Seattle, Washington FBI Bureau File - Paperless Archives

tWYr 11-10-05)
Squad supervisor approval
(please initial)
Accomplishment Involves:
•
Accomplishment Report
(Accomplishment must be reported and loaded into ISRM
within 30 days from date of accomplishment)
•
Date
Prepared .....,~;"..s~~7+­
Date Loaded -..Ia-J~=~~
Data Loader's
(check all that apply) I File Number I Investigative Assistance or Technique Used
Drugs
O$Si'c-.s~-9$Snr
A Fugitive 0
Stat Agent Soc Sep No
Bankruptcy Fraud 0
Computer Fraud/Abuse 0
Corruption of Public Officials 0
Money Laundering 0
Sub InvestAsst by FO (s) 0
I
I
Squad
Ass!' FO(s) _, _, _, _ 11----!:..:--+-::::.::y!=7=---J
. A, B, C, 0 ..
r-____ l1.:,;a;,:s.;,.;k.:.F,:.o...,:rc,:.e __-l, I ~iStingAgents Soc. Sec. No. x
1-Used, but did not help
3 - Helped, substantially
2 -Helped, minimally • 4 - Absolutely essential
For Sub. Invest. Assist. by other FO (s) indicate A,B,C,D for corresponding FO
IAT
Assistin Agencies x.
1.
2.
Name:
2.
Name:
A. Complaint /Information /lndiic!!J'uint
o Federal JlR,ocal
B. Arrest
o Federal 0 Local 0 International
Subject Priority: 0 A 0 B 0 C
Locate Date: ___ _
Arrest Date: ________ _
o Subject Resisted Arrest
o Subject Arrested was Armed
C. Summons Date: ______ . ____ _
o Federal 0 Local
D. Recovery/Restitution/PELP X
o Federal 0 Local 0 International
Recovery Date: ,..-_______ _
Code " __ v" Amount $, ____ _
Code t __ ./ Amount $, ____ _
Restitution Date: ________ _
o Court Ordered 0 Pretrial Diversion
Code '__.1 Amount $, _____
PELP Date: __________
Code ' __ .1 Amount $, ____ _
E. Hostage(s) Released Date: ____ _
Released by: 0 Terrorist 0 Other
Number of Hostages: ______ _
F. Conviction .
o Federai 0 Local 0 International
Conviction Date: _________ _
Subject Description Code: __ oC_)"
For 6F, G, H-Include Agency Code
o Felony or 0 Misdemeanor
o Plea or 0 Trial
State:
Judicial District _____
G. U.S. Code Violation
Required for sections A.B.F,and J
(Federal Only)
Title Section # Counts
H. Sentence Date: ________ _
Sentence Type: __•__•__•
In Jail: Years ___ Months __
Suspended: Years ___ Months ____
Probation: 'Years___ Months ___
Fines: $ _______________
I. Dlsruption/Dlsmantlement:'/
Disruption Date: _______ _
Dismantlement Date: ______ _
Completion of FD-515a Side 2 Mandatory
J. Civil Rico Matters Date:
Also Complete "Section G"
Other Civil Matters Date:, ___ _
Judgment __ _ _____ "
Judicial Outcome ________ "X
Amount $, ______ • ___ _
Suspension: Years __ Months __ _
K. Administrative Sanction Date: ____
Subject Description Code __"
Type:
Length:
Suspension 0 Permanent
Debarment
or
o Injunction Year ___ Months ___
L. Asset Seizure O'ate: _______ _
Asset Forfeiture 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) Dale: _________ _
N. Drug Seizures'/ Date:, ____ _
Code • _________ _
"v,~"' _______ , __ Code· ______ _
Do not indicate $ value in Section D
O. Child Victim Information
Child located/identified Date: _____ _
o Living 0 Deceased .
'-I,;r~. AiSlan Organized Crime (AOC). Italian Organized Crime (IOC). Russian/Eastern European. Caribbean. or Nigerian Organized Crime Group -
A·I: mandatory. F·H as appropriate.
anOC:fDrlua Orgallization, a VCMO Program National Gang Strategy target group. or a VCMO Program National Priority Inillative target group·
x Additional information may be added by attaching another form or a plain sheet of paper for additional entries.
• See codes on reverse side.
../ Requires thaI an explanation be attached and loaded Into ISRAA for recovery over $1 m and PELP over $5, disruption, dismantlement, and drug seizures.