| Date of birth: | Sep 13, 1954 |
| Hair: | Gray |
| Eyes: | Blue |
| Risk level: | 2 |
| Designation: | No Designation Applies |
| Registration: | 36624 |
| Level: | Level Two |
| Classification: | Level One |
| Booking location: | New York |
| Arresting agency: | St. Lawrence County Sheriff's Office |
| Booking location: | St. Lawrence County, NY |
| Booking number: | 36624 |
| Jail name: | Illinois State Police |
| Location: | 9511 Harrison St, Des Plaines, IL 60016 |
| Title: | OUT |
| Subsection: | 000000 |
| Section: | 000000000 |
| Description: | Non-NYS Felony Sex Offense |
| Class: | U |
| Category: | F |
| Relationship to victim: | Non-Stranger |
| Pornography involved: | No |
| Offense description: | Sexual Intercourse |
| Computer used: | No |
| Charges: | N/A |
| Victim sex age: | Female , 17 Years |
| Arresting agency: | Oregon State Police - Sex Offender Registry |