UNITED STATES GOVERNMENT MEMORANDUM DATE: August 10, 2019 TO: FROM: Metropolitan Correctional Center, New York. New York SUBJECT: Epstein, Jeffrey Edward ti 76318-054 Body Alarm/ Medical Emergency in Special Housing Unit (SHU) On August 10, 2019 at 6:33am while on duty as the morning watch control center officer, Special Housing Unit (SHU) Officer; radioed for medical assistance in SHU and activated the body alarm. I notified staff that a body alarm and medical emergency was called in SHU. Staff responded, than I received a call from staff in SHU telling me to call 911 for an ambulance. I notified the New York Police Department via the institutional NYPD telephone. I then informed NYPD that we need and ambulance and medical assistance for one of our inmates. Staff then continued to respond getting a stretcher and a defibrillator, escorting the inmate down to medical. The New York City Fire Department and Emergency Medical Services (EMS) arrived at 6:43am to the institution and were escorted to the 2nd floor medical area. EMS departed the institution with inmate Epstein and BOP escort via ambulance and chase car to local hospital at 7:10am. CSO / S. EFTA00050663

UNITED STATES GOVERNMENT MEMORANDUM DATE: TO: FROM: SUBJECT: Metropolitan Correctional Center, New York, New York August 10, 2019 MEDICAL EMERGENCY ON 9 South On August 10, 2019 at approximately 6:43 am while assigned to Morning W ch as Internal Security Officer, I responded to a body alarm on 9 South. Upon my arrival, I observe staff carrying inmate Epstein, Jeffrey #76318-054 on a medical stretcher. At that time, as the Internal S urity Officer, I escorted staff and inmate Epstein to medical on 2 Sally. As per Operations Lieutenant I was instructed to escort EMT from the rear gate to medical on 2 Sally. When EMT was ready for dep re, I escort them back to the Rear Gate. As per Operations, I was assigned as Escort Officer to cond this emergency trip to the outside local hospital. At approximately 7:15am, we arrived at Ne York Presbyterian — Lower Manhattan Hospital located at 170 William Street, New York, NY 10038. When we entered the emergency room medical personnel intervened. We maintained direct supervision of the inmate as we waited for further guidance from medical personnel at the hospital. We were notified that the inmate would be transported to the morgue so we escorted the staff to the morgue. While in the morgue, we still maintained direct supervision of the inmate until approximately 12:57pm. At this time, the inmate was no longer under our direct supervision as medical staff took over. Operations Lieutenant was notified and we were instructed to report back to the institution — we arrived at I:03pm. EFTA00050664

DATE: UNITED STATES GOVERNMENT MEMORANDUM Metropolitan Correctional Center, New York, New York August 10'h, 2019 SUBJECT: Response to Institution • On August 10, 2019 at approximately 8:45 csponded to MCC NY at the request of the Operations Lieutenant for emer etail. Upon arriving I was detail to New York Presbyterian hospital room A9 in emergency room where inmate Epstein, Jeffrey # 76318-054 remains where located. I was responsible for watching the remains until further instruction was given along with another correctional officer. Shortly thereafter Institution Duty Officer (100) arrived and took command of detail. The timeline for detail is as followed (times are approximate) I030 Remains was prepared by hospital staff to be moved to hospital morgue 1045 Hospital staff escort remains to hospital morgue area cooling unit 1050 Area is ensured as secure by officers on detail at direction of IDO 1135 IDO communicates wit " of Office of City Medical Examiner (OCME) in regards to receiving remutns transported to city morgue 1137 A/W notified by IDO 1138 IDO attempts to communicate wit essage) 1139 IDO receives return communicati 1204 IDO receives communication from A/W 1208 I00 receives communication from MW in regards to instruction on remains 1210 IDO communicates with Director Wiggins of OCME and coordinate movement 1257 Staff from OCME depart from New York Presbyterian hospital and transport remains to city morgue location 1303 Hospital detail staff arrive back at MCC New York EFTA00050665

