BP-A0971 CHAIN OP CUSTODY LOG CDFRM AUG 11 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS RCN (I ITEM i CASE ID NUMBER: SUSPECT (IS known) DECCRIPTION OF ITEM: i) Gre e n DATE/T ITEM FOUND: (Enclose with/attach to evidence) LOCATION: SIGNATURE OF PERSON RECOVERING EVIDENCE: PRINTED NAME: EVIDENCE PLACED IN OVERNIGHT DROP BOX: DROP-BOX BY:(printed name) Date i Time: witness:(printed name) EVIDENCE RECOVERED FROM OVERNIGHT DROP BOX BY: (printed name) Date i Time: Witness:(printed name) EVIDENCE PLACED EVIDENCE SATE BY: (printed name) Date a Time: Witness:(printed name) DISPOSITION: ( ) Hold as evidence ( ) Return to finder ( ) Other REMARKS (condition cf evidence): ( ) Return to owner ( ) Lab Analysis ( ) Destroy immediately ( ) FS/ CRAIN OF CUSTODY =EKE. . S' is 44 8.17>c DATE/TISCE• 8/Ati (j 7 51-4 DESTINATION. EVIDENCE RELEASED TO: PD£ Prescribed by P5510 EFTA00049063

BP-A0971 CHAIN OF CUSTODY LOG CDFAM AUG 11 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS ECN 11 ITEM aNYM-19-00182 (Enclose with/attach to evidence) CASE ID NUMBER: SUSPECT (If known) Jeffrey, Epstein#76318-154 DESCRIPTION OF ITEM: Clothing Epstein was transported to outside hospital with. DATE/TIME ITEM FOUND: August 10, 2019 2 10:15 AM LOCATION: New York ?resbyterian Hospital SIGNATURE OF PERSON RECOVERING EVIDENC PRINTED NAME: Derrick Mebane EVIDENCE PLACED IN OVERNIGHT DROP BOX: DROP-BOX BY:(printed name) Date 6 Tine: witness:(printed name) EVIDENCE RECOVERED PROM OVERNIGHT DROP BOX BY: (printed namel Date 6 Time: Witness:(printed name) EVIDENCE PLACED EVIDENCE SAFE BY: (printed name) Date 6 Time: Witness:(printed name) DISPOSITION: ( ) Hold as evidence ( ) Return to owner ( ) Lab Analysis ( ) Return to tinder ( ) Destroy immediately ( ) FBI ( ) Other REMARKS (condition of evidence): CHAIN OF CUSTODY EVIDENCE RELEASED BY SULTUTINE. DESTINATION: EVIDENCE RELEASED TO: Derrick Mebane 8/1C/19 1O:32AM SIS Office SIS Lt. T. Doctor 415 G. T. •am.c..4O- I4049* 4 .a:z,?(I cy (lige?. jGet,ki art' Cmanianci PDF Prescribed by PSS10 EFTA00049064

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iiiSENSillitaiiUNCLASSIFIED•• Intake Screening Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex M NYM Date: 07108/2019 09:24 Provider: Schlessinget K. PsyD/PhD Limits of Confidentiality Limits of confdentiality were reviewed with inmate EPSTEIN. He expressed an understanding of the limits of confidentiality and consented to be interviewed accordingly. s. Data Source(s) • • The following data sources were reviewed in conjunction with this intial Intake EvaluatIon: Self-Report. SENTRY, Staff Observation. Inmate Epstein is a 66-year-old, Black male who was seen by Psychology Services due to newly arriving at MCC•NY. He denied a history of mental health treatment on his Psychology Services Intake Questionnaire. Mental Health History and Current Symptoms " No history of mental health issues was noted. No history of prior mental health treatment was noted. No current mental health symptoms were noted. • No suicidal ideation, attempts, or self-harm were noted. Substance Abuse No history of substance abuse was noted. No history of substance abuse treatment was noted. Sex Offenses No sexual offense convictions were noted. No history of sexual predation in a correctional setting was noted. Relevant Psychosocial History Noteworthy psychosocial issues: Other. Inmate Epstein is currently incarcerated for a Sex Trafficking. He stated he was previously incarcerated three months for prostitution. Inmate Epstein stated he is single and does not have any children. He revealed he was living in New York. He stated he completed high school. He stated he was employed in banking work prior to his incarceration. Adjustment to Incarceration Adjustment to incarceration concerns were identified: Other. SEXUAL ABUSE HISTORY Inmate Epstein denied being the victim of physical or sexual abuse. He is currently charged with sex trafficking and has previously been charged with prostitution. He was informed of the programs offered by MCC-NY as well as the Bureau of Prisons. Additionally, he was informed of this institutions serf-help program. Inmate Epstein reported he was not currently interested in any treatment programs. Reg #: 76318-054 Unit Team: A&O MENTAL STATUS: Inmate Epstein appeared calm, controlled, without signs of psychomotor agitation or retardation. He was fully cooperative, maintained good eye-contact, and related in an interpersonally approprate manner with interviewer. Speech and thought processes were organized, coherent logical, and goal-directed. Based on informal assessment during this interview, this inmate's cognitive functioning appeared within normal limits, as reflected by adequate long and short-term memory, good attention, and appropriate concentration &ring interview, as well as adequate receptive and expressive language skills. Inmate denied any current sleep disturbances and described his appetite as adequate. This inmate denied recent or present morbid thoughts, passive or active suicidal ideation, intent cr plan and contracted for safety. This inmates verbalizations were optimistic, future oriented, and without indications of helpless or hopeless thinking. Inmate Brown denied any familial history of suicide behaviors or attempts. This inmate was provided with supportive psychotherapy, and psycho-education to strengthen coping skills and facilitate adjustment to incarceration. Findings Care Level: CARE1-MH Pape 1 of 2 Generated 31/08/2019 09:30 by ScniessInger. K. PsyG/PhD Bureau of Prisons - NYM EFTA00049070

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex' M Fealty: NYM Date: 07/08/2019 09:24 Provider: Schlessinger, K. PsyDfPhD Reg #: 76318.054 Unit Team: A&O Inmate EPSTEIN denied any history of mental health symptoms or treatment. He denied any current mental health symptoms. He does not meet criteria for any current psychological diagnosis. He meets criteria for Mental Health Care Code 1. CARE1-MH is indicative of an inmate wno shows no significant level of functional impairment associated with a mental illness and demonstrates no need for regular mental health intervention. Recommendations The following psycholog'cal services are recommended: Other. Inmate EPSTEIN was educated about both routine and emergency procedures for contacting Psychology staff. He does not appear to be in distress at tnis time. He agreed to contact psychology if he feels he needs psychology services in the future. He meets criteria for CC1 and does rot require scheduled follow up at this time. Completed by Schlessinger, K. PsyD/PhD on 37/08;2019 09:30 Generated 07/08/201900.30 by Schtessinger, K PsyD/PhO Bureau of Prisons • NYM Page 2 of 2 EFTA00049071

Bureau of Prisons Psychology Services Risk of Sexual Abusiveness *SENSITIVE BUT UNCLASSIFIED" Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Date: 07/08/2019 09:35 Provider: Schlessinger, K. PsyD/PhD Reg #: 76318-054 Unit Team: MO Comments Risk of Sexual Abusiveness During the intake screening process, for Inmate Epstein, based on the documentation available at the time of the screening, and Inmate Epstein's self-report, he was identified as being at risk for sexual abusiveness due to previous perpetration of sexual abuse in the community or in an institutional setting, as evidenced by the following objective criteria: ( ) Having a history of prior institutional violence or sexual abuse perpetration (X ) Having a history of prior sexual abuse perpetration in the community (X ) Having prior convictions of violent offenses As required by P5324.11, Sexually Abusive Behavior Prevention and Intervention, Inmate Epstein was seen by Psychology on today's date to assess his risk factors for sexual abusiveness. At the onset of this clinical contact, the inmate was informed about the BOP requirements regarding PREA. Inmate Epstein indicated he understands the institution's policy against engaging in sexual behavior. His risk factors for sexual abusiveness were assessed and include: ( ) History of prior sexual victimization in prison ( X ) History of prior prison sexual predation ( ) History of head injury with loss of consciousness ( ) History of childhood psychological, physical, sexual abuse ( ) Witnessed family violence ( ) Antisocial Personality Disorder traits of irritability/aggressiveness and recklessness ( ) Hypersexuality (defined by eight or more orgasms a week prior to prison) ( ) Hypermasculinity ( ) Other. Based on this clinical assessment. the inmate is considered to be at: (X ) Low Risk of Abusiveness at this facility (Note: Even though this inmate is judged to be at low risk of sexual abusiveness, an unforeseen change in risk factors may significantly alter his risk level.). Programming recommendations included sex offender treatment. Inmate Epstein declined programming recommendations.The inmate understands the procedure for contacting Psychology for routine or emergent services. ( ) Moderate Risk of Abusiveness. The Unit Team and Correctional Staff have been notified regarding Psychology staffs rewinmendation that he not be housed in a cep with any inmates identified as at increased rsk for sexual victimization. Psychology also recommends a greater level of supervision regarding Ks work and education assignments. Programming recommendations include XXXXX. ;nmate =inmateLastName is agreeable to/ declined programming recommendations. ( ) High Risk of Abusiveness. It is recommended this inmate be housed in the Special Housing Unit in accordance with P5324.11 to "keep separate those inmates at high risk of being sexually victimized from those at high risk of being sexually abusive" until Correctional Services and Correctional Programs staff can assess his appropriateness for general population at this facility. This inmate should not be housed wit any inmates judged to be at an increased risk for sexual victimization. Programming recommendations include XXXXX. Inmate =inmateLastName is agreeable to/ declined programming recommendations. Generated 07/08/2019 e0:41 by Schlessinger. K. PsyO/PhD Bureau of Prisons - NYM Page 1 of 2 EFTA00049072

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Date: 07/08/2019 09:35 Provider. Schlessinger, K. PsyD/PhD Reg #: 76318-054 Unit Team: A80 Completed by Schtessinger, K. PsyD/PhD on 07/08/2019 09:41 Generated 07/08/2019 09:41 by Schlessinger. K. PsyDIPhO Bureau of Prisons - NYM Page 2 of 2 EFTA00049073

Bureau of Prisons Psychology Services General Administrative Note **SENSITIVE BUT UNCLASSIFIED•" Inmate Name: EPSTEIN. JEFFREY EDWARD Date cf Birth: 01/20/1953 Sex: M Facility: NYM Date: 07/0812019 10:41 Provider: Miller. Eiissa PhD/Chief Reg ft: 76318-054 Unit Team: A&O Comment* This writer consulted with Dr. Robert Nagle, Central Office, regarding Inmate Epstein. Inmate Epstein has various rsk factors for suicidally including a high profile case with media attentbn, sex offense cha'ges, pre-trial status, and a court proceeding today which could potentially be giving him bad news regarding his legal situation. As such, when inmate Epstein returns from court. R&D staff as well as Lieutenants have beer informed to immediately notify the psychology department If he returns after duty hours, the aforementioned staff were instructed to notify the an-call psychologist and to place inrate Epstein on a watch status until psychology can conduct a thorough suicide risk assessment. Completed by Miller, Ellssa PhD/Chief Psychologist on 07/08/2019 10:49 Generated 07/08,2019 1C:49 by Miller: Elissa PhD/Peel Burcau of Prisons • NYM Page 1 of 1 EFTA00049074

Bureau of Prisons Psychology Services Suicide Risk Assessment "SENSITIVE BUT UNCLASSIFIED" Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: A&O Date: 07/09/2019 08:41 Provider: Miller, Elissa PhD/Chief Psychologist Type of Housing: Other Psychological Observation Cell Accommodation: Single Cell FINDINGS This assessment and the resulting recommendations are based on the following sources of information: Clinical Interview, Medical Record Inmate Epstein was placed on psychological observation when he returned from court yesterday evening 7/8119 for precautionary reasons. He isyl a suicide watch at this time. Beason for Referral Inmate Epstein is being seen de risk assessment today for precautionary reasons. Inmate Epstein has various risk factors for suicidality at thiailla ing a high profile case with media attention, sex offense/trafficking charges, pre-trial status, and he had a court Ing yesterday which could have given him bad news regarding his legal situation. As such, this writer instru &D staff s well as the Lieutenant's Office, to immediately notify the psychology department when he returned f Inmate Epstein returned from court after duty hours and denied suiddality. The aforementioned staff notifi -call psychologist and inmate Epstein was placed on a precautionary psychological observation status until psycho erview him this morning to conduct a suicide risk assessment. Developmental History Inmate Epstein denied any history of being the victim Educational History/Cognitive Impairment Inmate Epstein reported he obtained his high school diplom mathematics. Arrest History and Experience of Incarceration Inmate Epstein reported he has served time in Palm Beach County jailer se charges (soliciting prostitution) in rator of physical or sexual abuse. 01) ed some graduate classes in the area of the past. He is now being charged with Sex trafficking, on a federal level. Mental Health History Inmate Epstein denied any history of mental health treatment, either on an inpat 0t ient basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also d • cute mental health symptoms at this time. Self-Harm History Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever e ging in any suicide attempts or self-injurious behavior in the past. Substance Abuse History Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol. Medical Concerns Inmate Epstein denied any significant medical problems, other than a history of high triglycerides. He reported feeling constipated at this time. Current Problem Inmate Epstein is currently on psychological observation due to his having multiple risk factors associated with suicidality. He denies any suicidality at this time and has no mental health or suicide history. He is being seen for a suicide risk assessment in an abundance of caution. Current Mental Status Level of Consciousness: Alert and Oriented Generated 07/09/201910:36 by Miner. Elissa PhD/Chief Bureau of Prisons - NYM Page 1 of 3 EFTA00049075

Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: MO Date: 07/09/2019 08:41 Provider: Miller, Elissa PhD/Chief Psychologist Psychomotor Activity: Normal General Appearance: Normal Behavior: Cooperative Mood: Appropriate to Content Thought Process: Goal Directed Thought Content: Normal Inmate Epstein did not exhibit any acute psychopathology and exhibited a clear mental status. Current Mental Status: Mr. EPS,WN was alert and oriented. He was polite, calm, and cooperative in demeanor. He exhibited a neutral affect with appropriakragie. Eye contact and hygiene were appropriate. The inmate spoke with normal rate, tone, and volume. His thoughts Wer rganized and coherent, with no loosening of associations or tangential, circumstantial, or $ irrelevant content. There was rice of perceptual disturbance, delusional ideation, or a formal thought disorder. He did not engage in any bizarre or inap to behavior. He noted having normal sleeping and eating habits. Mr. EPSTEIN explicitly denied recent and curre eation, planning, and intent. He was future-oriented and expressed a commitment to life and safety, agree act staff immediately should he experience suicidal ideation. RISK AND PROTECTIVE FACTORS ASSESSED; This writer screened the inmate for a variety o suicide. The following STATIC risk factors were assessed behaviors: High Profile Crime, Lack of family connect] Of the DYNAMIC risk factors assessed, none were foun y validated factors commonly associated with risk for self-harm and and increase the inmate's risk for engaging in suicide related ender status cot. m The following PROTECTIVE factors were assessed to be pres ay decrease the inmate's risk of suicide:Able to identify reasons to live, Adequate problem solving skills, Denial of suici ntention/plans, Future orientation. View of death as negative, Willingness to engage in treatment As noted above, Inmate Epstein is a 66-year-old Caucasian male. He factors for suicidality at this time including a high profile case with extensive media attention, sex offense/t arges, pre-trial status, and he had a court proceeding yesterday which may have given him bad news regarding his leg Inmate Epstein also informed this writer that his only family at this time is his brother, with whom he does not hay ci ationship with. Despite these risk factors, inmate Epstein possesses a number of protective factors a i Inmate Epstein adamantly denied any suicidal ideation, intention or plan. He was very future oriented and requeste n call, to meet with his attorney, to take a shower, and to brush his teeth. He was eating his cereal when this writ d said "I have my paper spoon here." He reported he is going to have a bail hearing on Monday and believes he is go sed from jail. Inmate Epstein reported he is a Banker and has a "big business" in the community and that "bei un." He also revealed he enjoys learning and teaching. He has confidence in his attorney and described him as mpetent." Inmate Epstein denied any mental health history or history of suicidality. He also reported none of his family members have mental health histories. Inmate Epstein stated he is a mathematician and took post graduate classes in this area of study. Inmate Epstein stated he has a support system in the community, including friends and other associates. Finally, inmate Epstein demonstrated a good sense of humor and did not appear dysphoric, agitated or anxious. No acute psychopathology was noted. Overall, inmate Epstein has numerous protective factors at this time that outweigh his risk factors for suicidality. He has a positive outlook regarding his legal case, demonstrates no psychiatric symptoms, has no psychiatric or suicide history, and verbalized a desire to be alive at this time and future orientation. DIAGNOSIS. No Diagnosis, No Dx - Current CONCLUSIONS The Overall Acute Suicide Risk for this Inmate is: Low Overall Chronic Suicide Risk for this Inmate is: Absent Generated 07/09/2019 10:36 by Miller. Elissa PhD/Chief Bureau of Prisons - NYM Page 2 of 3 EFTA00049076

