Registration No: 1026221

Registration No: 1026221 Person Number: 73274 NOTICE OF SEXUAL PREDATOR AND SEXUAL OFFENDER OBLIGATIONS As a sexuai predator (F.S. 775.21) or sexual offender (FS. 943.0435; 944.607: or 985.4815) I understand that I am required by law to abide by the following: "Internet Identifier" means any designation. moniker, screen name. usemame, or other name used for self-identification to send or receive social Internet communication (see s. 775.21(2)(m). F.S. for definition of 'social Internet communication'). Internet identifier does not include a date of birth, social security number, personal identification number (PIN), or password. A sexual offenders or sexual predator's use of an Internet identifier that discloses his or her date of birth, social security number. personal identification number (PIN). password. or other information that would reveal the identity of the sexual offender or sexual predator waives the disclosure exemption in this paragraph for such personal information. "Permanent residence" means a place where I abide, lodge, or reside for 5 or more consecutive days. "Professional license" means the document of authorization or certification issued to me by an agency of this state for a regulatory purpose. or by any similar agency in another jurisdiction for a regulatory purpose, for me to engage in an occupation or carry out a trade or business. "Temporary residence" means a place where I abide, lodge, or reside, 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 my permanent address or" if my permanent residence is not in this state, a place where I am employed, practice a vocation, or am enrolled as a student for any period of time in this state. 'Transient residence" means a county where I live, remain. Or am located for a period of 5 or more days in the aggregate during a calendar year and which is not my permanent or temporary address. The term includes, but Is not limited to, a place where I sleep or seek shelter and a location that has no specific street address. "Vehicles owned" means any motor vehicle as defined in s. 320.01, which is registered, co-registered. leased, titled, or rented by me: a rented vehicle that I am authonzed to drive: or a vehicle for which I am insured as a driver. The term also includes any motor vehicle as defined in s. 320.01. which is registered, co-registered. leased. titled, or rented by a person or persons residing at my permanent residence for 5 or more consecutive days. 1. Within 48 hours of establishing or maintaining a residence in this state, or 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). I MUST report in potion to the local shenff s office to register my temporary, transient, or permanent address and other information specified in statute. If I am convicted of an offense that requires registration and am not under custody and/or supervision of DOC I must report in person to the sheriffs office in the county of conviction within 48 hours of the conviction.(F.S. 943.0435(2Ra): 775.21(610)}. FAILURE TO REPORT AS REQUIRED IS A THIRD DEGREE FELONY. 2. At registration. I MUST provide the following information to the department: name: date of birth; social security number: race: sex: height: weight; tattoos Or other identifying marks; hair and eye color. photograph: all home telephone numbers and cellular telephone numbers: an electronic mail addresses. Internet identifiers, and each Internet identifier's corresponding website homepage or application software name; address of all permanent and legal residences: address of any current temporary residence: any transient residence within the state: address. location, description and dates of any current or known future temporary residence within the state or out of state: occupation and place of employment; make, model, color, vehicle identification number (VIN), and license tag number of all vehicles owned; date and place of each conviction; fingerprints: palm prints; and a brief description of the crime or crimes committed. I must also produce my passport (if I have one). If I am an alien, I must produce or provide information about documents establishing my immigration status. I must also provide information about all professional licenses I have. (F.S. 443.0435(2)(b); 775.21(6)(x)1.). FAILURE TO REPORT AS REQUIRED IS A THIRD DEGREE FELONY. 3. Within 48 hours after the initial registration of information as required in #2 above, I MUST report in person to the driver license office of the Department of Highway Safety and Motor Vehicles (DHSMV) and provide proof of initial registration es a sexual offender or predator to secure or renew a valid Florida driver license or identification card displaying one of the following designations: 'SEXUAL PREDATOR" or '943.0435. F.S." unless a driver license or identification card with such designation was previously secured or updated. I must 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)(01. FAILURE TO MAINTAIN. ACQUIRE. OR RENEW A DRIVER LICENSE OR ID CARD AS REQUIRED IS A THIRD DEGREE FELONY. 4. Within 48 hours after using any electronic mail address or Internet identifier, I MUST report it using the online system maintained by the Florida Department of Law Enforcement or in person at the sheriff's office. OR, if I am on supervision with the Florida DOC or DJJ. this information MUST be reported to my probation officer before using such electronic mail addresses or Internet identifiers. (F.S. 943.0435(4 lee )1.; 775.21(6Xg)5.a.). FAILURE TO REPORT THIS INFORMATION AS REQUIRED IS A THIRD DEGREE FELONY. Pfrge a o• 6 antkot448-07-1flatil EFTA00313898