Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Encounter Date: 07/26/2019 08:57 Amendment made to this note b-YP,)(6); (b)(7)(C) jMD on 07/26/2019 08:58. Bureau of Prisons - NYM Reg#: Race: Facility: 76318-054 WHITE NYM

Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: Date of Birth: Note Date: EPSTEIN, JEFFREY EDWARD 01/20/1953 07/24/2019 15:10 Sex: M Race:WHITE Provider: fb)(6); (b)(7)(C) IMD Admin Note - General Administrative Note encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: ~b)(6), (b)(7)(C) IMD Reg#: Facility: Unit: 76318-054 NYM H01 PATIENT WAS OFFERED TO HAVE AN OPTOMETRIST EVALUATION. HE REFUSED. REFUSAL FORM SIGNED. Copay Required:No Cosign Required: No Telephone/Verbal Order: No Completed b { b)(6); (b)(7)(C) IMD on 07/24/2019 15:17 Generated 07/24/2019 15:17 byfb)(6); (b)(7)(C) IMO Bureau of Prisons - NYM Page 1 of 1

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01 /20/1953 Encounter Date: 07/24/2019 13:08 Follow-up at Sick Call as Needed Patient Education Topics: Date Initiated Format 07/24/2019 Counseling 07/24/2019 Counseling Copay Required:No Telephone/Verbal Order: No Sex: M Race: WHITE Provider: 1(1>)(6); (b)(7)(C) pv1LP Handoutaopic Access to Care Preventive Health Cosign Required: Yes Completed b~b)(6); (b)(7)(C) IMLP on 07/24/2019 13:24 Requested to be cosigned by~b)(6); (b)(7)(C) t'v1D. Cosign documentation will be displayed on the following page. Generated 07/24/201 9 13:24 b~~~~L, '"1LP Bureau of Prisons - NYM Reg#: 76318-054 Facility: NYM Unit: H01 Provider b)(6), (b)(7)(C) Outcome Verbalizes Understanding Verbalizes Understanding Page 2 of 2

Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01 /20/1953 Sex: M Encounter Date: 07/24/2019 13:08 Provider: Joaquin, Y. MLP Cosigned with New Encounter Note byfbX6); (b)(7){C) ~Don 07/24/2019 16:10. Bureau of Prisons - NYM Reg#: Race: Facility: 76318-054 WHITE NYM

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/14/2019 17:36 Bureau of Prisons Health Services Clinical Encounter Sex: M Race: WHITE Provider: rb)(6); (b)(7)(C) IMO Chronic Care - 14 Day Physician Eval encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider:~ )(6); (b)(7)(C) IMO Chief Complaint: ENDO/LIPID Subjective: 66 YR OLD WHITE MALE WITH HX OF Reg#: 76318-054 Facility: NYM Unit: Z05 HYPERTRIGLYCERIDEMIA X 5 YEARS ON VASCEPA FOR 1 YEAR. STATES TRIGL WAS 800 , NOW 431 . STATES HE COULD NOT TOLERATE OTHER ANTI-TRIGLYCERIDE MEDS DUE TO THEIR GI SIDE EFFECTS. HX OF OBSTRUCTUVE SLEEP APNEA X 5 YEARS FOR WHICH HE USED A CPAP MACHINE. STATES HE HAD HIS CPAP MACHINE WITH HIM WHEN HE ARRESTED. STATES THE FBI LOKELY HAS L4 - L5 SEVERE STENOSIS CASUING NUMBNESS AND SHOOTING PAIN IN THE LOWER EXTREMITIES. SURGICAL HX: NONE MENTAL HEALTH HX: NONE Pain: Yes Pain Assessment Date: Location: Quality of Pain: Pain Scale: Intervention: Trauma Date/Year: Injury: Mechanism: Onset: Duration: 07/12/2019 13:25 Back-Middle Shooting 5 MEDROL DOSE PACK 5+ Years 5+ Years Exacerbating Factors: NO EXERCISE Relieving Factors: MEDROL DOSE PACK Reason Not Done: Comments: Seen for clinic(s): Orthopedic/Rheumatology, Pulmonary/Respiratory, Endocrine/Lipid Added to clinic(s): Orthopedic/Rheumatology, Pulmonary/Respiratory, Endocrine/lipid OBJECTIVE: Exam: General Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic, Disheveled, Unkempt, Acutely Ill Nutrition No: Appears Obese Generated 07/14/2019 18:1 1 by,.,,..b,..,., )(6""");..,,. (b"""' )(7"'"')("""' C)--,~D Bureau of Prisons - NYM Page 1 of 3

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/14/2019 17:36 Provider: b)(a)· (b)(7)(C) MD Exam: Eyes General Yes: PERRLA, Extraocular Movements Intact Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR), Normal S1 and S2 No: M/R/G Abdomen Auscultation Yes: Normo-Active Bowel Sounds Palpation Yes: Within Normal Limits Musculoskeletal Tibia / Fibula No: Edema Back Yes: Tenderness Neurologic Cranial Nerves (CN) Yes: Within Normal Limits Motor System-General Yes: Normal Exam ASSESSMENT: Constipation, unspecified, K5900 - Current Hyperlipidemia, unspecified, E785 - Current Low back pain, M545 - Current Neuralgia and neuritis, unspecified, M792 - Current Sleep apnea, G4730 - Current PLAN: New Medication Orders: Rx# Medication Omega 3 ( Vascepa) 1 GM Capsule Indication: Hyperlipidemia, unspecified New Laboratory Requests: Order Date 07/14/2019 17:36 Reg#: 76318-054 Facility: NYM Unit: Z05 Prescriber Order TAKE 2 CAPS Orally - Two Times a Day x 180 day(s) -- TAKE WITH FOOD. Details Lab Tests-H-Hemoglobin A1C Lab Tests-L-Lipid Profile Frequency One Time Due Date 10/10/2019 00 :00 Priority Routine Additional Information: Generated 07/14/201 9 18:11 byfb)(6)· (b)(7)(C) IMD Bureau of Prisons - NYM Page 2 of 3

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Reg#: 76318-054 Facility: NYM Encounter Date: 07/14/2019 17:36 Provider: r )(6); (b)(7)(C) ~ D Unit: Z05 FASTING. Lab Tests-H-Hep B surface Ab Lab Tests-H-Hep B surface Ag Lab Tests-H-Hep C Ab Lab Tests-H-Hepatic Profile Schedule: Activity Clinical Encounter One Time 08/08/2019 00:00 Date Scheduled Scheduled Provider 07/24/2019 00:00 Optometrist 66 YR OLD MALE FOR ROUTINE SCREENING. Chronic Care Visit 01 /07/2020 00:00 Mid-Level Provider 6 MONTH F/U. Chronic Care Visit Other: 07/01/2020 00:00 Physician 01 PENDING EKG AND FOBT. CXR WAS REFUSED. Patient Education Topics: Date Initiated Format 07/14/2019 Counseling Handout/Topic Diagnosis Copay Required:No Cosign Required: No Telephone/Verbal Order: No Completed b~ b)(6); (b)(7)(C) I MD on 07/14/2019 18:1 1 Generated 07/14/2019 18:1 1 bf b)(6); (b)(7)(C) IMD Bureau of Prisons - NYM Provider fb)(6); (b)(7)(C) Routine Outcome Verbalizes Understanding Page 3 of 3

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/12/2019 13:10 Bureau of Prisons Health Services Clinical Encounter Sex: M Race: WHITE Provider: fb)(6), (b)(7)(C) IMO Chronic Care - 14 Day Physician Eval encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: fbX6); CbX7XC) Chief Complaint: ENDO/LIPID Reg#: 76318-054 Facility: NYM Unit: Z05 HYPER G CERIDEMIA X 5 YEARS ON VASCEPA FOR 1 YEAR. STATES TRIGL WAS Subjective: 66 YR- HITE MALE WITH HX OF 800 , . STATES HE COULD NOT TOLERATE OTHER ANTI-TRIGLYCERIDE MED EIR GI SIDE EFFECTS. HX OF UVE SLEEP APNEA X 5 YEARS FOR WHICH HE USED A CPAP MACHINE. HAD HIS CPAP MACHINE WITH HIM WHEN HE ARRESTED. STATES TH Y HAS L4 - L5 SEVERE SIS CASUING NUMBNESS AND SHOOTING PAIN IN THE LOWER EXTREM S.~ SURGICAL HX: NONE MENTAL HEALTH HX: Pain: Yes ~ Pain Assessment Date: 07/12/2019 13:25 Location: Back-Middle ~ Quality of Pain: Shooting \. ~ Pain Scale: 5 ...-~ ;:~::::~/Year: MEDROL DOSE PACK % Injury: Mechanism: Onset: 5+ Years Duration: 5+ Years Exacerbating Factors: NO EXERCISE Relieving Factors: MEDROL DOSE PACK Reason Not Done: Comments: Seen for clinic(s): Endocrine/Lipid, Pulmonary/Respiratory, Orthopedic/Rheumatology Added to clinic(s): Endocrine/lipid, Pulmonary/Respiratory, Orthopedic/Rheumatology OBJECTIVE: Exam: General Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic, Disheveled, Unkempt, Acutely Ill Nutrition No: Appears Obese Generated 07/12/2019 14:20 b~,,,.b.,..,, )(6""'"),""'"(b.,..,, X7""')(""' C),--....,!MD Bureau of Prisons - NYM Page 1 of 3

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/12/2019 13:1 0 Exam: Eyes General Sex: M Race: WHITE Provider: b)(a)· (b)(7)(C) MD Yes: PERRLA, Extraocular Movements Intact Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular R~ t Rhythm (RRR), Normal S1 and S2 No: M/R/G Abdomen Auscultation ~ Yes: Normo-Active B s Palpation Yes: Within Normal Limits ~ Musculoskeletal ~ T~ :i:~f : ~~::::mess ~ ~ Neurologic \. ~~ Cranial Nerves (CN) ~ Reg#: 76318-054 Facility: NYM Unit: Z05 Yes: Within Normal Limits v~ ASSESS::t:;,~~~:,::~:: :I ~ ~ Constipation, unspecified, K5900 - Current \. ~ Hyperlipidemia, unspecified, E785 - Current ~? Low back pain, M545 - Current .., ~ Neuralgia and neuritis, unspecified, M792 - Current Sleep apnea, G4730 - Current PLAN: New Medication Orders: Rx# Medication Magnesium Hydroxide Susp Indication: Constipation, unspecified MethylPREDNISolone Tab 4 MG ( Dose Pack 21 tab) Order Date 07/12/2019 13:10 07/12/2019 13:10 Indication: Neuralgia and neuritis, unspecified Disposition: Generated 07/12/2019 14:20 by,b)(6); (b)(7)(C) l MD Bureau of Prisons - NYM Prescriber Order 30 CC Orally - Two Times a Day PRN x 2 day(s) AS DIRECTED Orally - daily x 6 day(s) Page 2 of 3

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/12/2019 13:1 0 Provider: b)(6), (b)(7)(C) MD Follow-up at Sick Call as Needed Other: WILL CONTINUE NOTES TO ADDRESS THE NFDR AND FOLLOW-UP. Patient Education Topics: Date Initiated Format 07/12/2019 Counseling Copay Required: No Telephone/Verbal Order: Completed by X6); (b)(7)(C) Handout/Topic Diagnosis Cosign Required: No n 07/12/2019 14:20 Generated 07/12/2019 14:20 by, b)(6); (b)(7)(C) !MD Bureau of Prisons - NYM Reg#: 76318-054 Facility: NYM Unit: Z05 Provider f b)(6); (b)(7)(C) Outcome Verbalizes Understanding Page 3 of 3

