Inmate Investigative Report Institution: New York MCC Case Number: NYM-19-0061 Investigation Type: Investigative / Threat Assessment Inmates Involved: Register Number Name Role EPSTEIN, JEFFREY Not Known TARTAGLIONE, NICHOLAS Not Known Staff Involved: Name "No information was found for the given criteria." Others Involved: Name "No information was found for the given criteria." Title Title ; U.S. Deparl ent of Justice Federal Su au of Prisons Investigator: Date: 8/1/2019 5:06:24 AM CST Captain: Date: 82!101910:06:35 AM CST Associate Warden: Date: 82201910:32:28 AM CST Warden: Date: 82201911:34:41 AM CST SBU - Sensitive But Unclassified Page 1 of 5 FOIA Exempt EFTA00019348

Summary: On July 23, 2019 at approximately 1:27 a.m., while making routine rounds inside the Special Housing Unit, staff observed inmate Epstein, Jeffrey Reg. No. MOM lying in the fetal position on the floor with a homemade fashioned noose around his neck. Inmate Epstein was breathing heavily, however appeared to be responsive. Inmate Epstein was directed by staff to stand and submit to restraints. Inmate Epstein would not stand on his own and would not comply with staff directives. Staff entered the cell and placed inmate Epstein in both hand and leg restraints. Inmate Epstein was searched, metal detected, placed on a gurney and escorted from the scene without further incident. Inmate Epstein was photographed, medically examined and determined to have sustained a circular line of erythema at the base of the neck and friction marks on the front of neck, and small 2cm erthema on left knee. Inmate Epstein was placed on suicide watch with all necessary notifications made. There were no staff injuries reported. Inmate Data: r. Name: Role: Not Known Security Level: UNASSG Facility Arrival Date: 7/7/2019 Charges: Description No Charges Found STGs: HISTORY OF COMMITTING Name: Role: Not Known Security Level: UNASSG Facility Arrival Date: 1/23/2018 Charges: Description - EPSTEIN, JEFFREY No Charges Found STGs: EX LAW ENFORCEMENT POSTED PICTURE CARD FILE Victim Statements: **No information was found for the given criteria.** Assailant Statements: **No information was found for the given criteria.** Age: 66 Race: WHITE Custody Level: IN Projected Release Date: Sentencing District CIMs: No CIMs Found - TARTAGLIONE, NICHOLAS Age: 51 Race: WHITE Custody Level: IN Projected Release Date: Sentencing District CIMs: SEPARATION SBU - Sensitive But Unclassified Page 2 of 5 FOIA Exempt EFTA00019349

Other Statements: Date: 7/31/2019 9:00 AM Interviewer: Interviewee: - EPSTEIN, JEFFREY Location: Receiving And Discharge Title: LIEUTENANT On July 31, 2019, at approximately 9:10 AM., inmate Epstein, Jeffrey; Reg. No. was interviewed the Receiving and Discharge Area. During the interview Epstein stated he did not have any sleep in approximately twenty d and he was extremely tired the night he was found on the floor. Epstein stated he got up off his bed at approximately 1:3O .M.. to get a drink of water, and all he can recall is being on the floor and hearing someone snorin that's when he realized the ng was coming from him. Epstein alleged that his cell mate Tartaglione, Nicholas; Reg. No. was on the floor sleepi g at the time. Epstein stated he has never had any Issues with Tartaglione, he is not three one y artaglione. and he do not want to make up something that isn't there. Additionally, Epstein stated he can recall an incident that occurred two days prior whOn Tartaglione went out to court and when Tartaglione returned he was upset. Epstein stated he attempted to talk to Tartaglione and Tartaglione called him a pedophile. Epstein also stated he knew Tartaglione was upset and he let him cool off. Epstein stated he does not have any issues with Tartaglione and he feels safe being housed with Tartaglione. Epstein stated he does not feel suicidal, he has a new cell mate whom he gets along with, and he is able to sleep now that he has his C-Pap machine. Epstein stated if he remembered anymore details he would reach out to staff or Psychology. Date: 7/31/2019 10:00 AM Location: SHU All Other Interviewer: Title: LIEUTENANT Interviewee: - TARTAGLIONE, NICHOLAS On July 31, 2019, at approximately 10:00 A.M., inmate Tartaglione, Nicholas; Reg. No. was inte ed in the Special Housing Unit. During the interview Tartaglione stated he was asleep on the floor insi is cell, his lead was covered with a sheet, and he had his headphones in his ear when he felt something hit his foot. Tartaglione stated when he uncovered his head he observed Epstein, Jeffrey; Reg. No. sitting on the floor in the corner with his eyes open. Tartaglione stated he began to call Epstein's name and when Eps e n i not answer he began to bang on the door for the officer. Tartaglione stated he thought Epstein was having a heart attack because his eyes was open and he appeared to be snoring. Tartaglione stated he does not have any issues being housed with Epstein although he keeps his conversation to a minimal. Tartaglione stated he does not understand Epstein's motive and what he Is trying to do. Tartaglione stated previously during one of their conversations Epstein made him uncomfortable when Epstein stated' fourteen (14) is legal in most states and I don't understand what's the problem here. Additionally, Tartaglione stated Epstein normally paces the cell and complains about his attorney's not doing their Job and he needs to fire them. Tartaglione stated he does not have any issues being housed with Epstein however he does not want to be involved with any plots Epstein have in mind in order to try to get released. Factual Findings: "No item information was found for the given criteria." SBU - Sensitive But Unclassified Page 3 of 5 I FOIA Exempt EFTA00019350