Inmate Name: EPSTEIN. JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: A&O Date: 07/09/2019 08:41 Provider: Miller, Elissa PhD/Chief Psychologist RECOMMENDATIONS Inmate Epstein is currently on psychological observation pending suitable housing placement. In light of his current sex offense charges and extensive media coverage on the television, he will need to be confined in a suitable housing unit. Inmate Epstein will be seen daily while on psychological observation and will be seen for a psychological observation follow-up session once he is released from observation. Inmate Epstein denied the need for psychological intervention, self-help materials, or follow-up. He has been classified as a CC1-MH inmate at this time. CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated with a mental illness and demonstrates no need for regular mental health intervention. Suicide Watch: A suicide watch is not warranted at this time Completed by Miller, Elissa PhD/Chief Psychologist on 07/09/2019 10:36 r Ai> 4 Generated 07/09/2019 1O36 by Miller, Ban PliO/Chlef Bureau of Prisons NYM Page 3 of 3 EFTA00049077

Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/09/2019 08:41 Facility: NYM Amendment made to this note by Miller, Ellssa PhD/Chief Psychologist on 07/10/2019 09:20. Bureau of Prisons • NYM EFTA00049078

Bureau of Prisons Psychology Services Suicide Risk Assessment **SENSITIVE BUT UNCLASSIFIED** Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: A&O Date: 07/09/2019 08:41 Provider: Miller, Elissa PhD/Chief Psychologist Type of Housing: Other Psychological Observation Cell Accommodation: Single Cell FINDINGB This assessment and the resulting recommendations are based on the following sources of information: Medical Record, Clinical Interview Inmate Epstein was placed on psychological observation when he returned from court yesterday evening 7/8/19 for precautionary reasons. He is not on a suicide watch at this time. He was seen this morning for a psychological observation contact and suicide risk assessment this morning, 7/9/19, at 7:30 a.m. as it was determined he possessed some at-risk factors for suicidality. Reason for Referral Inmate Epstein Is being seen for suicide risk assessment today for precautionary reasons. Inmate Epstein has various risk factors for suicidality at this time including a high profile case with media attention, sex offense/trafficking charges, pre-trial status, and he had a court proceeding yesterday which could have given him bad news regarding his legal situation. As such, this writer instructed R&D staff, as well as the Lieutenant's Office, to immediately notify the psychology department when he returned from court. Inmate Epstein returned from court after duty hours and denied suicidality. The aforementioned staff notified the on-call psychologist and inmate Epstein was placed on a precautionary psychological observation status until psychology could interview him this morning to conduct a suicide risk assessment. Developmental History Inmate Epstein denied any history of being the victim and/or perpetrator of physical or sexual abuse. EtuestenaljalandrsognIthiumealmmat Inmate Epstein reported he obtained his high school diploma and attended some graduate classes in the area of mathematics. Attest filatomarELExperience of Incarceration Inmate Epstein reported he has served time in Palm Beach County jail on sex offense charges (soliciting prostitution) in the past. He is now being charged with sex trafficking, on a federal level. Mental liealltillata Inmate Epstein denied any history of mental health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also denied any acute mental health symptoms at this time. Self-Harm History Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious behavior in the past. Substance Abnse History Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol. Medical Concerns Inmate Epstein denied any significant medical problems, other than a history of high triglycerides. He reported feeling constipated at this time. current Problem Inmate Epstein is currently on psychological observation due to his having multiple risk factors associated with suicidality. He denies any suicidality at this time and has no mental health or suicide history. He is being seen for a suicide risk assessment in an abundance of caution. Canard Mental Status Generated 07/10/2019 09:20 by Miller. Bina PhD/Chief Bureau of Prisons NYM Page 1 of 3 EFTA00049079

Inmate Name: EPSTEIN. JEFFREY EDWARD Reg #. 76318-054 Date of Birth: 01/20/1953 Sex: M NYM Unit Team: MO Date: 07/09/2019 08:41 Provider: Miller, Mists PhD/Chief Psychologist Level of Consciousness: Alert and Oriented Psychomotor Activity: Normal General Appearance: Normal Behavior: Cooperative Mood: Appropriate to Content Thought Process: Goal Directed Thought Content: Normal Inmate Epstein did not exhibit any acute psychopathology and exhibited a clear mental status. Current Mental Status: Mr. EPSTEIN was alert and oriented. He was polite, calm, and cooperative in demeanor. He exhibited a neutral affect with appropriate range. Eye contact and hygiene were appropriate. The inmate spoke with normal rate, tone, and volume. His thoughts were organized and coherent, with no loosening of associations or tangential, circumstantial, or irrelevant content. There was no evidence of perceptual disturbance, delusional ideation, or a formal thought olsorder. He did not engage in any bizarre or inappropriate behavior. He noted having normal steeping and eating habits. Mr. EPSTEIN explicitly denied recent and current suicidal ideation, planning, and intent. He was future-oriented and expressed a commitment to life and safety, agreeing to contact staff immediately should he experience suicidal ideation. RISK AND PROTECTIVE FACTORS ASSESSED• This writer screened the inmate for a variety of empirically validated factors commonly associated with risk for self-harm and suicide. The following STATIC risk factors were assessed to be present and increase the inmate's risk for engaging in suicide related behaviors: Sex offender status, Lack of family connections, High Profile Crime Of the DYNAMIC risk factors assessed, none were found to be present. The following PROTECTIVE factors were assessed to be present and may decrease the inmate's risk of suicide:Willingness to engage in treatment, View of death as negative, Future orientation, Denial of suicidal ideation/intention/plans, Adequate problem solving skills, Able to identify reasons to live As noted above, Inmate Epstein is a 66-year-old Caucasian male. He has various risk factors for suicldality at this time including a high profile case with extensive media attention, sex offense/trafficking charges, pre-trial status, and he had a court proceeding yesterday which may have given him bad news regarding his legal situation. Inmate Epstein also infomied this writer that his only family at this time is his brother, with whom he does not have a close relationship with. Despite these risk factors, inmate Epstein possesses a number of protective factors at this time. Inmate Epstein adamantly denied any suicidal Ideation, intention or plan. He was very future oriented and requested a phone call, to meet with his attorney, to take a shower, and to brush his teeth. He was eating his cereal when this writer arrived and said "I have my paper spoon here? He reported he is going to have a bail hearing on Monday and believes he Is going to be released from jail. Inmate Epstein reported he is a Banker and has a "big business" in the community and that "being alive is fun." He also revealed he enjoys learning and teaching. He has confidence in his attorney and described him as "competent." Inmate Epstein denied any mental health history Of history of suicidality. He also reported none of his family members have mental health histories. Inmate Epstein stated he is a mathematician and took post graduate classes in this area of study. Inmate Epstein stated he has a support system in the community, including friends and other associates. Finally, inmate Epstein demonstrated a good sense of humor and did not appear dysphoric, agitated or anxious. No acute psychopathology was noted. Overall, inmate Epstein has numerous protective factors at this time that outweigh his risk factors for suicidality. He has a positive outlook regarding his legal case, demonstrates no psychiatric symptoms, has no psychiatric or suicide history, and verbalized a desire to be alive at this time and future orientation. DIAGNOSIS: No Diagnosis, No Dx - Current Generated 0711012019 C9.20 by Miler. Eiissa PhD/Chief Bureau of Prisons - NYM Page 2 of 3 EFTA00049080

Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #. 76318.054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: A&O Date: 07/09/2019 08:41 Provider: Miller, Elissa PhD/Chief Psychologist CONCLUSIONS The Overall Acute Suicide Risk for this Inmate is: Overall Chronic Suicide Risk for this Inmate is: Low Absent RECOMMENDATIONS Inmate Epstein is currently on psychological observation pending suitable housing placement. In light of his current sex offense charges and extensive media coverage on the television, he will need to be confined in a suitable housing unit. inmate Epstein will be seen daily while on psychological observation and will be seen for a psychological observation follow-up session once he is released from observation. Inmate Epstein denied the need for psychological intervention, self-help materials, or folow-up. He has been classified as a CC1-MH inmate at this time. CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated with a mental illness and demonstrates no need for regular mental health intervention. Suicide Watch: A suicide watch Is not warranted at this time Completed by Miller. Elissa PhD/Chief Psychologist on 07/10/2019 09:20 Generated 07/10/2019 09 :20 by frli3er. Elissa PhotChief Bureau of Prisons - NYM PoGe 3 of 3 EFTA00049081

Bureau of Prisons Psychology Services Diagnostic and Care Level Formulation **SENSITIVE BUT UNCLASSIFIED** Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Date: 07/09/2019 10:13 Provider: Miller, Elissa PhD/Chief Reg #: 76318.054 Unit Team: A&O Relevant Historical Information Inmate Epstein is a 66-year-old Caucasian male, currently incarcerated on sex trafficking charges. He denied any history of mental health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also denied any acute mental health symptoms at this time. Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious behavior in the past. Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink Cll. Presenting Problem/Syngitonif \?3, H Inmate Epstein was seen fokrsOi sk assessment today for precautionary reasons. He did not mark any mental health items or symptoms on hi ology Questionnaire (PSIC) when he entered the institution. Nonetheless, Inmate Epstein has various risk factors kis including a high profile case with media attention, sex offense/trafficking charges, pre-trial status, and he had proceeding yesterday which could have given him bad news regarding his legal situation. Inmate Epstein return om court er duty hours yesterday evening and staff notified the on-call psychologist. Inmate Epstein was placed on onary psychological observation status until psychology could interview him this morning to conduct a for e risk assessment to determine whether he is currently at-risk for suicidality. Diagnostic Formulation Inmate Epstein has no history of mental health probleiN4 s not exhibit suicidality at this time. He has never received inpatient or outpatient mental health treatment any history of suicidality. Currently, he does not exhibit any acute psychopathology, is currently psychologi nd is in no psychological distress. As such, he is being classified as a CC1-MH inmate at this time. CARE1-M e of an inmate who either has no identifiable mental illness (Axis I "No Diagnosis") or is mildly ill and requires n ention on an as-needed basis. Care Level Formulation CARE1-MH is indicative of an inmate who shows no significant level of illness and demonstrates no need for regular mental health intervention. Diagnosis: No Diagnosis, No Dx - Current Completed by Miller, Elissa PhD/Chief Psychologist on 07/09/2019 10:32 airment air associated with a mental 0 40, :er Generated 07/091201910:32 by Miller. Elissa PhD/Chief Bureau of Prisons - NYM Page 1 of 1 EFTA00049082

Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: Kt Race: WHITE Encounter Date. 07/09/2019 10:13 Facility. NYM Amendment made to this note by Miller, Elissa PhD/Chief Psychologist on 07/0912019 10:40. Bureau of Prisons - NYM EFTA00049083

Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Diagnostic and Care Level Formulation Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: NYM Date. 07/09/2019 10:13 Provider Miller, Elissa PhD/Chief Reg It 76318-054 Unit Team: MO Relevant Historical Information Inmate Epstein is a 66-year-old Caucasian male, currently incarcerated on sex trafficking charges. He denied any history of mental health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also denied any acute mental health symptoms at this time. Inmate Epstein denied any past or present suicidal ideation, intention or pan. He denied ever engaging in any su:cide attempts or self-injurious behavior in the past. Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol. RieSentiftg_Problem/SyrntitoM Inmate Epstein was seen by this writer for suicide risk assessment today, 719/19 at 7:30 a.m. for precautionary reasons. He returned from court yesterday evening. lie did not mark any mental health items or symptoms on his Psychology Questionnaire (PSICI) when he entered the institution. Nonetheless, Inmate Epstein has various risk factors for suicidality including a high profile case with media attention, sex offense/trafficking charges, pre-trial status, and he had a court proceeding yesterday which could have given him bad news regarding his legal situation. Inmate Epstein returned from court after duty hours yesterday evening and staff notified the on-call psychologist. Inmate Epstein was placed on a precautionary psychological observation status until psychology could interview him this morning to conduct a formal suicide risk assessment in order to determine whether he is carenty at-risk for suicidality. Diagnostic Formulation Inmate Epstein has no history of mental health problems and does no: exhibit suicidality at this time. He has r.ever received inpatient or outpatient mental health treatment and denied any history of suicidality. Currently, he does not exhibit any acute psychopathology, is currently psychologically stable and ls in no psychological distress. As such, he is being classified as a CC1-MH inmate at this time. CARET-MH is indicative of an Inmate who either has no identifiable mental illness (Axis I "No Diagnosis") or is mildly ill and requires clinical intervention on an as-needed basis. Care Level Formulation CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated with a mental illness and demonstrates no need for regular mental health intervention. Diagnosis: No Diagnosis, No Ox - Current Completed by Miller, Elissa PhD/Chief Psychologist on 07/09/2019 10:4C Generated 07/09/2019 10.40 by Miner, Elissa PhD/Chief Iltaeau of Prisons - NYM Page l of 1 EFTA00049084

Bureau of Prisons -SENSITIVE BUT UNCLASSIFIED" Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Date: 07/1012019 08:38 Provider: Miller, EI.ssa PhD/Chief Reg #: 76318-054 Unit Team: A&O Inmate Epstein was seen today for a psychological observation contact in the hospital area by this writer. ZabletailteiteleDialiOn Inmate Epstein appeared well and it was noted in his log book and eating/sleeping chart that he has been eating his meals, sleeping, interacting with the inmate companions, and pacing in his cell. Today, he presented this writer with numerous concerns and requests. He stated he does not want to be housed in the SHU because he is not comfortable there; he wants to be single-celled if he goes to the SHU; he wants Colace, rot the Ducolex he received from medical yesterday; he wants to be able to walk around and go to recreation; he does rot want to wear an orange uniform to his legal visits because he is treated "like a punished inmate;" he wants a phone call before he leaves the psychological observation area, he wants a shower and towel; he would like to be housed in the cadre (5S) unit and would like his property, paper, and a pen. Inmate Epstein's concerns were addressed by this writer and it was explained to him he will not be single-celled or placed in a housing unit for safety and security concerns. His medical concerns (constipation) were discussed with health services as well as his desire to be placed on Colace. Inmate Epstein was provided a shower this morning. Interventionist Inmate Epstein was provided with supportive intervention and coping skills strategies today. He was receptive to interventions ar.d was able to elucidate his various needs. He d.d not present with any acute psychopathology and continues to deny any suicidal ideation, intention, or plan. He is looking forward to his bail hearing on Monday but stated he is aware that even if he gets bail, it will take at least two weeks to sort things out so he can leave the jail. Progress/Plan Inmate Epstein is not in any psychological distress, does not present with any mental health symptoms or complaints. and is denying any suiddality. He appears psychologically stable at this time and can be released from the psychological observation area. Inmate Epstein will be housed in the 9S area with a cellmate. He will be seen again tomorrow by psychology to evaluate his mental status and psychological stability. Completed by Miler, Elissa PhD/Chief Psychologist on 07/10/2019 09:09 Generated 07/10/2C19 C9.09 by M:!er. Elissa PhD/Chief Bureau of Pdsons - NvM Page 1 of 1 EFTA00049085