Inmate Name: EPSTEIN, JEFFREY EDWARD Bureau of Prisons Health Services Clinical Encounter Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/12/2019 13:10 Provider: b)(6)"(b)(7)(C) MD Chronic Care - 14 Day Physician Eval encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: r )(6); (b)(7)(C) Chief Complaint: ENDO/LIPID Reg#: 76318-054 Facility: NYM Unit: Z05 HYPER G CERIDEMIA X 5 YEARS ON VASCEPA FOR 1 YEAR. STATES TRIGL WAS Subjective: 66 YR- HITE MALE WITH HX OF 800 , . STATES HE COULD NOT TOLERATE OTHER ANTI-TRIGLYCERIDE MED EIR GI SIDE EFFECTS. HX OF UVE SLEEP APNEA X 5 YEARS FOR WHICH HE USED A CPAP MACHINE. HAD HIS CPAP MACHINE WITH HIM WHEN HE ARRESTED. STATES TH Y HAS L4 - L5 SEVERE SIS CASUING NUMBNESS AND SHOOTING PAIN IN THE LOWER EXTREM S.~ SURGICAL HX: NONE MENTAL HEALTH HX: Pain: Yes ~ Pain Assessment Date: 07/12/2019 13:25 Location: Back-Middle ~ Quality of Pain: Shooting \. ~ Pain Scale: 5 ...-~ ;:~::::~/Year: MEDROL DOSE PACK % Injury: Mechanism: Onset: 5+ Years Duration: 5+ Years Exacerbating Factors: NO EXERCISE Relieving Factors: MEDROL DOSE PACK Reason Not Done: Comments: Seen for clinic(s): Endocrine/Lipid, Pulmonary/Respiratory, Orthopedic/Rheumatology Added to clinic(s): Endocrine/lipid, Pulmonary/Respiratory, Orthopedic/Rheumatology OBJECTIVE: Exam: General Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic, Disheveled, Unkempt, Acutely Ill Nutrition No: Appears Obese Generated 07/12/2019 14:20 b,l("'"b""" )(6"'");..,,.(b.,.,,)(7=)(=C),---,!MD Bureau of Prisons - NYM Page 1 of 3

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/12/2019 13:1 0 Exam: Eyes General Sex: M Race: WHITE Provider: b)(6), (b)(7)(C) MD Yes: PERRLA, Extraocular Movements Intact Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular R~ t Rhythm (RRR), Normal S1 and S2 No: M/R/G Abdomen Auscultation ~ Yes: Normo-Active B s Palpation Yes: Within Normal Limits ~ Musculoskeletal ~ T~ :i:~f : ~~::::mess ~ ~ Neurologic \. ~~ Cranial Nerves (CN) ~ Reg#: 76318-054 Facility: NYM Unit: Z05 Yes: Within Normal Limits v~ ASSESS::t:;,~~~:,::~:: :I ~ ~ Constipation, unspecified, K5900 - Current \. ~ Hyperlipidemia, unspecified, E785 - Current ~? Low back pain, M545 - Current .., ~ Neuralgia and neuritis, unspecified, M792 - Current Sleep apnea, G4730 - Current PLAN: New Medication Orders: Rx# Medication Magnesium Hydroxide Susp Indication: Constipation, unspecified MethylPREDNISolone Tab 4 MG ( Dose Pack 21 tab) Order Date 07/12/2019 13:10 07/12/2019 13:10 Indication: Neuralgia and neuritis, unspecified Disposition: Generated 07/12/2019 14:20 by, b)(6); (b)(7)(C) IMD Bureau of Prisons - NYM Prescriber Order 30 CC Orally - Two Times a Day PRN x 2 day(s) AS DIRECTED Orally - daily x 6 day(s) Page 2 of 3

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/12/2019 13:1 0 Follow-up at Sick Call as Needed Other: Sex: M Race: WHITE Provider: b)(6); (b)(7XC) MD WILL CONTINUE NOTES TO ADDRESS THE NFDR AND FOLLOW-UP. Patient Education Topics: Date Initiated Format 07/12/2019 Counseling Copay Required: No Telephone/Verbal Order: Completed by bX6); (b)(7)(C) Handout/Topic Diagnosis Cosign Required: No n 07/12/2019 14:20 Generated 07/12/2019 14:20 by, bX6); (b)(7XC) !MD Bureau of Prisons - NYM Reg#: 76318-054 Facility: NYM Unit: Z05 Provider f b)(6), (b)(7XC) Outcome Verbalizes Understanding Page 3 of 3

Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Encounter Date: 07/14/201917:36 Amendment made to this note by[b)(6); (b)(7)(C) IMD on 07/14/201918:11. Bureau of Prisons - NYM Reg#: Race: Facility: 76318-054 WHITE NYM

Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Note Date: 07/12/2019 09:06 Provider: Admin Note - Orders encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: ,b)(6); (b}(7)(C) I MD Reg#: Facility: Unit: 76318-054 NYM Z05 PATIENT REQUESTED TO HAVE A COLACE RX, INSTEAD OF TEH BISACODYL FOR CONSTIPATION. New Medication Orders: .B.xtt Medication Docusate Sodium Capsule Indication: Constipation, unspecified Discontinued Medication Orders: Rx# Medication 121757-NYM Bisacodyl E.G. 5 MG TAB Order Date 07/12/2019 09:06 Order Date 07/12/2019 09:06 Discontinue Type: When Pharmacy Processes Discontinue Reason: discontinue Indication: Copay Required:No Cosign Required: No Telephone/Verbal Order: No Completed byfb)(6); (b)(7)(C) IMD on 07/12/2019 09:10 Generated 07/12/2019 09:10 by~b)(6) (b)(7)(C) ~D Bureau of Prisons - NYM Prescriber Order TAKE ONE 100 MG CAP Orally - Two Times a Day x 30 day(s) Prescriber Order Take one tablet (5 MG) by mouth at bedtime AS NEEDED for 10 days Page 1 of 1

Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Note Date: 07/07/2019 00:17 Provider: Cosign Note - Intake Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 MED CL:1 Provider: fbX6>: (b)(7)(C) NO CCC APPT. Discontinued Laboratory Requests: Details Lab T ests-H-Hemog/obin A 1 C Lab Tests-C-CBC w/diff Lab Tests-L-Lipid Profile Lab T ests-C-Comprehensive Metabolic Profile (CMP) Lab Tests-U-Urinalysis w/Reflex to Microscopic Additional Information: 66 y/o male, elevated BP Frequency One Time Labs requested to be reviewed by: fb)(6); (b)(7)(C) New Laboratory Requests: Details Chronic Care Clinics-Diabetic-CBC w/diff Chronic Care Clinics-Diabetic-Lipid Profile Chronic Care Clinics-Diabetic-Hemoglobin A 1 C Lab Tests-H-HIV 1/2 Lab Tests-R-RPR Chronic Care Clinics-Diabetic-Comprehensive Metabolic Profile (CMP} New Radiology Request Orders: Frequency One Time Details Frequency End Date Reg#: Facility: Unit: Due Date 08/05/2019 00:00 Due Date 07/25/2019 00:00 Due Date General Radiology-Chest-2 Views One Time 07/25/2019 Specific reason(s) for request (Complaints and findings): 66 YR OLD MALE WITH NO PMHX , REFERRED FOR ROUITNE CXR. Copay Required:No Cosign Required: No Telephone/Verbal Order: No Completed byfb)(6); (b)(7)(C) IMD on 07/07/2019 00:30 Generated 07/07/2019 00:30 byt(b)(6); (b)(7)(C) IMD Bureau of Prisons - NYM 76318-054 NYM E06 Priority Routine Priority Routine Priority Routine Page 1 of 1

Bureau of Prisons Health Services Health Screen Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/06/2019 21 :38 Provider: Seizures: Diabetes: Cardiovascular: CVA: Hypertension: Respiratory: Sickle Cell Anemia: Carcinoma/Lymphoma: Allergies: PPD Administration: Date/Time: 07/06/2019 21 :39 Provider: ~b)(6), (b)(7)(C) IPA-C Location: Right Forearm Drug Mfg: Sanofi Pasteur Lot Number: C5474BA Dosage: 0.1 ml Route: ID Exp Dt: 10/2020 Comments: Tuberculosis: Hx of Previous Disease: No Blood-tinged Sputum: No Night Sweats: No Weight Loss: No Fever: No Cough:No Comments: Denied Denied Denied Denied Denied Denied Denied Denied Denied M r b)(6); (b)(7)(C) i PA-C Generated 07/06/2019 21 :56 bt ?~~~--, IPA-C Bureau of Prisons - NYM Reg#: Race: Facility: 76318-054 WHITE NYM Page 1 of 6

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/06/2019 21 :38 Provider: Infectious Disease Risk Factors: IV Drug Use: No IV Drug Use Needles: Sexual Partner IV Drug Use: No Sexual Partner IV Drug Use Needles: Female Sexual Partners (Last 5 Yrs): 1 0+ Male Sexual Partners (Last 5 Yrs): O Condom Use: Sometimes Sexual Contact With HIV+ Individual: No Blood Product Transfusion: No Travel Outside US: Yes Tattoos: No Comments: Born in US High school diploma Banker Traveled to Paris x 3 weeks up until arrest No tattoos HIV History: When Tested: 2019 Test Result: Negative When Diagnosed AIDS: Last CD4: Comments: Hepatitis: Denied Other Infectious Diseases: Syphilis: No Syphilis Last Treatment: N/A Genital Warts: No Chlamydia: Yes Gonorrhea: No Herpes: No Chicken Pox: Yes Other: No Comments: Chlamydia in 2015, treated Chicken pox in childhood Abuse History: Denied Physical: No Emotional: No Sexual: No Comments: Denies M Generated 07/06/2019 21 :56 b b)(6); PA-C Bureau of Prisons - NYM h\17\ff'\ Reg#: Race: Facility: 76318-054 WHITE NYM Page 2 of 6

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Encounter Date: 07/06/2019 21 :38 Provider: """b"'"')(""' 6)-; (""'b)'""'(7""')("" c ,....., ) PA-C Mental Health: 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 Hx of Mental Health Treatment: None Hx of Head Injury: None Current Mental Health Treatment: No Current Mental Health Complaint: No Hx of Loss of Consciousness: No Hx of Hearing Voices: No Past History of Suicide Attempt: No Current Suicide Ideation: No Suicide Prevention lnitiated:No Comments: Substance Use History: Denied Current Painful Condition: Denied Other Health Issues: Current Medical Conditions: Other Current Treatments: Pregnant: N/A Dental Condition: Denied Generated 07/06/2019 21 :56 bt ~~L, IPA-C Bureau of Prisons - NYM Reg#: Race: Facility: 76318-054 WHITE NYM Page 3 of 6

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Encounter Date: 07/06/2019 21 :38 Provider: = )(6M),:-.(b.:.)(7=)(c"')'PA-C Observations: Draining Skin Lesions: No Signs of Lice: No Signs of Scabies: No Signs of Recent Trauma: No Recent Tattoos: No Needle Marks: No Signs of Rash: No Open Sores: No Wounds: No Body Deformities: No Tremors: No Sweating: No Comments: Pulse: Reg#: Race: Facility: 76318-054 WHITE NYM ~ Time 07/06/2019 21 :43 Rate Per Minute Location Via Machine Rhythm Provider Respirations: ~ 07/06/2019 Blood Pressure: I.i!M 21:43 NYM Date Time Value 90 fb)(6); (b)(7)(C) I PA-C Rate Per Minute Provider 15 rb)(6); (b)(7)(C) i PA-C Cuff Size Provider 07/06/2019 21 :45 NYM 164/90 Location Right Arm Position Sitting Adult-regular b)(6); (b)(7)(C) PA-C 07/06/2019 21 :43 NYM 155/83 Left Arm Sitting Adult-regular Sa02: a.are. I.i!M Value(%) Air Provider 07/06/2019 21 :43 NYM 95 Room Air ~b)(6); (b)(7)(C) I PA-C Height: D.ate_ 1-uM Inches .cm Provider 07/06/2019 21 :43 NYM 72.0 182.9 b)(6); (b)(7)(C) PA-C Weight: Date Time Lbs Kg Waist Circum. Provider 07/06/2019 21 :43 NYM 200.0 Prosthetic Devices/Equipment: Denied Potential Items For Follow-up: ~ Travel Outside US Other Infectious Disease History Comments: 90.7 I have reviewed O pages of intake paperworks f ><6); (b)(7)(C) IPA-C Generated 07/06/2019 21 :56 b~ )(6); f A-C Bureau of Prisons - NYM "~h\Q\IC\ ■ PA-C Page 4 of 6

