| Date of birth: | 1960 |
| Ethnicity: | WHITE |
| Hair: | Brown |
| Eyes: | Blue |
| Registration: | 1656381 |
| Description: | on abdomen (SURGICAL) |
| Booking location: | Siskiyou County, CA |
| Offense code: | 290.005 |
| Description: | REQUIRED TO REGISTER BASED ON A NON-CALIFORNIA SEX OFFENSE |
| Description: | 290.005 - FEDERAL, OUT-OF-STATE MILITARY CONVICTIONS |
| Charges: | N/A |