Court filing
Exhibit - United States v. Shibley companion docket
Record facts
| Court | U.S. District Court for the Western District of Washington |
|---|---|
| Filed | 2021-11-26 |
U.S. District Court for the Western District of Washington · No. 2:20-cr-00174-JCC · Doc. 137-9 · 2021-11-26 · Docket on CourtListener
Summary
Doc. 137-9 in United States v. Shibley, No. 2:20-cr-00174-JCC, in the U.S. District Court for the Western District of Washington, filed November 26, 2021, is a 202-page set of government exhibits whose labels are marked Admitted. Government Exhibit No. 71 is a Washington Secretary of State certificate of formation for Eric R Shibley MD PLLC filed December 12, 2012, with an annual report filed March 31, 2020. Government Exhibit No. 72 is a certificate of formation for SS1 LLC filed October 3, 2017, followed by a notice dissolving SS1 LLC as of March 3, 2020 and a statement of reinstatement effective April 6, 2020. Government Exhibit No. 112 is a BECU large cash request form listing $563,500.00 and, as the source of funds, CELTIC BANK - PPP LOAN. The document closes with Government Exhibit Nos. 113, 114 and 115.
Summary drafted by a model from the document's text below and checked by script against that text before publication. It is a navigation aid, not a reading of what the document proves. Where AI is used
Full text
Page 1 of 2
STATE OF WASHINGTON
SECRETARY OF STATE
Professional Limited
Liability Company
See attached detailed instructions
12[12[12 2315750-
002
$230.00 R
tid: 2440951
SECRET
FILED
ARY OF STATE
SAM REED
DECEMBER 12,2012
STATE OF WASHINGTON
This Box For Office Use Only
ARTICLE
NAME OF PROFESSIONAL LIMITED LIABILITY COMPANY:
Eric R Shibley MD PLLC
(Must contain one of the following designations: Professional Limited Liability Company, Professional Limited Liability Co
or one of these abbreviations: P.L.L. C. or PLLC. If the designation is omitted, it will default to PLLC when processed)
ARTICLE 2
ADDRESS OF THE PRINCIPAL PLACE OF BUSINESS:
Street Address 4425 Meridian Ave. N, #6
City
State
Zip 98271
Zip
State WA
City Tulalip
PO Box
CI Filing Fee $180.00
UBI Number: 603 260 109
0 Filing Fee with Expedited Service $230.00
CERTIFICATE OF FORMATION
Chapter 25.15.045 and 18.100 RCW
ARTICLE 3
EFFECTIVE DATE OF FORMATION: (Please check one of the following)
0
Upon filing by the Secretary of State
CI
Specific Date:
(Specified effective date must be within 90 days AFTER the Certificate
of Formation has been filed by the Office of the Secretary of State)
ARTICLE 4
TENURE: (Please check one of the following and indicate the date if applicable)
CI
Perpetual existence
Specific term of existence
(Number of years or date of termination)
Revised 08/12
Washington PLLC - Formation
Washington Secretary of State
DOJ-01-0000005701
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 71
Admitted ________________
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 1 of 202
WA Zip Code
City
Tulalip
Mailing or Postal Address (optional):
State WA
Zip Code
City Tulalip
Address:
Phone
ate
ARTICLE 6
NAME AND ADDRESS OF THE WASHINGTON STATE REGISTERED AGENT:
Name: Eric R. Shibley
Physical Location Address (required):
City
State
Zip Code
CONSENT TO SERVE AS REGISTERED AGENT:
I consent to serve as Registered Agent in the State of Washington for the above named Professional Limited
Liability Company. I understand it will be my responsibility to accept Service of Process on behalf of the
Professional Limited Liability Company; to forward mail to the Professional Limited Liability Company; and to
imme
otify the Office of the Secretary of State if I resign or change the Registered Office Address.
X
Eric R. Shibley
°/d )
Printed Name
Date
Signature of Registered Agent
ARTICLE 7
NAME, ADDRESS AND SIGNATURE OF EACH EXECUTOR: (RCW 18.100.050)
(If necessary, attach additional names, addresses and signatures)
Is hereby executed under penalties of perjury, and is, to the best of my knowledge, true and correct.
Eric R. Shibley
615-554-7156
This d
Signature of Executor
Printed Name
Name: Eric R. Shibley
X
Name:
Address:
City
State
Zip Code
This document is hereby executed under penalties of perjury, and is, to the best of my knowledge, true and correct.
X
Signature of Executor
Printed Name
Date
Phone
Page 2 of 2
ARTICLE 5
THE PROFESSIONAL LIMITED LIABILITY COMPANY IS MANAGED BY: 0 Members or 0 Managers
(see instructions)
Washington PLLC - Formation
Washington Secretary of State
Revised 08/12
DOJ-01-0000005703
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 2 of 202
Additional Provisions to the Articles of Organization for
Eric R Shibley MD PLLC
Eric R Shibley MD PLLC, is incorporated as a professional limited liability company
under the provisions of RWC of Washington Chapter 25.15.045 for the purposes of
rendering Physician and Surgeon professional services.
DOJ-01-0000005705
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 3 of 202
Filed
Secretary of State
State of Washington
Date Filed: 03/31/2020
Effective Date: 03/31/2020
UBI #: 603 260 109
S n S
Office of the Secretary of State
Corporations & Charities Division
Registered Agent
Mailing Address
Street Address
Name
Annual Report
BUSINESS INFORMATION
Business Name:
ERIC R SHIBLEY MD PLLC
UBI Number:
603 260 109
Business Type:
WA PROFESSIONAL LIMITED LIABILITY COMPANY
Business Status:
ACTIVE
Principal Office Street Address:
4700 36TH AVE SW, SEATTLE, WA, 98126, UNITED STATES
Principal Office Mailing Address:
Expiration Date:
12/31/2020
Jurisdiction:
UNITED STATES, WASHINGTON
Formation/Registration Date:
12/12/2012
Period of Duration:
PERPETUAL
Inactive Date:
Nature of Business:
HEALTH CARE, SOCIAL ASSISTANCE & SERVICE ORGANIZATION
REGISTERED AGENT
ROW 23.95.410
4700 36TH AVE SW, SEATTLE, WA, 98126-
ERIC R SHIBLEY
2716, UNITED STATES
PRINCIPAL OFFICE
4700 36TH AVE SW, SEATTLE, WA, 98126-
2716, UNITED STATES
Phone:
2069384291
Email:
SHIBLEENYC@YAHOO.COM
This document is a public record. For more information visit www.sos.wa.gov/corps
Work Order #: 2020033100184840 - 1
Received Date: 03/31/2020
Amount Received: $170.00
DOJ-01-0000005745
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 4 of 202
Street Address:
4700 36TH AVE SW, SEATTLE, WA, 98126, USA
Mailing Address:
GOVERNORS
Title
Type
Entity Name
First Name
Last Name
GOVERNOR
INDIVIDUAL
ERIC
SHIBLEY
NATURE OF BUSINESS
•
HEALTH CARE, SOCIAL ASSISTANCE & SERVICE ORGANIZATION
EFFECTIVE DATE
Effective Date:
03/31/2020
CONTROLLING INTEREST
1. Does your entity own real property such as land or buildings (including leasehold interests) in Washington?
NO
2. As of January 1, 2019, has there been a transfer of stock, other financial interest change, or an option agreement exercised that
resulted in a transfer of at least 16? percent interest in the entity?
NO
a. If "yes", has the transfer of stock, other financial interest change, or an option agreement exercised resulted in a transfer of
controlling interest (50 percent or greater)?
NO
3. As of January 1, 2019, has an option agreement been executed allowing for the future purchase or acquisition of the entity?
NO
You must report a Controlling Interest Transfer Return IF: you answered "yes" to questions 1 AND 2a.
Failure to report a Controlling Interest Transfer is subject to penalty provisions of RCW 82.45.220.
For more information on Controlling Interest, visit www.dor.wa.gov/REET.
RETURN ADDRESS FOR THIS FILING
Attention:
ERIC SHIBLEY
Email:
SHIBLEYMEDICAL@OUTLOOK.COM
Address:
4700 36TH AVE SW, SEATTLE, WA, 98126-2716, USA
UPLOAD ADDITIONAL DOCUMENTS
Do you have additional documents to upload? No
EMAIL OPT-IN
This document is a public record. For more information visit www.sos.wa.gov/corps
Work Order #: 2020033100184840- 1
Received Date: 03/31/2020
Amount Received: $170.00
DOJ-01-0000005747
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 5 of 202
By checking this box, I hereby opt into receiving all notifications from the Secretary of State for this entity via email only. I
acknowledge that I will no longer receive paper notifications.
AUTHORIZED PERSON
El I am an authorized person.
Person Type:
INDIVIDUAL
First Name:
ERIC
Last Name:
SHIBLEY
Title:
MANAGER
It This document is hereby executed under penalty of law and is to the best of my knowledge, true and correct.
Work Order #:2020033100184840 - 1
Received Date: 03/31/2020
Amount Received: $170.00
This document is a public record. For more information visit www.sos.wa.gov/corps
DOJ-01-0000005749
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 6 of 202
FILED
OCTOBER 03, 2017
SECRETARY OF STATE
STATE OF WASHINGTON
10/03/17 3564901-
002
$230.00 R
3601 1 51.
0
0
UBI Number:
604 175 163
Ir/ocuSign,Envelope ID: 066801A6-6FEW-48CE-941E-5628134F8E8F5
Page 1 of 2
SAS
Office of the Secretary of State
Corporations & Charities Division
Limited Liability Company
See attached detailed instructions
O Filing Fee $180.00
6-11 Filing Fee with Expedited Service $230.00
CERTIFICATE OF FORMATION
Chapter 25.15 RCW
ARTICLE 1
NAME OF LIMITED LIABILITY COMPANY:
SS1 LLC
(Must contain one of the following designations: Limited Liability Company, Limited Liability Co or one of these
abbreviations: L.L.C. or LLC. If the designation is omitted, it will default to LLC when processed)
ARTICLE 2
ADDRESS OF THE PRINCIPAL PLACE OF BUSINESS:
Street Address 4700 36th Ave. SW
City Seattle
State WA
Zip 98126
PO Box
City
State
Zip
ARTICLE 3
EFFECTIVE DATE OF FORMATION: (Please check one of the following)
El
Upon filing by the Secretary of State
O
Specific Date:
(Specified effective date must be within 90 days AFTER the Certificate
of Formation has been filed by the Office of the Secretary of State)
ARTICLE 4
TENURE: (Please check one of the following and indicate the date if applicable)
•
Perpetual existence
O
Specific term of existence
(Number of years or date of termination)
Washington LLC - Formation
Washington Secretary of State
Revised I I/11
DOJ-01-0000005849
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 72
Admitted ________________
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 7 of 202
State
WA
Zip Code 98126
City Seattle
Mailing or Postal Address (optional):
State CA
Zip Code 91203
City Glendale
Address: 101 N. Brand Blvd., 11th Floor
ARTICLE 7
NAME, ADDRESS AND SIGNATURE OF EACH EXECUTOR:
(If necessary, attach additional names, addresses and signatures)
Name: LegalZoom.com, Inc.
This docu
t is hereby xecuted under penalties of perjury, and is, to the best of, ' kn wledge, true and correct.
X
Assistant Secretary, LegalZoom.com, Inc. e
17 323-962-8600, ext. 7625
Cheyenne Moseley
Signature f Executor
Printed Name
Dat
Phone
Name:
Address:
City
State
Zip Code
This document is hereby executed under penalties of perjury, and is, to the best of my knowledge, true and correct,
X
Signature of Executor
Printed Name
Date
Phone
Page 2 of 2
ARTICLE 5
THE LIMITED LIABILITY COMPANY IS MANAGED BY:
ti Members
or
3 Managers
(see instructions)
ARTICLE 6
NAME AND ADDRESS OF THE WASHINGTON STATE REGISTERED AGENT:
Name: Eric Ryan Shibley
Physical Location Address (required):
4700 36th Ave. SW
City
State
Zip Code
CONSENT TO SERVE AS REGISTERED AGENT:
I consent to serve as Registered Agent in the State of Washington for the above named Limited Liability
Company. I understand it will be my responsibility to accept Service of Process on behalf of the Limited
Liability Company; to forward mail to the Limited Liability Company; and to immediately notify the Office of the
Secretary of State if I resign or change the Registered Office Address.
(--roms
by
X LEVU' SIti114.4
Eric Ryan Shibley
"'SIffhlture of Registered Agent
Printed Name
10/1/2017
Date
DocuSign Envelope ID: 0668D1A6-6FBF-48CE-941E-5628B4F8E8F5
Washington LLC - Formation
Washington Secretary of State
Revised 11/11
DOJ-01-0000005851
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 8 of 202
DocuSigr. Envelope ID: 0668D1A6-6F6F-48CE-941E-5628B4F8E8F5
Attachment to Articles of Organization
For
SS1 LLC
The personal liability of the members of the Limited Liability Company for monetary
damages for breach of fiduciary duty shall be eliminated to the fullest extent permissible under
Washington law. The Limited Liability Company is authorized to indemnify its members and
managers to the fullest extent permissible under Washington law.
DOJ-01-0000005853
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 9 of 202
Secretary of State
7X RipArr.--
Washington Secretary of State
Corporations and Charities Division
801 Capitol Way South
PO Box 40234
Olympia, WA 98504-0234
(360) 725-0377
corpsAsos.wa.gov
03/03/2020
SS1 LLC
ERIC RYAN SHIBLEY
4700 36TH AVE SW
SEATTLE WA 98126-2716
ADMINISTRATIVE DISSOLUTION
Dear Sir/Madam,
UBI #: 604 175 163
Entity Name: SS1 LLC
The above listed entity has not filed its annual report that was due on 10/31/2019. As a result, the entity is no longer
in active status.
In accordance with RCW23.95.605-610, the above entity is hereby administratively dissolved as of: 03/03/2020.
This action was taken due to failure of the entity to file a required report within the time set forth by law.
Under RCW 23.95.615, a domestic entity that is administratively dissolved may apply for reinstatement no later than
five (5) years after the effective date of administrative dissolution noted above. RCW 23.95.615 identifies the
requirements for an application for reinstatement.
You can access the Washington Secretary of State, Corporations and Charities Filing System (CCFS) online to reactivate
your entity using the following website https://www.sos.wa.gov/corps
Sincerely,
Washington Secretary of State
Corporations and Charities Division
corps@sos.wa.gov
Note: If your documents were recently submitted, please disregard this notice. If you have any questions concerning
this matter please contact our office at the address or phone number shown above.
DOJ-01-0000005867
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 10 of 202
As
Filed
Secretary of State
State of Washington
Date Filed: 04/06/2020
Effective Date: 04/06/2020
UBI #: 604 175 163
Office of the Secretary of State
Corporations & Charities Division
STATEMENT OF REINSTATEMENT
BUSINESS INFORMATION
Business Name:
SS1 LLC
UBI Number:
604 175 163
Business Type:
WA LIMITED LIABILITY COMPANY
Business Status:
ACTIVE
Principal Office Street Address:
4700 36TH AVE SW, SEATTLE, WA, 98126-2716, UNITED STATES
Principal Office Mailing Address:
4700 36TH AVE SW, SEATTLE, WA, 98126-2716, UNITED STATES
Expiration Date:
10/31/2020
Jurisdiction:
UNITED STATES, WASHINGTON
Formation/Registration Date:
10/03/2017
Period of Duration:
PERPETUAL
Inactive Date:
Nature of Business:
CONSTRUCTION, REAL ESTATE
BUSINESS NAME
Business Name
SS1 LLC
REGISTERED AGENT
Registered Agent Name
Street Address
Mailing Address
ERIC RYAN SHIBLEY
4700 36TH AVE SW, SEATTLE, WA, 98126-2716, UNITED STATES
REGISTERED AGENT CONSENT
This document is a public record. For more information visit www.sos.wa.gov/corps
Work Order #: 2020033100184822 - 1
Received Date: 03/31/2020
Amount Received: $220.00
DOJ-01-0000005869
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 11 of 202
Customer provided Registered Agent consent? - Yes
PRINCIPAL OFFICE
Phone:
Email:
SHIBLEENYC@YAHOO.COM
Street Address:
4700 36TH AVE SW, SEATTLE, WA, 98126-2716, UNITED STATES
Mailing Address:
4700 36TH AVE SW, SEATTLE, WA, 98126-2716, UNITED STATES
GOVERNORS
Title
Governor Type
Entity Name
First Name
Last Name
GOVERNOR
INDIVIDUAL
ERIC
SHIBLEY
NATURE OF BUSINESS
Nature of Business:
CONSTRUCTION, REAL ESTATE
ANNUAL FEE CALCULATIONS
Filing Name
Annual year
Fee
REINSTATEMENT
$140.00
REINSTATEMENTS, FOREIGN REGISTRATIONS ANNUAL REPORT FEE
10/31/2019
$60.00
PROCESSING
$20.00
Total : $220.00
EFFECTIVE DATE
Effective Date:
04/06/2020
CONTROLLING INTEREST
1. Does your entity own real property such as land or buildings (including leasehold interests) in Washington?
NO
2. As of January 1, 2019, has there been a transfer of stock, other financial interest change, or an option agreement exercised that
resulted in a transfer of at least 16% percent interest in the entity?
NO
a. If "yes", has the transfer of stock, other financial interest change, or an option agreement exercised resulted in a transfer of
controlling interest (50 percent or greater)?
NO
3. As of January 1, 2019, has an option agreement been executed allowing for the future purchase or acquisition of the entity?
NO
This document is a public record. For more information visit www.sos.wa.gov/corps
Work Order #: 2020033100184822 - I
Received Date: 03/31/2020
Amount Received: $220.00
DOJ-01-0000005871
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 12 of 202
You must report a Controlling Interest Transfer Return IF: you answered "yes" to questions 1 AND 2a.
Failure to report a Controlling Interest Transfer is subject to penalty provisions of RCW 82.45.220.
For more information on Controlling Interest, visit www.dorma.gov/REET.
RETURN ADDRESS FOR THIS FILING
Attention:
ERIC SHIBLEY
Email:
SHIBLEENYC@YAHOO.COM
Address:
4700 36TH AVE SW, SEATTLE, WA, 98126-2716, UNITED STATES
UPLOAD ADDITIONAL DOCUMENTS
Name
Document Type
No Value Found.
EMAIL OPT-IN
El I hereby opt into receiving all notifications from the Secretary of State for this entity via email only. I acknowledge that I will no
longer receive paper notifications.
AUTHORIZED PERSON - STAFF CONSOLE
Document is signed.
Person Type:
INDIVIDUAL
First Name:
ERIC
Last Name:
SHIBLEY
Title:
This document is a public record. For more information visit www.sos.wa.govicorps
Work Order #: 2020033100184822 - 1
Received Date: 03/31/2020
Amount Received: $220.00
DOJ-01-0000005873
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 13 of 202
Statement of Correction
See attached detailed instruction
p
iling Fee $30
El Filing Fee with Expedited Service $80.00
SAS
Office of the Secretory of State
Corporations & Charities DivLsion
FILED
Secretary of State
State of Washington
Date Filed: 04/29/2020
Effective Date: 04/29/2020
UBI No: 604 175 163
UBI Number: 04
.... 1.6,3
Statement of Correction
Pursuant to RCW 23.95.220, the undersigned entity hereby submits a Statement of Correction for the purpose of
correcting a record filed in the Corporations & Charities Division of the Office of the Secretary of State.
SECTION 1 (required)
NAME OF ENTITY: (as currently recorded with the Office of the Secretary of State)
/
6.14C--
SECTION 2 (required)
The record to be corrected is:
(
e / \ (4,/t 2it V
Pe e lotr.pvt
SECTION 3 ( equired)
The record was filed on:
(0
2-(
7 ) 7
SECTION 4 (required)
Specify the inaccuracy or defect (see instructions):
dico_r
i
e5
14
09 a g
1 -- ILO r re cC47
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a.5
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fil etka e,
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5-6 Y.?
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SECTION 5 (required)
The corrected inaccuracy or defect of the record is as follows:
6 1:, r--0-\6 ,6.4 1-ted
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cd29-ce..(A9e y r•
el---
r\,,
I
re i-k-Lt-tvt
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SECTION 6 (required)
This record i
ereby executed under penalties of perjury, and is, to the best of my knowledge, true and correct.
t -C-
er
7 fi-P2O
li/l_ili
4 4
2-'696- c
X
r(C-
Sig
Printed Name and Tit16- (9 v, f ./1 ty-/ Date
Phone
Statement of Correction - Profit Corporation
Washington Secretary of State
Work Order #: 2020042200222457 - 1
Received Date: 04/22/2020
Page: 1 of 1
Amount Received: $30.00
3g,
9/
Revised 12/15
DOJ-01-0000005875
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 14 of 202
FILED
SECRETARY OF STATE
SAM REED
OCTOBER 25, 2012
STATE OF WASHINGTON
002 '72-SL-/q9- 9
$230.00 R
tid: 2411830
UBI Number:
603 248 905
ARTICLE 4
TENURE: (Please check one of the following and Indicate the date If applicable)
)14
Perpetual existence
0
Sped% term of existence
(Number of years or date of termination)
ARTICLE 3
EFFECTIVE DATE OF FORMATION: (Please check one of the following)
IS
Upon filing by the Secretary of State
El
Specific Date:
(Specified effective date must be within 90 days AFTER the Certificate
of Formation has been filed by the Office of the Secretary of State)
ARTICLE I
NAME OF LIMITED LIABILITY COMPANY:
ES1 LLC
(Must contain one of the following designations: Limited liability Company, Limited liability Co or one of these
abbreviations.' L.L,C, or LL.C)
ARTICLE 2
ADDRESS OF THE PRINCIPAL PLACE OF BUSINESS:
Street Address 4425 Meridian Ave. NI. #6
cityMarysville
state WA
zip 98271
PO Box
City
State
Zip
10/22/2012
09:26Good Sam, MT 1st Fl. Station 5
(FAX)253 697 3230
\ff
P,002/004
Page 1 of 2
STATE OF WASHINGTON
SECRETARY OF STATE
Limited Liability Company
See attached detailed instructions
o Filing Fee $1E10.00
IN Filing Fee with Expedited Service $230.00
CERTIFICATE OF FORMATION
Chapter 25.15 RCW
Wpshington LLC - Formation
Washington Secretary of State
Revised 07/10
DOJ-01-0000005753
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 73
Admitted ________________
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 15 of 202
State CA Zip Code
Address:
city
Glendale
ARTICLE 6
THE LIMITED LIABILITY COMPANY IS MANAGED BY:
El Members
(see instructions)
or
0 Managers
WA Zip Code
City Marysville
Mailing or Postal Address (optional):
Date
Printed Name
Signatu
of Registered Agent
ARTICLE 6
NAME AND ADDRESS OF THE WASHINGTON STATE REGISTERED AGENT;
Name: Eric R. Shlbley
Physical Location Address (required):
City
WA Zip Code
CONSENT TO SERVE AS REGISTERED AGENT:
I consent to serve as Registered Agent in the State of Washington for the above named Limited Liability
Company. I understand it will be my responsibility to accept Service of Process on behalf of the Limited
Liability Company; to
ard mail to the Limited Liability Company; and to immediately notify the Office of the
Secretary of Slat
esig or change the Registered Office Address.
