Registration No: 567563 Person Number: 73274 FDLE SEXUAL PREDATOR/OFFENDER REGISTRATION FORM Agency Name: Palm Beach County SO ““** Note: Your next ReRegistration month is January of 2014 ***** Registration For: July 2013 - SEXUAL OFFENDER Reason For Registration D initial Registration [ic] Scheduled ReRegistration LD intormation Update Registrant Information Name: JEFFREY E EPSTEIN ‘ssN: Epos: I Race: White Sex: _Male it Maddie Last, Suffix) “Disclosure of your Social Security Number (SSN) is mandatory pursuant to Florida law, sections 775,21, 943.0435, 944.607, 985.481, F.S., and federal law, 42 USC 16901, et ‘seq. Use of your SSN Is for the purposes of identification, FDLE may share the information with the other agencies for the same purpose. FL DL or ID Card Liz Height: &' 00 * Weight: 180 Ibs Hair: ss Grey = Eyes: Blue Place of Birth: United States Of America (usa) Currently on Probation/Parole: [X]No [] Yes Probation Type: [(] State Officer Name: Phone: ( ) (C7 Federal Officer Name: Phone: { ) a el CD county Officer Name: Phone: ( ) County Out of State Travel Information (Complete if permanent, temporary, or transient address is out of state) (7) Permanently leaving Florida to establish a residence in another state Date of Departure:[—~] (J Temporarity leaving Florida to visit another state 0 Moving from another state to permanently establish a residence in Florida Date of | ([] Visiting from another state and establishing a temporary address in Florida E32} Other (please describe): mr. Epstein came in to do his scheduled registration and wil be leaving going back to his permanent address tomorrow 07/26/13. 6100 Red Hook Quarters Ste B3 (Address Line 1) Little St James Islands , vl 00802 (State) (ip) Start Date: 07/19/2010 0 1 do NOT have a permanent address at this time. Page 1 of 6 2013-07-25 3:40:26 PM EFTA00313270

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Registration No: 567563 Person Number: 73274 Temporary Addresses [_]!doNoT have a temporary address Please note: The registrant has reported additional temporary addresses not displayed here. 1, 358 El Brillo Way Paim Beach , Fe 33480-4730 (City) (State) (Zip) (Street Address) County: Palm Beach Dates you will be at this address: From: 07/26/2012 To: ee SE ENNE 2. 9E7IstSt 10021-4102 (Street Address) (2ip) County: New York Dates you will be at this address: From: To: (Zip) Dates you will be at this address: From: To: (Street Address or location) County: Dates you will be at this address: From: (Street Address or location) ' (State) (Zip) County: Dates you will be at this address: From: To: * (Siate) Zipp Dates you will be at this address: From: To: . Employer: Financial Trust Company Start Date: 07/26/2012 Address; 6100 Red Hook Quarter Ste 83 ‘ vt 00802 (Street Address) (State) (Zip) County: Saint Thomas (State) (Zip) Page 2 of 6 2013-07-25 3:40:28 PM EFTA00313271

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Registration No: 567563 Person Number: 73274 Phone Numbers freee note: The revietrent has reported additonal (1) 140 NOT have or use any home or mobile phone numbers Phone Number: Phone Type: NY 10021 (State) (2ip) End Date: [ !co NOT own or use a vehicle, RV, trailer or mobile home. Please note: The registrant has reported additional vehicles not displayed here. 1. 2013 Ford Expedition Black (Year) (Make) (Model) (ColoriColor Scheme) NM This vehicle is: [] NOT used as a residence (Used as 2 residence (License Tag #) (State) 2. 2013 Dodge Caravan (Year) (Make) (Model) a vi This vehicle is: ([Z] Nor used as a residence Tag #) (State) |. 2008 Land Rover Range Rover (Year) (Make) (Model) NM This vehicle is: [X] NOT used as a residence (License Tag #) (State) . 2012 Cadiltac Other Black (Year) (Make) (Model) {Color/Color Scheme) NY This vehicle is: [] NOT used as a residence (DO) Used asa residence (License Tag #) (State) Vessels [1 to NOT own a vessel or houseboat. Please note: The registrant has reported additional vessels not displayed here. White BigN (Cotor/Color Scheme) (Name of Vessel) This vessel is: [X] NOT used as a residence [Used as a residence - 2011 Other White (Year) (Vessel Type) (ColoriColor Scheme) (Name of Vessel) Ss This vessel is: [XX] NOT used as a residence (2 Used as a residence (Registration #) White (Color/Color Scheme) (Name of Vessel) This vessel is: [%] NOT used as a residence (7 Used as a residence Other White Nana (Vessel Type) (Color!Color Scheme) (Name of Vessel) This vessel is: [X] NOT used as aresidence [] Used as a residence Page 3 of 6 2013-07-25 3:40:28 PM EFTA00313272

