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mber 7.d. Form 1-765 12/26/19 Page 7 of 7 EFTA00173147 Additional Inquiry Response ORI: NYFBINY00 Federal Bureau of Investigation - New York New York State Division of Criminal Justice Services Alfred E. Smith Building, 80 South Swan St. Albany, New York 12210. Tel:l-800-262-DCJS Michael C.Green, Executive Deputy Commissioner of the NYS D
(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
12/26/19 mememestavoramasenam Page 7 of 7 EFTA00173757 Additional Inquiry Response ORI: NYFBINY00 Federal Bureau of Investigation - New York New York State Division of Criminal Justice Services Alfred E. Smith Building, 80 South Swan St. Albany, New York 12210. Te1:1-800-262-DCJS Michael C.Green, Executive Deputy Commissioner of the NYS D
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
RONIMEMOIStiftifttliSMUMIIIII Page 7 of 7 EFTA01699773 Additional Inquiry Response ORI: NYFBINY00 Federal Bureau of Investigation - New York New York State Division of Criminal Justice Services Alfred E. Smith Building, 80 South Swan St. Albany, New York 12210. 'Fel: I -800-262-DCJS Michael C.Green, Executive Deputy Commissioner of the NY
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 New York State Division of Criminal Justice Services and U.S. Social Security
Albany
LOCATIONthe NYS Division of Criminal Justice Services
ORGANIZATION
Michael C.Green
PERSONFederal Bureau of Investigation - New York
ORGANIZATION
Jeffrey Epstein
PERSONLeon Black
PERSONNew York Field Office
LOCATIONU.S. Citizenship and Immigration Services
ORGANIZATION
Homeland Security
ORGANIZATION
Department of Homeland Security
ORGANIZATIONPreparer
ORGANIZATIONFBI
ORGANIZATIONRequesting Law Enforcement Agency
ORGANIZATION
United States
LOCATIONthe Social Security Administration
ORGANIZATIONU.S. Immigration and Customs Enforcement
ORGANIZATION
Birth
PERSONFederal, State
ORGANIZATIONNational Crime Information Center
ORGANIZATIONParole and Law Enforcement Programs Unit
ORGANIZATION