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/06/2019 21 :38 Provider: Health Problems Newly Identified During This Encounter: Health Problem Medication Reconciliation. M rb)(6); (b)(7)(C) 1 PA-C Reg#: Race: Facility: 76318-054 WHITE NYM The patient's known medication list including OTC items was compiled and compared to new and changed BOP orders. Reconciled Medications: Source Action ~ Rx# OTC Medication Order Detail No known OTCs New Laboratory Requests: Details Lab Tests-H-Hemoglobin A1C Lab Tests-C-CBC w/diff Lab Tests-L-Lipid Profile Lab Tests-C-Comprehensive Metabolic Profile (CMP) Lab Tests-U-Urinalysis w/Reflex to Microscopic Additional Information: 66 y/o male, elevated BP Frequency One Time Labs requested to be reviewed by: ~b)(6); (b)(7)(C) New Non-Medication Orders: Order Frequency Duration EKG One Time Order Date: 07/06/2019 Details 66 y/o male Due Date 08/05/2019 00:00 Fecal Occult Blood One Time Order Date: 3 different stools Schedule: Activity Vision Screen 66 y/o male PPD Reading Follow-up BP check Other: BP noticed to be elevated. 07/06/2019 Date Scheduled Scheduled Provider 07/06/2019 00:00 Optometrist 07/08/2019 00:00 Nurse 07/09/2019 00:00 Mid-Level Provider IM denies Hx of HTN or any significant chronic medical conditions. He is currently asymptomatic and denies any bodily complaints at this time. Will recheck BP in 2-3 days. Disposition: Follow-up at Sick Call as Needed To be Evaluated by Provider Instructed inmate how to obtain medical, dental, and mental health care. Copay Required:No Telephone/Verbal Order: No Generated 07/06/2019 21 :56 b*/~);•o• IPA-C Cosign Required: Yes Bureau of Prisons - NYM Priority Routine Ordered By )))(6); (b)(7)(C) PA-C PA-C Page 5 of 6

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/06/2019 21 :38 Provider: Completed by g~/~L, IPA-Con 07/06/2019 21 :56 Requested to be cosigned byfb)(6); (b)(7)(C) IMD. M F )(6); (b)(7)(C) I PA-C Cosign documentation will be displayed on the following page. Generated 07/06/2019 21 :56 by~~~~/~,.., r A-C Bureau of Prisons - NYM Reg#: Race: Facility: 76318-054 WHITE NYM Page 6 of 6

Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01 /20/1953 Sex: M ~~~~ Encounter Date: 07/06/2019 21 :38 Provider: b)(6); (b)(7)(C) PA-C Cosigned with New Encounter Note byfb)(6); (b)(7)(C) IMD on 07/07/2019 00:17. Bureau of Prisons - NYM Reg#: Race: Facility: 76318-054 WHITE NYM

Bureau of Prisons Health Services History & Physical Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/09/2019 12:35 Seizures: Diabetes: Cardiovascular: CVA: Hypertension: Respiratory: Sickle Cell Anemia: Carcinoma/Lymphoma: Allergies: Tuberculosis: Hx of Previous Disease: No Blood-tinged Sputum: No Night Sweats: No Weight Loss: No Fever: No Cough:No Comments: Infectious Disease Risk Factors: IV Drug Use: No IV Drug Use Needles: Denied Denied Denied Denied Denied Denied Denied Denied Denied Sexual Partner IV Drug Use: No Sexual Partner IV Drug Use Needles: Female Sexual Partners (last 5 Yrs): 10+ Male Sexual Partners (Last 5 Yrs): o Condom Use: Sometimes Sexual Contact With HIV+ Individual: No Blood Product Transfusion: No Travel Outside US: Yes Tattoos: No Comments: Born in US High school diploma Banker Sex: M Race: WHITE Provider: ~b)(6); (b)(7)(C) IMLP Traveled to Paris x 3 weeks up until arrest No tattoos Generated 07/09/2019 13:03 by b)(6), MLP h \17\(('\ Bureau of Prisons - NYM Reg#: Facility: Unit: 76318-054 NYM H01 Page 1 of 13

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/09/2019 12:35 HIV History: When Tested: Test Result: When Diagnosed AIDS: Last CD4: Comments: Hepatitis: Other Infectious Diseases: 2019 Negative Denied Syphilis: No Syphilis Last Treatment: N/A Genital Warts: No Chlamydia: Yes Gonorrhea: No Herpes: No Chicken Pox: Yes Other: No Comments: Chlamydia in 2015, treated Chicken pox in childhood Abuse History: Denied Physical: No Emotional: No Sexual: No Comments: Denies Generated 07/09/2019 13:03 byfil'~~~:~, IMLP Reg#: Sex: M Race: WHITE Provider: f b)(6); (b)(7)(C) I MLP Facility: Unit: Bureau of Prisons - NYM 76318-054 NYM H01 Page 2 of 13

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/09/2019 12:35 Provider: Mental Health: 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 Hx of Mental Health Treatment: None Hx of Head Injury: None Current Mental Health Treatment: No Current Mental Health Complaint: No Hx of Loss of Consciousness: No Hx of Hearing Voices: No Past History of Suicide Attempt: No Current Suicide Ideation: No Suicide Prevention lnitiated:No Comments: Substance Use History: Denied Current Painful Condition: Denied Other Health Issues: Current Medical Conditions: Other Current Treatments: Pregnant: NIA Dental Condition: Denied M Race: WHITE b)(6); MLP hV7\fC:\ Generated 07/09/2019 13:03 b1~~3?~c, ~LP Bureau of Prisons - NYM Reg#: Facility: Unit: 76318-054 NYM H01 Page 3 of 13

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/09/2019 12:35 Provider: Observations: Draining Skin Lesions: No Signs of Lice: No Signs of Scabies: No Signs of Recent Trauma: No Recent Tattoos: No Needle Marks: No Signs of Rash: No Open Sores: No Wounds: No Body Deformities: No Tremors: No Sweating: No Comments: M Race: WHITE r b)(6); (b)(7)(C) 1 MLP Generated 07/09/2019 13:03 by~pi_)(6_); __ IMLP Bureau of Prisons - NYM Reg#: Facility: Unit: 76318-054 NYM H01 Page 4 of 13

Inmate Name: EPSTEIN, JEFFREY EDWARD Reg#: Date of Birth: 01/20/1953 Sex: Encounter Date: 07/09/2019 12:35 Provider: M Race: WHITE b)(6); (b)(7)(C) MLP Facility: Unit: Immunizations: Hepatitis A and B (TwinRx) Series Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST Immunization Date: Provider:~ )(6); (b)(7)(C) IMLP Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Measles/Mumps/Rubella Series Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST Immunization Date: Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Smallpox Series Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST Immunization Date: Provider: fb)(6); (b)(7)(C)IMLP Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Tetanus Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST Generated 07/09/2019 13:03 by ..... ~b-)(6_).~__,lMLP Bureau of Prisons - NYM 76318-054 NYM H01 Page 5 of 13

Inmate Name: EPSTEIN, JEFFREY EDWARD Reg#: Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: Encounter Date: 07/09/2019 12:35 Provider: ,.,,.., l(b)(=6),-- ; --,I MLP lih\17\fr\ . Unit: Immunization Date: Provider: ~ )(6); IMLP -~- VZ~V-C-' _ _._ Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Varicella Series Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST Immunization Date: Provider: V,X6), b\Q\IC\ IMLP Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Temperature: ~ 07/09/2019 Time Fahrenheit Celsius Location 12:49 NYM 97.3 36.3 Oral Pulse: Provider b)(6); (b)(7)(C) MLP Rhythm Provider 76318-054 NYM H01 ~ Tum 07/09/2019 12:49 Rate Per Minute 82 Location Via Machine Regular ~ )(6); (b)(7)(C)I MLP Respirations: Date 07/09/2019 Blood Pressure: Time 12:49 NYM Date Time Value Rate Per Minute Provider 16 ~!~L-, I MLP Cuff Size Provider 07/09/2019 12:49 NYM 117/66 Location Right Arm Position Sitting Adult-regular !~~~?~m I MLP Sa02: ~ Time 07/09/2019 12:49 NYM Height: ~ Time 07/09/2019 12:49 NYM Value(%) Air Provider 97 Room Air ,b)(6); (b)(7)(C) MLP Inches 70.0 .cm Provider 177.8 ,b)(6), (b)(7)(C) ~LP Generated 07/09/2019 13:03 bYK?~~~~o, I MLP Bureau of Prisons - NYM Page 6 of 13

Inmate Name: EPSTEIN, JEFFREY EDWARD Reg#: 76318-054 NYM Date of Birth: 01/20/1953 Encounter Date: 07/09/2019 12:35 .o.ate. Time Inches Weight: .o.ate. Time .!..hs. 07/09/2019 12:49 NYM 194.4 Prosthetic Devices/Equipment: Denied Tobacco Usage: Denied General Social History: Foreign Travel: Born in USA: Yes Country of Birth: USA Patient Education Assessments: .o.ate. Ed Yrs OccupatiQn 07/09/2019 12 Banker Family History - Father: Age at Death: 7 4 Cause of Death: Diabetes complications Significant Illnesses: Diabetes Heart Disease Comments: Family History - Mother: Age at Death: 81 Cause of Death: Kidney Failure Significant Illnesses: Heart Disease Comments: Family History - Sibling: Number of Siblings: 1 Significant Illnesses: Comments: Past Hospitalization: ReasQn Acute Appendicitis Complications: None Comments: Head: Normal: Yes Comments: Generated 07/09/2019 13:03 by .._kb'"'" )(6 ___ ), _ _.IMLP Sex: Provider: M Race: WHITE ~~~~~~Cl I MLP Facility: Unit: H01 .cm PrQvider Ksl Waist Circum. PrQvider 88.2 ~ )(6); (b)(7)(C) I MLP Learns Best By Primary Language Barriers tQ EducatiQn Speaking/Listening English None LQcatiQn Mount Sinai Hospital Bureau of Prisons - NYM When 1990 Page 7 of 13

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/09/2019 12:35 Eyes: EOMI: Yes lcterus:No Conjunctiva! Inflammation: No Pupils PEARLA: Yes Pupil Size Rt: Pupil Size Lt: Pupils Comments: Fundi Vessels Nicking: No Fundi Vessels Discs Flat:Yes Fundi Vessels Discs Sharp Margins: Yes Fundi Vessels Grounds Abnormal: No Eyes Comments: Vision Screen Blindness: 07/09/2019 12:52 Distance Vision: OD: 100 Near Vision: OD: Ishihara Color Test: Tonometry: L: R: OS: 70 OS: Sex: Provider: OU: OU: Reg#: M Race: WHITE ~~~~r.\ I MLP Facility: Unit: With Corrective OD: OD: OS OS: Comments: Needs evaluation with optometrist. Ears: Right Ear: Canal patent Left Ear: Canal patent Ears Comments: Nose: Nares Patent: Yes Septum Midline:Yes Septum Intact: Yes Drainage/Discharge: No Polyps: No Nose Comments: Generated 07/09/2019 13:03 by~Fb_X6_),_~I MLP Bureau of Prisons - NYM 76318-054 NYM H01 OU: OU: Page 8 of 13

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/09/2019 12:35 Provider: Mouth Lesions:No Oral/Buccal Mucosa:Yes Gums Normal: Yes Tonsils Present:Yes Tonsils Normal: Yes Pharynx: Normal Color Teeth Poor Dentition: No Teeth Count:Mostly Present Dentures: No Mouth Comments: Cranial Nerves: Intact II-XII: Yes Cranial Nerves Comments: Neck: Full ROM: Yes Masses/Nodes: No Trachea: Midline Thyroid: Normal Size Comments: Breasts: Normal:Yes Masses:No Tenderness: No Scars: No Dimpling:No Nipple Discharge: No Nipple Retraction:No Instructions for Self Breast Exam Given: No Comments: M Race: WHITE fb)(6); (b)(7)(C)I MLP Generated 07/09/2019 13:03 by kb)(6), l MLP Bureau of Prisons - NYM Reg#: Facility: Unit: 76318-054 NYM H01 Page 9 of 13