Eric R. Shibley
ARTICLE 7
NAME, ADDRESS AND SIGNATURE OF EACH EXECUTOR:
(If necessary, attach additional names, addresses and signet ores)
Name: Karla Figueroa
This d
Is hereby executed under penalties of palmy, and Is, to the best of my knowledge, true and correct.
X
Karla Figueroa
Printed Name
0/15)14,*._ 323-962-8600, ext. 883
Sig natur
ecutor
tag
Phone
Name:
Address:
City
State•
Zip Code
This document is hereby executed under penalties of perjury, and is, to the best of my knowledge, true and correct.
Signature of Executor
Printed Name
Date
Phone
•
10/22/2012
09:26600d Sam, MT 1st Fl. Station 5
(FAX)253 697 3230
P.003/004
Page 2 of 2
Washington LLC - Formation
Washington Secretary of State
Revised 07/10
DOJ-01-0000005755
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 16 of 202
10/22/2012 09:27Good Sam. MT 1st Fl. Station 5
(FAX)253 07 3230
P.004(004
AttachmenttoArticiesOfOrganization
For
ES1 LLC
The Personal liability of the members of the Limited Liability Company for monetary
damages for breach of fiduciary duty shall be eliminated to the fullest =tent permissible under
Washington law. The Limited Liability Company is authotized to Indemnify its members and
managers to the fullest extent permissible under Washington law.
DOJ-01-0000005757
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 17 of 202
Secretary of State
Washington Secretary of State
Corporations and Charities Division
801 Capitol Way South
PO Box 40234
Olympia, WA 98504-0234
(360) 725-0377
corpsAsos.wa.gov
11/01/2019
ES1 LLC
ERIC R SHIBLEY
4700 36TH AVE SW
SEATTLE WA 98126-2716
DELINQUENT ANNUAL REPORT NOTICE
Dear Sir/Madam,
UBI #: 603 248 905
Entity Name: ES1 LLC
The above listed entity has not filed its annual report that was due on 10/31/2019. As a result, the above listed entity
is no longer in active status.
Failure to file the necessary report by 02/29/2020 will result in administrative dissolution or termination of your
registration.
You can file online using the Washington Secretary of State, Corporations and Charities Filing System (CCFS) using the
following website https://www.sos.wa.gov/corps.
Sincerely,
Washington Secretary of State
Corporations and Charities Division
corps@sos.wa.gov
Note: If your documents were recently submitted, please disregard this notice. If you have any questions concerning
this matter please contact our office at the address or phone number shown above.
DOJ-01-0000005793
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 18 of 202
Filed
Secretary of State
State of Washington
Date Filed: 02/04/2020
Effective Date: 02/04/2020
UBI #: 603 248 905
SAS
Office of the Secretary of State
Corporations & Charities Division
Annual Report
BUSINESS INFORMATION
Business Name:
ES1 LLC
UBI Number:
603 248 905
Business Type:
WA LIMITED LIABILITY COMPANY
Business Status:
ACTIVE
Principal Office Street Address:
4700 36TH AVE SW, SEATTLE, WA, 98126-2716, UNITED STATES
Principal Office Mailing Address:
4700 36TH AVE SW, SEATTLE, WA, 98126-2716, UNITED STATES
Expiration Date:
10/31/2020
Jurisdiction:
UNITED STATES, WASHINGTON
Formation/Registration Date:
10/25/2012
Period of Duration:
PERPETUAL
Inactive Date:
Nature of Business:
REAL ESTATE
REGISTERED AGENT
RCW 23.95.410
Registered Agent
Name
Street Address
Mailing Address
4700 36TH AVE SW, SEATTLE, WA, 98126-
ERIC R SHIBLEY
2716, UNITED STATES
PRINCIPAL OFFICE
4700 36TH AVE SW, SEATTLE, WA, 98126-
2716, UNITED STATES
Phone:
206-938-4291
Email:
This document is a public record. For more information visit www.sos.wa.govicorps
Work Order #: 2020020400070242 - 1
Received Date: 02/04/2020
Amount Received: $85.00
DOJ-01-0000005795
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 19 of 202
SHIBLEENYC@YAHOO.COM
Street Address:
4700 36TH AVE SW, SEATTLE, WA, 98126-2716, USA
Mailing Address:
4700 36TH AVE SW, SEATTLE, WA, 98126-2716, USA
GOVERNORS
Title
Type
Entity Name
First Name
Last Name
GOVERNOR
INDIVIDUAL
ERIC
SHIBLEY
NATURE OF BUSINESS
•
REAL ESTATE
EFFECTIVE DATE
Effective Date:
02/04/2020
CONTROLLING INTEREST
1. Does your entity own real property such as land or buildings (including leasehold interests) in Washington?
NO
2. As of January 1, 2019, has there been a transfer of stock, other financial interest change, or an option agreement exercised that
resulted in a transfer of at least 16? percent interest in the entity?
NO
a. If "yes", has the transfer of stock, other financial interest change, or an option agreement exercised resulted in a transfer of
controlling interest (50 percent or greater)?
NO
3. As of January 1, 2019, has an option agreement been executed allowing for the future purchase or acquisition of the entity?
NO
You must report a Controlling Interest Transfer Return IF: you answered "yes" to questions 1 AND 2a.
Failure to report a Controlling Interest Transfer is subject to penalty provisions of RCW 82.45.220.
For more information on Controlling Interest, visit www.dor.wa.gov/REET.
RETURN ADDRESS FOR THIS FILING
Attention:
ERIC SHIBLEY
Email:
SHIBLEENYC@YAHOO.COM
Address:
4700 36TH AVE SW, SEATTLE, WA, 98126-2716, USA
UPLOAD ADDITIONAL DOCUMENTS
Do you have additional documents to upload? No
This document is a public record. For more information visit www.sos.wa.gov/corps
Work Order #: 2020020400070242 - 1
Received Date: 02/04/2020
Amount Received: $85.00
DOJ-01-0000005797
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 20 of 202
EMAIL OPT-IN
By checking this box, I hereby opt into receiving all notifications from the Secretary of State for this entity via email only. I
acknowledge that I will no longer receive paper notifications.
AUTHORIZED PERSON
IR I am an authorized person.
Person Type:
INDIVIDUAL
First Name:
ERIC
Last Name:
SHIBLEY
Title:
MANGER
R .- This document is hereby executed under penalty of law and is to the best of my knowledge, true and correct.
This document is a public record. For more information visit www.sos.wa.gov/corps
Work Order #: 2020020400070242 - 1
Received Date: 02/04/2020
Amount Received: $85.00
DOJ-01-0000005799
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 21 of 202
11/03/17 3590099-
002
$230.00 R
cid:3624506
FILED
SECRETARY OF STATE
11/03/2017
STATE OF WASHINGTON
UBI# 604 183 433
UBI Number:
DoouSign Envelope ID: 3008883B-4443-4FA9-0D19-0F7E2BA4B0C8
Page 1 of 2
SAS
Office of the Secretary of State
Corporations & Charities Division
Limited Liability Company
See attached detailed instructions
D Filing Fee $180.00
911 Filing Fee with Expedited Service $230.00
CERTIFICATE OF FORMATION
Chapter 25.15 RCW
ARTICLE 'I
NAME OF LIMITED LIABILITY COMPANY:
SEATTLE'S FINEST CANNABIS, LLC
(Must contain one of the following designations: Limited Liability Company, Limited Liability Co or one of these
abbreviations: L,L.C. or LLC. if the designation is omitted, it will default to LLC when processed)
ARTICLE 2
ADDRESS OF THE PRINCIPAL PLACE OF BUSINESS:
Street Address 4700 36th Ave. SW
City Seattle
State WA
zip 98 1 26
PO Box
City
State
Zip
ARTICLE 3
EFFECTIVE DATE OF FORMATION: (Please check one of the following)
El
Upon filing by the Secretary of State
0
Specific Date:
(Specified effective date must be within 90 days AFTER the Certificate
of Formation has been filed by the Office of the Secretary of State)
ARTICLE 4
TENURE: (Please check one of the following and indicate the date if applicable)
ig
Perpetual existence
0
Specific term of existence
(Number of years or date of termination)
Washington LLC - Formation
Washington Secretary of State
Revised 11/11
DOJ-01-0000005803
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 74
Admitted ________________
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 22 of 202
ARTICLE 7
NAME, ADDRESS AND SIGNATURE OF EACH EXECUTOR:
(If necessary, attach additional names, addresses and signatures)
Name: LegalZoo .com, Inc.
Address: 101
rand Blvd., 11th Floor
City Glendale
Stat CA
Zip Code 91203
This docum
X
Signature •
xecut r
ted under penalties of perjury, and Is, to the best of m
Cheyenne Moseley
sistant Secretary, LeyalZoom.com, Inc. to
Printed Name
Date
dge, true and correct.
7
323-962-8600, ext. 7625
hone
Name:
Address:
City
State
Zip Code
This document Is hereby executed under penalties of perjury, and Is, to the best of my knowledge, true and correct.
X
Signature of Executor
Printed Name
Date
Phone
DocuSIgn Envelope ID: 30013883B-4443-4FA9-8D19-0F7E2BA4BOC8
Page 2 of 2
ARTICLE 5
THE LIMITED LIABILITY COMPANY IS MANAGED BY:
Eg Members
or
0 Managers
(see instructions)
ARTICLE 6
NAME AND ADDRESS OF THE WASHINGTON STATE REGISTERED AGENT:
Name: Eric R Shibley
.
Physical Location Address (required):
4700 36th Ave. SW
City Seattle
State
WA
Zip Code 98126
Mailing or Postal Address (optional):
City
State
Zip Code
CONSENT TO SERVE AS REGISTERED AGENT:
I consent to serve as Registered Agent in the State of Washington for the above named Limited Liability
Company. I understand it will be my responsibility to accept Service of Process on behalf of the Limited
Liability Company; to forward mail to the Limited Liability Company; and to immediately notify the Office of the
SecretaQ!.9f
y,State if I resign or change the Registered Office Address.
b
X
'Slit' S .
Eric R Shibley
10/31/2017
-..-77-FetiTiMture of Registered Agent
Printed Name
Date
Washington LLC - Formation
Washington Secretary of State
Revised 11/H
DOJ-01-0000005805
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 23 of 202
DecuSign Envetope ID: 300B883B-4443-4FA9-BD19OF7E2BA4BOC8
Attachment to Articles of Organization
For
SEATTLE'S FINEST CANNABIS, LLC
The personal liability of the members of the Limited Liability Company for monetary
damages for breach of fiduciary duty shall be eliminated to the fullest extent permissible under
Washington law. The Limited Liability Company is authorized to indemnify its members and
managers to the fullest extent permissible under Washington law.
DOJ-01-0000005807
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 24 of 202
Filed
Secretary of State
State of Washington
Date Filed: 03/31/2020
Effective Date: 03/31/2020
UBI #: 604 183 433
s n s
Office of the Secretary of State
Corporations & Charities Division
Annual Report
BUSINESS INFORMATION
Business Name:
SEATTLE'S FINEST CANNABIS, LLC
UBI Number:
604 183 433
Business Type:
WA LIMITED LIABILITY COMPANY
Business Status:
ACTIVE
Principal Office Street Address:
4700 36TH AVE SE, SEATTLE, WA, 98126, UNITED STATES
Principal Office Mailing Address:
Expiration Date:
11/30/2020
Jurisdiction:
UNITED STATES, WASHINGTON
Formation/Registration Date:
11/03/2017
Period of Duration:
PERPETUAL
Inactive Date:
Nature of Business:
ANY LAWFUL PURPOSE
REGISTERED AGENT
ROW 23.95.410
Registered Agent Name
Street Address
ERIC R SHIBLEY
4700 36TH AVE SW, SEATTLE, WA, 98126-2716, UNITED STATES
PRINCIPAL OFFICE
Mailing Address
Phone:
2069384291
Email:
SHIBLEENYC@YAHOO.COM
Street Address:
4700 36TH AVE SE, SEATTLE, WA, 98126, USA
This document is a public record. For more information visit www.sos.wa.gov/corps
Work Order #: 2020033100184840 -2
Received Date: 03/31/2020
Amount Received: $170.00
DOJ-01-0000005821
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 25 of 202
Filed
Secretary of State
State of Washington
Date Filed: 05/09/2020
Effective Date: 05/09/2020
UBI #: 604 183 433
SAS
Office of the Secretary of State
Corporations & Charities Division
Amended Annual Report
BUSINESS INFORMATION
Business Name:
SEATTLE'S FINEST CANNABIS, LLC
UBI Number:
604 183 433
Business Type:
WA LIMITED LIABILITY COMPANY
Business Status:
ACTIVE
Principal Office Street Address:
4700 36TH AVE SE, SEATTLE, WA, 98126, UNITED STATES
Principal Office Mailing Address:
4700 36TH AVE SE, SEATTLE, WA, 98126, UNITED STATES
Expiration Date:
11/30/2020
Jurisdiction:
UNITED STATES, WASHINGTON
Formation/Registration Date:
11/03/2017
Period of Duration:
PERPETUAL
Inactive Date:
Nature of Business:
ANY LAWFUL PURPOSE, CONSTRUCTION
REGISTERED AGENT
RCW 23.95.410
Registered Agent Name
Street Address
Mailing Address
ERIC R SH1BLEY
4700 36TH AVE SW, SEATTLE, WA, 98126-2716, UNITED STATES
PRINCIPAL OFFICE
Phone:
2069384291
Email:
SHIBLEY98271@G1VIAIL.COM
Street Address:
This document is a public record. For more information visit www.sos.wa.gov/corps
Work Order #: 2020050900251260 - 1
Received Date: 05/09/2020
Amount Received: $10.00
DOJ-01-0000005823
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 26 of 202
4700 36TH AVE SE, SEATTLE, WA, 98126, USA
Mailing Address:
4700 36TH AVE SE, SEATTLE, WA, 98126, USA
GOVERNORS
Title
Type
Entity Name
First Name
Last Name
GOVERNOR
INDIVIDUAL
ERIC
SHIBLEY
NATURE OF BUSINESS
. • ANY LAWFUL PURPOSE
•
CONSTRUCTION
EFFECTIVE DATE
Effective Date:
05/09/2020
RETURN ADDRESS FOR THIS FILING
Attention:
ERIC SHIBLEY
Email:
SHIBLEY98271@GMAIL.COM
Address:
4700 36TH AVE SW, SEATTLE, WA, 98126-2716, USA
UPLOAD ADDITIONAL DOCUMENTS
Do you have additional documents to upload? No
EMAIL OPT-IN
El By checking this box, I hereby opt into receiving all notifications from the Secretary of State for this entity via email only. I
acknowledge that I will no longer receive paper notifications.
AUTHORIZED PERSON
R I am an authorized person.
Person Type:
INDIVIDUAL
First Name:
ERIC
Last Name:
SHIBLEY
Title:
GOVERNOR
R This document is hereby executed under penalty of law and is to the best of my knowledge, true and correct.
This document is a public record. For more information visit www.sos.wa.gov/corps
Work Order #: 2020050900251260 - 1
Received Date: 05/09/2020
Amount Received: $10.00
DOJ-01-0000005825
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 27 of 202
Filed
Secretary of State
State of Washington
Date Filed: 05/13/2020
Effective Date: 05/13/2020
UBI #: 604 183 433
S n S
Office of the Secretary of State
Corporations & Charities Division
AMENDED CERTIFICATE OF FORMATION
BUSINESS INFORMATION
Business Name:
SFC LLC
UBI Number:
604 183 433
Business Type:
WA LIMITED LIABILITY COMPANY
Business Status:
ACTIVE
Principal Office Street Address:
4700 36TH AVE SW, SEATTLE, WA, 98126-2716, UNITED STATES
Principal Office Mailing Address:
4700 36TH AVE SW, SEATTLE, WA, 98126-2716, UNITED STATES
Expiration Date:
11/30/2020
Jurisdiction:
UNITED STATES, WASHINGTON
Formation/Registration Date:
11/03/2017
Period of Duration:
PERPETUAL
Inactive Date:
Nature of Business:
BUSINESS NAME
Business Name:
SFC LLC
BUSINESS TYPE
Current Business Type:
WA LIMITED LIABILITY COMPANY
Amend Business Type:
REGISTERED AGENT
This document is a public record. For more information visit www.sos.wa.govicorps
Work Order #: 2020051100255727 - 1
Received Date: 05/11/2020
Amount Received: $50.00
DOJ-01-0000005827
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 28 of 202
Registered Agent
Street Address
Name
4700 36TH AVE SW, SEATTLE, WA, 98126-
2716, UNITED STATES
Mailing Address
4700 36TH AVE SW, SEATTLE, WA, 98126-
2716, UNITED STATES
ERIC SHIBLEY
REGISTERED AGENT CONSENT
Customer provided Registered Agent consent? - Yes
PRINCIPAL OFFICE
Phone:
206-938-4291
Email:
SHIBLEY98271@GMAIL.COM
Confirm Email:
SHIBLEY98271@GMAIL.COM
Street Address:
4700 36TH AVE SW, SEATTLE, WA, 98126-2716, UNITED STATES
Mailing Address:
4700 36TH AVE SW, SEATTLE, WA, 98126-2716, UNITED STATES
DURATION
Duration:
PERPETUAL
EFFECTIVE DATE
Effective Date:
05/13/2020
RETURN ADDRESS FOR THIS FILING
Attention:
ERIC SHIBLEY
Email:
SHIBLEY98271@GMAIL.COM
Address:
4700 36TH AVE SW, SEATTLE, WA, 98126-2716, UNITED STATES
UPLOADED DOCUMENTS
Document Type
Source
Created By
Created Date
No Value Found.
UPLOAD ADDITIONAL DOCUMENTS
Name
Document Type
No Value Found.
This document is a public record. For more information visit www.sos.wa.gov/corps
Work Order #: 2020051100255727- 1
Received Date: 05/11/2020
Amount Received: $50.00
DOJ-01-0000005829
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 29 of 202
EMAIL OPT-IN
R .-
I hereby opt into receiving all notifications from the Secretary of State for this entity via email only. I acknowledge that I will no
longer receive paper notifications.
AUTHORIZED PERSON - STAFF CONSOLE
Document is signed.
Person Type:
INDIVIDUAL
First Name:
ERIC
Last Name:
SHIBLEY
Title:
GOVERNOR
This document is a public record. For more information visit www.sos.wa.gov/corps
Work Order #: 2020051100255727 - 1
Received Date: 05/11/2020
Amount Received: $50.00
DOJ-01-0000005831
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 30 of 202
FILED
Secretary of State
State of Washington
Date Filed: 12/10/2018
Effective Date: 12/10/2018
UBI No: 604 330 288
This Box For Office Use Only
Office of the Secretary of State
Corporations & Charities Division
(360) 725 - 0377 I www.sos.wa.gov/corps
801 Capitol Way S, Olympia, WA 98504-0234
S
o Filing Fee $180
• Filing Fee with Expedited Service $230
Certificate of Formation
Limited Liability Company
RCW 25.15
Do you already have a UBI Number? (Check one) o Yes si No If Yes, provide UBI #
If No, a new UBI# will be issued to you upon successful completion of the filing.
If you have previously filed with another state agency (for example, the Department of Revenue, the Department of Labor and Industries, or the
Employment Security Department), you may already have a 9 digit UBI Number that you can enter above. Please do not enter the UBI Number of a
Sole Proprietorship or General Partnership. If you do not have a UBI Number, please select "no" above and continue with the filing,
ENTITY NAME:
Does the entity have a name reserved? (Check one) o Yes • No
If Yes, provide the Name Reservation Number and Name
If No, provide only the name
Reservation Number:
The A Team Holdings LLC
Name:
For name requirements review the following RCW(s): Limited Liability Company - RC W 23.95.305 ffl
PERIOD OF DURATION Please check ONE of the following
is This Company shall have a perpetual duration (default) o This Company shall have a duration of
years.
o This Company shall expire on
EFFECTIVE DATE: Please check ONE of the following:
is Date of filing
o Specify a Date
cannot be more than 90 days following received date
Certificate of Formation - Limited Liability Company
Work Order #: 2018120700583230 - 1
Pg 1 I Revised 7.2018
Received Date: 12/07/2018
Page: 1 of 5
Amount Received: $230.00
DOJ-01-0000005885
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 75
Admitted ________________
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 31 of 202
Email: ramanagement@ egalzoom.com
Is the Registered Agent a Commercial Registered Agent? D Yes PI No
If Yes, provide the name of the Commercial Registered Agent:
A Commercial Registered Agent is an entity or individual that is registered with the Office of the Secretary of State to
receive legal documents on behalf of a corporation. A Commercial Registered Agent has the entities/individual's address
on record with the office.
A Registered Agent consent is still required for a Commercial Registered Agent located below.
If No, please continue below
Please complete ONE type of Registered Agent below, be sure to include the name below the checked box.
Then continue to provide the required street address. Mailing address if needed.
0 Individual
First and last name of a Non-commercial
Registered Agent. (Any person not registered
as a Commercial Registered Agent.)
II Entity
United States Corporation Agents, Inc.
Name of a Non-commercial Registered Agent.
(Any business not registered as a Commercial
Registered Agent.)
Office or Position
List the Office or Position serves as agent. (Only
if using the specific office or position as the
registered agent, no matter who holds the
position like: Secretary, Member or Treasurer.)
866-698-0052
Phone:
Registered Agent Street Address (required)
(Must be a physical address No PO Box or PMB)
Country: United States
State: Washin ,ton
14205 SE 36th Street, Suite 100
Address :
Zip: 98006
City: Bellevue
Registered Agent Mailing Address (optional)
Check if mailing address is the same as street address
Country: United States
State: Washinaton
Address : 14205 SE 36th Street, Suite 100 - 288
Zip: 98006
City: Bellevue
CONSENT TO SERVE AS REGISTERED AGENT - REQUIRED FOR ALL TYPES
I hereby consent to serve as Registered Agent in the State of Washington for the named entity. I understand it will be my
responsibility to accept ser 'ce of process, notices, and demands on behalf of the entity; to forward mail to the entity;
and to immediately no
e Off e f the Secretary of State if I resign or change the Registered Office Address.
Cheyenne Moseley, Assistant Secretary
12/05/2018
Signature of Registered Agent
Printed Name/Title
Date
REGISTERED AGENT:
Certificate of Formation - Limited Liability Company
Work Order #: 2018120700583230 - 1
Pg 2 l Revised 7.2018
Received Date: 12/07/2018
Page: 2 of 5
Amount Received: $230.00
DOJ-01-0000005887
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 32 of 202
Glendale
City
Stat
Signature of Executor
Zip 91203
Cheyenne Moseley
Assistant Secretary, LegalZoom.com, Inc.
Printed Name/Title
Date
CA
12/05/2018
Principal Office Street Address
(Must be a physical address; No PO Box or PMB)
Address: 4700 36th Ave SW
Mailing Address (optional)
§ Check if mailing address is the same as street address,
Address:
98126
Zip:
Seattle
City:
Zip:
City:
WA
State:
USA
Country:
State:
Country:
Phone: (optional)
Email: (optional)
RETURN ADDRESS FOR THIS FILING: (OpIlona)
This address will be sent document( s) regarding this specific filing in addition to document (s) being sent to the
Registered Agent's street/mailing address.
