Page 3159 Lieutenant ·s Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office Type of Incident j INMATE SUICIDE 1:============l~======= ==========l Date and Time of Incident 08/10/2019 6:33 AM Inmate Name I Reg. No. EPSTEIN, JEFFERY REG#76318-054 I Location of Incident ZA Photograph(s) by Lt. (ll,(6); (b)(7)(C) Date and Time of Photo 08/10/2019 6:49 AM (b)(6); (b)(7)(C )

Page 3161 :b)(6); (b)(7)(C) Lie111enan1 ·s Office Metro olitan Correctional Center New York N.Y. Type oflncident Date and Time of Incident Inmate Name / Reg. No. Location of Incident Photograph(s) by Date and Time of Photo Photo Sheet Lieutenant's Office INMATE SUICIDE 08/10/2019 6:33 AM EPSTEIN, JEFFERY REG#76318-054 ZA Lt. l(b)(6); (b)(7)(C) 08/10/2019 6:49 AM

Page 3162 (b)(6); (b){7)(C) Lieutenant ·s Office Metro olitan Correctional Center New York N.Y. Type of Incident Date and Time of Incident Inmate Name I Reg. No. Location of Incident Photograph(s) by Date and Time of Photo Photo Sheet Lieutenant's Office II INMATE SWCIDE 08/10/2019 6:33 AM EPSTEIN, JEFFERY REG#76318-054 ZA Lt. (b)(6) (b)(7)(C) 08/10/2019 6:49 AM

Page 3164 Lieutenant's Office Metropolitan Correctional Center New YorJ~ N.Y. Photo Sheet Lieutenant's Office Type of Incident INMATE SUICIDE Date and Time of Incident 08/10/2019 6:33 AM Inmate Name/ Reg. No. EPSTEIN, JEFFERY REG#76318-054 Location of Incident ZA Photograph(s) by b)(6); (b)(7)(C)

Page 3165 lieutenam 's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieu tenant's Office Type of Incident II INMATE SUICIDE i:====D=a=te=an=d=T=im=e=o=f=In=c=id=en=t==:::::;11~==== ==0=8=/ /=0=/2=0=/ =9 =6·=·3=3=A=M=========: Inmate Name / Reg. No. EPSTEIN, JEFFERY REG#76318-054 Location of Incident ZA Photograph(s) by Lt. (b;,6); (b)(7XC) Date and Time of Photo 08/10/2019 6:49 AM b)(6); (b)(7)(C)

Page 3166 b)16.: (b)(7 Ci Lieutenant ·s Office Metropolitan Correctional Center New York, N.Y. Type of Incident Date and Time of Incident Inmate Name / Reg. No. Location of Incident Photograph(s) by me of Photo Photo Sheet Lieutenant's Office II INMATE SUICIDE II 08/10/2019 6:33 AM II EPSTEIN, JEFFERY REG#76318-054 I ZA Lt. b 6) (b)(7)(C, 08/10/2019 6:49 AM

Page 3167 (b)(6); (b)(7)(C) lieurenanr ·s Office Metropolitan Correctional Center New York, N.Y. Type of Incident Date and Time of Incident Inmate Name / Reg. No. Location of Incident Photograph( s) by Date and Time of Photo Photo Sheet Lieutenant's Office INMATE SUICIDE 08/10/2019 6:33 AM EPSTEIN, JEFFERY REG#76318-054 ZA Lt. b)(6); (b)(7)(Ci 08/10/2019 6:49 AM

Page 3168 (b)(6); (b)(7)(C) Lieutenant's Office Metropolitan Correctional Center New Y orJ, N.Y. Type oflncident Date and Time of Incident Inmate Name/ Reg. No. Location of Incident Photograph(s) by Date and Time of Photo Photo Sheet Lieutenant's Office INMATE SUICIDE 08/10/2019 6:33 AM EPSTEIN, JEFFERY REG#76318-054 I ZA Lt. 'b)(6): (b)(7;(C) 08/10/2019 6:49 AM

Page 3169 b)(6); (b)(7)(C) Lie11tenant ·s Office Metropolitan Correctional Center New York, N.Y. Type of Incident Date and Time of Incident Inmate Name/ Reg. No. Location of Incident Photograph(s) by Date and Time of Photo Photo Sheet Lieutenant's Office II INMATE SUICIDE II 08/10/2019 6:33 AM II EPSTEIN, JEFFERY REG#76318-054 I ZA I Lt. ;b)(6); (b)(7XC) 08110/2019 6:49 AM

Page 3170 'b)(6); (b)(7){C) Lieutenant 's Office Metro olitan Correctional Center New York! N.Y. Type of Incident Date and Time of Incident Inmate Name/ Reg. No. Location of Incident Photograph(s) by Date and Time of Photo Photo Sheet Lieutenant's Office INMATE SUICIDE 08/10/2019 6:33 AM EPSTEIN, JEFFERY REG#76318-054 ZA Lt. (b)(6); (b)(7)(C) 08/10/2019 6:49 AM

Page 3171 :b)(6); (b)(7)(C ) Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Type of Incident Date and Time of Incident Inmate Name / Reg. No. Location of Incident Photograph(s) by Date and Time of Photo Photo Sheet Lieutenant's Office II INMATE SUICIDE II 08/10/2019 6:33 AM EPSTEIN, JEFFERY REG#76318-054 ZA Lt. (b)(6); (b)(7 )(C) 08/10/2019 6:49 AM

Page 3172 (b)(6); (b)(7)(C) lieurenant ·s Office Metropolitan Correctional Center New Yorkl N.Y. Type of Incident Date and Time oflncident Inmate Name / Reg. No. Location of Incident Photograph(s) by Date and Time of Photo Photo Sheet Lieutenant's Office INMATE SUICIDE 08/10/2019 6:33 AM EPSTEIN, JEFFERY REG#76318-054 ZA Lt. ,b)(6); (b)(7)(C) 08/10/2019 6:49 AM

Page 3173 (b)(6); (b)(7)(Ci lieutenant's Office Metropolitan Correctional Center New York, N.Y. Type of Incident Date and Time of Incident Inmate Name/ Reg. No. Location of Incident Photograph(s) by Date and Time of Photo Photo Sheet Lieutenant's Office INMATE SUICIDE 08/10/2019 6:33 AM EPSTEIN, JEFFERY REG#76318-054 ZA l p======~~~==p=====j . Lt. b)(6); (b)(7i(C) 08/10/2019 6:49 AM

Page 3174 (b)(6); (b)\7)(C) lieutenant 's Office Metro olitan Correctional Center New York 1 N.Y. Type of Incident Date and Time oflncident Inmate Name / Reg. No. Location of Incident Photograph(s) by Date and Time of Photo Photo Sheet Lieutenant's Office INMATE SUICIDE 08/10/2019 6:33 AM EPSTEIN, JEFFERY REG#76318-054 ZA Lt. .b)(6); (b)(7)(C) 08/10/2019 6:49 AM