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U.S. DEPARTMENT OF JUSTICE Federal Bureau of Prisons Office Memorandum ISO Perk Row New York NY 10007 DATE: Au ust 0 2019 FROM: SUBJECT: Inmate Epstein, Registration #:76318-054 TO: Operations Lieutenant s-- , r COPY On Saturday, Saturday, August 10 2019 at approximately 0635 a.m., I responded to a medical emergency 9 South upon arrival Inmate (Epstein, J Registration # 76138-054) son fl ell unresponsive with CPR in progress by Correctional Lieutenant and I assisted transporting (Epstein, J Registration # 76138-054) to Health Services c: file EFTA00050667

S EFTA00050668

UNITED STATES GOVERNMENT MEMORANDUM Metropolitan Correctional Center, New York, New York DATE: August 10, 2019 11111111111 SUBJECT: Medical Emergency Unit (CA) On Saturday, Aug 10, 2019, at approximately 0633 a.m., I responded to a medical emergency 9S, upon arrival Inmate (EPSTEIN, J. Reg II: 76318-054) was received on the floor of his cell unresponsive with CPR in progress by correctional officers, Inmate was Cold, with circumferential Bruising around the neck and posterior mottling, Pupils Fixed and dilated, No Palpable pulses were felt, At this time 0635 a call placed for EMS, CPR Continued, an AED was Placed with No shock advised, CPR was continued. Inmate was transported to HSU treatment room with CPR in progress, where a 18g hep lock to L AC was placed and, O2 15 Lt ViA BVM. Pulse Check NO SHOCK advised. EMS and Paramedics arrived 0656, Placed on cardiac Monitor shows asystole Resumed CPR, Inmate was intubated by Medics, 3 Rounds of Epinephrine administered, and Pulse Check asystolc, Inmate was transported to Local ER with CPR in progress at approximately 0710. EFTA00050669

UNITED STATES GOVERNMENT Memorandum FEDERAL BUREAU OF PRISONS Metropolitan Correctional Center 150 Park Row New York New York 10007 August 10. 2O19 MEMORANDUM FOR ALL CONCERNED FROM SUBJECT: Inmate Epstein, J Register # 76318-054 Suicide On Saturday August 10, 2019 at approximately 6:43 AM, I was instructed by the Operations Lieutenant to report to the NY Downtown hospital. Inmate Epstein, Jeffry Register #76318-054 had attempted suicide. The inmate was transported to the hospital via NYFD EMS and BOP Staff. Upon my arrival to the hospital, I was info ed by the escorting staff and Hospital staff that inmate Epstein had expired due to car iac arrest. The time of death was reported at 7:36AM. At this time I instructed the escorting staff not to speak to anyone and or the media in regards to the situation. I directed my staff to tell anyone making inquiries, to direct their questions to the MCC NY Public Relations Officer. I returned back to the Institution and assumed my duties as the NM Activities lieutenant. ASeasitive Limited Official Use Onlyz EFTA00050670

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U.S. Department of Justic Federal Bureau of Prisons Psychological Services klaropothon Comolanai Caller ISO Pork Row Ncw York. New York 10007 (616) 876-6300. (6461 816-7751 *Kw I Date: 8/10/19 RE: INMATE JEFFREY EDWARD EPSTEIN #76318-054 On 8/10/19, there was a Body Alarm on 9 South at about 6:35 AM. This writer responded to 9 South. Medical and other staff were already in inmate Epstein's cell giving medical attention to inmate Eps • • for a stretcher and this write ale went to retrieve a stretcher. hen asked for another AED. lakrought the stretcher to 9 South. This writer retrieved another AED and brought it up to 9 South. When this writer arrived at 9 South, inmate Epstein was being brought down on a stretcher to Medical. EFTA00050672