Attention to: Cheyenne Moseley, Legalzoom.com, Inc.
Email: onlinefilings@legalzoom.com
101 N Brand Blvd., llth Floor
Address:
City
Glendale
State CA
zip 91203
EXECUTOR INFORMATION:
Name, address, and signature required. Attach additional sheets if necessary.
This record is hereby executed under penalties of perjury, and is, to the best of my knowledge, true and correct.
101 N. Brand Blvd., 11th Floor
Address:
Certificate of Formation - Limited Liability Company
Pg 3 I Revised 7.2018
Page: 3 of 5
Work Order #: 2018120700583230 - 1
Received Date: 12/07/2018
Amount Received: $230.00
DOJ-01-0000005889
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 33 of 202
Attachment to Articles of Organization
For
The A Team Holdings LLC
The personal liability of the members of the Limited Liability Company for monetary
damages for breach of fiduciary duty shall be eliminated to the fullest extent permissible under
Washington law. The Limited Liability Company is authorized to indemnify its members and
managers to the fullest extent permissible under Washington law.
Work Order #: 2018120700583230 - 1
Received Date: 12/07/2018
Page: 4 of 5
Amount Received: $230.00
DOJ-01-0000005891
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 34 of 202
Attachment to Articles of Organization
For
The A Team Holdings LLC
The personal liability of the members of the Limited Liability Company for monetary
damages for breach of fiduciary duty shall be eliminated to the fullest extent permissible under
Washington law. The Limited Liability Company is authorized to indemnify its members and
managers to the fullest extent permissible under Washington law.
Work Order #: 2018120700583230 - 1
Received Date: 12/07/2018
Page: 5 of 5
Amount Received: $230.00
DOJ-01-0000005893
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 35 of 202
Secretary of State
Washington Secretary of State
Corporations and Charities Division
801 Capitol Way South
PO Box 40234
Olympia, WA 98504-0234
(360) 725-0377
corps(&,sos.wa.gov
01/01/2020
THE A TEAM HOLDINGS LLC
UNITED STATES CORPORATION AGENTS, INC
14205 SE 36TH ST STE 100-288
BELLEVUE WA 98006-1596
DELINQUENT ANNUAL REPORT NOTICE
Dear Sir/Madam,
UBI #: 604 330 288
Entity Name: THE A TEAM HOLDINGS LLC
The above listed entity has not filed its annual report that was due on 12/31/2019. As a result, the above listed entity
is no longer in active status.
Failure to file the necessary report by 04/30/2020 will result in administrative dissolution or termination of your
registration.
You can file online using the Washington Secretary of State, Corporations and Charities Filing System (CCFS) using the
following website https://www.sos.wa.govicorps.
Sincerely,
Washington Secretary of State
Corporations and Charities Division
corps@sos.wa.gov
Note: If your documents were recently submitted, please disregard this notice. If you have any questions concerning
this matter please contact our office at the address or phone number shown above.
DOJ-01-0000005897
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 36 of 202
Filed
Secretary of State
State of Washington
Date Filed: 03/31/2020
Effective Date: 03/31/2020
UBI #: 604 330 288
SAS
Office of the Secretary of State
Corporations & Charities Division
Annual Report
BUSINESS INFORMATION
Business Name:
THE A TEAM HOLDINGS LLC
UBI Number:
604 330 288
Business Type:
WA LIMITED LIABILITY COMPANY
Business Status:
ACTIVE
Principal Office Street Address:
4700 36TH AVE SW, SEATTLE, WA, 98126, UNITED STATES
Principal Office Mailing Address:
Expiration Date:
12/31/2020
Jurisdiction:
UNITED STATES, WASHINGTON
Formation/Registration Date:
12/10/2018
Period of Duration:
PERPETUAL
Inactive Date:
Nature of Business:
REAL PROPERTY INVESTMENT
REGISTERED AGENT CONSENT
To change your Registered Agent, please delete the current Registered Agent below.
Registered Agent Consent (Check One):
I am the Registered Agent. Use my Contact Information.
I am not the Registered Agent. I declare under penalty of perjury that the WA Limited Liability Company has in its records a
signed document containing the consent of the person or business named as registered agent to serve in that capacity. I
understand the WA Limited Liability Company must keep the signed consent document in its records, and must produce the
document on request.
RCW 23.95.415 requires that all businesses in Washington State have a Registered Agent.
This document is a public record. For more information visit www.sos.wa.gov/corps
Work Order #: 2020033100184835 - 1
Received Date: 03/31/2020
Amount Received: $85.00
DOJ-01-0000005899
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 37 of 202
Some of this information is prepopulated from information previously provided. Please make changes as necessary to provide
accurate information.
REGISTERED AGENT
ROW 23.95.410
Registered Agent
Name
ERIC SHIBLEY
Street Address
Mailing Address
4700 36TH AVE SW, SEATTLE, WA, 98126-
4700 36TH AVE SW, SEATTLE, WA, 98126-
2716, USA
2716, USA
PRINCIPAL OFFICE
Phone:
206-938-4291
Email:
ERS98126@GMAIL.COM
Street Address:
4700 36TH AVE SW, SEATTLE, WA, 98126, USA
Mailing Address:
GOVERNORS
Title
Type
Entity Name
First Name
Last Name
GOVERNOR
INDIVIDUAL
ERIC
SHIBLEY
NATURE OF BUSINESS
•
REAL PROPERTY INVESTMENT
EFFECTIVE DATE
Effective Date:
03/31/2020
CONTROLLING INTEREST
1. Does your entity own real property such as land or buildings (including leasehold interests) in Washington?
NO
2. As of January 1, 2019, has there been a transfer of stock, other financial interest change, or an option agreement exercised that
resulted in a transfer of at least 16? percent interest in the entity?
NO
a. If "yes", has the transfer of stock, other fmancial interest change, or an option agreement exercised resulted in a transfer of
controlling interest (50 percent or greater)?
NO
3. As of January 1, 2019, has an option agreement been executed allowing for the future purchase or acquisition of the entity?
NO
You must report a Controlling Interest Transfer Return IF: you answered "yes" to questions 1 AND 2a.
Failure to report a Controlling Interest Transfer is subject to penalty provisions of RCW 82.45.220.
This document is a public record. For more information visit www.sos.wa.gov/corps
Work Order #: 2020033100184835 - 1
Received Date: 03/31/2020
Amount Received: $85.00
DOJ-01-0000005901
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 38 of 202
For more information on Controlling Interest, visit www.dor.wa.gov/REET.
RETURN ADDRESS FOR THIS FILING
Attention:
ERIC SHIBLEY
Email:
ERS98126@GMAIL.COM
Address:
4700 36TH AVE SW, SEATTLE, WA, 98126-2716, USA
UPLOAD ADDITIONAL DOCUMENTS
Do you have additional documents to upload? No
EMAIL OPT-IN
0 By checking this box, I hereby opt into receiving all notifications from the Secretary of State for this entity via email only. I
acknowledge that I will no longer receive paper notifications.
AUTHORIZED PERSON
I am an authorized person.
Person Type:
INDIVIDUAL
First Name:
ERIC
Last Name:
SHIBLEY
Title:
MANGER
This document is hereby executed under penalty of law and is to the best of my knowledge, true and correct.
This document is a public record. For more information visit www.sos.wa.gov/corps
Work Order #: 2020033100184835 - 1
Received Date: 03/31/2020
Amount Received: $85.00
DOJ-01-0000005903
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 39 of 202
Production
Production
Customer
New Manager
Governing People Info
SHIBLEY, ERIC R
Customer: Limited Liability Company
Explore
Structure
Expand
Customer
:
603-260-109
ERIC R SHIBLEY MD PLLC
4700 36TH AVE SW SEATTLE WA 98126-2716
Registration
CRM
Task
Investigation
Collection
Audit
Financial
Adjustment
Web
Other
Accounts
Customer
Profiles
Ids
Trade Names
Names
Addresses
Contacts
NAICS
Links
Sites
1
*
*
*
*
Customer
UBI/CID
Federal Employer ID
603-260-109
**-***9052
Legal
ERIC R SHIBLEY MD PLLC
Mailing
4700 36TH AVE SW SEATTLE WA 98126-2716
Business Attributes
Show History
Business Attributes
Customer Subtype
Professional Limited Liability C
SSO Category Code
PLC
Country of Incorporation
USA
State of Incorporation
WASHINGTON
Year Inc (BLA)
2012
Prior Business Name
FO
External Agency Account Status
Get Agency Statuses
Labor & Industries:
Active
Inactive
Employment Security:
Active
Inactive
DOR Tax Account
Closed
Inactive
Important Dates
Cease Date
Application Month
DEC
Date Inc (SOS)
Dec-12-2012
Insurance Information
Optional L&I for Owners/Officers?
OYes
No
Optional L&I for Excluded?
O
No
Name
Address
Telephone Number
Percent Owned
Official
SHIBLEY, ERIC R
0
ERIC R SHIBLEY MD PLLC: 0109
Menu
Closed
Closed
Active
Yes
DOJ-01-0000005181
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 77
Admitted ________________
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 40 of 202
Production
Production
Activities
ETPID
Activity Type
Activity Category
Status
Commence
Cease
0029
Unemployment Insurance
Employment Security Department
Active
Sep-16-2014
0135
Tax Registration
Department of Revenue
Active
Mar-17-2018
2 Rows
DOJ-01-0000005182
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 41 of 202
Production
Production
FEIN
UBI/CID
Secretary of State
License Account ID
License
License Account ID
Excise Tax
Account ID
Identities
Profile Account Type
Account
Id Type
Id
Cease
Valid
001
**-***9052
001
603-260-109
002
603260109-001-0000
603260109-001-0000
003
603260109-001-0001
603260109-001-0001
005
603-260-109
603-260-109
5 Rows
DOJ-01-0000005183
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 42 of 202
Production
Production
Activity ID
Trade Name
Registration Date
Cancellation Date
Location ID
Original Application ID
SHIBLEY MEDICAL CLINIC
Sep-15-2014
142583884
DOJ-01-0000005184
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 43 of 202
Production
Production
001
Legal
License
Primary Business
Excise Tax
Doing Business As
Names
Profile Account Type
Account
Name Type
Name
Valid
ERIC R SHIBLEY MD PLLC
003
603260109-001-0001
SHIBLEY MEDICAL CLINIC
005
603-260-109
SHIBLEY MEDICAL CLINIC
3 Rows
DOJ-01-0000005185
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 44 of 202
Production
Production
Addresses
Profile Account Type
Account
Address Type
Address
Valid
001
Mailing
4700 36TH AVE SW SEATTLE WA 98126-2716
002 Secretary of State
603260109-001-0000
Location
4700 36TH AVE SW SEATTLE WA 98126-2716
002 Secretary of State
603260109-001-0000
Mailing
4700 36TH AVE SW SEATTLE WA 98126-2716
003 License
603260109-001-0001
Location
4700 36TH AVE SW SEATTLE WA 98126-2716
005 Excise Tax
603-260-109
Mailing
4700 36TH AVE SW SEATTLE WA 98126-2716
5 Rows
DOJ-01-0000005186
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 45 of 202
Production
Production
Secretary of State
Business
(206) 938-4291 SHIBLEYMEDICAL@OUTLOOK.COM
License
Business
(206) 938-4291 SHIBLEENYC@YAHOO.COM
Excise Tax
BAL SINGH/EFILES
Home
(816) 671-1463
Excise Tax
Business
(888) 855-0724
Excise Tax
MBR ERIC SHIBLEY
ICT Best
(206) 938-4291 SHIBLEYMEDICAL@OUTLOOK.COM
Contacts
Account Type
Account
Contact Type
Contact
Phone Type Phone
Email
603260109-001-0000 Primary Contact
603260109-001-0001 Primary Contact
603-260-109
Compliance Contact
603-260-109
Compliance Contact
603-260-109
Compliance Contact
5 Rows
DOJ-01-0000005187
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 46 of 202
Production
Production
Account
New Manager
Account: Excise Tax
Expand
Account
:
603-260-109
SHIBLEY MEDICAL CLINIC
4700 36TH AVE SW SEATTLE WA 98126-2716
Customer
:
ERIC R SHIBLEY MD PLLC
4700 36TH AVE SW SEATTLE WA 98126-2716
603-260-109
Financial
CRM
Task
Collection
Investigation
Audit
Adjustment
Registration
Web
Other
Account
Ids
Names
Addresses
Contacts
NAICS
Links
Sites
Bank
Reseller
Linked Locations
*
*
*
*
*
*
Account
Account ID
603-260-109
Doing Business As
SHIBLEY MEDICAL CLINIC
Mailing
4700 36TH AVE SW SEATTLE WA 98126-2716
Compliance Contact
Compliance Contact
Compliance Contact
MBR ERIC SHIBLEY
ICT Best
(206) 938-4291
Business Phone
(888) 855-0724
BAL SINGH/EFILES
Home Phone
(816) 671-1463
NAICS
Offices of Physicians (except Mental Health Specialists)
621111
Excise Tax Attribute Doc
Show History
Flag Type
Flag Description
Start Date
End Date
Excise Tax
Open
Aug-01-2014
Reopen
Closure Reason
Close
Status
Active
Temporary Registration
Other Info
Company Web Site
Primary Language
Forms
Mail Tax Returns
Filing
Active Filing Frequency
Quarterly
Future Frequency Change
Future Frequency Effective
Permanent Filing Extensions
Filing Extensions
Efile/Epay Info
Mandatory Efile/Epay
Effective Period
Sep-30-2014
Excise Tax: 603-260-109
Menu
DOJ-01-0000005188
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 47 of 202
Production
Production
0.00
0.00
0.00
0.00
0.00
0.00
Jan-14-2020
0.00
0.00
0.00
0.00
0.00
0.00
Oct-08-2019
0.00
0.00
0.00
0.00
0.00
0.00
Oct-08-2019
0.00
0.00
0.00
0.00
0.00
0.00
May-29-2019
0.00
0.00
0.00
0.00
0.00
0.00
Feb-22-2019
0.00
0.00
0.00
0.00
0.00
0.00
Nov-01-2018
0.00
0.00
0.00
0.00
0.00
0.00
Nov-01-2018
0.00
0.00
0.00
0.00
0.00
0.00
Nov-01-2018
0.00
0.00
0.00
0.00
0.00
0.00
Nov-01-2018
0.00
0.00
0.00
0.00
0.00
0.00
Mar-17-2018
164.72
0.00
0.00
0.00
(164.72)
0.00
Mar-17-2018
114.76
33.28
0.00
0.00
(148.04)
0.00
Mar-17-2018
134.72
25.60
0.00
0.00
(160.32)
0.00
Periods 0.00
Period
Activity
Tax
Penalty
Interest
Other
Credit
Balance
Valid
Mar-31-2020
Dec-31-2019
Sep-30-2019
Jun-30-2019
Mar-31-2019
Dec-31-2018
Sep-30-2018
Jun-30-2018
Mar-31-2018
Dec-31-2017
Sep-30-2017
Jun-30-2017
Mar-31-2017
13 Rows
414.20
58.88
0.00
0.00
(473.08)
0.00
DOJ-01-0000005189
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 48 of 202
Production
Production
Outstanding
Jun-30-2020
Ontime-Prcd
Jan-31-2020
Jan-14-2020
Ontime-Prcd
Oct-31-2019
Oct-08-2019
Late-Prcd
Jul-31-2019
Oct-08-2019
Late-Prcd
Apr-30-2019
May-29-2019
Late-Prcd
Jan-31-2019
Feb-22-2019
Late-Prcd
Oct-31-2018
Nov-01-2018
Late-Prcd
Jul-31-2018
Nov-01-2018
Late-Prcd
May-08-2018
Nov-01-2018
Late-Prcd
Jan-31-2018
Nov-01-2018
Ontime-Prcd
Oct-31-2017
Oct-26-2017
Late-Prcd
Jul-31-2017
Oct-26-2017
Late-Prcd
May-01-2017
Jun-19-2017
Returns
Return
Period
Status
Due
Received
Combined Excise Tax Return
Mar-31-2020
Combined Excise Tax Return
Dec-31-2019
Combined Excise Tax Return
Sep-30-2019
Combined Excise Tax Return
Jun-30-2019
Combined Excise Tax Return
Mar-31-2019
Combined Excise Tax Return
Dec-31-2018
Combined Excise Tax Return
Sep-30-2018
Combined Excise Tax Return
Jun-30-2018
Combined Excise Tax Return
Mar-31-2018
Combined Excise Tax Return
Dec-31-2017
Combined Excise Tax Return
Sep-30-2017
Combined Excise Tax Return
Jun-30-2017
Combined Excise Tax Return
Mar-31-2017
13 Rows
DOJ-01-0000005190
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 49 of 202
Production
Production
Posted
Conversion
Converted Payment
Sep-30-2017
Mar-17-2018
Oct-31-2017
164.72
Conversion
Converted Payment
Jun-30-2017
Mar-17-2018
Oct-30-2017
148.04
Conversion
Converted Payment
Mar-31-2017
Mar-17-2018
Jun-20-2017
160.32
Conversion
Converted Payment
Dec-31-2016
Mar-17-2018
Jun-20-2017
171.45
Payments
Status
Trans Type
Source
Type
Period
Posted
Effective
Amount Reversed
Converted Payment
Converted Payment
Converted Payment
Converted Payment
4 Rows
644.53
DOJ-01-0000005191
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 50 of 202
Production
Production
Dec-31-2019
Jan-14-2020
Jan-31-2020
Tax
0.00
0.00
Sep-30-2019
Oct-08-2019
Oct-31-2019
Tax
0.00
0.00
Jun-30-2019
Oct-08-2019
Jul-31-2019
Tax
0.00
0.00
Mar-31-2019
May-29-2019
Apr-30-2019
Tax
0.00
0.00
Dec-31-2018
Feb-22-2019
Jan-31-2019
Tax
0.00
0.00
Sep-30-2018
Nov-01-2018
Oct-31-2018
Tax
0.00
0.00
Jun-30-2018
Nov-01-2018
Jul-31-2018
Tax
0.00
0.00
Mar-31-2018
Nov-01-2018
May-08-2018
Tax
0.00
0.00
Dec-31-2017
Nov-01-2018
Jan-31-2018
Tax
0.00
0.00
Sep-30-2017
Mar-17-2018
Oct-31-2017
Credit
(164.72)
0.00
Mar-17-2018
Oct-31-2017
Tax
164.72
0.00
Jun-30-2017
Mar-17-2018
Jul-31-2017
Tax
114.76
0.00
Transactions: 0.00
Period
Posted
Effective
Trans Type
Impact
Amount
Balance
...
Return Tax
1 Rows
0.00
0.00
...
Return Tax
1 Rows
0.00
0.00
...
Return Tax
1 Rows
0.00
0.00
...
Return Tax
1 Rows
0.00
0.00
...
Return Tax
1 Rows
0.00
0.00
...
Return Tax
1 Rows
0.00
0.00
...
Return Tax
1 Rows
0.00
0.00
...
Return Tax
1 Rows
0.00
0.00
...
Return Tax
1 Rows
0.00
0.00
...
Converted Payment
...
Converted Return Tax
2 Rows
0.00
0.00
...
Converted Return Tax
DOJ-01-0000005192
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 51 of 202
Mar-17-2018
Jul-31-2017
Penalty
33.28
0.00
Mar-17-2018
Oct-30-2017
Credit
(148.04)
0.00
Mar-31-2017
Mar-17-2018
May-01-2017
Tax
134.72
0.00
Mar-17-2018
Jun-20-2017
Credit
(160.32)
0.00
Mar-17-2018
May-01-2017
Penalty
25.60
0.00
Transactions: 0.00
Period
Posted
Effective
Trans Type
Impact
Amount
Balance
...
Converted Penalty
...
Converted Payment
3 Rows
0.00
0.00
...
Converted Return Tax
...
Converted Payment
...
Converted Penalty
3 Rows
0.00
0.00
DOJ-01-0000005193
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 52 of 202
Production
Production
Dimensions: LineCode
none
04 - Service and Other Activities
Totals
Gambling Contests of Chance (less than $50,000 a year)
Year
Period
Source
Return Reason Gross
Gross
Gross
2017 Mar-31-2017 Return - Combined Excise Tax Returnnone
0.00
18,648.00 18,648.00
Jun-30-2017
0.00
17,984.00 17,984.00
Sep-30-2017
0.00
19,648.00 19,648.00
Dec-31-2017
0.00
0.00
0.00
Actuals Received
0.00
8,790.00
8,790.00
2018 Mar-31-2018
none
0.00
0.00
0.00
Actuals Received
0.00
8,450.00
8,450.00
Jun-30-2018
none
0.00
0.00
0.00
Actuals Received
0.00
8,340.00
8,340.00
Sep-30-2018
none
0.00
8,635.00
8,635.00
Dec-31-2018
0.00
0.00
0.00
Actuals Received
0.00
25,350.00 25,350.00
2019 Mar-31-2019
none
0.00
0.00
0.00
Actuals Received
0.00
12,350.00 12,350.00
Jun-30-2019
none
0.00
0.00
0.00
Actuals Received
0.00
13,500.00 13,500.00
Sep-30-2019
none
0.00
13,000.00 13,000.00
Dec-31-2019
0.00
0.00
0.00
Totals
0.00
154,695.00 154,695.00
19 Rows
DOJ-01-0000005194
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 53 of 202
Production
Production
Collection
Oct-08-2019
Collection
Sep-27-2019
Collection
Sep-18-2019
Collection
Sep-10-2019
Collection
Aug-28-2019
Collection
May-29-2019
Collection
May-23-2019
Collection
Feb-20-2019
Collection
Nov-01-2018
Collection
Jun-27-2018
Collection
Jun-27-2018
Collection
Jun-25-2018
Collection
Apr-12-2018
Notes
1 (206) 938-4291 Unable to leave message (Unavailable- Misc.) Machine hung up
1 (206) 938-4291
Left voicemail for authorized person to contact the ICT.
1 (206) 938-4291
Left voicemail for authorized person to contact the ICT.
1 (206) 938-4291: Left voicemail for authorized person to contact the ICT.
8/27/2019 8:58:36 AM. 2069384291. Virtual agent played message to live voice.
5/28/2019 8:41:22 AM. 2069384291. Virtual agent played message to live voice.
5/22/2019 8:27:25 AM. 2069384291. Virtual agent detected that the answering party hung up before message was left.
2/19/2019 11:44:22 AM. 2069384291. Virtual agent left message on voicemail.
1 (206) 938-4291 Spoke with Eric and provided assistance in accessing the online tax account for Shibley Medical. Eric stated he will have the returns
done within the hour.
8888550724. Virtual agent reached a bad/disconnected phone number. Unable to leave message.
8166711463. Virtual agent played message. virtual agent could not determine if answering party was a live voice or voicemail system.
8888550724. Virtual agent detected that the answering party hung up before message was left.
1 (816) 671-1463 SW EFILER Bal Singh who will contact Eric to file Q4-17.
