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Signature %ty4le 10a. Date /afrb PRIVACY ACT NOTICE Authority for Collecting Information: E.O. 10450: 5 CSC :303-1305; 42 USC 2165 and 2455; 22 USC 2585 and 2519; and 5 USC 3301 purposes end Uses: Information provided on this form will be furnished to individuals in order to obtain information regar
st level of integrity. ethics. and standards for those we serve and to our profession. nnrw.myfapi.org -0 , ~!~Q Denise "White. President .,_ )farvey E. ,Morse, founder ! -0- r4' V 7 4.1. AT!' :ATt•••• ;!.PT'tt.; Ve-f q "4 4-SoTP.A-. tSoTN -4 Vh:; 4-Y-A- *ITN V.;,.t 4-- -4 • n,F4.n,,,Ak,-A
ty4le (979,yi,;\ 10a. Date /afril PRIVACY ACT NOTICE Authority for Collecting Information: E.O. 10450; 5 CSC :303-1305; 42 USC 2165 and 2455; 22 USC 2585 and 2519; and 5 SSC 3301 purposes end Uses: Information provided on this form will be furnished to individuals in order to obtain information regar
st level of integrity. ethics. and standards for those we serve and to our profession. nnrw.myfapi.org -0 , ~!~Q Denise "White. President .,_ )farvey E. ,Morse, founder ! -0- r4' V 7 4.1. AT!' :ATt•••• ;!.PT'tt.; Ve-f q "4 4-SoTP.A-. tSoTN -4 Vh:; 4-Y-A- *ITN V.;,.t 4-- -4 • n,F4.n,,,Ak,-A
t. Applicant's Signature lOa. Date PRIVACY ACT NOTICE Authority for Collecting Information: E.O. 10450; 5 CSC :303-1305; 42 USC 2165 and 2455; 22 USC 2585 and 2519; and 5 USC 3301 purposes end Uses: Information provided on this form will be furnished to individuals in order to obtain information regar
st level of integrity. ethics. and standards for those we serve and to our profession. nnrw.myfapi.org -0 , ~!~Q Denise "White. President .,_ )farvey E. ,Morse, founder ! -0- r4' V 7 4.1. AT!' :ATt•••• ;!.PT'tt.; Ve-f q "4 4-SoTP.A-. tSoTN -4 Vh:; 4-Y-A- *ITN V.;,.t 4-- -4 • n,F4.n,,,Ak,-A
Entities connected to both USC 2585 and farvey E.

Jeffrey Epstein
PERSON
United States
LOCATIONFederal, Municipal County
ORGANIZATIONAuthority for Collecting Information
ORGANIZATIONFederal Bureau of Prisons
ORGANIZATIONInmate Legal Activities
ORGANIZATIONNational Crime Information Center
ORGANIZATION
Sarah Kellen
PERSONMorse
PERSONthe State of New York
LOCATIONO'Brien
PERSONthe Legal Department
ORGANIZATIONSarah M. Sacks
PERSONNEW YORK STATE DEPARTMENT OF STATE
ORGANIZATIONSociety National Office
ORGANIZATIONMotel Nittalijey
ORGANIZATIONBennett M. Epstein
PERSONNikolei Niftalijev
PERSONthe Mitigation Specialist/ Doctors
ORGANIZATION
Mark Epstein
PERSON