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/09/2019 12:35 Provider: Thorax: Contour Normal:Yes Increased AP Diameter: No Asymmetrical Expansion: No Lungs Clear: Yes Wheezes: No Crackles: No Rhonchi: No Rales: No Accessory Muscle Use: No Comments: Spine: Deformity: No Full ROM:Yes Tenderness: No Comments: Cardiovascular: RRR: Yes Normal S1/S2: Yes Murmurs: No Carotid Bruits: No JVD: No Arteries: Radial: Femoral: Dorsalis Pedis: Post. Tibialis: Comments: Right M Race: WHITE b)(6); MLP hl/7){r.) Generated 07/09/2019 13:03 bY)\b)(6); I MLP Bureau of Prisons - NYM Reg#: Facility: Unit: 76318-054 NYM H01 Page 10 of 13

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/09/2019 12:35 Provider: Abdomen: Normal Contour:Yes Scaphoid: No Obese: No Gravid: No Hernias: No Bruits: No Masses:No Scars: No Tenderness: No Organomegaly: No Active Bowel Sounds: Yes Comments: Extremities: Nails Clubbing: No Nails Cyanosis: No Lower Extremity Edema - Right: None Lower Extremity Edema - Left: None Atrophy: No Amputations: No Other Deformities: No Varicosities:No Calf Tenderness: No Pulse Deficit: No Strength: Arm: Leg: Full ROM: Arm: Leg: Comments: Bight .Bight Yes Yes .Lett .Left Yes Yes M Race: WHITE I\~~~~~--- I MLP Generated 07/09/2019 13:03 b,t~~(6k. j MLP Bureau of Prisons - NYM Reg#: Facility: Unit: 76318-054 NYM H01 Page 11 of 13

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/09/2019 12:35 Reflexes: Biceps: Patellar: Brachioradialis: Achilles: Sensation: Vibratory: Yes Light Touch: Yes Pin Prick: Yes Comments: GU: Chaperoned By: Rectum: Not Done Comments: Refused. Male Genitalia: Not Done Comments: Refused. Skin: Normal:Yes Rash: No Redness: No Right Left Abnormal Pigmentation: No Abnormal Lesions/Growths: No Comments: Lymphatics: Adenopathy: No Comments: Potential Items For Follow-up: Item Travel Outside US Other Infectious Disease History Rectum Not Done Male Genitalia Not Done PPD Administration Not Performed Comments: Patient has a history of constipation. Generated 07/09/2019 13:03 by kb)(6); I MLP Sex: M Race: WHITE Provider: ~~-~ b)(6), MLP h\'7l/C.\ Bureau of Prisons - NYM Reg#: Facility: Unit: 76318-054 NYM H01 Page 12 of 13

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/09/2019 12:35 Provider: ~b)(6); (b)(7)(C) IMLP Cleared For Food Services: Yes Health Problems Newly Identified During This Encounter: Health Problem Constipation, unspecified - Current - New Medication Orders: Rx# Medication Bisacodyl E.C. Tablet Indication: Constipation, unspecified Disposition: Follow-up at Sick Call as Needed Order Date 07/09/2019 12:35 Instructed inmate how to obtain medical, dental, and mental health care. Copay Required: No Cosign Required: Yes Telephone/Verbal Order: No Completed byKb)(6); (b)(7)(C) jMLP on 07/09/2019 13:03 Requested to be cosigned by,b)(6)· (b)(7)(C) IMD. Cosign documentation will be displayed on the following page. Generated 07/09/2019 13:03 by~Jb_)(6_),_~I MLP Bureau of Prisons - NYM Reg#: Facility: Unit: 76318-054 NYM H01 Prescriber Order 5 mg Orally at bedtime PRN x 10 day(s) Page 13 of 13

Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01 /20/1953 Sex: Encounter Date: 07/09/2019 12:35 Provider: Cosigned byfb)(6); (b)(7)(C) IMD on 07/11/2019 22:41. M ~ )(6); ~\f7\lr.\ Bureau of Prisons - NYM Reg#: Race: IMLP Facility: 76318-054 WHITE NYM

Bureau of Prisons Health Services Vitals All End Date: 05/11/2020 Begin Date: 07/06/201 9 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Temperature: Dam TuM Fahrenheit Celsius Location 07/24/2019 13:12 NYM 97.8 36.6 Oral Orig Entered: 07/24/2019 13:14 EST Joaquin, Y. MLP 07/23/2019 06:30 NYM 97.5 36.4 Oral Orig Entered: 07/23/2019 08:33 EST Joaquin, Y. MLP 07/09/2019 12:49 NYM 97.3 36.3 Oral Orig Entered: 07/09/2019 12:51 EST Joaquin, Y. MLP Pulse: Date Time 07/30/2019 13:02 Rate Per Minute Location 94 Orig Entered: 07/30/2019 13:04 EST ~b)(6); (b)(7)(C) 07/30/2019 09:40 88 Via Machine Orig Entered: 07/30/2019 13:04 EST f b)(6); (b)(7)(C) 07/30/2019 09:30 87 Via Machine Orig Entered: 07/30/2019 12 :59 EST , b)(6); (b)(7)(C) 07/28/2019 20:28 81 Orig Entered: 07/28/2019 20:29 EST f b)(6); (b)(7)(C) 07/28/2019 06:57 82 Orig Entered: 07/28/2019 06:58 EST f )C6); (b)(7)(C) 07/24/2019 13:12 83 Via Machine Orig Entered: 07/24/2019 13:14 EST ~g~~~c, I MLP 07/23/2019 06:30 92 Via Machine Orig Entered: 07/23/2019 08:33 EST K~~!!~:-. ~ MLP 07/09/2019 12:49 82 Via Machine Orig Entered: 07/09/2019 12:51 EST kb)(6); L MLP Provider b)(6); (b)(7)(C) MLP MLP MLP Rh~thm Provider b)(6); (b)(7)(C) I MD I MD IMD b)(6), (b)(7)(C) I RN I RN Regular )(6); )(7)(C) Regular Regular MD MD MD RN RN MLP MLP MLP 07/06/2019 21 :43 90 Via Machine Orig Entered: 07/06/2019 21 :48 EST ~b)(6); (b)(7)(C) I PA-C fb)(6); (b)(7)(C) I PA-C Time Rate Per Minute Provider Respirations: ~ 07/30/2019 09:30 NYM 1 2 ..,,.~b""" )(6,,.,...);...,,.. (b"'"" )(7"'"')(c=)----.I MD Orig Entered: 07/30/2019 12 :59 EST Rb)(6); (b)(7)(C) 07/28/2019 20:28 NYM 14 f b)(5); (b)(7)(C) Orig Entered: 07/28/2019 20:29 EST l(b)(6); (b)(7)(C) 07/28/2019 06:57 NYM 14 fb)(6), (b)(7)(C) IMO IRN IRN ~ RN Orig Entered: 07/28/2019 06:58 EST ~b)(6); (b)(7)(C) I RN 07/23/2019 06:30 NYM 16 i ..... ,b .... X~ ..... ) ..... 0 _ __,!MLP Orig Entered: 07/23/2019 08:33 EST !(b)(6); (b)(7)(C) IMLP 07/09/2019 12:49 NYM 16 t~/<6~,--· !. MLP Generated 05/11/2020 09:57 bykb)(6): (b)(7)(C) p c Bureau of Prisons - DAN Page 1 of 3

End Date: 05/1 1/2020 Begin Date: 07/06/2019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Date Time Rate Per Minute Provider Orig Entered: 07/09/2019 12:51 EST (b)(6); (b)(7)(C) MLP 07/06/2019 21 :43 NYM 15 b)(G);(b)(l)(C) PA-C Orig Entered: 07/06/2019 21 :48 EST fbl(6); (b)(7)(C) IPA-C Blood Pressure: QaN Time ~ Location Position 07/30/2019 13:02 NYM 114/84 Left Arm Standing Orig Entered: 07/30/2019 13 :04 EST ,b)(G); (b)(7)(C) 07/30/2019 09:40 NYM 125/60 Right Arm Standing Orig Entered: 07/30/2019 13 :04 EST ,b)(6); (b)(7)(C) 07/30/2019 09:30 NYM 108/86 Left Arm Sitting Orig Entered: 07/30/2019 12 :59 EST fb)(6); (b)(7)(C) 07/28/2019 20 :28 NYM 157 /91 Orig Entered: 07/28/2019 20:29 EST [b)(6); (b)(7)(C) 07/28/2019 06:57 NYM 138/80 Cuff Size Provider b)(6); (b)(7)(C) IMD IMO IM D b)(6); (b)(7)(C) RN Orig Entered: 07/28/2019 06:58 EST ~----__.RN 07/24/2019 13:12 NYM 132/89 Right Arm Sitting Adult-regular ~ )(6);(b)(7)(C)IMLP Orig Entered: 07/24/2019 13:14 EST r ><6); (b)(7)(C) ~LP 07/23/2019 06:30 NYM 140/85 Right Arm Sitting Orig Entered: 07/23/2019 08:33 EST ~b)(G); (b)(7)(C) IMLP 07/09/2019 12:49 NYM 117/66 Right Arm Sitting Orig Entered: 07/09/201912:51 EST l(b)(G);(b)(7)(C) IMLP 07/06/2019 21 :45NYM 164/90 RightArm Sitting Orig Entered: 07/06/2019 21 :48 EST ~ )(6); (b)(7)(C) IPA-C 07/06/2019 21 :43 NYM 155/83 Left Arm Sitting Orig Entered: 07/06/2019 21 :48 EST l(b)(G); (b)(7)(C) IPA-C Blood Glucose: b)(6); Adult-regular [b)(7)(C) Adult-regular b)(6); (b)(7)(C) MLP MLP Adult-regular PA-C Adult-regular PA-C D.a.te. I.i.me. Value (mg/di) bJ2e. Regular Insulin Provider MD MD MD RN RN 08/04/2019 08:30 156 Non-Fasting Orig Entered: 08/04/2019 09:08 EST ~b)(6); (b)(7)(C) I RN ~b)(6); (b)(7)(C) IRN 08/02/2019 06:30 97 Non-Fasting Orig Entered: 08/02/2019 08:16 EST ~~tr, I MLP 08/01/2019 06:30 103 Non-Fasting Orig Entered: 08/01/2019 09:00 EST 1!~~~?~0 , I MLP 07/31/2019 06:15 108 Non-Fasting Orig Entered: 07/31/2019 08:36 EST ~~?;c, IMLP Sa02: I.laN 07/30/2019 Time Value(%) Air Provider 09:30 NYM 98 Room Air ~b)(6); (b)(7)(C) Orig Entered: 07/30/2019 12:59 EST b)(6) (b)(7)(C) D IMD 07/28/2019 20:28 NYM 98 ~---....,,,..,.,.,.,....,'""=..,.,,..,..----. b)(6); (b)(7)(C) N Orig Entered: 07/28/2019 20:29 EST (b)(6); (b)(7)(C) '------,,,,._,.i..,,..,..,,,,..,.,,.,-----, 07/28/2019 06:57 NYM 98 RN b)(6); (b)(7)(C) RN Generated 05/11/2020 09:57 b~b)(6); (b)(7)(C) pGc Bureau of Prisons - DAN b)(6); (b)(7)(C) LP LP LP Page 2 of 3

