LAW ENFORCEMENT SENSITIVE
LAW ENFORCEMENT SENSITIVE
U.S. Department of Justice
United States Marshals Service Personal History of Defendant
Taken into Federal custody by the following:
is Street Arrest (not from a correctional/detention facility)
❑ Custodial Arrest (from a correctional/detention facility) o Writ Used (Must provide copy of writ)
EI Prior Federal Arrest or Safekeeper - Register II:
o Safekeeper Location:
Last Name: I liOMAS I First Name: MICHAEL I Middle Name:
Sex: M OF ❑ Transgender Pregnant: O Y ON Race: B-Blacic/Black Hi is
Hair: BLACK j Eyes: BROWN Height: Weight DOB
City of Birth: min
State/Coun ry of Birth: Citizenship USA
FBI #: Slate ID#:
Resident Address/City/State/ZIP:
Home Phone:
Agency: FBI
Agent Last Name
Agent Phone Cell Phone
Location/Facility of Arrest: 290 BROADWAY FBI NY
Court Docket IS: CR AUSA(s) Assigned: Alien It:
First Name SSN:
Marital Status: Single
Agency ORI: NYFBINY00
Arrest Date: 11/19/2019
NOW Code Charge Description Title/Code
MAKING FALSE STATEMENTS IS USC 1001
CONSPIRACY TO MAKE FALSE STATEMENTS 18 USC 371
Known Detainers/Warrants: N OY - Agency:
CAUTIONS AND MEDICAI. (Must provide a copy of soy detainers)
Long Term Medical Conditions (e.g., heart problems, diabetes, asthma. tuberculosis, HIV. AIDS, hepatitis, etc): igN El Y
Psychiatric/Emotionally Disturbed (e.g., mental health concerns, suicidal, etc.): N ❑ Y
Injuries/Medical Ailments/Post-Op Recovery: N ❑ Y
Do the above conditions require:
Medical attention? N
Medication? N O Y
Medical clearance by a licensed physician: ON OY
Is Defendant under the influence of drugs or akohol:
Languages - English: O N O Limited
Other Language: N - List:
U/LES
Page 1 of 3 Form USM-312
Rev. 11/17
S0NY_MT_00000212
EFTA00140897
REMARKS LAW ENFORCEMENT SENSITIVE
Security Cautions:
❑ Current or former military
❑ Current or former public official
❑ Eligible for diplomatic immunity
❑ Threat to witness (Describe below)
Remarks:
ALIAS Last Name ALIAS First, MI Current or former LE/corrections
Assault on LE/corrections
Leadership role
CI (Describe below)
Remark ❑ Current or former intelligence
❑ SAM subject or candidate
❑ Separation needs (Describe below)
❑ Other (Describe below)
Date of Birth
ASSOCIATES / CO-DEFENDANTS / RELATIVES / CHILDREN SIGNIFICANT OTHER
Relationship
Co-Defendant
MARKS Last Name First, MI Iteuiso
TOVA NOEL
Scar/Mark/Tattoo (Specify)
Vehicle
Year
License Number
MISCELLANEOUS NUMBERS Color(s)
License State Description
Vehicle Style State and
Plate k Phone t Address, City, State,
/IP ode
Registration
Date State Driver's License
VIN
Remarks (e4_ !Sluing Salt or Country, etc.) Miscellaneous Number Type (Sara from dropdown menu or type below)
Occupation: BOP CORRECTIONS OFFICER Company/Employer Name: FEDERAL BOP
Employment Address: 150 PARK ROW NEW YORK NY
Start Date: End Date:
Bank Name
Branch Account Type
Entry
Date Point of Contact:
AccountU
Discharge
Date Discharge Type Phone:
Branch Address
Military Occupation Phone /I
Remarks
ScItlil riot I IF, r m I Item:irk. (
U/LES
Page 2 of 3 Form USM-312
Rev 11117
SDNY_MT_00000213
EFTA00140898
LAW ENFORCEMENT SENSITIVE
PRI >I 1 1 I
Defendant Risks: *Requires remarks below
El Escapee D Planned Murder
O Organized Crime* 0 Protected Witness
O International Terrorist 0 Domestic Terrorist
0 Gang Member' 0 Significant Criminal History
g Multiple Defendants 0 Death Penalty Case Sex Offender:
ET Arrest
❑ Registered
Criminal History (Select from dropdown menu or type offense below)
Remarks (e.g., name of gang or criminal organization, etc.): ❑ Conviction
❑ Registration Violation
Arrest HO
NONE + Add History
Conviction (#)
Money Launderer ❑ Kingpin
IV( ERN sOl l((C E
Internet Source ❑ Violent Offender
Remarks (e.g., email address, website address, username, etc.)