Page 3189 FRIDAY AUGUST 9TH, 2019 i?(CIRI ilO~lUI(; 11,llT G-TIER Z02 - 03 H-TIER Z0l - 14 b)(7)(F; (b)(6); (b)(7)(C) (b)(6/; (b)(7)(C) l(b)(6); (b)(7)(C) I [ b)[6); (b)(7)(C) I r b)(6); (b;(7)(C) I J-TfER Z04 - 15 K-TIER Z03 - 15 (b)(7)(F) 'b)(6): (b){7)(C) (b)(6); (b)(?i(C) .b)(6); (b)(7)(C) b)(6); (bX7)(C) .,,. L-TIER Z06 -16 M-TIER Z0S - 14 DS/RANGE ONLY (b)(7)(F) (b)(6): (b)(7)(C) b)(6); (b)(?j(C) (b)(6): (b)(7)(C) b)(6): (b)(7)(C) (b)(?)(F) ,b){7;(F) (b)(6); (b)(7)(C) l(b)(6); (b)(7)(C) I "'"' ,.,,,,,, , I REYES #8S993-054 I EPSTEIN #763 18-0S4 (C/F) TOT M (b)(7)(F)

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Page 3198 'b)(6); (b)(7)(C) ,b)(6): (b)(7)(C) (b)(6): (b)(7}(C) QTR Asslg. Inmate Name Reg. No Unit IA Date Status PRFOS OST Admitting Officer (b)(6); (b)(7)(C) Z04-206LAD EPSTEIN, JEFFREY EDWARD 76318-054 5 07-29-2019 AD Reason: PENDIN(l OHO FOR CODE 228 SELF-MUTILATION Psychology Services Comments: Health Services Comments: Unit Team Comments: Correctional Services Comments: PENDING OHO FOR CODE 228 SELF-MUTILATION/ INMATE SUICIDE ATTEMPT ON 7-23-2019 Page 7 of27

Page 3199 AFTER HOURS. (1>)(7)!A) (b j(6); (1>)(7)(C )

Page 3220 Tru~cope.Silverlight.D~ oard Page 1 of 2 https://10.33 .3 .57 /Dashboard.aspx 8/10/2019

Page 3221 Tru~cope. Sil verlight. D~oard Page 1 of 2 https://10.33.3.57 /Dashboard.aspx 8/10/2019

Page 3223 From: ! b)(S;; (b)(7)(C) ~aoJ.com> To: lrb\f6\: j)oop.gov> Date: 8/10/2019 8:31 PM Subject: Last contact with Epstein I visited inmate Epstein in SHU on Thursday. He was getting ready to meet with his attorneys for the day so I had gone to visit him right after the SHU meeting. He had a cell mate at the ti.me with whom I saw him interact with. He did not report any menial health concerns and he denied any suicidal thoughts or intention. He was asking this writer to go to general population and was making requests for various needs he had at the time. He wanted social calls without them being on a speaker phone. He wanted a book he had left in the suicide watch area. His mood was not depressed or anxious. There were no signs of distress. He had planned on meeting with his attorneys to work on his legal situation. Sent from my iPhone

Page 3228 Truscope.Silverlight.Dashboard Page 1 of 2 htlps://10.33 .3 .57 /Dashboard.aspx 8/10/2019

Page 3229 U.S. Department of Justice Federal Bureau of Prisons MCC New York 150 Park Row NY, NY 10007 August 12, 2019 MEMORANDUM FOR r0~6):lbX?)(C~ .__ ________ ___J M. D., MEDICAL DIRECTOR FROM : SUBJECT : Inmate Name (LN, Register Number DOD DOB Sex Race MCC New York D. Actin (b){6); lb)(7)(C) 24- hour death report FN) Epstein, Jeffery 76318- 054 August 10 , 2019 January 01 , 1953 Male White Male Clinical ~cor Edward Institution/Region MCC New York - Northeast Region Care Level Care Level-1 MH Care Level Carel- MH . Preliminary Cause of Death Alleged Suicide Location of Death (0 ) Institution ([Z]) Community Hospical (0 ) Other : TYPE OF DEATH: _ _.n _ ...__ Natural -~□ -..,__ Homicide JZ]_ Suicide _O_ Accidental ll Legal Execution _0_ Unknown DNR ordered Autopsy ordered RIS addressed Anticipated death (0 ) YES {[Z] ) YES (0 ) YES (0 ) YES ([Z]) NO (0 ) NO (0 ) NO ([Z]) NO If no, reason _______ _ dZll N/A Please attach PP37 with this notification and submit to the BOP-HSD/Quality Management~@bop . gov mailbox within 24 hours of inmate death or next business day if weekends/holiday

Page 3230 r ' . " r CLINICAL SYNOPSIS OF EVENTS LEADING TO DEATH: (Please provide sufficient information including a short summary of past medical history, length of hospitalization or emergency room care, and staff response to this event). Inmate Jeffery Edward Epstein #73618-054 a 66 year old mal e with a history of Obstructive Sleep Apnea on CPAP at night, a history of Hypertriglyceridemia treated with Vascepa, no past Mental Health History prior to incarceration and L4- L5 Stenosis.r ~~ b){7)(A) I On July 24, 2019 he was taken .___ ________________ _J off Suicide Watch and was placed on Psychological Observation. On July 30,2019, he was removed from Psychological Observation and was placed in the Special Housing Unit where he was housed with a cell mate. On August 8, 2019, he was seen by Psychology Services and denied suicidal ideation, intention or plan. On August 10, 2019, at 6:33 a.m. Special Housi ng Unit Staff found inmate Epstein unresponsive in his cell and attempted to wake him, The rx 7HE) I was activated in SHU and the Control Center announced a medical emergency. CPR was initiated by Special Housing Unit Staff. At 6:35 a.m. medical staff responded and continued CPR and the AED was applied. The Control Center called for an ambulance. The EMS arrived at 6:45 a.m. and the paramedics continued CPR. Inmate Epstein remained unresponsive. Inmate Epstein was intubated, and the ACLS Protocol was initiated by the EMS. No pulse found, no shock was advised and the inmate was prepared for transport to local hospital while continuing CPR. At 7:10 a. m. the EMS departed institution en route to New York Presbyterian Lower Manhattan Hospital. At 7:36 a.m. the inmate was pronounced dead by the ER Physician.

Page 3231 24 Hour Death Report Page I of 1 24 Hour Death Notification Recieved Death Notification for Epstein (#76318-054)@ NYM successfully received on 2019-08-12@ 14:30:08 (Eastern) Notification sent to Region and Central Office including the Medical Director and OQM. Submitted b ~ (bJ(6): (b><7><c ) I You may save and/or print this page for your local records. Local Date And Time of Pronounced Legal Death: 08/10/2019 07:36 Location: Community Hospital Type: Suicide Autopsy Status: Autopsy Ordered RIS: na Anticiapted Death: no DNR/LSO: no Preliminary Cause of Death:Alleged Suicide Narrative: Inmate Jeffery Edward E.spstien #73618-054 a 66 year old male with a history of Obstructive Sleep Apnea on CPAP at night a history of H ertriglyceridemia treated with Vascepa, no past Mental Health History prior to incarceration and L4-LS Stenosis.lb 7~A1 I (b)r7)(A) r- ,._ ____ __J On July 24,2019 he was taken off Suicide Watch and was placed on Psyc o og,ca servat[on. n u y t removed from Psychological Observation and was placed in the Special Housing Unit where he was housed with a cell mate. On August 8. 2019, he was seen by Psychology Services and denied suicidal ideation, intention or plan. On August 10, 2019, at 6:33 a.m. Special Housing Unit Staff found inmate Epstein unresponsive in his cell and attempted to wake him. Th~(b)(l'<E) tas activated in SHU and the Control Center announced a medical emergency. CPR was initiated by Special Housing Unit Staff. At 6:35 a.m. medical staff responded and continued CPR and the AED was applied. The Control Center called for an ambulance. The EMS arrived at 6:45 a.m. and the paramedics continued CPR Inmate Epstein remained unresponsive. Inmate Epstein was intubated, and the ACLS Protocol was initiated by the EMS. No pulse found, no shock was advised and the inmate was prepared for transport to local hospital while continuing CPR. At 7:10 a.m. the EMS departed institution en route to New York Presbyterian Lower Manhattan Hospital. At 7:36 a.m. the inmate was pronounced dead by the ER Physician. https://map. bop.gov/SASStoredProcess/do? _program=%2FProjects%2FHSO%2FWeb%2... 8/12/2019

