| Date of birth: | Sep 25, 1960 |
| Ethnicity: | WHITE |
| Hair: | Brown |
| Eyes: | Blue |
| Description: | EYE, LEFT AND RIGHT, BLIND |
| Booking location: | San Bernardino County, CA |
| Offense code: | 290.005 |
| Description: | ATTEMPTED REQUIRED TO REGISTER BASED ON A NON-CALIFORNIA SEX OFFENSE |