CBP security seal application by a technician at an Epstein-linked firm, 2018

EXHIBIT 286 FILED UNDER SEAL¶

U.S. CUSTOMS AND BORDER PROTECTION SECURITY SEAL PROGRAM CHECKLIST¶

Please use the following checklist to ensure your application for a CBP Security Seal is complete for processing.¶

CBP FORM 3078¶

ACCESS REQUEST APPLICATION FORM¶

VIRGIN ISLANDS POLICE DEPARTMENT CRIMINAL RECORD CHECK (NO MORE THAN ¢Q DAYS OLD)¶

EMPLOYER REQUEST LETTER¶

FIVE YEAR BACKGROUND VERIFICATION AND DECLARATION¶

(NEW & RENEWAL APPLICANTS) FINGERPRINT RESULTS FROM THE VIRGIN ISLANDS PORT AUTHORITY (LESS THAN SIX (6) MONTHS OLD)¶

X (RENEWAL APPLICANTS) FINGERPRINT PROCESS WILL BE CONDUCTED BY CBP ONLY IF THE VIPA FINGERPRINTS RESULTS ISSUED OVER 6 MONTHS. IT WILL COST $ 43.50 AND THE METHODS OF PAYMENTS ARE CASH OR CREDIT CARD.¶

RULES AND REGULATIONS¶

PROOF OF CITIZENSHIP/RESIDENCY (BIRTH CERTIFICATE, PASSPORT, PASSPORT CARD, NATURALIZATION CERTIFICATE, LAWFUL PERMANENT CARD)¶

TWO (2) PASSPORT SIZE PHOTOGRAPHS¶

** RENEWAL APPLICANTS SHOULD VERIFY WITH THE SECURITY OFFICE TO ENSURE THAT PROOF OF CITIZENSHIP & PASSPORT SIZE PHOTOGRAPHS ARE ALREADY ON FILE.¶

OFFICE HOURS¶

MONDAY 11:00 - 3:00¶

WEDNESDAY 11:00 - 3:00¶

THURSDAY 10:00 - 1:00¶

DEPARTMENT OF HOMELAND SECURITY Bureau of Customs and Border Protection APPLICATION FOR IDENTIFICATION CARD¶

OMB. No. 1651-0008 See back of form for Paperwork Reduction Act Notice and Privacy Act Notice¶

19 U.S.C. 66, 1551, 1555, 1565, 1624, 1641; 19 CFR 112.42, 118, 122.182, 146.6¶

Please Type or Print¶

TYPE OF ACTIVITY REQUIRING IDENTIFICATION CARD Cartman/ Lightman Broker’s Employee Security Area Identification Warehouse Officer or Employee Container Station Employee Foreign Trade Zone Employee CES Employee
DATE OF THIS APPLICATION 4/5/2018
NAME (Last, First, & Middle)
LIST ANY OTHER NAMES YOU HAVE EVER BEEN KNOWN BY (Nicknames, aliases, etc.)
DATE OF BIRTH
HOME ADDRESS (Number, Street, City, State, and ZIP Code)
NAME AND ADDRESS OF PRESENT EMPLOYER 6100 Red Hook Quarter B3 St. [Redacted], VI 00802
HOME PHONE NUMBER
BUSINESS PHONE NUMBER 340-775-2525
PLACE OF BIRTH (City, County, State, and Country)
HEIGHT 6’ 3” 13. WEIGHT 212 lbs 14. COLOR HAIR Black 15. COLOR EYES [Redacted]
VISIBLE SCARS OR MARKS None
U.S. COAST GUARD PORT SECURITY CARD NUMBER N/A
U.S. MERCHANT MARINE CARD NUMBER N/A
HAVE YOU EVER APPLIED FOR CARD IN ITEM 17 OR ITEM 18? YES NO (Skip Items 20 and 21)
HAS APPLICATION FOR EITHER CARD IN ITEM 17 OR 18 BEEN DENIED? YES (If Yes, explain In Item 21) NO (Skip Item 21)
EXPLANATION OF APPLICATION DENIAL
LIST ALL RESIDENCES DURING THE LAST 5 YEARS (List in reverse order, beginning with the present address)

DATES		Number and Street	City	State
From	To
2008	PRESENT	[Redacted]	[Redacted]	[Redacted]

HAVE YOU EVER SERVED IN THE ARMED SERVICES OF THE U.S.? YES NO (Skip Items 24-29)
BRANCH OF SERVICE
DATES OF SERVICE 26. SERIAL NUMBER 27. TYPE OF DISCHARGE
IF DISCHARGE WAS OTHER THAN HONORABLE, EXPLAIN IN FULL DETAIL
HAVE YOU EVER APPLIED FOR AN IDENTIFICATION CARD WITH THE BUREAU OF CUSTOMS AND BORDER PROTECTION? YES (If Yes, explain details) NO

