EFTA00181807

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7. Background Information 
A,) 
Name 
Indicate whether applicant, or any of lis stockholders or partners have, or base bad, arts 
proprietary interest In any other enterprise width is nr has been a beneficiary under the V.I. 
Economic Development Program. 
Yes  
X 
 No 
If -ycc explain belo., 
Name,: B.ier.‘::ss 
"bye of Business 
Jeffrey E. Epstein 
IGY-AYH St. Thomas Holdings, !IC 
Category II Marina 
B.) 
Has any entity in which you, or year spouse, kiwis a director, officer. partner or an owner ea 
5% or greater Interest ever had any license. permit or certificate Issued by a governmental 
agency in any Jurisdiction denied, suspended, revoked, or subject to any conditions? 
Ye!: 
 No  
X 
If '
VCS
'
 *der apiam. 
Check Varreichear. Appendix 44. (rus. ) 
C.) 
line you ever been smelted or charged with sin crime or offense to any jurisdiction? 
Ycs  
X 
 No 
If -vcre plrocenplant 
Check luttached. Appendix 45. ( x 
D.) 
line you ever been the subject of an Investigation conducted by any governmental 
agency/organization, court, commission, committee, grand Jury or Investigatory body (local, 
slate, county, provincial, federal, national, etc.) other than in response to a traffic summons? 
Ye.  
X 
 No 
. 
"yes- please prtnitled the nom( and ark/fess olcourt or other 
agency, nature of proceeding or investigation date. whether tetragon), given and (1.3O what date, 
land a:wrath:tate time period of foxiest/minor: 
ChcrkrfattachrcL Appendix 46. ( 
E.) 
In the past ten (10) years, have you as an individual, member of • partnenhlo, or ow tier, 
director, or 'Meer of a corporation, ever been a party to n lanolin, as s defendant. 
Yes?,
No 
. 
"yes" please provide Information tvgarding the date it was 
filed. name and address of the court. doeltalcase member, names ofam. other parties to suit. 
nature of suit. disposition and date of disposition.) 
Cheek gatiarheit Appendix 47. ( x ) 
F.) 
line any of the beneficial owners ever been adjudicated bankrupt or filed a petition for any 
type of bankruptcy, Insolvency or liquidation under any bankruptcy or Insolvency law in nny 
$11 
X 
risdktIon? Yes 
No 
If "ye pkuse,'tpF.,;n.
Check if attached, Appendix 48. (rah) 
EFTA00182207

8. Extensive, Modification and Transfer Applicants 
C 
A.) 
Extension applicants. All extension applicants shall provide the following: 
1,)Cenification front EDC stating the applicant is in compliance with the EUC Law and rules and 
regulations. 
See Statement 1 
2.) Indicate the specific benefits which applicant is socking:Ten year extension at I CO% of 
benefits. See Statement 2. 
3.) A certificate from the Commissioner of Labor stating the applicant is 
in compliance with all labor laws. codes and regulations, 
Cheek If attached. Appendix 49. ( X ) 
4.) A statement showing the percentage level, effective date and termination date of each 
type of benefit previously enjoyed by the applicant. 
Check V attached. Appendix 5t ( a ) 
5.) In the case of a hotel, a statement hum the V.I. Bureau of Economic Research showing that the 
applicant is current in reporting the hotel occupancy on a monthly and annual basis and %isnot 
origin dota on annual basis, for a two year period ending no more than five months prior to the date of 
application. 
Ow* If attached. Appendix 51. (im ) 
B.) 
Transfer applicants: in addition to the Information required In Items I-19 above, transfer 
applications (as defined In section 719 title 29 VIC) shall contain the date on which the applicant 
wishes the effeetlse date of the transfer of benefits. 
C.) 
Check cfavarhol, Appendix 52. (Mrs ) 
Exempt support businesses In addition to the information required in Items 1-19 abort all exempt 
support business applicants shall preside a statement from the commissioner of Insurance that 
applicant. and cops of license to operate in the Vt, as an "exempt upped( business". 
rive* lfaltochni Appendix 53. ( 4/A ) 
EFTA00182208