Begin Date: 07/06/2019 Reg #: 76318-054 End Date: 05/1 1/2020 Inmate Name: EPSTEIN, JEFFREY EDWARD Date Time Value(%) Air Provider Orig Entered: 07/28/2019 06:58 EST ~b)(6); (b)(7)(C) I RN 07/24/2019 13:1 2 NYM 96 Room Air !(b)(6);(b)(7)(C)! MLP Orig Entered: 07/24/2019 13:14 EST ~b)(6); (b)(7)(C)!MLP 07/23/2019 06:30 NYM 96 Room Air ~b~)(6~);~(b~)(7=)(=c~) I MLP Orig Entered: 07/23/2019 08:33 EST ~b)(6); (b)(7)(C)!MLP 07/09/2019 12:49 NYM 97 Room Air r=-@=X6,,.,..);'"""(b""")(7""')(=c)-,fV1LP Orig Entered: 07/09/2019 12:51 EST K~~(6k. I MLP 07/06/2019 21 :43 NYM 95 Room Air """ P,,..,., )(6,,..);..,,..(b""")(7""')(=c)--.!PA-C Orig Entered: 07/06/2019 21 :48 EST ~b)(6); (b)(7)(C) lPA-C Height: .D.ate. Ii.me. Inches .cm Provider 07/09/2019 12:49 NYM 70.0 177.8 ~b)(6); (b)(7)(C)I MLP Orig Entered: 07/09/2019 12:51 EST kb)(6); ~ MLP 07/06/2019 21:43 NYM 72.0 182.9 ~b)(6);(b)(7)(C) PA-C Orig Entered: 07/06/2019 21:48 EST ~b)(6);(b)(7)(C) l PA-C Weight: .D.ate. Time Lbs .Kg Waist Circum. Provider 07/30/2019 09:30 NYM 194.2 88.1 ..,,..~b,..,.,)(6,,..);..,,..(b"""' )(7,.,...,)(C=)-----.~D Orig Entered: 07/30/2019 12:59 EST kb)(6); (b)(7)(C) !MD 07/09/2019 12:49 NYM 194.4 88.2 ~@?b IMLP Orig Entered: 07/09/2019 12:51 EST -Rb_)(6_); __ l MLP 07/06/2019 21 :43 NYM 200.0 90.7 ~ ,.,,..,b)=c6,,_); C ,,....,b)(7= )=cc,,...,> l PA-C Orig Entered: 07/06/2019 21 :48 EST ~b)(6); (b)(7)(C) f A-C Generated 05/1 1/2020 09:57 by~b)(6); (b)(7)(C) ~GC Bureau of Prisons - DAN Page 3 of 3

Bureau of Prisons Health Services PPDs Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Adm in: Location Provider 07/06/2019 21 :39 Right Forearm f b)(6); (b)(7)(C) IPA-C Orig Entered: 07/06/2019 21 :43 EST fb)(6); (b)(7)(C) jPA-C Total: 1 Generated 05/11/2020 09:57 byK~~~L, IOGC Reading: 07/09/2019 12:47 lnduration 0 mm Provider ~ )(6); (b)(7)(C) I MLP Orig Entered: 07/09/2019 12:47 EST b)(6); (b)(7)(C) MLP Bureau of Prisons - DAN Page 1 of 1

76318-054 Ord. Date 07/30/19 14:21 Exp. Date 07/31/19 10:01 NYM 122148- NYM Ord. Date 07/31/19 10:00 Exp. Date 08/07/19 09:59 NYM 122160- NYM EPSTEIN, JEFFREY Medication Orders ~u)(6), (b)(7)(C) Inject regular Insulin subcutaneously per sliding scale: twice daily ... pill line••• for 7 days Insulin Reg (10 ML) 100 UNITS/ML lnj kb)(6); (b)(7)(C) Inject regular insulin subcutaneously per I MO I MO sliding scale: each morning for 7 days •••pm line•- Insulin Reg {10 ML) 100 UNITS/ML lnj Providersl b)(6); (b)(7)(C) I Time PRN PRN Documentation Codes: ORD = Order I NI = Dose Not Indicated Medication Administration Record JULY 2019 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 NI YJ Registration #: 76318-054 Pt. Name: EPSTEIN, JEFFREY DOB: 01/20/53 Report information is current as of the date and time of printing: 05/11/2020 09:57 EST

76318-054 EPSTEIN, JEFFREY Medication Orders Ord. Date fb)(6); (b)(7)(C) 07/31/19 10:00 Inject regular Insulin subcutaneously per I MO Exp. Date sliding scale: each morning for 7 days '"*pill 08/07/19 line"""' 09:59 NYM 122160- NYM Insulin Reg (10 ML) 100 UNITS/ML lnj Providers: VJ = Joaquin, Y. Time PRN Documentation Codes: ORD = Order I NI = Dose Not Indicated Medication Administration Record AUGUST 2019 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 ~ Registration #: 76318-054 Pt. Name: EPSTEIN, JEFFREY DOB: 01/20/53 Report information is current as of the date and time of printing: 05/11/2020 09:57 EST

Start Date: 07/06/2019 Reg #: 76318-054 Device/Equipment C-Pap 07/30/2019 14:05 EST '1>)(6); (b)(7)(C) Total: 1 Generated 05/11/2020 09:57 byre!~?~c, !OGG Bureau of Prisons Health Services Devices and Equipment Stop Date: 05/11/2020 Inmate Name: EPSTEIN, JEFFREY EDWARD Start Date Stop Date Date Returned Obtained From Comments I MD 07/30/2019 Bureau of Prisons - DAN Personal PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL#: P11312813B1ED. Page 1 of 1

Begin Date: 07/06/2019 Reg #: 76318-054 Date Intervention 07/12/2019 13:25 MEDROL DOSE PACK Orig Entered: 07/12/201913:28 EST fb)(6); (b)(7)(C) Generated 05/11/2020 09 57 b~~~L .. , joGC Bureau of Prisons Health Services Pain Management Pain Quality Shooting Bureau of Prisons - DAN End Date: 05/11/2020 Inmate Name: EPSTEIN, JEFFREY EDWARD Location Pre fQs1 Provider Back-Middle 5 .... fb_><a_>; _<b>_rr_>(c_> _ ___,I MD Page 1 of 1

Types of Diets: _ Clear Liquid Low Fat Mechanical Soft Low Cholesterol _ Low Triglyceride Renal _ Full Liquid Sodium Controlled Snack Diabetic Calorie Controlled X Other: FISH ALLERGIES. Comments: EPSTEIN, JEFFREY EDWARD Inmate Name Bureau of Prisons Health Services Modified Diet Request 76318-054 Reg# Generated 07/30/2019 14:57 by~b)(6); (b)(7)(C) I MD Bureau of Prisons - NYM Exp Date: Exp Date: Exp Date: Exp Date: Exp Date: Exp Date: Exp Date: Exp Date: Exp Date: Exp Date: Exp Date: Exp Date: 07/30/2020 ~b)(6); (b)(7)(C) !MD Health Service Staff 07/30/2019 Date Page 1 of 1

Bureau of Prisons Health Services Allergies Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Allergy Date Noted No Known Allergies 07/06/2019 Orig Entered: 07/06/2019 21 :40 EST fb)(6); (b)(7)(C) IPA-C Total: 1 Generated 05/11/2020 09:57 bf b)(6); (b)(7)(C) fGC Bureau of Prisons • DAN Reaction Page 1 of 1

Bureau of Prisons Health Services Patient Education Assessments & Topics Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Assessments Assessment Learns Best By Primary Language Years of Education Barriers To Education 07/09/2019 Speaking/Listening English 12 None Orig Entered: 07/09/2019 12:52 EST Joaquin, Y. Total: 1 Topics Date !aitiated Format Haadout/Topic Outcome 07/30/2019 Counseling Access to Care Verbalizes Understanding Orig Entered: 07/30/2019 13:33 EST ~b)(6); (b)(7)(C) 07/30/2019 Counseling Plan of Care Verbalizes Understanding Orig Entered: 07/30/2019 13:34 ESTfb)(5); (b)(7)(C) 07/28/2019 Counseling Plan of Care Verbalizes Understanding 07/28/2019 Orig Entered: 07/28/2019 07:22 EST ~ )(6); (b)(7)(C) Counseling Plan of are Verbalizes Understanding Orig Entered: 07/28/2019 20:30 EST ~b)(6); (b)(7)(C) 07/24/2019 Counseling Access to Care Verbalizes Understanding Orig Entered: 07/24/2019 13:23 EST l(b)(e); (b)(7)(C) 07/24/2019 Counseling Preventive Health Verbalizes Understanding Orig Entered: 07/24/2019 13:23 EST fb)(6); (b)(7)(C) 07/23/2019 Counseling Access to Care Verbalizes Understanding Orig Entered: 07/23/2019 09:04 EST , b)(6); (b)(7)(C) 07/23/2019 Counseling Plan of Care Verbalizes Understanding Orig Entered: 07/23/2019 09:04 EST r )(e); (b)(7)(C) 07/14/2019 Counseling Diagnosis Verbalizes Understanding 07/12/2019 Orig Entered: 07/14/201918:11 EST rb)(e); (b)(7)(C) Counseling Diag, ,o_,,s Verbalizes Understanding Generated 05/1 1/2020 09:57 by b)(6); (b)(7)(C) GC Bureau of Prisons - DAN Provider ~b)(6); b)(7)(C) Provider b)(6); (b)(7)(C) (b)(6); (b)(7)(C) Page 1 of 2

Reg#: 7631 8-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Topics Date Initiated Format Handout/Topic Outcome Provider Orig Entered: 07/12/2019 13:33 EST rb)(6); (b)(7)(C) Total: 10 Generated 05/11/2020 09:57 by~b)(6); (b)(7)(C) tGC Bureau of Prisons - DAN Page 2 of 2

Bureau of Prisons Health Services Blood Glucose Begin Date: 07/06/2019 Reg #: 76318-054 End Date: 05/11/2020 Inmate Name: EPSTEIN, JEFFREY EDWARD (Reference Range: Random or Fasting 70 - 100, 2 hour post-prandial 70 - 140) .oate. Ii.m.e. Yal.u.e. ~ Comments 08/04/2019 08:30 NYM 156 Non-Fasting Orig Entered: 08/04/2019 09:08 EST ~b)(6); (b)(7)(C) !RN 08/02/2019 06:30 NYM 97 ~=-""~~Non-Fasting Orig Entered: 08/02/2019 08:16 EST kbl<6): fb)C7)(C)! MLP 08/01/2019 06:30 NYM 103 .,,..,..,.,,,....--....,Non-Fasting Orig Entered: 08/01/2019 09:00 EST tb)(6); IMLP 07/31/2019 06:15 NYM 108 ~,.,....----,Non-Fasting Orig Entered: 07/31/2019 08:36 EST !b)(6);_ _ I MLP Total: 4 Generated 05/11/2020 09:57 bf b)(6), (b)(7)(C) p Bureau of Prisons - DAN Page 1 of 1

Bureau of Prisons Health Services Health Problems Reg#: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Description Hyperlipidemia, unspecified 07/12/2019 13:48 EST "'"p>'"")(6""'");""'"(b""")(7""')(=C),-----,IMD HYPERTRIGL YCERIDEMIA Sleep apnea 07/12/2019 13 :56 EST fb)(6); (b)(7)(C) Essential (primary) hypertension 07/30/201913:13 EST fb)(6) (b)(7)(C) BYHX. Constipation, unspecified 07/09/2019 12:58 ESTj(-b-)(6-);-(b-)(7-)(C- )~IMLP Low back pain 07/12/2019 13 :30 EST Rb)(6); (b)(7)(C) Neuralgia and neuritis, unspecified 07/12/2019 13:30 EST~ )(6); (b)(7)(C) No Diagnosis I MD I MD 07/09/2019 10:28 EST b)(6); (b)(7)(C) PhD/Chief Prediabetes 07/30/201913:26 EST l(b)(G);(b)(7)(C) IMD b)(6); (b)(7)(A), (b)(7)(C) Body mass index (BMI) 27.0-27.9, adult 07/30/201913:14 EST ~b)(G);(b)(7)(C) IMD Total: 10 Generated 05/11/2020 09:57 b' b)(6); (b)(7)(C) pc Axis Code Type Current ICD-10 ICD-10 ICD-10 ICD-10 ICD-10 ICD-10 DSM-IV ICD-10 ICD-10 Bureau of Prisons - DAN _Qo_d_e Di ag. Date s.tatu.s. Status Date E785 07/12/2019 Current G4730 07/12/2019 Current 110 07/30/2019 Current K5900 07/09/2019 Current M545 07/12/2019 Current M792 07/12/2019 Current No Dx 07/09/2019 Current R7303 07/30/2019 Current Z6827 07/30/2019 Current Page 1 of 1

