U.S. Department of Jusdce UNCLASSIFIED//FOR OFFICIAL USE ONLY / (Tinted States Marshals Service FORM USM-78 ARREST SHEET BIOGRAPHICAL INFORMATION Last name Maxwell DOB IMWDDIrl", Language English Race White UCN 'FBI NUMberl First name Ghislaine Subject address Country of birth State France Weight D= Sex 142 USMS Number FI D CASE INFORMATION Mother's country of birth France Female Hair color Eye color BLK BRO Alien number A000000000 Middle initial Suffix N Father's country of birth Czechia Height (Fen) Height (IMMO 5 7 SSN Court case number Warrant number OFFICE 20 CR Arresting agent last name 330 MISC Arresting agent first name Arrest location Arresting agent email address (must ux a r.o, ey SUBJECT INFORMATION Medical condition Coughing Coughing up blood Night sweats unexplained fever Unexplained weight loss Sealed case High profilecase Arresting agent phone Arresting agency ORI FBI Mental condition Thoughts of suicide Thoughts of hurting yourself Thoughts of hurting others Known someone who has committed suicide Experienced and recent loss of a family member or close friend Was/did the subject Drug usage in the past 24 Hrs. Assaultive on arrest? In possession of a weapon? Have martial arts training? Attempted to escape after arrest? Gang affiliations C Yes 6' No 0 Suspected Separatees CONFIDENTIALITY NOTICE: This report contains unclassified information of a sensitive, proprietary, health data or personally identifiable information (PII) which must be protected against release to unauthorized individuals and is the property of the U.S. Marshals Service. All emails, including all attachments, containing Pll must be encrypted. Neither it nor its content may be disseminated outside the agency or personnel to which loaned without prior U.S. Marshals Service Authority. It is to be maintained, distributed, secured and disposed of in a manner that will protect the information against unauthorized disclosure and in accordance with The Privacy Act of 1974, 5 USC § 552a. PAGE I Oft0f1 UNCLASSIFIED//FOR OFFICIAL USE ONLY / qv:4).wo, FORM USM-78 EFTA01648975
U.S. Department of Justice United States Marshals Service UNCLASSIFIED//FO0O / FORM USM-78 ARREST SHEET ARREST INFORMATION Arrest date piwouvv, 07/02/2020 Was the subject housed in a jail or medical facility? Subject had property on arrest OJail O Medical ONO Ores O No 0 No, property retained by arresting agent If answered jail or medical facility, fill the designated fields below: Facility name Facility address Admit Date Release Date NCIC Offense Code Remarks Enticement of Minor for Prostitution - 6409 Conspiracy NCIC Offense Code Remarks Enticement of Minor for Prostitution - 6409 NCIC Offense Code Transport Interstate for Sexual Activity - 3622 NCIC Offense Code Transport Interstate for Sexual Activity - 3622 NCIC Offense Code Perjury - 5003 NCIC Offense Code NCIC Offense Code NCIC Offense Code NCIC Offense Code IMPORTANT: Prisoner IS NOT in USMS custody until remardcc Dy the Magistrate Judge. THE U.S. MARSHAL SERVICE DOES NOT ACCEPTANT PERSONAL PROPERTY. DISTRICT OFFICE NH CONCORD Remarks Transportation of minors Remarks Conspiracy to transport Remarks Remarks Remarks Remarks Remarks SUBMIT FORM CLEAR FORM FRCS 2 OUTO1 UN C LASSI Fl ED//FO UO / KY WWII; FAIDOSIDDOXOSSOtE it FORM USM-78 EFTA01648976
