Form 583 Report of Incident Incident #: vt. Submitted By: Date/Time Of Incident: 7/23/2019 1:27 AM Section 1: General Information | Staff Aware Date: 7/23/2019 1:27 AM FBI Notified: No | USMS Notified: No _Indicate Where Incident Occurred: Main Facility Location Level 1: SHU Level 2: Housing Unit, Special (SHU) — Level 3: 9 SOUTH SHU C) Assault On inmate Modified Operations: No C Assault On Staff CJ Assault, Attempted On Inmate paoepaienegunerisenaseashsio ae CO Assault, Attempted On Staff Cause Of incident = -* i CO Disruptive Behavior D Alcohol C Escape From Non-secure Facility i berg C Escape From Secure Facility CO Disrespect Issue ( Escape, Attempted From Non-secure Facility C Drugs (C0 Escape, Attempted From Secure Facility CO Ethnic Conflict O Fight ( Food Issue (CO Inmate Death (Cl Geographical Conftict C Institution Disturbance C. Interfering with Staff duties (0 Introduction Of Contraband Pe tattey dane 5 seaman pons Discharge L Recreation Equipment OD Setting A Fire CD Religious Issue ng C Security Threat Group Conflict O Sexual Act, Non-consensual On Inmate C Sexual Pressure C0 Sexual Assault On Staff C Sporting Events (C Sexual Contact, Abusive On inmate C Telephone CO Sexual Harassment, Repetitive O Theft CD Staff Homicide 0 Visiting C0 Strike, Food C Work Issue 0 Strike, Work © Suicide Attempt Method: Hanging/Asphyxiation CO Use Of Force (CO Use Of Force/Applications Of Restraints CD Use of Restraints, Pregnant/Postpartum 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 j, may attribution, to active Law Enforcement, DOD, or U.S. Intelligence Agencies. This document. or any segmenVattachmentt Not be released without the approval of the Bureau of Prisons to any media sources, any non-law enforcement entity, the Public or those without a “need to know.” i contains infomation thet may be enempt bosn public release under bre provisionelof Se Privacy Act (5 U.S.C. 552). 1 of 3 CONFIDENTIAL SDNY_00010632 EFTA00123113

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Form 583 Report of Incident Incident #: NYM-19- Submitted By: 0076 Date/Time Of Incident: 7/23/2019 4:27 AM Reg #: 76318054 Name: EPSTEIN, JEFFREY Role: Victim Medical Attention Required: No Weapon (per inmate): No Use of Force (per inmate): No CIMS: No STG: Yes Restraints (per inmate): Escort Only Death (per inmate): No Chemical Used (per inmate): No Reg #: 78514054 Name: TARTAGLIONE, NICHOLAS Role: Not Known Medical Attention Required: No Injury Category: No Injury Weapon (per inmate): No —- Use of Force (per inmate):No | Chemical Used (per inmate): No CIMS: Yes STG: Yes Restraints (per inmate): No 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: 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 Sexual Assault: No Name: Thomas, Michael Medical Attention Required: 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 attribution, to active Law Enforcement, DOD, or U.S. Intelligence Agencies. This document, or any segment/atiachment the not be released without the approval of the Bureau of Prisons to any media sources, any non-law enforcement entity, the public or those without a “need to know.” It contains information that may be exempt from public release under the Privacy Act (5 U.S.C. 552). Staff Injury by Inmate: No Person Type: Staff Death: No 2 of 3 CONFIDENTIAL Injury Category: Minor Inju i of the SDNY_00010633 EFTA00123114

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Form 583 Report of Incident Incident #: NYM-19- Submitted By: Date/Time Of Incident: 7/23/2019 1:27 AM 0076 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 Section 6: Description of Incident agent cause(s) of the incident in your description. On July 23, 2019 at approx. 1:27 a.m., a call for assistance on the Special Housing Unit was announced by the Center. ere eectcl Golan BPOe ts ods Wien noe net anne ee and chavo ta, Vasa oa mad ove coract wl i, ho would Upon the arrival of medical staff, inmate Epstein was examined and treated by, MLP for a circular line erythema at the base of the neck, one section on the front with marks of friction and a smal i Approved By: NOT COMPLETED UNCLASSIFIED/LIMITED OFFICIAL USE ONLY/LAW ENFORCEMENT SENSITIVE This document is marked Unciassified/Limited Official Use Only/Law Enforcement Sensitive and may be disseminated, with attribution, to active Law Enforcement, DOD, or U.S. Intelligence Agencies. Tee Geemneel, orang copneaiennen , may Not be released without the approval of the Bureau of Prisons to any media sources, any non-law enforcement entity, the | 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 CONFIDENTIAL SDNY_00010634 EFTA00123115