1111111IIIOE11011111 113:332 Slate of New York Division of Criminal Justice Services •0 South Swan St Albany, NY 12210 Cl60Z000—L8—Vid3 To: JEFFREY EPSTEIN LITTLE ST JAMES 8100 RED HOOK QUARTERS, SUITE B3 ST THOMAS VI 00802 From: Sex Offender Registry Unit, NYS Division of Criminal Justice Services RE: Annual Address Verification Sex Offender Registry Annual Address Verification Form April 9, 2015 Offender ID: 33216 The Sex Offender Registration Act (SORA) requires you to review, update, and sign this Annual Address Verification Form and mail this form back to the Division of Criminal Justice Services within 10 days from receipt of this form. You must do this whether or not you have reported updated information to parole, probation or a law enforcement agency. If you attend, are enrolled at, reside at, or are employed at any institution of higher education, you must provide that information on this form. You must also report your internet service provider(s), all screen names, all e-mail addresses and all other information listed on the form. If you are a level 2 or 3 sex offender, you must report the name and address of all employers. INSTRUCTIONS: • Review each line of information on this form carefully. • If you find any information that is incorrect or outdated, cross out incorrect or outdated information with a single line. • Enter any corrections or any new/additional information in the blank boxes provided. THIS FORM MUST BE SIGNED AND ALL PAGES RETURNED EVEN IF NONE OF THE INFORMATION HAS CHANGED. FAILURE TO RETURN ALL PAGES OF THIS FORM WITHIN 10 DAYS OF RECEIPT IS A FELONY AND MAY RESULT IN THE ISSUANCE OF A WARRANT FOR YOUR ARREST. Please contact the Sex Offender Registry at 518-457-3167 with any questions about this form. OFFENDER INFORMATION LAST NAME FIRST NAME MIDDLE SSN EPSTEIN JEFFREY E Make ecetectons C--- /we OTHER NAMES LEPSTEIN,JEFFREY EDWARD Enter any aliases, nick names or other names used in th