FD-1036 (Rev. 10-16-2009)



UNCLASSIFIED//FOUO


# FEDERAL BUREAU OF INVESTIGATION

Import Form

Form Type: FD-71A - Guardian Complaint Form

Date: 10/08/2021

Title:U//FOUO NTOC2021 E-Tip Additional Victim Reports Being Human Trafficked By Gislaine Maxwell As A Child (TP)

Approved By:

Drafted By:

Case ID #: 50D-NY-3027571

(U) EPSTEIN, JEFFREY; CHILD SEX TRAFFICKING

Synopsis: U//FOUO DOCUMENT SYNOPSIS CREATED ON 10-08-2021 05:15 PM--SEE GUARDIAN 755162_NY FOR CURRENT ASSESSMENT DATA.

On 7/25/2021, at 9:36 AM Eastern Time, , date of birth

address , which resolves to , submitted an online tip to the FBI National Threat Operations Center (NTOC) via tips.fbi.gov, regarding her being victimized (trafficked) as a child by Gislaine Maxwell.

NOTE: Per SMAPA 59394, This Guardian is provided to the Field Office for domain awareness, dissemination to local authorities or for whatever action deemed appropriate.

Date Submitted: 07/25/2021 09:36:45 AM EST

Transaction Number: 1k2576jr

Violation: Human-Trafficking

Threat To Life: False

Submitted Text:

Alot and years of trauma and threats.

Reported Agency Name: I was a child Report Number:



UNCLASSIFIED//FOUO


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# UNCLASSIFIED//FOUO

Title: U//FOUO NTOC2021 E-Tip Additional Victim Reports Being Human Trafficked By Gislaine Maxwell As A Child (TP)

Re: 50D-NY-3027571, 10/08/2021

Violation Questions

Please provide details about the specific location where the victim is being held.:



Debreifing in unsafe location with family members and victims. Past memories returning. 1987 to Present. Threats to me and my family immediate and personal family such as children. "Gislaine Maxwell", years of trauma, and threats. Please help!! How do you know the victim?: I am the victim. Who has control of the victim’s identification and travel documents?: victim

trafficker Information

First Name:

Middle Name:

Last Name:

DOB:

Additional Info: Rather speak in person to investigator with counsel if allowed.



UNCLASSIFIED//FOUO


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EFTA00067088


# UNCLASSIFIED//FOUO

Title:  U//FOUO NTOC2021 E-Tip Additional Victim Reports Being Human
Trafficked By Gislaine Maxwell As A Child (TP)
Re:  50D-NY-3027571, 10/08/2021

How is Contact Known: Rather speak in person to investigator

Complainant Information
First Name:
Middle Name:
Last Name:
DOB:
Phone Type: Cell
International: False
Phone Number:
Phone Ext:
Type: Residential
Address:
City:
State:
Zip:
Additional Info:

IP Address:
Remote Host: api.fbi.gov
Http Referrer: https://www.fbi.gov/
User Agent: Mozilla/5.0 (Windows NT 10.0; Win64; x64) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/91.0.4472.164 Safari/537.36

Latitude:
Longitude: -
Country:
Region:
City:
Postal Code:
Timezone: -

Database Queries:



UNCLASSIFIED//FOUO


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EFTA00067089




UNCLASSIFIED//FOUO


Title: U//FOUO NTOC2021 E-Tip Additional Victim Reports Being Human Trafficked By Gislaine Maxwell As A Child (TP)

Re: 50D-NY-3027571, 10/08/2021

A Guardian query for "Gislaine Maxwell" revealed zero results.

A Sentinel query for "Gislaine Maxwell" revealed three results including Case no.: 50D-NY-3027571 - 43.

A DIVS query for Gislaine Maxwell revealed one result.

**Enclosure(s):** Enclosed are the following items:

1. U//FOUO tip_2021-07-25T13_36_35.423145_Imka4YwtzloXCWqV0HNd.json

2. U//FOUO Contents of Submission





UNCLASSIFIED//FOUO


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