Form 583 Report of Incident 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 Ooneur Modified Operations: No Co Assault, Attempted On inmate Cause OF Incident Known? No (CO Assault, Attempted On Staff Cause Of incident sf... Disruptive Behavior Flounaes (0 Escape From Non-secure Facility 5 Debts "y (© Escape From Secure Facility [ Disrespect Issue CO Escape, Attempted From Non-secure Facility CO Drugs Cl Escape, Attempted From Secure Facility (C0 Ethnic Confiict CO) Fight (CO Food Issue C inmate Death (CD Geographical Conflict (0 Institution Disturbance CO Interfering with Staff duties ( introduction Of Contraband = Lary bar (1) Lethal Weapons Discharge D Self Mutilation = eshte CL Setting A Fire (C Security Threat Group Conflict (© Sexual Act, Non-consensual On Inmate G Sexual Pressure CI Sexual Assault On Staff (CO Sporting Events C1 Sexual Contact, Abusive On Inmate (C0 Telephone C Sexual Harassment, Repetitive (0 Theft C Staff Homicide CO Visiting C0 Strike, Food CD Work Issue CO Strike, Work © Suicide Attempt Method: Hanging/Asphyxiation (C0 Use Of Force (J Use Of Force/Applications Of Restraints C0 Use of Restraints, Pregnant/Postpartum Incident #: NYM-19- Submitted By: (AE Date/Time Of Incident: 8/10/2019 6:33 AM 0082 Section 2: Inmates Involved UNCLASSIFIEDILIMITED OFFICIAL USE ONLY/LAW ENFORCEMENT SENSITIVE This document is marked Unclassified/Limited Official Use Onty/Law Enforcement Sensitive and may be disseminated, with attribution, to active Law Enforcement, DOD, or U.S. Intelligence Agencies. This document, or any 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. 652). 1 of 3 \s of the SDNY_00000796 EFTA_00000020 EFTA00134560

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Incident #: NYM-19- 0082 Form 583 Report of Incident Submitted By: Date/Time Of incident: 8/10/2019 6:33 AM 0 Reg #: 76318054 Role: Not Known Weapon (per inmate): No Name: EPSTEIN, JEFFREY Medical Attention Required: Outside Use of Force (per inmate): No Injury Category: Fatal Injury Chemical Used (per inmate): No CIMS: No STG: Yes Restraints (per inmate): Escort Only Death (per inmate): No a Section 3: Others Involved SOO er Name: Medical Attention Required: No Injury Category: No Injury Sexual Assault: No Name: Medical Attention Required: No Injury Category: No Injury Sexual Assault: No Name: Medical Attention Required: No injury Category: No Injury Sexual Assault: No Name: Medical Attention Required: No Injury Category: No Injury Sexual Assault: No Name: Medical Attention Required: No Injury Category: No Injury Sexual Assault: No Name: Medical Attention Required: No Injury Category: No Injury Sexual Assault: No Name: Noel, Tova Medical Attention Required: No Injury Category: No Injury Sexual Assault: No Person Type: Staff Death: No Staff injury by inmate: No Person Type: Staff Death: No Staff Injury by Inmate: No Person Type: Staff Death: No Staff Injury by Inmate: No Person Type: Staff Death: No Staff Injury by Inmate: No Person Type: Staff Death: No Staff Injury by Inmate: Person Type: Staff Death: No Staff Injury by Inmate: No Person Type: Staff Death: No Staff Injury by Inmate: No attribution, to active Law Enforcement, DOD, or U.S. Intelligence Agencies. This document, or any segment/attachment , may wot be released without the approval of the Bureau of Prisons to any media sources, any non-law enforcement entity, the gé I] public or those without a “need to know.” It contains information that may be exempt from public release under the pro’ is of the Privacy Act (5 U.S.C. 552). 2 of 3 SDNY_00000797 EFTA_00000021 EFTA00134561

