| Date of birth: | Mar 14, 1986 |
| Ethnicity: | WHITE |
| Hair: | Brown |
| Eyes: | Brown |
| Description: | FOREARM, LEFT STAR |
| Description: | FOREARM, RIGHT |
| Description: | FOREARM, RIGHT STAR |
| Booking location: | Placer County, CA |
| Offense code: | 290.005 |
| Description: | REQUIRED TO REGISTER BASED ON A NON-CALIFORNIA SEX OFFENSE |