Text extracted via OCR from the original document. May contain errors from the scanning process.
ye 4
Accomplishment Report
v. 12-49-08) gS F
quad supervisor approval
(Accomplishment must be reported and loaded into
(please initial)
ISRAA within 30 days from date of accomplishment)
Accomplishment involves:
(check all that apply)
Drugs
A Fugitive
Bankruptcy Fraud
Computer Fraud/Abuse
Corruption of Public Official
Money Laundering
Sub Invest Asst by FO(s)
Asst. FO(s)
AB. OG. OD.
[| |
A. Complaint / Information/ Indictment
CJ Federal C1 Local
Complaint Date:
1. Used, but did not help
2. Helped, minimally
File Number
Rate FO
[eave] _ |
Faisanasee [|_|
DOOODOOo
Foarennton |
ELSUR/T.IM |_|
IAT
[o-Topo ||
Legats Asst. |_|
|
=
Evid. Purchase
Inf/CW Info | |
Lab. Div. Exam] [|
F, Conviction
[] Federal []Local
Conviction Date:
(7 International (7 International
Check if Civil Rico Complaint J Subject Description Code
e w_-)®
For 6F, G, H-Include Agency Code
(Felony
(Plea
State:
Information Date:
or (C] Misdemeanor
or DO Trial
Judicial District:
Indictment Date:
B. Locate / Arrest
(Federal []Loca! [[] international -
Subject Priority: TA OB [ic
Locate Date:
G. U.S. Code Violation
Required for sections A, B, F and J
(Federal Only)
Titte Section # Counts
Arrest Date:
(] Subject Resisted Arrest
(1 Subject Arrested was Armed
Cc. Summons Date:
[J Federal [([] Local
D. Recovery / Restitution / PELP X
(J Federal Dteca! [International
Recovery Date:
Code * v Amount $
Code ° v¥ Amount $
Restitution Dates.
C1 Court Ordered {J Pretrial Diversion
Code* ey Amount $
PELP Date:
Code*_
H. Sentence Date:
Sentence Type:
In Jail: Years. Months
Months__
Months______
Suspended: Years.
Probation: Years,
Fines: $
v Amount $ 1 Disruption/Dismantlement:
E. Hostages(s) Released Date:, .
Disruption Date:
Released by: (] Terrorist [-] Other
Dismantlement Date:
Number of Hostages:
Completion of FD-515a Side 2 Mandatory
P. Subject Information - Required for all blocks excluding block D (Recovery/PELP), blocks E, |, Land N
For Indictments/Convictlons only:
Subjact related to an LCN,
Complete FD-515a, Side 1 Blocks A-E mandatory, F-H as appropriate,
investigative Assistance or Technique Used
For Sub. Invest. Assist. by other FO(s) indicate A, B, C, D for corresponding FO
IAT
[Pen sister: |
[computer | | |Proio cover |_|
[Poygraph ||
fetsursrisc | | [search Warrant] |
Show Money
[ena Fos.| | |socassu_|
:
juco-érew]
Date Loaded bari
Date Loader’s Initials
3. Helped, substantially
4. Absolutely essential
Rate FO IAT Rate FO IAT b6
[Juco naibead BIC
NCAVCIVi-CAP| [INN 10 Wanted Flyer b7E
MB crimmis intet Asst} |
7 Boarr
ee crisis Nog.- Local |_| ons | Asset Forf Prog |
| err asst, | IRM For Suppor Pol
| sero |
Sa
JFL mon.-176 |_|
PPR Fectenancst | Bree
jrenroiabee| | |
J. Civil Rico Matters Date:
Also complete “Section G"
Other Civil Matters Date:
Judgment _—__
Judicial Outcome. OK
Amount $
Suspension: Years Months
K. Administrative Sanction Date:
Subject Description Code
Type: Length:
Suspension _[[] Permanent
Debarment or
Injunction Year, Months ____
L. Asset Seizure Date:.
Asset Forfelture Date:
CATS # Mandatory ____
Circle below one of the three asset forfeiture:
Admin, Civil Judicial, or Criminal
Do not indicate $ value in Section D
M. Acquittal/ Dismissal/ Pretrial Diversion
(Circle one) Date:
N. Drug Seizures “ Date:
Drug Code *
Weight Code *
FDIN
Do not indicate $ in Section D
O. Child Victim Information
Child located /identitied Date:_l/ 20/ oY
Ktiving CD Deceased N
b6
b7C
ASian Organized Crime (AGC), Hakan Organized Cnme (IOC), Russlan/Easlern European, Caribbean, or Nigerian Organized Cnmea Group -
Subject related to an OC/Drug organization, a VCMO Program Nalional Gang Strategy targe! group, or a VCMO Program National Priority Initiative target group «
Complete FD-515a, Side 1 BlocksA-C only.
x Additional information may be added by attaching another form or a plain sheet of paper for additional entries.
e See codes on reverse side.
Serial No. of FD-515
¥ Requires that an explanation be attached and loaded into ISRAA for recovery over $1 m and PELP over $5 m, disruption, dismantlement, and drug seizures.
B/E-UM - 10S0b2 - (99
HOUSE_OVERSIGHT_021598