we $ FD-515 (Rev. 12-19-06) *
quad supervisor approval (please initial)
Accomplishment Report
(Accomplishment must be reported and loaded into ISRAA within 30 days from date of accomplishment)
S/E- MM =[0F O22.
4. Used, but did not help 2. Helped, minimally
Drugs A Fugitive oO Bankruptcy Fraud O Computer Fraud/Abuse O Corruption of Public Official 1 Money Laundering
Sub Invest Asst by FO(s)
Asst. FO(s) A. B.C. OD.
Rate FO IAT Rate FO IAT
[Fecacabei |_| Fareatass | [| F [onsen won| -
[evsuarrn |_|
Evid. Purchase Inf/CW Info
F. Conviction CO Federal [I Loca!
Conviction Date:
A. Complaint / Information/ Indictment
(Federal CILocal Complaint Date:
Check if Civil Rico Compiaint 0
(J International (C1 international
Subject Description Code ——= . For 6F, G, H-Include Agency Code (1) Felony or
(Plea ‘or State:
Information Date: (1 Misdemeanor
( Triat
Judicial District:
Indictment Date:
B, Locate / Arrest (JFederal [Local [[] International : Subject Priority; DIA OB (Jc Locate Date: Arrest Date: (2 Subject Resisted Arrest (CD Subject Arrested was Armed
G, U.S, Code Violation Required for sections A, B, F and J (Federal Only)
Title Section # Counts
Cc. Summons Date: (Federal [] Local
D, Recovery / Restitution / PELP X [} Federal [JLocal [7] International Recovery Date: Code ®_. vy )=Amount $ Code * ¥ Amount $ Restitution Dates [] Court Ordered ([) Pretrial Diversion Code*_ y= «Amount $ PELP Date: Code * :
H. Sentence Date: Sentence Type:
t
Months__ Months____ Months_____
In Jail: Years,
Suspended: Years.
Probation: Years
Fines: $
¥ Amount § 1, Disruption/Dismantlement: Vv
E. Hostages(s) Released Date:, . . Disruption Date:
Released by: [J Terrorist [[] Other Dismantlement Date: Number of Hostages: __. Completion of FD-515a Side 2 Mandatory
P, Subject Information - Requireg for all blocks excluding block D (Recovery/PELP), blocks E, I, Land N
—— | Race? | Data of Birth
O Subject related to an Completa FD-5152, 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
fan revsn |_| Penrose |_| acco fevsunrrise| | | seoenWeranl! | Tsocass. |_| B svatveon |_| ech. area] [ehone Ta Rec] [| vc0-crupi | | Fist oh. am] | [eo crevor]
hy Asian Organized Crime (AQC), Italian Organized Come (IOC), Russtan/Enstern European, Caribbean, of Nigenan Organized Crime Group -
Date Prepared 27 &
Date Loaded ag b6
Date Loader’s Initials b7C b7E
3. Helped, substantially 4, Absolutely essential
Rate FO WAT Rate FO (AT
B | fuco-narBack] Be NCAVC! Vi-CAP . Jorimis net Assil | Jorisis Neg. Fed __| crisis Neg-Local |_| ERT Asst. ae Butte - ITC
Sav - ITC |_| Broce || fienFatteoee] |_|
J. Civil Rico Matters Date: Also complete “Section G” Other Civil Matters Date: Judgment Judicial Outcome___.___ OX Amount $
Suspension: Years
CART
ext separa leer Pd
Months_____
K. Administrative Sanction Date: Subject Description Code Type: Length: A Suspension {J Permanent Debarment or Months
Injunction Year.
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 Selzures “ Date:
Drug Code ® Weight FDIN
Do nat indicate $ in Section D
O. Child Victim Information Child located identified Date: _O of oprey
PRriving (1) Deceased
Code ®,
b6 b7c
Social Security No. (if available)
Subject related to an OC/Drug organization, a VCMO Program National Gang Stralegy target group, ora VCMO Program Naliona! Priorily Inilialive targel group -
Complete FD-515a, Side 1 Blocks A-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
v 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.
WE -
MU-~ (0 8062-203
HOUSE_OVERSIGHT_021626