Form 583 Report of Incident Incident #: NYM-19- Submitted By: I. 0082 Date/Time Of Incident: 8/10/2019 6:33 AM Section 1: General Information Staff Aware Date: 8/10/2019 6:33 AM FBI Notified: Yes USMS Notified: Yes Indicate Where Incident Occurred: Main Facility Location Level 1: SHU Level 2: Housing Unit, Special (SHU) Level 3: 9 SOUTH SHU Type Of Incident J Assault On Inmate (J Assault On Staff C Assault, Attempted On Inmate CL) Assault, Attempted On Staff CJ Disruptive Behavior LJ Escape From Non-secure Facility LJ Escape From Secure Facility J Escape, Attempted From Non-secure Facility J Escape, Attempted From Secure Facility Cd Fight CL] Inmate Death CJ Institution Disturbance CJ Introduction Of Contraband L) Lethal Weapons Discharge (J Self Mutilation CL) Setting A Fire (_] Sexual Act, Non-consensual On Inmate (J Sexual Assault On Staff (_] Sexual Contact, Abusive On Inmate (J Sexual Harassment, Repetitive L Staff Homicide CJ Strike, Food CJ Strike, Work Suicide Attempt Method: Hanging/Asphyxiation (J Use Of Force LJ Use Of Force/Applications Of Restraints LD Use of Restraints, Pregnant/Postpartum Institution Locked Down: Yes Modified Operations: No Cause Of Incident Known? No Cause Of Incident CL Alcohol J Commissary LJ Debts () Disrespect Issue LJ Drugs () Ethnic Conflict C] Food Issue CJ Geographical Conflict (C Interfering with Staff duties CL) Property Issue (} Racial Conflict _) Recreation Equipment C) Religious Issue () Security Threat Group Conflict (_) Sexual Pressure C) Sporting Events (_) Telephone L) Theft LJ Visiting (J Work Issue Section 2: Inmates Involved UNCLASSIFIED/LIMITED OFFICIAL USE ONLY/LAW ENFORCEMENT SENSITIVE This document is marked Unclassified/Limited Official Use Only/Law Enforcement Sensitive and may be disseminated, with proper attribution, to active Law Enforcement, DOD, or U.S. Intelligence Agencies. This document, or any segment/attachment thereof, may not be released without the approval of the Bureau of Prisons to any media sources, any non-law enforcement entity, the general public or those without a “need to know." It contains information that may be exempt from public release under the provisions of the Privacy Act (5 U.S.C. 552). SDNY_00013430 EFTA00123089

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Form 583 Report of Incident Incident #: NYM-19- Submitted By: A. Date/Time Of Incident: 8/10/2019 6:33 AM 0082 Reg #: 76318054 Name: EPSTEIN, JEFFREY Role: Not Known Medical Attention Required: Outside Injury Category: Fatal Injury Weapon (per inmate): No Use of Force (per inmate): No Chemical Used (per inmate): No CIMS: No STG: Yes Restraints (per inmate): Escort Only Death (per inmate): No Section 3: Others Involved Name: Person Type: Staff Medical Attention Required: No Death: No Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No Name: EE Person Type: Staff Medical Attention Required: No Death: No Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No Name: Person Type: Staff Medical Attention Required: No Death: No Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No Name: Person Type: Staff Medical Attention Required: No Death: No Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No Name: Person Type: Staff Medical Attention Required: No Death: No Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No Name: Person Type: Staff Medical Attention Required: No Death: No Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No Name: Noel, Tova Person Type: Staff Medical Attention Required: No Death: No Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No UNCLASSIFIED/LIMITED OFFICIAL USE ONLY/LAW ENFORCEMENT SENSITIVE This document is marked Unclassified/Limited Official Use Only/Law Enforcement Sensitive and may be disseminated, with proper attribution, to active Law Enforcement, DOD, or U.S. Intelligence Agencies. This document, or any segment/attachment thereof, may not be released without the approval of the Bureau of Prisons to any media sources, any non-law enforcement entity, the general public or those without a “need to know." It contains information that may be exempt from public release under the provisions of the Privacy Act (5 U.S.C. 552). 2 of 3 SDNY_00013431 EFTA00123090

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Form 583 Report of Incident Incident #: NYM-19- Submitted By: I. Date/Time Of Incident: 8/10/2019 6:33 AM 0082 Name: Thomas, Michael Person Type: Staff Medical Attention Required: No Death: No Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No Section 4: Lethal Weapon Discharge No data found. Section 5: Use of Force No data found. Section 6: Description of Incident DESCRIPTION OF INCIDENT (If Use Of Force, include details such as name of supervisor applying the chemical agent and/or restraints, reasons for use of hard restraints instead of soft restraints, etc.) Please be clear about cause(s) of the incident in your description. On August 10, 2019, at approximately 6:33 a.m., while serving the breakfast meal inmate Epstein, Jeffrey, Reg. No. 76318-054 was found unresponsive in his cell. Staff called for assistance and began life saving measures. He was escorted to Health Services at approximately 6:39 a.m., and EMS arrived at 6:43 a.m. He was transported to the local hospital at approximately 7:10 a.m. Inmate Epstein was pronounced deceased at 7:36 am. Section 7: Attachments File Date File Name Original Entered By Original Loc. Code 8/10/2019 Operation Memorandum.pdf TF18990 NYM 8/10/2019 Unit Roster.pdf TF18990 NYM 8/10/2019 Staff Roster.pdf TF 18990 NYM 8/10/2019 Medical Assessment.pdf TF 18990 NYM 8/10/2019 Staff Memorandum.pdf TF18990 NYM Approved By: SUBMITTED UNCLASSIFIED/LIMITED OFFICIAL USE ONLY/LAW ENFORCEMENT SENSITIVE This document is marked Unclassified/Limited Official Use Only/Law Enforcement Sensitive and may be disseminated, with proper attribution, to active Law Enforcement, DOD, or U.S. Intelligence Agencies. This document, or any segment/attachment thereof, may not be released without the approval of the Bureau of Prisons to any media sources, any non-law enforcement entity, the general public or those without a “need to know." It contains information that may be exempt from public release under the provisions of the Privacy Act (5 U.S.C. 552). 3 of 3 SDNY_00013432 EFTA00123091