This is an FBI investigation document from the Epstein Files collection (FBI VOL00009). Text has been machine-extracted from the original PDF file. Search more documents →
FBI VOL00009
EFTA00187050
59 pages
Pages 41–59
/ 59
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NAME BORN: 1/20/50 EPSTEIN, JEFFREY E. 1/20/53 Note:Date of birth developed was- 1/20/53;application # An OF WOO. 1/4 4/28/76) listed 1/20/50. EDUCATION COOPER UNION Appl. Dates: 9/66 to 6/70 NEW YORK, NEW YORK Reported: 9/69 to 1/72 Herbert Liebeskind, Dean of Admissions & Records said applicant majored in Physics and did not graduate. His birthdate was 1/20/53 and his residence while a student was 3742 Maple Avenue, Brookr7n, New York. NEW YORK UNIVERSITY NEW YORK, NEW YORK Appl. Dates: 9/70 to 6/72 Reported: 9/71 to 2/74 Mavis Lewis, Recorder, said applicant majored in Mathematics and did not graduate. His date of birth was 1/20/53, and his residence while a student was 3814 Seagate Ave., Brooklyn, N.Y. effrey E. Epstein issued an invalid check to New York University during the 1973-74 academic year. (Note credit, suit by N.Y.U.) EMPLOYMENT UNIVERSITY OF CALIFORNIA BERKELEY, CALIFORNIA Appl. Dates: 1973 to 1974 Reported: See Below Mrs. Julia Sills, Personnel & Payroll records, checked all available computer tapes from 1973 to current and nothing identifiable with the applicant was developed. Payroll- Accounting records were also thoroughly checked and there is no record of U.C. Berkeley issuing a payroll check to a Jeffrey E. Epstein during 1973, 1974 or 1975. Mrs. Helen La Sota, Business Officer, Mathematics Department, checked current and £or4er employee records of this department and found nothing identifiable with applicant. Mr. Epstein indicated that his supervisor was a Dr. Wolf on his application. University records list two Wolfs, one a Joseph Wolf, is a Professor Emeritus (retired) and many attempts to reach him at home proved negative. Joseph Wolf, Ph.D. is on a sabbatical in Israel. Bath Wolf's mentioned were connected with the Mathematics Department and there are no other Wolf's employed by U.C. BERKELEY. lg ie information contained in this report is for the SOLE AND CONFIDENTIAL 'Ica EFTA00187090
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EPSTEIN, JEFFREY E. IZMO INC. 3814 SEAGATE AVENUE BROOKLYN, NEW YORK Appl. Dates: 1972 to 1973 Reported: 1972 to 1973 Mrs. Rita Goodman, Owner, 3814 Seagate Ave., was contacted; she would only speak through a closed window. When she learned we were making inquiries about Jeffrey Epstein she called Mark Epstein; applicant's brother, who lives on the second floor of this private house. As this was an inadvertent meeting, a brief conversation followed. It was learned from Mark Epstein that he and his brother, Jeffrey, were in business for themselves, making and selling silk screen paintings. (On his application, subject described his self employment as tutoring.) Mark was the designer and painter and Jeffrey handled sales. They were in business about two years, from 1972 to 1973. After the business folded, Jeffrey Epstein went to California where he lectured at the University of California. Recently, Jeffrey Epstein was at the Dalton School, New York City, where he taught. In mid-March 1976 subject went to work for Bear, Stearns & Co. Note: Conversation was