gs1L0N A - t terrStatuS Xl Trier 1 iTer n t, ITe Itt VIRGIN ISLANDS DEPARINIFNI OF /USW* OFFICE Of TUE ATIORNFY GEM:RAI VIRGIN ISLANDS SEXUAL Of FENDER REGISTRY SEXUAL OFFENDER REGISTRATION FORM FOR USE SY LAW ENFORCEMENT AGENCIES PLEASE PRINT - CONIPLI.TE ALL SECTIONS Pa-Me I IProbate° Sdpenrsed ReIease SSN. Nten WOW -RegistaftWebdormaMonFAMIaRD mos 00g PO tr&1_951 ___. W ree-CD----- N MEOWS Licensee _SW)099Pafli bp Date uox Race _ Sex _A_ Ht_it Kat f r ee AA_ Stan. Marks. TatlX6 c1 1. Internet en Bata -UM wry WOWS addresses used. Instant Messagng addresses and _EMAn. ( lUeernMoVe4 occu:L.,.. actgQ4 - Employment ! I X I Employed 0 'I TRU _ _ ___Liki_Conta weID1E B3 d Person _____ _ Teteptione Yer 775 .1 225--- AdrYeSS I oxbantsoty Employot Telephom___— moan _ _ _ _- ----- — __ _____ __ HOMODale Erridery °c"P ErPlEname;:rht Dubps g_agacti - Volunteer Inlormabon I 1 WA Organization _ _ --- mites, _ Contact Peron __ TeephOne _ . Organuation _ . _ - —Aoess ContaCt Person . teephore _ _ _ _ _ - - --- -- aCTI0N_ I- Occupational License InlOarlatiOn Oa( X I WA OWxrpaberlat Lgense Issuer errT - Education IntorrnatiOn IX I WA ____-_ aA011 -Vehicle. Trailer. Vessel. Etc. 1 1 WA E Desenpton (YWrilafteMedelColor Scher.) _VEHIC SON fl MOPS ROW ____ VIII% __________ _ Permanent:Red-lent Locabon olVersele mrenei commorsaWns ard postwgs. and sooal Mere& IdeOlifierS 1 IAA Dates Etched Address _ _ — -- - - FORM NOT COMPLETE - TURN PAGE OVER TO CONTINUE YOOYSOR.1 tesgnatonsm monners SECTION L- Offense Information VICTIM I i Afar: 1. Al klit,, i , Ac-q.s7nNJ m Reason of Ward) EW.Lat.. ' of Eonyttkon Cade-owl No AG No DR at Coneelen Peen. Cornmateq Sven or. ..xi 06002008. PROCURING A MINOR Fr.1$ t F_LDWDA - .. _ FOR PROSTITUTION _ _._ .... ._ . , . Are You Registered as a Sex Offender in !mother State. f IND( X I YES If YES, which state: - NEW YORK and at what LEVEL in gClI0NM- PLEASE READ CAREFULLY BEFORE SIGNING Asa Sexual °gender ate to VI C § 1121. I 731)lou are r ' Wtw tree (31 business days of mown; 0 ugstfaxin current in earn ,Lnseicson in %Oct, nonCOmpernatedand mothkerachnles, ar In the event Fete n a change in your name I., ip.:, - internal ideMifiers. sou are rewired to appear r, prxan m change. 3 In Me event that you moveoulsdeof the Unreel States ;Nun bebre you leave and )eke must also regime, in your new state has a regotralon reomement 4 In me event Tat sou are Irmetrg outsdeol Me Drgn ltiands to your departure and PcOnde your tract deSICtalcn dates telephone rrrennatton and purpose of Part; 5 Depenleg on the type el sex dense tor *Mien ,cu ra.e trfer. -.. .......- . . :r a ,—. .r., -du np , oft.. ',Mon. vehicle mforrnatron, or re ono/Dien, of Jualia not lace than three 131 working days after such islands you rUS". register your new address will the Department of AISIC. not later than three (3) business days after arrival there it your new state your are to reoured td appear in Person at tIe DePrvImont oF JosbIe PhD, of travel piaces of arr.xal and deArture tnerary details. address Nita, cc.' :rt..: ra :: , r...4....0.1 T ar0cm ,0 person at me Deparyent Cr fn • br. . C, ',ex .0crudr.lok. when necessary ;Ctry tat:. 0,..., :0.0 ., r ..... ,eurrui to aceem on person al the Department .... a 0.0root cr0tDraot when heceSSary, la a perod ..' for larldm to regster or update your regisyaton pursuant to by a line not less than $3,000 nor more than $5,000, or more than two years. Or both: and by up to 10 years of imprisonment. Me 'Sexual Offender Registralron and hookah:in Act %SORRA), ai and keep tee' regmluton current n each ,U, SOCIPOI where he a She r YOU TO CRIMINAL PROSECUTION DATE: 03/125/2020 . Justice to Ven't )0V irkerratcn and ( I every three ill months I I entry six !6) months I 6 DeremInq on me type of sex offense tar wit, ex. doo, 1,-..... AFDC* T venly )0.,)! irforirasor ant to Urn I 115 years i ) 2Syears ( I for Me. 7 Fate to comply arm thew obigatons subjects )VU D prosecute, a Virgin Islands Code, Title 14, Section 1730, punishable imprisonment for not less than three months nor b. Federal Law, IS U.S.C. Section 2250, punishable Be Reminded That under Teeter To Idarn WalSh Act erelled indroduais onnvcted at a sox offer4e at reoa red 10 register recces rs an emolnyee and is a sf.cem FAILURE TO DO SO MAY SUBJEC YOUR NEXT REGISTRATION Registrant: I acknowledge the above requirements as set loan hare been ex/Anne:I I e i di l , Witness: I eervy that I speohcaty informed tne offender of hiS met lutes as sel atone and he indicated at T nd e an u erstan6ng of those' oes CINti I1 7 59u ci "WV rte . Pnney SO" OIRred, Dee t 4 P.n. far* ?...ric..E2_ put Name S1004,10a.1 VIRGIN ISI.ANS DEPARTMENT OF JUSTICE OFFICE OF THE ATTORNEY GENERAL VIRGIN ISLANDS SEXUAL OFFENDER REGISTRY Notification of Duty to Report 'I rat el Name of recipient jeffreki S. es \-ct n On this 154" day of MM. 2019 . I have been advised, and I understand, Travel to US Jurisdictions I. That pursuant to Chapter 86, Section 1724 (6)(1) in the event of a change in temporary lodging. I am required to inform the Virgin Islands Department of Justice, in person, of any changes to my temporary lodging information and shall notify the jurisdiction in which I will be temporarily staying. ityals 2. That "temporary lodging" refers to a place where I abide, lodge. or reside, including, but not limited to vacation, business, or personal travel destinations outside of the U.S. Virgin Islands. ot Initials International Travel I. That pursuant to Chapter 86. Section 1724 (b) (4)1 ant required to appear in person at the Virgin Islands Department of Justice at least twenty one (21) calendar days prior to any intended traxcl outside of the United States information and provide pertinent travel 2. If a reduction in the 2Iday notice requirement is requested I must submit infommtion in support of the request for appros al at the dismount of. the Department of Justice L t " Initials Required Information for Travel I That when I appear in person to inform the Department of Justice of my intent to Travel. I must provide the following information. i. Destination ii. Dates of travel iii. Places of anival and departure iv. Itinerary details v. Addressor, in lieu. telephone contact information Vi. Purpose of travel vii. Any other required information DOOPSOR-16 SDNY_GM_00168299 nitials EFTA01340981