State of Delaware 
Office of the Secretary of State 
PAGE 
I. 
I, EDWARD J. FREEL, SECRETARY OF STATE OF THE STATE OF 
DELAWARE, DO HEREBY CERTIFY THE ATTACHED IS A TRUE AND CORRECT 
COPY OF THE CERTIFICATE OF INCORPORATION OF "THE C.O.U.Q. 
FOUNDATION, INC.", FILED IN THIS OFFICE ON THE SIXTEENTH DAY OF 
MARCH, A.D. 1998, AT 2 O'CLOCK P.M. 
8100 
AUTHENTICATION: 
DATE: 
Edward I. Free!, Secretary of State 
8973732 
ek ., 
we 
^I.. 
EFTA00182209

f.AR - 12-9O 
12 17 FROM 
ID 
i 
PACE 
2'' 
CERTIFICATE OF LNCORPORATION 
OF 
THE 
FCUNDATICN, INC. 
(A NON-PROFIT, NON-STOCK CORPORATION) 
The undersigned incorporator, in order to form a corporation under the General 
Corporation Law of the State of Delaware, certifies as follows: 
FIRST: 
The name of the corporation (hereinafter called the "Foundation") 
is The C.O. U.Q. Foundet ion. Inc. 
SECOND: 
The address of the Foundation's registered office in the State of 
Delaware is Corporation Trust Center, 1209 Orange Street, in the City of Wilmington, 
County of New Castle, Delaware 19801. The name of its registered agent at such address 
is The Corporation Trust Company. 
THIRD: 
The Foundation shall have no capital stock. The Foundation is a 
nonprofit organization, organized and operated exclusively for one or more charitable, 
religious, literary, scientific and educational purposes within the meaning of Section 
501(c)(3) of the Internal Revenue Code of 1986, as amended (the "Code"), including for 
such purposes the making of distributions to organizations described in Section 50I(c)(3) 
of the Code. 
FOURTH: 
The name and mailing address of the incorporator is Darren K. Indyke, 
Esq., 457 Madison Avenue. Fourth Floor, New York, NY 10022. 
FIFTH: 
The Foundation shall have perpetual existence. 
SIXTH: 
The Foundation shall have no members. 
SEVENTH: The names and mailing addresses of the members of the initial Board of 
Directors (the "Board") of the Foundation are as follows: 
NAM 
MAILING ADDRESS 
Jeffrey E. Epstein 
358 El Brillo Way 
Palm Beach, Florida 33480 
Darren K. Indyke 
Ghislaine Maxwell 
MF
N
A
New York, New York 10022 
value 
do 
e V. Delson Associates 
trect 
New York, New York 10022 
EFTA00182210

MAR-13-B8 12. 1U FROM: 
0,
The direction and management of the affairs of the Foundation, and the control and 
disposition of its property and funds, shall be vested in the Board. The qualifications. 
election, tenure, powers and dutics of the directors of the Foundation shall be as provided 
in the By-laws of the Foundation_ 
EIGHTH: 
In furtherance, and not in limitation, of the powers conferred by 
statute, the Board, by an affirmative vote of not less than a majority of the directors on 
the Board, is expressly authorized, from time to time, to make, adopt, alter or repeal the 
By-laws and regulations of the Foundation for the orderly operation of the Foundation. 
NINTH: 
The Foundation is not formed for, and shall not be conducted or 
operated for, pecuniary profit or for financial gain. No pan of the Foundation's assets, 
income or profit shall be distributed to, or inure to the benefit of, any private individual or 
individuals; provided, however, that nothing provided herein shall prevent the Foundation 
from paying reasonable compersation to any individual or individuals for services 
rendered to or for the Foundation in furtherance of one or more of its purposes. 
No private individual or individuals shall be entitled to share in the distribution of 
the Foundation's property or assets in the event of liquidation, dissolution or winding up 
of the Foundation, whether voluntary or involuntary. In such event, all of the assets and 
property of the Foundation remaining after the proper payment of expenses and the 
satisfaction of all liabilities shall be distributed to further the not-for-profit purposes of 
the Foundation amdfor to such charitable organizations as shall qualify under 
Section501(cX3) of the Code. 
No substantial part of the activities of the Foundation shall be devoted to carrying 
on propaganda or otherwise attempting to influence legislation: except that the Board 
may, in its discretion and to the extent permitted in Section501(h) of the Code, make the 
election described therein. The Foundation shall not directly or indirectly participate in, 
or intervene in (including the publishing or distributing of statements), any political 
campaign on behalf of. or in opposition to, any candidate for public office. 
Notwithstanding any other provision of this Certificate of Incorporation. the 
Foundation shall not engage in or include among its purposes any activities not permitted 
to be carried on by a corporation exempt from Federal income tax under Section501(c)(3) 
of the Code. 
TENTH: 
As long as the Foundation is a private foundation as defined in 
Section 509(a) of the Code, Section 127 of tbe General Corporation Law of the State of 
Delaware (or any successor provision thereto) shall be applicable thereto. 
ELEVENTH:The Foundation shall indemnify, to the fullest extent permitted by 
applicable law, the directors, officers and employers of the Foundation. The Foundation 
may obtain appropriate liability insurance for the benefit of its directors covering acts or 
omissions by such directors. 
EFTA00182211

