Pretrial Diversion Code* ey Amount $ PELP Date: Code*_
H. Sentence Date: Sentence Type:
In Jail: Years. Months Months__
Months______
Suspended: Years.
Probation: Years,
Fines: $
v Amount $ 1 Disruption/Dismantlement:
E. Hostages(s) Released Date:, . Disruption Date: Released by: (] Terrorist [-] Other Dismantlement Date: Number of Hostages: Completion of FD-515a Side 2 Mandatory
P. Subject Information - Required for all blocks excluding block D (Recovery/PELP), blocks E, |, Land N
For Indictments/Convictlons only:
Subjact related to an LCN, Complete FD-515a, Side 1 Blocks A-E mandatory, F-H as appropriate,
investigative Assistance or Technique Used
For Sub. Invest. Assist. by other FO(s) indicate A, B, C, D for corresponding FO
IAT [Pen sister: | [computer | | |Proio cover |_| [Poygraph || fetsursrisc | | [search Warrant] | Show Money [ena Fos.| | |socassu_| : juco-érew]
Date Loaded bari Date Loader’s Initials
3. Helped, substantially 4. Absolutely essential
Rate FO IAT Rate FO IAT b6 [Juco naibead BIC NCAVCIVi-CAP| [INN 10 Wanted Flyer b7E MB crimmis intet Asst} | 7 Boarr ee crisis Nog.- Local |_| ons | Asset Forf Prog | | err asst, | IRM For Suppor Pol | sero | Sa JFL mon.-176 |_| PPR Fectenancst | Bree jrenroiabee| | | J. Civil Rico Matters Date: Also complete “Section G" Other Civil Matters Date: Judgment _—__ Judicial Outcome. OK Amount $ Suspension: Years Months K. Administrative Sanction Date: Subject Description Code Type: Length: Suspension _[[] Permanent Debarment or Injunction Year, Months ____ L. Asset Seizure Date:. Asset Forfelture Date: CATS # Mandatory ____ Circle below one of the three asset forfeiture: Admin, Civil Judicial, or Criminal Do not indicate $ value in Section D M. Acquittal/ Dismissal/ Pretrial Diversion (Circle one) Date: N. Drug Seizures “ Date: Drug Code * Weight Code * FDIN Do not indicate $ in Section D O. Child Victim Information Child located /identitied Date:_l/ 20/ oY Ktiving CD Deceased N b6 b7C
ASian Organized Crime (AGC), Hakan Organized Cnme (IOC), Russlan/Easlern European, Caribbean, or Nigerian Organized Cnmea Group -
Subject related to an OC/Drug organization, a VCMO Program Nalional Gang Strategy targe! group, or a VCMO Program National Priority Initiative target group «
Complete FD-515a, Side 1 BlocksA-C only.
x Additional information may be added by attaching another form or a plain sheet of paper for additional entries. e See codes on reverse side.
Serial No. of FD-515
¥ Requires that an explanation be attached and loaded into ISRAA for recovery over $1 m and PELP over $5 m, disruption, dismantlement, and drug seizures.
B/E-UM - 10S0b2 - (99
HOUSE_OVERSIGHT_021598