NOTICE TO ARRESTING AGENTS: As a courtesy, the USMS may temporarily hold an arrestee received by non-USMS
personnel in the cellblock until the arresting agent(s) make arrangements for the prisoner's initial appearance before a United States
Magistrate. A prisoner remains the responsibility of the arresting agency until remanded to the custody of the USMS by the courts.
When a courtesy hold is allowed by the USMS to be housed in a USMS cellblock, a minimum of one agent from the arresting
agency must be available to respond to the cellblock in order to address any issues with their prisoner (e.g., medical, disciplinary). If
the arresting agency refuses to comply with USMS procedures, the courtesy hold may be refused. Meals are not provided by the
USMS, and remain the responsibility of the arresting agent(s).
ARRESTEE PROCESSING CHECKLIST
For Arresting Officer Only
❑ USM-312 (Personal History of Defendant)
❑ Medical clearance (from licensed physician), if necessary
O Copy of Arrest Warrant, if issued
O Copy of Complaint, Information, or Indictment, if completed
O Copy of Detainer(s), if issued
O Copy of Writ, if applicable
❑ Correctional facility discharge papers, if applicable
O Correctional facility prisoner receipt, if applicable
❑ Correctional facility medical summary, if applicable
Prepared By - Name:
Agency: FBIINYPD
Cell Phone: Date: 11/19/2019 ARRESTEE PROCESSING CHECKLIST
For US NS Personnel Only
O Confirm all arresting agent documentation is completed and
inserted into prisoner's file
❑ USM-312 (Personal History of Defendant) - reviewed.
signed and dated by intake DUSMIDEO
❑ USM-552 (Prisoner Medical Records Release Form)-
completed signed and dated by intake DUSMIDEO
❑ USM-I 8 (Federal Prisoner Property Receipt) - completed
signed and dated by intake DUSM/DEO
❑ USM-40/4 I (Prisoner Remand) - inserted into prisoner's file
❑ USM-I 30 (Prisoner Custody Alert Notice), if applicable -
inserted into prisoner's file
❑ FD-249 (Fingerprint Card) - printed and inverted into
prisoner's file
❑ Prisoner Photograph (from Booking Package) - printed and
inserted Into prisoner's file
Reviewed By:
Badge X:
U/LES
Page 3 of 3 Date:
Form tISM-312
Rev. 11/17
SDNY_MT_00000214
EFTA00140899
U.S. Department of Justice
United States Marshals Service FEDERAL PRISONER'S PROPERTY RECEIPT (Instructions on Reverse)
ITEMS RECEIVED:
NO PROPERTY// NO PROPERTY// NO PROPERTY
NO PROPERTY// NO PROPERTY// NO PROPERTY
NO PROPERTY,/ NO PROPERTY// NO PROPERTY
NO PROPERTY// NO PROPERTY// NO PROPERTY
NO PROPERTY// NO PROPERTY// NO PROPERTY NO PROPERTY// NO PROPERTY// NO PROPERTY
NO PROPERTY// NO PROPERTY// NO PROPERTY
NO PROPERTY// NO PROPERTY// NO PROPERTY
NO PROPERTY// NO PROPERTY// NO PROPERTY
NO PROPERTY// NO PROPERTY// NO PROPERTY
CELLBLOCK
INMATE NAME: MICHAEL THOMAS MDC BROOKLYN II/19.'2019
INMATE SIGNATURE:
Original (White) - To Committing Officer
Duplicate (Yellow) - To Jailer
Triplicate (Blue) - To Prisoner
Quadruplicate (White) - Extra FORM USM-IS
(Rev 4185)
Automated 01:01
SDNY_MT_00000215
EFTA00140900
INSTRUCTIONS
I. This Federal Prisoner's Property Receipt (Form USM-I 8) should be prepared in quadruplicate. Copies should be distributed
as directed on the last line of each copy
Original (White) - To Committing Officer
Duplicate (Yellow) - To Jailer
Triplicate (Blue) - To Prisoner
Quadruplicate (White) - Extra
2. When a Federal prisoner is placed in a non-federal institution by a U.S, marshal, a deputy marshal, or other employee of the
marshal, all spaces above the double lines should be filled in and the receiving officer should sign in the space provided, a-,
evidence of the receipt of the prisoner's ro en Co i should then be distributed as set forth above.