terminated as Mark Epstein was becoming bored and restless. There was an air of uncooperation and he seemed to resent this inquiry. Mrs. Goodman was also hesitant about releasing information about applicant (See residence report.) JEFF NIER ROOFING 4050 ATLANTIC AVENUE BROOKLYN, NEW YORK Appl. Dates: 1971 to 1973 Reported: 1975 Jeffrey Nier, Owner, stated substantially the following: I have known Jeffrey E. Epstein for ten years as a associate, and employee. Jeffrey worked for me as for six months in the first part of 1975. Weather he worked on a steady basis, supervising two or th and was earning $62 per day. He did a good job fo know the reason he left the job. friend, a foreman permitting, ree workers, r me and I don't Jeffrey Epstein does not use alcohol or drugs, in fact he is the athletic type, likes to work out by swimming, bike riding, punch bag, etc. I am not familiar with his past employment record, but I do know that he worked with his brother, Mark Epstein, in the s41k screen painting business; his brother is an artist. -2- EFTA00187091
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EPSTEIN, JEFFREY E. I have never known Jeff to be in any type of trouble with Law enforcement agencies. He was out of the state for awhile, I do not know where he went or what he was doing. Jeff is about twenty three years old; he lives with his family at 3814 Seagate Ave.; his family has lived in this community for many years, I am not familiar with their exact address. I have nothing but admiration for Epstein and I know nothing adverse about him. Yes, I recommend him for a position of trust. Note: Source was very hesitant in answering questions, but he avowed that applicant did work for him, six months in 1975. Mr. Neir shied away from questions about education and previous employers of the applicant. RESIDENCE 3814 Seagate Ave. Brooklyn, New York This is a large two family house, it is in good condition with white aluminum siding. It is about 40 years old and valued at approximately $60,000. It is located in a residential community. Mrs. Rita Goodman, Owner, and resident at 3814 Seagate Ave., has known the Epstein family for more than twenty years; she reluctantly gave the following information about applicant. Mrs. Goodman described Jeffrey Epstein as a bright, well behaved young man of good character. She said that until March, 1976 he taught at. the Daltbn School and is now employed by a Wall Street firm. For aboutaa year and a half subject taught at a university in California. Source described applicant's family as honest and sincere, that they have a good reputation. RECORDS Usually reliable credit sources report the following which may be identifiable with subject in NEW YORK CITY: There is a record in file on Jeffrey E. Epstein of 3814 Seagate Ave., Brooklyn, N.Y. SS I verified. file reflects the following: - 3- EFTA00187092
