i an span ADMINISTRATIVE DETENTION ORDER U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS —_—_———— NEW YORK MCC Insttuton . 07-16-2019 15: TO: Special Housing Unit Officer DaterTine: otss0 Frown (Name/Title) SUBJECT: Placementof___......_-REYES.EFRAIN, Reg No, 85993-054 in Administrative Detention {a) ts pending an investigation for a violation of Bureau regulations; Y__ 6) Is pending an SIS investigation. {c) 's pending investigation or trial fora criminal act; —___(@)_ Is to be admitted to Administrative Detention {1) Since the inmate has requested admission for protection: | hereby requestplacementin Administrative Detention for my own protection. Inmate Signature/Register No.: ee eeeeeFeeEeeSeSeSSeSSSSSSFSSSSSSFsFse Staff Witness Printed Name Signature: ———SSeeSeSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSee —______{2) Since a serious threat exists to individual's safety as perceived by staff, although person has not requested admission; referral of the necessary information will be forwarded for an appropriate hearing by the SRO. fe) ts pending transfer or is in holdover status during transfer. ) Is pending classification; or (g) Is terminating confinement in Disciplinary Segregation and has been ordered into Administrative Detention by the Warden's designee. itis this Correctional Supervisors decision based on all the circumstances that the above named inmate's continued presence in the general population poses a serious threat to life, property, self, staff, other inmates, or to the security or orderly running of the institution because* PENDING SIS INVESTIGATION’ THREAT ASSESSMENT Therefore, the above named inmate |s to be placed in Administrative Detention until further notice. The inmate received a copy of this Order on (date/time) Staff Witness Signature/Printed Nam Supervisor 24 hour review of placemer ignature/ * In the case of DHO action, reference to that order is sufficient. In other cases, the Correctional supervisor will make an independent review and decision, which is documented here. Record Copy - Inmate Concemed (not necessary if placement is a result of holdover status): Copy - Captain; Copy - Unit Manager, Copy - Operation Supervisor - Administrative Detention Unit; Copy - Psychology; Copy - Central Fite Prescribed by P5270 (Replaces BP-A0308 of JAN 88.) POF EFTA00060708

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BP A908 ADMINISTRATIVE DETENTION ORDER U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS ———— NEW YORK MCC instituson Date/Time: 07-16-2019 15:50 TO: F . (Name/Title) SUBJECT : Placement of REYES. EFRAIN Reg. No. 85993-054 . in Administrative Detention (a) 's pending an investigation for a violation of Bureau regulations; 100) Is pending an SiS investigation. {c) 1s pending investigation or trial for a criminal act: (4) 1s tobe admitted to Administrative Detention (1) Since the inmate has requested admission for protection; | hereby request placement in Administrative Detention for my own protection. Inmate Signature/Register No.: Staff Witness Printed Name Signature: (2) Since a sericus threat exists to individual's safety as perceived by staff, although person has not requested admission; referral of the necessary information will be forwarded for an appropriate hearing by the SRO. {e) _|s pending transfer or is in holdover status during transfer. © |s pending classification; or {9) __ 8 terminating confinement in Disciplinary Segregation and has been ordered into Administrative Detention by the Warden's designee. tis this Correctional Supervisors decision based on all the circumstances that the above named inmate's continued presence in the general Population poses @ serious threat to life, property, self, staff, other inmates, or to the security or orderly running of the institution because* PENDING SIS INVESTIGATION/ THREAT ASSESSMENT Therefore, the above named inmate is to be placed in Administrative Detention until further notice. The inmate received a copy of this Order on (date / time) TTT ee SSSSSSSSSSSSSSSSSSSSSSSSSSSse StaffWitnessSignaturePrintedName_ te Supervisor 24 hour review of placement: Signature/Printed marme * In the case of DHO action, reference to that order is sufficient. in other cases, the Correctional supervisor will make an independent review and decision, which is documented here. Record Copy - Inmate Concemed (not necessary if placement is a result of holdover status); Copy - Captain; Copy - Unit Manager, Copy - Operation Supervisor ~ Administrative Detention Unit; Copy — Psychology: Copy - Central File POF Prescribed by P5270 (Replaces BP-A0308 of JAN 88.) EFTA00060709