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Form 583 Report of Incident Incident #: NYM-19- Submitted By: 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. a Section 5: Use of Force ! No data found. DESCRIPTION OF INCIDENT (If Use Of Force, include details such as name of supervisor applying the c and/or restraints, reasons for use of hard restraints instead of soft restraints, etc.) Please be clear cause(s) of the Incident In your description. 76318-054 was found unresponsive in his cell. Staff called for assistance and began life saving measures. He wi escorted to Health Services at approximately 6:39 a.m., and EMS arrived at 6:43 a.m. He was transported to the hospital at approximately 7:10 a.m. Inmate Epstein was pronounced deceased at 7:36 am. On August 10, 2019, at approximately 6:33 a.m., while serving the breakfast meal inmate Epstein, Jeffrey, Reg. 2 i a Section 7: Attachments TO ODS ee 8/10/2019 Staff Memorandum.pdf TF18980 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 attribution, to active Law Enforcement, DOD, or U.S. Intelligence Agencies. This document, or any t fol 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. 652). 3 of 3 of the IN¥_00000798 EFTA_00000022 EFTA00134562

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c-- hoeet *'* = spiy_00000799 EFTA_00000023 EFTA00134563

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U.S. Department of Justice Federal Bureau of Prisons Memorandum Federal Correctional Institution DATE: August 10, 2019 REPLY TO ATTN OF: SUBJECT: Inmate Epstein, Jeffrey (#76318-054) On August 10, 2019, at approximately 6:33 a.m., while attempting to serve inmate Epstein, Jeffrey, Reg. No. 76318-054, the breakfast meal, he 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. Institution medical staff stated he had circumficial bruising around the neck. He was transported to the local hospital at approximately 7:10 a.m. Inmate Epstein was pronounced deceased at 7:36 am. sbn '¥_00000800 EFTA_00000024 EFTA00134564

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UNITED STATES GOVERNMENT Memorandum FEDERAL BUREAU OF PRISONS Metropolitan Correctional Center 150 Park Row August 10, 2019 Erle ‘9 MEMORANDUM FOR ALL CONCERNED From: Lieutenant(g. ) SUBJECT: Inmate Epstein, J Register # 76318-054 Suicide On Saturday August 10, 2019 at approximately 6:43 AM, | was instructed by the Operations Lieutenant to report to the NY Downtown hospital. Inmate Epstein, Jeffery Register #76318-054 had attempted suicide. The inmate was transported to the hospital via NYFD EMS and BOP Staff. Upon my arrival to the hospital, | was inf ed by the escorting staff and Hospital staff that inmate Epstein had expired due to iac arrest. The time of death was reported at 7:36AM. At this time | instructed the es¢orting staff not to speak to anyone and or the media in regards to the situation. | directed my staff to tell anyone making inquiries, to direct their questions to the MCC NY Public Relations Officer. | returned back to the Institution and assumed my duties as the A/M Activities lieutenant. & ASensitive Limited Official Use Only= SpNY_00000801 EFTA_00000025 EFTA00134565

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UNITED STATES GOVERNMENT MEMORANDUM Metropolitan Correctional Center, New York, New York DATE: August 10, 2019 g. a om, 49 TO: {HBB Operations wie, Cony Ae— icer FROM: HEE Correctional Syste $ SUBJECT: Epstein, Jeffrey Edward # 76318-054 Body Alarm/ Medical Emergency in Special Housing Unit (SHU) On August 10, 2019 at 6:33am while on duty as the morning watch control center officer, Special Housing Unit (SHU) Officer; radioed for medical assistance in SHU and activated the body alarm. I notified staff that a body alarm and medical emergency was called in SHU. Staff responded, than I received a call from staff in SHU telling me to call 911 for an ambulance. I notified the New York Police Department via the institutional NYPD telephone. I then informed NYPD that we need and ambulance and medical assistance for one of our inmates, Staff then continued to respond getting a stretcher and a defibrillator, escorting the inmate down to medical. The New York City Fire Department and Emergency Medical Services (EMS) arrived at 6:43am to the institution and were escorted to the 2" floor medical area. EMS departed the institution with inmate Epstein and BOP escort via ambulance and chase car to local hospital at 7:10am. cso a SDNY_00000802 EFTA_00000026 EFTA00134566