Bureau of Prisons Psychology Services General Administrative Note "SENSITIVE BUT UNCLASSIFIED** Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Date: 07/11/2019 14:28 Provider: Imeri, Darlene PsyD Reg #: 76318-054 Unit Team: MO Comments This writer attempted to see Mr. Epstein in the morning and then again in the afternoon for a Psych Observation Follow Up, but he was in Attorney Conference. Completed by Imeri, Darlene PsyD on 07/11/2019 15:51 Generated 07/11/2019 15.51 by knelt Darlene PsyD Bureau of Prisons • NYM Pape 1 Of 1 EFTA00049086

Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth. 01/20/1953 Sex: M Facility: NYM Date: 07/11/201915:21 Provider. Miller, Elissa PhD/Chief Reg St 76318-054 Unit Team: A&O Focus of Sessliut Inmate Eostein was seen for his psychological observation follow-up in attorney conference this afternoon. Subjective/Of-active Presentation Inmate Epstein reported he has been consulting with his attorney most of the day. He elucidated concerns about his incarceration including not receiving his property yet in SHU, feeling cold In his cell, not receiving his Colace, not having enough water in attorney conference, and a desire to recreate in SHU." Inmate Epstein was also upset about wearing an orange jumpsuit and being treated like "a bad guy' when he did not do anything wrong in the prison. Custody and security concerns were addressed with inmate Epstein including why he has to wear his orange jumpsuit (due to his being housed in SHU). He requested that he be placed In a brown uniform during his legal visits. He was told his concerns would be addressed in the SHU meeting. Inmate Epstein stated he is net having any current problems with his cellmate and indicated he at bran cereal for breakfast and took a shower yesterday. He did not sleep well last night. Inmate Epstein continues to deny any suicidal ideation, intention or plan. He did not appear tc be in any distress at this time. Interventionfsi Inmate EPSTEIN was provided with brief supportive interventions, CBT-based interventions, and psychoeducation regarding additional coping strategies. Inmate EPSTEIN was receptive to these interventions. Progress/Ptaft Inmate EPSTEIN was educated about both routine and emergency procedures for contacting Psychology staff. He was reminded of the self-help books and audlotapes available through the Psychology department. He will be seen next week after his bail hearing to assess his mental status and psychological stability. Completed by Miller, Elissa PhD/Chief Psychologist on 07/12/2019 07:51 Generated 07/12/2019 07:51 by Miler, Fassa PhD/Chief Gereau of Prisons - NYM Page 101 1 EFTA00049087

Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/2011953 Sex: M Facility: NYM Date. 07/16/2019 12:48 Provider- Miller, Elissa PhD/Chief Reg #: 76318-054 Unit Team: A8O Focus of Session Inmate Epstein called for this writer in attorney conference today. The officer in attorney conference notfied thls writer that he was asking to be seen. Subjective/Objective Presentation Inmate Epstein reported he has not received a spoon or soap in SHU, nor did he receive the phone calls that were "promised to him." He told this writer we need to rave mutual trust that his needs are met in the prison. This writer told inmate Epstein that she would address his concerns. On the way out, a staff member told this writer she witnessed inmate Epstein receive two phone calls from the Lt. Nonetheless, this writer informed the SHU lieutenant of his concerns and he said he would ensure that he had soap, a spoon, and his initial SHU phone call. Inmate Epstein did not have any psychological concerns today. He denied any mental health symptoms or suicidality. He has been eatng as best as he can and has requested a Kosher diet Infraention(s) Inmate EPSTEIN was provided with brief supportive and psychoeducation regarding additional coping strategies. Inmate EPSTEIN was receptive to these interventions. He continued with his legal visit. Progress/Plan Inmate EPSTEIN was educated about both routine and emergency procedures for contacting Psychology staff. He was reminded of the self-help books and audiotapes available through the Psychology department There appears to be no need for follow up at this time. He will be seen in SHU for rounds and monthly SHU reviews. Completed by Miller, Elissa PhD/Chief Psychologist on 07/18/2019 13:05 Generated 07/18/2019 13.05 by Weer. assa PhD/CI:Mt Bureau of Prisons - NYM Pace 1 of EFTA00049088

Bureau of Prisons Psychology Services SHU Review •'SENSITIVE BUT UNCLASSIFIED" Inmate Name: Date of Birth: Date: EPSTEIN, JEFFREY EDWARD 01/20/1953 Sex: M Facility NYM 07/18/2019 07:21 Provider: Miller, Elissa PhD/Chef Reg #: 76318-054 Unit Team: MO Placed In SHU: Status: Basis of Review: Mental Status: 07/10/2019 ADMIN.DETENTION Inmate was interviewed No significant mental health issues. Type: Threat to Self: Adjustment: Threat to Others: SHU Low Satisfactory, segregation not detrimental Low Comments Monthly SHU Review Note Inmate Epstein was meeting with his legal team today and has a court hearing. He was not able to be seen for a SHU review. Another attempt to interview him for a SHU review will be done in the near future. Completed by Miller, Elissa PhD/Chief Psychologist an 07/18/2019 12:06 Generated 07/15/2010 12:06 by Mier. Eriarta PhD/Cblef 8ureau of Prisons • NYM Pago 1 of 1 EFTA00049089

Bureau of Prisons Psychology Services General Administrative Note "SENSITIVE BUT UNCLASSIFIED" Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Date: 07/23/2019 07:56 Provider. Miller, Elissa PhD/Chief Reg #: 76318-054 Unit Team: 5 Comments This On-Call Psychologist was contacted by the Operations Lt. at about 2 AM on 7/23/19 to inform Mr. Epstein was being placed on Suicide Watch because he was found with a string loosely hanging around his neck. Mr. Epstein will be seen today by the duly psychologist for a Suicide Risk Assessment. Completed by Miller, Elissa PhD/Chief Psychologist on 07/24/2019 07:59 Generated 07/24/2019 07:59 by Miler. aim PhDiCatel &read of Pesons - NYM Page 1 of EFTA00049090

Bureau of Prisons Psychology Services Suicide Risk Assessment "SENSITIVE BUT UNCLASSIFIED" Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: C1/2011953 Sex: M Facility: NYM Date: 07123/2019 10.09 Provider: Imeri Darlene PsyD Reg #: 78318-054 Unit Team: 5 Type of Housing: SHU- Administrative Segregation Cell Accommodation: Double-Cell FINDINGS This assessment and the resulting recommendations are based on the following sources of information: Clinical Interview, Medical Record, Psychology Data System, Sentry Reason for_Referr I The On Call Psychologist, Dr. Miller, had been contacted by the Operations LI. at about 2 AM on 7/23/19 to inform her that Mr. Epstein was being placed on Suicide Watch because he was found with a string around his neck. Mr. Epstein was seen by this writer for a Suicide Risk Assessment at about 9:10 AM on 7/23119. This note is being entered at about 3:35 PM on 7/23/19. Mental Health History. According to a Suicide Risk Assessment dated 7/09/19 by Dr. Miller, inmate Epstein denied any history of mental health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also denied any acute mental health symptoms at this time? Self-Harm Histoty According to a Suicide Risk Assessment dated 7/09/19 by Dr. Miller, "Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious behavior in the past." lebetanteithAtent According to a Suicide Risk Assessment dated 7/09/19 by Dr. Miller, "Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol." Stuffs al Emblem Earlier this morning Mr. Epstein was found by SHU staff in his cell with a string loosely tied around his neck. It is unclear at this time if Mr. Epstein had placed the string around his own neck. Wen Mr. Epstein was asked by this writer how he ended up cn Suicide Watch, he denied remembering. He stated he got a drink of water last night in his cell and went back to bed. He said the next thing he remembered is hearing himself snore. He said he wants to know why he is on Suicide Watch. He was informed that staff stated he was found in his cell with a string on his neck. According to Medical records, he had been seen by Medical for this and had a rule out of self inflicted injuries. When this writer reviewed the Staff Suicide Watch Log, it noted that Mr. Epstein told the staff watching him that his ceilmate tried to kill him. which Mr. Epstein did not tell this writer when this writer had interviewed Mr. Epstein. This writer was not able to ask Mr. Epstein about this, since Mr. Epstein was now in Legal. The Captain was notified about this notation and the Captain stated they were already aware of this statement. Current Mental Statue Level of Consciousness: Alert and Oriented Psychomotor Activity: Normal General Appearance: Normal Behavior. Cooperative Mood: Appropriate to Content Generated 07G3/2019 15.38 by lawn, Darlene PsyD Bureau of Prisons NYAI Page 1 a 3 EFTA00049091

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facl:ty: NYM Date: 07/23/2019 10:09 Provider. Imeri, Darlene PsyD Thought Process: Goal Directed Thought Content: Normal Current Mental Status: He exhibited a neutral mood with a hill range of affect. His speech was logical and coherent, with no loosening of associations or tangential, circumstantial or Irrelevant speech. Auditory and visual hallucinations were denied, and delusions were not elicited He did not engage in any bizarre or inappropriate behavior. He denied current suicidal or self harm ideation and he agreed to immediately tell staff if he starts to have suicidal or self harm thoughts. He was future oriented. He does not appear to be an immediate danger to self. He denied thoughts of hurting others and he agreed to tell staff if he has these thoughts. RISK AND ERQTECTIVE FACTORS ASSESSED• This writer sassiled the inmate for a variety of empirically validated factors commonly associated with risk for self-harm and suicide. The following STATIC risk factors were assessed to be present and increase the inmate's risk for engaging in suicide related behaviors: High Profile Crime, Lack of family connections, Sex offender status The following DYNAMIC risk factors were assessed to be present and increase the :nmate's risk for engaging in suicide related behaviors: Current physical pain The following PROTECTIVE factors were assessed to be present and may decrease the inmate's risk of suicide:Able to identify reasons to live. Adequate problem solving skills, Denial of suicidal ideationfintention/plans, Future orientation, View of death as negative, Willingness to engage in treatment Risk Factors: He was found by staff in his cell in SHU with a string loosely tied around his neck, which Mr. Epstein stated he did not remember anything about. It is unclear at this time if Mr. Epstein had placed the string around his own neck or if someone else did. According to Medical, he had a circular line around the base of his neck, which he denied knowing how he obtained. He stated his throat hurts which was reported to Medical. He has a high profile sex offense case and recently was denied bai. When asked if he has any friends or family that are emotionally supportive, he stated he does not know what that means. When emotional supports were explained to him and then again asked if he as any family or friends that are emotionally supportive, he was vague and said he has a lot of people. Reg #: 76318-054 Unit Team: 5 Protective Factors: He denied current suicidal or self harm thoughts or ever having these thoughts. He denied a history of self harm and suicide attempts. He denied a family history of suicidal and self harm attempts. He denied having any chronic medical conditions. He denied feeling hopeless. He denied a history of childhood abuse. He denied fearing for his safety. He denied feeling like a burden to anyone. He reported he is sleeping adequately. He stated he lives to have fun, to enjoy life, and to learn. He said his future plans include fighting his case and going back to his normal life. Whereas, he is denying suicidal and self harm thoughts and has a lot of protective factors, he is denying that he remembers how he ended up on Suicide Watch and has marks encircling his neck. It is unclear at this time if he had placed the string around his neck or if someone else did. He will remain on Suicide Watch for further observation and safekeeping. PIA.GNOSIS: No Diagnosis, No Dx - Current CONCLUSIONS The Overall Acute Suicide Risk for th s Inmate is: Moderate Overall Chronic Suicide Risk for this Inmate is: Absent R.£COMMENDATIONS 1. Mr. Epstein will remain on Suicide Watch for further observation and safekeeping. 2. While on Suicide Watch, he will be continuously observed by Inmate Companions. 3. While on Suicide Watch, he will be seen daily by Psychology. 4. Supportive and educative interventions were provided. 5. Medical was informed that he reported his throat hurts. Suicide Watch: A suicide watch was initiated by non-clinical staff and continues to be warranted Suicide Watch was Initiated on: 07/23/2019 01:40 Generated 07123/2015 15:38 by [men: Darlene PsyD Bureau of Patens NYM Page 2 of 3 EFTA00049092

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Date: 07/23/2019 10:09 Provider: Imeri, Darlene PsyD Reg #: 76318-054 Unit Team: 5 Completed by Imeri, Darlene PsyD on 07/23/201915:38 Generated 07/23/2019 15 39 by Imam Darlene PsyD Bureau of Prisons-NYM Page 3 of 3 EFTA00049093

Bureau of Prisons Psychology Services Post Suicide Watch Report '•SENSITIVE BUT UNCLASSIFIED** Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Faclity: NYM Date. 07/24/2019 09:23 Provider: DiMisa, Samantha Ph.D. Reg it: 76318.054 Unit Team: 5 Watch Start Date: 07/23/2019 01.40 Total Time on Watch: 31 nrs 5 minutes Watch Conducted By: Both inmates and staff Current Mental Status Watch Stop Date: 07/24/2019 08.45 Transfered to Medical Center: No Level of Consciousness: Alert and Oriented Psychomotor Activity: Normal General Appearance: Normal Behavior Cooperative Mood: Appropriate to Content Thought Process: Goal Directed Thought Content: Normal Current Mental Status: Mr. EPSTEIN was alert and oriented. He was polite, calm, and cooperative in demeanor. He exhibited a neutral affect with appropriate range Eye contact and hygiene were appropriate. The inmate spoke with normal rate, tone, and volume. His thoughts were organized and coherent, with no loosening of associations or tangential. circumstantial, or irrelevant content. There was no evidence of perceptual disturbance, delusional ideation, or a formal thought disorder. He did not engage in any bizarre or inappropriate behavior. He noted having normal sleeping and eating habits. Mr. EPSTEIN explicitly denied recent and current suicidal ideation, planning, and intent. He was future-oriented and expressed a commitment to life and safety, agreeing to contact staff immediately should he experience suicidal ideation or psychological distress. He also denied thoughts of harming others. Risk Factors Assessed This writer screened the inmate for a variety of empirically validated factors comrronly associated with risk for set harm. The following STATIC risk factors were assessed to be present and increase the inmates risk for engaging in suicide related behaviors High Profile Crime, Lack of family connections, Sex offender status The following DYNAMIC risk factors were assessed to be present and increase the inmate's risk for engaging in suicide related behaviors: Current physical pain. Fear for own safety 1 he following PROTECTIVE factors were assessed to be present and may decrease the inmate's risk of suicide:Able to identify reasons to live, Adequate problem solving skills, Denial of suicidal ideaticrifintention/plars, Future orientation. View of death as negative, Willingness to engage in treatment Risk Factors. Mr. EPSTEIN has a significant scar around his neck, which is now scabbing over. He reported swelling in this area but denied experiencing any related pain. Mr. EPSTEIN continues to claim a lack of memory for the incident resulting in this scar. The story he provided was vague, such that this writer challenged him a couple of times, but he insisted he was being honest about his lapse in memory. The nature of the incident remain unclear. Mr. EPSTEIN is incarcerated for a very high profile crime with media attention. He was recently denied bail. He also reported difficulty managing his time in the SHU. He reported being fearful for his safety if he is to return to the cell with his previous cell mate. Protective Factors: Mr. EPSTEIN adamantly denied current suicidal ideation or intent or a history of suicide attempts. he stated, "I have no interest in killing myself." He explained, although his situation is "not perfect" due to his being incarcerated, he noted he has "lots to do for (his] legal case." He described having a "wonderful life," to include interactions with "interesting people and projects." He said 'it would be crazy' to take his life. He furthered, "I would not do that to myself." He denied fee:ings of hopelessness, although did report being "depressed" and "unhappy" about his current legal situation. He previously denied a history of childhood abuse. He reported he is sleeping adequately now that he is no longer in the SHU. He appear future-oriented as he endorsed an interest in being housed in general population. Weighing of Risk and Protective Factors: Mr. EPSTEIN adamantly denied sucidaj:y. However, in light of his vague self-report regarding the incident which precipitated his placement on Suicide Watch, combined with his fear for his own safety, reported Generated 07(24/20191209 by DiMisa. Samantha Ph.D. Bureau of Prisons - NYM Page I of EFTA00049094

