FIELD OFFICE FILE REQUEST FORM HEADQUARTERS INFORMATION Name: FOIPA No. : 1458180 Requester's Name: Angela Clemente Subject's Name: Jeffrey Epstein FILES REQUESTED: 50D-NY-3027571 272B-NY-3125676 HQ COMMENTS Litigation 20-cv-1527 FOR DOCLAB ONLY FIELD OFFICE INFORMATION Name: Return Address: NY Field Office NY Field Office FILES SHIPPED: Reminder : Only ship entire sections. Do not ship individual serials. NY Field Office FO COMMENTS Return Files to Field Office: El Yes El No The FO must complete this form, sign the statements below, and enclose it with the FO files before mailing. Ship to: FBI 170 Marcel Drive Winchester, VA 22602 Inventory Requirement: Please inventory records in the HPE Content Manager system before they are sent outside of your Area of Responsibility (AOR). This includes sending them to the Alexandria Records Center (ARC), Records Operations Center (ROC), or to another office or division. Classification ( place the classification level here). , certify there are not any records classified above the secret level, coded SCI, or are otherwise considered sensitive in the enclosed package. If/when opened by RIDS/Security or the DocLab in Winchester and sensitive, SCI or classified above the secret level are found in this package, IMD reserves the right to contact your Security Officer and the IMD Security Office. Signed Reset Form EFTA00172253