Orricia, Recoro intake (Rev. $-23-1 UNCLASSIFIED FEDERAL BUREAU OF INVESTIGATION Intake Date: Case ID #: ° NY r571 ) EPSTEIN, Drafted by: Date/Time Received: Supplements 500-Ny i571 Serial Details: On 08/17/2020, at 3:03 PM Eastern Time, EE. cate of birth telephone number | REE = =©=©— ae tti‘(<i‘éia A UUt~i‘CC*‘*CETTESTO TSS 32751, Internet Protocol (IP) address iS which resolves to Orlando, FL, submitted an online tip to the FBI National Threat Operations Center (NTOC) via tips.fbi.gov, to report potential information regarding Ghislaine Maxwell and her alleged attempt to recruit her while a minor Date Submitted: 08/17/2020 03:03:27 PM ET Transaction Number: 4266F212-4510-4FDC-A1D3-4A0606A83724 Threat To Life: Submitted Text: | made a podcast of my story two weeks ago as I’ve not known what else to do with my encounter to support her tactics and MO. She tried to get me to call her about modeling opportunities after coming into the gym to speak with me personally cater she saw me in the window of the gym Violation: Other Violation Questions Nhat was the exact crime that occurred?: Ghislaine Maxwell tried to recruit me when | was a child/minor UNCLASSIFIED EFTA00020487

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UNCLASSIFIED Re: 50D-NY-3027571, 08/18/2020 When did the crime/incident occur? (Please provide an approximate date and time): 1993? | was 14/15 years old working at a GYM daycare in Jupiter FL Where did the crime/incident occur? (Please provide the specific location/address if possible): 1993? | was 14/15 years old working at a GYM daycare in Jupiter FL Complainant Information First Name: Middle Name: Last Name: Age: Dos: a Additional Info: Type: Cell Phone: aaa Extension: NA Type: Residential Address: City: Maitland State: Florida Zip: 32751 Country: United States Subject Information First Name: Ghislaine UNCLASSIFIED EFTA00020488

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UNCLASSIFIED Re: 50D-NY-3027571, 08/18/2020 Middle Name: Last Name: Maxwell Age: 31 DOB: Additional Info: My podcast has additional information Happy to provide once someone reaches out to me. How is Contact Known: She approached me for modeling opportunities from the gym | was working at in Jupiter florida when | was 14 years old. She gave me her card but | never called her as | had several legit modeling agencies tell me | am not runway/model type so | just smiled and listened politely to her offers. Type: Other Address: City: Zip: Witness Information First Name: Middle Name: Last Name: Age: 14 DOB: Additional Info: Please contact How is Contact Known: | am the witness UNCLASSIFIED 3 EFTA00020489

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UNCLASSIFIED Type: Cell Phone: a! Extension: NA Type: Other Address: City: Zip: Remote |P: as Remote Host: api.fbi.gov Http Referrer: https://tips.fbi.gov/reported User Browser: Se Latitude: Longitude: ay Country: US Region: Florida City: Orlando Postal Code: 32805 Timezone: -04:00 o¢ UNCLASSIFIED 4 EFTA00020490