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1933 Sex: Facility: NYM Unit Team. 5 Date: 07/2412019 09:23 Provider: DiMisa, Samantha Ph.D difficulty managing hIs time in the SHU, and the high profile nature of his alleged offense. Mr. EPSTEIN will be stepped down from Suicide Watch to Psychological Observation. Reg ti'. 76318-054 glianoes le_Etiskfactom Assessed Upon a review of the log book, it was indicated Mr. EPSTEIN has been speaking to the inmate companions about having previously taught mathematics and physics. He has been observed pacing the cell as well as sleeping, eating, and drinking within normal limits. Upon interview today, Mr. EPSTEIN requested he be provided a toothbrush as well as a shower. His requests were made known to the lieutenants and he was provided a shower prior to attending his legal vise. This writer also provided him a toothbrush, toothpaste, and hygiene products. Asked about the alleged incident which transpired yesterday resulting in his placement on Suicide Watch, Mr. EPSTEIN said he is frustrated he has been pieced in a "punishment cell for no reason? Specifically, Mr. EPSTEIN was referring to his placement In the SHU. Asked to recall the events surrounding the alleged incident, Mr. EPSTEIN said his cell mate was "playing with a bed sheet' and he claimed he does not recall the events thereafter. He said he recalled eating meat and drinking water and claimed the next event for which he has memory is his hearing himself snore and waking up on a stretcher. Mr. EPSTEIN claimed he does not recall himself or his cell mate tying a string or rope around his neck. He said he nos "been trying to remember' and "wracking his mind? Asked if he experienced any interpersonal issues with his cell mate, Mr. EPSTEIN described his cell mate as "agitated" and claimed his cell mate called him a "pedophile" for the first time yesterday. His cell mate was also reportedly reading a newspaper article about Mr. EPSTEIN, which bothered him and it was something he believed to be "strange" for their to be an article about him in his cell. Mr. EPSTEIN recalled throwing away the newspaper photograph of himself by crumpling It and flushing it down the toilet. Asked if his cell mate ever threatened to harm him, he denied this to be the case. Asked why he told the inmate companions yesterday his cell mate tried to kill him, while also claiming no memory of the incident, Mr. EPSTEIN again said he did not recall the incident and further stated, "I don't know if he put it there as a joke? Mr. EPSTEIN explained he had been experiencing difficulty sleeping in his SHU cell due to his inmate peers banging on the cell door and window, but has not been experiencing any other acute issues other than this. Reason for Removal from Watch Mr. EPSTEIN stated, "I have no interest in killing myself." He explained although his situation is "not perfect" due to his being Incarcerated, he noted he has "lots to do for [his[ legal case." He described having a "wonderful life," to include interactions with "interesting people and projects' He said It would be crazy" to take his life. He furthered, "I would not do that to myself." Mr. EPSTEIN did express a feeling of safety being housed on Psychological Observation rather than in the SHU. He asked if he could remain on this status for a couple of days, he was advised his housing situation will be re-evaluated on a day-to-day basis. He expressed a desire to be housed in general population rather than in the SHU and asked If there were a "safer' unit for him to be housed in comparison to the one where he was initially placed. Mr. EPSTEIN claimed there were many MS-13 gang members on the initial unit. He was advised he will be maintained on Psychological Observation in the near future, but his long-term housing situation will be revisited, as It Is not ideal for one to remain in isolation on Psychological Observation for extended periods of time. Mr. EPSTEIN acknowledged this information and thanked this writer for her explanation and time. No Diagnosis, No Dx - Current Conclusions The Overall Acute Suicide Risk for this Inmate is: Low Overall Chronic Suicide Risk for this Inmate is: Absent Recommendatinmi 1. Mr. EPSTEIN will be removed from Suicide Watch and stepped down to Psychological Observation. 2. While on Psychological Observation, he will be continuously observed by Inmate Companions. 3. While on Psychological Observation, he will be seen daily by Psychology. 4. Supportive and educative interventions were provided. 5. Mr. EPSTEIN was provided novels and a request was made for his legal paperwork to be provided to him on Psychological Page 2 of 3 Generated 07,24/2019 12:09 by Ms*. Samantha Ph.D. Ekireau of POWs - NYN EFTA00049095

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Date: 07/24/2019 09:23 Provider. M Facility: NYM DiMisa, Samantha Ph.D. Reg e: 76318.054 Unit Team: 5 Observation. 6. This writer contacted the Pharmacy to indicate Mr. EPSTEIN has not been receiving his medication used to alleviate hls constipation. 7. Mr. EPSTEIN attended a legal visit today, after having been provided a shower. 8. Mr. EPSTEIN was educated about both routine and emergency procedures for contacting psychology. 9. The inmate was encouraged to reach out for PRN services should he experience any psychological distress. Completed by DiMisa, Samantha Ph.D. on 07/24/201912:09 Generated 07/24/201912:09 by DiVisa. Samantha Ph.D. Bureau of Prisons -74)14 Page 3 of 3 EFTA00049096

Bureau of Prisons - SENSITIVE BUT UNCLASSIFIED- Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01120/1953 Sex: M Facility: NYM Date: 07/25/2019 10:14 Provider: Miller, Elissa PhD/Chief Reg it: 76318-054 Unit Team: 5 final ciLSessfilll Inmate Epstein was seen by this writer this morning while on psycnclogcal observation in the hospital area of the prison. SubieCtiverOblectiire PLeaenlatten Inmate Epstein was in good spirts today and engaged in reciprocal conversation with this writer this morning. He smiled and remarked, 'vveicome back' when this writer arrived. He continues to assert he does not remember how he received manrs around his neck, remarking "I do not remember anything, maybe you can give me some cues." He stated he just remembers going for a drink of water and the next thing he knew he woke up to the sound of his own snoring. When this writer attempted to get a more detailed account from him, indicating that it would be rare to have such impairments in memory as he does not suffer from an acute cognitive disorder, he smiled and said he understood my position. Inmate Epstein did reveal he is unhappy with his current confinement ,n Special Housing (SHU) as he considers it 'a punishment cell." He said he finds the restrictions up there unfair as he has not done anything wrong. Inmate Epstein stated he fees it is dangerous in the SHU, he cannot sleep well up there due to noise from the other inmates, it smells, and it is difficult 'cr him to work on his legal case up there. He stated he has not received the phone calls he was promised nor has he beer able to receive recreation. It was explained to him that he spends the entire day in the attorney conference room and it is likely that he has missed the times when staff members have attempted to give him phone calls and recreation. Inmate Epstein also reported complaints about the attorney conference room. staling they do not take him to the bathroom frequently enough. Inmate Epstein adamantly denied any suicidality at this time, stating "I am too vested in my case to fight it, I have a life and I want to go oack to living my life." He denied any acute srptoms at this time. According to log book, he has been eating, drinking, sleeping, and interacting with the inmate companions. He has also been attending his daily legal visits. interventionis) Inmate EPSTEIN was provided with brief supportive interventions and psychoeducation regarding additional coping strategies. Inmate E°STE:N was mostly receptive to these interventions. He requested to be housed in general population 'ether than the SHU and stated he wanted to remain on psychologies: observation due to his concerns with being in the SHU. Progress In an abundance of caution, inmate Epstein will remain on psychological observation. He has yet to give an account of how he sustained the marks around his neck, is not revealing much about his mental status, and there are concerns about his adjustment at this time to being housed in the SHU. Inmate Epstein will be seen daily by psychology while on psychological observat on. Completed by Miller, Elissa PhD/Chief Psychologist on 07/25/2019 10:43 Generated 07/25;20' 9 10 43 by A•leff. Etissa PCD/Ctriel Dereau at Prisons NYM Page 1 of 1 EFTA00049097

Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED- Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN JEFFREY FDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Date: 07/26/2019 09:09 Provider: Miller, Elissa PhD/Chief Reg #: 76318-054 Unit Team: 5 Focus of Set5i0j1 Inmate Epstein was seen while on psychological observation, in our hospital area. Su bjealvelObjectIve PresentatIon Prior to this writer's cortact with him, Inmate Epstein showered and cressed himself for his legal visit today. He was smiling and did crack some jokes during the interview. He did elucidate some complaints and suggested being disappointed with tnis writer as he wants "to trust me and for me to trust him." He stated he remains unhappy with legal visiting procedures as he cannot go to the bathroom as frequently as he would like to since he has a "weak bladder." Inmate Epstein also reportec since coming to the psychological observation area, he has felt constipated and needs his Colace. He had self-carry Colace in SHU, but since coming to the observaton area, he has not had his medication. This writer immediately notified medical and his pills were being processed during the interview. Inmate Epstein also continues to complain about the conditions of SHU confinement (i.e., feeling punished, smells, noise, and restrictions). Wth regarc to the events which lead to his initial placement on suicide watch, inmate Epstein stated he has no memory of the event. He asked to speak with his old cellmate "Nick" to see if he can tell him what happened or see if his memory could be triggered. He remarked, "I am still trying to figure out how I got this (pointing to the scab around his neck)." Inrate Epstein denies remembering harming himself and/or being harmed by his cellmate. He does not exhibit symptoms of any cognitive disorder, seizure disorder, psychotic disorder, or dissociatve disorder at this lime or in the past. Inmate Epstein denied any current suicidal ideation, intention, or plan. lie reported wanting to be alive to fight his legal case and go back and live life. He referred to himself as "a coward' and "I'm Jewish." He said he is not the type who likes pain or would ever attempt to harm himself. While on psyCnologica observation, inmate Epstein has been eating his meals, sleeping and interacting with the inmate companions. He is it legal visiting the majority of the day and in the evenings. His log book and eating/shower chart reflect the same. He has been speaking to inmate companions about investment strategies and about prison adjustment. Correctional Staff report during his legal visits, ne 's interacting with his attorney, animated, laughing, and joking. latersientionfs). Inmate Epsten was provided with supportive and coping skil:s interventions today. He was receptive to them. but mostly wanted to express his complaints about his current prison confinement status and needs. He wanted this valet tc address them. Progress/Plait Inmate Epstein will remain on psychological observation in an abundance of caution and pending housing arrangements to be made on Monday. Ho continues to be vague and reports memory deficits regarding the events which lead to a piece of sheet being placed loosely around his neck and marks with scabs around his neck. Completed by Miller, Elissa PhD/Chief Psychologist on 07/26/2019 10:05 Generated 07/25/2019 1O05 by Miler, E issa PhD/Chef BUCC`311 of Plsons • NYM Page 1 of 1 EFTA00049098

Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Date: 07/27/2019 07:14 Provider: lmeri, Darlene PsyD Reg #: 76318-054 Unit Team: 5 Focus of Session He was seen by writer while he was on Psych Observation. Subjective/Objective Presentation The "Eating/Shower Chart" indicated yesterday he ate dinner, drank liquids, and took a shower when offered. The Psych Observation Log noted he brushed his teeth, went to a Legal visit, talked about business and investing to an Inmate Companion, ate, and . -.., When interviewed, he statad Sl still cannot remember what happened in SHU that caused the marks on his neck. He stated that for the 5 days before at' i e had only slept about 30 minutes each night because of noise in SHU. He stated at' he is anxious about going back' o ' because he stated he is going back to a place where he had gotten marks on his neck and he does not know whittli He said he has an appetite and is eatin . He said is waking up every 1 1/2 hours. He stated he feels dehydrated because he is not drinking enough water be stated he feels he is not given enough bathroom breaks while with his Attorney. Medical was e-mailed with his t of feeling dehydrated. He said his Lawyers and friends are all emotionally supportive. Current Mental Status: He exhibited a neutral mood wi a ly full range of affect. His speech was logical and coherent, with no loosening of associations or tangential ntial or irrelevant speech. Auditory and visual hallucinations were denied, and delusions were not elicited. n t engage in any bizarre or inappropriate behavior. He denied current suicidal or self harm ideation. He stated ." He added he does not like pain and even does not like when he has to give blood. He agreed to immedia t aff and Inmate Companions if he starts to have suicidal or self harm thoughts. He was future oriented. He d o be an immediate danger to self. He denied thoughts of hurting others and he agreed to tell staff and Inmate ions if he has these thoughts. InterventInMsj Supportive and educative interventions were provided. He was given Tumin<JP ndouts on stress management, sleep, and building a routine in SHU. He stated he wants it noted in his chart th ' given a pamphlet on sleep, but that is not going to help because of the noise in SHU that prevents him rt e r1 g. Progress/Plan He will remain on Psych Observation in an abundance of caution and pending housing arr be made on Monday. While on Psych Observation, he will be seen daily by Psychology. Completed by Imeri, Darlene PsyD on 07/27/2019 08:16 Generated 07/27/2019 08:16 by !med. Darlene PsyD Bureau of Pnsons - NYM Page 1 of 1 EFTA00049099

Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: NI Race: WHITE Encounter Date: 07/27/2019 07:14 Facility: NYM Amendment made to this note by Imeri, Darlene PsyD on 07128/2019 09:19. 61708U of Prisons - NYM EFTA00049100

Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Date: 07/27/2019 07:14 Provider: 'men, Darlene PsyD Reg t$: 76318-054 Unit Team: 5 Focus of Sessio He was seen by writer while he was on Psych Observation. Sw eetly The "Eating/Shower Chart" indicated yesterday he ate dinner, drank liquids, and took a shower when offered. The Psych Observatior Log noted he brushed his teeth, went to a Legal visit, talked about business and investing to an Inmate Companion, ate, and slept. VVhen interviewed, he stated he still cannot remember what happened in SHU that caused the marks on his neck. He stated that fcr tne 5 days oefore that he had only slept about 30 minutes each night because of noise in SHU. He stated he is anxious about going back to SHU because he stated he is going back to a place where he had gotten marks on his neck and ho cces not know why it happened. He said he has an appetite and is eating. He said he is waking up every 1 1/2 hours. He stated he feels dehydrated because he is not drinSirg enough water because he stated he feels he is not given enough bathroom breaks while with his Attorney. Medica. was e•mai:ed with his complaint of feeling dehydrated. He said his Lawyers and fiends are all emotionally supportive. Current Mental Status: He exhibited a neutral mood with a full rarge of affect. His speech was logical and coherent. with no loosening of associations or tangential, circumstantial or irrelevant speech. Auditory and visual hallucinations were denied, and delusions were nct elicited. He did not engage in any bizarre or inappropriate behavior. He denied current suicidal or self ba•m ideatirm. He stated "I'm a coward." He added he does not like pain and even does not like when he has to give blood. He agreed to mmediately tell staff and Inmate Companions :f he starts to have suicidal or self harm thoughts. He was future oriented. He does not appear to oe an immediate flange• to self. He denied thoughts of hurting others and he agreed to tell staff and Inmate Companions if he has these thoughts. InterventionfsI Supportive and educative interventions were provided. Turning Points handouts on stress management, sleep, and building a routine in SHU were placed on his cell door to be given to him when his food slot is opened. He stated he wants it noted it his chart that he is being given a pamphlet on sleep, but that is not going to help because of the noise in SHU that prevents him frcm sleeping. progress/Plan He will remain on Psych Observation in an abundance of caution and pending housing arrangements to be made on Monday. While on Psych Observation, he will be seen daily by Psychology. Completed by Imeri, Darlene PsyD on 07/28/2019 09:19 Generated 07128/2019 C9.19 by 'men. Darlene PsyD Bureau of Prisons • NIvM Page' cf 1 EFTA00049101

Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN. JEFFREY EDWARD Date of Birth. 01/20/1953 Sex: M Facility. NYM Date: 07128/2019 08:33 Provider: Imeri, Darlene PsyD Reg #: 76318-064 Unit Team: 5 Focus of Session He was seen by writer while he was on Psych Observation. Subjective/Objective Presentation The "Eating/Shower Chart" noted that yesterday he ate breakfast. He is not in the Psych Observation cell for about 12 hours per day because of being in Attorney Conference with his Attorneys, so the "Eating/Shower Chart may not reflect all of his meals. He stated he was served one meal in Attorney Conference yesterday. He stated he drinks a lot water at night. The Psych Observation log noted he talked about life in general population and he slept. Earlier he had complained that his right arm was numb and hanging. Nurse Columbo from Medical had seen him for tnis. When this writer was interviewing him, he said his right arm still feels somewhat numo and he said he cannot make a fist with tnat hand. He also said he has numbness on h.is neck. This writer notified Nurse Columbo. He stated last night when he flushed the toilet it kept flushing for 45 minutes. He stated he found it so aversive and upsetting that he said he sat in the corner and held his ears. He said because of this he was agitated for hours and was rot able to sleep. The Lt. will be moving him to a different cell and ne was informed of this. He stated the feeling he got with the noise of the toilet was similar to wnen he was in SHU. He said he r...ay have something on the Autism spectrum He said to the movie 'Rain Man," the person with Autism had an aversion to noise. He stated he also realiy good with numbers. Current Mental Status: He exhibited a mildly anxious mood with a full range of affect. His speech was logical and coherent, with no loosening of associations or tangential, circumstantial Of irrelevant speech. Auditory and visual hallucinations were denied, and delusions were not elicited. He did not engage in any bizarre or inappropriate behavior. He denied current suicidal or self harm ideation and he agreed to immediately tell staff and Inmate Companions if he starts to have suicidal cr self narm thoughts. He was future oriented. He does not appear to be an immediate danger to self. He denied thoughts of hurting others and ne agreed to tell staff and Inmate Companions if he has these thoughts. Intervention(SI Supportive and ecucative interventions were again provided. He had not been given the Turning Point handouts yesterday that were on his cell door, so they were handed to him by staff today. Progress/Plan He wit' remain on Psych Observation in an abundance of caution and pending hcusing arrangements to be made on Monday. Wnile on Psych Observation, he will be seen daily by Psychology. Completed oy Imeri, Carlene PsyD on 07/28/2019 09:24 Generated 07291201909.24 by Intent. Darlene Psy0 Bureau of Prisons - NYM Page 1 of 1 EFTA00049102

Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED** Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Date. 07/29/2019 10:C1 Provider Miller, Elissa PhD/Chief Reg ft. 76318-054 Unit Team: 5 Focus of Inmate Epstein was seen while on psychological observation today in the hospital area. Subjective/Objective Presentation Same presentation today, but he said he thinks his memory for the incident (injury to his neck) may be impaired because of his sleep apnea. He is supposed to get his CPAP machine today. He is aware he will be returning to SHU, but said he is feeling unwell due to his inability to sleep and numbness in his arm. He requested to have one good night of sleep with his CPAP and will return to SHU with a cellmate tomorrow. He ther asked if he could remain down here where it is "safe' for the entire week. I told him he can stay down one more night to receive his CPAP and a good night's sleep, but that he would be returned to SHU tomorrow. It was explained tnat there is no mental health issues precluding him from returning to SHU tomorrow and that we could not house him In the SW/Hospital area because he felt safe or more comfortable for him. It was explained to him that he would be placed 'n a safe situation in the SHU. According to his log book and eating/shower chart, he has been eating and drinking when not in his legal visits. He has also been writing and attending his legal visits. tatententiOn(st Inmate EPSTEIN was provided with brief supportive interventions and psychoeducation regarding additional coping strategies. Inmate EPSTEIN was somewhat receptive to these interventions, but appears more concerned about getting his various needs in the prison (phone calls, recreation, housing placement concerns, etc.) PracIreSSIPlag He will remain on psychological observation today and will transition to the SHU tomorrow. He will be seen by psychology daily to assess his mental status and psychological functioning. Completed by Mi ler, El ssa PhD/Chief Psychologist on 07/29/2019 10:26 Generated 07/297201910.26 by Wolter. assa POS.:Greet Bureau of Prisons • KW Page 1 e EFTA00049103

Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Clinical Intervention - Clinical Contact Inmate Name' EPSTEIN; JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Date: 07130/2019 12.01 Provider: M Facility: NYM Imeri, Darlene PsyD Reg #: 76318-054 Unit Team: 5 Focus el agtsaian He was seen by writer while he was on Psych Observation. ailtutaive/Objective Presentation He stated he hasn't slept well at MCC-NY because he hasn't had his cpap machine. He stated it is here and he will be able to start using it tonight. He discussed how he does not think he will able to sleep in Shill and how he does not like SHU because of the noise. He discussed issues on not getting some medication with Medical today. The "Eating/Shower Chart" indicated yesterday he ate breakfast and dinner, drank liquids, and took a shower when offered and so far today it noted he ate breakfast and drank liquids. The Psych Observation Log noted he slept, drank water, went to legal, and talked to an Inmate Companion about investments. Current Mental Status: He exhibited a neutral mcod with a full range of affect. His speech was logical and coherent, with no loosening of associations or tangential, circumstantial or irrelevant speech. Auditory and visual hallucinations were denied. and delusions were not eicited. He did net engage in any bizarre or inappropriate behavior. There was no indication of disturbed thought process or content. Intellectual ability appeared to be above average. Personal hygiene was adequate. He denied current suicidal or self harm ideation and he agreed to immediately tell staff if he starts to have suicidal or self harm thoughts. He was future oriented. He does not appeal to be an immediate danger to self. He denied thoughts of hurting others and he agreed to tell staff if he has these thoughts. Intervention(s1 Supportive and educative interventions were provided. Wnen asked about the Turning Point handouts for coping in SHU, he stated he already knows these strategies before he read the handouts and had tried them when he was in SHU the last time He stated with the noise in SHU, he said the strategies will not work. He was encouraged to try them. progres,saati The Chief Psychologist was consulted. Psych Observation will be discontinued. Mr. Epstein was educated about both routine and emergency procedures for contacting Psychology staff. He will be seen in follow up by Psychology tomorrow to monitor his mental status and to provide further intervention if needed and he was informed that he will be seen by Psychology tomorrow. In the meantime, he was encouraged to self-refer to Psychology if needed to which he agreed and seems capable of doing. If he remains n SHU. he will be seen by Psychology in SHU Rounds and in SHU Reviews. The SHU Lt. was informed that Mr. Epstein needs to be housed with an appropriate cellmate Completed by 'men, Darlene PsyD on 07/30/2019 13:54 Generated 0713012019 13:54 by Inter. Darlene PsyD Bureau of Prisons - NYM Page of 1 EFTA00049104

Bureau of Prisons .*SENSITIVE BUT UNCLASSIFIED** Psychology Services Institution Disciplinary Process Report Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Date: 07/30/2019 12:01 Provider. imeri. Darlene PsyD Reg St. 78318-054 Unit Team: 5 Beason fotReferral and Identifying Information Inmate Epstein was referred by Unit Manager Proto for an evaluation of competency to proceed with the disciplinary process for actions resulting in an incident report. On 7/23/19, inmate Epstein was charged with code 228 (Tattooing cr Self-Mutilaticn). These infractions were assigned incident report number 3282555. Background Information According to a Suicide Risk Assessment dated 7/09/19 by Dr. Miller, "Inmate Epstein denied any history of mental health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also denied any acute mental health symptoms at this time." According to a Suicide Risk Assessment dated 7/09/19 by Or. Miller, "Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious behavior in the past? According to this writer's Suicide Risk Assessment dated 7/23/19, "It is unclear at this time If he had placed the string around his neck cr if someone else did." CliakalInteedraindidentaLltatualxam Inmate Epstein still does not remember how he obtained the marks around his neck. Current Mental Status: He exhibited a neutral mood with a full range of affect. His speech was logical and coherent, with no loosening of associations or tangential, circumstantial or irrelevant speech. Auditory and visual hallucinations were denied, and delusions were not elicited. He did not engage in any bizarre or inappropriate behavior. There was no indication of disturbed thought process or content. Intellectual ability appeared to be above average. Personal hygiene was adequate. He denied current suicidal or self harm ideation and he agreed to immediately tell staff if he starts to have suicidal or self harm thoughts. He was future oriented. He does net appear to be an immolate danger to self. He denied thoughts of hurting others and he agreed to tell staff if he has these thoughts. Clinical Impression According to his last Diagnostic and Care Level Formulation Note dated 7/09/19 by Dr. Miller, "No Diagnosis, No Dx - Current." Findings The determination of whether an inmate is competent to proceed with the disciplinary process is based on a dinical assessment of the inmate's (1) ability to understand the nature of the proceedings, and (2) their ability to assist in their own defense. Depending on the outcome of the assessment, one of three findings cart be made: (1) the inmate is COMPETENT to proceed with the disciplinary process; (2) the inmate is NOT PRESENTLY COMPETENT but could be restored to competence with treatment; or (3) the inmate is NOT COMPETENT and is unlikely to become competent. Recommendations Regarding Sanctions In the case of inmate Epstein, after a review of available psychological and psychiatric records as well as information pertaining to the offense conduct, it is determined that this inmate is: (X) COMPETENT to proceed with the disciplinary process. ( ) NOT PRESENTLY COMPETENT, but could become competent with treatment; it is recommended that the Inmate for an updated competency assessment in 30 days. ( ) NOT COMPETENT and not likely to become competent. Generated 07/3072019 12:33 by Imeli. Darlene Pay° Bureau of Prisons - NYM Pape 1 of 2 EFTA00049105

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Date: 07/30/2019 12:01 Provider: Imeri, Darlene PsyD Reg tt 76318-054 Unit Team: 5 Completed by Imeri, Darlene PsyD on 07/30/2019 12:33 Generated 07i30/2019 12:33 by Imeri, Darlene PsyD Bureau of P1150413 - NYM Page 2 of 2 EFTA00049106

Bureau of Prisons Psychology Services General Administrative Note "SENSITIVE BUT UNCLASSIFIED•• Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth. 01/20/1953 Sex: M Facility. NYM Date: 07/30/201912:01 Provider: Imen, Darlene PsyD Reg ft 76318-054 Unit Team: 5 Comments Psych Observation Discontinuation Note: Please see "Clinical Contact" dated today. Completed by Imeri, Darlene PsyD on 07/30/2019 12:33 Generated 07/301201912:33 by Inlet Darlene P310 kreau of Prisons - hyt Page 1 of 1 EFTA00049107

Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/2C/1953 Sex: M Facility: NYM Date: 07/31/2019 10:35 Provider Avena, Jolie PsyD/DAPC Reg # 76318-054 Unit Team: 5 Focus st3Sfiaalian Mr. EPSTEIN was seen today by this writer for a follow up appointment after he was removed from Psychological Observation yesterday. SubjectivelOblective PreSentation. Mr. EPSTEIN presented in a pleasant mood and reported he is generally doing well. He stated, "I could be better," but acknowledged he is doing as well as can be expected given his circumstances. He reported he is going to court today for a status hearing. He stated he generally slept well last night and Is readjusting to being placed back in SHU. He reported getting along well with his cell mate. He was informed of appropriate procedures for contacting Psychology Staff while he is in SHU, if needed. Current Mental Status: Mr. EPSTEIN was alert and oriented. He was polite, calm, and cooperative in demeanor. He exhibited a neutral affect with appropriate range. Eye contact and hygiene were appropriate. He spoke with normal rate, tone, and volume. His thoughts were organized and coherent, with no loosening of associations or tangential, circumstantial, or irrelevant content. There was no evidence of perceptual disturbance, delusional ideation, or a formal thought disorder. He did not engage in any bizarre or Inappropriate behavior. He noted having normal sleeping and eating habits. Mr. EPSTEIN explicitly denied recent and current suicidal ideation, planning, and intent. He was future- oriented and expressed a commitment to life and safety, agreeing to contact staff immediately should he experience suicidal Ideation or psychological distress. He also denied thoughts of harming others. interventionist Supportive interventions and cognitive behavioral therapeutic techniques were utilized. Mr. EPSTEIN was receptive to all interventions. act.90510111 Mr. EPSTEIN was educated about both routine and emergency procedures for contacting psychology. There appears to be no need for follow-up at this time and he expressed willingness to self refer to psychology staff if needed. He will continue to be seen during routine SHU rounds and SHU reviews while he is housed in SHU. He was encouraged to reach out fo, PRN services should he experience any psychological distress. Completed by Avena, Jolie PsyD/DAPC on 07/31/2019 10:56 Generated 07/31/201910:56 by Avena. Jobe Psy0/DAPC Bureau of Ricans - NYM Page 1 of EFTA00049108

Bureau of Prisons Psychology Services Suicide Risk Assessment "SENSITIVE BUT UNCLASSIFIED" Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Date: 0810112019 13:29 Provider. Imeri, Darlene PsyD Reg 76318.054 Unit Team: 5 Type of Housing: SHU• Administrative Segregation Cell Accommodation: Double-Cell FINDINGS This assessment and the resulting recommendations are based on the following sources of information: Clinical Interview, Medical Record, Psychology Data System, Sentry Reason for Referral R & O staff reported to this writer this morning at about 8:30 AM on 8/01/19 that yesterday when Mr. Epstein was brought back from court the US Marshals asked him to sign a form that noted Mr. Epstein has "suicidal tendencies." Mr. Epstein was seen for a Suicide Risk Assessment at about 1:00 PM on 8/01/19 in Attorney Conference. This note is being entered at about 4:20 PM or. 8/01/19. Mental Health History According to a Suicide Risk Assessment dated 7/09/19 by Dr. Miller, "Inmate Epstein denied any history of mental health treatment, either on art inpatient or outpatient basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also denied any acute mental health symptoms at this time." Self-Harm History According to a Suicide Risk Assessment dated 7/09/19 by Dr. Miller, "Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious behavior in the past." According to this writers Suicide Risk Assessment dated 7/23/19, "It is unclear at this time if he had placed the string around his neck or if someone else did." Current Problem R & D staff reported to this writer this morning et about 8:30 AM or 8/01/19 that yesterday when Mr. Epstein was brought back from court the US Marshals asked him to sign a form that noted Mr. Epstein has "suicidal tendencies!" This is likely due to the incident on 7/23/19, but as a precaution another Suicide Risk Assessment was conducted. Mr. Epstein seemed surprised that there was a form noting suicidal tendencies. He denied stating he was suicidal. He said he saw the DHO today and he said his incident report for the marks on his neck was expunged. He stated even though he has his cpap machine now, he said his cellrnate talks at night and he stated this keeps him up. This writer offered to talk to the SHU Lt. to have him housed with a different cellmate, but he stated he wants to give it 3 to 4 days to see if he wants a different a:inmate. He complained about the noise in SHU. Current Mental Status Level of Consciousness: Alert and Oriented Psychomotor Activity: Normal General Appearance: Normal Behavior: Cooperative Mood: Appropriate to Content Thought Process: Goal Directed Thought Content: Normal Current Mental Status: He exhibited a neutral mood with a mildly restricted range of affect. His speech was logical and Generated 08/01/2019 16:21 by Imen. Darlene PsyD Bureau of Prisons NYM Page 1 of 3 EFTA00049109

