Registration No: 1026221 Person Number: 73274 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)(h)1.d. are required to reregister four times per year. All other sexual offenders are C] | AM REQUIRED TO REREGISTER FOUR TIMES PER YEAR; | MUST REREGISTER AS NOTED BELOW. {Pursuant to Sections 775.21(8)(a), 943.0435(14)(b), 944.607(13)(b), 985.4815(13)(a), Florida Statutes) Month | I must reregister in: of Birth | x || AM REQUIRED TO REREGISTER TWO TIMES PER YEAR; | MUST REREGISTER AS NOTED BELOW. {Pursuant to Sections 943.0435(14)(a), 944,607(13)(a), Florida Statutes} 16. In addition to the registration months listed above, | MUST report in person to the sheriff's office in the county in which | am located within 48 hours of establishing a transient residence and thereafter must report in. person every 30 days to the sheriff's office in the county residence. {F.S. 943.0435(4)(b)2.; 775.21(6)(g)2.b.}. FAILURE 10 REPORT 18 & rao DEOREE SECONY. 17. 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 sheriffs office. {F.S. 943.0435(2)(a); 943.0435(2)(b)2.: 943.0435(14)(c)2.; 775.21(6)(a)1.b.; 775.21(6\(e)1.; 775.21(8)(a)2.}. FAILURE TO REPORT THIS INFORMATION IS A THIRD DEGREE FELONY. 18. | 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)}. FAILURE TO RESPOND AS REQUIRED IS A THIRD DEGREE FELONY. 19. If | am employed in, carry on a vocation in, am a student in, or become a resident of another state or jurisdiction, | am on notice that | may have a requirement to register under the laws of that state. 20. If | fail to register after crossing state lines | may be in violation of federal law as well as state statutes. 21. IMUST maintain registration for the duration of my life. {F.S. 943.0435(11); 775.21(6)(I)}. 22. KNOWINGLY PROVIDING FALSE REGISTRATION INFORMATION BY ACT OR OMISSION IS A THIRD DEGREE FELONY .(F.S. 943.0435(14)(c)4.; 775.21(10)a)}. REGISTRATION INFORMATION IS PUBLISHED ON THE FDLE PUBLIC SEXUAL PREDATOR AND OFFENDER WEBSITE. 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 THE MONTHS OF Printed Name: JEFFREY — EPSTEIN ) Date: 01/04/2018 Printed Name: Obed Leiva { Date: 01/04/2018 * OFFICIAL DOCUMENT DO NOT DESTROY" “= NOTE: Your next ReRegistration month is July of 2018. **** Page 6 of 6 2018-01-04 8:07:18 AM EFTA00313900