| Date of birth: | Apr 7, 1955 |
| Hair: | Black |
| Eyes: | Brown |
| Risk level: | 3 |
| Designation: | No Designation Applies |
| Corr lens: | NO |
| Work address: | NOT EMPLOYED |
| Violent: | No |
| Registration renewed date: | Jul 22, 2013 |
| Registration id: | 21906 |
| Palm print: | On File |
| Initial registration date: | Jul 23, 2007 |
| Home address: | 2569 SANDY RIVER ROAD, BURKEVILLE, VA 23922 |
| Finger print: | On File |
| Booked at: | PRINCE EDWARD CO |
| Booking location: | New York |
| Booking location: | Prince Edward County, VA |
| Title: | OUT |
| Subsection: | 000000 |
| Section: | 000000000 |
| Description: | Non-NYS Felony Sex Offense |
| Class: | U |
| Category: | F |
| Victim age: | Minor |
| Statute: | SEXUAL ASSAULT |
| State convicted: | NJ |
| Sentencing court: | BURLINGTON CO. SUPERIOR |
| Code section: | 2C:14-2(b) |