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tO4 t EPSTEIN, JEFFREY E. SUIT On January 28, 1975, New York University filed suit for $500 in New York County Civil Court, Docket f 13994 We will supplement when we get the disposition. No record of judgments, tax liens, wage assignments, or bankruptcies identifiable with subject. Records of the KINGS COUNTY CRIMINAL COURT were checked for felonies, misdemeanors and youthful offender cases and no record was found identifiable with subject. MISCELLANEOUS .A confidential source provided the following information identifiable with the applicant: On or about April 1, 1976 Jeffrey E. Epstein, 3814 Seagate Avenue, Brooklyn, born 1/20/53, engaged to Kathleen Suter, born 5/29/52 applied for rental of apartment 15C at 417 E. 57 St., New York City. Monthly rental is $43S and employment is shown as: "two years to present, Dalton Schools, New York City, teacher and administrator. Occupants of Apt. 15C to be Mr. Epstein, and Ms. Suter. -4- EFTA00187093
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•OPI MP EFTA00187094
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August lq, 1976 New York University Graduate School of Arts and Sciences Recording Office 6 Washington Square North, Room 3 New Yor, New: York 10003 Attn; Mts. Mavis Lewis Dear Mrs. Lewis, Thank you for your response to our inquiry (copy attached). We :•could now like to request a copy of Mr. Epstein's transcript. Please bill us for whatever the transcript fee will be. Thank you very much for your help. Sincerely, Karen Messemer Personnel Rld EFTA00187095
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Jeffrey r. Epstein March 16, 1976 ?area Hessemer, Parsonncl Previous employment verifications Since your employment from 1972 - 1973 was self-employment,,we need some sort of income tax form or form for that period of tine. Thank you. EFTA00187096
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Bear. Stearns & Cu 55 Water Street New York. N.Y. 1W41 VairEWS DIRECT Obit NUMBER To Whom It May Concern: BEAR STBRNS I hereby authorize the release of the information requested on the attached form to my employer, Bear, Stearns & Co. Thank you in advance for your cooperation. (Int ct 16- Sincerely, A ' Signature New York/Atlanta/Boston/Chicago Dallas/Los Angeles/San Francisco Amsterdam/Geneva/Paris EFTA00187097
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TRANSFER/TERMINATION NAME - r PRESENT DEPARTMENT DEPARTMENT TRANSFERRED TO DATE EFFECTIVE SALARY APPROVAL 949 (9/79) EFTA00187098
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No. 06187035 P.M. NO. 00431 LOCATION 825013000 STATEMENT OF EARNINGS RETAIN THIS STATEMENT FOR YOUR RECORDS THE DALTON SCHOOLS INC 108 EAST 89TH STREET NEW YORK NY 10024 EMPLOYEE NAME I REGOLAR RATE EPSTEIN 500;00 FEDERAL TAX FICA 71!23 29 2° FEDERAL TAX FICA 356115 146 25 THIS PAY • PERIOD YEAR TO DATE DEDUCTIONS EMP. NO. 006257 GROSS I 500:DOI GROSS 2500;00 AMOUNT STATE TAX 15:97 STATE TAX 7085 Ca RATE 1 I On RATE 2 ISH. ; REG HPS G3!15;76 ore TAX I SUI I DEIL I OEOUCTIONS 6!53 CITY TAX 3112.1 DEDUCTIONS AMOUNT DEDUCTIONS AMOUNT EARNINGS RG PAY NET 7. A • 377 C AmetiN7 5C0 C EFTA00187099
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Bear, Stearns & Co. 55 Water Street New Sig. 10041 WRITER'S DIRECT DIAL NUMBER To: From: Re: [SEAR STEARNS Personnel Department Benjamin Rhoades Fingerprinting tslieWiegEY Employee's Name fingerprinted by me today. 3friz ie Date 111 (2/76) Date: 3///kr/7 6 was Signature New York/Atlanta/Boston/Chicago Dallas/Los Angeles/San Francisco Amsterdam/Geneva/ Paris EFTA00187100
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Att-46: 1 13 -1' Sa ez.s- 6x45. attizhi 'lac_ C/ "da*-4.4-±1, gas) teaL I' scM4.-.e5 .7 EFTA00187101