DOJ-01-0000005195
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 54 of 202
ERIC R SHIBLEY MD PLLC
SHIBLEY MEDICAL CLINIC
4700 36TH AVE SW
SEATTLE WA 98126-2716
April 15, 2020
Letter ID: L0012983582
Account ID: 603-260-109
Account Type: Excise Tax
Quarter 1 period ending 03/31/2020
Dear SHIBLEY MEDICAL CLINIC:
The Department of Revenue recognizes the profound impact the COVID-19 virus is having on businesses
across our nation. Your business is a vital part of Washington’s economy and we are committed to helping
keep businesses in business during this difficult time.
This letter is to notify you that your Quarterly March 31, 2020 tax return due date was recently extended.
Your new due date is: June 30, 2020
A few important reminders:
•
This is an extension of tax due, not a waiver of taxes owed.
•
It is important to remember that retail sales tax is collected on behalf of the state and is held in trust for
the state of Washington. It should not be used for business expenses.
•
All businesses that receive an extension should still file their tax return on time, if they are able.
•
If you already filed your tax return and scheduled your payment for withdrawal, you must cancel your
payment in your online My DOR account BEFORE the original due date to ensure the payment is not
pulled from your bank account before the new due date. Taxes already paid will not be refunded.
•
If you cannot pay your taxes in full by the new extended due date, please contact us at 1-800-631-4028
for assistance. You may qualify for a payment plan.
If you have the ability to pay earlier than your new due date, please do so. Your taxes fund important services
in our state and local communities including K-12 schools, health and social services, and public safety.
If you have any questions regarding this please contact us at 360-705-6705.
Sincerely,
Department of Revenue
Taxpayer Account Administration
Taxpayer Account Administration Division
PO Box 47476 Olympia, WA 98504-7476
gaL0188
DOJ-01-0000005197
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 55 of 202
DOJ-01-0000005198
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 56 of 202
State of Washington
Department of Revenue
PO Box 47464
Olympia, WA 98504-7464
Batch #: 8044
Serial #: 63
January - March (Q1 2017)
Combined Excise Tax Return
603-260-109
SHIBLEY MEDICAL CLINIC
ERIC R SHIBLEY MD PLLC
State Business and Occupation Section
Taxes
Line Code Tax Classification
Gross Amount
Total Deductions
Taxable Amount
Rate
Tax Due
0004
Service and Other Activities; Gambling Contests of Chance (less than $50,000 a year)
18,648.00
0.00
18,648.00 0.0150
279.72
18,648.00
0.00
18,648.00
279.72
Credit Section
Code
Document Number
Credit
Amount
0720
Service & Other SBC
(145.00)
145.00
Summary Section
Amount
State Business and Occupation Tax Total
279.72
State Sales and Use Tax Total
0.00
Local and Regional Tax Total
0.00
Lodging Tax Total
0.00
Public Utilities Tax Total
0.00
E911 Tax Total
0.00
Other Tax Total
0.00
SubTotal
279.72
Less Total Credits
(145.00)
SubTotal
134.72
19% Penalty
25.60
Total
160.32
Amount Paid
160.32
Balance
0.00
Additional Information
Confirmation Number
20891961
Date and Time Submitted
6/19/2017 10:01:55 AM
Payment Type
E-Check
Total Amount Paid
160.32
Date To Transfer Payment
6/20/2017
Person Authorizing Payment Eric Shibley
Date Printed
6/20/2017
Tax Registration Number 603-260-109
Person Completing Return Eric Shibley
Phone Number
(206)938-4291
E-Mail Address
ers98126@gmail.com
DOJ-01-0000005206
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 57 of 202
This is a copy for your records.
Please DO NOT MAIL a copy to the Department of Revenue.
DOJ-01-0000005207
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 58 of 202
State of Washington
Department of Revenue
PO Box 47464
Olympia, WA 98504-7464
Batch #: 8124
Serial #: 1220
April - June (Q2 2017)
Combined Excise Tax Return
603-260-109
SHIBLEY MEDICAL CLINIC
ERIC R SHIBLEY MD PLLC
State Business and Occupation Section
Taxes
Line Code Tax Classification
Gross Amount
Total Deductions
Taxable Amount
Rate
Tax Due
0004
Service and Other Activities; Gambling Contests of Chance (less than $50,000 a year)
17,984.00
0.00
17,984.00 0.0150
269.76
17,984.00
0.00
17,984.00
269.76
Credit Section
Code
Document Number
Credit
Amount
0720
Service & Other SBC
(155.00)
155.00
Summary Section
Amount
State Business and Occupation Tax Total
269.76
State Sales and Use Tax Total
0.00
Local and Regional Tax Total
0.00
Lodging Tax Total
0.00
Public Utilities Tax Total
0.00
E911 Tax Total
0.00
Other Tax Total
0.00
SubTotal
269.76
Less Total Credits
(155.00)
SubTotal
114.76
29% Penalty
33.28
Total
148.04
Amount Paid
148.04
Balance
0.00
Additional Information
Confirmation Number
21875518
Date and Time Submitted
10/26/2017 7:53:38 PM
Payment Type
E-Check
Total Amount Paid
148.04
Date To Transfer Payment
10/27/2017
Person Authorizing Payment Eric Shibley
Date Printed
10/30/2017
Tax Registration Number 603-260-109
Person Completing Return Eric Shibley
Phone Number
(206)938-4291
E-Mail Address
shibleenyc@yahoo.com
DOJ-01-0000005208
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 59 of 202
This is a copy for your records.
Please DO NOT MAIL a copy to the Department of Revenue.
DOJ-01-0000005209
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 60 of 202
State of Washington
Department of Revenue
PO Box 47464
Olympia, WA 98504-7464
Batch #: 8124
Serial #: 1226
July - September (Q3 2017)
Combined Excise Tax Return
603-260-109
SHIBLEY MEDICAL CLINIC
ERIC R SHIBLEY MD PLLC
State Business and Occupation Section
Taxes
Line Code Tax Classification
Gross Amount
Total Deductions
Taxable Amount
Rate
Tax Due
0004
Service and Other Activities; Gambling Contests of Chance (less than $50,000 a year)
19,648.00
0.00
19,648.00 0.0150
294.72
19,648.00
0.00
19,648.00
294.72
Credit Section
Code
Document Number
Credit
Amount
0720
Service & Other SBC
(130.00)
130.00
Summary Section
Amount
State Business and Occupation Tax Total
294.72
State Sales and Use Tax Total
0.00
Local and Regional Tax Total
0.00
Lodging Tax Total
0.00
Public Utilities Tax Total
0.00
E911 Tax Total
0.00
Other Tax Total
0.00
SubTotal
294.72
Less Total Credits
(130.00)
Total
164.72
Amount Paid
164.72
Balance
0.00
Additional Information
Confirmation Number
21875525
Date and Time Submitted
10/26/2017 7:56:23 PM
Payment Type
E-Check
Total Amount Paid
164.72
Date To Transfer Payment
11/1/2017
Person Authorizing Payment Eric Shibley
Date Printed
10/30/2017
Tax Registration Number 603-260-109
Person Completing Return Eric Shibley
Phone Number
(206)938-4291
E-Mail Address
shibleenyc@yahoo.com
This is a copy for your records.
DOJ-01-0000005210
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 61 of 202
Please DO NOT MAIL a copy to the Department of Revenue.
DOJ-01-0000005211
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 62 of 202
Production
Production
You are viewing the most recent version of your return. If you would like to view what was submitted, please
select the return under the Submission Tab.
603-260-109
Filing Period:
Combined Excise Tax Return
SHIBLEY MEDICAL CLINIC
December 31, 2017
ERIC R SHIBLEY MD PLLC
Washington State Department of Revenue
Due Date:
Filing Frequency:
January 31, 2018
Quarterly
Business & Occupation
Tax Classification
Gross Amount
Deductions
Taxable Amount
Tax Rate
Tax Due
Service and Other Activities; Gambling Contests of Chance (less than
$50,000 a year)
8,790.00
Add Deduction
8,790.00
0.015000
131.85
Total Business & Occupation
131.85
Business & Occupation Credits
Service & Other SBC
131.85
Total B&O Credit
131.85
Return Totals
Total Tax
131.85
Less Credits
131.85
Total Amount
0.00
DOJ-01-0000005212
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 63 of 202
Production
Production
You are viewing the most recent version of your return. If you would like to view what was submitted, please
select the return under the Submission Tab.
603-260-109
Filing Period:
Combined Excise Tax Return
SHIBLEY MEDICAL CLINIC
March 31, 2018
ERIC R SHIBLEY MD PLLC
Washington State Department of Revenue
Due Date:
Filing Frequency:
May 8, 2018
Quarterly
Business & Occupation
Tax Classification
Gross Amount
Deductions
Taxable Amount
Tax Rate
Tax Due
Service and Other Activities; Gambling Contests of Chance (less than
$50,000 a year)
8,450.00
Add Deduction
8,450.00
0.015000
126.75
Total Business & Occupation
126.75
Business & Occupation Credits
Service & Other SBC
126.75
Total B&O Credit
126.75
Return Totals
Total Tax
126.75
Less Credits
126.75
Total Amount
0.00
DOJ-01-0000005213
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 64 of 202
Production
Production
You are viewing the most recent version of your return. If you would like to view what was submitted, please
select the return under the Submission Tab.
603-260-109
Filing Period:
Combined Excise Tax Return
SHIBLEY MEDICAL CLINIC
June 30, 2018
ERIC R SHIBLEY MD PLLC
Washington State Department of Revenue
Due Date:
Filing Frequency:
July 31, 2018
Quarterly
Business & Occupation
Tax Classification
Gross Amount
Deductions
Taxable Amount
Tax Rate
Tax Due
Service and Other Activities; Gambling Contests of Chance (less than
$50,000 a year)
8,340.00
Add Deduction
8,340.00
0.015000
125.10
Total Business & Occupation
125.10
Business & Occupation Credits
Service & Other SBC
125.10
Total B&O Credit
125.10
Return Totals
Total Tax
125.10
Less Credits
125.10
Total Amount
0.00
DOJ-01-0000005214
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 65 of 202
Production
Production
You are viewing the most recent version of your return. If you would like to view what was submitted, please
select the return under the Submission Tab.
603-260-109
Filing Period:
Combined Excise Tax Return
SHIBLEY MEDICAL CLINIC
September 30, 2018
ERIC R SHIBLEY MD PLLC
Washington State Department of Revenue
Due Date:
Filing Frequency:
October 31, 2018
Quarterly
Business & Occupation
Tax Classification
Gross Amount
Deductions
Taxable Amount
Tax Rate
Tax Due
Service and Other Activities; Gambling Contests of Chance (less than
$50,000 a year)
8,635.00
Add Deduction
8,635.00
0.015000
129.53
Total Business & Occupation
129.53
Business & Occupation Credits
Service & Other SBC
129.53
Total B&O Credit
129.53
Return Totals
Total Tax
129.53
Less Credits
129.53
Total Amount
0.00
DOJ-01-0000005215
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 66 of 202
Production
Production
You are viewing the most recent version of your return. If you would like to view what was submitted, please
select the return under the Submission Tab.
603-260-109
Filing Period:
Combined Excise Tax Return
SHIBLEY MEDICAL CLINIC
December 31, 2018
ERIC R SHIBLEY MD PLLC
Washington State Department of Revenue
Due Date:
Filing Frequency:
January 31, 2019
Quarterly
Business & Occupation
Tax Classification
Gross Amount
Deductions
Taxable Amount
Tax Rate
Tax Due
Service and Other Activities; Gambling Contests of Chance (less than
$50,000 a year)
25,350.00
14,500.00
10,850.00
0.015000
162.75
Total Business & Occupation
162.75
Business & Occupation Credits
Service & Other SBC
162.75
Total B&O Credit
162.75
Business & Occupation
Deductions
Line Code
Deduction
Amount Filed
Service and Other Activities; Gambling Contests of Chance (less than $50,00
Interest on Certain Investments / Loans / Obligations
14,500.00
Return Totals
Total Tax
162.75
Less Credits
162.75
Total Amount
0.00
DOJ-01-0000005216
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 67 of 202
Production
Production
You are viewing the most recent version of your return. If you would like to view what was submitted, please
select the return under the Submission Tab.
603-260-109
Filing Period:
Combined Excise Tax Return
SHIBLEY MEDICAL CLINIC
March 31, 2019
ERIC R SHIBLEY MD PLLC
Washington State Department of Revenue
Due Date:
Filing Frequency:
April 30, 2019
Quarterly
Business & Occupation
Tax Classification
Gross Amount
Deductions
Taxable Amount
Tax Rate
Tax Due
Service and Other Activities; Gambling Contests of Chance (less than
$50,000 a year)
12,350.00
Add Deduction
12,350.00
0.015000
185.25
Total Business & Occupation
185.25
Business & Occupation Credits
Service & Other SBC
185.25
Total B&O Credit
185.25
Return Totals
Total Tax
185.25
Less Credits
185.25
Total Amount
0.00
DOJ-01-0000005217
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 68 of 202
Production
Production
You are viewing the most recent version of your return. If you would like to view what was submitted, please
select the return under the Submission Tab.
603-260-109
Filing Period:
Combined Excise Tax Return
SHIBLEY MEDICAL CLINIC
June 30, 2019
ERIC R SHIBLEY MD PLLC
Washington State Department of Revenue
Due Date:
Filing Frequency:
July 31, 2019
Quarterly
Business & Occupation
Tax Classification
Gross Amount
Deductions
Taxable Amount
Tax Rate
Tax Due
Service and Other Activities; Gambling Contests of Chance (less than
$50,000 a year)
13,500.00
Add Deduction
13,500.00
0.015000
202.50
Total Business & Occupation
202.50
Business & Occupation Credits
Service & Other SBC
202.50
Total B&O Credit
202.50
Return Totals
Total Tax
202.50
Less Credits
202.50
Total Amount
0.00
DOJ-01-0000005218
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 69 of 202
Production
Production
You are viewing the most recent version of your return. If you would like to view what was submitted, please
select the return under the Submission Tab.
603-260-109
Filing Period:
Combined Excise Tax Return
SHIBLEY MEDICAL CLINIC
September 30, 2019
ERIC R SHIBLEY MD PLLC
Washington State Department of Revenue
Due Date:
Filing Frequency:
October 31, 2019
Quarterly
Business & Occupation
Tax Classification
Gross Amount
Deductions
Taxable Amount
Tax Rate
Tax Due
Service and Other Activities; Gambling Contests of Chance (less than
$50,000 a year)
13,000.00
Add Deduction
13,000.00
0.015000
195.00
Total Business & Occupation
195.00
Business & Occupation Credits
Service & Other SBC
195.00
Total B&O Credit
195.00
Return Totals
Total Tax
195.00
Less Credits
195.00
Total Amount
0.00
DOJ-01-0000005219
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 70 of 202
Production
Production
Customer
New Manager
Governing People Info
SHIBLEY, ERIC
Customer: Limited Liability Company
Explore
Structure
Expand
Customer
:
603-248-905
ES1 LLC
4700 36TH AVE SW SEATTLE WA 98126-2716
Registration
CRM
Task
Investigation
Collection
Audit
Financial
Adjustment
Web
Other
Accounts
Customer
Profiles
Ids
Trade Names
Names
Addresses
Contacts
NAICS
Links
Sites
1
*
*
*
Customer
UBI/CID
Federal Employer ID
603-248-905
**-***5849
Legal
ES1 LLC
Mailing
4700 36TH AVE SW SEATTLE WA 98126-2716
Email
Business Attributes
Show History
Business Attributes
Customer Subtype
SSO Category Code
LLC
Country of Incorporation
USA
State of Incorporation
WASHINGTON
Year Inc (BLA)
2012
Prior Business Name
FO
External Agency Account Status
Get Agency Statuses
Labor & Industries:
Active
Closed
Employment Security:
Active
Closed
DOR Tax Account
Closed
Inactive
Important Dates
Cease Date
Application Month
OCT
Date Inc (SOS)
Oct-25-2012
Insurance Information
Optional L&I for Owners/Officers?
OYes
No
Optional L&I for Excluded?
OYes
No
Name
Address
Telephone Number
Percent Owned
Official
SHIBLEY, ERIC
0
ES1 LLC: 8905
Menu
Inactive
Inactive
Active
DOJ-01-0000005092
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 78
Admitted ________________
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 71 of 202
Production
Production
FEIN
UBI/CID
Secretary of State
License Account ID
License
License Account ID
Excise Tax
Account ID
Identities
Profile Account Type
Account
Id Type
Id
Cease
Valid
001
**-***5849
001
603-248-905
002
603248905-001-0000
603248905-001-0000
003
603248905-001-0001
603248905-001-0001
005
603-248-905
603-248-905
5 Rows
DOJ-01-0000005093
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 72 of 202
Production
Production
Activity ID
Trade Name
Registration Date
Cancellation Date
Location ID
Original Application ID
SHIBLEY MEDICAL
May-06-2019
603248905-001-000501419138
DOJ-01-0000005094
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 73 of 202
Production
Production
001
Legal
License
Primary Business
Names
Profile Account Type
Account
Name Type
Name
Valid
ES1 LLC
003
603248905-001-0001
ES1 LLC
2 Rows
DOJ-01-0000005095
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 74 of 202
Production
Production
Addresses
Profile Account Type
Account
Address Type
Address
Valid
001
Mailing
4700 36TH AVE SW SEATTLE WA 98126-2716
001
Reg Agent Location
4700 36TH AVE SW SEATTLE WA 98126-2716
001
Reg Agent Mailing
4700 36TH AVE SW SEATTLE WA 98126-2716
002 Secretary of State
603248905-001-0000
Location
4700 36TH AVE SW SEATTLE WA 98126-2716
003 License
603248905-001-0001
Location
4700 36TH AVE SW SEATTLE WA 98126-2716
003 License
603248905-001-0001
Mailing
4700 36TH AVE SW SEATTLE WA 98126-2716
005 Excise Tax
603-248-905
Mailing
4700 36TH AVE SW SEATTLE WA 98126-2716
7 Rows
DOJ-01-0000005096
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 75 of 202
Production
Production
ERS98126@GMAIL.COM
Secretary of State
Business
(206) 938-4291
License
Business
(206) 938-4291 ERS98126@GMAIL.COM
Excise Tax
Business
(206) 938-4291 ERS98126@GMAIL.COM
Contacts
Account Type
Account
Contact Type
Contact
Phone Type Phone
Email
Email
603248905-001-0000 Primary Contact
603248905-001-0001 Primary Contact
603-248-905
Excise Tax Contact
4 Rows
DOJ-01-0000005097
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 76 of 202
Production
Production
Posted
603248905-001-0000
Secretary of State
Credit Card
Dec-13-2017
Dec-13-2017
96.00
603248905-001-0000
Secretary of State
Credit Card
Jan-12-2017
Jan-12-2017
96.00
603248905-001-0001
License
Credit Card
May-01-2019
May-06-2019
24.00
Payments
Status
Account
Trans Type
Account Type
Type
Period
Posted
Amount Reversed
BLS Payment
BLS Payment
BLS Payment
3 Rows
216.00
DOJ-01-0000005098
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 77 of 202
Production
Production
Account
New Manager
Account: Excise Tax
Expand
NOT MANDATORY EFILE/EPAY
Account
:
603-248-905
ES1 LLC
4700 36TH AVE SW SEATTLE WA 98126-2716
Customer
:
ES1 LLC
4700 36TH AVE SW SEATTLE WA 98126-2716
603-248-905
Financial
CRM
Task
Collection
Investigation
Audit
Adjustment
Registration
Web
Other
Account
Ids
Names
Addresses
Contacts
NAICS
Links
Sites
Bank
Reseller
Linked Locations
*
*
*
*
Account
Account ID
603-248-905
Mailing
4700 36TH AVE SW SEATTLE WA 98126-2716
Excise Tax Contact
Business Phone
(206) 938-4291
NAICS
Land Subdivision
237210
Excise Tax Attribute Doc
Show History
Flag Type
Flag Description
Start Date
End Date
Excise Tax
Open
Dec-01-2012
Reopen
Closure Reason
Close
Status
Active
Temporary Registration
Other Info
Company Web Site
Primary Language
Forms
Mail Tax Returns
Filing
Active Filing Frequency
Annual
Future Frequency Change
Future Frequency Effective
Permanent Filing Extensions
Filing Extensions
Efile/Epay Info
Mandatory Efile/Epay
Excise Tax: 603-248-905
Menu
DOJ-01-0000005099
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 78 of 202
Production
Production
Mar-31-2020
0.00
0.00
0.00
0.00
0.00
0.00
Oct-08-2019
0.00
0.00
0.00
0.00
0.00
0.00
Oct-08-2019
0.00
0.00
0.00
0.00
0.00
0.00
Periods 0.00
Period
Activity
Tax
Penalty
Interest
Other
Credit
Balance
Valid
Dec-31-2019
Dec-31-2018
Dec-31-2017
3 Rows
0.00
0.00
0.00
0.00
0.00
0.00
DOJ-01-0000005100
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 79 of 202
Production
Production
Ontime-Prcd
Jun-15-2020
Jan-14-2020
Late-Prcd
Jan-31-2019
Oct-08-2019
Late-Prcd
Jan-31-2018
Oct-08-2019
Returns
Return
Period
Status
Due
Received
Combined Excise Tax Return
Dec-31-2019
Combined Excise Tax Return
Dec-31-2018
Combined Excise Tax Return
Dec-31-2017
3 Rows
DOJ-01-0000005101
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 80 of 202
Production
Production
Dec-31-2019
Mar-31-2020
Jun-15-2020
Tax
0.00
0.00
Mar-31-2020
Jun-15-2020
Tax
0.00
0.00
Mar-31-2020
Jun-15-2020
Tax
0.00
0.00
Dec-31-2018
Oct-08-2019
Jan-31-2019
Tax
0.00
0.00
Dec-31-2017
Oct-08-2019
Jan-31-2018
Tax
0.00
0.00
Transactions: 0.00
Period
Posted
Effective
Trans Type
Impact
Amount
Balance
...
State Share Credit
...
Return Tax
...
State Share Debit
3 Rows
0.00
0.00
...
Return Tax
1 Rows
0.00
0.00
...
Return Tax
1 Rows
0.00
0.00
DOJ-01-0000005102
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 81 of 202
Production
Production
Case
Oct-21-2019
Collection
Oct-09-2019
Collection
Jun-20-2019
Mail
Jun-11-2019
Mail
May-09-2019
Notes
(RSP) RSP application denied as the indicated business activity does not qualify. As a speculative builder, TP is the consumer of any goods or labor that
go into the construction site and must pay sales tax on all materials or labor and TP does not have an LNI contractor's license.
TP contacted Seattle FO on 10/8/19 and I assisted him with accessing his excise tax account via MYDOR so that he could file overdue returns.
Per SOS governing person is Eric Shibley. Expires October 2019.
Mailed Final Demand letter for annual OSR
Mailed Initial Demand letter for annual OSRs
DOJ-01-0000005103
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 82 of 202
ES1 LLC
4700 36TH AVE SW
SEATTLE WA 98126-2716
May 9, 2019
Letter ID: L0009081998
UBI: 603-248-905
Account ID: 603-248-905
Account Type: Excise Tax
Dear Business Representative:
You are being contacted because you have not filed or paid the liability listed below. In addition, interest and
penalties continue to accrue on the unpaid amounts.
