| Date of birth: | Jul 11, 1962 |
| Hair: | Blond |
| Eyes: | Blue |
| Docket no: | 1380350 |
| Complexion: | LGT |
| Birth place: | NY |
| Arrest date: | Nov 12, 2009 |
| Arresting agency: | PINELLAS COUNTY SHERIFF |
| Booking type: | FELONY |
| Statute: | 440.105(4)(A)(3)/F |
| Offense description: | FAILURE TO SECURE WORKERS COMPENSATION COVERA |
| Court case: | CRC0924106CFANO |
| Charge number: | 1 |
| Bond assessed: | $5,000 |
| Bond amount: | $0 |
| Agency report number: | SO09275866 |