Type Subtype File Name Original Entered By Inmate Discipline Administrative Detention Order ADO.pdf TF18813 Detention Order dated July 10, 2019, placing Epstein, Jeffrey; Reg. No. , in Administrative Detention pending classification. Inmate Discipline Incident Report INMATE EPSTEIN TF18813 IR.pdf On July 23, 2019, staff wrote Epstein an incident report for code 228- Self Mutilation. Medical Inmate Assessments MEDICAL TF18813 ASSESSMENT.pdf SW , 2019, a medical assessment was conducted on Inmate Epstein, Jeffrey; Reg. No. , by MLP. During the assessment Epstein was identified with a circular line of erythema a I lse of his neck rea ing 2/3 of the neck circumference, 2 inches wide, sparing the back of the neck. Additiona ly, one section of this erythema In the front has marks of friction, and Epstein was observed with a small erythema on the left knee about 2cm in diameter(mild). During the assessment Epstein denied any respiratory problems and Epstein denied any pain or discomfort. Statements & Written Operation's Lieutenant OPS LT MEMO.pdf TF18813 Memorandums On July 23, 2019, at approximately 1:27 A.M., the Operations Lieutenant submitted a memorandum which indicated the Control Center Officer requested assistance in the S ' IHousing Unit Upon enterin the Special Housing Unit staff made notification that Epstein, Jeffrey; Reg. No. , was observed laying in a fetal position on the floor. Epstein was removed from the Special Housing Unit and escorted to the Health Services Area. Medical Inmate Assessments TARTAGLIONE TF14688 MEDICAL.pdf 1 2019, a medical assessment was conducted on inmate Tartaglione, Nicholas; Reg. No. 7W es , by Ita S . , PA-C. During the assessment Tartaglione was not identified with any injuries by Health Photographs Contraband PHOTOGRAPH OF TF14688 HOMEMADE ROPE.pdf PHOTOGRAPH OF HOMEMADE ROPE ECN#NYM-19-0147 Evidence Control Chain Of Custody CHAIN OF TF14688 CUSTODY.pdf CHAIN OF CUSTODY FORM Conclusion: No. On July 23, 2019 at approximately 1:27 a.m. w i king routine rounds inside the Special Housin Unit, staff observed inmate Epstein, Jeffrey Reg. No. , lying in the fetal position on the floor with a memade fashioned noose around his neck. Inmate pstein was breathing heavily, however Epstein appea to be responsive. Inmate Epstein was directed by staff to stand and submit to restraints. Inmate Epstein uld not stand on his own and would not comply with staff directives. Staff entered the cell and placed inmate Epst in in both hand and leg restraints. Inmate Epstein was searched, metal detected, placed on a gumey and escorted om the scene without further incident. Inmate Epstein was photographed, medically examined and determined to ave sustained a circular line of erythema at the base of the neck and friction marks on the front of neck, and small 2 erythema on left knee. Inmate Epstein was placed on suicide watch with II necessary notifications made. On Ju 31, 2019, at approximately 9:10 A.M., inmate Epstein, Jeffrey; Reg. No. , was interviewed in the Rece ving and Discharge Area by SIS Staff. During the interview Epstein s e e id not have any sleep in appro imately twenty days and he was extremely tired the night he was found on the floor. Epstein stated he got up off hi bed at approximately 1:30 A.M., to get a drink of water, and all he can recall is being on the floor and heart g someone snoring that's when reali the snoring was coming from him. Epstein alleged that his cell mate artaglione, Nicholas; Reg. No. , was on the floor sleeping at the time. Epstein stated he have never ad any issues with Tartaglione, he is not t reatened by Tartaglione, and he do not want to make up something tha isn't there. Additionally, Epstein stated he can recall an incident that occurred two days prior when Tartaglione ent out to court and when Tartaglione returned he was upset. Epstein stated he attempted to talk to Tartaglione and Tartaglione SBU - Sensitive But Unclassified Page 4 of 5 FOIA Exempt EFTA00019351

called him a pedophile. Epbtein also stated he knew Tartaglione was upset and he let him cool off. stein stated he does not have any issues with Tartaglione and he feels safe being housed with Tartaglione. Epstein stated he does not feel suicidal, he has a new cell mate, and he is able to sleep now that he has his C-Pap machln . Epstein stated if he remembered anymore details he would reach out to staff or Psychology. interviewed by SIS Staff in the Special Housing Unit. During the interview Tartaglione stalin'asleep on the On July 31, 2019, at approximately 10:00 A.M., inmate Tartaglione, Nicholas; Reg. No. was also floor inside of his cell, his head was covered with a sheet, and he had his headphones in his ear when he left hit his foot Tartaglione stated when he uncovered his head he observed Epstein, Jeffrey Reg. No. sitting on the floor in the corner with his eyes open. Tartaglione stated he began to call Epstein's name and when Epstein did not answer he began to bang on the door for the officer. Tartaglione stated he thought Epstein was having a heart attack because his eyes was open and he appeared to be snoring. Tartaglione stated he does not have any issues being housed with Epstein although he keeps his conversation to a minimal. Tartaglione stated he does not understand Epstein's motive and what he is trying to do but previously during one of their conversations Epstein made him uncomfortable when Epstein stated " fourteen (14) is legal in most states and I don't understand what's the problem here°. Additionally, Tartaglione stated Epstein normally paces the cell arid complains about his attorney's not doing their job and he needs to fire them. Tartaglione stated he does not have any issixits being housed with Epstein however he does not want to be involved with any plots Epstein may have in mind in order to try to get released. As a result of a threat assessment being conducted a medical assessment was onducted on inmate Tartaglione and Tartaglione was not identified with any Injuries. Based on the information retleived throughout the course of the investigation there is insufficient evidence to support Epstein was assaulted by Tartaglione. Additionally, based on the fact that during the interview with SIS staff Epstein indicated that he does not feel threatened by Tartaglione, and he has a new cell mate whom he get along with it cannot be determined that Epstein safety is in jeopardy at MCC New York. Recommendation: Based on the information received and the fact thatateigeffrey; Reg. No. indicated that he does not feel threatened by Tartaglione, Nicholas; Reg. No. there are no CIMment of Separations warranted at this time. CIMS Separation Warranted: No SBU - Sensitive But Unclassified Page 6 of 6 FOIA Exempt EFTA00019352