I presently hold a CBP Security Seal on behalf of [Redacted] World Air, LLC.¶

30. PREVIOUS EMPLOYMENT - LIST IN CHRONOLOGICAL ORDER. GIVING EARLIEST EMPLOYMENT FIRST (Last 10 Years)¶

DATES
EMPLOYER NAME AND ADDRESS	OCCUPATION
From To
Financial Trust Compan 2/1/2000 2/1/2013	c. Technician
6100 Red Hook 83, St. Southern Trust Compan, Inc 2/2/2013 Present	, VI 00802 Technician
6100 Red Hook B3, St.	VI 00802

HAVE YOU EVER BEEN CONVICTED OF ANY CRIME OR OFFENSE (Other than frank WorabOnS, you may exch.rde any Items which occurred before your 16th bletheley)IN THIS COUNTRY OR ELSEWHERE?

in YES fa YES. ..plan 121 NO n rem 32)¶

32. EXPLANATION OF ALL CONVICTIONS (Feder! State. Minry. or Feller)¶

Date	Place	Charge	Court	Final Disposition

33 DO YOU NOW USE OR HAVE YOU EVER USED NARCOTIC DRUGS?¶

36. CERTIFICATION¶

I comfy that at of the statements made In this Application ma true. complete. and correct to the best of my knowledge and beget, and an made In good lash.¶

34 ATTACH PHOTOGRAPH HERE¶

SIGNATURE X¶

DATE¶

Paperwork Reduction Act Not Ice. The Paperwork Reduction Act says we must tea you wtry we are cdleding this information, how we will use H. and whether you have to give it to us. We ask for this Information to any out the Bureau of Customs and Boar Protection :aws 01 NA United States. This fonn is used by licensed unman or romermen or (her employees as an application 10 apply lot a CBI” Went acaton Card and is required to obtain or retain a benefit The estimated overage ou’den associated with this Collection 01 Information is 15 minrAes per respondent or recordkeeper depending on Individual d’cumstances The wild OMB Control Numbe• for this Information Coate-Jon IS 1651-0008¶

Pursuant to the requirements of Public law 93.579 (Privacy Ad of 1974). notice is hereby given that Me au1nortry to coiled information on Form CBP.3070 is SUSC 301, Reorganization Plan No 1 of 1950. 19 U S C 1551. 1585. 1024. 11541. 19 CFR 112.42 The principal purpose for collecting the Informalbn Is lo snabte the COP to conduct a background I:wattage, on and thereby determine whether the apparent meets the critria required tor the Issuance of an idenbication here. The InlenThilkel collided and contained in me eppeoehet Ate may be provided to those employees of the CBP who have a need for the records in tne performenoe of Mak duties. The information may also be used. when deemed aporopnate. In a proceeding to revoke or suspend the dentiScabon card Disclosure of all Intormalion requested on Form CBP-3076 Is VOeihtery. however. le lure to disclose some or ail of the Information may roue In the CBPs inatie.rty to conduct the requked haCe9,01310 invesbgatton¶

U.S. CUSTOMS AND BORDER PROTECTION CYRIL E. AIRPORT, SI . , VIRGIN ISLANDS ACCESS REQUEST APPLICATION¶

NAME:¶

COMPANY: World Air, LLC¶

HOME TELEPHONE NO.:¶

CELLPHONE NO :¶

BADGE EXPIRATION DATE:¶

DATE OF BIRTH:¶

JOB TITLE: Technician/Driver¶

WORK TELEPHONE NO. • 340-775-2525¶

VIPA BADGE NO. :¶

CBP SEAL NO.:¶

WILL THIS EMPLOYEE WORK FOREIGN FLIGHTS? WILL THIS EMPLOYEE ESCORT PASSENGERS¶

THROUGH U.S. CUSTOMS & BORDER PROTECTION?¶

YES X NO YES X NO¶

•¶

Bond Number will be responsible for any liquidated damages against the company for any violations committed against established procedures or the rules and regulations of U.S. Customs and Border Protection.¶

4/9/2018¶

AUTHORIZED OFFICIAL DATE¶

**** ***** ************** ****** ********** ******* * ******** ***************** *****¶

FOR U.S. CUSTOMS AND BORDER PROTECTION USE ONLY¶

ENTERED BY: APPROVED BY:¶

DATE: RECORD NUMBER:¶

	SQI I			NNI6
DATE	POSITIVE
		NEGATIVE	DATE	POSITIVE

DEPARTMENT OF HOMELAND SECURITY U.S. CUSTOMS AND BORDER PROTECTION¶

CYRIL E. AIRPORT SECURITY PROGRAM EMPLOYER’S FIVE YEAR BACKGROUND VERIFICATION AND DECLARATION¶

Cecile R. de Jongh of Southern Trust Company. Inc. (Cottony Issuing Officer) ’ (Company or Agency)¶

hereby certify that: A background check hai been performed on the applicant,¶

(Employee’s Name) (Social Secunty Number)¶

to the extent allowable by law, including at a minimum, references and employment history. Stated employment history has been verified for the preceding five (5) years. To the best of my knowledge, the applicant meets the conditions necessary to conduct duties in the Customs and Border Protection Security Areas as outlined in 19 CFR 122.181.¶

