Form 583 Report of Incident ep Incident #: NYM-19- Submitted By: Date/Time Of Incident: 7/23/2019 1:27 AM 0076 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 Uni, Spociel 8} Level 3: 9 SOUTH SHU TypeOF incide OS eas RR ONE lie. Locked Down: No C Aseaut On inmate Modified Operations: No OC Assault On Staff K C Assault, Attempted On Inmate —— inown? No =: (Assault, Attempted On Staff — eae ara C Disruptive Behavior 7 (CO Escape From Non-secure Facility . bet Y (CO Escape From Secure Facility CU Disrespect issue C Escape, Attempted From Non-secure Facility (C0 Drugs CI Escape, Attempted From Secure Facility D Ethnic Conflict O Fight (C0 Food Issue (CU Inmate Death ( Geographical Conflict ( Institution Disturbance C2 Interfering with Staff duties (1 Introduction Of Contraband Some a 5 srr D Religious Issue DO Setting A Fire C Security Threat Group Conflict O Sexual Act, Non-consensual On Inmate CO Sexual Pressure CO Sexual Assault On Staff CO Sporting Events (1 Sexual Contact, Abusive On Inmate C Telephone C Sexual Harassment, Repetitive 0 Theft CO Staff Homicide Visiting 0 Strike, Food (0 Work Issue 0 Strike, Work @ Suicide Attempt Method: Hanging/Asphyxiation CO Use Of Force (CO Use Of Force/Applications Of Restraints | CO Use of Restraints, Pregnant/Postpartum | Section 2: Inmates Involved | 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. This document, or any segment/attachment 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). 1 of 3 SONY_00006472 EFTA_00000557 EFTA00134971

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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 Reg #: 76318054 Name: EPSTEIN, JEFFREY Role: Victim Medical Attention Required: No Injury Category: Minor Injuty 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 Reg #: MM = 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: Fe Person Type: Staff Medical Attention Required: No Death: No Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No Name: FY Person Type: Staff Medical Attention Required: No Death: No Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No Name: Thomas, Michael Person Type: Staff Medical Attention Required: No Death: No UNCLASSIFIED/LIMITED OFFICIAL USE ONLY/LAW ENFORCEMENT SENSITIVE This document is marked Uncilassified/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/attachment the! not be released without the approval of the Bureau of Prisons to any media sources, any non-law enforcement entity, the ge’ public or those without a “need to know.” It contains information that may be exempt from public release under the of the Privacy Act (5 U.S.C. 552). 2 of 3 SONY_00006473 EFTA_00000558 EFTA00134972

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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 No data found. DESCRIPTION OF INCIDENT (If Use Of Force, include details such as name of supervisor applying the ical agent and/or restraints, reasons for use of hard restraints instead of soft restraints, etc.) Please be clear al 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 retrieve the stretcher. As inmate Epstein was being placed on the stretcher by responding staff, he would open oes and observe staff. When staff made eye contact with him, he would hurriedly shut his eyes. The inmate was HA-Unit, dressed in the suicide smock and placed on suicide watch. 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 on his left Section 7: Attachments Co <2 original toreal 8g = No data found. Approved By: NOT COMPLETED 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/attachment thereof, 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 Privacy Act (5 U.S.C. 552). 3 of 3 SDNY. 6474 EFTA_00000559 EFTA00134973