METROPOLITAN CORRECTIONAL CENTER NEW YORK JEFFREY, EPSTEIN REG. NO. 583 REPORT OF INCIDENT NYM-19-0076 EFTA00019353

Form 583 Report of Incident Incident NYM-19- Submitted By: C076 Date/Time Of Incident 7/23/2019 127 AM Section 1: General Information Staff Aware Date: 7/23/2019 1:27 AM FBI Notified: No USMS Notified: Location Level 1: SHU Type•Ot Incident K Assault On Inmate K Assault On Staff K Assault, Attempted On Inmate K Assault, Attempted On Staff K Disruptive Behavior K Escape From Non-secure Facility K Escape From Secure Facility K Escape, Attempted From Non-secure Facility K Escape, Attempted From Secure Facility K Fight K Inmate Death K Institution Disturbance K Introduction Of Contraband K Lethal Weapons Discharge K Self Mutilation K Setting A Fire K Sexual Act, Non-consensual On Inmate K Sexual Assault On Staff K Sexual Contact, Abusive On Inmate K Sexual Harassment. Repetitive K Staff Homicide K Strike, Food K Strike. Work El Suicide Attempt K Use Of Force K Use Of Force/Applications Of Restraints K Use of Restraints, PregnanVPostpartum Method: Hanging/Asphyxiation No Indicate Where Incident Occurred: Main Facility Level 2: Housing Unit, Special (SHU) Level 3: 9 SOUTH SHU Institution Locked Down: No Modified Operations: No Cause Of Incident Known? No Cause Of Incident K Alcohol K Commissary K Debts K Disrespect Issue • Drugs K Ethnic Conflict K Food Issue K Geographical Conflict K Interfering with Staff duties K Property Issue K Racial Conflict K Recreation Equipment K Religious Issue K Security Threat Group Conflict K Sexual Pressure K Sporting Events K Telephone K Theft K Visiting K Work Issue Section 2: Inmates Involved UNCLASSIFIED/LIMITED OFFICIAL USE ONLY/LAW ENFORCEMENT SENSITIVE This document is marked Unclassified/Limited Official Use Only/Law Enforcement Sensitive and may be disseminated, with proper attribution, to active Law Enforcement, DOD. or U.S. Intelligence Agencies. This document or any segment/attachment thereof. may not be released without the approval of the Bureau of Prisons to any media sources, any non-law enforcement entity, the general public or those without a 'need to know.' It contains Information that may be exempt from public release under the provisions of the Privacy Act (5 U.S.C. 552). 1 of 3 EFTA00019354

Form 583 Report of Incident Incident #: NYM-19- 0076 Submitted By: Date/Time Of Incident: 7/23/2019 1: AM Reg Si: Role: Victim Weapon (per inmate): CIMS: No Restraints (per inmate) Death (per inmate): Reg Role: Not Known Weapon (per Inmate): CIMS: Yes Name: EPSTEIN, JEFFREY Medical Attention Required: No No Use of Force (per inmate): No Chemical Used (per inmate): No STG: Yes : Escort Only No Name: TARTAGLIONE, NICHOLAS Medical Attention Required: No No Use of Force (per inmate): No STG: Yes Restraints (per inmate): No Death (per inmate): No Injury Category: Minor Injury Injury Category: No Injury Chemical Used (per inmate): No Name: Medical Attention Required: No Injury Category: No Injury Sexual Assault: No Name: M, Medical Attention Required: No Injury Category: No Injury Sexual Assault: No Name: M . Medical Attention Required: No Injury Category: No Injury Sexual Assault No Name: Medical Attention Required: No Injury Category: No Injury Sexual Assault: No Name: M. Medical Attention Required: No Injury Category: No Injury Sexual Assault: No Name: Medical Attention Required: No Death: No Section 3: Others Involved Person Type: Staff Death: No Staff Injury by Inmate: No Person Type: Staff Death: No Staff Injury by Inmate: No Person Type: Staff Death: No Staff Injury by Inmate: No Person Type: Staff Death: No Staff Injury by Inmate: No Person Type: Staff Death: No Staff Injury by Inmate: No Person Type: Staff UNCLASSIFIED/LIMITED OFFICIAL USE ONLY/LAW ENFORCEMENT SENSITIVE This document is marked UnclassreedlUmbed Mier Use Only/Law Enforcement Sensrove and may be disseminated, with proper attribution. to active Law Enforcement DOD, or U.S. Intelligence Agencies. This document, or any segment/attachment thereof., may not be released without the approval of the Bureau of Prisons to any media sources, any non-law enforcement entity. the general public or those without a *need to know." It contains information that may be exempt hom public release under the provisions of the Privacy Act (5 U.S.C. 552). 2 of 3 EFTA00019355

Form 583 Report of Incident Incident it: NYM-19- Submitted By: Ir S N N D a c H C F. N Date/Time Of Incident: 7/23/2019 1:27 AM l$VIV ijury Category: No Injury Staff Injury by Inmate: No exual Assault: No Section 4: Lethal Weapon Discharge o data found. Section 5: Use of Force 0 data found. Section 6: Description of Incident ESCRIPTION OF INCIDENT (If Use Of Force, include details such as name of supervisor applying the the gent and/or restraints, reasons for use of hard restraints Instead of soft restraints, etc.) Please be clear a 3use(s) of the incident in your description. n July 23, 2019 at approx. 1:27 a.m., a call for assistance on the Special Housing Unit was announced by the enter. Upon my arrival I was inf n inmate had attempted suicide and proceeded to cell, Z05-124LAD nerved inmate Epstein, Jeffrey lying in the fetal position on the floor of his cell wearing a t-shirt and e was breathing heavily and was snoring. I called out to inmate Epstein and observed him flicker his eyes and losing. His neck was red with no abrasions. I observed no further injuries to his person. An attempt was made t e inmate to stand on his own with negative results. The inmate was placed in hand restraints and staff was dir itrieve the stretcher. As inmate Epstein was being placed on the stretcher by responding staff, he would open his id observe staff. When staff made eye contact with him, he would hurriedly shut his eyes. The inmate was taken A-Unit, dressed in the suicide smock and placed on suicide watch. pon the arrival of medical staff, inmate Epstein was examined and treated by, MLP for a circular line of ythema at the base of the neck, one section on the front with marks of friction and a sma erythema on his left ical out trot I xers. ntinue get ed to eyes to Section 7: Attachments le Date Fl .enterecitai 7:W a o data found. Approved By: NOT COMPLETED 4641. UNCLASSIF1ED/LJMITED OFFICIAL USE ONLY/LAW ENFORCEMENT SENSITIVE This document is marked Unclassified/LimIted Official Use Only/Law Enforcement Sensitive and may be disseminated, with proper attribution, to active Law Enforcement, DOD, or U.S. Intelligence Agencies. This document or any segment/attachment thereof., may not be released without the approval of the Bureau of Prisons to any media sources, any non-law enforcement entity, the general public or those without a 'need to know.' It contains information that may be exempt from public release under the provisions o the Privacy Act (5 U.S.C. 552). 3 of 3 EFTA00019356