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Michael E. Tannenbaum BEAR STEARNS Date: 5, A1,0 To N y o EFTA00187102
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Am: h,-ME .OF k.LOMPANY ILLEPHONE • APPLICANT HELD POSITION OF /N.J .A q -k"L' CLAIMED 6S di. DATES FROM TO K NXJATtElipUTION HELD — _ • .7 11/ CLAIMED EARNINGS WERE per ATTENDANCE AND TARDINESS BELOW AV. CAN YOU VERIFY /20 'at; r ....• YES NO AVERAGE SUPERIOR WORK KNOWLEDGE BELOW AV. AVERAGE SUPERIOR WORK PERFORMANCE BELOW AV. AVERAGE SUPERIOR GENERAL COMMENTS REASON FOR LEAVING WAS CAN YOU VERIFY YES NO WOULD YOU RECOMMEND FOR A POSITION OF TRUST YES NO IF NO, WHY? WOULD YOU REHIRE THIS PERSON YES NO IF NO, WHY? PERSON GIVING INFORMATION TITLE OBTAINED BY // DATE COMMENTS: EFTA00187103
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V EFTA00187104
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UNEMPLO 'Y MEM * Account for your time dui rig any periods of unernpalyinent. Sell empleyment or fanny employment, other than rose when you were attending scnO0I These periods of time must be verified by someone other than a relative or an employee of Bear. Stearns & Co ,..,.. •.) TIPL•KATtoN .xeivitivni. in vc.e.ry Angwri.,,vvrn tilt ImPI.01VVIT CR /ASK* EMPLO NNNNN . mo .• mo •II NAM. OOOOO SS NAMIT ADONESS RESIDENCE RESIDENCE RECORD FOR PAST TEN YEARS— UNITED STATES ONLY /NOM TO OOOOOO AOOPTESS CITY STATE APT • ODA PEAT ITN PARENTS YO. re no. VP 7 46 - -, ( )op c__2(114 Sr . d,,7 1 -L. 7 r o r . WY e•-e4.6-i-tro— pt-..„4„. • c ex, RI 7- Le /1 o -re , / 1 — win TTTTT •II/OICII OF MOPE( ...------- fl ans or ACTivC MUTANT SERVICE (ROM Tr MILITANT OISCIIAINGE O . °NOCE NONORMILE O CONDITIONS. PAGE VI O OMEN •CIPLAIN ON PAGE PI I- NAVE TOM (WEN Sign ninon* kr ICA.. S• AAAAA • co.? Plio O v a a yes NOM TO 00 soy NAVE APO PHYSICAL LIMITATIONSI 'CEO ANTEP it "Tel". OISCIIIIIt NAVE VOW MAO A MA/00 I it. "1O ROD TN( PAST I IF "Its.' OGSGRIOCT maw IIIO TOY /MAPES. TO APPLI TO SCAR. STURM, a co.I O NEWSPAPIN AO O O SOVIET .O. OTIIER IN CASE Of EMENCINCT NOTIFY 2.... NAME Wet& CatrZN .' IIICLAVIONSINP F0461/1C AODSCIS3W IT C( 47“--‘. 474,1 ayt ec -. "i yy,, we -$) '1 - 2 -Z62 : Do you at spouse have any YES HI additional income? O la III 'Yes." explain an Pg 31 S. Have you ever ten refused a YES No bond or had one revolted? O O When S. NM you ewer bees a Daily YES NO TO as anntrabon proceeding O a by a Governmental Adana. (sRhino Agency or Satinets regulatory agents, ' 01"Yes:' explain on Pg. 3) II. Are you a Director or Officer YES $a" of any Corporation, O O flf "Yes:' explain on Pg 3) l2. Do you bade in the YES Securities Market! it 'Peer what 6rolerage foal O al YES fir 2 Do you Nave any Outstanding YES NO debts to any Corporebas. Loan O O" Company, Sank. etc. (Including Mortgage. Auto. In. slaliment and Charge Accounts) fit "TesT explain On Pg. 3) vow' YES 5 Art you bondable? O 9. Has I //ethernet lien Of a YES g" fax hen ever been hied O -O WAIT you' iii - Yes." explain on Pg. 3) Do you have an account, O 6 Has any itiognsenl or criminal YES ti ..onnalon ever been entered — agansi you? DU a 13. Have you had any mental YES NO JEEP/kith coveted byllearlo O O men 3 Compensation. ,ee Ill "Yes:• explain on Pg 3) 3. What is your anNoximate monthly OIMISAII00 OA OITINStfivutt 10. NAPS you ever laded in hide- YES NO SEW mete a comonanist with O N Mann. or taken advantage 04 a bank,uptcy ad? ill - Wigan , 40 Pt - 3) 7. Haut you ever been sued a NO pally to a lawsuit? O [3 r ill 'Yes: explain on Pg.3) li Do yOu Naive any pension YES NO lot .103II OISAINSTOT O Cl III - VW noon on P1. 