on. • 
as. 
• 
• 
r.+1•. 
Subject to the provisions of the Code, no director of the Foundation shall be 
personally liable to the Foundation for monetary damages for breach of fiduciary duty as 
a director, except for any matter in respect of which such director shall be liable under 
Section 174 of Title 8 of the General Corporation Law of the State of Delaware or any 
amendment thereto or successor provision thereto, or shall be liable by reason that, in 
addition to any and all requirements for such liability, such director (f) shall have 
breached the duty of loyalty of the Foundation, (ii) shall not have acted in good faith or, 
in failing to act, shall not have acted in good faith, (iii) shall have acted in a manner 
involving intentional misconduct or a knowing violation of law or, in failing to act, shall 
have acted in a manner involving intentional misconduct or a /mowing violation of the 
law, or (iv) shall have derived an improper personal benefit. Neither the amendment nor 
repeal of this Article shall eliminate or reduce the effect of this Article in respect of any 
matter occurring, or any course of action, suit or claim that, but for this Article, would 
accrue or arise, prior to such amendment, repeal or adoption of an inconsistent provision. 
TWELTH: 
In furtherance of the purposes for which it is being organized, the 
Foundation reserves the right to amend, alter, change or repeal any provision contained in 
this Certificate of Incorporation, in the manner now or hereafter prescribed by statute; 
ed,hatargi, that no amendment, alteration, change, or repeal shall be allowed to 
authorize the Board to manage the property of the Foundation or to conduct the affairs of 
the Foundation in any manner or for any purpose contrary to the provisions of Section 
501(c)(3) of the Code. 
THIRTEENTH: 
Elections of the directors of the Foundation need not be by 
written ballot unless the By-laws of the Foundation shall so provide. 
The books of the Foundation may be kept (subject to any applicable provision of 
law) outside the Slate of Delaware at such place or places as may be designated £vm 
time to time by the Board or in the By-laws of the Foundation. 
FOUTEENTH: 
Any reference herein to a Section of the Code shall be 
deemed to include a referenced to the corresponding provisions, if any, of any future 
internal revenue law. 
IN WITNESS WHEREOF this Certificate has been signed and the statements 
made herein affirmed as true under the penalties of perjury, as of this 13th day of March, 
1998. 
dyke, Esq., Incorporator 
Avenue 
Fourth Floor 
New York, New York 10022 
EFTA00182212

FLORIDA DEPARTMENT OF STATE 
Division of Corporations 
July 10, 2O08 
THE FLORIDA SCIENCE FOUNDATION 
250 S. AUSTRALIAN AVE. 
STE 1404 
WEST PALM BEACH, FL 33401 
Subject: THE FLORIDA SCIENCE FOUNDATION 
REGISTRATION NUMBER: 
This will acknowledge the filing of the above fictitious name registration which 
was registered on July 10, 2008. This registration gives no rights to ownership 
of the name. 
Each fictitious name registration must be renewed every five years between 
January 1 and December 31 of the expiration year id maintain registration. 
Three months prior to the expiration date a statement of renewal will be mailed. 
IT IS THE RESPONSIBILITY OF THE BUSINESS TO NOTIFY THIS OFFICE IN 
WRITING IF THEIR MA1UNG ADDRESS CHANGES. Whenever corresponding 
please provide assigned Registration Number. 
S 
ny questions regarding this matter you may contact our office 
at 
Reinstatement Section 
Division of Corporations 
Letter No. 
P.O. BOX 6327 -Tallahassee, Florida 32314 
EFTA00182213

APPLICATION FOR REGIS 
MON OF FIcTITIOLIS NAME 
Note: Acknistodgementskertficatas will bo sent to the address In Suction I only. 
The Florida Science Foundation 
N
c
O 
co 
C 
O 
to0
is 
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0 
U7 
nclitbus Pine tots Mowed On INIttelOrts I in 
tomes top Cr•Ircl 
250 S. Australian Avenue, Suite 1404 
Mating Marron of Sara 
West Palm Beach, FL 33401 
Cep, 
tar 
a Florida County of principal place of business:  
West Palm Bab 
zb Coco 
nay imanationa t mare irtan cat counsil 
08 JUL ICI PH It 17 
a I AIE 
TALL Alif,SSLE, FLORIDA 
Tt s space for else use only 
A. Owner(s) of Fictitious Name If InclivIdual(s): (Use en attachment If necessary): 
1. 
Last 
1.1 I. 
Oly 
Sts'A 
IV Code 
2. 
Aadrt 
C ry 
Ent 
M:. 
B. Owner(s) of Fictitious Name It other than an Individual: (Use attachment If necessary): 
I. 
Tlx 
Foundation,
Lolly Nome 
250 S. Australian Anse, Suite 1404 
Pens 
Weµ Palm Beach, FL 33401 
car 
son 
Florida Regbtralion Mumbo 
FEI Number 
CoCo 
0 Applied 1w 
0 Not Applicable 
2. 
tip Code 
Imo Name 
MOTU 
City 
51214 
lc COS, 
Florida Roststration Number  
FEI Number.  
0 Applied for 
0 Not Applicable 
FOR CANCELLATION COMPLETE SECTION 4 ONLY: 
FOR FICTITIOUS NAME OR OWNERSHIP CHANGE COMPLETE SECTIONS 1 THROUGH 4: 
I (we) the undersigned, hereby cancel the fictitious name 
 
