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lc.: F O Transgender Pregnant: Y 0 N Race: B-Black/Black Hispanic Hair: BROWN Eyes: BROWN Height:
ility of Arrest: 290 BROADWAY FBI NY Court Docket #: CR AUSA(s) Assigned: NCIC Code Charge Description Title/Code MAKING FALSE STATEMENTS 18 USC 1001 CONSPIRACY TO MAKE FALSE STATEMENTS 18 USC 371 Known Detainers/Warrants: N Y - Agency: (Mast provide a copy of say detainers) Long Term Med
ISCELLANEOUS SERVICES Please Print Legibly Using Black Ink Only CMS APPROVAL NO. 1405-0159 EXPIRATION
ts or other documents submitted to support this application, are punishable by line andor imprisonment under U.S. law Including the provisions of 18 USC 1001. 18 USC 1542. andor 18 USC 1621. Alteration or mutilation of a passport issued pursuant to this application is punishable by line andOr imprisonment
TION OATE: 3 41-201° Please Print Legibly Using Black Ink Only ESTIMATED BURDEN: 40 MIN Attention: P
or other documents submitted to support this application. are punishable by fine and/or imprisonment under U.S. law, including the provisions of 18 USC 1001, 18 USC 1542, andor 18 USC 1621. Alteration or mutilation of a passport issued pursuant to this application is punishable by fine and.or imprisonmen
Entities connected to both Leon Black and USC 1001

Jeffrey Epstein
PERSON
George W. Bush
PERSON
Department of Justice
ORGANIZATIONJane Doe
PERSON
Kathryn Ruemmler
PERSON
Philadelphia
LOCATION
India
LOCATIONSpecial Housing Unit
ORGANIZATION
Department of Homeland Security
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United States Department of Justice
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Federal Reserve
ORGANIZATIONTova Noel
PERSON
Birth
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Jersey
LOCATIONNew York Field Office
LOCATIONHousing Unit
ORGANIZATIONMichael Horowitz
PERSONFBI New York Field Office
ORGANIZATIONOverseas Citizen Services Records
ORGANIZATIONthe Federal Claims Collection Standards
ORGANIZATION