Complete and submit any unfiled returns and remit payment in full for all your liability owed (electronically if
required). To avoid further collection action, returns and full payment must be received by May 20, 2019.
You can pay by ACH debit/e-check via your online MyDOR account, by credit card by calling Official
Payments Corporation at 1-800-272-9829 (and following instructions provided, additional fees may apply), or
by mailing payment to the district office address below.
Please contact me at the number below if you have any questions.
Sincerely,
Elaine Steffens
Revenue Agent
SUMMARY OF LIABILITY
Type
Filing Period
Total
Unfiled Return
Annual period ending Dec 31, 2015
Unfiled Return
Annual period ending Dec 31, 2016
Unfiled Return
Annual period ending Dec 31, 2017
Unfiled Return
Annual period ending Dec 31, 2018
Compliance Division - Seattle
2101 4th Ave # Suite 1400 Seattle, WA 98121-2300 or visit dor.wa.gov
Phone (206) 727-5379 Fax (206) 727-5319 Email ElaineS@DOR.WA.GOV
gbL0001
DOJ-01-0000005104
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 83 of 202
DOJ-01-0000005105
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 84 of 202
ES1 LLC
4700 36TH AVE SW
SEATTLE WA 98126-2716
October 21, 2019
Letter ID: L0010764475
Account ID: 603-248-905
Account Type: Excise Tax
Re: Your reseller permit application
Your application for a reseller permit, received on October 8, 2019, has been reviewed. The application was
denied for the following reason(s):
•
The business activity description reported on your application does not qualify you to make wholesale
purchases.
•
Department of Labor & Industries does not have an active Contractor License assigned to your UBI.
Please contact L&I at (360) 902-5226 or lni.wa.gov on how to register as a contractor.
Other options
If you make retail or wholesale sales, you may simply take the “taxable amount for tax paid at source”
deduction on your excise tax return or request a refund of the sales tax paid on qualified purchases for
resale. For more information on these options, visit our website at dor.wa.gov/resellerpermit.
Appeal process
If you disagree with this decision, you have the right to appeal. You must file your appeal within 21 days of
the date of this letter. An appeal form is available at dor.wa.gov/resellerpermit or by calling 1-800-647-7706.
If you have questions
If you have questions about your request or need assistance, please call (360) 705-6217.
Sincerely,
Reseller Permit Team
Taxpayer Account Administration Division
Taxpayer Account Administration Division
PO Box 47476 Olympia, WA 98504-7476
lmL0004
DOJ-01-0000005124
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 85 of 202
Production
Production
Customer
New Manager
Governing People Info
SHIBLEY, ERIC
Customer: Limited Liability Company
Explore
Structure
Expand
COLLECTION
Customer
:
604-183-433
SFC LLC
4700 36TH AVE SW SEATTLE WA 98126-2716
Registration
CRM
Task
Investigation
Collection
Audit
Financial
Adjustment
Web
Other
Accounts
Customer
Profiles
Ids
Trade Names
Names
Addresses
Contacts
NAICS
Links
Sites
0
*
*
*
Customer
UBI/CID
604-183-433
Legal
SFC LLC
Mailing
4700 36TH AVE SW SEATTLE WA 98126-2716
Business Attributes
Show History
Business Attributes
Customer Subtype
SSO Category Code
LLC
Country of Incorporation
USA
State of Incorporation
WASHINGTON
Year Inc (BLA)
2017
Prior Business Name
FO
External Agency Account Status
Get Agency Statuses
Labor & Industries:
Active
Closed
Employment Security:
Active
Closed
DOR Tax Account
Closed
Inactive
Important Dates
Cease Date
Application Month
NOV
Date Inc (SOS)
Nov-03-2017
Insurance Information
Optional L&I for Owners/Officers?
OYes
No
Optional L&I for Excluded?
OYes
No
Name
Address
Telephone Number
Percent Owned
Official
SHIBLEY, ERIC
0
SFC LLC: 3433
Menu
Inactive
Inactive
Active
DOJ-01-0000005125
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 79
Admitted ________________
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 86 of 202
Production
Production
Activities
ETPID
Activity Type
Activity Category
Status
Commence
Cease
0001
Scale - Small
Department of Agriculture
Terminated
May-31-2018
May-31-2019
0135
Tax Registration
Department of Revenue
Withdrawn
May-11-2018
0135
Tax Registration
Department of Revenue
Active
May-11-2018
0393
Marijuana Processor
Liquor and Cannabis Board
Withdrawn
May-31-2018
May-31-2019
4 Rows
DOJ-01-0000005126
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 87 of 202
Production
Production
UBI/CID
Secretary of State
License Account ID
License
License Account ID
Excise Tax
Account ID
Identities
Profile Account Type
Account
Id Type
Id
Cease
Valid
001
604-183-433
002
604183433-001-0000
604183433-001-0000
003
604183433-001-0001
604183433-001-0001
005
604-183-433
604-183-433
4 Rows
DOJ-01-0000005127
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 88 of 202
Production
Production
001
Legal
License
Primary Business
Excise Tax
Doing Business As
Names
Profile Account Type
Account
Name Type
Name
Valid
SFC LLC
003
604183433-001-0001
SEATTLE'S FINEST CANNABIS
005
604-183-433
SEATTLE'S FINEST CANNABIS
3 Rows
DOJ-01-0000005128
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 89 of 202
Production
Production
Addresses
Profile Account Type
Account
Address Type
Address
Valid
001
Mailing
4700 36TH AVE SW SEATTLE WA 98126-2716
001
Reg Agent Location
4700 36TH AVE SW SEATTLE WA 98126-2716
003 License
604183433-001-0001
Location
10847 1ST AVE S STE B SEATTLE WA 98168-1309
003 License
604183433-001-0001
Mailing
4700 36TH AVE SW SEATTLE WA 98126-2716
005 Excise Tax
604-183-433
Mailing
4700 36TH AVE SW SEATTLE WA 98126-2716
5 Rows
DOJ-01-0000005129
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 90 of 202
Production
Production
License
Business
(206) 938-4191
Excise Tax
MBR ERIC SHIBLEY
ICT Best
(206) 938-4291
Excise Tax
ICT Best
(206) 938-4291
Excise Tax
MBR ERIC SHIBLEY
ICT Best
(206) 938-4191 ERS98126@GMAIL.COM
Contacts
Account Type
Account
Contact Type
Contact
Phone Type Phone
Email
604183433-001-0001 Primary Contact
604-183-433
Compliance Contact
604-183-433
Compliance Contact
604-183-433
Compliance Contact
4 Rows
DOJ-01-0000005130
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 91 of 202
Production
Production
History
604183433-001-0001
License
Check
May-07-2018
May-11-2018
269.00 Jun-01-2018
Posted
604183433-001-0001
License
Check
May-23-2018
Jun-01-2018
10.00
604183433-001-0001
License
Check
Jun-01-2018
Jun-01-2018
240.00
604183433-001-0001
License
Check
May-07-2018
Jun-01-2018
19.00
604183433-001-0001
License
Check
May-23-2018
May-31-2018
269.00
Payments
Status
Account
Trans Type
Account Type
Type
Period
Posted
Amount Reversed
BLS Payment
BLS Payment
BLS Payment
BLS Payment
BLS Payment
5 Rows
807.00
DOJ-01-0000005131
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 92 of 202
Production
Production
Account
New Manager
Account: Excise Tax
Expand
COLLECTION
Account
:
604-183-433
SEATTLE'S FINEST CANNABIS
4700 36TH AVE SW SEATTLE WA 98126-2716
Customer
:
SFC LLC
4700 36TH AVE SW SEATTLE WA 98126-2716
604-183-433
Financial
CRM
Task
Collection
Investigation
Audit
Adjustment
Registration
Web
Other
Account
Ids
Names
Addresses
Contacts
NAICS
Links
Sites
Bank
Reseller
Linked Locations
*
*
*
*
*
Account
Account ID
604-183-433
Doing Business As
SEATTLE'S FINEST CANNABIS
Mailing
4700 36TH AVE SW SEATTLE WA 98126-2716
Compliance Contact
MBR ERIC SHIBLEY
ICT Best
(206) 938-4291
NAICS
Other Food Crops Grown Under Cover
NAICS
Medicinal and Botanical Manufacturing
111419
325411
Excise Tax Attribute Doc
Show History
Flag Type
Flag Description
Start Date
End Date
UNLICENSED MARIJUANA
Business does not have marijuana endorsements
Jul-01-2018
Excise Tax
Open
Jul-01-2018
Reopen
Closure Reason
Close
Status
Active
Temporary Registration
Other Info
Company Web Site
Primary Language
Forms
Mail Tax Returns
Filing
Active Filing Frequency
Monthly
Future Frequency Change
Future Frequency Effective
Permanent Filing Extensions
Filing Extensions
Efile/Epay Info
Mandatory Efile/Epay
Effective Period
Jul-01-2018
Excise Tax: 604-183-433
Menu
DOJ-01-0000005132
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 93 of 202
Production
Production
0.00
0.00
0.00
0.00
0.00
0.00
May-27-2020
0.00
0.00
0.00
0.00
0.00
0.00
May-18-2020
0.00
0.00
0.00
0.00
0.00
0.00
Apr-27-2020
0.00
0.00
0.00
0.00
0.00
0.00
Feb-26-2020
0.00
0.00
0.00
0.00
0.00
0.00
Jan-28-2020
0.00
0.00
0.00
0.00
0.00
0.00
Dec-27-2019
0.00
0.00
0.00
0.00
0.00
0.00
Nov-26-2019
0.00
0.00
0.00
0.00
0.00
0.00
Oct-08-2019
0.00
0.00
0.00
0.00
0.00
0.00
Oct-08-2019
0.00
0.00
0.00
0.00
0.00
0.00
Oct-08-2019
0.00
0.00
0.00
0.00
0.00
0.00
Oct-08-2019
0.00
0.00
0.00
0.00
0.00
0.00
Oct-08-2019
0.00
0.00
0.00
0.00
0.00
0.00
May-01-2019
0.00
0.00
0.00
0.00
0.00
0.00
May-01-2019
0.00
0.00
0.00
0.00
0.00
0.00
May-01-2019
0.00
0.00
0.00
0.00
0.00
0.00
Feb-22-2019
0.00
0.00
0.00
0.00
0.00
0.00
Feb-22-2019
0.00
0.00
0.00
0.00
0.00
0.00
Dec-06-2018
0.00
0.00
0.00
0.00
0.00
0.00
Dec-06-2018
0.00
0.00
0.00
0.00
0.00
0.00
Dec-06-2018
0.00
0.00
0.00
0.00
0.00
0.00
Dec-06-2018
0.00
0.00
0.00
0.00
0.00
0.00
Dec-06-2018
0.00
0.00
0.00
0.00
0.00
0.00
Periods 0.00
Period
Activity
Tax
Penalty
Interest
Other
Credit
Balance
Valid
May-31-2020
Apr-30-2020
Mar-31-2020
Feb-29-2020
Jan-31-2020
Dec-31-2019
Nov-30-2019
Oct-31-2019
Sep-30-2019
Aug-31-2019
Jul-31-2019
Jun-30-2019
May-31-2019
Apr-30-2019
Mar-31-2019
Feb-28-2019
Jan-31-2019
Dec-31-2018
Nov-30-2018
Oct-31-2018
Sep-30-2018
Aug-31-2018
Jul-31-2018
23 Rows
0.00
0.00
0.00
0.00
0.00
0.00
DOJ-01-0000005133
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 94 of 202
Production
Production
Outstanding
Jun-25-2020
Estimated
May-26-2020
Estimated
Apr-27-2020
Estimated
Mar-25-2020
Estimated
Feb-25-2020
Estimated
Jan-27-2020
Estimated
Dec-26-2019
Estimated
Nov-25-2019
Ontime-Prcd
Oct-25-2019
Oct-08-2019
Late-Prcd
Sep-25-2019
Oct-08-2019
Late-Prcd
Aug-26-2019
Oct-08-2019
Late-Prcd
Jul-25-2019
Oct-08-2019
Late-Prcd
Jun-25-2019
Oct-08-2019
Ontime-Prcd
May-28-2019
May-01-2019
Late-Prcd
Apr-25-2019
May-01-2019
Late-Prcd
Mar-25-2019
May-01-2019
Ontime-Prcd
Feb-25-2019
Feb-22-2019
Late-Prcd
Jan-25-2019
Feb-22-2019
Ontime-Prcd
Dec-26-2018
Dec-06-2018
Late-Prcd
Nov-26-2018
Dec-06-2018
Late-Prcd
Oct-25-2018
Dec-06-2018
Late-Prcd
Sep-25-2018
Dec-06-2018
Late-Prcd
Aug-27-2018
Dec-06-2018
Returns
Return
Period
Status
Due
Received
Combined Excise Tax Return
May-31-2020
Combined Excise Tax Return
Apr-30-2020
Combined Excise Tax Return
Mar-31-2020
Combined Excise Tax Return
Feb-29-2020
Combined Excise Tax Return
Jan-31-2020
Combined Excise Tax Return
Dec-31-2019
Combined Excise Tax Return
Nov-30-2019
Combined Excise Tax Return
Oct-31-2019
Combined Excise Tax Return
Sep-30-2019
Combined Excise Tax Return
Aug-31-2019
Combined Excise Tax Return
Jul-31-2019
Combined Excise Tax Return
Jun-30-2019
Combined Excise Tax Return
May-31-2019
Combined Excise Tax Return
Apr-30-2019
Combined Excise Tax Return
Mar-31-2019
Combined Excise Tax Return
Feb-28-2019
Combined Excise Tax Return
Jan-31-2019
Combined Excise Tax Return
Dec-31-2018
Combined Excise Tax Return
Nov-30-2018
Combined Excise Tax Return
Oct-31-2018
Combined Excise Tax Return
Sep-30-2018
Combined Excise Tax Return
Aug-31-2018
Combined Excise Tax Return
Jul-31-2018
23 Rows
DOJ-01-0000005134
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 95 of 202
Production
Production
Sep-30-2019
Oct-08-2019
Oct-25-2019
Tax
0.00
0.00
Aug-31-2019
Oct-08-2019
Sep-25-2019
Tax
0.00
0.00
Jul-31-2019
Oct-08-2019
Aug-25-2019
Tax
0.00
0.00
Jun-30-2019
Oct-08-2019
Jul-25-2019
Tax
0.00
0.00
May-31-2019
Oct-08-2019
Jun-25-2019
Tax
0.00
0.00
Apr-30-2019
May-01-2019
May-25-2019
Tax
0.00
0.00
Mar-31-2019
May-01-2019
Apr-25-2019
Tax
0.00
0.00
Feb-28-2019
May-01-2019
Mar-25-2019
Tax
0.00
0.00
Jan-31-2019
Feb-22-2019
Feb-25-2019
Tax
0.00
0.00
Dec-31-2018
Feb-22-2019
Jan-25-2019
Tax
0.00
0.00
Nov-30-2018
Dec-06-2018
Dec-25-2018
Tax
0.00
0.00
Transactions: 0.00
Period
Posted
Effective
Trans Type
Impact
Amount
Balance
...
Return Tax
1 Rows
0.00
0.00
...
Return Tax
1 Rows
0.00
0.00
...
Return Tax
1 Rows
0.00
0.00
...
Return Tax
1 Rows
0.00
0.00
...
Return Tax
1 Rows
0.00
0.00
...
Return Tax
1 Rows
0.00
0.00
...
Return Tax
1 Rows
0.00
0.00
...
Return Tax
1 Rows
0.00
0.00
...
Return Tax
1 Rows
0.00
0.00
...
Return Tax
1 Rows
0.00
0.00
...
Return Tax
1 Rows
0.00
0.00
DOJ-01-0000005135
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 96 of 202
Oct-31-2018
Dec-06-2018
Nov-25-2018
Tax
0.00
0.00
Sep-30-2018
Dec-06-2018
Oct-25-2018
Tax
0.00
0.00
Aug-31-2018
Dec-06-2018
Sep-25-2018
Tax
0.00
0.00
Jul-31-2018
Dec-06-2018
Aug-25-2018
Tax
0.00
0.00
Transactions: 0.00
Period
Posted
Effective
Trans Type
Impact
Amount
Balance
...
Return Tax
1 Rows
0.00
0.00
...
Return Tax
1 Rows
0.00
0.00
...
Return Tax
1 Rows
0.00
0.00
...
Return Tax
1 Rows
0.00
0.00
DOJ-01-0000005136
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 97 of 202
Production
Production
Collection
Apr-24-2020
Collection
Jan-16-2020
Collection
Sep-04-2019
Collection
Apr-26-2019
Work
Mar-06-2019
Collection
Feb-13-2019
Collection
Dec-12-2018
Collection
Dec-06-2018
Mail
Dec-06-2018
Collection
Dec-04-2018
Collection
Dec-03-2018
Collection
Nov-21-2018
Mail
Nov-21-2018
Mail
Nov-01-2018
Notes
1 (206) 938-4291 goes to dead air.
Skiptrace :
604183433
Current phone:
(206) 938-4291
Left voicemail for authorized person to contact the ICT.
Disconnected phones: (206) 938-4191
disconnected
Account notes:
(206) 938-4291, (206) 938-4191
duplicate
ATLAS (last return):
2069384291
Duplicate
CWM (last return):
none
No work items
ATLAS (web profile):
2069384291
Other phones (customer springboard) (206) 938-4291, (206) 938-4191
Duplicate
ATLAS MBLA:
2069384291
Secretary of State:
2069384291
+1 search (google): business name + address
none
+1 search (google): business name + address + facebook none
+1 search (google): tp name + address
(206) 938-4291
Dr. Eric Shibley (Shibley Medical)
Duplicate number.
Sent Final Demand Letter.
1 (206) 938-4291 Call type: Outbound
Period: 02/19 & 03/19
Spoke with: ERIC SHIBLEY
Title: Managing Member
Mailing address valid: N/A- Monthly reporting
Best phone number: 206 938 4291
Any business activity: NO
Account resolution date: TODAY
MyDOR Email sent:
loc 1 - withdrew etpid 0393 per LCB Incoming Interface Exceptions 0-003-496-576 - bls
1 (206) 938-4291
Call type: Outbound
Period: Dec 2018
Spoke with: Eric Shibley
Title: Corporate Officer
Mailing address valid: N/A- Monthly reporting
Best phone number: 206-938
Any business activity: No
Account resolution date: today as courtesy
Received Cert mail return signed by Eric Shibley (GOV)
1 (206) 938-4291 Spoke with Eric Shibley (GOV) and was able to provide him access to his excise tax account for Seattle's Finest Cannabis. He began
filing his returns and stated he will have them done today.
Published No Admin Letter
Sent summonts to 4700 36th ave sw address via cert and 1st class mail. Meeting date set for Jan 4th 2019 at 11:00AM.
1 (206) 938-4191 Left VM in regards to the tax account for Seattle's Finest Cannabis with a callback needed by the end of the day today otherwise we will
proceed with other contingency plans on this account.
1 (206) 938-4291 Spoke with Eric Shibley (GOV) and he stated he will file and pay the returns over the holiday weekend. Asked if he needed further
assistance to file these returns online and Eric stated he did not need any assistance. Provided my direct line in case Eric were to have questions when he
goes to file.
Sent Final Demand Letter
Sent Initial Demand Letter
DOJ-01-0000005137
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 98 of 202
Collection
Oct-04-2018
Contact
Oct-04-2018
Collection
Sep-26-2018
Account
Sep-17-2018
Collection
Sep-11-2018
Refund
Jun-01-2018
Refund
Jun-01-2018
Account
Jun-01-2018
Refund
May-11-2018
Notes
Skiptrace
Disconnected phones: 2069384191 Disconnected (Invalidated in ATLAS)
Account notes: 2069384191 Disconnected (Invalidated in ATLAS)
ATLAS (last return): NA No work items
Efile (last return): NA No work items
CWM (last return): NA No work items
ATLAS (web profile): NA No contact information listed
Efile (admin profile): NA No contact information listed
ATLAS MBLA: 2069384291 Authorized person answered: see additional note below
Spoke to Eric Shibley, who stated that he would talk with his accountant and have 07-18 through 09-18 filed and paid this weekend.
Disconnected.
1 (206) 938-4191
Line Disconnected
CWM No Records
Web Logon - No Logon associated
1 (206) 938-4191
Call type: Outbound
Period: July 2018
Spoke with: ERIC SHIBLEY
Title: Managing Member
Mailing address valid: Yes
Best phone number: (206) 938-4191
Any business activity: No
Account resolution date: 9-17-18
Emailed MY DOR set up instructions to ers98126@gmail.com. He has four delinquent accounts that he needs to set up. If he has problems he will call
ICT.
0 (206) 938-4191 Disconnected (Invalidated in ATLAS)
Resubmitting previous refund request minus $10 which were used for current BLA. -BLS
Reversed refund per customer request to satisfy outstanding RFP on new BLA.
Spoke to Eric Shibley, GP, he gave approval to reverse the pending refund and use it to satisfy the $10 RFP for the new application and then re-request
the refund for the balance.
over payment on 1523849. Submittted fees for MJ that is still pending. Will need to reapply. -BLS
DOJ-01-0000005138
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 99 of 202
SEATTLE'S FINEST CANNABIS, LLC
SEATTLE'S FINEST CANNABIS
4700 36TH AVE SW
SEATTLE WA 98126-2716
November 21, 2018
Letter ID: L0007807019
UBI: 604-183-433
Account ID: 604-183-433
Account Type: Excise Tax
Dear Business Representative:
You are being contacted because you have not filed or paid the liability listed below. Delinquency beyond this
date may require further enforcement action by the Department including, but not limited to, issuance of a tax
warrant. When filed with a Superior Court, a tax warrant creates a lien authorizing the Department to enforce
collection. Additional penalties also apply.
Complete and submit any unfiled returns and remit payment in full for all your liability owed (electronically if
required). To avoid further collection action, returns and full payment must be received by December 3,
2018.
You can pay by ACH debit/e-check via your online MyDOR account, by credit card by calling Official
Payments Corporation at 1-800-272-9829 (and following instructions provided, additional fees may apply), or
by mailing payment to the district office address below.
Please contact me at the number below if you have any questions.
Sincerely,
Jonathan Catlett
Revenue Agent
SUMMARY OF LIABILITY
Type
Filing Period
Total
Unfiled Return
Monthly period ending Jul 31, 2018
Unfiled Return
Monthly period ending Aug 31, 2018
Unfiled Return
Monthly period ending Sep 30, 2018
Compliance Division - Seattle
2101 4th Ave # Suite 1400 Seattle, WA 98121-2300 or visit dor.wa.gov
Phone (206) 727-5338 Fax (206) 727-5319 Email JonathanC@dor.wa.gov
gbL0009
DOJ-01-0000005150
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 100 of 202
SEATTLE'S FINEST CANNABIS, LLC
SEATTLE'S FINEST CANNABIS
4700 36TH AVE SW
SEATTLE WA 98126-2716
September 4, 2019
Letter ID: L0010231725
UBI: 604-183-433
Account ID: 604-183-433
Account Type: Excise Tax
Dear Business Representative:
You are being contacted because you have not filed or paid the liability listed below. Delinquency beyond this
date may require further enforcement action by the Department including, but not limited to, issuance of a tax
warrant. When filed with a Superior Court, a tax warrant creates a lien authorizing the Department to enforce
collection. Additional penalties also apply.