3. When a prisoner is released. the last two boxes on the jailer's copy will be filled in as evidence of the jailer's return of the
Properly.
4. If, while in jail, the prisoner is allowed to spend or otherwise dispose of any money or other property listed, that fact should
be noted on the jailer's copy over the prisoner's signature.
5. If a prisoner is to be released to someone other than the committing officer, the original of the receipt should be attached to
the commitment. removal, or other papers, for delivery to the marshal to whom the prisoner will be released.
SDNY_MT_00000216
EFTA00140901
United States Marshals Service (USMS)
PRISONER MEDICAL RECORDS RELEASE FORM
INSTRUCTIONS: Section I is to be completed by the USMS Intake Officer. Sections II & III are to be
completed by the prisoner. Section Il may be completed by the USMS Intake Officer if the prisoner is unable
or unwilling, but Section III must be signed by the prisoner. If prisoner refuses to sign, note that in the
signature block. All refusals should be immediately reported to the Office of Interagency Medical Services,
Prisoner Services Division. The completed Form USM-552 is to be retained in the prisoner's files.
Section I - USMS Prisoner Information
I. Prisoner Name (Last, First, MI)
1111M4 S, t1iC
3. District Name 4. District / 2. USMS Prisoner
5. CustodyDate (Mo/Day/Yr)
1111.0q Seel inn II - Prisoner Personal Data And Medical In formation
6. Date of Birt (M Day/Yr) 7. Social Security No.
8. Medical Insurance Information
A) Insurance Company Name B) Policy Number C) Medicare /Medicaid Coverage?
El Yes
9. Name of Your Physician 10. Phone Nu nber
( )
Section III - Medical Consent And Records Release
I certify that the information I have provided above is true to the best of my knowledge.
I hereby authorize the United Slates Marshals Service to request, review, and have access to all medical records of care provided to
me during the time that I am in the custody of that agency, and to all other medical records deemed necessary for the purposes of
providing me with appropriate medical care, adjudicating medical bills for health care services provided to me while in the custody
of the United States Marshals Service, and for infectious disease clearances.
Signature of Prisoner Date
Signature of USMS Intake Officer Date
Original--Prisoner File
Copy to District File
Copy Upon Transfer Rem USM-552
Est. 6/98
SONY N1T_00000217
EFTA00140902
Message Detail
Additional Inquiry Response
ORI: NYFBINYOO
Federal Bureau of Investigation - New York
New York State Division of Criminal Justice Services
Alfred E. Smith Building, 80 South Swan St.
Albany. New York 12210. Tel:1-800-262-DCJS
Michael C.Green. Executive Deputy Commissioner of the NYS Division of Criminal Justice Services
a III Information *
The following Information is provided In response to your request for a III search from the State of New Jersey based on:
FBI number: 2584711)9
Purpose Code:
ATN/GREENES3
THIS RECORD IS BASED ON THE SID NUMBER IN YOUR REQUEST-
SIDi
NEW JERSEY CRIMINAL HISTORY DETAILED RECORD
USE OF THIS RECORD IS GOVERNED BY FEDERAL AND STATE REGULATIONS.
UNLESS FINGERPRINTS ACCOMPANIED YOUR INQUIRY, THE STATE BUREAU
OF
IDENTIFICATION CANNOT GUARANTEE THIS RECORD RELATES TO THE
PERSON WHO IS
THE SUBJECT OF YOUR REQUEST. USE OF THIS RECORD SHALL BE LIMITED
SOLELY TO
THE AUTHORIZED PURPOSE FOR WHICH IT WAS GIVEN AND IT SHALL NOT
BE
DISSEMINATED TO ANY UNAUTHORIZED PERSONS. TO ELIMINATE A
POSSIBLE
DISSEMINATION VIOLATION, AND TO COMPLY WITH FUTURE EXPUNGEMENT
ORDERS,
THIS RECORD SHALL BE DESTROYED ;IMMEDIATELY• AFTER IT HAS SERVED
ITS
INTENDED AND AUTHORIZED PURPOSES. ANY PERSON VIOLATING FEDERAL
OR STATE
REGULATIONS GOVERNING ACCESS TO CRIMINAL HISTORY RECORD
INFORMATION
MAY BE SUBJECT TO CRIMINAL AND/OR CIVIL PENALTIES. THIS RECORD
IS
CERTIFIED AS A TRUE COPY OF THE CRIMINAL HISTORY RECORD
INFORMATION
ON FILE FOR THE ASSIGNED STATE IDENTIFICATION NUMBER.