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Date: 08!01/201913:29 Provider: [merit Darlene PsyD coherent, with no loosening of associations or tangential, circumstantial or irrelevant speech. Aucitory arm visual hallucinations were denied, and delusions were not elicited. He did not engage in any bizarre or inappropriate behavior. He denied current suicidal or self harm ideation and he agreed to immediately tell staff if he starts to have suicidal or self harm thoughts. He was future oriented. He does not appear to be an immediate danger to self. He denied thoughts of hurting others and he agreed to tell staff if he has these thoughts. BlIKANQIIMIgallYLEAQICalAtIESSEII This writer screened the inmate for a variety of empirically validated factors commonly associated with risk for self-harm and suicide. The following STATIC risk factors were assessed to be present and increase the inmate's risk for engaging in suicide related behaviors: High Profile Crime, Lack of family connections, Sex offender status The following DYNAMIC risk factors were assessed to be present and increase the inmate's risk for engaging in suicide related behaviors: Current physical pain, Sleep problems The following PROTECTIVE factors were assessed to be present and may decrease the inmate's risk of suicide:Able to identify reasons to live, Denial of suicidal ideation/intention/plans, Future orientation, Religious beliefs against suicide, Supportive family relationships, View of death as negative, Willingness to engage in treatment Risk Factors: He was found by staff in his cell in SHU on 7/23/19 with a string loosely tied around his neck, which Mr. Epstein stated he did not remember anything about. It is still unclear at this time if Mr. Epstein had placed the string around his own neck or if someone else did. He has a high profile sex offense case. He stated his lower back hurts and he stated Medical is aware of this. He stated he has difficulty sleeping even with his cpep machine because he stated his cellmate talks at night. Reg ft 76318-054 Unit Team: 5 Protective Factors: He denied current suicidal or self harm thoughts and agreed to tell staff if he starts to have these thoughts. He had denied a history of self harm and suicide attempts. He had denied a family history of suicidal and self harm attempts. He had denied having any chronic medical conditions. He denied feeling hopeless. He had denied a history of childhood abuse. He denied fearing for his safety at this time. He denied feeling like a burden to anyone. He stated he lives for and plans to finish this case and to go back to his normal life. He said his friends and Lawyers are emotionally supportive. He said he is Jewish and he said in his religion suicide is against the religion. Overall, his current protective factors override his risk factors for sUcidality. He is currently psychologically stable. He denied feeling hopeless. He is reporting positive future plans and reasons to live for. He said he has social supports in the community and his Lawyers visit him often. He denied any current suicidal or self harm ideation, intention or plan. Suicide Watch is not indicated at this time. DIAGNOSIS• No Diagnosis. No Dx - Current CONCLUSIONS The Overall Acute Suicide Risk for this Inmate is: Overall Chronic Suicide Risk for this Inmate is: Low Absent ELOS2MNDATiatia 1. Suicide Watch is not indicated at this time. 2. Supportive and educative interventions were provided. 3. He was educated about both routine and emergency procedures for contacting Psychology staff. 4. He will be seen in follow up by Psychology next week to monitor his mental status and to provide further intervention if needed. 5. In the meantime, he was encouraged to self-refer to Psychology if needed to which he agreed and seems capable of doing. 6. If he remains in SHU, he will be seen by Psychology in SHU Rounds and in SHU Reviews. Suicide Watch: A suicide watch is not warranted at this time Gene-rated 08/01/2019 16:21 by lmen, Darlene PsyD Bureau of Prisons - NYM page 2 of 3 EFTA00049110

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Date: 08/01/2019 13:29 Provider: imeri, Darlene PsyD Reg #: 76318-054 Unit Team: 5 Completed by !men, Darlene PsyD on 08/01/2019 16:21 Generated 06101/2019 1621 by liners Carlene PsyD Bureau of Prisons - NYM Page 3 of 3 EFTA00049111

Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: NYM Date: 08/08/2019 10:02 Provider: Miller, Elissa PhD/Chief Reg t 76318-054 Unit Team: 5 Focus of Session Inmate Epstein was seen today for a follow-up session In SHU. Sujt)eetivefObiective Presentation Inmate Epstein stated he is feeling okay and has been eating his meals. He reported his sleep as "fait' and would like to go the general population. He denied any mental health symptoms at this time and denied any feelings of depression and/or anxiety. Inmate Epstein denied any suicidal ideation, intention, or plan. He currently has a cellmate and appears to interact with him. Inmate Epstein continues to spend his days and evening with his attorney's in the attorney conference room. He told this writer he received his PAC number to make phone calls. Inmate Epstein indicated he has only had a couple of phone calls over the speaker phone and wondered "if that counted" as his monthly phone contact. He also reported he his missing some books he was reading in the suicide watch area prior to returning to the SHU. Other than complaints about the prison and concerns regarding his housing, he had no mental health concerns today. He did not appear to be in any distress and the SHU Staff have not reported any unusual behaviors on his part. Intervention's) Inmate EPSTEIN was provided with brief supportive interventions and psychoeducation regarding additional coping strategies. Inmate EPSTEIN was receptive to these interventions. Progress/Plan Inmate EPSTEIN was educated about both routine and emergency procedures for contacting Psychology staff. He was reminded of the self-help books and audlotapes available through the Psychology department. There appears to be no need for follow up at this time. He will be seen in weekly rounds and monthly for SHU reviews. Completed by Miller, Elissa PhD/Chief Psychologist on 08/08/2019 10:09 Generate 08/061201910:09 by Meier, E'issa PhD/Cher Bureau cf Prisons - NYM Page 1 of 1 EFTA00049112

NYMFF 532.01 • PAGE 001 OF 001 • DAILY LOG • 08-10-2019 • 07:42:17 FUNCTION • PRT SELECTION CATEGORY: QTR EQ ALL FACL..: NYM LOG START DATE: 08-10-2019 NEXT/PRIOR: ACT/FDT/HIS: A FORMAT: T LOG END DATE..: 08-10-2019 REG NO NAME 86824-054 FERNANDEZ ---EFFECTIVE--- --ENTRY--- FROM TO DATE TIME TID TIME 205-123LAD R01-001L 08-10-2019 0035 NYMFC 0035 00000 TRANSACTION SUCCESSFULLY COMPLETED EFTA00049113

NYMPC 530'07 * POPULATION MONITORING CENSUS/ROSTER PAGE 001 • FUNCTION: R-P ZERO/NBR: NO OPTION: DUP SUPR: YES COLUMNS 1: LN CONDITIONS (GRP G TOT G0002 MORE PAGES TO FOLLOW . . . GENERALIZED RETRIEVAL • 08-10-2019 • 01:06:49 SELECTION CATEGORY: WLS CO GATE PASS ORGANIZATION: FACL EQ NYM TYPE OF FACILITY: TOF EP T FACILITY MANAGED BY: FMB EQ AP 2: I.N2 3: FN 4: REG S: QTR 6: QTRG 7: 8: SEQ: 123 NP: JUDO: C SORT COL: COL SEQ: 1) OR CONDITIONS (GRP 2) OR CONDITIONS (GRP 3) OR CONDITIONS (GRP 4) 6 6 0 -W- -B- -I- -A- 5 1 0 0 -O- 2 4 EFTA00049114

EFTA00049115

‘02-.6 INCIDENT REPORT .N J.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS Part I - Incident Report Cfristitutiorr • MCC New York Incident Report Wombat-bap\ 4. Date of Incident: 07/23/2019 (Q c--t cz5 ci rut 1:27am 2. Inmate's Name: Epstein , Jeffery Register Number: 76318-054 b. Place of Incident: SHU M-Tier Cell 124 7. Assignment: Unassigned 8. Unit ZA Tir dla " I: Self-Mutilation 10. ro r to o ode (5): 228 11. Description of Incident (Date: 07/23/2019 Time: 1:27AM Staff became aware of incident): On July 23.2019 at approx. 1:27am While working in the Special Housing Unit Myself and WO Silva heard noise coming from the M tier cell 124.Upon arrival Intts EpsteieJefferyff763t8-054 cell male (WM Tartaglioned78514-0541was at the door slating UM Epstein.Jeffery#76318-054 hod attempted to hang himself. I kept a visual while WO Silva grabbed the door keys and called for assistance. After Se-FirriPM Tartaglioned78514-054 and remcvnng him from the coltl entered then placed UM-Epstein on-his side and removed a orange homemade rope from-his neckl/M was breathing at this time But unresponsive. Addition staff and Ops Lt Anderson arrived UM was then removed from SHU 12. Typed Name/Sign eel rig Employee: f3. Date And Time. &Castillo) 07/23/2019 3:30am 14. Incident Report ell to Above Inmate By 13.-Date Indent Ripon 0-713 eered:" (Type Name/Sig 16: Time Incident Report Delivered: art fi - Committee Action 17. Comments of Inmate to Committee Regarding Above Incident: 18. A. It is the finding of the committee that you: # Committed the Prohibited Act as charged: Did not Commit a Prohibited Act Committed Prohibited Act Code (s). B. El The Committee is referring the Charge(s) to the DHO for further Her C. The Committee advised the inmate of its finding and of the right to fie 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 OHO (Contingent upon 01-10 finding inmate committed prohibited ad): 21. Date and Time of Action: (The UDC Chairmants signature certifies who sat on the UDC and that the completed report accurately reflects the UDC proceedings). Chairman (Typed Name/Signature): Member (Typed Name). Member (Typed Name)'. INSIRUc I IONS: An items outside of-heavy rule are for staff use only. Begin entries withthe number 1 and work up. Entnes not completed will be voided by staff. Distribute: Original-Central File Record: COPY-1-DHO COPY-2-Inmate alter UDC Action COPY 3-Inmate within 24 hours of Part I Preparation PDF Prescribed by P5270 Replaces BP-A0288 of AUG 11 EFTA00049116

Part III - Investigation 22. Date And Time Investigation 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/time) 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 C-.pp) A I- 0 POP Prescribed by P5270 Replaces BP-8288.052 01 MAY 94 EFTA00049117

UNITED STATES GOVERNMENT MEMORANDUM Metropolitan Correctional Center, New York, New York DATE: July 23,2 TO: G. An ations Lieutenant FROM: SUBJECT: Epstein, Jeffrey j # 76318-054 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. Silva that Epstein, Jeffrey I/M# 76318-054 has attempted to hang himself. Upon arrival to cell number 124 in which he was housed, I noticed J. Epstein I/M# 76318-054 on the floor and Officer J. Masulo placing restraints on him. Officer D. Clarke, Lt. Anderson 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# 76318-054 was snoring on the floor of his cell, he 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. Anderson asked for a stretcher to be retrieve to safely remove him out of his cell. Once the stretcher arrived, Officer D. Clarke, Officer J. Masulo and I lifted J. Epstein I/M# 76318-054 off the floor and placed him on the stretcher. Once we secured him safely on the stretcher, Officer D. Clarke and I lifted J. Epstein I/M# 76318-054 who is now on the stretcher safely out of 9 South (Special Housing Unit) and into the awaiting elevator. EFTA00049118

Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/23/2019 06:20 Provider: Joaquin, Y. MLP Unit: H01 Injury Assessment - Non-work related encounter performed at Health Services. SUBJECTIVE: INJURY 1 Provider: Joaquin, Y. MLP Date of Injury: 07/23/2019 01:27 Date Reported for Treatment: Work Related: Pain Location: No Work Assignment: UNASSG 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): None OBJECTIVE: Temperature: Dale Time Fahrenheit Celsius Location Provider 07/23/2019 06:30 NYM 97.5 36.4 Oral Joaquin, Y. MLP 07/23/2019 08:25 Pulse: Date limit Rate Per Minute Location Rhythm Provider 07/23/2019 06:30 92 Via Machine Regular Joaquin, Y. MLP Respirations: Date Time Rate Per Minute Provider 07/23/2019 06:30 NYM 16 Joaquin, Y. MLP Blood Pressure: Date Time Value Location Position Cuff Size Provider 07/23/2019 06:30 NYM 140/85 Right Arm Sitting Adult-regular Joaquin, Y. MLP SaO2: Data Time Valuef%). Air Provider 07/23/2019 06:30 NYM 96 Room Air Joaquin. Y. 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 Joaquin, Y. MLP Bureau of Prisons • NYM Page 1 of 2 EFTA00049119

Inmate Name: EPSTEIN, JEFFREY EDWARD Reg ft: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/23/2019 06:20 Provider: Joaquin, Y. MLP Unit: H01 Exam: Acutely III Pulmonary Auscultation Yes: Clear to Auscultation. Vesicular Breath Sounds Bilaterally No: Crackles. Rhonchi, Wheezing Exam Comments Inmate for injury report as requested by Operational Lt. He is ambulatory, oriented x 3. In 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 2-4 Hours Other: For follow up with psychology service. Patient Education Topics: Date Initiated Format Handout/Topic Provider Outcome 07/23/2019 Counseling Access to Care Joaquin, Y. Verbalizes Understanding 07/23/2019 Counseling Plan of Care Joaquin, Y. Verbalizes Understanding Copay Required: No Cosign Required: Yes TelephoneNerbal Order: No Completed by Joaquin. Y. MLP on 07/23/2019 09:05 Requested to be cosigned by Beaudouin, Robert MD. Cosign documentation will be displayed on the following page. Generated 07/23/2019 09.05 by Joaquin, Y MLP Bureau of Pnsons NYM Page 2 of 2 EFTA00049120

weruint I )iih 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 Epstein. Jeffrey #76318-054 Location of Incident Special Housing Unit Photograph(s) by G. Anderson, Lieutenant Date and Time of Photo 07/23/19 -1:45 AM l eo EFTA00049121

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 072349 - 1:27 A:1/ Epstein. Jeffrey 476318-054 Special Housing Unit G. Anderson, Lieutenant 07/23/19 -1:45 AM EFTA00049122

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 Epstein, .Jeffrey #76318-054 Location of Incident Special Housing Unit Photograph(s) by G. Anderson, Lieutenant Date and Time of Photo 07123/19 -1:45 A .t1 EFTA00049123

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 Epstein, Jeffrey #76318-054 Location of Incident Special [lousing Unit Photograph(s) by G. Anderson, Lieutenant Date and 'lime of Photo 07/23/19 -1:45 AM EFTA00049124

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 #76318-054 Special Housing Unit G. Anderson, Lieutenant 07/23/19 -1:45 AM EFTA00049125

Liels fella .5 O1jitT 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 Epstein, Jeffrey #76318-0.54 Location of Incident Special Housing Unit Photograph(s) by G. Anderson, Lieutenant Date and Time of Photo 07/23/19 -1:45 EFTA00049126

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 Epstein. Jeffrey #76318-054 Location of Incident Special Housing Unit Photograph(s) by G. Anderson. Lieutenant Date and Time of Photo 07/23/19 -1:45 AM EFTA00049127

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 Timc of Photo Possible Suicide Attempt 07/23/19 - 1:27 AM Epstein, Jeffrey #76318-054 Speck:! Housing Unit G. Anderson, Lieutenant 07/23/19 -1:45 AM EFTA00049128

MCC NEW YORK Tuesday July 23, 2019 NEW YORK, NY Page 1 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 9 12:00 - 20:00 10 14:00 - 22:00 12 16:00 -00:00 CAPTAIN 6 Darden $ CAPTAIN SEC 6 Tones. C OPS LT 2 Anderson-layne ACT LT 3 Madison. C "8 Durant. j 12 Jean, S "10 Durant. j S OT ADMIN LT 6 Shivers. k S SHU LT 3 Rice. m $ "10 <unassigned> SIS LT 6 <unassigned> SIS LT #2 6 <unassigned> SCA 8 <unassigned> 8 <unassigned> SIS TECH #1 SIS TECH #2 3 Pala. A PHONE MONITOR 8 Tay. m $ SEC OFFICER #1 3 <unassigned> SEC OFFICER #2 8 Reyes. d S TOOL ROOM SEARCH OFFICER "8 <unassigned> 8 Legrand. C 8 Cole. C 2 SALLY OFF 3 SALLY OFF LOBBY 8 Eliassaint. j S 3 Rodriguez. J 10 Solomon. S CONTROL #1 CONTROL #2 2 Kilpatrick, a $ 8 Singh, T 12 <unassigned> "3 Mem. J 10 Montoya. H INTERNAL "2 Thomas, fa OT (NC) 00:00 01:30 INTERNAL #2 "8 Marcus. E "12 Naranjo. a $ "2 Davis. C CT "12 Masullo. J ATTY CONF "8 Matos. e S OT 8 Lewis. t $ 12 He, Y 8 Pena. I 12 Cale. k $ 12 Adams. j S UNIT 2 2 Bullock. s S UNIT 3 Matos. e S OT 5 NORTH "2 Cale. k S OT "8 Obi. J 12 Cappiello. J 5 SOUTH "2 Naranjo. a S OT 7 NORTH 8 <unassigned> 12 Thomas. A "2 White, D OT 8 <unassigned> 7 SOUTH 2 Derezil. j S Isibor. s S OT 9 NORTH ••2 Isibor. s $ "8 Bullock. s S OT "8 Grealva. r S 12 Silva, W rift ,e1 12 Vuong, K 12 Marcugo. J 12 Washington, cl SHU #1 Sdva. W OT SHU #2 "2 Masullo. J OT "8 Richardson. 0 12 <unassigned> OT SHU #3 "3 Kumar. a. (NC) 10 Davis, m$ SHU #4 "8 Clarke. d $ OT "8 Echandi. M 12 Mason. D "12 <unassigned> 10 SOUTH #1 2 Bailey. M 10 SOUTH #2 3 <unassigned> "10 Sehuppel. c $ OT 723/2019 7:02:27 AM EFTA00049129