 which was registered on 
registration number 
Svorrloro or Ow. rot 
Dolt 
Slarralin V Ors 
and was assigned 
Dori 
Mark the applicable boxes 
K Certiliano of Status — S10 
0 Certified copy— $30 
NON-REFUNDABLE PROCESSING FEE: $50 
till . 01,1v2051 Cr Lyon. owe 
Simla 
en Cool ti tion 
EFTA00182214

July 10, 2008 
FLORIDA DEPARTMENT OF STATE 
TEE C.O.U.Q. FOUNDATION, INC. 
DrnsionofCezpomfimm
250 S. AUSTRALIAN AVENUE, SUITE 1404 
WEST PALM BEACH, FL 33401 
Qualification documents for THE C.O.U.Q. P
1C. were filed on 
July 9, 2008 and assigned document number 
Please refer to 
this number whenever corresponding with this office. 
Your corporation is now qualified and authorized to transact business in 
Florida as of the file date. 
was electronically received and filed under FAX audit number 
A corporation annual report/uniform business report will be due this 
office between January 1 and May 1 of the year following the calendar year 
of the file date. A Federal Employer Identification (FEI) number will be 
required before this report can be filed. If you do not already have an 
FEI number 
lease apply NOW with the Internal Revenue by calling 
1- 
and requesting form SS-4. 
Please be aware if the corporate address changes, it is the responsibility 
of the corporation to notify this office. 
Should you have an 
options regarding thin matter, please contact this 
office at
.
Valerie Herring 
Regulatory Specialist II 
New Filing Section 
Division of Corporations 
Letter Number: 
P.O 13OX 6327 - Tallahauct, Honda 32314 
EFTA00182215

APPLICATION BY FOREIGN NOT FOR PROFIT CORPORATION FOR AUTTIORIZATION TO 
CONDUCT ITS AFFAIRS IN FLORIDA 
IN COMPLIANCE WITH SEC77ON 617.1503, FLORIDA STATUTS, THE FOLLOWING IS SUBMITTED TO 
REGISTER A FOREIGN NOT FOR PROFIT CORPORATION FOR AUTHORIZATION TO CONDUCT 17S AFFAIRS 
IN THE STATE OF FLORIDA: 
I. The C.O.U.Q. Foundation, Inc. 
(Nome of corporation: must fncØe the wor 
or 
or woMs or tØcviations of 
e 
unpon in langunge as will clearly Inckate *Iset it is a corporetion instead ora monna person or partnership if not so coutained 
in the name ra present. 'Company* or 'Co.' may not be used as a corpente seffix by a nonprofit corporation.) 
2. Dehrnare 
3. 
(State or country under the kw of whieh it is mcorporned) 
4. 3-16-98 
5  perpaual 
(FEI manber, tf applutable) 
(Date of I:corporation) 
(Duration: Year Corp. will mase to enst or perpemalw) 
6. (brirerat cendocied dram m Son& d pnor to rcgistabea. Ste natont 617.1301 å 617.1301. FS, to dann». pesalty wbitay) 
7  250 5. Australlan Avenue, Suite 1404, West Palm Beach, FL 33401 
(Pnnetpal olfice address) 
230 5. Australian Avenue, Suite 1404, West Palm Beach, FL 33401 
s. (Sn seacerneN n) 
(Current nulle% reddress) 
(Purpose() of corporauon authorrted in borne sant or country to be can red out ut the state of Honda) 
9. Name and 5trat itddress of Florida registered agent: (P.0. Box NOT acceptable) 
Name: 
Office Address: 
C T Corporation System 
Road 
Phonen=
 