Page 3232 r \ ~ \ From: To: Date: Subject: c:;NYM/Clinical [email protected]> c:;[email protected]> 8/12/2019 2:30 PM 24 Hour Death Notification Death Notification for Epstein (#76318-054) @ NYM successfully received on 2019-08-12@ 14:30:08 (Eastern} Notification s i and C ntral Office including the Medical Director and OQM. Submitted by (bXe>; Cb)(7>cc> .__ __________ ...J Local Date And Time of Pronounced Legal Death: 08/10/2019 07:36 Location: Community Hospital Type: Suicide Autopsy Status: Autopsy Ordered RIS: na Anticipated Death: no DNR/LSO: no Preliminary Cause of Death: Alleged Suicide Narrative: Inmate Jeffery Edward Espstien #73618-054 a 66 year old male with a history of Obstructive Sleep Apnea on CPAP at night, a history of Hypertriglyceridemia treated with Vascepa, no past Mental He • ·or to incarceration and L4-L5 Steno sis. bH~A f bl[7)(A) ~ Watch and was placed on Psycholog1cal bservation . On July 30,2019, he was removed from Psychological Observation and was placed in the Special Housing Unit where he was housed with a cell mate. On August 8, 2019, he was seen by Psychology Services and denied suicidal ideation, intention or plan. On August 10, 2019, at 6:33 a.m. Special Housing Unit Staff found inmate Epstein unresponsive in his cell and attempted to wake him. The bH7>'E> as activated in SHU and the Control Center announced a medical emergency. CPR was initiated by peciaJ Housing Unit Staff. At 6:35 a.m. medical staff responded and continued CPR and the AED was applied. The Control Center called for an ambulance. The EMS arrived at 6:45 a.m. and the paramedics continued CPR. Inmate Epstein remained unresponsive. Inmate Epstein was • intubated, and the ACLS Protocol was initiated by the EMS. No pulse found, no shock was advised and the inmate was prepared for transport to local hospital while continuing CPR At 7:10 a.m. the EMS departed institution en route to New York Presbyterian L ower Manhattan Hospital. At 7:36 a.m. the inmate was pronounced dead by the ER Physician. Use this link: https://sallyport.bop.gov/co/hsd/quality_management/SAS/admin_dashboard.jsp to view the Death Report Dashboard. It will allow you to review user submitted death report data along with automatically merged SENTRY information. It may take up to several hours for newly submitted death data to appear on the dashboard.

Page 3233 OFFICE OF CHIEF MEDICAL EXAMINER CITY OF NEW YORK REPORT OF AUTOPSY Name of Decedent: Jeffrey Edward Epstein Autopsy Perfonned by:~r )(- 6 j : -(b)(7- )(C- ) -~IM.D. FINAL DIAGNOSES: I. HANGING: A. LIGATURE FURROW OF NECK M.E. #: M-19-019432 Date of Autopsy: 08/11/2019 B. PETECHIAL HEMORRHAGES OF BILATERAL PALPEBRAL CONJUNCTIVAE AND OF ORAL MUCOSA C. CONFLUENT HEMORRHAGES OF RIGHT BULBAR CONJUNCTIVA D. PLETHORA OF FACE AND HEAD WITH PETECHIAL HEMORRHAGES OF FACE E. FRACTURES OF BILATERAL THYROID CARTILAGE CORNUAEAND LEFT HYOID CORNUA WITH ACCOMPANY! NG SOFT TISSUE HEMORRHAGES 1. SEE ANTHROPOLOGY REPORT F. RESUSCITATION ATTEMPTED 1 .• ABRASIONS OF MOUTH 2. ANTERIOR PARASTERNAL RIB FRACTURES 3. HEPATIC LACERATION WITH THIN HEMOPERITONEUM II. ABRASIONS OF LEFT FOREARM Ill. CUTANEOUS CONTUSIONS OF WRISTS IV. SUBCUTANEOUS HEMORRHAGE OF LEFT DELTOID MUSCLE V. HYPERTENSIVE AND ATHEROSCLEROTIC CARDIOVASCULAR DISEASE A. CARDIAC HYPERTROPHY (440 GM) B. LEFT VENTRICLE HYPERTROPHY (1.9 CM) C. RENAL ARTERIOLAR SCLEROSIS D. SLIGHT CORONARY ATHEROSCLEROSIS E. SLIGHT TO MODERATE AORTIC ATHEROSCLEROSIS VI. HEPATIC STEATOSIS (2480 GM) VII. CERVICAL LYMPHADENOPATHY VIII. REMOTE FRACTURE OF RIGHT FIRST RIB IX. REMOTE APPENDECTOMY (DATE AND INDICATION UNKNOWN} X. SEE TOXICOLOGY REPORT XI. SEE NEUROPATHOLOGY REPORT

Page 3234 CAUSE OF DEATH: HANGING MANNER OF DEATH: SUICIDE (HANGED SELF)

Page 3235 OFFICE OF CHIEF MEDICAL EXAMINER CITY OF NEW YORK REPORT OF AUTOPSY CASE NO. M~19-019432 I hereby certify that I, l 1 b)(s>; (b)(7)cc> I M.D., City Medical Examiner - II, have performed an autopsy on the body of Jeffrey Edward Epstein, on the 11 of August 2019, commencing at 9:21 AM in the Manhattan Mortuary of the Office of Chief Medical Examiner of the City of New York. EXTERNAL EXAMINATION: The body is received in a sealed, labeled, plastic body bag (seal #152384). The body is of a well-developed, thin, muscular, light skinned, 5'10", 196 lb man whose appearance is consistent with the given age of 66 years. The scalp hair is wavy, predominantly grey with interspersed dark hairs, has slight male pattern balding, and measures up to 3". The facial hair is cleanly shaven. The eyes have light irides. The oral cavity has intact teeth in good repair. The tongue is free of natural disease. The finger and toenails are well groomed and free of polish. Striae are on the shoulders. The genitalia are atraumatic and of a normal, circumcised man. The anus is atraumatic. POSTMORTEM CHANGES: There is moderate, symmetric rigor mortis of the upper and lower extremities and the jaw. Lividity is fixed, purple, and unevenly distributed on the posterior surfaces of the body. The body is cool. SCARS: On the back of the left shoulder is an oblique, 1-1/2\ well healed, linear scar. On the right lower quadrant of the abdomen is an oblique, 2n, well healed, linear appendectomy scar. THERAPEUTIC PROCEDURES: An endotracheal tube is in the mouth, extending into the upper airway. On the lips are · multiple, focal, red abrasions. A cervical collar encircles the neck. Electrocardiogram electrodes are on the torso. An intravascular catheter is in the left antecubital fossa. An intraosseous line is in the right shin. A blood pressure cuff encircles the upper, right arm. On the chest between the nipples is a 3" x 3", irregular, yellow abrasion. Internally, there are minimally hemorrhagic, parasternal, rib fractures of right ribs #4-6 and left ribs # 5-6, approximately 60 ml of liquid blood thinly coating the serosal

