| Date of birth: | 1977 |
| Hair: | No selection |
| Eyes: | No selection |
| Registration: | 35402 |
| Level: | Level One |
| Comments: | Non-NYS Feonly Sex Offense Kentucky State Police Sex Offender Registry |
| Arresting agency: | Niagara County Sheriff's Office |
| Booking location: | Niagara County, NY |