mational Conviction Date: A. Complaint / Information/ indictment ()Federat [Local [1 Intemational Complaint Date: Check if Civil Rico Complaint 0) Suijedt Bstefiplior pie *——* ae ; Judicial Outcome OX Information Date: For 6F, G, H-Include Agency Code Amount $ Indictment Date: = ae or oe Suspension: Years -_ Months