Bureau of Prisons Health Services Vision Screens Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Vision Screen on 07/09/2019 12:52 Blindness: Distance Vision: OD: 20/100 Near Vision: OD: With Corrective Distance Vision: OD: Near Vision: OD: OS: 20/70 OS: OS: OS: Present Glasses - Distance Refraction - Distance Sphere Cylinder Axis Add Sphere Cylinder R: R: L: L: Color Test: Tonometry: R: L: Comments: Needs evaluation with optometrist. Orig Entered: 07/09/2019 12:54 EST ~b)(6); (b)(7)(C)IMLP Generated 05/11/2020 09:57 bljb)(6): (b)(7)(C) tc Bureau of Prisons - DAN OU: OU: OU: OU: Axis Add Page 1 of 1

Bureau of Prisons Health Services Immunizations Begin Date: 07/06/2019 Reg #: 76318-054 End Date: 05/11/2020 Inmate Name: EPSTEIN, JEFFREY EDWARD Immunization Immunization Date Administered Location Dosage Drug Mfg. Hepatitis A and B (Twin Rx) History Unknown Orig Entered: 07/09/201912:51 EST fb)(6);(b)(7)(C) I MLP Measles/Mumps/Rubella Series History Unknown Orig Entered: 07/09/2019 12:51 EST ~~~~k. I MLP Smallpox Series History Unknown Orig Entered: 07/09/2019 12:51 EST Jb)(6); (b)(7)(C) !MLP Tetanus History Unknown Orig Entered: 07/09/2019 12:51 EST ~b)(6); (b)(7)(C)!MLP Varicella Series History Unknown Orig Entered: 07/09/2019 12:51 EST fb)(6); (b)(7)(C) ~LP Total: 5 Generated 05/11/2020 09:57 by f b)(6); (b)(7)(C) pc Bureau of Prisons - DAN .L.oLJt Exp Date Page 1 of 1

Bure u of Prisons Hea th Services I e • cal Duty Status --------------- Reg#: 76318-054 1 nm ate Name: EPSTEIN, JEFFREY EDWARD Housing Status _ confined to the living quarters except meals _ pill line treatments _ on complete bed rest: _ bathroom privileges only L_ cell: _cell on first floor _single cell 1$_1ower bunk _2irborne infection isolation other: Physical Limiia.: - 1/Restriction _ all spotts weightlifting: upper body lower body Exp. Date: -----=:...:....:..-'--' Exp. Date: - - - --- Exp. Date: _ 10,09/2019 Exp. Date: - - ---- Exp. Oate: _____ _ Exp. Date: _____ _ cardiovascular exercise: _running _jogging _walking softball Exp. Date: _____ _ football basketball handball stationary equipment other: Exp. Date: ------ May have the following equipment in his / her possession: Equipment Start Date End Date Return Date C-Pap 07/30/2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL#: P11312813B1ED. Work Restriction / Limitation: Cleared for Food Service: Yes --- x No Restrictions Comments: N/A Health Services Staff rb)(6); (b)(7)(C) 07/30/2019 Date Inmate Name: __ E_P_S_T_E_IN_,,._J_E_F_r_-q_E_Y_E_D_W_A_R_D __ Reg #: __ 7_6_3_18_-_05_4 __ Quarters: __ n_u_ll _ ALL EXPIRATION DATES AR£ T 24:00 Generated 05/11/2020 09:57 b~ b)(6); (b)(7)(C) pGc &tirea11 of Prisons - DAN Page 1 of 1

Bure u of Prisons Hea th Services e • cal Duty Status Reg#: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Housing Status _ confined to the living quarters except meals _ pill line treatments _ on complete bed rest: _ bathroom privileges only X cell: _cell on first floor _single cell X lower bunk airborne infection isolation other: Physical Limiia.: - 1/Restriction _ all spotts weightlifting: upper body lower body Exp. Date: ___ ..:.;;....:.-:.-...., Exp. Date: - - - - - - Exp. Date: _ 10,09/2019 Exp. Date: - - ---- Exp. Oate: _____ _ Exp. Date: _____ _ cardiovascular exercise: _running _jogging _walking softball Exp. Date: ------ football basketball handball stationary equipment other: Exp. Date: ------ May have the following equipment in his / her possession: Work Restriction / Limitation: Cleared for Food Service: Yes --- x No Restrictions Comments: N/A ,b)(6); (b)(7)(C) I MLP 07/09/2019 Health Services Staff Date Inmate Name: EPSTEIN, JEFFREY EOW D Reg#: _____ ..__ ___ ~-- - - 76318-054 Quarters: null ALL EXPIRATION DA TES ARE AT 2•1:00 Generated 05/11/2020 09:57 by ~Jb_)(6_), __ ~IOGC &tirea11 of Prisons - DAN Page 1 of 1

Complex: NYM--NEW YORK MCC Inmate: EPSTEIN, JEFFREY EDWARD Bureau of Prisons Health Services Medication Summary Historical Begin Date: 07/06/2019 Reg #: 76318-054 End Date: 05/11/2020 Quarter: ???-???? Medications listed reflect prescribed medications from the begin date to end date on this report. Allergies: Active Prescriptions Bisacodyl E.C. 5 MG TAB Denied Take one tablet (5 MG) by mouth at bedtime AS NEEDED for 10 days Rx#: 121757-NYM Doctor: kb)(6); I MLP Start: 07/09/19 Exp: 07/19/19 DIC: 07/12/19 Pharmacy Dispensings: 10 TAB in 307 days Docusate Sodium 100 MG Cap Take one capsule (100 MG) by mouth twice daily for 30 days Rx#: 121823-NYM Doctor: ,b)(B); (b)(7)(C) IMD Start: 07/12/19 Exp: 08/11/19 D/C: 08/10/19 Pharmacy Dispensings: 60 CAP in 304 days Docusate Sodium 100 MG Cap Take one capsule (100 MG) twice daily by mouth with plenty of water Rx#: 122084-NYM Doctor: ,b)(6); (b)(7)(C) IMD Start: 07/26/19 Exp: 01 /22/20 D/C: 08/10/19 Pharmacy Dispensings: 30 CAP in 290 days Milk of Magnesia Susp (OTC) (473ML) 400MG/5ML shake well take 2 tablespoonful twice daily by mouth Rx# : 121835-NYM Doctor: Beaudouin, Robert MD Start: 07/12/19 Exp: 07/14/19 Milk of Magnesia Susp (OTC) (473ML) 400MG/5ML shake well take 10ml by mouth twice daily AS NEEDED Rx#: 122150-NYM Doctor: Jb)(6); (b)(7)(C) I MD Start: 07/30/19 Exp: 10/28/19 D/C: 08/10/19 methylPREDNISolone 4 MG Tab [ 21 count Pack] Take the tablet by mouth as directed Rx#: 121836-NYM Doctor: f.,,...b)'""'(6,,...), .,,.., (b)(7 = )(c=)----.IMD Start: 07/12/19 Exp: 07/18/19 methylPREDNISolone 4 MG Tab [ 21 count Pack] Take the tablet by mouth as directed Rx#: 122149-NYM Doctor: ~~b"'"")(6""");"""'(b..,.,)(7) = (c,.,...) ----,~ D Start: 07/30/19 Exp: 08/05/19 Pharmacy Dispensings: 473 ML in 304 days Pharmacy Dispensings: 473 ML in 286 days Pharmacy Dispensings: 21 tab in 304 days Pharmacy Dispensings: 21 tab in 286 days Generated 05/ 11/2020 09:57 bf b)(6); (b)(7)(C) IOGC Bureau of Prisons - DAN Page 1 of 2

Complex: NYM--NEW YORK MCC Begin Date: 07/06/2019 Inmate: EPSTEIN, JEFFREY EDWARD Reg#: 76318-054 Active Prescriptions Omega 3 (Vascepa) 1 GM Capsule Take two capsules (2 GM) twice daily by mouth with food Rx#: 121885-NYM Doctor: tb)(6); (b)(7)(C) I MD End Date: 05/11/2020 Quarter: ???-???? Start: 07/17/19 Exp: 01/13/20 D/C: 08/10/19 Pharmacy Dispensings: 180 Cap in 299 days Insulin Reg (10 ML) 100 UNITS/ML lnj Inject regular insulin subcutaneously per sliding scale: twice daily ***pill line*** for 7 days ***pill line*** Rx#: 122148-NYM Doctor: ~b)(6); (b)(7)(C) I MD Start: 07/30/19 Exp: 08/06/19 D/C: 07/31/19 Pharmacy Dispensings: 0 ML in 286 days Insulin Reg (10 ML) 100 UNITS/ML lnj Inject regular insulin subcutaneously per sliding scale: each morning for 7 days ***pill line*** ***pill line*** Rx#: 122160-NYM Doctor: , b)(6); (b)(7)(C) r,AD Start: 07/31/19 Exp: 08/07/19 Pharmacy Dispensings: O ML in 285 days Generated 05/ 11/2020 09:57 byp>)(6); (b)(7)(C) p Gc Bureau of Prisons - DAN Page 2 of 2

Bureau of Prisons Health Services Dental Health History Screen Inmate Name: EPSTEIN, JEFFREY EDWARD Reg#: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/26/2019 07:54 Provider: f bX6); (b)(7)(C) !DDS ASSESSMENTS: Health Problems as of Dental Health History Encounter date: 07/26/2019 07:54 Health Problems Facility: NYM Unit: H01 Health Problem Status Hyperlipidemia, unspecified Current HYPERTRIGL YCERIDEMIA Sleep apnea Current Constipation, unspecified Current Low back pain Current Neuralgia and neuritis, unspecified Current No Diagnosis Current b)(7)(A) Medical History as of Dental Health History Encounter date: 07/26/2019 07:54 Medical History: Allergies: Denied Seizures: Diabetes: Cardiovascular: CVA: Hypertension: Respiratory: Sickle Cell Anemia: Carcinoma/Lymphoma: HIV History: When Tested: Test Result: When Diagnosed AIDS: Last CD4: Comments: Hepatitis: Denied Denied Denied Denied Denied Denied Denied Denied 2019 Negative Denied Generated 07/26/2019 07:59 byfb)(6); (b)(7)(C) p os Bureau of Prisons - NYM Page 1 of 3

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Encounter Date: 07/26/2019 07:54 Provider: Other Infectious Diseases: Syphilis: No Syphilis Last Treatment: NIA Genital Warts: No Chlamydia: Yes Gonorrhea: No Herpes: No Chicken Pox: Yes Other: No Comments: Chlamydia in 2015, treated Chicken pox in childhood Other Health Issues: Other Medical Conditions And Treatment: sleep apnea Current Medical Conditions: Other Current Treatments: Pregnant: N/A Race: WHITE b)(6); (b)(7)(C) DDS Dental Observations as of Dental Health History Encounter date: 07/26/2019 07:54 History: Alcohol: No Methamphetamine: No Tobacco products: No Other drugs: No Sensitive teeth: No Bleeding gums: Yes Food impaction: Yes Pain around ear: No Toothache: No Wear partial dentures: No Unusual sounds while eating: No Snoring: Yes Blisters on lips or mouth: No Clenching or grinding: Yes Swelling or lumps in mouth/throat: No Burning tongue: No Bad breath: No Decayed teeth: No Loose teeth: No Wear dentures: No None: No Comments: Generated 07/26/2019 07:59 by~b)(6); (b)(7)(C) p os Bureau of Prisons - NYM Reg#: 76318-054 Facility: NYM Unit: H01 Page 2 of 3