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Registration No: 567563 Person Number: 73274 Campus Activity [x] 1am NOT a student, employee, or volunteer at @ university or institution of higher learning, 1, [7] Student [[] Employee [7] volunteer Start Date: University/School Name: Campus: Address: = (Street Address) " (State) Zip) County: University/School Name: Address: (Street Address) County: . (2) Student [F] Employee (CT) Volunteer University/School Name: Address: (Street Address) County: Cyber Communication Accounts [JJ | do NOT use any email addresses or instant Message screen names. Please note: The registrant has reported additional online accounts not displayed here. i Location of Adjudication/Conviction Victim Information _—_ Os eee =! —_—_——_ Minor Adult Gender: (County) * Ciaie) C QO — (C) Minor [J Adu Gender: {County} (State) — Mi Adult Gender: (County) (State) Comer O _— —_ Minor Adult ” (County) my CMe Dan Gender: Were you or are you subject to registration or community notification in another state? Co Yes [x] No if Yes, in what state? Page 4 of 6 2013-07-25 3:40:28 PM EFTA00313273

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Registration No: 567563 Person Number: 73274 NOTICE OF SEXUAL PREDATOR AND SEXUAL OFFENDER OBLIGATIONS As a sexual predator (F.S. 775.21) or sexual offender (F.S. 943.0435; 944.607; or 985.4815) | understand that | am required by law to abide by the following: “Permanent residence" means a place where the person abides, lodges, or resides for 5 or more consecutive days. “Temporary residence" means a place where the person abides, lodges, or resides, including but not limited to, vacation, business, or personal travel destinations in or out of this State, for a period of 5 or more days in the aggregate during any calendar year and which is not the person's Permanent address or, for a person whose permanent residence is not in this State, a place where the person is employed, Practices a vocation, or is enrolled as a student for any period of time in this state. “Transient residence" means a place or county where a person lives, remains, or is located for a period of 5 or more days in the aggregate during a calendar year and which is not the person's permanent or temporary address. The term includes, but is not limited to, a place where the person sleeps or seeks shelter and a location that has no specific street address. FAILURE TO COMPLY WITH ANY OF THE FOLLOWING REQUIREMENTS IS A FELONY OF THE THIRD DEGREE (UNLESS OTHERWISE NOTED). 1. | MUST report in person to the local Sheriff's Office within 48 hours of establishing or maintaining a residence in this state, within 48 hours of release from custody and/or supervision of the Department of Corrections (DOC), the Department of Children and Family Services (DCFS), or the Department of Juvenile Justice (DJJ), or in the county of conviction within 48 hours of conviction if not under custody and/or supervision of DOC to register my temporary, transient, or permanent address and other information specified in statute. {F.S. 943.0435(2)(a); 775.21(6)(e) 1}. 2. Atinitial registration, | MUST provide the following information to the department: name, date of birth, social security number, race, sex, height, weight, hair and eye color, photograph, home telephone number and any cellular telephone number, any electronic mail address and any instant message name required to be provided pursuant to paragraph s. 943.0435(4)(d) F.S. or s. 775.21(6)(g)4 F.S., address of legal residence, address of any current temporary residence, if no permanent or temporary residence, any transient residence within the State, dates of any current or known future temporary residence within the state or out of state, occupation and place of employment, date and place of each conviction, fingerprints, and a brief description of the crime or crimes committed. {F.S. 943.0435(2)(b); 775.21(6)(a)1}. 3. Within 48 hours after the initial report required as stated in requirement #2 above, | MUST report in person to the driver's license office of the Department of Highway Safety and Motor Vehicles (DHSMV) and provide proof of initial registration as a sexual offender or predator to secure or renew a valid Florida driver's license or identification card displaying one of the following designations: “775.21, F.S.” or “943.0435, F.S.", unless a driver's license or identification card with such designation was previously secured or updated. The sexual offender shall submit to the taking of a photograph for use by the department in maintaining current records of sexual offenders/predators. {F.S. 943.0435(3); 775.21(6)(f)}. 4. Each time my driver's license or identification card is subject to renewal, or within 48 hours after any change in my permanent, temporary, or transient residence or change in name made by marriage or other legal process, | MUST report in person to a driver's license office to update my driver's license or identification card and ensure that the driver's license or identification card displays the designations as identified in requirement #3. {F.S. 943.0435(4)(a); 775.21(6)(g)1}. 5. If| am enrolled, employed or Carrying on a vocation at an institution of higher education in Florida, | MUST provide the name, address and county of each institution including each campus, enrollment or employment status, including each change in enrollment or employment status, i.e. commencement or termination, in person at the Sheriff's Office; OR, for a sexual offender on supervision with the Florida DOC or DJJ, this information must be reported to the sexual offender's probation officer, within 48 hours after any change in status. {F.S. 943.0435(2)(b)2; 775.21(6)(a)1.b}. 6. | MUST report any electronic mail address or instant message name, prior to using such, during registration/reregistration or by providing all updates through the online system maintained by the Florida Department of Law Enforcement. {F.S. 943.0435(4)(d); 775.21(6)(g)4}. 7. If | vacate a permanent, temporary, or transient residence, and do not have another permanent, temporary, or transient residence, | MUST report in person to the Sheriff's Office in the county where | am located within 48 hours. {F.S. 943.0435(4) (b); 775.21(6)(g)2}. 8. If! report that | have vacated a permanent, temporary, or transient residence and then remain at that residence, | MUST report in person to the Sheriff's Office where | reported vacating my residence. Failure to report this information is a felony of the second degree. {F.S. 943.0435(4)(c); 775.21(6)(g)3}. Page 5 of 6 2013-07-25 3:40:28 PM EFTA00313274