SONY_MT_00000218
EFTA00140903
STATE ID NO
11/18/2019
NAME: THOMAS, MICHAEL A. FBI NO. a DATE REQUESTED.
SEX RACE BIRTH EIGHT WEIGHT EYES HAIR BIRTH PLACE
M B BRO BLK ■
RECEIVING AGENCY: NYFBINY00 U.S. CITIZEN: YES
FPC: ARRRRALALL AFIS NO:
SINGLE STATE
STATUS:
NOT REQUIRED
ALIAS NAMES/OTHER BIRTH DATES
THOMASSR, MICHAEL A.
SOCIAL SECURITY NUMBERS
SCARS/MARKS/TATTOOS/MISC NUMBERS
TATTOO RIGHT ARM LION WTRIBAL DESIGN
***************************
•******
*******
ARRESTED 06/11/2010 AGENCY CASE NO:
AGENCY: NJ0201200 PLAINFIELD PD UNION NAME USED: THOMAS, MICHAEL A. DOB USED:
OFFENSE DATE: 06/11/2010
001 CNT 2C:12-1B(7) AGG ASSAULT-ATTEMPT/CAUSE SIGNI
001 CNT 2C:13-2A CRIMINAL RESTRAINT - RISK OF SB
001 CNT 2C:17-3A(1) CRIMINAL MISCHIEF-DAMAGE PROPER
001 CNT 2C:33-4 HARASSMENT
001 CNT 2C:39-4A POSS FIREARM UNLAWFUL PURPOSE III:
DNA SAMPLE
COLLECTION
ARREST 001 PRE-TRIAL INTERVENTION
DOMESTIC VIOLENCE
42694
SUMMONS/WARRANT
001 AOC NUMBER: UNN10002235-
SDNY_MT_00000219
EFTA00140904
NO: W 20100010592012
09/19/2011
AGENCY: NJ020081J
DISPOSITION: PTI DISMISSED DISPOSITION DATE:
MUNICIPAL COURT PLAINFIELD
001 CNT: 2C:12 -1B(7) DEG: 0 AGG ASSAULT -
ATTEMPT/CAUSE SIGN
DISPOSITION: PTI DISMISSED
001 CNT: 2C:13 -2A DEG: 0 CRIMINAL RESTRAINT -
RISK OF S
DISPOSITION: PTI DISMISSED
001 CNT: 2C:39 -4A DEG: 0 POSS FIREARM UNLAWFUL
PURPOSE
SUMMONS/WARRANT
001
NO: W 20100010602012
09/19/2011
AGENCY: NJ020081J
DISPOSITION: PTI DISMISSED
001 CNT: 2C:17 -3A(1) DEG: 0
DAMAGE PROPE
DISPOSITION: PTI DISMISSED
001 CNT: 2C:33 -4A DEG: 0
MANNER TO C AOC NUMBER: UNN10002235-
DISPOSITION DATE:
MUNICIPAL COURT PLAINFIELD
AGGREGATE SENTENCE DATE: 09/29/2010
150 CRIMINAL MISCHIEF-
HARASSMENT-COMM IN
COURT: NJ020043J UNION CO SUPERIOR COURT
DIVER PROGRM TRM12M AMOUNT ASSESSED $
****** ************************ ****** ****************************
********
DEPARTMENT OF CORRECTIONS DATA NOT FOUND FOR THIS SID NUMBER
****************************************************************
********
CRIMINAL HISTORY DIVERSION PROGRAM AND INDICTABLE
CONVICTION SUMMARY
PRE-TRIAL INTERVENTION: 001
SDNY_MT_00000220
EFTA00140905
CONDITIONAL DISCHARGE: 000
INDICTABLE CONVICTIONS: 000
VIOLATION OF PROBATION: 000
COURT DISPOSITION INFORMATION CONTAINED IN THIS RECORD IS
REPORTED
ELECTRONICALLY FROM THE SENTENCING COURT. QUESTIONS CONCERNING
DISPOSITION
INFORMATION SHOULD BE DIRECTED TO THE MUNICIPAL OR SUPERIOR
COURT LISTED ON
THE RECORD. INFORMATION REGARDING CORRECTIONS TO THIS RECORD MAY
BE DIRECTED
TO THE COURT OF SENTENCING.