EFTA00050673

UNITED STATES GOVERNMENT MEMORANDUM Metropolitan Correctional Center, New York, New York DATE: Au•ust 0 2019 TO: FROM: SUBJECT: Respond to 9.South Medical Emergency. On August 10, 2019 Saturday morning appr •• • at 6:33am a 9South medical emergency call was announced over the BA radio. I senior officer specialis responded to 9South (Special Housing Uni)t I.-tier cell #220. upon arrival I witnessed medical staff per orming CPR on a unresponsive inmate (Epstein, Jeffrey Edward # 76318-054). Myself and additional staff transported inmate Epstein on a medic stretcher from unit to the god floor Health Service Area as medical staff continuously perform CPR on inmate Epstein until relieved by E.M.S staff who continue administering CPR while escorting Epstein from the medical room to the rear gate area then placing him in to the EMT ambulance with Bop staff escort as I followed in a secure government vehicle to the Downtown Beckman hospital where I stayed on post until I was relieved. EFTA00050674

NYMPC 530.07 • PAGE 002 ROSTER • 08-10-2019 00:51:43 GRP. SPECIFIC.. REG LN PN QTR WRK COS 201A ZO1-105LAD 85978-054 ALMANZAR NELSON 201-105LAD UNASSO IN ZO3A 203-113LAD 86123z054 ARROYO ANGEL 203-113LAD UNASSG IN 204A 204-206LAD 86710-054 AVILA PATRICK 204-206LAD UNASSG IN Z06A 206-217LAD 76157-054 BARROW LORENZO 206-217LAD UNASSG IN 205A 205-120LAD 86463-054 BENJAMIN LUIDJI 205-120LAD UNASSG IN Z0IA 201-101LAD 79407-054 BLADES CHRISTAN 201-1011AD UNASSG IN 203A 203-109UAD 76269-054 BRISSETT JAMAL 203-109OAD SOICIDE OR IN UNASSG 204A 204-209UAD 86460-054 BROCK MARK 204-20911AD UNASSG IN Z06A 206-219LAD 70786-050 BROWN CHAD 206-219LAD FS PM IN 204A 204-211LAD 86630-054 BUTLER TUREAN 204-211LAD UNASSG IN 205A 205-123UAD 86164-054 CAVE ETHAN 205-123UAD UNASSG IN 206A 206-213UAD 89520-053 CONTRERAS JHONNY 206-213UAD UNASSG IN 205A 205-122LAD 92299-054 COOPER MATTHEW 205-1221AD ELECTRIC IN Z01A 201-106UAD 89380-053 DAVIS HOWARD 201-106UAD UNASSG IN 203A Z03-113LAD 86132-054 DELEON OMAR 203-111LAD UNASSG IN 206A 206-219UAD 55381-066 DESILVA MICHAEL 206-219UAD UNASSG IN 205A 205-121UAD 77930-054 DIAZ ROBERT 205-121UAD UNASSG IN 205A 205-123LAD 60685-050 DOCKERY MARTIN 205-123LAD FS PM IN ZOLA 201-103LAD 86214-054 DONES MANOLO 201-102LAD UNASSG IN Z01A 201-104UAD 86124-054 DURANT LAVELL Z01-104UAD UNASSG IN 205A 205-124LAD 72418-019 EKE IFEANYI 205-124LAD UNASSG IN 204A 204-206LAD 76318-054 EPSTEIN JEFFREY 204-206LAD UNASSG IN 201A 201-106LAD 86102-054 ESTEVEZ STEVEN 201-1064AD UNASSG IN 204A 204-206UAD 79793-054 FERRER GREGORY 204-206UAD PS AM IN 205A 205-122LAD 86368-054 FUENTES MIGUEL 205-122LAD UNASSG IN 203A 201-110UAD 75885-054 GALAN CARLOS 203-110UAD UNASSG IN 205A 205-118LAD 86290-054 GARCIA JACINTO 205-118LAD UNASSG IN 206A 206-218UAD 79043-054 GARCIA-PEN PEDRO 206-218UAD UNASSO IN 203A 203-113UAD 86825-054 203-111UAD UNASSG IN 203A 203-116UAD 86617-054 GO ONZALEZ MARCOS 203-116UAD UNASSG IN 205A 205-120UAD 23152-014 GOULD/WORN MARK 205-120UAD FS PM IN UNASSG 205A 205-117UAD 70887-054 GRAYSON MARK 205-1171AD UNASSG IN 205A 205-121UAD 08820-070 GUILLEN GABRIEL 205-121UAD UNASSG IN 206A 206-214 LAD 7Q455-054 HILL JAQUEZ 206-214LAD UNASSG IN 202A 202-201LAD 87049-054 HOSSAIN DELOWAR. 202-201LAD UNASSG IN 204A 214-207LAD 68152-054 HOYT KENNETH 204-2071AD UNASSG IN 206A 206.217UAD 79466-054 JIMENEZ EDWARD 206-2170AD UNASSG IN 201A 201.1081AD 68302-054 JONES RAYSHAUN 201-108LAD UNASSG IN 201A 201-106LAD 86931-054 KABA 701 n614~F.S0--1-N MORA -: 203-113LAD UNASSG IN 203-ttiLAD 8 58/-0 4 KINTEA MCKENZIE 205A 205-122LDS 86357-054 LAMS LEROY 205-1221.0S UNASSG IN 206A 206-220LAD 79427-054 LATIMER COREY 206-220LAD UNASSG IN 204A 204-211LAD 86356-054 LOVICK FUGUAN 204-211LAD UNASSG IN G0002 MORE PAGES TO FOLLOW . EFTA00050675