MEMORANDUM FOR ALL CONCERNED FROM: SUBJECT: UNITE. TATES GOVERNMENT Memorandum FEDERAL BUREAU OF PRISONS Metropolitan Correctional Center 150 Park Row New York New York 10007 July 23, 2019 Operations Lieutenant Possible Suicide Attempt On July 23, 2019 at approx. 1:27 a.m., a call for assistance on the Special Housing Unit was announced by the Control Center. Upon my arrival I was informed that an inmate had attempted suicide and roceeded to cell, Z05-124LAD. I observed inmate Epstein, Jeffrey lying in the fetal position on the floor of his cell wearing a t-shirt and boxers. He was breathing heavily and was snoring. I called out to inmate Epstein and observed him flicker his eyes and continue snoring. His neck was red with no abrasions. I observed no further injuries to his person. An attempt was made to get the inmate to stand on his own with negative results. The inmate was placed in hand restraints and staff was directed to retrieve the stretcher. As inmate Epstein was being placed on the stretcher by responding staff, he would open his eyes and observe staff. When staff made eye contact with him, he would hurriedly shut his eyes. The inmate was taken to HA-Unit, dressed in the suicide smock and placed on suicide watch. While awaiting the arrival of an inmate companion, inmate Epstein sat on the edge of the bed and began moving forward as if he was attempting to fall over head first. When I looked away, he straightened up. As I turned to look at him again, he attempted the same act. I laid him down on the bed and directed him to cease his action or he would be placed in restraints for his safety. At that moment, he stated, "Okay, I won't do it again," and gave the thumbs up. Because of his unpredictable behavior, the decision was made to have a staff member observe inmate Epstein. I left HA-Unit in order to make staff notifications. Moments later, I spoke with Officer R who stated that inmate E stein was alert and had indicated that his cellmate, hone, Nicholas had attempted to kill him and had been harassing him. He stated that the inmate had indicated that he'd informed his attorney of this matter. I photographed and spoke with inmate Tartaglione, Nicholas who stated that he was asleep with his headphones on when he felt something ha his legs and said, "Jeff, what you're doing?" He didn't answer, so he got up, turned on the light and saw him with a string around his neck. He stated that he then called the guards and ASensitive Limited Official Use Only= EFTA00019357

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they ran down. Upon fi....rier questioning, inmate Tartaglione ..sated that he sleeps on the bottom bunk, but gave it to inmate Epstein because he's old. He stated that he sleeps on the floor on a mattress. He stated that when he got up, he couldn't remember if he sat up or stood up to check on Epstein. He stated that Epstein was sitting on the floor leaning to the side with his eyes opened, but wasn't responding. He stated that the last time he saw him he was snoring really loud. Inmate Epstein stated that he came in from a legal visit at approx. 8:00PM and staff handed him a copy of the Daily News. "Nick" was on the floor reading the Daily News. He stated that he had given it to him. He stated that Tartaglione mentioned that he'd been in court all day in Westchester and was carrying on. At that point, inmate Tartaglione paused as if he was making the story up as he went along, and stated that Tartaglione stated, "These fucking niggers. This place is inhumane, I wish I could report it. I ), that nigger hobbit mother fucker." He then turned to a page in the Daily News that had his picture on it and stated that Epstein was worth seventy seven million dollars. Epstein stated that he took his picture, balled it up and threw it in the garbage. I asked inmate Epstein what happened prior to staffs arrival. He stated that at approx. 1:00 AM, he'd gotten up to get a drink of water, as he gets up every thirty minutes. He remember walking back to his bunk and waking up with staff there in his cell. I asked if he'd waken up and seen staff, why didn't he respond when we were calling out to him? He stated that he only remembered hearing himself making a noise like snoring. When asked about the allegations against his cellmate, he stated that he was told, if he hurt him, staff wouldn't care. Duty medical, Dr. was notified and briefed. It was determined no further medical attention was needed. A medical assessment was not conducted at the time of this incident, due to the fact, there was no medical staff available after 10:00 PM. witill U on the arrival of medical staff, inmate Epstein was examined and treated by, MLPI. for a circular line of erythema at the base of the neck, one section on the front marks of friction and a small erythema on his left knee. ASensitive Limited Official Use Oita' EFTA00019359

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UNITED STATES GOVERNMENT MEMORANDUM DATE: 07 TO: Ops FROM: SUBJECT: Suicide Attempt Inmate Metropolitan Correctional Center, New York, New York On the above date at approx. I:27am While working in the Special Housing Unit Myself d S/O heard noise coming from the M tier Cell 124. Upon arrival inmate Epstein's cell mate (Urn Tartaglione a) was at the door stating I/M Epstein had attempted to hang himself. I kept a visual while Officer grabbed door keys and..or assistance. After securing UM Tartaglione and removing him from the cell, I entered then placed UM Epstein on his side and removed an orange homemade rope from his neck. I/M was breathing at this time, But unresponsive. As I began chest compressions addition staff and Ops Lt arrived, I/M was then removed from the Special Housing Unit without further incident. EFTA00019361

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UNITED STATES GOVERNMENT MEMORANDUM Metropolitan Correctional Center, New York, New York DATE: July 23, 2 TO: Operations Lieytett nt, LT PROM: OM Senior Officer iserZiltr — SUBJECT: Inmate Epstein reg#' On July 23, 2019 at approximately 1:27 AM while assigned to the Special Housing Unit, myselfand Senior Officer Specialist heard some noises coming from M Tier. Upon checking cell Z05-124 I observed inmate Epstein reg# laying down near his bunk with what appeared to be a piece of handmade orange cloth around his neck. I immediately called Control Center for staff assistance. Officer kept a visual of inmate Epstein while I proceeded to retrieve the door keys and the cutter from the main cabinet located in the MM. Officer applied restraints to his cell mate inmate Tartaglione reef I secured inmate Tartaglione inside the bathroom while Officer provided assistance to inmate Epstein. When additional staffarrived inmate Epstein was removed from his cell without further incident. EFTA00019363

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UNITED STATES GOVERNMENT MEMORANDUM CM, TO: FROM: SUBJECT: Metropolitan Correctional Center, New York, New York July 23, 2019 On July 23, 2019 at approximately 1:27, I, S.O.S responded to a body alarm on the S ecial Housing Unit. While the 9-South officer was conducted rounds inmate Epstein, Jeffrey was found in his cell with nd his neck and appeared to be unresponsive. I assisted with taking inmate Epstein Mfrom his cell and putting him on a stretcher. The inmate was taken to the second floor and placed on suicide watch, where he was monitored by staff. Moments afterwards, inmate Epstein became responsive. While observing inmate Epstein he sat u on the bed and began telling me that he think his Bunkie, Tartaglione, Nicholas tried to kill him. Inmate Epstein also stated that his Bunkie also tried to extort money from him and stated that if he didn't pay hint that he would beat him up. He stated that this has been going on for a week. I asked inmate Epstein if he told staff about this and he told me no, that he'd only told his lawyer. He went on to say that his Bunkie told him that if he beat him up, because of his charges, the officers would not report it and because of this he was not comfortable telling the officers about the prolong threats and alleged attempts to extort him. I immediately reported this to the lieutenant. EFTA00019365