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UNITED STATES GOVERNMENT MEMORANDUM Metropolitan Correctional Center, New York, New York DATE: August 10, 2019 FHL. 19 TO: rom sol £52 SUBJECT: MEDICAL EMERGENCY ON 9 South On August 10, 2019 at approximately 6:43 am while assigned to Morning Watch as Intemal Security Officer, I responded to a body alarm on 9 South. Upon my arrival, I obs: staff carrying inmate Epstein, Jeffrey #76318-054 on a medical stretcher. At that time, as the Internal S¢curity Officer, I escorted staff and inmate Epstein to medical on 2 Sally. As per Operations Lieutenant, I was instructed to escort EMT from the rear gate to medical on 2 Sally. When EMT was ready for departure, I escort them back to the Rear Gate. As per Operations, | was assigned as Escort Officer to condubt this emergency trip to the outside local hospital. At approximately 7:15am, we arrived at N York Presbyterian — Lower Manhattan Hospital located at 170 William Street, New York, NY 10038./When we entered the emergency room medical personnel intervened. We maintained direct supervision|of the inmate as we waited for further guidance from medical personnel at the hospital. We were notified that the inmate would be transported to the morgue so we escorted the staff to the morgue. While |in the morgue, we still maintained direct supervision of the inmate until approximately 12:57pm. At this time, the inmate was no longer under our direct supervision as medical staff took over. Operations Lieutenant was notified and we were instructed to report back to the institution — we arrived at 1:03pm. SDNY¥_00000803 EFTA_00000027 EFTA00134567

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UNITED STATES GOVERN MENT MEMORAN DUM Metropolitan Correctional Center, New York, New York DATE: August 10, 2019 s TO: Liédténan FROM: | | Correctional Officer hd — = SUBJECT: Response to Institution On August 10, 2019 at approximately g:45 am I, Officer | responded to MCC NY at the request of the Operations Licutenant for emergency hospital detail. Upon arriving | was detail to New York Presbyterian hospital room ‘AO in emergency room where inmate Epstein, Jeffrey # 6318-054 remains where located. I was responsible for watching the remains until further instruction was given along with another correctional officer. Shortly thereafter Institution Duty Officer (DO) arrived and took command of detail. The timeline for detail is as followed (times are approximate) 1030 Remains was prepared by hospital staff to be moved to hospital morgue 1045 Hospital staff escort remains to hospital morgue area cooling unit 1050 Areais ensured as secure by officers on detail at direction of IDO 1135 IDO communicates with Director , of Office of City Medical Examiner (OCME) in regards to receiving remains to be transported to city morgue 1137 AW notified by IDO 1138 IDO attempts to communicate with Director mz of OCME (left message) 1139 IDO receives return communication from Director iO) 1204 IDO receives communication from 1208 IDO receives communication from A/W in regards to instruction 00 remains 1210 IDO communicates with Director Wiggins of OCME and coordinate movement 1257 Staff from OCME depart from New York Presbyterian hospital and transport remains to city morgue location 1303 Hospital detail staff arrive back at MCC New York = i. Officer US Dept of Justice Federal Bureau of Prisons MCC-NewYork SDNY_00000804 EFTA00134568

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a, ee DNy_00000805 EFTA_00000029 EFTA00134569

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U.S. DEPARTMENT OF JUSTICE Federal Bureau of Prisons Office Memorandum 150 Park Row New York NY 10007 /9 DATE: August 10, 2019 Gory) LY FROM: lectronics Technician > SUBJECT: Medical Emergency Inmate Epstein, Registration #:76318-054 TO: Operations Lieutenant On Saturday, August 10 2019 at approximately 0635 a.m., I responded to a medical emergency 9 South upon arrival Inmate (Epstein, J Registration # 76138-054) was on floor the of his cell unresponsive with CPR in progress by Correctional Lieutenant and PA i | assisted transporting (Epstein, J Registration # 76138-054) to Health Services Area. c: file SDNY_00000806 EFTA_00000030 EFTA00134570

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SpNy¥_00000807 ia, EFTA_00000031 EFTA00134571

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UNITED STATES GOVERNMENT MEMORANDUM Metropolitan Correctional Center, New York, New York DATE: August 10, 2019 TO: a. Captain — FROM: Clinical Nurse SUBJECT: Medical Emergency Unit (CA) On Saturday, Aug 10, 2019, at approximately 0633 a.m., I responded to a medical emergency 9S, upon arrival Inmate (EPSTEIN, J. Reg #: 76318-054) was received on the floor of his cell unresponsive with CPR in progress by correctional officers, Inmate was Cold, with circumferential Bruising around the neck and posterior mottling, Pupils Fixed and dilated, No Palpable pulses were felt, At this time 0635 a call placed for EMS, CPR Continued, an AED was Placed with No shock advised, CPR was continued. Inmate was transported to HSU treatment room with CPR in progress, where a 18g hep lock to L AC was placed and, 02 15 Lt ViA BVM. Pulse Check NO SHOCK advised. EMS and Paramedics arrived 0656, Placed on cardiac Monitor shows asystole Resumed CPR, Inmate was intubated by Medics, 3 Rounds of Epinephrine administered, and Pulse Check asystole, Inmate was transported to Local ER with CPR in progress at approximately 0710. SDNY_00000808 EFTA_00000032 EFTA00134572