Page 3236 M-19..019432 JEFFREY EDWARD EPSTEIN Page4 surfaces of the intra-abdominal organs, and an oblique, 6.5 cm laceration of the liver to the left of the falciform ligament (artifacts of resuscitative chest compressions). CLOTHING: The body is received clad in a hospital gown. INJURIES, EXTERNAL AND INTERNAL: These injuries are described in reference to standard anatomic planes. These injuries are grouped and labeled for descriptive purposes only; no sequence is implied. A. HANGING: There is a depressed, focally dried and abraded, noncircumferential ligature furrow of the neck that peaks slightly on both sides of the neck, more steeply on the right side than on the left. On the right side of the neck, the furrow bifurcates anterior to the ear, with one arm that peaks behind the right ear and one arm that extends to the right side of the back of the neck. On the back of the right side of the neck at the end of the lower arm of the furrow is a 1/2" x 1 ", irregular, red abrasion. The furrow ranges from 13-314" to 15" long (measured from both ends of the furrow on the right), and ranges from 1/8 11 to 1/2" wide. Anteriorly, the furrow passes over the thyroid cartilage. On the upper edge of the right side of the furrow beneath the chin is an adjacent, ¾ x 1 ", inverted V-shaped, linear abrasion that ranges in width from 118" to 114". Beneath the left side of the mandible is a faint, 1/2" x 1-3/4", irregular, red abrasion with multiple, interspersed, deeper, red abrasions that measure up to¼ x 3/8". The face and head are plethoric above the furrow, with petechial hemorrhages of the face that are most marked within the eyebrows. There are multiple, petechial hemorrhages of the palpebral conjunctivae of both eyes, and confluent hemorrhages on the periphery of the right bulbar conjunctiva. There are faint petechial hemorrhages on the mucosal surfaces of the upper and lower lips. Within the parenchyma of the tongue are multiple, focal, spotty, purple hemorrhages. There is diffuse, purple hemorrhage at the base of the tongue. There are no hemorrhages of the anterior strap muscles of the neck. Posteriorly, there is a single hemorrhage in the left, deep, paraspinal muscles. Both thyroid cartilage cornuae are fractured, and the left cornua of the hyoid bone is fractured, all with accompanying soft tissue hemorrhages. See also "Anthropology Report." There are no fractures of the cervical vertebrae. B. OTHER INJURIES: On the back of the left forearm is an oblique, 1", linear, red, abrasion with an adjacent, 1/2" x 1-1/4", faint, red abrasion. On the medial aspect of the back of the right wrist is a 1/8" x 1/2", faint, red contusion, and on the medial aspect of the back of the left wrist is a

Page 3237 M-19-019432 JEFFREY EDWARD EPSTEIN Page5 similar, ½ x ¾", faint, red contusion. Internally, there is a deep muscle hemorrhage of the left deltoid muscle. INTERNAL EXAMINATION: HEAD: The scalp is without contusion or laceration. The skull is without fracture. There is no epidural, subdural or subarachnoid hemorrhage. The brain weighs 1520 gm. The brain, spinal cord, and dura mater are submitted for neuropathologic evaluation. NECK: See "Injuries." BODY HABITUS: The abdominal pannus is 1-1/4" thick. The body mass index is 27. BODY CAVITIES: The pleural and pericardia! cavities are free of abnormal fluid accumulations or adhesions. See also ''Therapeutic Procedures." CARDIOVASCULAR SYSTEM: The heart weighs 440 gm and has a normal distribution of right dominant coronary arteries with slight atherosclerosis (left main and left circumflex arteries, no stenoses; left anterior descending artery, multiple, focal, less than 50% stenoses; right coronary artery, multiple, focal, less than 50 to 60% stenoses). The myocardium is brown and diffusely fibrous. There is no focal fibrosis, hemorrhage, or pallor. The free wall of the left ventricle and the interventricular septum are each 1.9 cm thick, and the free wall of the right ventricle is 0.5 cm thick. The four valves and endocardial surfaces are unremarkable. The pulmonary vessels and the venae cavae are free of thrombus and embolus. The aorta has moderate atherosclerosis. RESPIRATORY SYSTEM: The right lung weighs 560 gm and the left weighs 510 gm. Both lungs have spongy, maroon and pink parenchyma that is free of masses. The distribution of bronchi and vasculature are unremarkable. The bronchi are empty. LIVER, GALLBLADDER, PANCREAS: The liver weighs 2480 gm and has soft, brown parenchyma. The gallbladder is unremarkable and contains approximately 30 ml of brown bile without stones. The pancreas is tan, lobular, and free of hemorrhage and mineralization. HEMIC AND LYMPHATIC SYSTEMS: The spleen weighs 270 gm and has an intact, purple capsule and an unremarkable distribution of red and white pulp. There are multiple, enlarged, cervical lymph nodes, measuring up to 1.5 cm in greatest dimension. The remainder of the lymph nodes is unremarkable. There is no thymus. The bone marrow is unremarkable. GENITOURINARY SYSTEM: The right kidney weighs 180 gm and the left weighs 160 gm. Both kidneys have granular, brown surfaces and otheiwise unremarkable architecture and vasculature. The ureters maintain uniform caliber into an unremarkable

Page 3238 M-19-019432 JEFFREY EDWARD EPSTEIN Page6 bladder that contains approximately 5 ml of cloudy, yellow urine. The prostate is slightly• and diffusely enlarged, with marked enlargement of the verumontanum. The testes are unremarkable. ENDOCRINE SYSTEM: The pituitary, thyroid, and adrenal glands are unremarkable. DIGESTIVE SYSTEM: The esophagus and gastroesophageal junction are unremarkable. The stomach contains approximately 5 ml of opaque, brown fluid without recognizable food or pills. The gastric mucosa is unremarkable. The small intestine and large intestines and rectum are unremarkable. The vermiform appendix is surgically absent. MUSCULOSKELETAL SYSTEM: See "Therapeutic Procedures." On the anterior, inner surface of the right, first rib is a slightly displaced, healed, fracture callus. The vertebrae, clavicles, remainder of ribs, and pelvis are without fracture. The musculature is well developed and normally distributed. MICROSCOPIC DESCRIPTIONS: Tissue or Organ x # of fragments and/or levels (#= slide ID number} Histology# HT19-003396 HEART x 2 (#2): Myocardial and perivascular fibrosis. Slightly hypertrophied myocytes. LUNG x 5 (#3,4): Slight patchy emphysema. LIVER x 1 (#1 l: Steatosis involving approximately 50% of hepatic parenchyma. Slight periportal fibrosis. Marked congestion. KIDNEY x 1 (#1): Arteriolar sclerosis. Congestion. TESTES x 2 (#5.6): No pathologic abnormality. TONGUE x 1 (#7): Intramuscular and fascial hemorrhages consisting of intact erythrocytes. MUSCLE ADJACENT TO HYOID BONE x 1 (#8): Intramuscular and fascial hemorrhages consisting of intact erythrocytes. LEFT POSTERIOR NECK MUSCLE x 1 {#9): Intramuscular and fascial hemorrhages consisting of intact erythrocytes.