Inmate Name: EPSTEIN, JEFFREY EDWARD Reg U: 78318-054 Date of Birth: 01120/1953 Sex: TE Facility: NYM Encounter Date: 08/10201907:25 Provider. RN Unit: Z04 Exam: ASSESSMENT: Cardiac Arrest PLAN: New Consultation Requests: Consultation/Procedure Target Date Scheduled Target Deta priority Translator Laggage, Emergency Room 08/10/2019 08/10/2019 Emergent No Subtype: AMBULANCE Reason for Request: Cardiac arrest with CPR in progress Copay Required:No Cosign Required: Yes Telephone/Verbal Order: No Compieted RN on 08/1012019 08:10 Requested to be cosigned by MD. Cosign documentation will be displayed on the following page. Generated 08/10/2019 06:10 by RN Bunn of Prisons • NYM Page 2 of 2 EFTA00050676

Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 08/10/2019 07:25 Sex: aaarc, J. I T E Provider. RN Reg #: 76318-054 Facility: NYM Unit Z04 Emergency Code - Resuscitation Event encounter performed at Special Housing Unit. SUBJECTIVE: Emergency Note Provider: p RN Team Members: Provider Role RN Team/Code Leader Code Events: Izas Value CPR Compressions EKG/Monitor Lifepak No shock advised CPR Compressions Oxygen 15 L IV Access Peripheral IV 18 g Left AC Airway Endotracheal Tube ET Tube 7.5 24CM to L Up line Placed by Paramedics Medications Epinephrine 1mg IV Epinephrine 3 doses and Sodium bicarb 2 doses administered CPR Compressions Medications Sodium Bicarbonate 1 mEafkg IV IV Fluids Normal Saline 0.9°/a 1000 ml Medications Epinephrine 1mg IV CPR Compressions Medications Sodium Bicarbonate 1 mEe/kg IV Medications Epinephrine 1mg IV CPR Compressions Comments: Pate 08/10/2019 06:35 08/10/2019 06:39 08/10/2019 06:40 08/10/2019 C6:47 08/10/2019 06:48 08/10/2019 07 08 08/10/2019 07:10 by paramedics 08/10/2019 07:11 08/10/2019 07:11 08/10/2019 07:12 08/10/2019 07:13 08/10/2019 07:14 08/10/2019 07:14 08/10/2019 07:16 08/10/2019 07:17 Responded to a body alarm at 0635 for medical emergency on 95, Upon arrival Inmate was received on the floor of his cell unresponsive with CPR in progress by correctional officers, Inmate was Cold, with circumferential Bar ng around the neck and posterior mottling, Pupils Fixed and dilated, No Palpable pulses, Call place for EMS, CPR Conlin d, AED Placed No shock advised, CPR Continued, inmate transported to HSU treatment room with CPR in progre , 18g hep lad( to L AC, O2 15 Lt ViA BVM, Pulse Check NO SHOCK advised. EMS and Paramedics arrived 0656, Placed on cardiac monitor asystole Resumed CPR, Inmate was intubated by Medics, 3 Rounds of Epinephrine administered, Pulse Check asystole, Inmate was transported to Local ER with CPR in progress. OBJECTIVE: Exam: General Appearance Yes: Unconscious Gor.eraled 08/10/2019 08.10 by RN Bureau of Prisons - NYM Page 1 aft EFTA00050677

