| Date of birth: | 1960 |
| Ethnicity: | Not Hispanic |
| Hair: | Gray |
| Eyes: | Brown |
| Registration: | 13556 |
| Level: | Level Three |
| Classification: | Level Three |
| Risk level: | 3 |
| Designation: | Lifetime Registration-Subject to Petition for Relief |
| Corr lens: | YES |
| Description: | Tattoo on R_arm () |
| Arresting agency: | Chemung County Sheriff's Office |
| Booking location: | Chemung County, NY |
| Booking number: | 13556 |
| Jail name: | Indiana Sheriffs Association |
| Location: | 147 Maryland St, Indianapolis, IN 46204 |
| Booking location: | Steuben County, NY |
| Convicted date: | Sep 8, 1995 |
| Release date: | Sep 8, 1995 |
| Title: | PL |
| Subsection: | 02 |
| Section: | 130.40 |
| Description: | Sodomy 3: Actor 21 or More Has Deviate Intercourse w/Person Under 17 |
| Degree: | 3 |
| Class: | E |
| Category: | F |
| Description: | 130.40-2 - Criminal sexual act in the third degree |
| Date released: | Sep 8, 1995 |
| Date convicted: | Sep 8, 1995 |
| Charges: | N/A |
| Arresting agency: | Elmira City Police Department |