| Date of birth: | Nov 22, 1956 |
| Hair: | Gray |
| Eyes: | Blue |
| Pin: | 0200697365 |
| Occupations: | VP |
| Obts: | 5802045135 |
| Id number: | 1333 |
| Employer: | WEST COAST MATTRESS |
| Birth place: | CHICAGO |
| Arresting agency: | FL0580000 |
| Arrest date: | Jan 20, 2012 |
| Arrest location: | 2020 MAIN ST |
| Arrest officer: | PRITCHARD,JASON WILLIAM |
| Booking number: | 201200000975 |
| Booking date: | Jan 21, 2012 |
| Release date: | Jan 20, 2012 |
| Booking location: | Sarasota County, FL |
| Statute: | 775.13 |
| Charge description: | CRIMINAL REGISTRATION (NOT AN ARREST): |
| Bond amount: | $0 |