Page 3239 M-19-019432 JEFFREY EDWARD EPSTEIN Page7 LEFT DELTOID MUSCLE x 1 (#10): Intramuscular and fascial hemorrhages consisting of intact erythrocytes. TOXICOLOGY: Specimens are submitted for toxicologic analysis. A separate report will be issued. FORENSIC BIOLOGY: Blood spot card, clippings from right and left fingernails, and swabs of the back and front of neck and right and left hands are submitted. NEUROPATHOLOGY: A separate report will be issued. ANTHROPOLOGY: A separate report will be issued. EVIDENCE: Received separately are a ligature and clothing. The items are examined, photographed, and submitted to Evidence. See also "Additional Autopsy Notesn. RADIOGRAPHY: Post-mortem radiographs are taken. PHOTOGRAPHY: Autopsy photos are taken. J (b)(6); (b)(7)(C) I This report is reviewed bl~------~ First Deputy Chief Medical Examiner. The information provided above is true and cotTect to the best of my knowledge and belief. Electronically signed byl(b)(G>; (b)(7)(c ) fn Aug 27, 2019 07:38:00 AM

Page 3240 FORENSIC TOXICOLOGY LABORATORY THE CITY OF NEW YORK OFFICE OF CHIEF MEDICAL EXAMINER 520 FIRST AVE NEW YORK. NY 10016 Decedent Name : Jeffrey Edward Epstein Laboratory No: FT19-03508 Medical Examiner: r b)(S); (b)(?)(C) I jME Case No: M-19-019432 Examination Date: 8/11/2019 Specimen Type: Blood(Femoral): FT19-03508-001, Blccd(Femoral): FT19-03508-002, Blood(Femora~: FT19-03508-003, Blaod(Heart); FT19-03508-D04, Blaod(Heart): FT1~508-005, Blood(Heart): FT19-03508-006, BIie: FT19-03508-007, Urine: FT19-03508-008, Gastric Contents: FT19-03508-009, Brain: FT19-03508-010, Uver; FT1 S-03508--011, Vitreous: FT19-03508-012 1---------1',:b)(6); (b)(7)(C) Received By: I I Blood(Feinoral): FT19-03508-001 Ethanol Date Received: 08/12/2019 Results Not Detected Benzoylecgonine, barbiturates, oxycodone, opiates, amphetamines, Not Detected benzodiazepines, methadone, cannabinoids, tentanyl HSGC IA Gabapentin, pregabalin Not Detected LC- TOF/MS Basic Drugs Bload(Femoral): R19-03508-002 Synthetic cannablnoids Vitreous: FT19..03508-012 Ethanol This Repcit hat an~ FOll!Mlc: TCIJl!cc!ogy c:ase file. Con13d FTOX..M;[email protected]:.gov If YoU haw l{uetllona ralallng to the content G1 lhls ntpcn. Deffnltlorw or tmma used In tllla i.port c:1111 be located at hllp:Jtwwwt.nyc:.govlllte{cx:melaer.ice~Rle:al-menual$.page Not Detected GC/MS Pending Report NMS Not Detected HSGC J b)(6); (b)(7)(C) I / Signed: OK/11//o/ r i(S); (b)(7)(C) le (Hons) M~ PhO CC hem FRSC FHEA r of Forensib Toxicology Date: J,(412019 Page 1 of 1

Page 3241 .NMS • I LAB s I NMS Labs 200 Welsh Road, Horsham, PA 19044-2208 Phone: (215) 657-4900 Fax: (215) 857-2972 e-rvall: [email protected] CONFIDENTIAL t b)(S); (b)(?)(C) jo. F-ABFT, DABCC-TC, Laboratory Director Toxicology Report Report Issued 08/22/201917:09 To: 10074 New York Office of Chief Medical Examiner Attn: Department of Toxicology 520 First Avenue New York, NY 10016 Positive Findings: Patient Name Patient ID Chain FT19-03508 M19-019432 NP 19244749 Age Not Given DOB Not Given Gender Not Given Workorder 1"121/1171/"I Page 1 of 2 I None Detected See Detailed Findings section for additional info1TTiation Testing Requested: Analysis Code Description 9560B Synthetic Cannabinolds Screen (2019 Scope), Blood Specimens Received: ID TubefContalner 001 Gray Top Tube Volume/ Mass 4.25ml All sample volumes/Weights are approximations. Specimens received on 0811412019. Collection Date/Time Not Given Matrix Source Femoral Blood Miscellaneous Information NMS v.18.0

Page 3242 CONFIDENTIAL Detailed Findings: Workorder Chain Patient ID Page 2 of2 19244749 19244749 NP Examination of the speclmen(s) submitted did not reveal any positive ftndlngs of toxicological significance by procedures ouUlned In the accompanying Analysis Summary. Unless alternate arrangements are made by you, the remainder of the submitted specimens will be discarded one (1) year from the date of this report; and generated data will be discarded five (5) years from the date the analyses were perfonned. CERTIFICATION: Pursuant to New Yori<: Criminal Procedure Law Section 190.30(2), I certify that this report was made by me or is a true copy thereof ror testing conducted at NMS Laboratories. I further certify that I am authorized by NMS Laboratories to make this certification. Work.order 192447 49 was electronically signed on 08/22/2019 16:36 by: (b)(6); {b}(7)(C) Forensic Toxicologist Analysis Summary and Reporting Limits: All of the following tests were perfonned for this case. For each test. the compounds listed were included in the scope. The Reporting limit listed for each compound represents the lowest concentration of the compound that will be reported as being positive. If the compound is listed as None Detected, it is not present above the Reporting Limit Please refer to the Positive Findings section of the report for those compounds that were identified as being present Acode 9560B- Synthetic Cannabinaids Screen (2019 Scope), Blood - Femoral Blood -Analysis by High Performance Liquid ChromatographyfTandem Mass Spectrometry QTRAP (LC-MS/MS QTRAP) for. Compound Rpt Limit comccund Bgt Liroit 4-<:yano-CUMYL-BINACA 0.10 ng/mL AMB-FUBINACA 1.0 ng/mL 4-Huoro-MDMB-BINACA 0.10 ng/ml CUMYL-THPINACA 0.10 ng/mL 5-fluoro-EDMB-PINACA 0.10 ng/ml MDMB-CHMCZCA 0.10 ng/mL 5-fluoro-MOMB-PICA 0.10 ng/mL MDMB-CHMICA 0.10 ng/ml 5-fluoro-MDMB-PINACA/ 5-fluoro- 0.20 ng/ml MDMB-CHMINAC 0.10 ng/mL EMB-PINACA MDMB-FUBICA 0.10 ng/ml 5-fluoro-MMB-PINACA 0.050 ng/mL MDMB-FUBINACA / EMB- 0.10 ng/mL 5-fluoro-NA-PIC 0.10 ng/ml FUBINACA 5-fluoro-OU-PINAC 0.10 ng/ml MMB-CHMICA 0.10 ng/ml ADAMANTYL-FUBINACA 0.20ng/ml MMB-CHMINACA 0.20 ng/mL ADMB-CHMINACA 0.10 ng/ml MMB-FUBICA 1.0 ng/mL ADMB-FUBICA 1.0 ng/mL MMB-FUBINACA 0.10 ng/ml ADMB-FUBINACA 1.0 ng/mL NA-FUBIC 1.0 ng/ml AMB-CHMINACA 1.0 ng/mL NA-FUBIM 0.20 ng/ml NMSv.18.0