31 4 Has your :Amy ever wan YES NO d garnrsheed? O ID "Yes - explain on Pg. 3) PRE -EMPLOYMENT STATEMENT I understand and agree hat Bear, Stearns Si Co.. and/or Its agents will make a thorough investigation of my past employ- ment and activities, and I agree to cooperate in such an investigation. I also understand that under the "Fair Credit Reporting Act:' Public Law 091.508. I. Sean employee, have the right upon written request to know the name of the investigative service employed and the scope of their report should one -be used. I further understand that any falsification or misstatement on this application or in connection with the above investiga - tion will be grounds for immediate discharge. 1 consent to take any pre - employment physical examination nd such fut re physical examinations as may be r wred by Bear. Stearns Si Co. i I also understand t the fir three months. ill be cons a probationary period and that. should Elear,S ea s S. Co. or I decide. durin this p riod, t t a lot of suita • ither party, my employment may bet mi aced by myself or the F r wit ' ut el IC anc1.4 ithout e •-• Applicant ' s Signature Date .. . i ion OFFICC USE GAO ...ma POSITION i I ,IPAPTINC ionenco ;RAC( STAAVNG : AAAAA _. Iraltr'14 0A- [ :vie Of emeavartr , ' ,..._i PERreAmERT i . SUMMER O Pl: Lt. :ME . r.. TEMPORARY L..; HOURLY von is tics A ACICACI i.-- • O TES MO r ADO TO start -, RCii • tscsaigNY .—r F REPLACCIIINT EMPLOYEE REPtACEJ IIIIMCIEE Vet, .-. U PROMOTED .-•, SEPARATED -yip. REPLACED C Or AOSENCE O TRANSFERRED TO LEAVE O RETIREMENT n OTHER CAA DE SALARY E, stnni •NTENVIENENS COMMINTS II EVIE0 ST EFTA00187106
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-./fICE USE ONLY If ' • I BEAR, STEARNS & CO • 55 WATER STREET • NEW YORK, N.Y. 10041 USE A BALL POINT PEN PLEASE PRINT EMPLOYMENT 'SOUL° TOY TECO Nen AND SPACE TON PERSONAL •OTIR RESPONSES ASA roa HISTORY A SUPP C(CCCCCC FORM PORN , OAT'S CFCS '° 2 . ala. 1,- ?le ....,,,..... e ••••• NIOIN.I. ..-444"..-' sieriai J gr-eze-1 fr.- MOMS -)iiy Sern-tet SNIT ATI 4/0 III NO 3 73 -)2e2- - Z CITT AND (/)/tabla•flet STATE .4/I.CNI --lak e //+t7. NT not // 24. 1 An CCCCC NS 20. POSITION T 4K A CCCCC 0700 or OTT TO•TTIVATI 04 (A/ re; - Inn CAN in marl Illat 2.:$ i2Y4531^0111.4.1r8110178j° IAN[ - TES- TCSECCOO al AWN Ge€4,S.,7 , taknithi nnIPII/AOaWa llt/WFV/I WNOP I Tr." In O nfri i V , CCCCC IONSIII• AC 4 . POSITION • 0PCITIn/ a.AS.T.PLA trISTAWANIc IL A A A O^ A LOCATION , CONNOR! • ve- s. POSITION .--4-.... A I IOU "VTR OTEN ONVISEED Of A GRINE En CIVIL ON AMITE*" AntIONITITS/ 0 In TIPLAIII ATE II/ In i \ //Z0 Or 5 1.3 EDUCATION (Begin with High School(s). Include Correspondence Schap s, etc. TYPE Of SCHOOL NAME AND LOCATION INDICATE WI t . NAME DEGREE OA DIPLOMA RECEIVED Nof." ..M. ATT NOECP...... ....im At T TR. you GRAM/ATV , 1A I S Lb( iih. iliqc Se40. TEO er- 5 c i e 1 ___%/__,45 'g 'z 1 vt,satJAAri Dinikfr I 43 t (4 mo corkr . (.414.- ono 7‘.. VS Sri) / 2. . I re II- 1 . 1bl, it 7. 0 ekotti.t 5. 9 lZ r 70 O (rne-1 M. I • J. ' • ca) Scini ,.., V .,..., "--/ , PAIS M. .5 . 