fbi/lavonder/MCases/2383628 1/1 EFTA00155187 004 Revised 9-25-2006 FEDERAL BUREAU OF INVESTIGATION EVIDENCE CHAIN-OF-CUSTODY Evidence Type: El General 0Drug 0 Valuable • Firearms 0 CART Special Handling Instructions Initial Receipt Date and Time O Batteries O Biohazard O Far Signature:

Net long-term capital gain (loss) F Partner's name, address, city. state. and ZIP code SLAINE MAXWELL NEW YORK, NY 10065-7007 PARTNER 1215224 El General partner or LLC El Limited partner or other LLC member-manager member g Domestic partner 0 Foreign partner It What type of entity is this part

5540 Ph 3/12/10 Please mark boxes with an x. if you answered NO to question 1, please answer questions 6 -13 only. Please specify ocalspatiorr El General practrlioner O Manager El Director Q.1 Do you currently have visiting specialists, e-g Dermatologists, consulting from within your centre? O Ye

Ph 3/12/10 .20J0 Please mark boxes with an x. If you answered NO to question 1, please answer questions 6 -13 only. Please specify occupation: El General practitioner El Manager El Director Q.1 Do you currently have visiting specialists, e.g Dermatologists, consulting from within your centre? K Y

tant medical study. Please mark boxes with an x. If you answered NO to question 1, please answer questions 6 -13 only. Please specify occupation: El General practitioner ID Manager 0 Director O.1 Do you currently have visiting specialists, e.g Dermatologists, consulting from within your centre? O Ye

rtant medical study. Please mark bass with an x. If you answered NO to question 1, please answer questions 6 -13 only. Please specify occupation: El General practitioner ID Manager 0 Director 0.1 Do you currently have visiting specialists, e.g Dermatologists, consulting from within your centre? 0 Y

lkinetfbi/lavenderaCase 1/1 EFTA01699324 FD-1004 Revised 9-25-2006 FEDERAL BUREAU OF INVESTIGATION EVIDENCE CHAIN-OF-CUSTODY Evidence Type: El General °Drug OValuable OFirearms • CART Special Handling Instructions Initial Receipt . D to and Time CI Batteries O Biohazard C FGJ 0 HAZMAT

ithout reference to the FD-1087. EFTA00132050 FD -I004 FEDERAL BUREAU OF INVESTIGATION Rev. 7-7-2016 EVIDENCE CHAIN OF CUSTODY h idence Type El General 0 Drugs 0 firc:nrnsW;a1o0 So Digital 0 Valuables 0 I.irearw lnuei Item # Special Handling Instructions Initial Receip Dimas Mae 0 II.V.