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UNITED STATES GOVERNMENT MEMORANDUM Metropolitan Correctional Center, New York, New York DATE: July 23 TO: FROM: SUBJECT: Epstein, Jeffrey ations Lieutenant At approximately 1:27AM, I responded to a radio transmission asking for staff assistance on 9 South (Special Housing Unit). Once I was granted access to said unit I made my way to the location (M Tier) in which the disturbance stemmed from. I was told by Officer W. that Epstein, Jeffrey I/M# has attempted to han himself. Upon arrival to cell number 124 in which lie was housed, I noticed J. Epstein I/M# on the floor and Officer J. placing restraints on him. Officer D. , Lt. and I entered said cell attempting to assist in said process. Now that I am inside of the cell I notice that J. Epstein I/M# was snoring on the floor of his cell, lie appeared to be asleep. We made several verbal commands for him to wake up and attempted to get him to his feet but they were all unsuccessful. After said attempts Lt. asked for a stretcher to be retrieve to safely remove him out of his cell. Once the stretcher arrived, Officer D. , Officer J. and I lifted J. Epstein UM# off the floor and placed him on the stretcher. Once we secured him safely on the stretcher, Officer D. and I lifted J. Epstein UM# who is now on the stretcher safely out of ? South (Special Housing Unit) and into the awaiting elevator. EFTA00019367

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UNITEL 'TATES GOVERNMENT Memorandum FEDERAL BUREAU OF PRISONS Metropolitan Correctional Center 150 Park Row MEMORANDUM FOR ALL CONCERNED FROM: SUBJECT: July 23, 2019 , Material Handler Supervis Possible Suicide Attempt on, On July 23, 2019 at approx. 1:27 a.m., the Control Center announced a call for assistance on th pecial Housing Unit. Upon my arrival to 9-South, UM Epstein, Jeffrey was lying on the floor of his cell handcuffed. I assisted with carrying inmate pstein to HA-Unit on a stretcher, where he was dressed in a suicide smock and placed on Suicide Watch observation with staff. ASensitive Limited Official Use Only= EFTA00019369

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MCC NEW YORK NEW YORK, NY Daily Assignment Roster 6 07:00 - 15:00 Post Split Shift 2 00:00 • 08:00 3 06:00 - 14:00 8 08:00 - 16:00 Tuesday July 23, 2019 Pago 1 9 12:00 - 20:00 10 14:00 - 22:00 12 16:00 -00:00 CAPTAIN CAPTAIN SEC OPS LT ACT LT AOMIN LT SHU LT SIS LT SIS LT #2 SIA SIS TECH #1 SIS TECH #2 PHONE MONITOR SEC OFFICER #1 SEC OFFICER #2 TOOL ROOM SEARCH OFFICER 2 SALLY OFF 3 SALLY OFF LOBBY CONTROL #1 CONTROL #2 INTERNAL INTERNAL #2 ATTY CONF UNIT 2 UNIT 3 5 NORTH 5 SOUTH 7 NORTH 7 SOUTH 9 NORTH SHU #1 SHU #2 SHU #3 SHU #4 10 SOUTH #1 10 SOUTH #2 7/23/2019 7:02:27 AM EFTA00019371

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Tuesday July 23, 2019 Page 2 REC OFFICER a1 REC OFFICER #2 11 NORTH 11 SOUTH 11 SOUTH #2 REAR GATE VISIT 01 VISIT #2 VISIT #3 ""Special Assignments•"' EPO OFFICE ESCORT OFF #1 ESCORT OFF #2 LOBBY #2 PHONE RM 9 <unassigned> TOWN DRIVER SUICIDE WATCH 8 <unassigned 12 <unassigned> ""Back Page Categories"" DAY OFF ANNUAL LEAVE LWOP LWOP(M) AWOL SUSPENSION Mewled& c OFFICIAL TIME Covington, T 7/23/2019 7:02:34 AM EFTA00019373

Tuesday July 23, 2019 Pago 3 COP IF TRAINING —"Change Records"" Post Relieved Officers RoHaving Officers Spit Shft Officer Now Status Relieving Officer Previous Status Ret Shft Changed By TOOL ROOM 6 ICS 711413:31 [Sick / Annual] KO 7/14 13:52 CONTROL d2 Ka 7/18 07:54 (sp)PHONE RM 2 8 " 7/18 07:54 SHU 11 8 7/18 09:22 INTERNAL 8 7/18 09:29 INTERNAL 8 KS 7/1812:07 UNIT 3 Rf/ 7/17 15:58 OT/CT Start End OT ATTY CONE 7 SOUTH SHU LT 10 LWOP 5 SOUTH rinse/led NCSI INTERNAL 2 10 SOUTH #2 10 ACT LT 10 SHU #2 VISIT #2 RW 7/18 08 00 OT/CT Start End 07 RV/7/18 10.11 OT/CT Start End CT KS 7/18 10:19 7/18 11:35 RW 7/1812:10 OT/CT Start End EIT RW 7/19 10 19 RV/ 7/19 10:19 RW 7/19 12:15 OT/CT Start End OT JD 7/21 14:10 OT/CT Stott End OT RW 7/220821 07/CT BMW End 01 RW 722 0826 OT/CT Start End 7/23/2019 7:02:35 AM EFTA00019374