Saturday August10, 2019 Page 2 "•Special Assignments"" PHONE RM STAFF SEARCH LOBBY *2 CRY CELL "2 Joyner, P OT ESCORT 01 ESCORT id CST EMERGENCY SIS LT ESCORT lt3 ""Back Page Categories"" DAY OFF SICK LEAVE ANNUAL LEA E Manugo..I Shen, T Obl. J Richardson, 0 COP Noel's* F ""Change Rwandan" Post Spit Shit Officer Relieved Officer's New Status Relieving Offices Previous Status Ret Shit Chan ed By OPS LT 12 Annual Leave Si 7/30 0:22 OPS LT Assignment Swop 8 OPS LT 12 [SWAPI 8.17/30 :22 1/10/2019 9:02:09 PM EFTA00050678

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Post Splits Ift 2 00:00 - 08:00 OPS LT ACT LT SHU LT S1S TECH SI PHONE MONITOR SEARCH OFFICER LOBBY CONTROL It CONTROL S2 INTERNAL INTERNAL N2 ATTY CONF UNIT 2 UNIT 3 5 NORTH 5 SOUTH 7 NORTH 7 SOUTH 9 NORTH SHU SHU 02 SHU #3 SHU S4 10 SOUTH SI 10 SOUTH #2 11 NORTH 11 SOUTH 11 SOUTH SI2 OSP NS SANITATION OFF VISIT NI VISIT 02 VISIT #3 1/10/20198:58:10 PM MCC NEW YORK NEW YORK, NY Daily Assignment Roster 6 07:00 - 16:00 B 08:00.16:00 10 14:00 • 22:00 t5:1‘ 9 12:00.20:00 Saturday August 10 2019 Page 1 EFTA00050680

U. S. Department of Justic Federal Bureau of Prison Metropolitan Correctional enter 150 Park Row, New York, Y August 10, 2019 MEMORANDUM FOR FILE METROPOLITAN CORRECTIONAL CENTER FROM: SUBJECT: Inmate Epstein, Jeffery Reg. No. 76318-054 This memorandum is in regards of inmate Epstein, Jeffery Reg. No. 76318-054. On August 9, 2019, I spoke with imitate Epstein concerning him making a call to his family. I t d inmate Epstein I was leaving the facility around 7:00 p.m. Inmate Epstein agreed to shorten is attorney visitation to make his social call. I escorted imitate Epstein to Special Housing Uni around 7:00 p.m. I placed inmate Epstein in the shower on (G) Tier and escorted the phone or him to make a social call. 1 placed the phone in the first jack to the left on G tier. Inmate Ep tein explain to me that he didn't have his phone set up to use his Pac and Pin number. I asked k late Epstein who he was calling, he stated his mother. I remember dialing a number starting witl 347, but the number was note notated. Inmate Epstein began talking on the phone. I told the sta to end inmate Epstein's call after 15 minutes. They complied. EFTA00050681

UNITED STATES GOVERNMENT e MEMORANDUM Metropolitan Correctional Center. New York, New York DATE: TO: FROM: SUBJECT: Response to Institution August 1014, 2019 On August 10, 2019 at approximately 8:45 am 1, esponded to M C NY at the request of the Operations Lieutenant for emergency hospita detail. Upon ar iving I was detail to New York Presbyterian hospital room A9 in emergency room where/ inmate Epstein, Jeffrey # 76318-054 remains where located. I was responsible for watching the remains until further instruction was given along with another correctional officeri'Shortly thereafter Institution Duty Officer (IDO) arrived and took command of detail. The timeline for detail is as followed (times arc approximate) 1030 1045 1050 1135 1137 1138 1139 1204 1208 121 125 130 Remains was prepared by hospital staff Hospital staff escort remains to hospital Area is ensured as secure IDO communicates with CME) in regards to receiving r to be moved to hospital morgue morgue area cooling unit tail at direction of IDO f Office of City Medical Examiner ransported to city morgue EFTA00050682