4 )0 72- EMPLOYMENT Fill in below a complete. consecutive All time, including if soft employed, show name statement of your buiness his ory for the past ten years. periods o unemployment. must be accounted for. and address under which business was conducted. westC LAST POSITION oft rCONTANT DALT , — 5c,t•Jt.f I POSITION 11(10 a .64te !Ay jai De -A - 144.4 • STARTING SALMI/ so 7. A/( IRON wo Evict CCCCC SS DUESANTI SUPERVISOR • flint SALARY NO. TR. NO. TO. /9l 5.. O A 57 .I.. i-rw........ no "ttt to Or DU NOS rd.. Ina: POSITION •NareNr. .1- e GA, ov.-11...t FULL Tin Ir if ly --- RESITIIITO LAID Orr O CCCCC SSO CCCCCC RGTO CI . ae'reiceinl CCCCCCCC ION Of ITTASOTI FOR LS VONT PART TINS O 'SNP O en • DIGO SONIA • . ,.. aa i a Er ( .at 7:,... ._. 4 . N% A POSIOn sp.. "awe •.- . STARTING SALARY a 4/0 ° vv. IROMPOSITION TO ENACT ACORES/ • OEPt ARO CCCCCC ISOR /INAS SMART NO , TR. NO. TR. .1"44(ftell•C) •444........,..." Pe Lid 1 .."'"P.-f .r ... .1 -9 TIPS Of XS1NtSt• I OUT/ES Of,,OSITIOTi m# its . to EC4 - PANT O TICSIGREO€ LAID OFF O a AAAAAA 0 O oiscmcce El IIIIILMIATION 7/EASON NI LEAVING S fi ef —,L...........L...Li /i74 .4- 7 PANT T NC 8 '''' NM P POSITION MOO _ COWAN, nem ,,J, • •1 :> ja i POSITIOPI MO. ,,,4p Ft 44 • STARTING SALARYA 12.3 k...A IRON •O CEAC• OM AND AAAAA VISO• FiNAI. SALARY No nI ITO vs. )&e1 Cos-o Att. - . 1 TIPS.OF MOSINCSS -IIIIT. A . GIONIS Or LT A% . e tri arft PILL ONE O 71.' 7 1, InStENCO LAID Orr 0 ACS OISCNARGCO O CPPlAN•fr011 Or *CASON TORSTAVING PART . III O ,C., O "i n' : TIOUNQU Jr 4C; ii " aNif A 'Coe Fri ti- . POSITISO. HELD P AO/1Sn En. a_ STARTING SALARY TOON 0 INACT ADDINTS OM ANO SurnVeSOO FINAL AAAAAA NO TA TIO Is 4O CO Ag...tz Ai 4-• Jac " I'Lle L Cp. A? 7 / 7 npr alTASnESS ' rig ickris'irixrwr ve re au„ • in "- . OCIEnt3 6 .15 LAID oil/ O rmaarca :3 fasc AAA . AA C.3 _ OPLANAT,IT Or REASON frewz.4,..., , . (se cesre • m - CND r Cr P fOSiT.ON , SIlOS GOWNS/ POSITION MELO ..... 5 ARTEIG S AAAAA _ (*CO 70 [TACT ACIERIESS .1 MIT • Sun CI)/ 0 VAL SALAMI, PO "'us WO nl Inn or NOSINESS tledES IT PGSIT/ON 1, ,,„i L I'll O NESIGITTO L/OO ZIP 0 .I( -EASED A OISCHARGtO O ON Or REASON TOR LUTING l A il.SAJN A) no, O AS AN EQUAL OPPORTUNITY EMPLOYER. BEAR. STEARNS & co. 16-57-355 COOS NOT DISCRIMINATE BECAUSE OF AGE. COLOR. CREED. SEX. RELIGION. OR NATIONAL ORIGIN. EFTA00187107
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UNEMPLOYMENT Account for your time during any periods of unemployment. seal employment or family employment. other than those when you were attending school. ' • ' a These periods of time must be verified by someone otter nun .1 relative Or an employee of Bear. Stearns E. Co a race to tar AAAAA .0i• DIOIVIOIMI. ICI Wein UFLIIFLO 1St' toPLO•MCIII Oa ram Daft*Teeny MO YR MO. in \A IT /ROOM um. *conc.. RESIDENCE RESIDENCE RECORD FOR PAST rEN YEARS— UNITED STA YES ONLY EMIR TO DORESS CAN HATE MN • Oen AVIV WEN RA AAAAA MO. IN . NO. III 7 72 13gr AeArrear t}ltit i"tl,; .5 4. 'I .se . 