END OF CCH RECORD
END OF RECORD
80 South Swan St.
Albany. New York 12210. Tel:I-800-262-DCJS
Michael C.Green, Executive Deputy Commissioner of the NYS Division of Criminal Justice Services
OIIIIMrorimatimn*
The following information is provided in response to your request for a search ante HI based on:
Name: THOMAS, MICHAEL
Set: Unknown
Race: Unknown
Date of Birth:
Purpose Code:
NYFBINY00
THIS NCIC INTERSTATE IDENTIFICATION INDEX MULTIPLE RESPONSE IS
THE
RESULT OF YOUR INQUIRY ON NAM/THOMAS,MICHAEL DOB/ SEX/X
RAC/U PUR/C
ATN/GREENES3
NAME FBI NO. INQUIRY DATE
WILKIE-THOMAS,MICHAEL JR 2019/11/18
SDNY_MT_00000221
EFTA00140906
ALIAS NAMES
SCARS -MARKS -
TATTOOS SOCIAL SECURITY
TAT L ARM
SC L WRIST
IDENTIFICATION DATA UPDATED 2019/05/15
THE CRIMINAL HISTORY RECORD IS MAINTAINED AND AVAILABLE FROM THE
FOLLOWING:
SOUTH CAROLINA - STATE ID
GEORGIA - STATE ID
WASHINGTON STATE ID
INDIANA - STATE ID
NORTH CAROLINA - STATE ID
END - 1ST NCIC III RECORD OF MULTIPLE RESPONSE
NAME FBI NO. INQUIRY DATE
THOMAS,MICHAEL A 2019/11/18
SEX RACE HEIGHT WEIGHT EYES HAIR PHOTO
N B BRO BLK N
FINGERPRINT CLASS PATTERN CLASS
ALIAS NAMES
THOMAS, MICHAEL ALBERT
THOMASSR,MICHAEL A THOMAS,MICHEAL ALBERT
SCARS -MARKS -
TATTOOS SOCIAL SECURITY MISC NUMBERS
TAT UR ARM
IDENTIFICATION DATA UPDATED 2019/06/13
THE CRIMINAL HISTORY RECORD IS MAINTAINED AND AVAILABLE FROM THE
SDNY_MT_00000222
EFTA00140907
FOLLOWING:
NEW JERSEY - STATE ID/
END - LAST NCIC III RECORD OF MULTIPLE RESPONSE
THE RECORD(S) CAN BE OBTAINED THROUGH THE INTERSTATE
IDENTIFICATION
INDEX BY USING THE APPROPRIATE NCIC TRANSACTION.
END
SDNY_MT_00000223
EFTA00140908
📷 Images in this document (12 detected; 6 largest described)
AI-generated factual descriptions of embedded images (llava:13b). These are searchable across the corpus.
[Image 1] The image shows a document titled "LAW ENFORCEMENT STANDARDS" which appears to be a form or a checklist. The form includes sections with checkboxes for various items such as "CRIMINAL HISTORY," "DRUG TESTING," "FIREARM QUALIFICATION," and "PERSONAL HISTORY." There are also sections for "REASONS FOR REJECTION" and "REASONS FOR APPROVAL." The form is structured with numbered lines and checkboxes for
[Image 2] The image shows a document with text, which appears to be a form or a letter. The document is titled "Message detail" and includes sections for "Message ID," "Message Type," "Message Date," and "Message From." There are also fields for "To," "Subject," and "Message." The text within the document is too small to read clearly, but it seems to be a formal communication, possibly from a government or
[Image 3] The image shows a document that appears to be a court order or a legal notice. It includes a header with the title "COURT DISPOSITION INFORMATION SHEET" and a case number. Below the header, there is a section titled "VIOLATION INFORMATION" with a date and a description of the violation. The document also contains a section titled "VIOLATION INFORMATION" with a date and a description of the violati
[Image 4] The image shows a document titled "Medication Administration Record." It appears to be a form used for recording medication administration in a medical or healthcare setting. The form includes sections for the patient's name, date of birth, and other identifying information. There are also sections for the medication name, dosage, route, and time administered. The form is structured with checkboxe
[Image 5] The image shows a document that appears to be a form titled "Personal History of Defendant." It is a standard form with fields for personal information such as name, address, and contact details. The form also includes sections for employment history, education, and criminal history. The form is partially obscured by a red rectangle, which suggests that some information is being withheld or is con
[Image 6] The image shows a document titled "LAW ENFORCEMENT BACKGROUND CHECK REQUEST FORM." It appears to be a form used for requesting a background check for law enforcement purposes. The form includes various sections with checkboxes for different types of information to be provided, such as "Name," "Date of Birth," "Social Security Number," "Driver's License Number," and "Other Identifying Numbers." The