U.S. Department of Justice Federal Bureau of Prisons Memorandum Federal Correctional Institution DATE: August 10, 2019 TO: REPLY TO ArrN OF: Operations Lieutenant SUBJECT: Inmate Epstein, Jeffrey (#76318-054) On August 10, 2019 at approximately 6:33 A.M. The Special housing unit Shu#1 Officer T. Noel announced by via radio medical emergency on 9 South upon arrival, officer Noel stated to me that inmate Epstein had hung himself. As I entered cell Z06-220 on L-tier, I witnessed inmate Epstein on the floor of his cell unresponsive with Shu#2 I immediately relieved him and begin administering CPR officer M. Thomas performing life- saving C continuously until relieved by clinical nurse who continued to perform CPR. I then notified the control center to call 911 emergency services at 6:35 a.m.; CPR was being continuously admini mute Epstein was escorted to the 2n° FL. Health Service Area, while in the medical area I witnessed nurse continuously performing CPR on inmate Epstein until relieved by EMT staff at 6:43 am. Inmate Epstein 8-054 was escorted from the medical area to the Rear-gate area where he was transferred into EMS ambulance 04D at 7:10 am with #1 Escort officer and followed in the Bop chase vehicle by #2 Escort officer K. Cale to downtown Beekman Hospital. During the emergency situation s/o T. Noel stated to me "we did not complete the 3am nor 5am rouinds." Officer M. Thomas was appearing very distraught when ask what happened he stated "we messed up, followed by" I messed up" she's not to blame we didn't do any rounds. . EFTA00050683

UNITED STATES GOVERNMENT MEMORANDUM Metropolitan Correctional Center, New York, New York DATE: August 12, 2019 SUBJECT: Passed information from Special Housing Unit On Friday August 9 2019 at approximately I:50 p.m, I S/O/S Grijalva passed on to oncoming staff member OfficetMand present shift staff M/S Shakir and Officer Joyner. That Inmate Reyes #85993-054 was going WAS and possibly may not return. Also that Inmate Epstein #76318-054 will be needing a cell mate upon arrival from his attorney visit. EFTA00050684

UNITED STATES GOVERNMENT MEMORANDUM DATE: August 10, 2019 TO: FROM: SUBJECT: Metropolitan Correctional Center, New York, New York Medical Emergency Unit (CA) On Saturday, Aug 10, 2019, at approximately 0633 a.m., I responded to a medical emergency 9S, upon arrival Inmate (EPSTEIN, J. Reg II: 76318-054) was received on the floor of his cell unresponsive with CPR in progress by correctional officers, Inmate was Cold, with circumferential Bruising around the neck and posterior mottling, Pupils Fixed and dilated, No Palpable pulses were felt, At this time 0635 a call placed for EMS, CPR Continued, an AED was Placed with No shock advised, CPR was continued. Inmate was transported to HSU treatment room with CPR in progress, where a 18g hep lock to L AC was placed and, O2 15 Lt ViA BVM. Pulse Check NO SHOCK advised. EMS and Paramedics arrived 0656, Placed on cardiac Monitor shows asystole Resumed CPR, Inmate was intubated by Medics, 3 Rounds of Epinephrine administered, and Pulse Check asystolc, Inmate was transported to Local ER with CPR in progress at approximately 0710. EFTA00050685

Inmate Name: EPSTEIN, JEFFREY EDWARD Reg U: 78318-054 Date of Birth: 01120/1953 Sex: TE Facility: NYM Encounter Date: 08/10201907:25 Provider. RN Unit: Z04 Exam: ASSESSMENT: Cardiac Arrest PLAN: New Consultation Requests: Consultation/Procedure Target Date Scheduled Target Deta priority Translator Laggage, Emergency Room 08/10/2019 08/10/2019 Emergent No Subtype: AMBULANCE Reason for Request: Cardiac arrest with CPR in progress Copay Required:No Cosign Required: Yes Telephone/Verbal Order: No Compieted RN on 08/1012019 08:10 Requested to be cosigned by MD. Cosign documentation will be displayed on the following page. Generated 08/10/2019 06:10 by RN Bunn of Prisons • NYM Page 2 of 2 EFTA00050686

Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 08/10/2019 07:25 Sex: aaarc, J. I T E Provider. RN Reg #: 76318-054 Facility: NYM Unit Z04 Emergency Code - Resuscitation Event encounter performed at Special Housing Unit. SUBJECTIVE: Emergency Note Provider: p RN Team Members: Provider Role RN Team/Code Leader Code Events: Izas Value CPR Compressions EKG/Monitor Lifepak No shock advised CPR Compressions Oxygen 15 L IV Access Peripheral IV 18 g Left AC Airway Endotracheal Tube ET Tube 7.5 24CM to L Up line Placed by Paramedics Medications Epinephrine 1mg IV Epinephrine 3 doses and Sodium bicarb 2 doses administered CPR Compressions Medications Sodium Bicarbonate 1 mEafkg IV IV Fluids Normal Saline 0.9°/a 1000 ml Medications Epinephrine 1mg IV CPR Compressions Medications Sodium Bicarbonate 1 mEe/kg IV Medications Epinephrine 1mg IV CPR Compressions Comments: Pate 08/10/2019 06:35 08/10/2019 06:39 08/10/2019 06:40 08/10/2019 C6:47 08/10/2019 06:48 08/10/2019 07 08 08/10/2019 07:10 by paramedics 08/10/2019 07:11 08/10/2019 07:11 08/10/2019 07:12 08/10/2019 07:13 08/10/2019 07:14 08/10/2019 07:14 08/10/2019 07:16 08/10/2019 07:17 Responded to a body alarm at 0635 for medical emergency on 95, Upon arrival Inmate was received on the floor of his cell unresponsive with CPR in progress by correctional officers, Inmate was Cold, with circumferential Bar ng around the neck and posterior mottling, Pupils Fixed and dilated, No Palpable pulses, Call place for EMS, CPR Conlin d, AED Placed No shock advised, CPR Continued, inmate transported to HSU treatment room with CPR in progre , 18g hep lad( to L AC, O2 15 Lt ViA BVM, Pulse Check NO SHOCK advised. EMS and Paramedics arrived 0656, Placed on cardiac monitor asystole Resumed CPR, Inmate was intubated by Medics, 3 Rounds of Epinephrine administered, Pulse Check asystole, Inmate was transported to Local ER with CPR in progress. OBJECTIVE: Exam: General Appearance Yes: Unconscious Gor.eraled 08/10/2019 08.10 by RN Bureau of Prisons - NYM Page 1 aft EFTA00050687

Lieutenam Officc Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office Type of Incident Date and Time of Incident Inmate Name / Reg. No. Location of Incident Photograph(s) by Date and Time of Photo INMATE SUICIDE 08/10/2019 6:33 AM EPSTEIN, JEFFERY REG#76318-054 ZA LI s 08/10/2019 6:49 AM EFTA00050688

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METROPOLITAN CORRECTIONAL CENTER NEW YORK JEFFREY, EPSTEIN REG. NO. 76318-054 PHOTOGRAPHS TAKE il 8-10-19 EFTA00050690

Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office Type of Incident Date and Time of Incident Inmate Name / Reg. No. Location of Incident Photograph(s) by Date and Time of Photo INMATE SUICIDE 08/10/2019 6:33 AM EPSTEIN, JEFFERY REGH76318-05-1 ZA 08/10/2019 6:49 .-131 EFTA00050691

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Metropolitan Correctional Center New Yorll, N.Y. Lieutenant's Office Photo Sheet Lieutenant's Office Type of Incident Date and Time of Incident Inmate Name / Reg. No. Location of Incident Photograph(s) by INMATE SUICIDE 08/10/2019 6:33 AM EPSTEIN, JEFFERY REG#76318-054 Date and Time of Photo 08/10/2019 6:49 AM EFTA00050693