Inmate Name: EPSTEIN, JEFFREY EDWARD Reg#: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/26/2019 07:54 Provider: b)(6); (b)(7)(C) DDS Unit: H01 Cardiac Condition Requiring Prophylaxis: No Prosthetic joint(s): No Radiation history of head or neck: No Excessive bleeding: No Bisphosphonates: No Comments: Medications as of Dental Health History Encounter date: 07/26/2019 07:54 Medications: Docusate Sodium 100 MG Cap Exp: 08/11/2019 SIG: Take one capsule (100 MG) by mouth twice daily for 30 days Omega 3 (Vascepa) 1 GM Capsule Exp: 01 /13/2020 SIG: Take two capsules (2 GM) twice daily by mouth with food OTCs: Listing of all known OTCs this inmate is currently taking. Instructed inmate how to obtain medical, dental, and mental health care. Copay Required: No Cosign Required: No Telephone/Verbal Order: No Completed byr )(6); (b)(7)(C) p Ds on 07/26/2019 07:59 Generated 07/26/2019 07:59 b~ b)(6); (b)(7)(C) !DDS Bureau of Prisons - NYM Page 3 of 3

Bureau of Prisons Health Services Dental A&O Exam Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/26/2019 07:47 Provider: fb)(6); (b)(7)(C) IDDS Reviewed Health Status: Yes Occlusion: Class I Oral Hygiene: Fair CPITN: 3 2 3 3 2 3 Hard and soft tissue examination performed and documented on BP618 form: Yes Head & Neck/Soft Tissue within normal limits? No Comments: moderate to advanced upper posterior gingival recession Decayed: Missing: 0 Filled: 14 Comments: Lower anterior crowding Approved for hygiene appointment and radiographs: Yes Reg#: Facility: Unit: 76318-054 NYM H01 Instructed inmate how to obtain routine and emergency dental care. Oral hygiene instructions given: Yes Dental A&O Screening Exam findings entered on EPSTEIN, JEFFREY EDWARD b ~ b)(6); (b){7)(C) 07/26/2019 07:47. Generated 07/26/2019 08:00 bf ><6); (b)(7)(C) I DDS Bureau of Prisons - NYM IDDS on Page 1 of 1

Bureau of Prisons Health Services Dental Soap/ Adm in Encounter Inmate Name: Date of Birth: EPSTEIN, JEFFREY EDWARD 01/20/1953 Encounter Date: 07/18/2019 13:48 Screening encounter at Dental Clinic. Reason Not Done: Unavailable Sex: M Race: WHITE Provider: rb)(6); (b)(7)(C) I Dental Asst Reg#: Facility: Unit: 76318-054 NYM Z05 Comments: Patient has had several call outs for his Dental A & 0 screening but has not been escorted to the dental clinic. Cosign Required: No Completed by~~b~)(6~);=(b~)(7=)(~C)-~IDental Asst on 07/19/2019 13:49. Generated 07/19/2019 13:49 b~b)(6); (b)(7)(C) I Dental Bureau of Prisons • NYM Page 1 of 1

@ Federal Bureau of Prisons U.S. Medical Center for Federal Prisons 1900 W. Sunshine Street Name EPSTEIN, JEFFREY Reg# 76318-054 DOB 01/20/1953 Sex M Sodium Potassium Chloride CO2 BUN Creatinine eGFR (IDMS) Springfield, MO 65807 417-874-1621 Facility MCC New York Order Unit E06-547U Provider r )(6); (b)(7)(C) f MD CHEMISTRY 137 4.7 99 27 17 1.05 >60 GFR units measured as ml/min/1 .73 m~2. If African American multiply by 1.210. A calculated GFR <60 suggests chronic kidney disease if found over a 3 month period. Calcium 9.8 Glucose AST ALT Alkaline Phosphatase Bilirubin, Total Total Protein Albumin Globulin Alb/Glob Ratio Anion Gap BUN/Great Ratio Cholesterol Triglycerides H H H 102 57 62 64 1 .1 7.3 4.4 2.9 1.50 10.2 16.1 216 413 *** Sensitive But Unclassified *** Collected 07/09/2019 13:34 Received 07/10/2019 10:44 Reported 07 /10/2019 14 :46 LIS ID 188191004 137-148 3.5-5.0 99-114 22-30 7-22 0.66-1.25 8.5-10.9 70-110 11-55 11-66 41 -133 0.2-1.3 6.0-8.2 3.6-5.1 2.0-3.7 1.00-2.30 9.0-19.0 5.0-30.0 <200 10-150 mmol/L mmol/L mmol/L mmol/L mg/dl mg/dl mg/dl mg/dl U/L U/L U/L mg/dl g/dl g/dl g/dl mg/dl mg/dl Calculation of LDL is not appropriate for samples with a triglyceride greater than 400 mg/dl. Therefore the LDL is not calculated. HDL Cholesterol L 31 40-60 mg/dl Chol/HDL Ratio WBC NRBC¾ RSC Hemoglobin Hematocrit MCV MCH MCHC RDW-CV Platelet FLAG LEGEND H L 6.9 HEMATOLOGY 7.6 0.0 5.42 15.6 47.8 88.2 28.8 32.6 12.8 338 0.0-4.0 4.3-11.1 4.46-5.78 13.6-17.6 40.2-51.4 82.5-96.5 27.1-34.9 33.0-37.0 12.0-14.0 130-374 K/ul % M/ul g/dl % fl pg g/dl % K/ul L=Low L!=Low Critical H=High H!=High Critical A=Abnormal A! =Abnormal Critical Page 1 of 3

@ Federal Bureau of Prisons U.S. Medical Center for Federal Prisons 1900 W. Sunshine Street Name EPSTEIN, JEFFREY Reg# 76318-054 DOB 01/20/1953 Sex M MPV Neutrophils % Springfield, MO 65807 417-874-1621 Facility MCC New York Order Unit E06-547U Provider rb)(6); (b)(7)(C) IMD HEMATOLOGY 10.4 58.7 *** Sensitive But Unclassified *** Collected 07/09/2019 13:34 Received 07/10/2019 10:44 Reported 07 /10/2019 14 :46 LIS ID 188191004 6.9-10.5 fl % Therapeutic decision making should be based on absolute values, rather than percentages Lymphocytes% 25.0 Monocytes % Eosinophils % Basophils % Immature Granulocytes % Neutrophils # Lymphocytes# Monocytes # Eosinophils # Basophils # Immature Granulocytes # Hemoglobin A 1 C 5.7 - 6.4 Increased Risk > 6.4 Diabetes RPR H 11 .1 4.1 0.8 0.3 4.4 1.9 0.8 0.3 0.1 0.02 HEMOGLOBIN A1C 6.3 SEROLOGY Non-Reactive Results may be affected in patients with severely advanced immunosuppression. 0.0-5.0 1.9-6.7 1.3-3.7 0.3-1.1 0.0-0.5 0.0-0.1 0.00-0.50 <5.7 Non-Reactive % % % % % K/ul K/ul K/ul K/ul K/ul 101\3/ul % FLAG LEGEND L=Low L!=Low Critical H=High H!=High Critical A=Abnormal A! =Abnormal Critical Page 2 of 3

@ Federal Bureau of Prisons Name EPSTEIN, JEFFREY Reg# 76318-054 DOB 01/20/1953 Sex M HIV 1/2 U.S. Medical Center for Federal Prisons 1900 W. Sunshine Street Springfield, MO 65807 417-874-1621 Facility MCC New York Order Unit E06-547U Provider r b)(5); (b)(7)(C) rD HIV Negative *** Sensitive But Unclassified *** Collected 07/09/2019 13:34 Received 07/10/2019 10:44 Reported 07 /10/2019 14 :46 LIS ID 188191004 Negative Screening test - See confirmatory testing for Reactive results FLAG LEGEND L=Low L!=Low Critical H=High H!=High Critical A=Abnormal A! =Abnormal Critical Page 3 of 3

Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01 /20/1953 Sex: M Encounter Date: 07/10/2019 16:58 Provider: Lab Result Receive Cosigned by r b)(6); (b)(7)(C) ro on 07/14/2019 18:12. Bureau of Prisons - NYM Reg#: Race: Facility: 76318-054 WHITE NYM

BP-A0489 JUN 10 HIV COUNSELING DOCUMENTATION WMtifEH @W 4A A Wi#MN ➔ M-d Mt»& 451&6 Directions: , tiiiPM U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS GM Use the following criteria to counsel the patient who is tested for the HIV anffbody. Check off each ilem .as they are discussed. Write NA beside any item that is inappropriate to the situation. Thereverse side of this form will be utilized to :docu.rhenl seronegative and inconclusive test result. Then file in the patient"s record, documenting in progress nutes that couns·ering was completed. PRETEST: /1. / 2. / 3. Explain purpose of session. Explain. ."confidentiality. ,;; Explain HIV antibody Lest. ?' _.__a . ...:...-4-_b. -t--_c. ___ d. ___ e. ___ f. a. What HIV is What the test is Test Procedure Meaning or· test results Inability of detecting early infection (false negatives) Potential need for additional testing Significance of a positive tes~. / 4. List risk factors/clinical signs: (check alf that apply) ____ , __ a. Injecting drug use, sharing drug or tattoo equipment .. ~· ,. -➔' _b. Unprotected or multiple sex partners _ _,_c. Treated For: sexually transmitted infections, hepatitis, or TB --+-_d. Clinical sis: fever or illness of unknown cause, symptoms of AIDS opportunistic· infections. --+--e. Exposure: recent occupational or non-occupational exposure/incident: 1 ___ f. Pregnant female _ ___._..,a. Other.------------------------------- Obtain informed .~onsent (when applicable). Risk Reduction Behavio~s. Educational material given. Patient Reactions/Comments. Explain how the patient will be notified of the result. Toe above information has been explained to m.e in a language I can understand. Signature of Inmate Date: Inmate Name: Register No.: !nstitution: File in th,sd'>1ledical Record: Section 6. Prescribed by P6190 :J Rcpl.ires BP-S489.061 of APR

BP-S356.060 SEP 05 MEDICAL TREATMENT R FUSAL CDFRM U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-9-2019 Date I, JEFFREY EPSTEIN 76318-054 , refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAYMAN'S TERMINOLOGY: Rectal and genital examination The following treatment(s) was/were recommended: Rectal and genital examination Federal Bureau of Prisons Medical staff members have carefully explained to me that the following possible consequences and/or complications may result because of my refusal to accept treatment: Undetected and untreated medical condition. I understand the possible consequences and/or complications, listed above1 and still_ refuse recommended treatment. I" hereby assume all responsibility for my physical and/or mental condition, and release the Bureau of Prisons and its employees from any and 'an llablllty for respecting and following my expressed wishes and directions. I · b)(6); (b)(7XC) /'] I ----- r')I / -=9-2019 A! ) i /7 Date Date b)(6); (b)(7)(C) )(6); (b)(7)(C) rt.cc NY Signature of Witness Date ~YM-NEW YORK MCC

BP-S358060 SEP OS MEDICAL TREATMENT REFUSAL CDFRM U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-24-2019 Date I, JEFFREY EPSTEIN 76318-054 , refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAYMAN'S TERMINOLOGY: EYE DOCTOR EVALUATION. The following treatment{s) was/were recommended: EYE DOCTOR EVALUATION. Federal Bureau of Prisons Medical staff members have carefully explained to me that the following possible consequences and/or complications may result because of my refusal to accept treatment: INABILITY TO DIAGNOSE CURRENT OPTHALMOLOGIC DISEASES. I understand the possible consequences and/or complications, listed above, and still refuse recommended treatment. I hereby assume all responsibility for my physical andfor mental condition, and release the Bureau of Prisons and Its employees from any and all liability for respecting and following my expressed wishes and directions. b)(6), (b)(7)(C) 7-24-2019 Date Date b)(6); (b)(7)(C) NYM--NEW YORK MCC