Page 3243 THE CITY OF NEW YORK OFFICE OF CHIEF MEDICAL EXAMINER NEUROPATHOLOGY REPORT CASE NUMBER: M~19~019432 NAME OF DECEDENT: EPSTEIN, JEFFREY EDWARD (AUTOPSY PERFORMED B ~ ll}(5); (b)(?)(C) PN 8/1112019) .,,..,..,.,,,....,,..,..,==----, MACROSCOPIC EXAMINATION (PERFORMED B Cblt5><blcncc) ATTENDANCE, ON 8/2012019): WITH (b)(6); (b)(7)(C) IN The unfixed brain weighs 15209 {expected, 1200-15009). Examination of the fixed brain (minus the left occipital pole, removed at the time of autopsy for possible toxicology) shows normal leptomeninges. No contusions, stigmata of herniation, or other surface abnonnalities are seen. External brainstem landmarks and cranial nerves are normal. Vessels at the base are distributed normally, and have no atherosclerosis. The cerebellum is normal. Coronal sections of the cerebral hemispheres reveal nonnal cortical ribbon, white matter, and deep gray nuclei. There is no midline shift. Hippocampi are symmetrical and of normal volume. Ventricles are normal in size and appearance. Axial sections of the brainstem and cerebellum en bloc show the substantia nigra and locus ceruleus to be well-pigmented. The aqueduct and fourth ventricle are normal. Cerebellar cortex, white matter, and dentate are normal. Cranial dura from the convexities, tentorium, and base shows falcine ossification (comment common age-related finding). The venous sinuses and tributary (bridging) veins are patent. Spinal cord and dura from upper cervical to cauda equina levels show no abnormality, externally or on midsagittal section. PHOTOGRAPHS: YES MICROSCOPIC EXAMINATION: NO FINAL NEUROPATHOLOGIC DIAGNOSIS: I. NORMAL BRAIN AND SPINAL CORD The Information provided above Is true and co"ect to the best of my knowledge and belie_f. r6); (b)(7)(C) r Electromcal/y signed by~-----~ Aug 20, 2019 05:41:27 PM

Page 3244 BACKGROUND: OFFICE OF CHIEF MEDICAL EXAMINER .,,...,....,,,...,,...,=-,------......... , First A venue, New York, NY I 0016 (b)(6}; (t>il7)(C) MD-Ph.D., Chief Medical Examiner M-19-19432 ANTHROPOLOGY Department of Forensic Pathology Foreflsic A11thropology Unit (212) 447-2763 [email protected] On 12 August 2019. the Forensic Anthropology Unil received a hyoid and larynx that were removed byrb)IB) (b)(l)(C) ~uring the autopsy of a 66-year-old male and submitted for a trauma analysis. The hyoid was cleaned in warm water and a combination of sodium bicarbonate and enzyme detergent. The larynx was placed in formalin and the soft tissues of the thyroid and cricoid were manually removed to facilitate examination. The specimens were examined radiographically, macroscopically and micros.copically. Hyoid Thyroid Cricoid Figure I. Diagram of the submitted hyoid and larynx (anterior view) showing the approximate fracture locations (red lines). FINDINGS: Hyoid b;(6); (b)(7)(C ) Figure 2. Overview of' the submitted hyoid bone exhibiting u fracture to the left greater horn (white arrow). The greater horns of the hyoid are bilaterally fused to the hyoid body. There is a fracture of the left greater horn (Figures I and 2). The Forensic Amhropology Unit is (lccredired i11 Fore11sic /11spec1io11 1111der /SOI/EC 17020 iss11ed by ANSI Narinn(l/ Accreditation Board. Refer to certificate a11d scope of accrediwtio11 Fl-00 /./.

Page 3245 M-19-19432 Larynx The thyroid cartilage is almost entirely ossified and the cricoid cartilage is partially ossified. The thyroid exhibits two fractures: one to the left superior horn and one to the right superior horn (Figures I and 3). The fractures 10 both Lhe left and right superior horns occur just superior to the junction with the lamina. The cricoid does not exhibit any fractures. (b)(6); (b}(7){C) Figure 3. Microscopic (I Ox) posterior views of fractures (white circles) lo lhc left and right superior horns of the thyroid. SUNlMARY: The hyoid bone exhibits a fracture of the left greater horn. The thyroid exhibits two fractures: one to the right superior horn and one to the left superior horn. (b)(6); (b)(7)(C) Date: 21 August 20 I 9 ABFA ~-----------,-~ Forensic Anthropologist Page 2 of 2

PSYCH OBSERVATION LOG NAME: E~'.%tcii:\ REGISTRATION#: 1/i3 I &--()5f/ OBSERVATION STARTED: 7 /~/19@ (;; P4 I I OBSERVATION ENDED: 7/2°/21 7 A Ir\ ~--:.·,....,_, PLEASE RETURN LOG TO PSYCHOLOGY AFTER _,THE OBSERVATION HAS ENDED. L"""'"'"''"""" ':i~~~~;-~THANK YOU. ITEMS ALI.OWED: __ Regular Clothes __ Safety Toothbrush ___ Newspaper/Magazine __ Books {softcover only) __ Safety Pen and Paper __ Toilet Paper ...,.... Legal Mail Other -- SW Blanket & SW Mattress must be used even on Psych Observations. If nothing is checked with a silver marker, only a Suicide Smock and Suicide Blanket are allowed.

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Page 3282 b)(6); (b!(7)(C) ~t:&7:tr-- ~:::e,--~~ - '::rt; 1 l - c.vr1+.._~ _· ----1 ~ •. JS"' ,-;;::-; M t:;25TJ::.-::;._:;' I- S s-r, , 1 u r 1 --t- 1 ~ - - - ---1 -r ~ -~;; 131'a-"QpYtC¼:"/--~ s---=t.::rs ~-/'l-j;-·B~-i;t;.~: - - - -· r: £;'~ , ;:::::-,Jn 11d~'5 °"':!. 8£,_) _ ____,. ~ F~l ~ ~Of --~ ---~ ~ ~ .,,..,..,., b)(6,,-=.=; >;<b>=(n(c;;== > = , r ·-- --- l --

Page 3283

Page 3284 \ b)(6); (b)[7)(C) • ~-- -- ----- ----------------- -- - . j b)(6); (b)[7)(C)

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Page 3286 Suicide Watch Chronological Log Inmate Companions Log Name of inmate on watch: Register#: Institution: .@CC > Date Watch Began / Ended . Z f«(jz'~Ul"f -,\vw~24 2aR ~. V ' To be completed by Chief Psychologist at conclusion of watch: Booklet_\_ of _I_ SWCL - INMATE

Page 3287 ' . ' -------·-----·-·- .. --··- -·----- l-- -- STAPLE LOCAL PROCEDURES HERE Check one of the following: D This is the initial log book for this suicide watch. Enter date and lime watch began: ~ This is a continuation log book for this watch. Enter date and time this watch book was initiated: ,. Instructions to Observer: Document your observations every 15 minutes. Legibly print and sign your name at the beginning of your shift.