Complete and submit any unfiled returns and remit payment in full for all your liability owed (electronically if
required). To avoid further collection action, returns and full payment must be received by September 16,
2019.
You can pay by ACH debit/e-check via your online MyDOR account, by credit card by calling Official
Payments Corporation at 1-800-272-9829 (and following instructions provided, additional fees may apply), or
by mailing payment to the district office address below.
Please contact me at the number below if you have any questions.
Sincerely,
Mike Helms
Revenue Agent
SUMMARY OF LIABILITY
Type
Filing Period
Total
Unfiled Return
Monthly period ending May 31, 2019
Unfiled Return
Monthly period ending Jun 30, 2019
Compliance Division - Seattle
2101 4th Ave # Suite 1400 Seattle, WA 98121-2300 or visit dor.wa.gov
Phone (206) 727-5323 Fax (206) 727-5319 Email MikeH@DOR.WA.GOV
gbL0009
DOJ-01-0000005151
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 101 of 202
SEATTLE'S FINEST CANNABIS, LLC
SEATTLE'S FINEST CANNABIS
4700 36TH AVE SW
SEATTLE WA 98126-2716
February 4, 2020
Letter ID: L0011928151
UBI: 604-183-433
Account ID: 604-183-433
Account Type: Excise Tax
Dear Business Representative:
You are being contacted because you have not filed or paid the liability listed below. Delinquency beyond this
date may require further enforcement action by the Department including, but not limited to, issuance of a tax
warrant. When filed with a Superior Court, a tax warrant creates a lien authorizing the Department to enforce
collection. Additional penalties also apply.
Complete and submit any unfiled returns and remit payment in full for all your liability owed (electronically if
required). To avoid further collection action, returns and full payment must be received by February 14,
2020.
You can pay by ACH debit/e-check via your online MyDOR account, by credit card by calling Official
Payments Corporation at 1-800-272-9829 (and following instructions provided, additional fees may apply), or
by mailing payment to the district office address below.
Please contact me at the number below if you have any questions.
Sincerely,
Ben Vandermeer
Revenue Agent
SUMMARY OF LIABILITY
Type
Filing Period
Total
Unfiled Return
Monthly period ending Oct 31, 2019
Unfiled Return
Monthly period ending Nov 30, 2019
Compliance Division - Seattle
2101 4th Ave # Suite 1400 Seattle, WA 98121-2300 or visit dor.wa.gov
Phone (206) 727-5378 Fax (206) 727-5319 Email BenV@DOR.WA.GOV
gbL0009
_____
DOJ-01-0000005152
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 102 of 202
DOJ-01-0000005154
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 103 of 202
Employment Security Department
WASHINGTON STATE
PO Box 9046 Olympia, WA 98507-9046
REQUEST ID: 20-018573-RDU-DE
ESD Use: Letters NoBill
May 28, 2020
US DEPARMENT OF JUSTICE
ALEXANDRA FLORES
1400 NEW YORK AVENUE NW
ROOM 3201A
WASHINGTON DC DC 20530
RE: DITURI CONSTRUCTION
ID No: EIN
8508
The records or information being provided is considered private and confidential under
Chapter 50.13 RCW. Any misuse or unauthorized disclosure of the records may
subject a person or organization to penalties as prescribed in the cited statute. The
records or information provided here have been obtained from the unemployment
insurance records maintained by the Employment Security Department.
From January 1,2017 through March 31, 2020, our records fail to disclose any
employer quarterly reports being submitted by the above named company.
ESD is unable to locate responsive records with the EIN provided
If I can be of further assistance, please contact me at (844) 766-8930.
Sincerely,
wood
Dan Lockwood
Assistant Records Officer.
DOJ-01-0000005220
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 80
Admitted ________________
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 104 of 202
Employment Security Department
WASHINGTON STATE
PO Box 9046 Olympia, WA 98507-9046
REQUEST ID: 20-018559-RDU-DO
ESD Use: Letters NoBill
May 28, 2020
US DEPARMENT OF JUSTICE
ALEXANDRA FLORES
1400 NEW YORK AVENUE NW
ROOM 3201A
WASHINGTON DC DC 20530
RE: SHIBLEY MEDICAL CLINIC
ESN: 000-046538-00
The records or information being provided is considered private and confidential under
Chapter 50.13 RCW. Any misuse or unauthorized disclosure of the records may
subject a person or organization to penalties as prescribed in the cited statute. The
records or information provided here have been obtained from the unemployment
insurance records maintained by the Employment Security Department.
From January 1, 2017 through March 31, 2020, enclosed are copies of the employer
quarterly report(s) submitted by the above named business.
Unable to provide a signed records affidavit certifying the record under current working
circumstances.
If I can be of further assistance, please contact me at (844) 766-8930.
Sincerely,
ligd
Dan Lockwood
Assistant Records Officer
DOJ-01-0000005221
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 81
Admitted ________________
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 105 of 202
REPORT DATA
Quarterly Tax Report - 5208A
BUSINESS DATA
REPORT TYPE:
OWNER'S NAME:
QUARTER/YEAR:
1/2017
DBA:
QED:
03/31/2017
ESD NUMBER:
000-046538-00-6
PROCESS DAI E:
05/19/2017
EN:
9052
DUE DATE:
05/01/2017
UBI NUMBER:
603-260-109
RECEIVED DATE:
04/30/2017
NAME:
SHIBLEY MEDICAL CLINIC
REPORT GUID:
ADDRESS 1:
4700 36TH AVE SW
ADDRESS 2:
ADDRESS 3:
CITY:
SEATTLE
STATE:
WA
ZIP:
981262716
COUNTY:
COUNTRY:
United States
PROVINCE:
PREPARER DATA
CONTACT TYPE:
FIRST NAME:
MIDDLE NAME:
LAST NAME:
EAMS LOGON:
S.A.W. LOGON:
SAW. GUID:
PHONE NUMBER:
PHONE EXT:
PHONE TYPE:
EMAIL ADDRESS:
TAX REPORT
RECEIPT EMAIL:
RELATED TO
BUSINESS:
STREET ADDRESS:
ADDRESS 2:
ADDRESS 3:
CITY:
STATE:
ZIP:
COUNTY:
COUNTRY:
PROVINCE:
Preparer
Susan
Boyd
Business
sboyd2@esd.wa.gov
None Specified
DV7ZW4QF8QL5Z-1TT1ZPOPM9-D1LW4VZOFD-WQ4EZOTV3
360-902-9227
TAX SPECIALIST DATA
CONTACT TYPE:
FIRST NAME:
LAST NAME:
EMAIL ADDRESS:
PHONE NUMBER:
PHONE TYPE:
PHONE EXT:
MISCELLANEOUS DATA
SUBMITTAL METHOD:
EAMS Single
CONFIRMATION NUMBER:
E8QE055UG71GKHQ0
EXCESS CHANGE REASON(S):
FILING DATA
REPORTED
ID 1527 (2/6/13) Report — tax data
Page 1 of 2
DOJ-01-0000005222
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 106 of 202
HAS PAYROLL:
No
TOTAL GROSS WAGES:
0.00
TOTAL EXCESS WAGES:
(Wage Base: 0.00)
0.00
OUT-OF-STATE-WAGES:
TAXABLE WAGES:
0.00
UI TAX DUE:
(Tax Rate: 0.018000)
0.00
EAF TAX DUE:
(EAF Rate: 0.000300)
0.00
TAX DUE:
0.00
LATE PAYMENT PENALTY:
0.00
INTEREST:
0.00
LATE REPORT PENALTY:
0.00
PRIOR BALANCE OR CREDITS:
(-)0
AMOUNT DUE:
0.00
AMOUNT REMITTED:
0.00
TOTAL EXERCISED STOCK OPTIONS:
0.00
EXEMPT CORP OFF EARNINGS:
0.00
EXEMPT CORP OFFICERS:
0
EMPLOYEES 1st MONTH:
0
EMPLOYEES 2nd MONTH:
0
EMPLOYEES 3rd MONTH:
0
ID 1527 (2/6/13) Report — tax data
Page 2 of 2
DOJ-01-0000005223
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 107 of 202
REPORT DATA
Quarterly Wage Report - 5208B
BUSINESS DATA
REPORT TYPE:
OWNER'S NAME:
QUARTER/YEAR:
1/2017
DBA:
QED:
03/31/2017
ESD NUMBER:
000-046538-00-6
PROCESS DATE:
05/19/2017
EIN:
9052
DUE DATE:
05/01/2017
UBI NUMBER:
603-260-109
RECEIVED DATE:
04/30/2017
NAME:
SHIBLEY MEDICAL CLINIC
REPORT GUID:
ADDRESS 1:
4700 36TH AVE SW
ADDRESS 2:
ADDRESS 3:
CITY:
SEATTLE
STATE:
WA
ZIP:
981262716
COUNTY:
COUNTRY:
United States
PROVINCE:
PREPARER DATA
CONTACT TYPE:
Preparer
FIRST NAME:
Susan
MIDDLE NAME:
LAST NAME:
Boyd
EAMS LOGON:
S.A.W. LOGON:
S.A.W. GUID:
DV7ZW4QF8QL5Z-1TT1ZPOPM9-D1LW4VZOFD-WQ4EZOTV3
PHONE NUMBER:
360-902-9227
PHONE EXT:
PHONE TYPE:
Business
EMAIL ADDRESS:
sboyd2@esd.wa.gov
TAX REPORT
RECEIPT EMAIL:
RELATED TO
BUSINESS:
None Specified
STREET ADDRESS:
ADDRESS 2:
ADDRESS 3:
CITY:
STATE:
ZIP:
COUNTY:
COUNTRY:
PROVINCE:
TAX SPECIALIST DATA
CONTACT TYPE:
FIRST NAME:
LAST NAME:
EMAIL ADDRESS:
PHONE NUMBER:
PHONE TYPE:
PHONE EXT:
MISCELLANEOUS DATA
SUBMITTAL METHOD:
EAMS Single
CONFIRMATION NUMBER:
E8QE055UG71GICHQ0
CHANGE REASON:
ID 1524 (2/6/13) Report-wage data
Page 1 of 1
DOJ-01-0000005224
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 108 of 202
REPORT DATA
Quarterly Tax Report - 5208A
BUSINESS DATA
REPORT TYPE:
OWNER'S NAME:
QUARTER/YEAR:
2/2017
DBA:
QED:
06/30/2017
ESD NUMBER:
000-046538-00-6
PROCESS DATE:
10/27/2017
EN:
9052
DUE DATE:
07/31/2017
UBI NUMBER:
603-260-109
RECEIVED DATE:
07/31/2017
NAME:
SHIBLEY MEDICAL CLINIC
REPORT GULD:
ADDRESS 1:
4700 36TH AVE SW
ADDRESS 2:
ADDRESS 3:
CITY:
SEATTLE
STATE:
WA
ZIP:
981262716
COUNTY:
COUNTRY:
United States
PROVINCE:
PREPARER DATA
CONTACT TYPE:
FIRST NAME:
MIDDLE NAME:
LAST NAME:
EAMS LOGON:
S.A.W. LOGON:
S.A.W. GUID:
PHONE NUMBER:
PHONE EXT:
PHONE TYPE:
EMAIL ADDRESS:
TAX REPORT
RECEIPT EMAIL:
RELATED TO
BUSINESS:
STREET ADDRESS:
ADDRESS 2:
ADDRESS 3:
CITY:
STATE:
ZIP:
COUNTY:
COUNTRY:
PROVINCE:
Preparer
Eric
Shibley
DQ5MV7QQ6TW5P-1FVOZQ8QL4-D1LW4VZOFD-DFOVT9VL8T
206-938-4291
Business
shibleenyc@yahoo.com
President
4700 36th Ave SW
Seattle
WA
98126
TAX SPECIALIST DATA
CONTACT TYPE:
FIRST NAME:
LAST NAME:
EMAIL ADDRESS:
PHONE NUMBER:
PHONE TYPE:
PHONE EXT:
MISCELLANEOUS DATA
SUBMITTAL METHOD:
EAMS Single
CONFIRMATION NUMBER:
E8BCJ4LXHP012HQ9
EXCESS CHANGE REASON(S):
FILING DATA
REPORTED
ID 1527 (2/6/13) Report—tax data
Page 1 of 2
DOJ-01-0000005225
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 109 of 202
HAS PAYROLL:
No
TOTAL GROSS WAGES:
0.00
TOTAL EXCESS WAGES:
(Wage Base: 0.00)
0.00
OUT-OF-STATE-WAGES:
TAXABLE WAGES:
0.00
UI TAX DUE:
(Tax Rate: 0.018000)
0.00
EAF TAX DUE:
(EAF Rate: 0.000300)
0.00
TAX DUE:
0.00
LATE PAYMENT PENALTY:
0.00
INTEREST:
0.00
LATE REPORT PENALTY:
0.00
PRIOR BALANCE OR CREDITS:
(-)0
AMOUNT DUE:
0.00
0.00
AMOUNT REMITTED:
TOTAL EXERCISED STOCK OPTIONS:
0.00
EXEMPT CORP OFF EARNINGS:
0.00
EXEMPT CORP OFFICERS:
1
EMPLOYEES 1st MONTH:
0
EMPLOYEES 2nd MONTH:
0
EMPLOYEES 3rd MONTH:
0
ID 1527 (2/6/13) Report — tax data
Page 2 of 2
DOJ-01-0000005226
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 110 of 202
REPORT DATA
Quarterly Wage Report - 5208B
BUSINESS DATA
REPORT TYPE:
OWNER'S NAME:
QUARTER/YEAR:
2/2017
DBA:
QED:
06/30/2017
ESD NUMBER:
000-046538-00-6
PROCESS DATE:
10/27/2017
EIN:
9052
DUE DATE:
07/31/2017
UBI NUMBER:
603-260-109
RECEIVED DATE:
07/31/2017
NAME:
SHIBLEY MEDICAL CLINIC
REPORT GUID:
ADDRESS 1:
4700 36TH AVE SW
ADDRESS 2:
ADDRESS 3:
CITY:
SEATTLE
STATE:
WA
ZIP:
981262716
COUNTY:
COUNTRY:
United States
PROVINCE:
PREPARER DATA
CONTACT TYPE:
FIRST NAME:
MIDDLE NAME:
LAST NAME:
EAMS LOGON:
S.A.W. LOGON:
Preparer
Eric
Shibley
S.A.W. GUID:
DQ5MV7QQ6TW5P-1FVOZQ8QL4-D1LW4VZOFD-DFOVT9VL8T
PHONE NUMBER:
206-938-4291
PHONE EXT:
PHONE TYPE:
Business
EMAIL ADDRESS:
shibleenyc@yahoo.com
TAX REPORT
RECEIPT EMAIL:
RELATED TO
BUSINESS:
President
STREET ADDRESS:
ADDRESS 2:
4700 36th Ave SW
ADDRESS 3:
CITY:
Seattle
STATE:
WA
ZIP:
98126
COUNTY:
COUNTRY:
PROVINCE:
TAX SPECIALIST DATA
CONTACT TYPE:
FIRST NAME:
LAST NAME:
EMAIL ADDRESS:
PHONE NUMBER:
PHONE TYPE:
PHONE EXT:
MISCELLANEOUS DATA
SUBMITTAL METHOD:
EAMS Single
CONFIRMATION NUMBER:
E8BCJ4LXHP012HQ9
CHANGE REASON:
ID 1524 (2/6/13) Report - wage data
Page 1 of 1
DOJ-01-0000005227
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 111 of 202
REPORT DATA
Quarterly Tax Report - 5208A
BUSINESS DATA
REPORT TYPE:
OWNER'S NAME:
QUARTER/YEAR:
3/2017
DBA:
QED:
09/30/2017
ESD NUMBER:
000-046538-00-6
PROCESS DATE:
10/27/2017
EIN:
052
DUE DATE:
10/31/2017
UBI NUMBER:
603-260-109
RECEIVED DATE:
10/26/2017
NAME:
SHMLEY MEDICAL CLINIC
REPORT GUID:
ADDRESS 1:
4700 36TH AVE SW
ADDRESS 2:
ADDRESS 3:
CITY:
SEATTLE
STATE:
WA
ZIP:
981262716
COUNTY:
COUNTRY:
United States
PROVINCE:
PREPARER DATA
CONTACT TYPE:
Preparer
FIRST NAME:
Eric
MIDDLE NAME:
LAST NAME:
Shibley
EAMS LOGON:
S.A.W. LOGON:
S.A.W. GUID:
DQ5MV7QQ6TW5P-1FVOZQ8QL4-D1LW4VZOFD-DFOVT9VL8T
PHONE NUMBER:
206-938-4291
PHONE EXT:
PHONE TYPE:
Business
EMAIL ADDRESS:
shibleenyc@yahoo.com
TAX REPORT
RECEIPT EMAIL:
RELATED TO
BUSINESS:
President
STREET ADDRESS:
ADDRESS 2:
4700 36th Ave SW
ADDRESS 3:
CITY:
Seattle
STATE:
WA
ZIP:
98126
COUNTY:
COUNTRY:
PROVINCE:
TAX SPECIALIST DATA
CONTACT TYPE:
FIRST NAME:
LAST NAME:
EMAIL ADDRESS:
/PHONE NUMBER:
PHONE TYPE:
PHONE EXT:
MISCELLANEOUS DATA
SUBMITTAL METHOD:
EAMS Single
CONFIRMATION NUMBER:
EQSU3LMEHNH12HQ1
EXCESS CHANGE REASON(S):
FILING DATA
REPORTED
ID 1527 (2/6/13) Report—tax data
Page 1 of 2
DOJ-01-0000005228
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 112 of 202
HAS PAYROLL:
Yes
TOTAL GROSS WAGES:
2,000.00
TOTAL EXCESS WAGES:
(Wage Base: 0.00)
0.00
OUT-OF-STATE-WAGES:
TAXABLE WAGES:
2,000.00
UI TAX DUE:
(Tax Rate: 0.018000)
36.00
EAF TAX DUE:
(EAF Rate: 0.000300)
0.60
TAX DUE:
36.60
LATE PAYMENT PENALTY:
0.00
INTEREST:
0.00
LATE REPORT PENALTY:
0.00
PRIOR BALANCE OR CREDITS:
(-)0
AMOUNT DUE:
36.60
AMOUNT REMITTED:
0.00
TOTAL EXERCISED STOCK OPTIONS:
0.00
EXEMPT CORP OFF EARNINGS:
0.00
EXEMPT CORP OFFICERS:
0
EMPLOYEES 1st MONTH:
1
EMPLOYEES 2nd MONTH:
1
EMPLOYEES 3rd MONTH:
1
ID 1527 (2/6/13) Report—tax data
Page 2 0f2
DOJ-01-0000005229
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 113 of 202
REPORT DATA
Quarterly Wage Report - 5208B
BUSINESS DATA
REPORT TYPE:
OWNER'S NAME:
QUARTER/YEAR:
3/2017
DBA:
QED:
09/30/2017
ESD NUMBER:
000-046538-00-6
PROCESS DATE:
10/27/2017
EIN:
9052
DUE DATE:
10/31/2017
UBI NUMBER:
603-260-109
RECEIVED DATE:
10/26/2017
NAME:
SHIBLEY MEDICAL CLINIC
REPORT GUPD:
ADDRESS 1:
4700 36TH AVE SW
ADDRESS 2:
ADDRESS 3:
CITY:
SEATTLE
STATE:
WA
ZIP:
981262716
COUNTY:
COUNTRY:
United States
PROVINCE:
PREPARER DATA
CONTACT TYPE:
Preparer
FIRST NAME:
Eric
MIDDLE NAME:
LAST NAME:
Shibley
EAMS LOGON:
S.A.W. LOGON:
SAW. GUID:
DQ5MV7QQ6TW5P-1FVOZQ8QL4-D1LW4VZOFD-DFOVT9VL8T
PHONE NUMBER:
206-938-4291
PHONE EXT:
PHONE TYPE:
Business
EMAIL ADDRESS:
shibleenyc@yahoo.com
TAX REPORT
RECEIPT EMAIL:
RELATED TO
BUSINESS:
President
STREET ADDRESS:
ADDRESS 2:
4700 36th Ave SW
ADDRESS 3:
CITY:
Seattle
STATE:
WA
ZIP:
98126
COUNTY:
COUNTRY:
PROVINCE:
TAX SPECIALIST DATA
CONTACT TYPE:
FIRST NAME:
LAST NAME:
EMAIL ADDRESS:
PHONE NUMBER:
PHONE TYPE:
PHONE EXT:
MISCELLANEOUS DATA
SUBMITTAL METHOD:
EAMS Single
CONFIRMATION NUMBER:
EQSU3LMEHNH12HQ1
CHANGE REASON:
WAGE DATA
ID 1524 (2/6/13) Report - wage data
Page 1 of 2
DOJ-01-0000005230
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 114 of 202
SSN
EMPLOYEE NAME
HOURS
TOTAL WAGES
5264
SHIBLEY, ERIC
180
2,000.00
ID 1524 (2/6/13) Report - wage data
Page 2 of 2
DOJ-01-0000005231
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 115 of 202
411111P"
Employment Security Department
WASHINGTON STATE
PO Box 9046 Olympia, WA 98507-9046
REQUEST ID: 20-018579-RDU-DE
ESD Use: Letters NoBill
May 28, 2020
US DEPARMENT OF JUSTICE
ALEXANDRA FLORES
1400 NEW YORK AVENUE NW
ROOM 3201A
WASHINGTON DC DC 20530
RE: SS1
ID No: EIN
7509
The records or information being provided is considered private and confidential under
Chapter 50.13 RCW. Any misuse or unauthorized disclosure of the records may
subject a person or organization to penalties as prescribed in the cited statute. The
records or information provided here have been obtained from the unemployment
insurance records maintained by the Employment Security Department.
From January 1,2017 through March 31, 2020, our records fail to disclose any
employer quarterly reports being submitted by the above named company.
ESD is unable to locate responsive records with the EIN provided
If I can be of further assistance, please contact me at (844) 766-8930.
Sincerely,
/
eAutcod
Dan Lockwood
Assistant Records Officer
DOJ-01-0000005232
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 82
Admitted ________________
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 116 of 202
Employment Security Department
WASHINGTON STATE
PO Box 9046 Olympia, WA 98507-9046
REQUEST ID: 20-018580-RDU-DE
ESD Use: Letters NoBill
May 28, 2020
US DEPARMENT OF JUSTICE
ALEXANDRA FLORES
1400 NEW YORK AVENUE NW
ROOM 3201A
WASHINGTON DC DC 20530
RE: SS1 LLC
ID No: EIN
2134
The records or information being provided is considered private and confidential under
Chapter 50.13 RCW. Any misuse or unauthorized disclosure of the records may
subject a person or organization to penalties as prescribed in the cited statute. The
records or information provided here have been obtained from the unemployment
insurance records maintained by the Employment Security Department.