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/ NYMHJ 535.03 * PAGE 001 OF 001 85993-0584 85993-054 REYES, EFRAIN NYM-NEW YORK MCC REGNO: NAME. : RSP..: PHONE : PROJ REL METHOD: UNKNOWN PROJ REL DATE..: UNKNOWN PAR ELIG DATE..: PAR HEAR DATE..: INMATE PROFILE REG FUNCTION: PRT DOB/AGE. R/S/ETH.: MILEAGE, : : FBI NO.. INS NO.. SSM.....2 PSYCH: NO DETAINER: OFFN/CHG RMKS: TITLE: 21 USC: 846 OFFN/CHG RMKS: TITLE: FACL CATEGORY - 2. NYM ADM-REL A-PRE NYM CALLOUTS NYM CARE LEVEL NYM COR COUNSL UNT 75 NYM CMC NYM CASEWORKER UNT 7 NYM CUSTODY IN NYM DRUG PGMS NR WAIT NYM EDUC INFO GED UNK NYM FIN RESP UNASSG NYM LEVEL UNASSG NYM MED DY ST NYM NYM NYM NYM NYM NYM NYM SECOND RSP S4N UNIT 7 WAITNG LST CIM COMP WRK DETAIL UNASSG Go000 21 USC: COURT SDNY SEPARATION NOT MED CL PGM REVIEW OCT QUARTERS 612-792 RELIGION KNOWN 841 CURRENT ASSIGNMENT - - - - PRE-SENT ADMIT, ADULT COURT USM SOUTHERN DISTRICT —_ SEPARATION A. BLACK EXT. 6494 IN CUSTODY NRES DRUG TMT WAITING GED STATUS UNKNOWN FINANC RESP-UNASSIGNED UNASSIGNED NOT MEDICALLY CLEARED OCTOBER PROGRAM REVIEW HOUSE G/RANGE 12/BED 792L RELIGION UNKNOWN USM NYS 54N NEW YORK, NY UNT MGR. R. PROTO EXT 6393 CIM PACKET COMPLETE UNASSIGNED WORK DETAIL TRANSACTION SUCCESSFULLY COMPLETED * 07-16-2019 15:47:57 11 MILES - EFF DATE 08-01-2018 07-16-2019 09-12-2018 11-24-2018 11-23-2018 11-24-2018 08-01-2018 08-02-2018 08-01-2018 08-01-2018 08-01-2018 08-01-2018 10-29-2019 11-23-2018 08-01-2018 08-01-2018 08-04-2018 03-07-2019 08-01-2018 TIME 1718 0731 1343 1414 osss 1415 1718 1102 1718 1718 1718 1718 1043 1001 1718 1718 1050 1110 1718 EFTA00060710

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PP41 Page | of 1 oo NYMHJ 535.01 07-16-2019 PAGE 001 OF 001 * INMATE LOAD DATA * 15:48:27 REG NO: [85993-054 NAME: REYES, EFRAIN RSP OF: NYM-NEW YORK MCC DOBCAGE): x RACE....: WHITE FBI NO.. : SEX.....2 MALE INS NO..: ETHNIC..: [A SSN.....: HEIGHT..: 5 06 DNA.....: [x WEIGHT 180 HAIR....: BLACK EYES....: BROWN CITIZENSHIP....: CMC.....% YES BIRTH PLACE.... : MILEAGE.: 11 MILES 60005 TRANSACTION SUCCESSFULLY COMPLETED - CONTINUE PROCESSING IF DESIRED 7/16/2019 https://bop.tcp.doj.gov:9049/SENTR Y/J1PP030.do EFTA00060711