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UNITED STATES GOVERNMENT Memorandum FEDERAL BUREAU OF PRISONS Metropolitan Correctional Center August 10, 2019 MEMORANDUM FOR ALL CONCERNED From: a Lioutenant(y) ) SUBJECT: Inmate Epstein, J Register # 76318-054 Suicide On Saturday August 10, 2019 at approximately 6:43 AM, | was instructed by the Operations Lieutenant to report to the NY Downtown hospital. Inmate Epstein, Jeffery Register #76318-054 had attempted suicide. The inmate was transported to the hospital via NYFD EMS and BOP Staff. Upon my arrival to the hospital, | was informed by the escorting staff and Hospital staff that inmate Epstein had expired due to cai iac arrest. The time of death was reported at 7:36AM. At this time | instructed the escorting staff not to speak to anyone and or the media in regards to the situation. | directed my staff to tell anyone making inquiries, to direct their questions to the MCC NY Publi Relations Officer. | returned back to the Institution and assumed my duties as the Activities lieutenant. ee al ASensitive Limited Official Use Only= SDN¥_00000809 EFTA_00000033 EFTA00134573

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00000810 EFTA_00000034 EFTA00134574

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U.S. Department of Justice Federal Bureau of Prisons Psychological Services Metropolitan Correctional Center 150 Park Row New York, New York 10007 (646) 836-6300, (646) 836-7751 (Fax) > To: | Operations Lt. 4 3 Date: 8/10/19 RE: INMATE JEFFREY EDWARD EPSTEIN #763 18-054 On 8/10/19, there was a Body Alarm on 9 South at about 6:35 AM. This writer responded to 9 South. Medical and other staff were already in inmate Epstein’s cell giving ie attention to inmate Epstein. Staff asked for a stretcher and this writer and Officer vent to retrieve astretcher. Officer Dupree then asked for another AED. Officer Cale brought the stretcher to 9 South. This writer retrieved another AED and brought it up to 9 South, When this writer arrived at 9 South, inmate Epstein was being brought down on a stretcher to Medical. SDNY_00000811 EFTA_00000035 EFTA00134575

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soWy_00000812 EFTA_00000036 EFTA00134576

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Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: ¥ Facility: NYM Encounter Date: 08/10/2019 07:25 Provider: Unit: 204 Exam: ASSESSMENT: Cardiac Arrest PLAN: New Consultation Requests: Consultation/Procedure Target Date Scheduled Target Date Priority Translator | Language Emergency Room 08/10/2019 08/10/2019 Emergent No Subtype: AMBULANCE Reason for Request: Cardiac arrest with CPR in progress Copay Required: No Cosign Required: Yes Telephone/Verbal Order: No SX Completed by QMEEIBBEMBRN on 08/10/2019 08:10 Requested to be cosigned by Beaudouin, Robert MD. Cosign documentation will be displayed on the following page. Generated 06/10/2019 08:10 by IEEE en Bureau of Prisons - NYM Sy Ci 0 Ss Page 2 of 2 SDN¥_00000815 EFTA_00000039 EFTA00134579

