Registration No: 1026221 Person Number: 73274 FDLE SEXUAL PREDATOR/OFFENDER REGISTRATION FORM Agency Name: Palm Beach County SO “**** Note: Your next ReRegistration month is July of 2018 ***** Registration For: January 2018 - SEXUAL OFFENDER CCS User Name: jepstein JEFFREY E EPSTEIN so DOB: 01/20/1953 Race: White Sex: _Male_ Last, Sufix) .0435, 944.607, 985.481, F.S., and federal law, 42 USC 16901, et » FOLE may share the information with the other agencies for the same purpose. Weight: 180s Hel: Grey Eyes: Be Immigration Status: Not Applicable Out of State Travel information (Complete if permanent, temporary, or transient address Is out of state) 7 Permanent leaving Florida to establish a residence in another state/country Date of Deparre:[ (7) Temporarily leaving Florida to visit another state/country [L] Moving from another state to permanently establish a residence in Florida Dete ot Ante: [———} (0) Visiting from another state and establishing a temporary address in Florida 2018-01-04 6:07:17 AM EFTA00313895