, Florida 
33324 
(City) 
(bp Code) 
I0. Registered egnt', sectplaace: 
Hoving been named as reginrend agent and to acerpt service ofprotes for the above stated corporation at the plate 
dttignmed Ln this application, 1 horby accept the appointment as registered agent ond agne tu act in this capatty. 1 
farther agne to comply with the prenitions of all stamterelative to the proper and camping. performance of my 
dutter, and I ant fandllar with and accept the obl1gations of my position os registeret! agent 
C T Co:panting Sysle= 
-rcEs 
GONN1E 
• 
$PECIALA:Wrikr
-
(Revnene Agcnrs signature) 
I I. Attached isa ccrtificate of exisicnce duly authentiented, not more than 90 <bys prior to delivety of this application 
to the Department of State, by the Secremry of State or other official having custody of corporate records in the 
jurisdiction under the luw of which li is incorporated. 
liy 
17.3)7 • 0 IlraI 
C I lyre 0. ia 
EFTA00182216

12. Names and addresses ofofficers and/or directors: 
A. DIRECTORS 
Chairman:  
Address.
tar nector 
V.idasionanc Jeffrey E. Epstein 
Address: 6100 Red Hook Quarter 13-3, St. Thomas, 1:V100502 
Director. Darren K. IndYke 
Address! 
Director: Richard Kahn 
Address 
B. OFFICERS 
president: Jeffrey E. Epstein 
444.frc„ 6100 Rcd Hook Quarter B-3, St. Thomas, U51/1001102 
Darren K. Indyke 
V ke President: 
Address
Darren K. ladyke 
Secretary: 
„knimas
 
Treasurer: 
Address 
Richard Kahn 
NOTE: If 
13. 
(Signature o 
barman, Vice Chairman., or airy officer listed in number 12 of the application) 
14. Richard Kahn, 7/eastuer 
(Typed or printed name and capacity of person signing application) 
:h 
addendum to the application listing additional officers and/or directors. 
MAIPICX, C 1 11"eas One 
EFTA00182217

Attachment A 
"Maintaining office in State of Florida to manage the activities of the 
Foundation, making distributions to qualified charitable, religious, literary, 
scientific and educational recipients, as described in Section 501(c)(3) of 
the Internal Revenue Code, employing persons to locate, investigate, and 
provide information regarding such recipients." 
EFTA00182218

1000 Fool Buffer 
CD from 358 El Bello Way 
Boundary of 
358 El Brillo Way 
358 El Bnno Way_ 
358 El Bello Way is not within 1000 feet from an area where children could gather. 
enPeed VI Pr Dodo Coe. M*00 
EFTA00182219

a • N, ' 
• , - 
1
a; 
1 
IL
I. Wr 
Registration For: July 2009- SEXUAL OFFENDER 
Registration No: 
Person Number: 
FDLE SEXUAL PREDATOR/OFFENDER REGISTRATION FORM 
Agency Name: Palm Beach County SO 
Note: Your next ReRegistration month is January of 2010 
Reason For Registration 
O Intal Registration 
0  Scheduled ReReastrahan 
p 
infonnaton Update 
El Earhest. ReFtepstrabm 
Registrant Information 
Name.
JEFFREY E EPSTEIN 
(First ladder Last. Sulks) 
'Di closure of yaw Sant Security Number (SSN) rs mandatory pursuant to Florida tax, sections 7751t. 943 0435, 944.607. 965.481, F.S.. and Seri law, 42 USC 16001. 
see. Use of your SSN U for le purposes of sderellicaton. FOLE may share the 'Montanan with Me other agencies for the same purpose. 
'SSN: 
DOB: 
Race. 
While 
 Sex:  Male
FL DI. or ID Gard II 
Height: 6' 00 • 
Weight 185 Ds 
 
Hair:  
Grey 
 
Eyes:  
Blue 
Place of Birth: United States Of America fuse) 
Currently on Probation/Parole' O 
No • 
Oyes 
Probation Type: 
0 
State 
FL 
Officer Name. 
Witams 
Phone-
O Federal 
O County 
State 
Officer Name: 
Phone: ( 
) 
Cry 
Officer Name: 
Phone: ( 
) 
County 
Out of State Travel Information (Complete If permanent or temporary address is out of state) 
O Permanency leaving Florida to establish a residence in another state 
O Temporarily leaving Florida to visit another stale 
O Moving from another stale to permanently establish a residence m Florida 
O Vlsitirg from another slate and establishing a temporary address in Florida 
O Other (please describe). 
Date or Departure. 
Date of Anna' 
Previous Permanent Address 
Current Permanent Address 
358 El Brillo Way 
Widnes In 1) 
(Address Une 1) 
(Adkeea Line 2) 
(Atidnas Llm 2) 
Palm Beech 
FL 
33480-4730 
(COY) 
County. 
(State) 
(Zip) 
End Date 
(City) 
County Palm Beach 
(state) 
Rip) 
Start Date: 07/02/2008 
O I am vacating this residence and have no other permanent or 
temporary residence as of this date: 
• 
1 have no other permanent or temporary residence at this time. 
Page 1 of b 
2009070ALLWASAM 
EFTA00182220

