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Field Office RE: Request for Continued Presence for: SAC of the FBI New York Field Office concur in this request and certify, in accordance with the Department of Homeland Security (DHS)'s procedures for Continued Presence, that: 1. The justification and information concerning the request for Continued Presence are accurate a
d. City or Town 6.e. State 0 6.f. ZIP Code Other Information 7. Date of Birth (mm/dd/yyyy) ► 8. Count of Birth 9. Count of 'fizen hi 10. U.S. Social Security Number if an City or Town NEAN otkg Entry Information State NY 4.1. ZIP Code 11. Date of Last Entry into the United States Is your current U
ntative I have read and understand the regulations and conditions contained in 8 CFR 103.2 and 292 governing appearances and representation before the Department of Homeland Security. I declare under penalty of perjury under the laws of the United States that the information I have provided on this form is true and correct. I.
time Telephone Number Mobile Telephone Number Email Address (if any) Other Information Identification Number (FEIN) 1 Individual IRS Tax Number U.S. Social Security Number (if any) Fonn l•129 01/17/17 Y Page I of 36 EFTA00309117 Part 2. Information About This Petition (See instructions for fee information)
eld Office RE: Request for Continued Presence for: SAC , of the FBI New York Field Office concur in this request and certify, in accordance with the Department of Homeland Security (DHS)'s procedures for Continued Presence, that: 1. The justification and information concerning the request for Continued Presence are accurate a
(mrn/dcl/yyyy) ► Count of Birth 4.a. In Care Of Name 9. Country of Citizenship 4.b. Street Number and Name SLovit-11\- 4.c. Apt. 2 Ste. 10. U.S. Social Security Number (if an ) K Flr. 0 4.d. City or Town NEW t i ORIC Entry Information 4.e. State 4.f. ZIP Code 100toS 11. Date of Last Entry into the U
Field Office RE: Request for Continued Presence for: SAC of the FBI New York Field Office concur in this request and certify, in accordance with the Department of Homeland Security (DHS)'s procedures for Continued Presence, that: 1. The justification and information concerning the request for Continued Presence are accurate a
Town 6.e. State O Flr. O 6.1. ZIP Code Other Information 7. Date of Birth (nmildcliyyyy) 10. 8. un of Birth 9. Coun of Citizenshi 10. U.S. Social Security Number if an Entry Information 11. Date of Last Entry into the United States (mni/dellyyyy) ► oi/a/e301° 12. Place of Last Entry into the Unite
Entities connected to both Department of Homeland Security and U.S. Social Security

Jeffrey Epstein
PERSON
Department of Justice
ORGANIZATION
United States
LOCATIONLeon Black
PERSON
Homeland Security
ORGANIZATIONFBI
ORGANIZATION
Ghislaine Maxwell
PERSON
Maine
LOCATIONU.S. Citizenship and Immigration Services
ORGANIZATIONAlbany
LOCATIONNew York Field Office
LOCATION
Joi Ito
PERSON
FedEx
ORGANIZATIONHomeland Security Investigations
ORGANIZATION
Birth
PERSONU.S. Immigration and Customs Enforcement
ORGANIZATIONPreparer
ORGANIZATIONthe Intelligence Community
ORGANIZATIONFederal, State
ORGANIZATIONthe Social Security Administration
ORGANIZATION