BP·A0618 JUN 16 U.S. DEPARTMENT OF JUSTICE A&O DENTAL EXAMINATION (Initial Clinical Dental Findings) FEDERAL BUREAU OF PRISONS Occlusion: Oral Hygiene: Good Fair CPITN: z 3 3 2- Head & Neck/ Soft lissue: 2 3 4 5 6 7 8 0 10 11 12 13 14 15 16 Jn 31 30 29 28 27 26 25 2•U3 22 21 20 19 • 18 17 :!J. t--------,--::-:--""='"""~--------t ~ _\ l 'O Classification: Dental Prostheses at Intake: Yes Type: Age: Condition: G Intra-oral Photos Taken: Yes Q Instructed how to obtain urgent and non.urgent dental care: Treatment Priorities: None: Radiographs authorized: PAs: _____ _ BWs: _____ _ Panorex: ____ _ n Institution: 7b 3 j(( OS"'\ MCC NEWYORK l,1)\ D:. ____ ~ M:. _ _._I_~ CLT F: /Y Pain Scale: /10 Radiographs Taken: (Document findings on A&O encounter) Yes Non.urgent: non-urgent No: Urgent: Referred to Sick Call: Prophylaxis authorized: Yes ✓ No (Approval valid 18 months from examination date) Date: 7-24-/ 9. l>Ds Signature Block/Stamp: )(6); (b)(7)(C) DDS. re rcer MCC New York PDF Prescribed by P6400 Replaces BP-A0618 of JUN 10 /

BP-S358.060 SEP05 MEDICAL TREATMENT REFUSAL CDFRM U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-24-2019 Date I, JEFFREY EPSTEIN 76318-054 , refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAYMAN'S TERMINOLOGY: EYE DOCTOR EVALUATION. The following treatment(s} was/were recommended: EYE DOCTOR EVALUATION. Federal Bureau of Prisons Medical staff members have carefully explained to me that the following possible consequences and/or complications may result because of my refusal to accept treatment: INABILITY TO DIAGNOSE CURRENT OPTHALMOLOGIC DISEASES. I understand the possible consequences and/or complications, listed above, and still refuse recommended treatment. I hereby assume all responsibility for my physical and/or mental condition, and t release the Bureau of Prisons and its employees from any and all liability for respecting and following my f expressed wishes and directions. b)(6), (b)(7)(C) \· D 7-24-2019 Counseled by Date ig~ Date L...,,,.,.. r ~ _; (b)(7-)(C) ~-__..1------=-({7,-~~, Signature of Witne§s Date NYM--NEW YORK MCC r ""'· (b)l7KC) I L...- _ _______ v/r~

BP-S358.060 SEP05 MEDICAL TREATMENT REFUSAL CDFRM U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-10-2019 Date I, JEFFREY EPSTEIN 76318-054 , refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAYMAN'S TERMINOLOGY: 66 YR OLD MALE WITH NO PMHX , REFERRED FOR ROUITNE CXR. The following treatment(s) was/were recommended: CHEST X-RAY Federal Bureau of Prisons Medical staff members have carefully explained to me that the following possible consequences and/or complications may result because of my refusal to acce~t treatment: WORSENING THE CONDITION IF THERE IS ANY FINDINGS I understand the possible consequences and/or complications, Jisted above, and still refuse recommended treatment. J hereby assume all responsibility for my physical and/or mental condition, and release the Bureau of Prisons and its employees from any and all liability for respecting and following my expr~ssed wishes and directions. f b)(6); (b)(7XC) 1·x-RAY 7-10-2019 Counseled by Date Patien~' Date J bX6): (bX,XC) L.___ _ _ _____J--_l_-_lc ~ ( °f Signature of VVitness Date NYM-NEW YORK MCC

August 10, 2019 SENT VIA EMAlL The Honorable Colleen McMahon, Chief Judge The Honorable Richard M. Berman, District Judge Daniel Patrick Moynihan United States Courthouse 500 Pearl Street New York, New York 10007-1312 Re: EPSTEIN, Jeffrev, Federal Register No. 76318-054 United States v. Jeffrey Epstein, 19-cr-00490-RMB Dear Chief Judge McMahon and Judge Berman: U.S. Department of Justice Federal Bureau of Prisons Office of the Warden Mc1ropoli1an Correclional Center 150 Park Row New York. New York I 0007 (646) 836-6300, (646) 836-7551 (Fax) [ am writing to notify the Cou1t of the death of Jeffrey Epstein, who passed away Saturday, August 10, 2019, at around 7:37 a.m. Mr. Epstein had been found unresponsive in his cell in the Special Housing Unit at around 6:30 am from an apparent suicide at the Metropolitan Correctional Center (MCC) in New York, New York. Responding staff immediately initiated life-saving measures and requested emergency medical services (EMS), by whom Mr. Epstein was transported to a local hospital for treatment of life-threatening injuries. Mr. Epstein was pronounced dead at the New York Presbyterian-Lower Manhattan Hospital in New York, New York. At this time, there are no preliminary rep011s identifying the exact cause of death. An autopsy is pending, and we expect to have more information as to the cause of death from the medical examiner in the near future. The Federal Bureau of Investigation (FBI) is actively investigating the incident. In addition to the FBI's investigation, the Attorney General has requested that the Depa,tment of Justice Office of the Inspector General look into the matter as well.

MCC New York will provide an update to the Court as soon as the autopsy is completed and the official cause of death is determined. If you have any questions or concerns, please feel free to call me at (646)836-7700. Thank you for your time and attention to this matter. Sincerely, Warden MCC New York cc: Michael Greco, U.S. Marshal, and John Csakany, Chief Deputy U.S. Marshal Michael J. Fitzpatrick, Chief U.S. Probation Officer ,..b ... )(6,..>;_(b ... >(7...,>< .... c.,.,.> __________________ Assistant U.S. Attorneys b)(6); (b)(7)(C) Counsel for Mr. Epstein ---------------

Epstein status hearing From """f b.,..,. )(6"'");..,,.(b.,.., )(7""")(""' C),------.... I To f b>C6>: (b)(7)(C) parrin Howard, J .... ~b-)(6->:_cb_)(7_x_c> __ .....,lames Petrucci Date 2019/08/27 18:26 l . Subject: Epstein status hearing Attachments: TEXT.htm At Judge Berman's invitation, I went to the hearing in Epstein's case this morning. As you likely know, the government had asked the court to grant their request for a nolle pros. At the start of the hearing, Judge Berman said he was using the hearing as an opportunity for the victims to be heard. He then gave the government and defense counsel a chance to speak. [b)(5) Most importantly, defense counsel stated they were "all for finding out the truth!" To that end, they asked Judge Berman to oversee the investigation into Epstein's death. They claimed the Court has inherent authority to find out what happened; this is an area of intense public interest and court supervision is important. Defense counsel argued that they need the Court to help them find out the truth. I haven't looked at the case yet, but counsel cited a case from Alaska written by Judge Sullivan (not SONY J. Sullivan) concerning a Senator for the proposition the Judge Berman had oversight authority/jurisdiction. Defense counsel represented that in the Alaska case, the court appointed an independent lawyer to investigate a particular situation. (Again, I haven't looked at the case, but I'll find it and forward.) Defense counsel also asked Judge Berman to go to SHU at MCC and see the conditions for himself. (Defense counsel obviously didn't know that Adam & I give tours to his clerks every summer, although we don't typically go to SHU.) Various attorneys for the victims spoke, too. One noted the "timing of Epstein's death is curious" and most of them seconded defense counsel's request for Court involvement in the investigation, although they admitted there was questionable authority for the Court to do so. Page 1235

The government did not say much except pointing out the lack of jurisdiction for the Court's involvement. They also said that it was up to individual defendants and their counsel to address any complaints at MCC with the judge presiding over their case. Then we proceeded to hear statements from Epstein's victims for over 2.5 hours. I won't rehash the statements, but some were very detailed accounts of rape/assault. Many of the victims expressed anger at the government and MCC for Epstein's death. Some of them seconded defense counsel's request for court oversight in the investigation. Some bought into the conspiracy theories. Many of them asked for Epstein's co-conspirators to be charged & brought to justice. At the end of the conference, Judge Berman did not dismiss the case. He simply thanked the victims and ended it. I expect he will decide whether to grant the nolle pros and whether to get involved in the investigation at a later date, probably in a written opinion. Anyway, I wanted to give an update while my notes were fresh. Please let me know if you have any questions/concerns. I'm also cc-ing Warden Petrucci on this; I verbally updated him, but he may need to forward this summary to someone higher up the food chain than me. Thanks, b)(6); (b)(7)(C) a orney CLC New York Metropolitan Correctional Center 150 Park Row New York, NY 10007 p: 646-836K~~~~~~- t: 646-836-7665 Page 1236

In re Jeffrey Epstein From To Date Subject: Attachments: r.:-=,.,....,,..=-=------, b)C6>; (b)(7)CC> @nysd.uscourts.gov!~X~~:~. ~b>C5>; (b)(7)(C) [email protected], ,bX6>; Cb)(7)(C) 2019/08/10 13:49 In re Jeffrey Epstein TEXT.htm, 2019 _08_10_13_ 40_25.pdf Good afternoon Your Honors, I @nysd.uscourts.gov A~b)C6>; (b)(7)(C) lhas advised based on our earlier communications, enclosed please find official notification from Warden N'Diaye regarding Mr. Epstein's passing. A copy of this notification will be provided to the U.S. Marshals Service, U.S. Probation Office, U.S. Attorney's Office, and lead counsel for Mr. Epstein. Please let us know if you have further questions or concerns. Thank you for your time and attention to this matter. Thank you, ~~?~?;c, I e (6). (b)(7)(C) 1 Supervisory Staff Attorney CLC New York Metropolitan Correctional Center 150 Park Row New York, New York 10007 p: (646)836-K~><a>; __ 1 f: (646)836-7665 Page 1315

August 10, 2019 SENT VIA EMAlL The Honorable Colleen McMahon, Chief Judge The Honorable Richard M. Berman, District Judge Daniel Patrick Moynihan United States Courthouse 500 Pearl Street New York, New York 10007-1312 Re: EPSTEIN, Jeffrev, Federal Register No. 76318-054 United States v. Jeffrey Epstein, 19-cr-00490-RMB Dear Chief Judge McMahon and Judge Berman: U.S. Department of Justice Federal Bureau of Prisons Office of the Warden Mc1ropoli1an Correclional Center 150 Park Row New York. New York I 0007 (646) 836-6300, (646) 836-7551 (Fax) [ am writing to notify the Cou1t of the death of Jeffrey Epstein, who passed away Saturday, August 10, 2019, at around 7:37 a.m. Mr. Epstein had been found unresponsive in his cell in the Special Housing Unit at around 6:30 am from an apparent suicide at the Metropolitan Correctional Center (MCC) in New York, New York. Responding staff immediately initiated life-saving measures and requested emergency medical services (EMS), by whom Mr. Epstein was transported to a local hospital for treatment of life-threatening injuries. Mr. Epstein was pronounced dead at the New York Presbyterian-Lower Manhattan Hospital in New York, New York. At this time, there are no preliminary rep011s identifying the exact cause of death. An autopsy is pending, and we expect to have more information as to the cause of death from the medical examiner in the near future. The Federal Bureau of Investigation (FBI) is actively investigating the incident. In addition to the FBI's investigation, the Attorney General has requested that the Depa,tment of Justice Office of the Inspector General look into the matter as well.

MCC New York will provide an update to the Court as soon as the autopsy is completed and the official cause of death is determined. If you have any questions or concerns, please feel free to call me at (646)836-7700. Thank you for your time and attention to this matter. Sincerely, Warden MCC New York cc: Michael Greco, U.S. Marshal, and John Csakany, Chief Deputy U.S. Marshal Michael J. Fitzpatrick, Chief U.S. Probation Officer b)(6); (b)(7)(C) Assistant U.S. Attorneys b)(6); (b)(7)(C)