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PDIS5 . . Page | of | o on NYMGS * INMATE DISCIPLINE DATA * 07-16-2019 PAGE 001 OF 001 * CHRONOLOGICAL DISCIPLINARY RECORD bal 23:36:10 REGISTER NO: [85993-054 NAME..: REYES, EFRAIN FUNCTION...: [OIS FORMAT: [CHRONO LIMIT TO [__ MOS PRIOR TO [07-16-2019 RSP OF: NYM-NEW YORK MCC 65401 DISCIPLINE DATA DOES NOT EXIST FOR THIS INMATE https://bop.tcp.doj.gov:9049/SENTR Y/J1PPD50.do 7/16/2019 EFTA00060712

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PDIS Page | of 1 co lan NYMGS * INMATE DISCIPLINE DATA * 07-16-2019 PAGE 001 OF 001 * PENDING REPORTS * 23:36:32 REGISTER NO: [85993-054 NAME..: REYES, EFRAIN FUNCTION...: [DIS FORMAT: [PENDING LIMIT TO [__ MOS PRIOR TO [07-16-2019 RSP OF: NYM-NEW YORK MCC 65401 DISCIPLINE DATA DOES NOT EXIST FOR THIS INMATE https://bop.tep.doj.gov:9049/SENTRY/J1PPDS0.do 7/16/2019 EFTA00060713

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EFTA00060714

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BP-A295,052 SPECIAL HOUSING UNIT REVIEW U.S. DEPARTMENT OF JUSTICE APRIL 1994 FEDERAL BUREAU OF PRISONS Inmate Name: REYES, EFRAIN Date Entered Special Housing 07-16-2019 |. Subject: (2 or 3 Days) 3 Day Review Action Taken on the Above Date: Continue in Special Housing Unit Printed Name/Signature: il, RECORD REVIEW. (To be done weekly in the inmate's absence, beginning after the in-person 7 day review, and continuing every week between each in-person 30 day review.) SIGNATURE Institution: NEW YORK MCC Reason for Placement: PENDING SIS INVESTIGATION/ THREAT ASSESSMENT Date Reviewed 07-19-2019 il, Subject: (7 of 30 Days) Review By (SRO): Reviewing Authority Date inmate appeared for a Special Housing Review: Or Date inmate waived right to appear: Has been seen daily by Medical Stat: [_lYes; [_] No Has been seen daily by responsible officer designated by Warden: (=) Yes, oO No Has received prescribed weekly exercise: oO Yes: [ia No Proper documentation and justification in the Central File (Incident Report, OHO Report, copies of Special Housing Review Form) Oo Yes; 0 No if no, why not? Is there a written psychiatric or psychological assessment on the inmate who has spent 30 days in a special housing status? C]y¥es; oO No Is there an additional assessment for every one month interval thereafter? Dyes; Clno if no, why not? Action taken on the above date by the Segregation Review Official or the Reviewing Authority: a Released from Special Housing: oO Continue in Special Housing Did inmate in Administrative Detention receive a written copy of staff's decision and the basis for the finding at each 30 day review? Dves; (Jno it no, why not (Should be given provided institutional security not compromised)? a Remarks: (Any change in the reason for placement is to be noted in this section. If the reason for placement changes, the inmate must receive a Copy of this form): —————— Date of Next Review: 07-23-2019 Review Official or the Reviewing Authority and Date Signed: This form replaces BP-295(52) dated January 1988 Page | of 1 7/19/2019 EFTA00060715

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BP-A295,052 SPECIAL HOUSING UNIT REVIEW U.S. DEPARTMENT OF JUSTICE APRIL 1994 FEDERAL BUREAU OF PRISONS 07-19-2019 Action Taken on the Above Date: Continue in Special Housing Unit fl, RECORD REVIEW. (To be done weekly in the inmate's absence, beginning after the in-person 7 day review, and continuing every week between each in-person 30 day review.) Continue in Special Housing Unit lil, Subject: (7 or 30 Days) ’ 7 Day Review Date inmate appeared for a Special Housing Review: 07-23-2019 07-23-2019 Has been seen daily by Medical Stat: YZ) ves; []No Has been seen daily by responsible officer designated by Warden: [] ves;__C]No Has received prescribed weekly exercise: Wyes: []No Proper documentation and justification in the Central Fe (Incident Report, OHO Report, copies of Special Housing Review Form): Yves; Ono if no, why not? Is there a written psychiatric or psychological assessment on the inmate who has spent 30 days in a specie! housing status? Yves; Ono Is there an additional assessment for every one month interval thereafter? VY yes; Ono if no, why not? Action teken on the above date by the Segregation Review Official or the Reviewing Authority: Ci Releases trom Specia! Housing: [) continue in Special Housing Did inmate in A¢ministrative Detention receive a written copy of staff's decision and the basis for the finding at each 30 day review? Yves; C)no if no, why not (Should be given provided institutional security not compromised)? a Remarks: (Any change in the reason for placement is to be noted in this section. If the reason for placement changes, the inmate must receive @ copy of this form): O_O Date of Next Review: 07-30-2019 Official or the Reviewing Authority and Date Signed: This form replaces BP-295(52) dated January 1988 Page 1 of 1 7/23/2019 EFTA00060716

