| Date of birth: | May 18, 1972 |
| Hair: | Brown |
| Eyes: | Blue |
| Risk level: | 3 |
| Designation: | No Designation Applies |
| Corr lens: | YES |
| Classification: | Level Three |
| Registration: | 31224 |
| Level: | Level Three |
| Booking location: | New York |
| Booking number: | 31224 |
| Jail name: | Indiana Sheriffs Association |
| Location: | 147 Maryland St, Indianapolis, IN 46204 |
| Arresting agency: | St. Lawrence County Sheriff's Office |
| Booking location: | St. Lawrence County, NY |
| Title: | OUT |
| Subsection: | 000000 |
| Section: | 000000000 |
| Description: | Non-NYS Felony Sex Offense |
| Class: | U |
| Category: | F |
| Offense description: | Sexual Intercourse |
| Charges: | N/A |
| Victim sex age: | Female , 15 Years |
| Arresting agency: | Wisconsin Dept of Corrections - Sex Offender Registry |