Registration No: 
Person Number: 
Temporary Addresses DI do NOT have a temporary address 
1. 673 Fairgrounds Rd 
West Palm Beach 
FL 
334H-34333 
(Street Addams) 
County: Palm Beech 
(City) 
Dates you wi be at INs address: From: 
(State) 
(ZIP) 
To: 7/22/2009 
2. 
(Street Address) 
County: 
(City) 
Dates you we be at this address: 
. 
From 
(Stele) 
(TM) 
To: 
3. 
(Street Address) 
County: 
(CM) 
Dates you will be at this address: From. 
(Stale) 
Roo 
To: 
4. 
(Street Address) 
County: 
Pan 
Dates you will be at this address: From-
(Sute) 
Mot 
To: 
5. 
(Street Address) 
County: 
PIP 
Dales you wi be at this address: From: 
(State) 
(Zip) 
To: 
Mailing Address 
a
Sarno es Permanent 
O 
Samna Temporary 
(Suess Address) 
County 
(Gay; 
(Suite) 
gel 
Employment 
Di on Caner unorepleyed. 
1. Employer Florida Science Foundation 
OrruPeltoll: Owner 
Start Date.
Address: 250 S Australian Ave 
West Palm Beach 
FL 
33401-5018 
(Sheol &Won) 
County' 
Palm Beach 
(CIA 
Contact Parson: 
(Slate) 
(7 py 
2. Employer 
Occupation: 
Start Date 
Address: 
(Street Address) 
County: 
(OW 
Contact Person: 
(Stale) 
RV 
3. Employer. 
Occupation: 
Stan Date: 
Address: 
(Stress Address) 
County. 
(Cay) 
Contact Person 
(Sin) 
(PP) 
Page 2 el 6 
M
u07-01,9 
ay AM 
EFTA00182221

Registration No: 
Person Number: 
Vehicles 
K I do NOT own or cee a vehtide RV, WSW es' mobile home. 
1. 2005 
Cadillac 
Other 
Black 
Auto 
(Tear) 
unknown 
(Make) 
FL 
This vehicle is: 
(Model) 
❑x  NOT used n a resdence 
(Cote/Cod Scheme) 
K 
Used as a rem:lends 
(Vetede Type) 
(Lase Taps) 
(Slate) 
2. 
(Year) 
(Make) 
This vehicle is: 
(Model) 
K 
NOT used as a Madera 
(Colce/Ccior Scheme) 
K 
Used as a MOW* 
(Vetch, Type) 
(Lkarae Tag I) 
(Stale) 
3. 
(Yea) 
(Make) 
This vehicle is: 
(Model) 
K 
NOT used as a residence 
(Color/Coke Scheme) 
K 
Used as a resdence 
(Volsci* Type) 
(License Tag N) 
(StMe) 
4. 
(Yea) 
Pan) 
This vehicle is. 
(Model) 
O 
sOT used as a roe/dome 
(ColodCobr Scheme) 
K Used as a residence 
(Valid. Type) 
(License Tag tt) 
(State) 
5. 
(Year) 
(Make) 
This vehicle is: 
(Model) 
K 
NOT used as a resdence 
(CobdColor Scteme) 
K 
Used ass residence 
Nettle Type) 
(License Taps) 
(State) 
Vessels 
Older NOT owns a vessel or notieMxiet. 
1. 
(Year) 
(vesse Type) 
(ColodCoiar Scheme) 
This venal it 0103T teed as a reskieras 
(Named Vessel) 
K 
Used as a residence 
(Registration s) 
2. 
(Tear) 
(Vaud Type) 
(CobeCclor Scheme) 
This vessel Is: K 
NOT used es a rasbancs 
(Name of Vasa° 
K Mod as
teemed 
(Registration 0) 
3. 
(Year) 
(Vessel Type) 
(Cesar/Color Scheme) 
This vessel is: K NOT used as a residence 
(Name el Vessel) 
K 
Used as a residence 
fRogiVralion in 
4. 
(Tear) 
(Vessel Type) 
(Coiortewar Scream) 
This vessel is: K 
NOT used as a residence 
(Name or Vessel) 
K Used as a meadows 
(Regiseabon I) 
5. 
(Year) 
(Vessa( Type) 
(ColoriColor Scheme) 
This vessel is: K 
NOT used as a residence 
(Name of Vessee 
K 
Used as a residence 
(ints:ration 0) 
Page 3 w6 
200P07:05 8.09.41 AM 
EFTA00182222