Liewenam 's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office "type of Incident Date and Time of Incident Inmate Name / Reg. No. Location of Incident Photograph(s) by INMATE SUICIDE 08/10/2019 6:33 AM EPS7'E1N, JEFFERY REG#76318-054 ZA Li. SMI Date and Time of Photo 08/10/2019 6:49 AM EFTA00050694

Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office Type of Incident Date and Time of Incident Inmate Name / Reg. No. Location of Incident Photograph(s) by INMATE SUICIDE 08/10/2019 6:33 AM EPSTEIN, JEFFERY REG#76318-054 Z.-1 S.- EFTA00050695

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Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office Type of Incident Date and Time of Incident Inmate Name / Reg. No. Location of Incident Photograph(s) by Date and Time of Photo INMATE SUICIDE 08/10/2019 6:33 AM EPSTEIN, JEFFERY REG476318-054 ZA D. S. 08/10/2019 6:49 At,! EFTA00050697

Metropolitan Correctional Center New York, N.Y. newel:ant 's Office Photo Sheet Lieutenant's Office pe of Incident Date and Time of Incident Inmate Name / Reg. No. Location of Incident Photograph(s) by Date and Time of Photo INMATE SUICIDE 08/10/2019 6:33 AM EPSTEIN, JEFFERY REG#76318-054 74 08/10/2019 6:49 AM EFTA00050698

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Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office Type of Incident Date and Time of Incident Inmate Name / Reg. No. Location of Incident Photograph(s) by Date and Time of Photo INMATE SUICIDE 08/10/2019 6 33.1.1/ EPSTEIN, JEFFERY REG#76318-05.1 Z.4 L. S. 08/10/2019 6:49 AM EFTA00050700

OT OF asN olt.:), -• -• • , s ..: • _ t" 'IWEV Lieutenant's Ofike Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office Type of Incident INMATE SUICIDE Date and Time of Incident 08/10/2019 6:33 AM Inmate Name / Reg. No. EPSTEIN, JEFFERY REG#76318-054 Location of Incident ZA Photograph(s) by Li. S. Date and Time of Photo 08 10/2019 6:49 AM EFTA00050701

se r Ou.44>c, • ....44Rett Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office Type of Incident INMATE SUICIDE Date and "time of Incident 08/10/2019 6:33 AM Inmate Name / Reg. No. EPSTEIN, JEFFERY REG#76318-054 Location of Incident Z.,4 Photograph(s) by D. S. Date and Time of Photo 08/10/2019 6:49 AM EFTA00050702

Metropolitan Correctional Center New York, N.Y. Lieutenant's Office Photo Sheet Lieutenant's Office Type of Incident INMATE SUICIDE Date and Time of Incident 08/10/2019 6:33 AM Inmate Name / Reg. No. Location of Incident Photograph(s) by Date and Time of Photo EPSTEIIV, JEFFERY REG#76318-054 Zil Lt. S. III 08/10/2019 6:49 AM EFTA00050703

Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office Type of Incident Date and Time of Incident Inmate Name / Reg. No. Location of Incident Photograph(s) by Date and Time of Photo INMATE SUICIDE 08/10/2019 6:33 AM EPSTElAr, JEFFERY REG'476318-054 ZA Li S 08/10/2019 6:49 AM EFTA00050704

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Date: 08ti9/20t9 Tirnc: 01.40 PM Federal Bureau of Prisons TRUVIEW Outside Person Center Report Sensitive But Unclassified Location: DC Money Sent Transaction Data Loe Trans Tut Amount Rap # initiata Nm Address city St Zip Phone 8/7/2019 12:04:48 PM 8/7/2019 12:04:45 PM NYM NYM Western Union Western Union $200.00 85993054 5200.00 76318054 REYES, EFRAIN EPSTEIN: JEFFREY 575 AVEZ 675 AVEZ BK BK NY NY 11223 11223 2122274530 2122274530 User ID: 11,4688 Page 2 of 2 EFTA00050762