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Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054) Date of Birth: 01/20/1953 Sex: TE Facility: NYM Encounter Date: 08/10/2019 07:25 Provider: RN Unit: Z04 Emergency Code - Resuscitation Event encounter performed at Special Housing Unit. SUBJECTIVE: Emergency Note Provider: [INE rv Team Members: Provider Role 2 Team/Code Leader Code Events: Type Value Date CPR Compressions 08/10/2019 06:35 EKG/Monitor Lifepak 08/10/2019 06:39 No shock advised CPR Compressions 08/10/2019 06:40 Oxygen 15L 08/10/2019 06:47 IV Access Peripheral IV 08/10/2019 06:48 18 g Left AC Airway Endotracheal Tube 08/10/2019 07:08 ET Tube 7.5 24CM to L Lip line Placed by Paramedics Medications Epinephrine 1mg IV 08/10/2019 07:10 Epinephrine 3 doses and Sodium bicarb 2 doses administered by paramedics CPR Compressions 08/10/2019 07:11 Medications Sodium Bicarbonate 1 mEa/kg IV 08/10/2019 07:11 IV Fluids Normal Saline 0.9% 1000 mi 08/10/2019 07:12 Medications Epinephrine 1mg IV 08/10/2019 07:13 CPR Compressions 08/10/2019 07:14 Medications Sodium Bicarbonate 1 mEa/kg IV 08/10/2019 07:14 Medications Epinephrine 1mg IV 08/10/2019 07:16 CPR Compressions 08/10/2019 07:17 Comments: Responded to a body alarm at 0635 for medical emergency on 9S, Upon arrival Inmate was received on floor of his cell unresponsive with CPR in progress by correctional officers, Inmate was Cold, with circumferential Brui g around the neck and posterior mottling, Pupils Fixed and dilated, No Palpable pulses, Call place for EMS, CPR C , AED Placed No shock advised, CPR Continued, inmate transported to HSU treatment room with CPR in , 18g hep lock to LAC, 02 15 Lt VIA BVM, Pulse Check NO SHOCK advised. EMS and Paramedics arrived 0658, Placedjon cardiac monitor asystole Resumed CPR, Inmate was intubated by Medics, 3 Rounds of Epinephrine administered, ulse Check asystole, Inmate was transported to Local ER with CPR in progress. OBJECTIVE: Exam: General Appearance Yes: Unconscious Generated 08/10/2019 08:10 by AE Bureau of Prisons - NYM Page 1 of 2 SDNY_00000816 EFTA_00000040 EFTA00134580

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***Special Assignments**** August 10, 2019 Page 2 PHONE RM “8 > STAFF SEARCH "710 <unai LOBBY #2 8 Chimming, R oT ( ORY CELL "2 Joyner, “8 Mateo, M ESCORT #1 "8 Dupree, d $ oT | ESCORT #2 "6 Adams, g $ cst OT 10:30 17:30 EMERGENCY "10 Cannata, m $ OT 14:00 16:00 SIS LT "8 Doctor, t $ “12 ts CT 08:00 16:00 CT 16:09 22:00 ESCORT #3 “8 Cale, k$ OT 08:00 10:00 “Back Page Categories**** DAY OFF Abella, G Ajarie, K Akparanta, c S Albanese, P Allard-rich $ Bailey, M Cappiello, J Clarke, d $ Cole, C Collado, E Connell, T Covington, T Crawford, S Cruz, J Darden $ Davis, C Derezil, | $ Doctor, t $ Oubenezic, d $ Durant, j $ Eliassaint, | $ Feliciano, M Feliciano, W Ferguson, S Fletcher, R Gonzales, A Graham, rS Grijalva, r$ Hawkins, a $ He, Y Johnson, sh Kearins, M Kilpatrick, a $ Legrand, C Marcus, E Matthews, A Mcpherson-ander Monge, M Naranjo, a$ Noelien, Y Ortiz, dav $ Pona, | Perez, C Perlaza, A Petrowski, r $ Pina, A Pipkin, L Reyes, d$ Rice, m$ Richards, vic $ Rivera, c $ Rodriguez, C Royal, V Schuppel, ¢ $ Scott, d $ Shakir, s $ Shivers, k $ Silva, W Thomas, A Torres, C Viera, J Vuong, K Watsom, C West, r$ SICK LEAVE Alvarado, A Bonilla, B Cale, k $ Findlay, 9 $ Hope, D Loatham, k $ Madison, C Noel, T Rodriguez, J Samuel, L Solomon, S Teamoh, g $ ANNUAL LEAVE Marrugo, J Martinez, A Obi, J Richardson, D Singh, T cop Noelien, F Stone, T “Change Records**™* Relieved Officer's Relieving Officer's Ret Post Spit Shft Officer New Status Relieving Officer Previous Status Shit Changed By OPS LT 12 <Unassigned> Jean, S Annual Leave SJ 7/30 20:22 OPS LT 8 Medina, D OPS LT 12 Jean, S [SWAP] SJ 7/30 20:22 Assip mt S' 4/10/2019 9:02:09 PM SDNY_00000817 EFTA_00000041 EFTA00134581

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SDN}_00000818 EFTA_00000042 EFTA00134582

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