From January 1, 2017 through March 31, 2020, our records fail to disclose any
employer quarterly reports being submitted by the above named company.
ESD is unable to locate responsive records with the EIN provided
If I can be of further assistance, please contact me at (844) 766-8930.
Sincerely,
.a2t.1t
leCeld
Dan Lockwood
Assistant Records Officer
DOJ-01-0000005233
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 117 of 202
..0111-
41111111Pr
Employment Security Department
WASHINGTON STATE
PO Box 9046 Olympia, WA 98507-9046
REQUEST ID: 20-018567-RDU-DE
ESD Use: Letters NoBill
May 28, 2020
US DEPARMENT OF JUSTICE
ALEXANDRA FLORES
1400 NEW YORK AVENUE NW
ROOM 3201A
WASHINGTON DC DC 20530
RE: ES1 LLC
ID No: EIN
5849
The reCords or information being provided is considered private and confidential under
Chapter 50.13 RCW. Any misuse or unauthorized disclosure of the records may
subject a person or organization to penalties as prescribed in the cited statute. The
records or information provided here have been obtained from the unemployment
insurance records maintained by the Employment Security Department.
From January 1, 2017 through March 31, 2020, our records fail to disclose any
employer quarterly reports being submitted by the above named company.
ESD is unable to locate responsive records with the EIN provided
If I can be of further assistance, please contact me at (844) 766-8930.
Sincerely,
Dan Lockwood
Assistant Records Officer
DOJ-01-0000005235
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 83
Admitted ________________
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 118 of 202
Employment Security Department
WASHINGTON STATE
PO Box 9046 Olympia, WA 98507-9046
REQUEST ID: 20-018568-RDU-DE
ESD Use: Letters NoBill
May 28, 2020
US DEPARMENT OF JUSTICE
ALEXANDRA FLORES
1400 NEW YORK AVENUE NW
ROOM 3201A
WASHINGTON DC DC 20530
RE: SEATTLE'S FINEST CANNABIS LLC
ID No: EIN
3580
The records or information being provided is considered private and confidential under
Chapter 50.13 RCW. Any misuse or unauthorized disclosure of the records may
subject a person or organization to penalties as prescribed in the cited statute. The
records or information provided here have been obtained from the unemployment
insurance records maintained by the Employment Security Department.
From January 1, 2017 through March 31, 2020, our records fail to disclose any
employer quarterly reports being submitted by the above named company.
ESD is unable to locate responsive records with the EIN provided
If I can be of further assistance, please contact me at (844) 766-8930.
Sincerely,
1110-0-d
Dan Lockwood
Assistant Records Officer
DOJ-01-0000005234
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 84
Admitted ________________
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 119 of 202
Employment Security Deportment
WASHINGTON STATE
PO Box 9046 Olympia, WA 98507-9046
REQUEST ID: 20-018571-RDU-DE
ESD Use: Letters NoBill
May 28, 2020
US DEPARMENT OF JUSTICE
ALEXANDRA FLORES
1400 NEW YORK AVENUE NW
ROOM 3201A
WASHINGTON DC DC 20530
RE: THE A TEAM HOLDINGS
ID No: EIN
7088
The records or information being provided is considered private and confidential under
Chapter 50.13 RCW. Any misuse or unauthorized disclosure of the records may
subject a person or organization to penalties as prescribed in the cited statute. The
records or information provided here have been obtained from the unemployment
insurance records maintained by the Employment Security Department.
From January 1, 2017 through March 31, 2020, our records fail to disclose any
employer quarterly reports being submitted by the above named company.
ESD is unable to locate responsive records with the EIN provided
If I can be of further assistance, please contact me at (844) 766-8930.
Sincerely,
Dan Lockwood
Assistant Records Officer
DOJ-01-0000005237
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 85
Admitted ________________
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 120 of 202
REQUEST ID: 20-018570-RDU-DE
ESD Use: Letters NoBill
May 28, 2020
Employment Security Department
WASHINGTON STATE
PO Box 9046 Olympia, WA 98507-9046
US DEPARMENT OF JUSTICE
ALEXANDRA FLORES
1400 NEW YORK AVENUE NW
ROOM 3201A
WASHINGTON DC DC 20530
RE: EIN
8805
ID No: EIN
8805
The records or information being provided is considered private and confidential under
Chapter 50.13 RCW. Any misuse or unauthorized disclosure of the records may
subject a person or organization to penalties as prescribed in the cited statute. The
records or information provided here have been obtained from the unemployment
insurance records maintained by the Employment Security Department.
From January 1,2017 through March 31, 2020, our records fail to disclose any
employer quarterly reports being submitted by the above named company.
ESD is unable to locate responsive records with the EIN provided
If I can be of further assistance, please contact me at (844) 766-8930.
Sincerely,
meczac/
Dan Lockwood
Assistant Records Officer
DOJ-01-0000005236
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 86
Admitted ________________
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 121 of 202
STATE OF WASHINGTON
Employment Security Department
May 29, 2020
Records Disclosure Unit
Page 1 of 1
Wages reported by employers in the State of Washington from
1st Quarter of 2017 through the 1st Quarter of 2020.
SUBJECT NAME: SHIBLEY. ERIC
SSN: XXX-XX-5264
*Most Recent Completed Quarter may not be reported as of this date.
*Employer address may differ from actual employment location.
Reported Employee Name:
SHIBLEY ERIC
Employer Name:
SHIBLEY MEDICAL CLINIC
Street:
4700 36TH AVE SW
City, State ZIP:
SEATTLE WA
981262716
Year Quarter:
2017 3
Wages:
$2,000.00
Hours:
180
Year Quarter:
2017 3
Wages:
$0.00
Hours:
0
Completed by: Dan Lockwood
Phone: (844) 766-8930
Note: The information contained in this document is considered confidential and is subject to agency confidentiality
statutes contained in Chapter 50.13 RCW. Any unauthorize use is prohibited and may be subject to penalties as
prescribed in the cited statute.
DOJ-01-0000005243
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 87
Admitted _____________
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 122 of 202
Unemployment Payment History
STATE OF WASHINGTON
Employment Security Department
May 29, 2020
Records Disclosure Unit
Page 1 of 2
Unemployment payment history from January 1, 2017 through May 22, 2020.
SUBJECT NAME: ERIC SHIBLEY
SSN: XXX-XX-5264
Benefit History for Claim with BYE Date of
03-27-21
On this report week claimed only shows if payment was issued for a given week. No weekly information will be shown if
individual claimed for a given week but no payment was issued (i.e. wait week, disqualified, excess earning, or any other
reason why payment not issued).
Benefit Year Ending (BYE) Date: 03-27-21
Application Date:
04-01-20
Maximum Benefits Payable (MBP):
$0.00
Weekly Benefit Allowance (WBA):
$0.00
New Balance Available (NBA):
$0.00
Note: The information contained in this document is considered confidential and is subject to agency confidentiality statutes contained in Chapter 50.13
RCW. Any unauthorize use is prohibited and may be subject to penalties as prescribed in the cited statute.
Completed by: Dan Lockwood
Phone: (360) 725-9940
DOJ-01-0000005244
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 123 of 202
Unemployment Payment History
STATE OF WASHINGTON
Employment Security Department
May 29, 2020
Records Disclosure Unit
Page 2 of 2
Unemployment payment history from January 1, 2017 through May 22, 2020.
SUBJECT NAME:
ERIC SHIBLEY
SSN: XXX-XX-5264
Benefit History for Claim with BYE Date of
12-26-20
On this report week claimed only shows if payment was issued for a given week. No weekly information will be shown if
individual claimed for a given week but no payment was issued (i.e. wait week, disqualified, excess earning, or any other
reason why payment not issued).
Benefit Year Ending (BYE) Date: 12-26-20
Application Date:
04-21-20
Maximum Benefits Payable (MBP):
$9,165.00
Weekly Benefit Allowance (WBA):
$235.00
New Balance Available (NBA):
$6,580.00
Benefit Week Ending
05-09-20
Payment Issued
$118.00
Date Issued
05-12-20
05-09-20
$367.00
05-12-20
05-02-20
$300.00
05-04-20
05-02-20
$185.00
05-04-20
04-25-20
$367.00
04-30-20
04-25-20
$118.00
04-30-20
04-18-20
$185.00
04-22-20
04-18-20
$300.00
04-22-20
04-11-20
$300.00
04-22-20
04-11-20
$185.00
04-22-20
04-04-20
$300.00
04-22-20
04-04-20
$185.00
04-22-20
03-28-20
$118.00
04-22-20
03-21-20
$118.00
04-22-20
03-14-20
$118.00
04-22-20
03-07-20
$118.00
04-22-20
Note: The information contained in this document is considered confidential and is subject to agency confidentiality statutes contained in Chapter 50.13
RCW. Any unauthorize use is prohibited and may be subject to penalties as prescribed in the cited statute.
Completed by: Dan Lockwood
Phone: (360) 725-9940
DOJ-01-0000005245
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 124 of 202
Generated Jun 24 2020
Claim Summary - System 4/1/2020 1:10:29 PM
than your mailing
address?
Correspondence
What is the best way to
contact you if we need
to talk about your
claim? Please note: If
we attempt to contact
you and you don’t
respond, it could affect
your benefits or create
an overpayment.
Both email and phone
How do you want to
receive important
correspondence from
us?
Send by eServices
Email
email@example.com
shibleenyc@yahoo.com
Primary phone
Country Code
USA
Area Code
206
Phone number
9384291
Permission to leave a
detailed voicemail?
Yes
Do you want to provide
an additional number?
No
Your Employers
Table 5
Employer Name
Reason
Separation
Start Date
Separation Date
ERIC R SHIBLEY MD
PLLC
Laid off
Company closed
temporarily
6/1/2013
3/1/2020
ES1 LLC
Leave of absence
1/1/2015
1/3/2020
46
DOJ-01-0000005292
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 125 of 202
Generated Jun 24 2020
Claim Summary - System 4/1/2020 1:10:29 PM
Payment Option
Your selected payment
method:
Direct Deposit
47
DOJ-01-0000005293
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 126 of 202
ERIC SHIBLEY
4700 36TH AVE SW
SEATTLE WA 98126-2716
P.O. Box 9046, Olympia, WA 98507
Date: Apr 2 2020
Letter ID: L0014777045
Claimant ID: Q3RXDJ
Unemployment Claim Determination
We have determined:
•
You may receive up to $0 each week you are eligible for unemployment benefits.
•
The total amount you can receive for your benefit year is $0.
•
Your benefit year is Mar 29 2020 to Mar 27 2021.
•
We may need to adjust the amount based on a number of factors.
This notification is not an approval or denial of benefits. It is a statement of how much you may receive as
long as you otherwise qualify.
The amount you may get each week (called your weekly benefit amount) and the total amount you can
receive (called your maximum payable amount) are based on the hours you worked and wages you received
between Jan 1 2019 to Dec 31 2019. This period is called your base year. Employers pay the entire cost of
unemployment benefits.
How to request an adjustment
If any information looks wrong or is missing, refer to the “Benefit payments” section of the Handbook for
Unemployed Workers or call the claims center between 8 a.m. and 4 p.m., Monday through Friday at
800-318-6022, if you need help.
If this information is correct and you aren’t eligible for unemployment benefits, you can ask for an alternate
base year (ABY) claim. This type of claim uses the last four completed calendar quarters. Call the claims
center to request an ABY. For more information, refer to eServices or the “Benefits payments” section of the
Handbook for Unemployed Workers.
Be sure to continue to file your weekly claims, even if you are waiting for an answer from us.
Anytime there is an adjustment to your determination, we will send you a Redetermination of Unemployment
Search more than 60,000 Washington jobs on WorkSourceWA.com. Visit WorkSource for free employment workshops and expert
job-hunting advice.
Read the Handbook for Unemployed Workers at esd.wa.gov to find everything you need to know about benefits, including training
for a new career.
1
Page:
of
L0014777045
MONETARY DETERMINATION
3
54000003-000292-01-00000000
54
DOJ-01-0000005300
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 127 of 202
Claim. We must issue a redetermination before you can file an appeal.
If you have a hearing or speech impairment and need to call us, use the Washington Relay Service at 711.
Search more than 60,000 Washington jobs on WorkSourceWA.com. Visit WorkSource for free employment workshops and expert
job-hunting advice.
Read the Handbook for Unemployed Workers at esd.wa.gov to find everything you need to know about benefits, including training
for a new career.
2
Page:
of
L0014777045
MONETARY DETERMINATION
3
54000003-000292-02-00000000
55
DOJ-01-0000005301
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 128 of 202
About Your Claim
We filed an Alternate Base Year claim using wages from Jan to Mar 2019, Apr to Jun 2019, Jul to Sep 2019,
and Oct to Dec 2019. You aren’t eligible for unemployment benefits because you did not work 680 hours
during your alternate base year.
We will deduct $350.00 from your weekly benefit amount. The Division of Child Support (DCS) deduction
will continue until your debt is repaid. If you have questions, call DCS at 800-442-KIDS.
Review your work history
We received wage and hour information from the employer(s) listed below.
0.00
0
Total Wages
Total Hours
Apr to Jun 2019
Jan to Mar 2019
Oct to Dec 2019
Jul to Sep 2019
Wages
Hours
Hours
Hours
Wages
Employer
Wages
Hours
Wages
0.00
0
**No Employers**
0
0
0.00
0
0.00
0.00
Quarterly Totals
0.00
0
0.00
0
0.00
0
0.00
0
54000003-000292-03-00000000
56
DOJ-01-0000005302
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 129 of 202
Generated Jun 24 2020
PUA Account Attributes - System 4/21/2020 6:23:40 PM
Claim Attributes
Disaster
COVID-19
Effective Date of Claim
2/2/2020
Benefit Year End
12/26/2020
Claim Filing Source
eServices
Max Standby Weeks
8
Claim Cancelled
No
Cancellation Reason
137
DOJ-01-0000005383
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 130 of 202
Generated Jun 24 2020
PUA Monetary Calculation - System 4/21/2020 6:23:41 PM
Estimated Benefits
Max Benefit Payable
9165.00
ELIGIBLE
Weekly Benefit Amount
235.00
Effective Date of Claim
2/2/2020
Benefit Year End
12/26/2020
Wages By Employer
Jan, Feb, Mar 2019
Apr, May, Jun 2019
Jul, Aug, Sep 2019
Oct, Nov, Dec 2019
Wages
Employer
ESD #
CWC
Q1 Hours
Q1 Wages
Q2 Hours
Q2 Wages
Q3 Hours
Q3 Wages
Q4 Hours
Q4 Wages
Total Wages
Total Hours
138
DOJ-01-0000005384
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 131 of 202
Generated Jun 24 2020
PUA Monetary Calculation - System 4/21/2020 6:23:41 PM
Weekly Benefit Amount Calculation
ELIGIBLE
Total Base Wages
0.00
Effective Date of Claim
2/2/2020
Max Benefit Payable
9165.00
Pandemic Unemployment Assistance
High Quarter Wage 1
0.00
High Quarter Wage 2
0.00
(
)
High Quarter Wage Avg.
0.00
+
_________________________
2
=
High Quarter Wage Avg.
0.00
State Multiplier from RCW
0.04
Weekly Benefit Amount
235.00
x
=
Minimum WBA
DUA Minimum WBA
235.00
139
DOJ-01-0000005385
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 132 of 202
Generated Jun 24 2020
COVID-19 PUA Eligibility - System 4/21/2020 6:23:38 PM
Are you unemployed, partially unemployed, unable or unavailable for work for one of the following reasons?
Your place of employment closed as a direct result of the COVID-19 public health emergency You are an independent contractor or self-employed
individual and your ability to do your work has been affected or your place of business closed as a direct result of the COVID-19 public health
emergency A child or other household member for which you have primary caregiving responsibilities is out of school, daycare, or other facility due to
closure as a direct result of the COVID-19 public health emergencyYou cannot reach your place of employment because of quarantine imposed as a
result of the COVID-19 public health emergencyYou are unable to reach your place of work because you have been advised by a health care provider
to self-quarantine due to concerns related to COVID-19You were scheduled to start a job but no longer have a job or are unable to reach the job as a
direct result of the COVID-19 public health emergencyYou had to quit as a direct result of COVID-19You were diagnosed with COVID-19You have
symptoms of COVID-19 and are seeking a medical diagnosisAn individual in your household has been diagnosed with COVID-19 and you have been
advised to self-isolateYou are providing care for a family member or household member who has been diagnosed with COVID-19You became the
breadwinner or major support for a household because the head of household died as a direct result of COVID-19
Yes
Did your employer offer you the ability to telework your usual number of hours with pay during the COVID-19 public health emergency, or as a
self-employed person, are you able to telework your usual number of hours for pay?
No
On what date did your employment status change because of the COVID-19 public health emergency? This includes when you became unemployed,
partially unemployed, unable or unavailable for work, or were prevented from starting new employment.
3/1/2020
300
DOJ-01-0000005546
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 133 of 202
Generated Jun 24 2020
Weekly Claim - System 4/21/2020 10:00:14 PM
For Sunday, 3/1/2020
12:00:00 AM to Saturday,
3/7/2020 12:00:00 AM:
Claim Source
eServices
Tell the truth when you
answer questions.
Information you provide will
be verified through state and
federal databases. We
consider it fraud if you
intentionally fail to report
information on your claim.
This may include incorrectly
reporting your work, earnings
or availability for work.
Penalties for fraud include a
denial of benefits, paying
back benefits you already
received, paying a fine, and
even criminal charges.
I will answer all questions
truthfully to the best of my
abilities.
I agree
Yes
Did you or will you receive
paid time off or sick, vacation
or holiday pay?
No
Explain This
Are you getting paid for any
period after you last worked,
such as severance pay, pay
in lieu of notice or
termination pay?
No
Did you work for any
employer(s), whether you
have been paid yet or not?
No
Earnings for Sunday,
3/1/2020 12:00:00 AM to
Saturday, 3/7/2020
12:00:00 AM
158
DOJ-01-0000005404
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 134 of 202
Generated Jun 24 2020
Weekly Claim - System 4/21/2020 10:00:14 PM
Employer
Hours worked
Gross Earnings:
What is the last day that you
worked for .
ERIC R SHIBLEY MD PLLC
0.00
0.00
2/29/2020
ES1 LLC
0.00
0.00
2/29/2020
Did you work in
self-employment or casual
labor, whether you have been
paid yet or not ?
No
Have you been or will you be
paid for jury duty?
No
Did you apply for or receive
workers’ compensation for
an on-the-job injury?
No
Other than Social Security,
did you apply for or have a
change in a retirement plan
not previously reported?
No
Explain This
Did you begin attending a
school or training program?
No
Were you physically able and
available for work each day
of the week?
Yes
Did you complete at least one
job search activity and keep a
written record as required?
Yes
You are required to look for
work. You must also keep a
separate log of your job
search activities. We may ask
to see your logs at any time.
If you don’t provide it when
we ask, we may deny your
benefits, and you may have
to repay any benefits you
159
DOJ-01-0000005405
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 135 of 202
REQUEST ID: 20-022708-RDU-D5
Employment Security Department
WASHINGTON STATE
PO Box 9046 Olympia, WA 98507-9046
June 25, 2020
US DEPARMENT OF JUSTICE
CARLY RUSSLE
1400 NEW YORK AVENUE NW
ROOM 3206
WASHINGTON DC DC 20530
Receive a response within 1 business day by uploading and submitting your
request on-line. Go to www.esd.wa.gov/newsroom/public-records
RE: Sarieck Hem
SS N: XXX-XX-9367
The records or information being provided is considered private and
confidential under Chapter 50.13 RCW. Any misuse or unauthorized
disclosure of the records may subject a person or organization to penalties as
prescribed in the cited statute. The records or information provided here have
been obtained from the unemployment insurance records maintained by the
Employment Security Department.
From January 1,2017 through June 19, 2020, enclosed are copies of
document(s) on file with this office regarding the above named individual's
unemployment compensation claim history.
From January 1,2017 through March 31, 2020, enclosed are printouts
showing wages reported by employers in the State of Washington for the
above named individual. Records of reported wages are only as current as
the date stated above.
Attached is a standard Ul/Wage report. Please conact our office if further
records are requested.
If I can be of further assistance, please contact me at (844) 766-8930.
Sincerely,
.g2tik
066(1
Dan Lockwood
Assistant Records Officer
ESD Use: Response Letter Wage
DOJ-01-0000005599
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 88
Admitted ________________
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 136 of 202
STATE OF WASHINGTON
Employment Security Department
June 25, 2020
Records Disclosure Unit
Page 1 of 2
Wages reported by employers in the State of Washington from
1st Quarter of 2017 through the 1st Quarter of 2020.
SUBJECT NAME: Hem. Sarieck
SSN: )00(40(-9367
*Most Recent Completed Quarter may not be reported as of this date.
*Employer address may differ from actual employment location.
Reported Employee Name:
Hem Sarieck
Employer Name:
METROPOLITAN PARK
Year Quarter:
2019 3
Wages:
Reported Employee Name:
HEM SARIECK
Employer Name:
B&I CONTRACTORS INC
Year Quarter:
2018 1
Wages:
Employer Name:
Year Quarter:
GREENLEAF LANDSCAPING
2018 1
Wages:
Employer Name:
Year Quarter:
PLANTSCAPES INC
2018 1
Wages:
Employer Name:
Year Quarter:
LYNEER STAFFING SOLUTIONS, LLC
2018 2
Wages:
Employer Name:
Year Quarter:
METROPOLITAN PARK
2018 4
Wages:
Year Quarter:
2018 3
Wages:
Year Quarter:
2018 2
Wages:
Completed by: Dan Lockwood
Phone: (844) 766-8930
Note: The information contained in this document is considered confidential and is subject to agency confidentiality
statutes contained in Chapter 50.13 RCW. Any unauthorize use is prohibited and may be subject to penalties as
prescribed in the cited statute.
DOJ-01-0000005600
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 137 of 202
STATE OF WASHINGTON
Employment Security Department
June 25, 2020
Records Disclosure Unit
Page 2 of 2
Wages reported by employers in the State of Washington from
1st Quarter of 2017 through the 1st Quarter of 2020.
SUBJECT NAME: Hem. Sarieck
SSN: XXX-XX-9367
*Most Recent Completed Quarter may not be reported as of this date.
*Employer address may differ from actual employment location.
Reported Employee Name:
HEM SARIECK
Employer Name:
B&I CONTRACTORS INC
Year Quarter:
2017 3
Wages:
Year Quarter:
2017 2
Wages:
Year Quarter:
2017 1
Wages:
Employer Name:
GREENLEAF LANDSCAPING
Year Quarter:
2017 4
Wages:
Year Quarter:
2017 3
Wages:
Completed by: Dan Lockwood
Phone: (844) 766-8930
Note: The information contained in this document is considered confidential and is subject to agency confidentiality
statutes contained in Chapter 50.13 RCW. Any unauthorize use is prohibited and may be subject to penalties as
prescribed in the cited statute.