Tuesdsy July 23, 2019 Page 4 Post Splt Stift Officer MIT 82 9 [Ska / Annua!' 7 NORTH 11 NORTH (sp)PHONE RM 2 SHU 81 gnserted NCSJ SHU SHU SHU 81 SHU 82 7 NORTH gikk /Annua!) 9 NORTH 11 NORTH 5 NORTH 8 INTERNAL 7 NORTH VISIT 82 5 NORTH Relleved Opkels RellevIng Officers Ret , New Status Rekning Officer Prwlous Status Shfl Changod Sy Y Y RW 7/22 08:27 RW 7/22 0827 RW 7/22 08:34 OT/CT Start End OT RW 7/22 0845 OT/CT Start End OT Ks 7/22 09:05 Y RW 7/22 09:20 T/CT Start End OT 7/22 0939 F'W 7/22 0939 Y RW 7/22 moe OT/CT Start End OT RW 72210:19 Y RW 7/22 1019 OT/CT Start End OT RW 7/22 10:43 Wiig 7/22 10:43 Y RW 722 11:04 Over Stad End OT MV 7/22 14:34 72214:37 Y RW 7/22 14:45 OT/CT Start End CT RV'/ 7/22 14:58 OT/CT Start End Rik 7/22 15:28 OT/CT Stad End OT Y MR 7/2218:12 /CT Start End OT 7/23/2019 7:02:35 AM EFTA00019375

Tuesday July 23, 2019 Page 5 Post Spit Stift Officer 11 SOUTH 2 INTERNAL SHU 112 Relieved Officers New Status Relieving Officers Ret Relieving Officer Previous Status Shft Changed By iJ 7/22 1921 O7/CT Stott End OT 12 in2 1922 2 7/22 21:14 [Sick / Annual) SHU 02 7/22 21:14 2 Y 7/22 21:14 5 SOUTH POT T/CT Start End 2 r 7/22 22:08 [Sick Annuag CIA 7/22 22:08 5 SOUTH 2 Y CIA 7/22 22:12 1 T/CT Start End T [Inserted NCSJ 7/23 04:30 (sp)Strickle Watch 2 GA 7/23 04:31 (sp)Suidde Watch INTERNAL GA 7/23 04:31 OT/CT Start End OT 01:30 08:00 GA 7/23 04:32 dT/CT Start End OT 00:00 01:30 11 SOUTH 8 GA 7/23 05:05 ""Recapitulation"" Morning Watch 8 AM Watch 7 Day Watch 23 PM Watch 6 Evening Watch 17 "Back Page Categories" Sick Leave 4 Day Off 20 Annual Leave 7 LWOP 1 LWOP(M) 4 AWOL 9 SUSPENSION 1 OFFICIAL TIME 1 COP 2 IF TRAINING 3 Total Correctional Svcs. Staff: 113 Non Correctional Svcs. Staff: 2 Overtime Occurrences: 18 Comptime Occurrences: 1 Ops Li Evening Watch Signature: Captain's Signature: 7/23/2019 7.02:36 AM EFTA00019376

Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN. JEFFREY EDWARD Reg #: Date of Birth: Sex: M Race: WHITE Facility: NYM Encounter Date: 07/23/2019 06:20 Provider: MLP Unit: H01 Injury Assessment - Non-work related encounter performed at Health Services. SUBJECTIVE: INJURY 1 Provider: MLP Date of Injury: 07/23/2019 01:27 Date Reported for Treatment: 07/23/2019 08:25 Work Related: No Work Assignment: UNASSG Pain Location: Pain Scale: 0 Pain Qualities: Where Did Injury Happen (Be specific as to location): Special Housing Unit Z05-Cell 124 L Cause of Injury (Inmate's Statement of how injury occurred): "I do not know. Just went to drink a little water and wake up snorting". Symptoms (as reported by inmate): 1,3 2 None OBJECTIVE: Temperature: Data Time Fahrenheit Celsius Location 07/23/2019 06:30 NYM 97.5 36.4 Oral provider MLP Pulse: Date Time Rate Per Minute Location alistthin provider 07/23/2019 06:30 92 Via Machine Regular MLP Respirations: Date Time Rate Per Minute provider 07/23/2019 06:30 NYM 16 MLP Blood Pressure: Date. Time Value Location position Cuff Size provider 07/23/2019 06:30 NYM 140/85 Right Arm Sitting Adult-regular MLP S3O2: Data Time Valuerki Air Provider 07/23/2019 06:30 NYM 96 Room Air MM. MLP Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Lethargic, Dyspneic, Appears in Pain, Pallor, Cyanotic. Diaphoretic. Disheveled. Generated 07/23/2019 09:05 by MLP Bureau of Prisons - NYM Page 1 of 2 EFTA00019377

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Inmate Name: EPSTEIN. JEFFREY EDWARD Reg ff: Date of Birth: Sex: M Race: WHITE Facility: NYM Encounter Date: 3/2019 06:20 Provider. MLP Unit: H01 Exam: Acutely III Pulmonary Auscultation Yes: Clear to Auscultation, Vesicular Breath Sounds Bilaterally No: Crackles. Rhonchi, Wheezing barn Comments Inmate for injury report as requested by Operational Lt. He is ambulatory, oriented x 3. to not apparent distress, smiling during this clinical encounter. Alleges, that he does not know what happened. Can not explain the marks on his neck. Responded: "I don't know". He does not want to talk of the events leading to the marks on his neck. He does not look in any distress or pain. Has an circular line of erythema at the base of the neck. Reaching 2/3 of the neck circumference, 2 inches wide, sparing the back of the neck. Has one section of this erythema in the front with marks of friction. No inflammation, no deformities, no hematomas. no lacerations, no tenderness. Patient moving his neck without any restriction. Denies having any pain or discomfort. Denies any respiratory problem. Has another small erythema on left knee about 2cm in diameter(mild). As per information from custody staff inmate Epstein was found in his cell with a rope around his neck and sitting on the floor. Inmate is currently placed on suicide watch. ASSESSMENT: Injury, unspecified, T1490 - Current - R/O self inflicted injuries. PLAN: Disposition: Follow-up at Sick Call as Needed Placed on Suicide Watch Follow-up in 24 Hours Other: For follow up with psychology service. Patient Education Topics: Date Initiated Format flandoutrrooic 07/23/2019 Counseling Access to Care 07/23/2019 Counseling Plan of Care Copay Required: No Cosign Required: Yes TelephoneNerbal Order: No Completed by . MLP on 07/23/2019 09:05 Requested to be cosigned by MD. Cosign documentation will be displayed on the following page. Provider Outcome Verbalizes Understanding Verbalizes Understanding ao° Generated 07/23/2019 09:05 by MB MLP Bureau of Prisons - NYM Page 2 of 2 EFTA00019379