Re Istration No: 
Person Number: 
Campus Activity 
0 
I am NOT a student. employee, of volunteer st a university or Institution ot higher learning 
1. K 
Student K 
Employee 
Universtty/School Name: 
ill VOWS ism 
Start Date: 
End Date: 
Campus 
Address: 
(Street Address) 
County: 
Employer 
(C ty) 
Contact-
(Sinto) 
app) 
K 
Volunteer 
Skirt Date: 
End Date: 
2. ■ 
Student K 
Empbyee 
UniversIty/School Name: 
Campus. 
Address: 
(Street Address) 
County: 
Employer 
(City) 
Contact 
(State) 
(ry) 
3. K Sludonl K 
Employee 
University/S0N0/al Name: 
K 
Volunteer 
Start Clete: 
End Date. 
Campus 
Address: 
(Sires( Address) 
County: 
Employer 
(fly) 
Contact 
(State) 
(Ld) 
Cyber Communication Accounts 
ptdo NOT Ira any emelt addrams or Instant Mee sage screen names. 
Email Addresses 
1. jeeproject©yahoo.ccrn 
Instant Message Screen Names 
Name: 
Provider-
1. 
2. jeevacationegmaitcorn 
2. 
3. 
3. 
4. 
4. 
5. 
5. 
Adjudication Information 
Date Adjudicated 
Crime 
Location of Adjudication/Conviction 
Victim Information 
1. 
K 
Minor O 
Arad 
K 
Minor K 
Adut 
O taw O Adul
Minor K 
Attie 
Gender. 
(Carry) 
2. 
(Slate) 
Gender 
(Carry) 
3. 
(Stale) 
Gender 
(County) 
4. 
(State) 
Gender 
(County) 
(Slam) 
Were you or are you subject to registration or community nolffication in another state? 
K 
Yes 0 
No 
If Yes. in what state? 
Page 4 of 6 
200947-06 to9145 AM 
EFTA00182223

Registration No: 
Person Number: 
NOTICE OF SEXUAL PREDATOR AND SEXUAL OFFENDER OBLIGATIONS 
As a Sexual Predator (Florida Statute 775.21) or Sexual Offender (Florida Statute 943.0435, 944.607, or 985.481) 
where "Permanent residence" means a place where the person abides, lodges. or resides for 5 or more 
consecutive days, and "Temporary residence" means a place where the person abides, lodges, or resides for 
a period of 5 or more days in the aggregate during any calendar year and which is not the person's permanent 
address; or, for a person whose permanent residence is not in this state. a place where the person is employed, 
practices a vocation, or is enrolled as a student for any period of time in this state. I understand that I am required 
by law to abide by the following: FAILURE TO COMPLY WITH ANY OF THE FOLLOWING REQUIREMENTS IS 
A FELONY OF THE THIRD DEGREE (UNLESS OTHERWISE NOTED) 
1. I must report in person to the local Sheriffs Office within 48 hours of establishing or maintaining a residence in 
the state of Florida or within 48 hours of release from custody and/or supervision of Department of Corrections 
(DOC), Department of Children and Family Services (DCFS) or Department of Juvenile Justice (DJJ) to register 
my temporary or permanent address. 
2. Within 48 hours after the initial report required as stated in requirement #1 above. I must report in person 
the driver's license office of the Department of Highway Safety and Motor Vehicles (DHSMV) to obtain a valid 
Florida driver's license or identification card displaying one of the following designations "775.21, F.S." or 
"943.0435, F.S.", unless a driver's license or identification card with such designation was previously secured 
or updated while under supervision of DOC, DCFS or DJJ and there have been no changes to my address. 
name or designation (Florida Statute 322.212). 
3. I must report in person either twice a year (during the month of my birth and during the sixth month following my 
birth month) or four times per year (once during the month of my birth and every 3rd month thereafter), 
depending upon my offense/designation, to the Sheriffs Office in the county in which I reside or am otherwise 
located to reregister. 
NOTE: Unless otherwise notified by the Florida Department of Law Enforcement (FDLE), Sexual Offenders 
that were not adjudicated delinquent are required to reregister twice a year. All Sexual Predators are required 
to reregister four times a year and all Sexual Offenders adjudicated delinquent are required to reregister 
four times a year. 
I AM REQUIRED TO REREGISTER 
TWO TIMES A YEAR; I MUST 
REREGISTER AS NOTED BELOW. 
Sexual Offenders (943.0435), 
unless otherwise notified by FDLE} 
I AM REQUIRED TO REREGISTER FOUR TIMES A 
YEAR; I MUST REREGISTER AS NOTED BELOW. 
{Sexual Predators (775.21) and Sexual Offenders 
985.481), unless otherwise notified by FDLE} 
Month 
of Birth 
I must 
reregister in: 
Month 
of Birth 
I must 
reregister in: 
Month 
of Birth 
I must reregister 
in the months of: 
Month 
of Birth 
I must reregister 
in the months of: 
Jan 
Jan & July 
July 
Jan & July 
Jan 
Jan, April, July & Oct 
July 
Jan, April, July & Oct 
Feb 
Feb &Aug 
Aug 
Feb &Aug 
Feb 
Feb, May, Aug, & Nov 
Aug 
Feb, May, Aug, & Nov 
Mar 
Mar & Sept 
Sept 
Mar & Sept 
Mar 
Mar, Juno, Sept & Doc 
Sept 
Mar, June, Sept & Doc 
April 
April & Oct 
Oct 
April & Oct 
April 
April, July, Oct & Jan 
Oct 
April, July. Oct & Jan 
May 
May & Nov 
Nov 
May & Nov 
May 
May. Aug, Nov & Feb 
Nov 
May, Aug. Nov & Feb 
June 
June & Dec 
Dec 
June & Dec 
June 
June, Sept, Dec & Mar 
Dec 
June, Sept, Dec & Mar 
Page 5 of 6 
7000.07{X1 aria ALMA 
EFTA00182224