Page 3288 PP37 NYMBJ 531. 01 * PAGE 001 OF 001 * REG NO .. : J76318-054 NAME .... : CATEGORY: JMDS FUNCTION: FCL ASSIGNMENT DESCRIPTION NYM NOT MED CL NOT MEDICALLY NYM SUIC WATCH SUICIDE WATCH INMATE HISTORY MED DY ST EPSTEIN, JEFFREY EDWARD JDIS FORMAT: • ' ' * Page l of I 07-24-2019 12:32:30 START DATE/TIME STOP DATE/TIME CLEARED 07-06-2019 2124 CURRENT 07-23-2019 0140 07-24-2019 0845 GOOOS TRANSACTION SUCCESSFULLY COMPLETED - CONTINUE PROCESSING IF DESIRED https://bop.tcp.doj .gov:9049/SENTR Y /J l PP 160.do 7/24/2019

Page 3289 Suicide ~ch Observation Log Time Observations: Briefly note your observations. Initial all entries. Initials . • _ .. (b)(6 ); (b)(7)(C) ~ '· :b)(6); (b)(7)(C) a .• -.. . _.,,. \ ; '...)· ...... • • (b)(6); (b)(7)(C) Note to all observers: Legibly print and sign your name at the beginning of your shift. 1

Page 3290 Name of Inmate on watch: Time Suicide Watch Observation Log Reg#: ~ Date:D? • 'Z.,..,'J -I Observations: Briefly note your observations. Initial alt entries. ~~~--.:......:,,, ., , . . Initials • ,' -. ~ 4 f •• i. !st, ·~ •. b)(6); (b)(7)(C) . , f • ' b)(6); (b)(7)(C) (b)(S). (b)(7)(C) Note to all observers: Legibly print and sign your name at the beginning of your shift. 2 •

Page 3291 Suicide Watch Observation Log • Reg#: Date: 7 •Zs -/ Time Observations: Briefly note your observations. Initial all entries. Initials 'b)(6); (b)(7)(C ) --- (b)(6); (b1(7)(C) (b)(6); (b)(7)(C) Note to all observers: Legibly print Ml.f!_ sign your name at the beginning of your shift. 3

Page 3292 Suicide Watch Observation Log Name of Inmate_ on watch: Initials :b)(6): (b){7)(C) (.Q_ 6{>S_HLI\J l \i\c-. Gf'c;k2,,-..1 ,s. j~hS~~~~-.f-~=-=---__:=;.:..~=-.:!....~~l~=----.=.!>;~=-:a1.---L..:..:..:..::-=--:____,,L""'--'-~-=---t "2,..l ~U'\) 1'7<{'t' t'?~~. ~...,,- ~· ~ .. s~rJ __::...__ ___ -+__,,.,-~.:...;..;.....;::=-.:=:.:..i.;;:....---.::...__.t,....:;;.=-..:.:...!.:.::..!oL---!...=::.:...:........!..!...:..::.._....;...:...;;.;;;..;;;;.:..;;;...._---fl(,..,, b)(""° 6);-::- (b=)(7=)(C""") ---'-, 1:::-t-.JV ~P-.ut-1 ""'Z:. ~ ,._,, b)(6); (b)(7)(C) -----I b)(6); (b)(7)(C) (b)(7)(C) ' Note to all observers: Legibly print and sign your name at the beginning of your shift. 4

Page 3293 Suicide Watch Observation Log "Iii • .. ..... •• ···, , : . Reg#: Time Observations: Briefly note your observations. Initial all entries. Initials (b)(6); (b)(7)(C ) • ,.... ,:a' C' •• _, - I '• ' • ··- J ·._· ""· "" :- .• , ..;, } .,1·-,.. t .• ..... t (b)(6); (b)(7)(C} (b)(6): (b/(7)(C ) Note to all observers: Legibly print and sign your name at the beginning of your shift. 5

Page 3294 Name of Inmate r on watch: t Time 0 Suicide Watch Observation Log Reg#: Date: Observations: Briefly note your observations. Initial all entries. J'l Initials (b)(6); (b)(7)(C) :0)(6); (b)(7)(C) Note to all observers: Legibly print and sign your name at the beginning of your shift. 6

Page 3295 Name of Inmate on watch: Time Suicide Watch Observation Log Reg#:/ b3 "b- 0 Date: Initials (b)(6); (b)(7){C) - Note to all observers: Legibly print ~ sign your name at the beginning of your shift. 7

Page 3296 Suicide Watch Chronological Log Inmate Companions Log Name of inmate on watch: Eps1..e,Y' Register#: 1 "' q;, 1 [ cs<-{ Institution: 0 f w QI 0.0 s 8: (ti 0 = cc ...I Vl 0.0 Ill ...I - s:: "' <( .l<:'"-- ~ u,- c.. Vl O QI :t;: ~roE.!:!~ W QI Vl Vl C::::: t: 0::::: QI CLJ QI ' c::::: "O " "ti Date Watch Began / Ended :::; .:.: "u "u "u I 1 z iil ·5 ·5 ·5 72311, 0 Vl Vl Vl Vl To be completed by Chief Psychologist at conclusion of watch: Booklet _ of _ -' .. ~ 0 ~ C. VI t ::I t: t U O V ... C. i ~ g- E r (ti O It! ( 0. Vl I- LJ SWCL - INMATE

Page 3297 STAPLE LOCAL PROCEDURES HERE Check one of the following: □ This is the initial log book for this suicide watch. Enter date and time watch began: □ This is a continuation log book for this watch._ Enter date and time this watch book was initiated: ,. Instructions to Observer: Document your observations every minutes. Legibly print and sign your name at the beginning of your shift.

Page 3298 Name of Inmate on watch: Time • ~ 6 w ttw'I . t Suicide Watch Observation Log Date: , 25 19 Observations: Briefly note your observations. Initial all entries. Initials CPr I .~ (b)(6): (b)(7)(C) """' ~.( J V'"-l!A,>M --- i,(,i w,/ 6~ r) I M" t'>e D b)l6); lb)l7)(C) ~ fc..,,5 ?/c i'lA-rd () (;,.. I 'tA 11"' (J{ () -----· ~ 6~.._j C1V\ ~0 ~_) Dl11c Note to all observers: Legibly print and sign your name at the beginning of your shift. 1

Page 3299 . -_, Staff Suicide W~te;h .··• ' Observer$ Only •. -~ . . . . . . ·- • ,. ' . ",}, . ,. 0 •• J\iame ·ol"inhrate· on wa'tch:· >.. • . '• • •. , :<, ,'" !\ ,,' '.t., -:·· ·•:·•:: ···, • Eps+1=i0, J'. ••·• •• • _.. . ,•.·,•-· .. , .. ,, - • Reii•s!et}i: .-.:- ',, •. ,;" .. .- . ~- ' ., _;;,"'", ; .· ,.,., . +Co3tB'-054 . "' ._,_ ,---:·--,•-,- .. ••• •• • . ln~tilu~ion:. .. •• .. •.!--·.: .. -:; ·.•• • . .. _/':". .... ' ·, '" ', Date'Watch Began/ En.~ed C .· Jwl'i 23,201C\ .- :fv}/ 'J9; ~o/q To be completed by Chief Psychologist at concl_usion of watch: Booklet __ of __ SWCL- STAFF

Page 3300 STAPLE LOCAL PROCEDURES HERE C,heck one of the folloWing: if· • This is the initial log book for this suicide watch .. . . '. . -. ,_. " .. Enter date and time watch began: . ' This~ t;:~Otinuatio.ri log-bOok·for d-iis W~tc~:.' . . , . . r . '• \• •' Instructions to Observer: __ Do~ument Your observations every_ ·_.,..,15.,_ __ _ minutes. LeQibly pr.int and sign your name at the beginning of your shift.