Tuesday J uly 23, 2019 Page 2 REC OFFICER tt1 3 Dubenazic, d $ REC OFFICER 02 3 Mango, M 11 NORTH **2 Adams, g S OT "s8 Joyner, P 12 Noellen, F 11 SOUTH '2 He, Y OT ^8 <unassigned> 12 Alone, K 11 SOUTH tt2 12 Bonhomme, REAR GATE 8 Keeling, M OSP di 2 Tearnoh, g $ SANITATION OFF 2 Clarke, d VISIT Mt 9 Fletcher, R VISIT #2 "13 Detonate, d $ OT 8 Leatham, k $ 12 Cohen. a $ VISIT 03 9 Mcpherson-ender "Special AssIgnments"" EPO OFFICE 8 West r$ ESCORT OFF 01 B Hawkins, a $ ESCORT OFF #2 8 Scot d $ LOBBY 02 9 <unassigned> PHONE RM 8 Bon la, TOWN DRIVER 10 Farag, S SUICIDE WATCH "112 Thomas, M 8 <unassigned> 12 <urtasegned> OT (NC) 01:30 08:00 ""'back Page Categories" DAY OFF Adams, g $ Baptiste, a $ FuldLey, g Medina, 0 Samuel, L Adams, r $ Cannata. m $ Joint, T Noel, T SiMa, r $ Alvarado. A Datasus, N Martinez, A Rthardson, D Straker, E Arafat M Dupree, d $ Mateo, M Rickenbacker, J Whhe, D SICK LEAVE Abell& 0 Graham, r S Hope, 0 Rodriguez, C ANNUAL LEAVE Coma!!, T Perez. C Davis, C Richards, vIc Doctor, t Schuppel. c $ Matas, a $ LWOP Avaragith $ LWOP(M) Albanese, P Crawford. S Johnson, sh Shalt. s AWOL J Oft, day $ Rivera, c $ Fe:Jciano. W Parlays, A Ferguson. S Petrowskl, Mathews, A Pipkin, L SUSPENSION AkPeranb3. c $ OFFICIAL TIME Covington, T tt23)2019 7:02:34 AM EFTA00049130

Tuesday July 23, 2019 Page 3 COP Coifed°, E Stone, T IF TRAINING Gonzales: A Medina, W Roberts, A "...Change Records"" Post Spit Shft Officer Relieved Officer's New Status Relieving Officer's Relieving Officer Previous Status Rot 8hft Changed By TOOL ROOM 0 McDermott, V (Sick /Annual) <Unastrined> KS 7/1413:31 [Sick / Annual] Mr-De/matt V [Removed] KS 7/14 13:52 CONTROL #2 3 Sehuppet C $ Annual Leave <Unasaigned> KS 7/18 07:54 (isp)PHONE RM 2 8 Vlore, J 3 CONTROL #2 <Unassigned> KS 7/1807:54 SHU #1 8 Shalt, S $ LWOP(M) <Unassigned> KS 7/1809:22 INTERNAL 8 Davis, C Annual Leave <Unassigned> KS 7118 0t29 INTERNAL 8 <Unasoigned> Marcus, E 8 7 SOUTH KS 7/18 12:07 UNIT 3 2 <Unassigned> Mattis, E $ Annual Leave Shift Staff UNIT 3 Mates, E $ Annual Leave Matas, E $ Y RI/1/ 7/1715:58 OT/CT Start OT End ATTY CONF 8 <Unassigned> Mates, E $ Annual Leave Shift Staff ATTY CONF Mates, E S Annual Leave Mateo. E $ Y RW 7/18 0.800 OT/CT Stan OT End 7 SOUTH 8 <Unassigned> letor, S $ 2 9 NORTH Shift Staff 7 SOUTH loiter, S $ 9 NORTH lather, S $ Y RW 7/18 10:11 OT/CT Start OT End SHU LT 10 Hope, D Sick Leave <Unassigned> KS 7/18 10:19 LWOP Abelle, G 8 PHONE RM 2(sp) KS 7/1811:35 5 SOUTH 2 <Unassigned> Edema M 810 SOUTH 01 Shift Staff 5 SOUTH Echanel, M 10 SOUTH #1 Echandi, M V RW 7/1812:10 O1/CT Start OT End (inserted NCS) Thomas, SA (Slek/Annual RW 7/1910:19 INTERNAL 2 <Unassigned> Thomas, M Nick / Annual] RW 7/19 10:19 10 SOUTH "2 10 <Unassigned> Schuppel, C $ Annual Leave Shift Staff 10 SOUTH 02 Schuppel, e $ Annual Leave Sehuppel, C $ Y RW 7/19 12:16 O71er Start OT End ACT LT 10 <Unase)gned> Durant, J $ 8 OPS LT Shift Staff ACT LT Durant, J $ OPS LT Durant, J $ Y JD 7/21 14:10 OT/CT Start OT End SHU #2 2 <Unassigned> Naranjo, A $ 12 SHWA Shift Staff SHU #2 Naranjo, A$ SHU #4 Nara*, A $ Y RW 7/22 08:21 OT/CT Start OT End VISIT#2 B <Unassigned> Catenate, O $ 3 REC OFFICER #1 SKR Staff VISIT #2 Dui:elute, D S REC OFFICER #1 Defenate, O $ Y RW 7722 08:28 OT/CT Start OT End 7/23/2019 7:02.35 AM EFTA00049131

Post. Spit Shft Officer Relieved Officer's Now Status Rolloving Officer Relieving Officer's Previous Status Tuesday July 23, 2019 Page 4 Rot Shft Changed By VISIT 02 9 Dulsonazic, 0 $ Neck / Annual? <Unassigned> RW 7/22 08:27 (Sink / Annual] Duhenegc, D $ [Removed] RW 7/22 08:27 7 NORTH 2 <Unassigned> Voang, K Shift 7 NORTH 7 NORTH 12 7 NORTH Staff Vuong.K V‘ong,K Y FtW 7f22 08:34 OT/CT Start OT End 11 NORTH 2 <Unassigned> Aflame Shift 11 NORTH Day Off Day Off Staff Adams, G $ Adams, G S Y RW 7/22 ons OT/CT Start OT End (sp)PhIONE RM 2 8 Abeita, G Sick Leave KS 7/22 09:05 SHU Ot 2 <UnassIgned> Silva, W Shift SHUSH SHU 12 SHU #1 Staff SINa. W Silva, W Y RW 72209:20 OT/CT Start OT End (Inserted NCS1 Kumar. A [Sick/Annual] RW 7/22 09:39 SHU 4/3 3 <UnassIgned> Kumar, A (Sick /Annual) RW 7/22 09:39 SHU 04 8 <Uresolgriaxi> Clarke. 0 $ Shift SHU P4 SANITATION OFF 2 SANITATION OFF Staff Clarke. D Clarke, D $ Y RW 7/22 10:04 OT/CT Start OT End SHU 8 <Unassigned> Onlalva. R 8 SHU #2 RW 72210:19 SHU 1/2 8 <Unass4rred> Richardson. D Shift SHU #2 Day Off Day Off Staff Richardson, D Richardson. D Y RW 7/22 10:19 OT/CT Start OT End 7 NORTH 2 Vuong. K [Sick / Annuefi <Unassigned> RW 7/22 10:43 pi& / Aroma!) Vuong. K [Roamed] RW 7122 10:43 9 NORTH 8 <Unassigned> Bullock, S $ Shift 9 NORTH UNIT 2 2 UNIT 2 Staff BulloCk. S $ Bullock, S S Y RW 72211:04 OT/CT Stott OT End 11 NORTH 8 <Unassigned> Joyner. P 211 SOUTH MR 722 14:34 S NORTH 8 <Unassigned> Ofal, J 25 NORTH MR 7/22 14:37 INTERNAL #2 2 <Unassigned> Davis, C Shift INTERNAL #2 Annual Leave Annual Leave Staff Davis. C Davis, C RW 7/22 14:45 OT/CT Start CT End 7 NORTH 2 <Unassigned> White, 0 Shift 7 NORTH Day Off Days Staff VVIfits, D WWta, D Y RW 7/22 14:58 OT/CT Start OT End VISIT #2 9 <Unassigned> Duberwcdc, D $ Shift V1SIT;t2 REC OFFICER #1 3 REC OFFICER #1 Staff Dubonazlc, Dubenedc, D $ Y RW 722 15:28 017CT Start OT End 5 NORTH 2 <Unassigned> Cale, K $ Shift S NORTH UNIT 3 12 UNIT 3 Start Cafe. K $ Cale K MR 7/22 11312 OT/CT Start OT End 7/23/2019 7:02:35 AM EFTA00049132

Poet Spit Stilt Officer Relieved Officers Now Status Ftir[faring Officer's Reining Officer Previous Status Tuesday July 23, 2018 Page 6 Rot 5hft Changed By 11 SOUTH 2 <Unasargnod> Hay 12 UNiT 2 Shift Staff 11 SOUTH He, Y UNIT 2 Ha Y Y SJ 7/22 19:21 01/CT Start OT End INTERNAL 12 <Unassigned> Naranjo, A S 12 5H11 Y4 SJ 72219:22 SHU 42 2 Naranjo, A S (Sick Ammar) <Urteserignotl> SJ 7/22 21:14 (Sick / Annual Naninjo, A $ [Removed) SJ 7122 21:14 SHU to2 2 <Unassigned> Mesta J 12 INTERNAL 02 Shift Staff SHLI ti2 Massie, J INTERNAL 42 Meseta J Y SJ 7/22 21:14 OTICT Start OT End 6 SOUTH 2 Echandi, M (Sick / Annual] <Unassigned> GA 7/22 2298 pick/Annual &Mel, M [Removed] GA 7/22 22:08 6 SOUTH 2 <Unassigned> Naranjo, A $ 12 INTERNAL Shift Staff 6 SOUTH Naranjo, A $ INTERNAL Naranjo, A 5 Y GA 72222:12 OT/CT Start OT End [Inserted NCS] Thomas, M (Sick/Anneal GA 7/23 04:30 (sp)Sukside Watch 2 <Unassigned> Thomas, M [Sick / Annual] GA 7/23 04:31 (se)Sulcide Watch 2 Thomas, M [Time Change( Shift Staff SulcICe Watch Thomas, M GA 7123 04:31 OTICT Start OT 0110 End 08:00 INTERNAL 2 Thomas, M rinse Charge] Shift Staff INTERNAL Thomas, hl GA 7/23 04:32 OTICT Start OT 0090 End 01:30 11 SOUTH 8 Rodriguez, C Skit Leave <Unassigned> GA 7/23 0596 nee Recapituratiort* Morning Watch 8 AM Watch 7 Day Watch 23 PM Watch 8 Evening Watch 17 ^Sack Page Categories" Sick Leave 4 Day Off 20 Annual Leave 7 LWOP 1 LWOP(M) 4 AWOL 9 SUSPENSION 1 OFFICIAL TOLE 1 COP 2 IF TRAINING 3 jetai Correctional Svcs. Staff: 113 Non Correctional Svcs. Stuff: 2 Overtime Occurrences: 1$ Corriptme Occurrences: 1 ops LL Evening Watch Signature: Captain's Signature: 1/23/2019 7:0'2.18 AM EFTA00049133

ADMINISTRATIVE DETENTION ORDER U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS NEU/YORK MCC institution Date/Time 07.10.2019 TO: Special H ing Und Officer FROM: S. , EVEWANT (Name/Title) SUBJECT : Placement of EPSTEIN. JEFFERY (a) Is pending an investigation for a violation of Bureau regulations: (b) Is pending an SIS investigation (c) Is pending investigation or trial for a cnrninal act: (d) Is to be admitted to Administrative Detention .Reg No (1) Since the inmate has requested admissionfor protection. 7-10-2019 . in Administrative Detention I hereby request placement n Administrative 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.  (I) Is pending classification: or (9) Is terminating confinement in Disciplinary Segregation and has been ordered into Administrative Detention by the Warden's designee. It is this Correctional Supervisor's decision based on all the circumstances that the above named inmate's continued presence in the general population poses a serious threat to Ide. propeM• sea• staff. other inrnates. or to the security or orderly running of the institution because' PENDING CLASSIFICATION There/at, the above named Inmate is to be placed In Administrative Detention until further notice. The inmate received a copy of this Order on (date /time) - C StaffWitness Signature/Printed Name Date — / O —1 Supervisor 24 hour review of placement: Signature/Printed name • In the case of DHO action. reference to that order is sufficient. In other cases, the Correctional supervisor will make an independent review and decision. which is documented here Record Copy - Inmate Concerned (not necessary if placement is a result of holdover status): Copy Captain. Copy - Unit Manager. Copy - Ope . Admiristrative Detention Unit Copy — Psychology: Copy - Central File PDF Prescnbed by P5270 (Replaces BP-A0308 of JAN 88 ) EFTA00049134

UNITED STATES GOVERNMENT MEMORANDUM Metropolitan Correctional Center, New York, New York July 23, 2019 TO: LT ANDERSON FROM: S/O/S SUBJECT: On July 23, 2019 at approximately 1:27, I, S.O.S D. Clarke responded to a body alarm on the Special Housing Unit. While the 9-South officer was conducted rounds inmate Epstein, Jeffrey #76318-054 was found in his cell with a noose around his neck and appeared to be unresponsive. I assisted with taking inmate Epstein #76318-054 from 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 aftenvards, inmate Epstein became responsive. While observing inmate Epstein he sat up on the bed and began telling me that he think his Bunkie, Tartaglione, Nicholas #78514-054 tried to kill him. Inmate Epstein also stated that his Bunkic also tried to extort money from him and stated that if he didn't pay him 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. EFTA00049135

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From: To: Date: Subject: Attachments: Charisma Edge Doctor, Tijuana 8/13/2019 1:14 PM Epstein, Jeffrey Edward, Reg. No. 73618-054 updt 8-12-19 Epstein, Jeffrey Edward, Reg. No. 73618-054 updt 8-12-19.dacx Charisma Edge.vcf Charisma Edge Associate Warden MCC New York 150 Park Row New York, NY 10007 646-836-6300 ext. 6451 cedge@bop gov [email protected] EFTA00049138

Suicide Timeline: RE: Epstein, Jeffrey Edward, Reg. No. 76318-054 Friday, August 9, 2019 8:00 am: inmate Reyes Efrain, Reg. No. 85993-054 departs for court (WAB-USMS-SDNY). Reyes is Epstein's cellmate. 8:30 am: inmate Epstein arrives in Attorney Conference. He is visited by several attorneys throughout the day. 6:45 pm: to SHU. inmate Epstein departs attorney conference and returns 7:00 pa: inmate Epstein provided a social call by IDO. ID0 reports inmate Epstein was in good spirits, nothing unusual. Saturday, August 10, 2019 6:33 am: Body alarm activated in SHU. Staff found inmate Epstein unresponsive in cell. Staff reported to bedside of inmate and attempted to wake him. Control announced medical emergency. CPR initiated 6:35 am: Medical staff (on duty PA) on site, CPR already in progress medical staff continues CPR and AED applied on inmate. Control called for ambulance 6:40 an: S. Skipper-Scott, AW notified 6:45 am: EMS arrives, paramedics continue CPR. Inmate Epstein remains unresponsive. Inmate Epstein is intubated, given three rounds of Epinephrine, IV access started, IO initiated. No pulse found, no shock advised, inmate prepared for transport to local hospital. 7:00 am: Institution placed on modified operations 7:10 an: EMS departs institution enroute to Beekman Hospital. 7:19 am: USMS notified of incident. EFTA00049139