Registration No: 
Person Number: 
4 Within 48 hours, after any change of address in permanent or temporary residence. change of name due to 
marriage or other legal process, or when my driver's license is subject to renewal, I must report that information 
In pirson to the driver's license office of the Department of Highway Safety and Motor Vehicles to obtain and 
maintain a valid Florida driver's license or identification card. 
5. If I live in another state, but work or attend school in Florida, I MUST register my work or school address as a 
temporary address within 48 hours by reporting in person to the local Sheriffs Office. I must also obtain and 
maintain a valid Florida driver's license or identification card. 
6. If I intend to establish residence in another state or jurisdiction other than the State of Florida. I must report in 
person to the local Sheriff's Office to notify of my intention to do so within 48 hours prior to leaving. 
7. If I later decide to remain in this state (see #6 above), I must report in person back to the local Sheriffs Office 
to notify of my intention to remain in Florida. This report must occur within 48 hours after the date I indicated 
that I would leave. Failure to comply with this requirement is a felony of the second degree. 
8. If I move from a permanent residence and do not have another permanent or temporary residence, I must 
report this change in person to the Sheriffs Office within 48 hours. I must update all registration information 
and provide an address or location that I will occupy until I establish a residence. 
9. If I later decide to remain at the permanent residence (see #8 above), I must report in person back to the 
Sheriffs Office to notify of my intention. This report must occur within 48 hours after the date that I indicated 
that I would leave the permanent residence. Failure to comply with this requirement is a felony of the 
second degree. 
10. I MUST respond to any address verification correspondence from FDLE within three weeks of the date of the 
correspondence. 
11. If I am employed, carry on a vocation, am a student, or become a resident of another state I must also register 
in that state. 
12. If I am enrolled, employed, or carrying on a vocation at an institution of higher education in this state, I shall also 
provide the name, address, and county of each institution, including each campus attended, and my enrollment 
or employment status. I shall report each change in enrollment or employment status in person at the Sheriffs 
Office within 48 hours after any change in status. 
13. I MUST report any electronic mail address or instant message name, prior to using such, during registration/ 
reregistration and provide all updates through the online system provided by the Florida Department of Law 
Enforcement. This provision takes effect October 1, 2007. 
PLEASE READ CAREFULLY BEFORE SIGNING 
As a Sexual Predator (Florida Statute 775.21) or Sexual Offender (Florida Statute 943.0435, 944.607 or 985.481), 
you are required by law to abide by those requirements listed on this form. By signing below, you acknowledge 
that you have read or have been read all the requirements on this form, AND that you understand these 
requirements. 
YOU ARE REQUIRED TO REREGISTER EACH YEAR AT THE SHERIFF'S OFFICE IN THE MONTHS OF January 
AND July. 
Under penalty of perjury I declare the above is true and correct. 
Registrant: 
Scrotum Requeee 
Printed Name: JEFFREY E EPSTEIN 
Witnessed by Reporting Officer 
ingerynn! 
Signature Required 
Date: 07/06.7009 
Printed Name: veronica english 
 Date: 07/06/7009 
• OFFICIAL DOCUMENT DO NOT DESTROY • 
NOTE: Your next ReRegistration month is January of 2010. 
Page 6 ol6 
20090'-068.. tl 
EFTA00182225

• 
EFTA00182226