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Registration No: 567563 Person Number: 73274 9. | understand that my address will be verified by county, state or local law enforcement agencies. {F.S. 943.0435(6); 775.21(8)}. 10. If | intend on establishing a permanent, temporary, or transient residence in another state or jurisdiction other than the State of Florida, | MUST report in person to the Sheriff's Office in the county of my current residence within 48 hours before the date that | intend to leave this state to establish residence in another state or jurisdiction. {F.S. 943.0435(7); 775.21(6)(i)}. 11. If lintend to establish a permanent, temporary, or transient residence in another state or jurisdiction other than the State of Florida and later decide to remain in this state, | MUST report in person to the Sheriffs Office to which | reported my intention of leaving the state within 48 hours after the intended departure date. Failure to report this information is a felony in the second degree. {F.S. 943.0435(8); 775.21(6)(j)}. 12.1 MUST report in person either twice a year (during the month of my birth and during the 6th month following my birth month) or four times a year (once during the month of my birth and every 3rd month thereafter), depending upon my offense/designation, to the Sheriff's Office in the county in which | reside or am otherwise located to reregister, unless otherwise notified by FDLE. All sexual predators, sexual offenders convicted for offenses specified in F.S 943.0435(14)(b), and juvenile sexual offenders required to register per F.S 943.0435(1)(a)1.d are required to reregister four times a year. All other sexual offenders are required to reregister twice a year. | AM REQUIRED TO REREGISTER | AM REQUIRED TO REREGISTER FOUR TIMES A TWO TIMES A YEAR; | MUST YEAR; | MUST REREGISTER AS NOTED BELOW. REREGISTER AS NOTED BELOW. {Pursuant to Sections 943.0435(14)(a), 944.607(13)(a), Florida Statutes} {Pursuant to Sections 775.21(8)(a), 943.0435(14)(b), 944.607(13)(b), 985.4815(13)(a), Florida Statutes} Month | must reregister Month | must reregister |_Feb_| Feb, May, Aug. &Nov | {Aug | Feb, May, Aug. & Nov | [war | Mar, dune, Sept Dec | | Sept | Mar, tune, Sept & Dec | | Oct _ | | Nov _| ; April, July, Oct & Jan April, July, Oct & Jan way [May & Nov [may —| May, Aug. Nov Feb May, Aug, Nov Feb [Dee | une, Sept Dec & Mar 13. If | live in another state, but work or attend school in Florida, | MUST register my work or school address as a temporary address within 48 hours by reporting in person to the local Sheriff's Office. {F.S, 943.0435(2); 775.21(6)(a)1b; 775.21(6) (e)1}. 14.1 MUST respond to any address verification correspondence from FDLE within three weeks of the date of the correspondence. {F.S. 943.0435(14)(c)4; 775.21(10)(a)}. 15. If | am employed, carry on a vocation, am a student, or become a resident of another state, | am on notice that | may have a requirement to register under the laws of that state. 16, | MUST maintain registration for the duration of my life. {F.S. 943.0435(11); 775.21(6)(1)}. PLEASE READ CAREFULLY BEFORE SIGNING As a sexual predator (Florida Statute 775.21) or sexual offender (Florida Statute 943.0435, 944.607, or 985.4815), | am required by law to abide by the requirements listed on this form. BY SIGNING BELOW, | ACKNOWLEDGE THAT | HAVE READ OR HAVE BEEN READ THE REQUIREMENTS ON THIS FORM, AND THAT | UNDERSTAND THESE REQUIREMENTS. Under penalty of perjury | declare the above is true and correct. YOU ARE REQUIRED_TO REREGISTER EACH YEAR AT THE SHERIFF'S OFFICE IN January AND July. ‘ Registrant: Witnessed by Reporting Officer: Printed Name: JEFFREY E & Date: 07/25/2013 Printed Name: Shenica * OFFICIAL DOCUMENT DO NOT DESTROY* “**** NOTE: Your next ReRegistration month is January of 2014. ***** Paget ore 2013-07-25 3:40:29 PM EFTA00313275