7:20 am: SIS Lt notified. 7:30 am: L. N'Diaye, Warden arrives at institution. C.Edge, AW notified. 7:32 am: PIO notified of incident by the Warden. 7:36 am: Official time of death reported by ER physician. 7:40 am: Acting Chief Psychologist notified. 8:00 an: S.Skipper-Scott, AW and J. Darden, Captain arrives at institution. 8:10 am: SIS Lt arrives at institution. 8:10 am: CMC and SCSS notified. 8:34 am: FBI notified. 9:00 am: AUSA notified. 9:00 am: C. Edge arrives at institution. 9:00 am: SIS Lt. Reports to SRU. Interviews will be conducted with inmates assigned to tier. 9:15 am: CMC arrives at institution. 9:30 an: Acting Chief Psychologist arrived to the institution. 9:50 an: SCSS arrives at institution. 9:55 am: CMC and IDO depart institution En route to Beekman Hospital. 10:00 am: CMG and IDO arrive at Beekman Hospital, fingerprints and photographs taken of inmate Epstein. Inmate clothing secured and brought back to institution. 10:00 am: Judge Berman notified. 10:15 am: CMC returns to institution. 10:45 am: PIO arrived to the institution. EFTA00049140

11:00 am: Next of kin (brother) notified by Case Management Coordinator. 11:12 am: Press Release released to media. 11:15 am: Press Release provided to Judge Berman. 11:15 am: Crisis Support Team activated. 12:15 pm: Body released to Medical Examiner (ME) for autopsy 12:19 pm: FBI arrives. 1:35 pm: FBI arrives in Special Housing Unit 1:40 pm: OIG notified by the Warden and they will be sending an Agent to NYM. 2:15 pm: Crisis Support Team debrief conducted. 2:45 pm: OIG arrived in Special Housing Unit (SHU) 3:45 pm: OIG and FBI departed from SHU. 5:05 pm: OIG/FBI departed MCC New York. 5:30 pm: CST departed MCC New York. 10:15 pm: Computer Services Manager arrives at institution to remove hard drives (Computers) from SHU. And replaced with new ones. Sunday, August 11, 2019 8:00 am: Resumed normal operations. Attorney conference visits and social visits (Unit 3) resume. 12:15 am: Computer Services Manager departs the institution. 10:40 am: OIG Agent Kerwin, John and Agent Guido Modano arrives at institution. 11:15 am: OIG Agent Kerwin John, departs institution with two computers FPS 021407270 and FPS 0214207268. EFTA00049141

2:00 pm: OIG Agent Guido Modano departs the institution. Monday, August 12, 2019 1:00 pm: Staff recall conducted 3:14 pm: FBI arrives 7:56 pm: FBI departs 9:45 pm: FBI returns 10:30 pm: FBI departs Tuesday, August 13, 2019 8:00 am: Central Office staff arrive 7:30 am: Department Head meeting conducted 8:45 am: Regional Director arrives EFTA00049142

Date: 133/13/2019 Time: 12:42 Pa. Federal Bureau of Prisons TRUINTEL Log Entries By Event Date Sensitive But Unclassified Start Date: 08/10/2019 End Date: 08/10/2019 Alpha Code: NYM Level 1: Housing Units Level 2: Housing Units, General Population Level 3: Ali Shift: Evening User. All Reg MAO Events: Count Events Only Entered Date Alpha Code Level 1 Location Level 2 Location Level 3 Location Event Date Shift User Event Base Count 8/1020194:27 PM 8/10/2019 4:33 PM 8,10/2019 10.22 PM 8/10/2019 10:23 PM 8/10/2019 11.30 PM 8/10/2019 11:36 PM NYM NYM NYM NYM NYM NYM Housing Units Housing Units Housing Units Housing Units Housing Units Housing Units Housing Units. General Population Housing Units. General Population Housing Unns, General Population Housing Units. General Population Housing Units. General Population Housing Units. General Population EN GN GN GN BA GS 8/10/2019 4:26 PM Evening 8/1020194:30 PM Evening 8/10/2019 10:22 PM Evening 8110/201910:23 PM Evening 8/10201911:29 PM Evening 8/10/2019 11:34 PM Evening 1F57710 TF19030 TF19030 TF 19030 If 18797 TF14877 Official Count Official Count Official Count Base Count Verified Base Count Verified Change to Base Count Out User ID: TF25431 Page I of 1 78 25 87 EFTA00049143

Date: 03/13/7019 Time: 12:40 PM Federal Bureau of Prisons TRUINTEL Log Entries By Event Date Sensitive But Unclassified Start Date: 08/10/2019 End Date: 08/10/2019 Alpha Code: NYM Level 1: Housing Units Level 2: Housing Units, General Population Level 3: All Shift: Morning User: All Reg #:All Events: Count Events Only Entered Date Alpha Code Level 1 Location Level 2 Location Level 3 Location Event Date Shift User Event Base Count 8110/2019 12.01 AM NYM Housing Units Housing Units, General ES 8/10/201912:01 AM Morning TF36572 Base Count yenned 79 Population 81102019 12:14AM NYM Housing Units Housing Units. General ES 8/10/2019 12:14 AM Morning TF36572 Official Count Population 8./10/2019 12:35 AM NYM Housing Units Housing Units. General GN !/10901912.3.5 AM Moaning TF18963 Official Count Population 8/10/2019 12:37 AM NYM Housing Units Housing Units. General GN 8/10/2019 12:37 AM Mousing TF 18963 Base Count Vented 78 Population 8/10/2019 3:14 AM NYM Housing Units Housing Units. General GN &1020193:14 AM Morning TF 18963 Official Count Population R/100019 3:14 AM NYM Housing Units Housing Units. General GN 8/10/2019 3:14 AM Morning TF 18963 Base Count Verified 78 Population 8/1020193:25 AM NYM Housing Units Housing Units. General ES 8/102019 3:25 AM Mcasing TF36572 ottcial Count Population 8/102019 5:18AM NYM Housing Units Housing Units. General GN 8/1020195:18 AM Morning TF 18963 Official Count Population 8/1012019 5:18A/A NYM Housing Units Housing Units. General GN 8/10/2019 5:18 AM Morning TF 18963 Base Count Verified 78 Population 8/102019 525AM NYM Housing Units Housing Units. General ES 8/102019 5:24 AM Morning 1136572 Official Count Population Use/ ID: TF25431 Page I of I EFTA00049144

Date: 03/13/2019 Tune: 12:40 PM Federal Bureau of Prisons TRUINTEL Log Entries By Event Date Sensitive But Unclassified Start Date: 08/10/2019 End Date: 08/10/2019 Alpha Code: NYM Level 1: Housing Units Level 2: Housing Units. General Population Level 3:All Shift: Day User. All Reg #: All Events: Count Events Only Entered Date Alpha Code Level 1 Location Level 2 Location Level 3 Location Event Date Shift User Event Base Count BJ10020198.56 AM NNW Housing Units Housing Units. General GS 8/10/2019 8:55 AM Day TF14877 Change to Base Count In 86 Population 8/10/20198:56 AM NNW Housng Units Housing Units. General GS 8/10/2019 8:55 AM Day TF14877 Change to Base Count In 87 Population 8/10/2019 8'.56 AM NYM Housing Units Housing Units. General GS 8/10/2019 8:55AM Day TF14877 Change to Base Count In 88 Population User ID: TEl Paso 1 of 1 EFTA00049145

UNITED STATES GOVERNMENT MEMORANDUM DATE: August 13, 2 TO: Lamin FROM: Metropolitan Correctional Center, New York, New York Warden Kari M. Schlcssinger, Psy.D., Ph.D., Forensic Psychologist AA: pto SUBJECT:Epstein 47634t-054 The following psychology externs work in the psychology department. They did not have any contact with Mr. Epstein. Justin Balash Naomi Chakofsky-Lewy Kaylene Irizarry Lauren Loughlin Amanda Reed Amanda Rosinski John Jay University of Hartford Philadelphia College of Osteopathic Medicine Adclphi University John Jay John Jay EFTA00049146

N I Unit Count: Print Name: Signature: Print Name: Signature EFTA00049147

Signatu Print Name: Signature \ad Metro,olitan Correctional Center Official Count Slip Unit: l 3 fit Date. Count: Print Name: Signature: Print Name: Signature: Time: iq I .1 _... Metropolitan Correctional Center 0ffi ' Count Slip Unit: 5 Date er) — t Cottnt:----M7 5? 494,41 Print Name: 4 \el EFTA00049148

Unit: Count: Print Name: Signature: Print Name: Signature: Metropolitan Correc Official Count SI Time: Metropolitan Correctional Center Official Count Sli Unit: N icliF1 Date: Count: Pt IQ I lei Print Name: . Rut, ot Signature: Print Name: Signature: EFTA00049149

Metropolitan Correctional Center Offiffionat lip Unit7 31 Date Count: Print NaMe: , Signature: I r: Print Name: Signature CI Metropolit Correctional Center Official t Slip unit: Count: Print Name: Signature: Print Name: (-- Signature Time• I(-9-O ran EFTA00049150

Metropolitan Correctional Center' New York, New York Official Coun Unit: Count: I. Print Name: I. Signature: A cvt---- 2. Print Name: 2. Signature: Metropolitan Corn Official Count Slip Count: -77 Time: Print Name: Th-las I CH- tc I Center Signature: Print Name: Signature: Unit: Count: Print Name: Signature: Print Name: Signature lime: I 4C EFTA00049151

NYMH3 530.03 • BUREAU OF PRISONS COUNT SHEET • 08-09-2019 PAGE 001 • NEW YORK MCC • 21:33:35 QTRG EQ **** OCTG BO tilritt OUTCOUNT SECTION A F F F F H M R S TR V OC T N N N S O S & A N I U0 T J Y Y S D N W S TU COUNT Y E S P I D I N VERIFY COUNT AREA CENSUS V T T COUNT COUNT AREA fiaN B-A 26 C-A 10 E-N 83 E-S 79 G-N 78 G-S 88 H-A 4 I-N 86 1 K-N 89 K-S 137 . . . . R-A 0 . . . . 2-A 73 2-B TOTAL 758 COUNT VERIFY 1 2 4 26 B-A 10 C-A 83 E-N 78 E-S 78 G-N 88 G-S 4 H-A 86 I-N 88 K-N 135 K-S 0 R-A 73 Z-A 5 Z-B 4 754 OFFICIAL PREPARING COUNT: OFFICIAL TAKING COUNT: 0,441EL. COUNT CLEARED TIME: I t<Ar's- EFTA00049152

. NYMN3 530*(15 • INMATE ROSTER PAGE 001 OF 001 CATEGORY: OCT ASSIGNMENT: HOSP 00N OPER CATG ASSIGNMENT OPER CATG ASSIGNMENT NUM ASSIGNMENT REG NO NAME 0001 HOSP 89673-053 MERSEY 0002 0003 0004 86272-054 MONTAS 91349-053 NOBOA 85377-054 WEBER * 08-09-2019 21:27:58 GROUP CODE: FACILITY: NYM OPER CATG ASSIGNMENT OCT DATE OTR 08-09-2019 E12-592U 08-09-2019 K06-148U 08-09-2019 K07-009L 08-09-2019 K12-078L G0000 TRANSACTION SUCCESSFULLY COMPLETED WRK FS PM SUICIDE OR SUICIDE OR UNASSG FS AM SUICIDE OR SUICIDE OR UNASSG EFTA00049153

la\ METROPOLITAN CORRECTIONAL CENTER NEW YORK, NY OFFICIAL OUT COUNT DATE: Oq- 0 9 -1, COUNT TIME: FROM: On20-5 LOCATION: (Staff Memb aring Out Count) APPROVED: Lions Lie enant) /0VV /am- REG # NAME UNIT REG # NAME UNIT fie\ 1. 89&'73- 053 niel/ 1E-5 13. 2. 4/3 "/ OA' /12.) ha a _ KS 14. 3. a 5 - 3 .77 - 0 44 Zeit LAZY 15. 4. Q z.72.- Use( blionleL5 KJ.) 16. 17. 6. 18. 7. 19. 8. 20. 9. 21. 10. 22. 11. 23. 12. 24. OUT-COUNT BY UNIT B-A C-A E-N E-S / G-N GS I-N K-N ( K-S 2_ R-A i-A Z-B Total Out-Counted: H-A This form must be submitted to the Counts and Assignments Officer FORTY-FIVE MINUTES PRIOR to the affected cont. Prepare this form in Ink. Group the inmates according to their respective housing units. This form Is to be used only as an Out-Count. No other form will be accepted in lieu of the Ont-Count Form. EFTA00049154

Metropolitan Correctional Center Offickil Count Slip Unit: Count: Time: Print Name: Signature: Print Name: Signature: Date: Unit: Count: Print Name: Signature: Print Name: Signature: Meiropolitan Correctional Center Official Count Slip Date: EFTA00049155

Metropolitan Correctional Center . Official Count Slip H Unit: 4 Date: Count: Time: Print Name: Signature: Print Name: Signature: Unit: Count: Print Name Signature: Print Name: Signature Metropolitan Correctional Center Official Count Date EFTA00049156

Metropolitan Correctional Center Official Count Slip Unit: Count: Print Name: Signature: Print Name: Signature Metropolitan Correctional Center Official Coun Unit: Count: Print Name Signature: Print Name: Signature EFTA00049157

Print Name: Signature: Print Name: Signature Metropolitan Correctional Center Official Count Slip Unit: Count: Print Name: Signature: Print Name: • Signature EFTA00049158

Metropaitan Correctional Center — — Official Count Slip Unit: Count: _ Print Name. Signature: Print Name: Signature: fUn it: Count: Print Name: -t• Signature: Print Name: Signature: D e: Time: Metropolitan Correctional Cen Official Count Slip Date:. EFTA00049159

Unit: Count: Print Name: Signature: Print Name: Signature Metropolitan Correctional Center Official Count / Unit: ) Count: I. Print Name. I I. Signature: I 2. Print Name. 2. Signatures Metropolitan Con-ectional Center New York, New York Official Count Slip Date: Time '0 EFTA00049160

Metropolitan Correctional Center New York, New York iric-, 4 I Official Count Slip n Unit: i t ..-- . Date: 4. Count: I Time: 0 , (30 I, C at I. Print Name: 1. Signature: 2. Print Name: 2. Signature: Unit: Metropolitan Correctional Center Official Count Slip ZA Date: e s) • el 1 Count: :±11' Time: 10 0C -1- 57 , ..". z e• f C,.... Print Name: (.9 " l...--) 6 vl Le2A-A 0.—C._ Signature: --- cifl--.11/4- 11 . • Print Name: Aid Signature: EFTA00049161

NYMD4 ,530.03 • BUREAU OF PRISONS COUNT SHEET • 08-09-2019 PAGE 001 • NEW YORK MCC • 03:04:44 QTRG EQ •••• OCTG EQ •••• OUTCOUNT SECTION A F F F F H M R S TR V OC T N N N S O S & A N I U0 T J Y Y S D N W S TU COUNT Y E S P I D I N VERIFY COUNT AREA CENSUS V T T COUNT COUNT AREA B-A 26 C-A 10 E-N 84 E-S 79 G-N 78 G-S 85 H-A 3 I-N 87 K-N 89 K-S 137 R-A 0 Z-A 77 Z-B 5 TOTAL 760 COUNT VERIFY 1 1 . 2 2 26 B-A 10 C-A 84 E-N 79 E-S 78 0-N 85 G-S 3 H-A 87 I-N 88 K-N 136 K-S 0 R-A 77 Z-A 5 Z-8 758 OFFICIAL PREPARING COUNT: OFFICIAL TAKING COUNT: COUNT CLEARED TIME: Good .3 a 75/-r EFTA00049162