Metropolitan Correctional Center New York N.Y. Photo Sheet Special Investigative Section L Type of Incident Date and Time of Incident Possible Suicide Attempt 07/23/19 —1:27 AM Inmate Name/Register Number Epstein, Jeffrey Location of Incident Photograph(s) by Special Housing Unit Date and Time of Photo 07/23/19 -1:45 AM /41) EFTA00019380

lemenetin's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Special Investigative Section Type of Incident Date and Time of Incident Inmate Name/Register Number Location of Incident Photograph(s) by Date and Time of Photo Possible Suicide Attempt 07/23719 i:27 AM Epstein, Jeffrey Special Housing Unit 07/23/19 -1:45 AM 0 -1') EFTA00019381

Metropolitan Correctional Center New York, N.Y. Photo Sheet Special Investigative Section Type of Incident Date and Time of Incident Inmate Name/Register Number Location of Incident Photograph(s) by Date and Time of Photo Possible Suicide Attempt 07/23/19 — 1:27 AM Epstein. Jeffrey Special Housing Unit MIMMI, Lieutenant 07/23/19 -1:45 AM EFTA00019382

Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Special investigative Section Type of Incident Possible Suicide Attempt Date and Time of Incident 07/23/19 — 1:27 AM Inmate Name/Register Number Location of Incident Photograph(s) by Date and Time of Photo Special Housing Unit Lieutenant 07/23/19 -1:45 AM EFTA00019383

Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Special Investigative Section Type of Incident Possible Suicide Attempt Date and Time of Incident Inmate Name/Register Number 07/23/19 - 1:27 AM Epstein, Jeffrey Location of Incident Photograph(s) by Special Housing Unit . Lieutenant Date and Time of Photo 07423/19 -1:45 AM EFTA00019384

Lieutenattr's Quiet Metropolitan Correctional Center New York, N.Y. Photo Sheet Special Investigative Section Type of Incident Date and Time of Incident Inmate Name/Register Number Location of Incident Photograph(s) by Date and Time of Photo Possible Suicide Attempt 07/23/19-1:27AM Special Housing OM 07/23/19 -1:45 AM EFTA00019385

Metropolitan Correctional Center New York, N.Y. Photo Sheet Special Investigative Section Type of Incident Date and Time of Incident Inmate Name/Register Number Location of Incident Photograph(s) by Possible Suicide Attempt Date and Time of Photo 07/23/19 — 1:27 AM Epstein, Jeffiey Special Housing Unit . Lieutenant 0-723/19 -1:45 AM EFTA00019386

ieutenant 's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Special Investigative Section Type of Incident Possible Suicide Attempt Date and Time of Incident 0723/19 — 1:27 AM Inmate Name/Register Number Location of Incident Photograph(s) by Epstein, Jeffrey Special Housing Unit Lieutenant Date and Time of Photo 07/23/19 -1:45 4 M EFTA00019387

lieutenant Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Special Investintive Section Type of Incident Date and Time of Incident r Inmate Name/Register Number Location of Incident Possible Suicide Attempt(Cellmatel Photograph(s) by Date and Time of Photo 07/23/19 — 1:27 .411 Tartaglione, Nicholas Special Housing I 'nit Lieutenant 07/23/19 -2:25 A Al EFTA00019388

Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Special Investigative Section Type of Incident Date and Time of Incident Inmate Name/Register Number Location of Incident r Photograph(s) by Date and Time of Photo Possible Suicide Attempt(Cellmato 07/23/19 - 1:27 AM Special Housing Unit 07;23/19-2:25 AM EFTA00019389

Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Special Investigative Section Type of Incident Date and Time of Incident Possible Suicide Attempt(Celbnato (1723/19 — 1:27 AM Inmate Name/Register Number Tartaglione, Nicholas Location of Incident Special Housing Unit Photograph(s) by Date and Time of Photo P. Lieutenant 0723/19 -2:25 AM 'COP I EFTA00019390

Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Special Investigative Section Type of Incident Date and Time of Incident inmate Name/Register Number Location of Incident Photograph(s) by Date and Time of Photo Possible Suicide Attempt(Cellmate) 07/23/19 - 1:27 AM Tartaglione, Nicholas Special Housing Unit 07/23/19 -2:25 AM EFTA00019391

teurenam's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Special Investigative Section Type of Incident Date and Time of Incident Inmate Name/Register Number Possible Suicide Attempt(Cellmato 07/23/19 1:27 AM Tartaglione, Nicholas Location of Incident Special Housing Unit Photograph(s) by Lieutenant Date and Time of Photo 07/23/19 -2:25 /1 COPY) t EFTA00019392

Metropolitan Correctional Center New York, N.Y. ( t ut,van Photo Sheet Special Investigative Section Type of Incident Date and Time of Incident Inmate Name/Register Number Location of Incident Photograph(s) by Date and Time of Photo Possible Suicide Attetnpt(Cellmatei 07/23/19 - 1:27 A Al Tartaglione. Nicholas 1178514t Special Housing Unit Ma Lieutenant 07/23/19 - 7: 2. 5 JIM copy EFTA00019393

BPAffir0ll ADMINISTRATIVE DETENTION ORDER U.S. DEPARTMENT OF JUSTICE JAN 17 FEDERAL BUREAU OF PRISONS TO: Special H ing Unit Officer FROM: IE ENANT SUBJECT : Placement of EPSTEIN, JEFFERY (Name1Title) (a) Is pending an investigation for a violation of Bureau regulations: (b) Is pending an SIS investigation (c) Is pending nvesbgabon or trial for a animal act: (0) Is to beadmitted to Administrative Detention Reg No (1) Since the mambas requested admission for protection: NEWYORK MCC Ingle/bon Damarme 07-10-2019 7-10-2019 in Adrniristrative Detention I hereby request placement in Admirestrabve Detention for my own protection. Inmate Signature/Register No.: Staff Witness Printed Name Signature: (2) Since a serious threat exists to individual's safety as perceived by staff. although person has not requested admission: referral of the necessary information will be forwarded for an appropriate hearing by the SRO. (e) Is pending transfer or is in holdover status during transfer.  «) (9) Is pending classification: or Is terminating confinement in Disciplinary Segregation and has been ordered into Aceninisuative Detention by the Warden's designee. II is Ilia Correctional Supervisors decision based on all the Cif amstances that the above named Inmate' s continued presence in the general population poses a serious threat to life. property, sell. staff. other inmates. orb the security or orderly running of the institution because' PENDING CLASSIFICATION Therefore. the above named inmate is to be placed In Administratne Detention until further notice. The innate received a copy of Pis Order on (date / tine) ( 0 -( Staff Witness Signature/Printed Name Date 1 / —1 Supervisor 24 hour review of placement: Signature/Printed name c-AC • In the case of DHO action reference to that order Is sufficient. In other cases. the Correctional supervisor will make an Mependent review and decision. which is documented here. (Kg) Record Copy - Inmate Concerned (not necessary if placement is a result of holdover status): Copy - Captain: Copy - Und Manager: Copy - Oper • rinsor - Admiristratne Detention tint. Copy — Psychology. Copy - Central File COPY PDF Prescribed by P5270 (Replaces BP-A0308 of JAN 88 ) s le EFTA00019394