76 • '3 00 C• -I r ~ ell vv. 41,. „4/. "I - ..," / I .,- AAAA STAN/ b yl [BARN or Stevie( TEARS of halve MILITARY SERVICE FROM T TYPE Of MILITARY DISC •R01 O 14" MIME MORO AAAAA Wain YOM even OM EMPLEITE0 AT SCAR. COlIVOTEs II ltS. O C01401194311S. igalitnito on net is O illintAin on eat 31 FROM Tel 00 NM/ MARC ANT MITSICAL LIMITATIONS/ YESO Re If -Tee". (Kiang( NAVE YOU MAO A MAJOYI I AAAAAA 111 "'O NO0 Tye PAST I AAAAA 1 if -tn." INSCni•D NOW 010 TOE NAPPIM TO APPLY TO SCAR, CO.' III NEWSPAPC• AO O *Glare EPC KITMER III ERIC OF EMERGING'. a Ms NAM AiSeir -el's/red . CRISMIT i‘eqtfe . s' 5 ei Se 'ware Aut.; • Set no, , Pei — 7 - 24 S— I 00 yor or spouse have any YES V additional weenie O (II ''Yes:' eitnein on Pg 3) K 5 Have you ever Wen refused a YES a bond Of had MO IEVOMICII O Whe t. Rave you ever been a party YES N l ban allnitation proceeding by 4 Governmental Admo• O istratiye Agency Of Securities regulatory agency, III ' Yes." explain on Pg. 3) II Am You a Director Or 00IFAI YES 611i , of any CorporaliOnT O NI 'Yea: eaplain on PI 3) I?. 00 you trade in Om YES gt Securities Made II - yes: what Brokerage Film? O YES 2 DO you have any OulSlanding YES i debts Corporation. Loan Where to any O Compury. Banta etc Oncluding MOrtgale, Auto. In. stalleseet and Charge &towns) Are you bondable! YrEtNO O 9. Ras a ilethanic's ben or a be lien ever been Med y(s ,67 against Niii! O Di —les: tuition on Pt 31 Do you have an account? pi O (if 'Yes:' explain on Pg 3) 6 Has any ludigifitoll Or airmail TES L3 Nave you add any industrial YES 8 /1 ' Accidents K covered by Wert- O men's Compensation? IN - Yes: /sown on Pit. 3) 3 What is Wow approximate C.) monthly obligation on debts, (Onvgben eve, be entered O against you? 10 Nave you everfailed in Inv- YES runs. made a compromise mile creditors, or Liken advantage Ilia' hanbruptcy act, 'Yer mown on P1.3) 4 Has your :Davy EMI been garnishee YES an O (a "Yes.' explain on Pg 3) III Have you ever been sued Or YES party 10 a lawsuit? O lit -Yes: avian on Pg. 3) K 14. On you ', tear any pension YES 0 for a past disability, O "Yes: explain on Pg 31 I understand and agree ment and activities, and I also understand that under written request to know I further understand that tion will be grounds for I consent to take any pre by Bear. Stearns 8 CO. I also understand that the CO. or I decide, ring by myself or th, ir Applicant's Signature PRE-EMPLOYMENT STATEMENT hat Bear, Stearns & Co., and/or its agents will make a thorough investigation of my past employ- I agree to cooperate in such an investigation. the "Fair Credit Reporting Act Public Law 091.508. I. as an employee, have the right upon the name of the investigative service employed and the scope of their report should one be used. any falsification or misstatement on this application or in Ctibinection with the above investiga- immediate discharge. -employment physical examination and such future physical examinations as may be required first three months will be considered a probationary period and that. should Bear. Stearns Si his period, that a lack of suit with either party, my employment may be terminated ' hout ti,e fand withwlthq ice. i Date nt /It PC71 / • / /Oa °MCI mit an,. POSITION • .._ ---- 1 Stijl tit..E.--• PARTMOIT/IIIIAITOI Z A lil 6 g FL GRAM I STAIRIVNG 1 Cs'ti.ill.— START' G DATE i % /C./ 76 Nag Of Cefs0 AAAAA PERMANENT ri gormell • • naive/Jay C ruts nmE O HOURLY TIME iS INS A Salt° L., yrs '_. .O r .: AOO TO STAFF REPLACEMENT if 11111G•Gret•I EMPLOYEE sieryaCIO Diultdvgg *As . C ',Maori° •...i SEPARATED ON REPLACED . CLEAVE cr ABSENCE TRANSFERRED TO L.:: O RETIREMENT L; orme. . GRADE r. DEATH rourvsevites C4vmenTS .36-elivieva0 ex EFTA00187108
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