House Oversight Accomplishment Report Form (Feb 16, 2010)

@ ® b 6-515 (Rev, 12-19-08) Accomplishment Report pate Prepared 9/29/08 Squad supervisor approval (Accomplishment must be reported and loaded into Date Loaded b6 (please initial) ISRAA within 30 days from date of accomplishment) Date Loader’s Initials b7C b7E investigative Assistance or Technique Used . File Number 1. Used, but did not help 3. Helped, substantially 4 2. Helped, minimal 4. Absolutely essential Grogs p| Sl€-mM-/o¥ 062. p mally _. y For Sub. Invest. Assist. by other FO(s) indicate A, B, C, D for corresponding FO A Fugitive mi af Agent So ec No Bankruptcy Fraud im | IAT Rate FO IAT Rate FO IAT Rale FO IAT ComputerFraudiAbuse En Src Corruption of Public Official Ol | Aircraft Asst, | | [PenRegisters |_| IncavervicaP| —_| fee (0 Wanted Fiyer Sibitveni haste | | Photo Cover Grimms inteAssi| MM sars | Sub Invest Asst by FO(s) e4 |__| Gonsen Mon, | [il rotyeroon Asst. FO(S) | fecsurrisc] | [search warrant] [MM cvisisNeg-Locat| | A B. C. ”D. | | ELSUR/T. Iti | |show Money | | fee ERT Asst, || Forf Support Proj a a [LogatsAsst. | FMM Tech. AgrEqup.| [MB Poc-rro_ | |__| vie. Purchase] III Phone To Rec | [MBFt.Mon.-i¢ [| FTinwcwio | | _[uco-croupt | [i Fo:tancasct | fl rer | [tsb. bi: Eam| | _[veo-coueut| —fvenroiavex) | | A. Complaint / information/ Indictment F. Conviction J. Civil Rico Matters Date: ClFederal [Local [1 Intemational flFederal ([Locat [7] International Also complete “Section G” Complaint Date: Conviction Date, Other Civil Matters Date: . a ge e Check if Civil Rico Complaint [1 Subject Description Code *(__e Judgment —— an an For 6F, G, Heinclude A Cod Judicial Outcome___ OX ‘ . ‘or 6F, G, H-include Agency Code Information Date: gency Amount $ indictment Date: [Felony or CL] Misdemeanor Suspension: Years Months (7 Plea or (1 Triat B, Locate / Arrest State:_______ Judicial District: _____ K. Administrative Sanction Date: CiFederat ° []Local (J International Subject Description Code ; . G. U.S, Code Violation Type: Length: Subject Priority. (JA [se Oc __ Required for sections A, B, F and J : Suspension [J Permanent LocateDate: (Federal Only) : Debarment or Arrest Date: Title Section Injunction Year. Months (] Subject Resisted Arrest iin V——— ———a L. Asset Seizure Date: LO Subject Arrested was Armed Asset Forfeiture Date: CATS # Mandatory —_____ Cc, Summons Date: Circle below one of the three asset forfeiture: ClFederal [Local Admin, Civil Judicial, or Criminal - ————— — ———— Do not indicate $ value in Section D D. Recovery / Restitution / PELP X A: Seni Bet Federal Li Internation sentence Dates 0 ral DLoca ional é —_ M. Acquittal/ Dismissal/ Pretrial Diversion Recovery Date: : entence Type: ' . {Circle one) Date: Code y Amount $_—___ in Jail Years_____ Months__ Code * ¥ Amount ‘ Suspended: Years... Months__ —~ N. Drug Seizures “ Date: Restitution Date: _ [J Court Ordered (7) Pretrial Diversion Probation: Years ___. Months___ Drug Code * Code * Y Amount $ Fines: $ a Corde PELP Date: —_______ y Do not indicate $ in Section D Code * v¥ Amount $——__. |, Disruption/Dismantlement: “ &. Hostages(s) Released Date;___._ . . O. Child Victim Information ; Disruption Date: —————$————— Released by: [J Terrorist [1] Other Child located / identified Date: O &/FO oy Dismantlement Date; 0 Number of Hostages: ___ PRrivin D d Completion of FD-515a Side 2 Mandatory ing bees P, Subject Information - Required for ail blocks excluding block D (Recovery/PELP), blocks &, [, Land N b6 b7C bof related to an LCN, Asian @rganized Crime (AOC), Italan Organized Crime (IOC), Russian/Enstern European, Caribbean, or Nigenan Organized Crime Group - Complete FD-515a, Sida 1 Blocks A-E mandatory, F-H as appropriate. O Subject related to an OC/Drug organizabon, a VCMO Program National Gang Strategy target group, or a VCMO Program National Priority Inilialive target proup - Complete FD-515a, Side 1 Blocks A-C only, x.Additional information may be added by attaching another form or a plain sheet of paper for additional entries. worl Ne, Sree e See codes on reverse side. LsSzd ¥ Requires that an explanation be attached and !oaded into ISRAA for recovery over $1 m and PELP over $5 m, disruption, dismantlement, and drug seizures, 32/ EMU ~ 19 F062_ (95 HOUSE_OVERSIGHT_021610