INCIDENT REPORT J.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS I —Institution MCC New York 2 Inmate's Name: Epstein Jeffery 8. Place of incident: SHU M-Tier Cell 124 9. Incident sellw eelatiee Part I — Incident Report 1 Inadeni Repee( Numbe 4 /sister Number. 7. Assignment: Unassigned . Dale of Inn3dem: 07/23/2019 8. Un ZA 4saFbc5c 1:27am 10. Prohibited Act Code (s): 228 11. Description of Incident (Dale: 07/23/2019 Time: 127AM Staff became aware of incident): On Jul 23.2019 at x. 1:27am While workin in it M elf and S/O heard noise n • from her cell 124.Upon arrival UM% Epstein• a male (I was at the door staling r pstem had attempted to hang himself. I kept a visual while I grabbed the door keys and caned or assistance. After Securing UM and remown tam(rain the colt entered then placed a m on his side and removed a orange homemade rope from his no- was • ea ng at is me But unresponsive. Addition staff and Ops Lt arrived WM was then removed from SHU 12. Typed Name/Sig INS 14. Incident Repo (Typo Name/Sig fling Employee: veftd to Above Inmate By 15. Date Ina( 13. Dale And Time. 07/23/2019 3:30am em Report Delivered: 16. Time Incident Report Delivered: Part II — Committee Action 17. Comments of Inmate to Committee Regarding Above Incident: 18. A. It is the finding of the committee that you: n Committed the Prohibited Act as charged: Did not Commit a Prohibited Act. Committed Prohibited Act Code (s). B. The Committee is referring the Charge(s) to the DHO for further Rearm—, C. I I The Committee advised the inmate of its finding and of the right to file an appeal within 20 calendar days. 19. Committee Decision is Based on Specific Evidence as Follows: 20. Committee action and/or recommendation if referred to DHO (Contingent upon DHO finding inmate committed prohibited act): 21. Dale and Time of Action: (The UDC Chainnantis signature certifies who sat on the UDC and that the completed tenon acaxately reflects the UDC proceedings). Chairman Owed Nome/Signalure): Member (Typed Name): Member (Typed Name): INSI RUC IONS: All Items outside of heavy rule are for staff use only. Begin entries with the number 1 and work up. Entnes not completed will be voided by staff. Distribute. Original-Central File Record; COPY-1-DHO: COPY-2-Inmate after UDC Action: COPY 3-Inmate within 24 hours of Part I Preparation PDF Prescribed by P5270 Replaces OP-A0288 of AUG 11 EFTA00019395

Part III - Investigation 22. Date And Time Investi< ation Began 23. Inmate Advised Of Right To Remain Silent: You are advised of your right to remain silent at all stages of the discipline process. Your silence may be used to draw an adverse inference against you at any stage of the discipline process. Your silence alone may not be used to support a finding that you have committed a prohibited act. The Inmate Was Advised Of The Above Right By At (Date/tine) 24. Inmate statement and attitude 25. Other facts about the incident, statements of those persons present at scene, disposition of evidence, etc. 26. Investigator's comments and conclusions 27. Action taken Date and Time Investigation Completed Printed Name/Signature Of Investigator Title er PDF Presaibed by P5270 Replaces BP-S288.052 Of MAY 94 EFTA00019396

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Bureau of Prisons Health Services Clinical Encounter Inmate Name: TARTAGLIONE, NICHOLAS JOHN Reg #: 78514-054 Date of Birth: 10/10/1967 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/31/2019 14:11 Provider: PA-C Unit: Z06 Mid Level Provider - Evaluation encounter performed at Special Housing Unit. SUBJECTIVE: COMPLAINT 1 Provider: IMIMPA-C Chief Complaint: No Complaint(s) Subjective: 1 feel good today, can't complain. My anxiety is getting better and I have no side effect from the new anxiety medication" IM being seen in the SHU as per the request of lieutenants. States he's been doing well and has no acute complaints. For what happened to his previous cell mate about a week ago, states "I have no idea what was going on. I didn't do anything and I have no injury" Pain: No OBJECTIVE: Pulse: Date Time Rate Per Minute 1.12fatit211 Rhythm Provider 07/31/2019 14:19 71 Via Machine PA-C Respirations: Date Time Rate Per Minute provider 07/31/2019 14:19 NYM 15 PA-C Blood Pressure: Date Time Value Location Position Cuff Size Provider 07/31/2019 14:19 NYM 118/70 Left Arm Sitting Adult-regular PA-C SaO2: Date Time Value(%) Air Provider 07/31/2019 14:19 NYM 98 Room Air PA-C Exam Comments General: AAOx3. NAD HEENT: PERRLA. EOMI. Nares patent. Neck: Supple Heart: S1, S2. RRR Lungs: CTAB EXT: No edema. Neuro: Grossly normal CN ASSESSMENT: Encounter for general adult medical exam without abnormal findings. Z0000 - Current PLAN: Disposition: Follow-up at Sick Call as Needed Other: Generated 07/31/2019 14:39 by PAC Bureau of Prisons - NYM Page 1 of 2 EFTA00019398

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Inmate Name: TARTAGLIONE. CHOLAS JOHN Reg it: RIM Date of Birth: 10/10/1967 Sex: M Race: WHIM Facility: Encounter Date: 07/31/2019 14:11 Provider: IPA -C Unit: Z06 IM states he feels as himself and denies being in acute distress. Patient Education Topics: Date Initiated Format Handout/Topic 07/31/2019 Counseling Access to Care Copay Required:No Cosign Required: Yes TelephoneNerbal Order: No Completed by IIIMIMPA-C on 07/31/2019 14:39 Requested to be cosigned by a MD. Cosign documentation will be displayed on the following page. Provider IEEE Outcome Verbalizes Understanding Generated 07/31/2019 14:39 by PAC Bureau of Prisons - NYM Page 2 of 2 EFTA00019400