VERIFIED INFORMATION¶

Company or	Person	Phone	Dates
Aoeney Narne	Contacted	Number	Em lo ed
Financial Trust	Jeanne		2/1/2000
le ompany, Inc.			2/1/2013
Southern Trust	I Jeanne		2/2/2013 -
Company, Inc.			‘Present
				Dates &	How
				Ti me	Contacted
				4/9/2018 (10:52 am	In person 1

SEAL ISSUANCE REQUEST¶

NEW ( ) RENEWAL (X) DAMAGED ( ) LOST( r STOLEN ( )’ MISPLACED( )11¶

Technician/Driver lob Title: Date of Birth:¶

Zone Requested: Zone 1 ( 1 Zone 2 (Xi¶

U. S. Citizen (x) Resident Alien ( ) Registration¶

Does applicant currently hold a U.S. Customs and Border Protection Access Seal with another employer?¶

Yes_]_ No If yes, name of employer (s): World Air. LLC¶

If Lost/Stolen, please provide explanation of when/where/how U.S. Customs and Border Protection Seal was lost:¶

I declare that all statement containing in this declaration are true and correct.¶

Signature of Company Official and Date¶

WARNING: IT IS UNLAWFUL UNDER UNITED STATES LAWS AND REGULATIONS FOR ANY PERSON TO MAKE ANY FALSE OR MISLEADING REPRESENTATION, STATEMENT, OR CERTIFICATION TO ANY CBP OFFICER FOR THE PURPOSE OF GAINING ACCESS TO A CBP SECURED AREA FOR HIM/HERSELF OR THEIR EMPLOYEE. ANYONE WHO IS FOUND TO HAVE MADE SUCH STATEMENTS WILL BE DEEMED IN VIOLATION OF LAW (I8 USC I DO I).¶

U. S. CUSTOMS AND BORDER PROTECTION SECURITY PROGRAM CYRIL E. ICING AIRPORT RULES AND REGULATIONS¶

The U. S. Customs and Border Protection Zones are defined as follows:¶

_ Zone 1 (Red Seal): This zone is the Federal Inspectional Service (FIS) area. It includes the areas w.th direct access to the sterile areas, the sterile area, and extends to the area’s leading to the aircraft.¶

X Zone 2 (Black Seal): This zone includes the ramp, tarmac, and haggagekargo staging areas where activities related to international arrivatsMepartures As interrational end domestic flights may occupy adjacent areas at many locations, it k anticipated that the CBP security area outside the FIS will be flexible. This zone also apply to employees that are responsible for assisting with the unloading of the restaurants’ merchandise from delivery tucks/vehicles and taking the restaurants’ trash from sterile area to the designated trash receptacles that is located on the ramp.¶

__Zones I & 2 (Red Seal): This zone Inc:odes the FIS, sterile areas indirect access to the FIS, ramp, cargo, and baggage staging areas for domestic and international flights whether it be arrivals/departures.¶

I. When in the designated security °teats), the Virgin Islands Port Authority identification badge will be worn and be clearly visible et all times during authorized working hours only.
1. If the II) is damaged, lost, or sto.en it will be reported to the employer, MA, and CBP Security Office. In the instance of a lost or stolen ID, a police report will be filed within the i” 24 hours of the incident and a copy shou d be given to the employer, WPA, and the CBP Security Office.
1. No person shall not be found in a designated zone(s) without official need. Use of an identification badge for personal business is strictly prohibited and the badge will then be confiscated.
1. No person to whom an identification badge shall transfer or make the issued badge available for another person’s use.
1. It is strictly prohibited for anyone except a CBP officer/ VI-PA security officer to remove a seal from an identification badge. If there is a problem with a seal, the identification badge should be returned to the Port Authority for replacement. Once the seal has been removed from that SEA badge, II is no longer valid. The replacement bodge must then be presented to the CBP Airport Security Office in order to receive a replacement seal.
1. It is the responsibility of each employee to renew his/her VI Port Authority identification bodge and CBP seal before the expiration dote. The CBP seal must be returned to the CDR Security Office when it is no longer required for work, or when unable to renew the application on time.

Any violation to the CAP Rule! and Regulations is is serious violation and can result In disciplinary action(s) or frees in the amount of 51000.00 per violation.¶

I acknowledge that I have read and fully understand the above rules and regulations of U. S. Customs and Border Protection.¶

Name (Print)¶

Signature Date¶

Keyboard shortcuts

Go to a page: `g` then