Page 3301 Suicide Watch Observation Log on watch: Reg#: -:J(D Date: 7 2. Time Observations: Briefly note your observations. Initial all entries. Initials C.Clli44 b)(6 ); (b)(7)(C) 2·. 3 4·, 15AM 5',00AM oor doov Note to all observers: Legibly print and sign your name at the beginning of your shift. 1

Page 3302 Truscope.Silverlight.Dashboard Page 1 of2 https:// l 0.33 .3 .57 /Dashboard.aspx 8/10/2019

Page 3303 DATE: August 12, 2019 TO: Warden N Diaye L. FROM: S/O/S (b)(6); (b:(7)(C) UNITED ST A TES GOVERNMENT MEMORANDUM Metropolitan Correctional Center, New York, New York b)(6); (b)(?)(C) SUBJECT: Passed information from Special Housing Unit On Friday Aui.:.=u........<.........:.l.1 19 at approximately 1 :50 p.m l S/O/S ,b)(B); (b}f7)cc > assed on to oncoming staff (b)(6); (b)(?)(C . • (b'/(6)· (b>(6)· (b)(7' (C member Offic .__ _ ___. nd present shift staff S/O/S (b)c1xc > nd Officer ' • ' That Inmate Reyes #85993-054 was going WAB and possibly may not return. Also that Inmate Epstein #76318-054 will be needing a cell mate upon arrival from his attorney visit.

Page 3304 UNITED STATES DEPARTMENT OF JUSTICE METROPOLITAN CORRECTIONAL CENTER, NEW YORK, NY DAILY LIEUTENANT'S LOG Shift-Day-Date: M/W Friday, August 09, 2019 I Beginning (b)(7){F) Count: I IJ SHU : l(b)(7)(F) Daily Sensitive Information : M/W I/M :b)(6); (b)(7)(C) n Suicide Watch w/inmate companion I/M on Suicide Watch w/inmat e companion I/M ib)(6); (b)(7)(C) 1pending bed space(SHU) TIME CHRONOLOGICAL EVENTS BC SHU 12 : 00 AM Lieutenant rb)(6); (b)(7){C) I duties t he Morning Watch (b)(7)(F) assumes as Operations Lieutenant . The fire a l arm and sprinkler system are operationa l w/exception of Control Center Fire Panel. PREA announcement conducted via t he Insti t ution Public Address System and/or Radio . Restraint Equipment Cage i nventory conducted. All e qui pment accounted f or . Metal Detector checks conducted. All operative withe excepti on of Rear Gate/Facilities/R&D . Roof Check comoleted . All s e cure . Temporary Chit Inventory : libl(7)(F) I (b)(7)(F) I Hosp : 0 12 : 00 AM Inst i t ution Count i n progress 12 : 00 AM NYPD Phone Check #1142 12 : 09 AM :b)(7)(E) I testing in p r ogr ess 12 : 16 AM 'b)(7){E) !testing completed 12 : 30 AM :b){7)(E) I cont . fb)(7)(F) JAM Good Verbal count announced JAM Cl ear Institution count announced (b)(7)(F) 3 : 00 AM Inst i tut i on Count i n p r oqress 3 : 03 AM +1 TRTY TRANS (ret urn ) : fbl(G);(b)C 7>cc> I :b)(7)(F) 1AM Good Verbal count announced JAM Clear I nstitut i on count announced 5 : 00 AM I nstitution Count i n progress .b)(7)(F) ~M Good Verbal count announced f\M Cl ear I nstitution count announced 8 : 00 AM Relieved of duties by 1 t . rb)(6); (b)(7)(C) I as D/W Oper ations Lieutenant b)(7)(E); (b)(7)(F) I phone cal.l.s monitored: r b)(7)(E); (b)(7)(F) linqui ry ( s) was/were received during my tour of duty: The following Inmate(s) were placed in Administrative Detention: Name Reg: Number Reason Unit Time AD Order End i ng Count: H SHU: ~b)(7)CF 10- South: [b)(7;~1 SHU OBS : 00; Ops r b)(7)(E) (b)(7)(F) I Local Hosp : 0 ; 1/A OBS : ~~l<7>C B/A OBS . ; Dry Cell : 00; Lt . H/A (PBS) l(b)(7)(F) t H/A (PCLAS); 00 ~

Page 3305 UNITED STATES DEPARTMENT OF JUSTICE METROPOLI TAN CORRECTIONAL CENTER, NEW YORK, NY DAILY LIEUTENANT'S LOG SHIFT- DAY-DATE : D/W - Friday, August 0 9 / 201 9 I . . f'b)(7)(F) Beginning Count: I D/W Daily Sens itive Inf ormation : I /M (b)(6); (b)(7)(Ci I on Suicide Watch w/inmate companion I/M (b)(6); (b)(7)(C) I on Psych obs . w/inmate companion . I/M (b)(6): (b)(7)(C) I on DRY Cell w/sta ff watch in R&D . 8 : 00 AM Lieute nant C. Perez a ssumes dut i es as the Da y Watch Operations Li eutenant . The fire alarm a nd pump system is inoperable a t t his time . Fire Watch is in Progress . Unable to conduct PREA announcement over t he I nst i t ut i on Publi c Address System, due to , s ystem malfuncti on . Re s trai nt Equi pment Cage inventor y c onduc t ed . All equipment accounted for . Metal De t ector c he cks conduc t ed . All oper at i ve w/the e xcept i on of Rear Gate . Roof Check compl eted . All secure . Temp orar y Chit I nvent ory : l(b)(?\(F) II II II I :b)(7)(F) I Hosp : 0 Daily Ha nd St amp b)(7i(E); (b)(7)(F) I 8 : 00 AM NYPD Phone Check #2286 8 :10 AM :b){7)(E) I Test Ini tiated . 8 : 30 AM AM Census Conducted 8 : 38 AM j b)(6); (b)(7)(C) E01-506L t o PRE REMOVE f H5): (b)(?)(C) IE02- 513U to PRE REMOVE . f b)(6); (b)(7)(C) ~06- 220UAD to PRE REMOVE - 3 8 : 50 AM b)(7)(E) !Testi ng Comp l ete . 8 : 58 AM b)i6i; (bX7)(C) Kl 2-069U to L HOSP USM -1 1 0 : 00 AM l(b)(6): (b)(7)(C) I E08-562L FT REL - 1 1 0 : 24 AM - 1 I / M r (6); (b)(7)(C) I from ES to GCT REL 11 : 24 AM 'b)(6); (b)(7)(C) new c ommi t +l 12 : 30 PM PM Census Conducted 12 : 35 PM I b)(6); (b)(7)(C) r e t u rn from L-Hosp +l 1 : 10 PM I/ M l b)(6); (b)(7)(C) I Off s uicide watch 2 : 4 1 PM -1 I I M r b)(6); (b)(7)(C) !from IN to TREATY TRANS 3 : 15 PM I /M (b)(6); (b)(7)(C) I placed on dry cell from ZA 3 : 45 PM Instit utional l ockdown for count . 4 : 00 PM Relieved of dut ies by Lt -r b){6); (b)(7)(C) I E/W Operations Lieutenant . Vi s i tation : ZA I SHU (b)(7)(F) b)(7){F) (b)(7)(F) Inmates Adults Chi ldren Total 17 20 9 46 ION SCANNI NG TESTED HITS : 0 (b:(7)(E); (b)(7)(F) I 'b)(7)(E); (b)(7)(F) ~ nquiry ( S) was/ were recei ved during my tour of duty: 0 The fol lowing Inmate(s) were placed in Administrative Detention : 0 Name Reg Number Reason Unit TIME A/ D Order Ops Lt (b)(6); (b)(7)(C) I Ending Count J b:a)CF) I SH~ ; 10-Sout h : t;;Jb l(7l(Fl SHU OBS : 00 · Cell : ~ Act Lt Local Hosp : uv , n ; A OBS : Fmi B/A OBS : ; Dry