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BP-A295.052 SPECIAL HOUSING UNIT REVIEW U.S. DEPARTMENT OF JUSTICE APRIL 1994 FEDERAL BUREAU OF PRISONS inmate Name: REYES, EFRAIN Date Entered Special Housing: 07-16-2019 Reason for Placement: PENDING SIS INVESTIGATION/ THREAT ASSESSMENT/COURTS SAY INMATE Action Taken on the Above Date: Continue In Special Housing Unit Printed Name/Signature: i, RECORD REVIEW. (To be done weekly in the inmate's absence, beginning after the in-person 7 day review, and continuing every week between each in-person 30 day review.) AETION TAKEN Coninoin Special owing nt [SCS [Coninve in Special Housing Unt [| _———SSSSS—S [Continue in Special Howsing nt [——SSSS——S a 1. Subject: (7 or 30 Days) Review By (SRO): 7 Day Review He Date inmate appeared for a Special Housing Review: 07-23-2019 07-23-2019 07-30-2019 08-06-2019 Or Date inmate waived right to appear: Has been seen dally by Medical Statt: yes; []No Has been seen dally by responsible officer designated by Warden: YZ] Yes; []No Has received prescribed weekly exercise: Myes; Ono Proper documentation and justification in the Central File (Incident Report, OHO Report, copies of Special Housing Review Form): Yves; No if no, why not? Is there # written psychiatric or psychological assessment on the inmate who has spent 30 days in a special housing status? Myes; Ono Is there en adéiéonal assessment for every one month interval thereafter? MZ) ves; C]no if no, why not? Action taken on the above date by the Segregation Review Official or the Reviewing Authority: (C)Reteased trom Speciat Housing; [YJ Continue in Special Housing Did inmate in Administrative Detention receive a writen copy of staff's decision and the basis for the finding at each 30 day review? [4] ves; Cine if no, why not (Should be given provided Institutional security not compromised)? a Remarks: (Any change in the reason for placement is to be noted in this section. If the reason for placement changes, the inmate must receive a copy of this form): eo Date of Next Review: 08-13-2019 Official or the Reviewing Authority and Date Signed: ‘This form replaces BP-295(52) dated January 1968 Page | of | 8/6/2019 EFTA00060717

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Last Mane bast Name REYES REYES iret Mane Viret Name EFRAIN EFRAIN Middle Mane Suttix Middle Name Suttix Netgne weight Meight Weight 5'06'' 180 s'06'' 180 Mate tye Mate Rye BLACK BROWN BLACK BROWN Regno Wactiicy Ragno Pectlity 85993-054 NYM 85993-054 NYM Leet Meme Leet Name REYES REYES Firet Mane viret Name EFRAIN EFRAIN Middle Mane Suttix Middle Kane duttix eight Weight Height Weight 5'06'' 180 5'06'' 180 Mair tye Mair tye BLACK BROWN BLACK BROWN Regno Facility Regne Facility 85993-054 NYM 85993-054 NYM eee ee ee ee Last Nase REYES Pirst Nene EFRAIN Middle Mane Suttix Height Weight 5'06"* 180 Mate tye BLACK BROWN Regno Facility §993-054 NYM POE one EFTA00060718

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EFTA00060719