DOJ-01-0000005601
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 138 of 202
-4111111r
Employment Security Department
WASHINGTON STATE
PO Box 9046 Olympia, WA 98507-9046
REQUEST ID: 20-022705-RDU-D5
June 25, 2020
US DEPARMENT OF JUSTICE
CARLY RUSSLE
1400 NEW YORK AVENUE NW
ROOM 3206
WASHINGTON DC DC 20530
Receive a response within 1 business day by uploading and submitting your
request on-line. Go to www.esd.wa.gov/newsroom/public-records
RE: CARLITA CHAVEZLOPEZ
SS N: XXX-XX-6676
The records or information being provided is considered private and
confidential under Chapter 50.13 RCW. Any misuse or unauthorized
disclosure of the records may subject a person or organization to penalties as
prescribed in the cited statute. The records or information provided here have
been obtained from the unemployment insurance records maintained by the
Employment Security Department.
From January 1,2017 through June 19, 2020, enclosed are copies of
document(s) on file with this office regarding the above named individual's
unemployment compensation claim history.
From January 1, 2017 through March 31, 2020, enclosed are printouts
showing wages reported by employers in the State of Washington for the
above named individual. Records of reported wages are only as current as
the date stated above.
This is a standard Ul/Wage report. Please contact our office if there are
further records you require.
If I can be of further assistance, please contact me at (844) 766-8930.
Sincerely,
1-C-2/12/
WO-6d
Dan Lockwood
Assistant Records Officer
ESD Use: Response Letter Wage
DOJ-01-0000005603
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 89
Admitted ________________
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 139 of 202
STATE OF WASHINGTON
Employment Security Department
June 25, 2020
Records Disclosure Unit
Page 1 of 1
Wages reported by employers in the State of Washington from
1st Quarter of 2017 through the 1st Quarter of 2020.
SUBJECT NAME: CHAVEZLOPEZ. CARLITA
SSN: XXX-XX-6676
*Most Recent Completed Quarter may not be reported as of this date.
*Employer address may differ from actual employment location.
Reported Employee Name:
CHAVEZLOPEZ CARLITA
Employer Name:
WIRELESS AUTHORITY
Year Quarter:
2018 3
Wages:
Year Quarter:
2018 2
Wages:
Year Quarter:
2018 1
Wages:
Employer Name:
ROK TELECOM #1, LLC
Year Quarter:
2018 4
Wages:
Completed by: Dan Lockwood
Phone: (844) 766-8930
Note: The information contained in this document is considered confidential and is subject to agency confidentiality
statutes contained in Chapter 50.13 RCW. Any unauthorize use is prohibited and may be subject to penalties as
prescribed in the cited statute.
DOJ-01-0000005604
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 140 of 202
Unemployment Payment History
STATE OF WASHINGTON
Employment Security Department
June 25, 2020
Records Disclosure Unit
Page 1 of 4
Unemployment payment history from January 1, 2017 through June 19, 2020.
SUBJECT NAME:
CARLITA CHAVEZLOPEZ
SSN: XXX-XX-6676
Benefit History for Claim with BYE Date of
03-20-21
On this report week claimed only shows if payment was issued for a given week. No weekly information will be shown if
individual claimed for a given week but no payment was issued (i.e. wait week, disqualified, excess earning, or any other
reason why payment not issued).
Benefit Year Ending (BYE) Date: 03-20-21
Application Date:
04-13-20
Maximum Benefits Payable (MBP):
$0.00
Weekly Benefit Allowance (WBA):
$0.00
New Balance Available (NBA):
$0.00
Note: The information contained in this document is considered confidential and is subject to agency confidentiality statutes contained in Chapter 50.13
RCW. Any unauthorize use is prohibited and may be subject to penalties as prescribed in the cited statute.
Completed by: Dan Lockwood
Phone: (360) 725-9940
DOJ-01-0000005605
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 141 of 202
Unemployment Payment History
STATE OF WASHINGTON
Employment Security Department
June 25, 2020
Records Disclosure Unit
Page 2 of 4
Unemployment payment history from January 1,2017 through June 19, 2020.
SUBJECT NAME:
CARLITA CHAVEZLOPEZ
SSN: XXX-XX-6676
Benefit History for Claim with BYE Date of
12-26-20
On this report week claimed only shows if payment was issued for a given week. No weekly information will be shown if
individual claimed for a given week but no payment was issued (i.e. wait week, disqualified, excess earning, or any other
reason why payment not issued).
Benefit Year Ending (BYE) Date: 12-26-20
Application Date:
04-22-20
Maximum Benefits Payable (MBP):
$9,165.00
Weekly Benefit Allowance (WBA):
$235.00
New Balance Available (NBA):
$9,165.00
Note: The information contained in this document is considered confidential and is subject to agency confidentiality statutes contained in Chapter 50.13
RCW. Any unauthorize use is prohibited and may be subject to penalties as prescribed in the cited statute.
Completed by: Dan Lockwood
Phone: (360) 725-9940
DOJ-01-0000005606
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 142 of 202
Unemployment Payment History
STATE OF WASHINGTON
Employment Security Department
June 25, 2020
Records Disclosure Unit
Page 3 of 4
Unemployment payment history from January 1, 2017 through June 19, 2020.
SUBJECT NAME:
CARLITA CHAVEZLOPEZ
SSN: XXX-XX-6676
Benefit History for Claim with BYE Date of
12-14-19
On this report week claimed only shows if payment was issued for a given week. No weekly information will be shown if
individual claimed for a given week but no payment was issued (i.e. wait week, disqualified, excess earning, or any other
reason why payment not issued).
Benefit Year Ending (BYE) Date: 12-14-19
Application Date:
12-19-18
Maximum Benefits Payable (MBP):
$5,461.00
Weekly Benefit Allowance (WBA):
$268.00
New Balance Available (NBA):
$0.00
Application Date:
12-19-18
Maximum Benefits Payable (MBP):
$3,484.00
Weekly Benefit Allowance (WBA):
$268.00
New Balance Available (NBA):
$3,484.00
Benefit Week Ending
05-18-19
Payment Issued
$101.00
Date Issued
05-19-19
05-11-19
$268.00
05-12-19
05-04-19
$268.00
05-06-19
04-27-19
$268.00
04-29-19
04-20-19
$268.00
04-25-19
04-13-19
$268.00
04-15-19
04-06-19
$268.00
04-08-19
03-30-19
$268.00
04-01-19
03-23-19
$268.00
03-25-19
03-16-19
$268.00
03-19-19
03-09-19
$268.00
03-11-19
03-02-19
$268.00
03-04-19
02-23-19
$268.00
02-25-19
02-16-19
$268.00
02-17-19
02-09-19
$268.00
02-11-19
Note: The information contained in this document is considered confidential and is subject to agency confidentiality statutes contained in Chapter 50.13
RCW. Any unauthorize use is prohibited and may be subject to penalties as prescribed in the cited statute.
Completed by: Dan Lockwood
Phone: (360) 725-9940
DOJ-01-0000005607
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 143 of 202
Unemployment Payment History
STATE OF WASHINGTON
Employment Security Department
June 25, 2020
Records Disclosure Unit
Page 4 of 4
Unemployment payment history from January 1, 2017 through June 19, 2020.
SUBJECT NAME:
CARLITA CHAVEZLOPEZ
SSN: XXX-XX-6676
Benefit History for Claim with BYE Date of
12-14-19
On this report week claimed only shows if payment was issued for a given week. No weekly information will be shown if
individual claimed for a given week but no payment was issued (i.e. wait week, disqualified, excess earning, or any other
reason why payment not issued).
02-02-19
$268.00
02-04-19
01-28-19
01-26-19
$268.00
01-19-19
$268.00
01-21-19
01-12-19
$268.00
01-14-19
01-05-19
$268.00
01-11-19
12-29-18
$268.00
01-10-19
Note: The information contained in this document is considered confidential and is subject to agency confidentiality statutes contained in Chapter 50.13
RCW. Any unauthorize use is prohibited and may be subject to penalties as prescribed in the cited statute.
Completed by: Dan Lockwood
Phone: (360) 725-9940
DOJ-01-0000005608
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 144 of 202
REQUEST ID: 20-022701-RDU-D1
Employment Security Department
June 25, 2020
WASHINGTON STATE
PO Box 9046 Olympia, WA 98507-9046
US DEPARMENT OF JUSTICE
CARLY RUSSLE
1400 NEW YORK AVENUE NW
ROOM 3206
WASHINGTON DC DC 20530
Receive a response within 1 business day by uploading and submitting your
request on-line. Go to www.esd.wa.gov/newsroom/public-records
RE: SAM MORGAN
SSN: )00(-)0(-3218
The records or information being provided is considered private and
confidential under Chapter 50.13 RCW. Any misuse or unauthorized
disclosure of the records may subject a person or organization to penalties as
prescribed in the cited statute. The records or information provided here have
been obtained from the unemployment insurance records maintained by the
Employment Security Department.
From January 1, 2017 through June 19, 2020, our records show the above
named individual did not receive a payment for unemployment insurance
benefits.
From January 1,2017 through March 31, 2020, our records fail to show any
wages being reported by employer(s) in the State of Washington for the
above named individual. Records of reported wages are only as current as
the date stated above.
If I can be of further assistance, please contact me at (844) 766-8930.
Sincerely,
,6
-;17/
te0a
Dan Lockwood
Assistant Records Officer
ESD Use: Response Letter Wage
DOJ-01-0000005609
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 90
Admitted ________________
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 145 of 202
STATE OF WASHINGTON
Employment Security Department
Records Disclosure Unit
June 25, 2020
Page 1 of 1
No wages reported for the
1st Quarter of 2017 through the 1st Quarter of 2020.
SUBJECT NAME: MORGAN, SAM
SSN: )00(-)0(-3218
*Most Recent Completed Quarter may not be reported as of this date.
*Employer address may differ from actual employment location.
Reported Employee Name:
Employer Name:
Street:
City, State ZIP:
Year Quarter:
Wages:
Hours:
Completed by: Dan Lockwood
Phone: (844) 766-8930
Note: The information contained in this document is considered confidential and is subject to agency confidentiality
statutes contained in Chapter 50.13 RCW. Any unauthorize use is prohibited and may be subject to penalties as
prescribed in the cited statute.
DOJ-01-0000005610
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 146 of 202
Unemployment Payment History
STATE OF WASHINGTON
Employment Security Department
June 25, 2020
Records Disclosure Unit
Page 1 of 1
Unemployment payment history from January 1, 2017 through June 19, 2020.
SUBJECT NAME:
SAM MORGAN
SSN: XXX-XX-3218
Benefit History for Claim with BYE Date of
On this report week claimed only shows if payment was issued for a given week. No weekly information will be shown if
individual claimed for a given week but no payment was issued (i.e. wait week, disqualified, excess earning, or any other
reason why payment not issued).
Benefit Year Ending (BYE) Date:
Application Date:
Maximum Benefits Payable (MBP):
Weekly Benefit Allowance (WBA):
New Balance Available (NBA):
Note: The information contained in this document is considered confidential and is subject to agency confidentiality statutes contained in Chapter 50.13
RCW. Any unauthorize use is prohibited and may be subject to penalties as prescribed in the cited statute.
Completed by: Dan Lockwood
Phone: (360) 725-9940
DOJ-01-0000005611
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 147 of 202
41111111V
REQUEST ID: 20-022707-RDU-D5
Employment Security Department
June 25, 2020
WASHINGTON STATE
PO Box 9046 Olympia, WA 98507-9046
US DEPARMENT OF JUSTICE
CARLY RUSSLE
1400 NEW YORK AVENUE NW
ROOM 3206
WASHINGTON DC DC 20530
Receive a response within 1 business day by uploading and submitting your
request on-line. Go to www.esd.wa.gov/newsroom/public-records
RE: JEROME MUNA
SSN: XXX-XX-3416
The records or information being provided is considered private and
confidential under Chapter 50.13 ROW. Any misuse or unauthorized
disclosure of the records may subject a person or organization to penalties as
prescribed in the cited statute. The records or information provided here have
been obtained from the unemployment insurance records maintained by the
Employment Security Department.
From January 1,2017 through June 19, 2020, enclosed are copies of
document(s) on file with this office regarding the above named individual's
unemployment compensation claim history.
From January 1,2017 through March 31, 2020, enclosed are printouts
showing wages reported by employers in the State of Washington for the
above named individual. Records of reported wages are only as current as
the date stated above.
Attached is a standard Ul/Wage report. Please conact our office if further
records are requested.
If I can be of further assistance, please contact me at (844) 766-8930.
Sincerely,
teri-Od
Dan Lockwood
Assistant Records Officer
ESD Use: Response Letter Wage
DOJ-01-0000005612
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 91
Admitted ________________
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 148 of 202
STATE OF WASHINGTON
Employment Security Department
June 25, 2020
Records Disclosure Unit
Page 1 of 1
Wages reported by employers in the State of Washington from
1st Quarter of 2017 through the 1st Quarter of 2020.
SUBJECT NAME: MUNA. JEROME
SSN: )00(40C-3416
*Most Recent Completed Quarter may not be reported as of this date.
*Employer address may differ from actual employment location.
Reported Employee Name:
MUNA JEROME
Employer Name:
TOKYO JAPANESE STEAK
Year Quarter:
2020 1
Wages:
Reported Employee Name:
Muna Jerome
Employer Name:
TOKYO JAPANESE STEAK
Year Quarter:
2019 4
Wages:
Year Quarter:
2019 3
Wages:
Year Quarter:
2019 2
Wages:
Year Quarter:
2019 1
Wages:
Reported Employee Name:
Muna Jerome
Employer Name:
TOKYO JAPANESE STEAK
Year Quarter:
2018 4
Wages:
Year Quarter:
2018 3
Wages:
Reported Employee Name:
Muna Jerome
Employer Name:
TOKYO JAPANESE STEAK
Year Quarter:
2017 3
Wages:
Year Quarter:
2017 2
Wages:
Year Quarter:
2017 1
Wages:
Completed by: Dan Lockwood
Phone: (844) 766-8930
Note: The information contained in this document is considered confidential and is subject to agency confidentiality
statutes contained in Chapter 50.13 RCW. Any unauthorize use is prohibited and may be subject to penalties as
prescribed in the cited statute.
DOJ-01-0000005613
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 149 of 202
Unemployment Payment History
STATE OF WASHINGTON
Employment Security Department
June 25, 2020
Records Disclosure Unit
Page 1 of 3
Unemployment payment history from January 1,2017 through June 19, 2020.
SUBJECT NAME:
JEROME MUNA
SSN: XXX-XX-3416
Benefit History for Claim with BYE Date of
04-10-21
On this report week claimed only shows if payment was issued for a given week. No weekly information will be shown if
individual claimed for a given week but no payment was issued (i.e. wait week, disqualified, excess earning, or any other
reason why payment not issued).
Benefit Year Ending (BYE) Date: 04-10-21
Application Date:
04-14-20
Maximum Benefits Payable (MBP):
$14,664.00
Weekly Benefit Allowance (WBA):
$564.00
New Balance Available (NBA):
$9,588.00
Benefit Week Ending
06-13-20
06-13-20
Payment Issued
$564.00
$600.00
Date Issued
06-17-20
06-17-20
06-06-20
$600.00
06-11-20
06-06-20
$564.00
06-11-20
05-30-20
$600.00
06-11-20
05-30-20
$564.00
06-11-20
05-23-20
$600.00
06-11-20
05-23-20
$564.00
06-11-20
05-16-20
$600.00
06-11-20
05-16-20
$564.00
06-11-20
05-09-20
$564.00
05-10-20
05-09-20
$600.00
05-10-20
05-02-20
$600.00
05-06-20
05-02-20
$564.00
05-06-20
04-25-20
$600.00
05-01-20
04-25-20
$564.00
05-01-20
04-18-20
$564.00
04-22-20
04-18-20
$600.00
04-22-20
Note: The information contained in this document is considered confidential and is subject to agency confidentiality statutes contained in Chapter 50.13
RCW. Any unauthorize use is prohibited and may be subject to penalties as prescribed in the cited statute.
Completed by: Dan Lockwood
Phone: (360) 725-9940
DOJ-01-0000005614
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 150 of 202
REQUEST ID: 20-022698-RDU-D5
June 25, 2020
-10Pr
Employment Security Department
WASHINGTON STATE
PO Box 9046 Olympia, WA 98507-9046
US DEPARMENT OF JUSTICE
CARLY RUSSLE
1400 NEW YORK AVENUE NW
ROOM 3206
WASHINGTON DC DC 20530
Receive a response within 1 business day by uploading and submitting your
request on-line. Go to www.esd.wa.gov/newsroom/public-records
RE: ERIC PULA
SSN: )00(-)0(-2825
The records or information being provided is considered private and
confidential under Chapter 50.13 RCW. Any misuse or unauthorized
disclosure of the records may subject a person or organization to penalties as
prescribed in the cited statute. The records or information provided here have
been obtained from the unemployment insurance records maintained by the
Employment Security Department.
From January 1, 2017 through June 19, 2020, our records show the above
named individual did not receive a payment for unemployment insurance
benefits.
From January 1,2017 through March 31, 2020, enclosed are printouts
showing wages reported by employers in the State of Washington for the
above named individual. Records of reported wages are only as current as
the date stated above.
If I can be of further assistance, please contact me at (844) 766-8930.
Sincerely,
Dan Lockwood
Assistant Records Officer
ESD Use: Response Letter Wage
DOJ-01-0000005617
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 92
Admitted ________________
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 151 of 202
STATE OF WASHINGTON
Employment Security Department
June 25, 2020
Records Disclosure Unit
Page 1 of 1
Wages reported by employers in the State of Washington from
1st Quarter of 2017 through the 1st Quarter of 2020.
SUBJECT NAME: PULA. ERIC
SSN: )00(40(-2825
*Most Recent Completed Quarter may not be reported as of this date.
*Employer address may differ from actual employment location.
Reported Employee Name:
PULA ERIC
Employer Name:
HONG KONG SUPERMARKET
Year Quarter:
2017 4
Wages:
Completed by: Dan Lockwood
Phone: (844) 766-8930
Note: The information contained in this document is considered confidential and is subject to agency confidentiality
statutes contained in Chapter 50.13 RCW. Any unauthorize use is prohibited and may be subject to penalties as
prescribed in the cited statute.
DOJ-01-0000005618
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 152 of 202
Unemployment Payment History
STATE OF WASHINGTON
Employment Security Department
June 25, 2020
Records Disclosure Unit
Page 1 of 1
Unemployment payment history from January 1,2017 through June 19, 2020.
SUBJECT NAME:
ERIC PULA
SSN: XXX-XX-2825
Benefit History for Claim with BYE Date of
On this report week claimed only shows if payment was issued for a given week. No weekly information will be shown if
individual claimed for a given week but no payment was issued (i.e. wait week, disqualified, excess earning, or any other
reason why payment not issued).
Benefit Year Ending (BYE) Date:
Application Date:
Maximum Benefits Payable (MBP):
Weekly Benefit Allowance (WBA):
New Balance Available (NBA):
Note: The information contained in this document is considered confidential and is subject to agency confidentiality statutes contained in Chapter 50.13
RCW. Any unauthorize use is prohibited and may be subject to penalties as prescribed in the cited statute.
Completed by: Dan Lockwood
Phone: (360) 725-9940
DOJ-01-0000005619
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 153 of 202
AN.
Employment Security Department
WASHINGTON STATE
PO Box 9046 Olympia, WA 98507-9046
REQUEST ID: 20-022700-RDU-D5
June 25, 2020
US DEPARMENT OF JUSTICE
CARLY RUSSLE
1400 NEW YORK AVENUE NW
ROOM 3206
WASHINGTON DC DC 20530
Receive a response within 1 business day by uploading and submitting your
request on-line. Go to www.esd.wa.gov/newsroom/public-records
RE: Ronald Reel
SS N: XXX-XX-2237
The records or information being provided is considered private and
confidential under Chapter 50.13 RCW. Any misuse or unauthorized
disclosure of the records may subject a person or organization to penalties as
prescribed in the cited statute. The records or information provided here have
been obtained from the unemployment insurance records maintained by the
Employment Security Department.
From January 1, 2017 through June 19, 2020, our records show the above
named individual did not receive a payment for unemployment insurance
benefits.
From January 1, 2017 through March 31, 2020, enclosed are printouts
showing wages reported by employers in the State of Washington for the
above named individual. Records of reported wages are only as current as
the date stated above.
If I can be of further assistance, please contact me at (844) 766-8930.
Sincerely,
teoa
Dan Lockwood
Assistant Records Officer
ESD Use: Response Letter Wage
DOJ-01-0000005620
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 93
Admitted ________________
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 154 of 202
STATE OF WASHINGTON
Employment Security Department
June 25, 2020
Records Disclosure Unit
Page 1 of 2
Wages reported by employers in the State of Washington from
1st Quarter of 2017 through the 1st Quarter of 2020.
SUBJECT NAME: Reel, Ronald
SSN: )00(40(-2237
*Most Recent Completed Quarter may not be reported as of this date.
*Employer address may differ from actual employment location.
Reported Employee Name:
Reel Ronald
Employer Name:
BARONA ENTERPRISES
Year Quarter:
2019 3
Wages:
Reported Employee Name:
REEL RONALD
Employer Name:
BURIEN GROCERY OUTLET
Year Quarter:
2018 3
Wages:
Employer Name:
BOTHELL HEALTH CARE
Year Quarter:
2018 2
Wages:
Employer Name:
THE LOOSE WHEEL PUYALLUPS PITST
Year Quarter:
2018 1
Wages:
Completed by: Dan Lockwood
Phone: (844) 766-8930
Note: The information contained in this document is considered confidential and is subject to agency confidentiality
statutes contained in Chapter 50.13 RCW. Any unauthorize use is prohibited and may be subject to penalties as
prescribed in the cited statute.
DOJ-01-0000005621
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 155 of 202
STATE OF WASHINGTON
Employment Security Department
June 25, 2020
Records Disclosure Unit
Page 2 of 2
Wages reported by employers in the State of Washington from
1st Quarter of 2017 through the 1st Quarter of 2020.
SUBJECT NAME: Reel. Ronald
SSN: )00(-XX-2237
*Most Recent Completed Quarter may not be reported as of this date.
*Employer address may differ from actual employment location.
Reported Employee Name:
REEL RONALD
Employer Name:
BIG LOTS
Year Quarter:
2017 3
Wages:
Employer Name:
THE BUTCHER & THE BAKER
Year Quarter:
2017 3
Wages:
Employer Name:
CLASSIC CATERING NW
Year Quarter:
2017 2
Wages:
Year Quarter:
2017 1
Wages:
Employer Name:
TUKWILA SUPER SAVER FOODS
Year Quarter:
2017 4
Wages:
Completed by: Dan Lockwood
Phone: (844) 766-8930
Note: The information contained in this document is considered confidential and is subject to agency confidentiality
statutes contained in Chapter 50.13 RCW. Any unauthorize use is prohibited and may be subject to penalties as
prescribed in the cited statute.
DOJ-01-0000005622
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 156 of 202
Unemployment Payment History
STATE OF WASHINGTON
Employment Security Department
June 25, 2020
Records Disclosure Unit
Page 1 of 1
Unemployment payment history from January 1, 2017 through June 19, 2020.
SUBJECT NAME:
RONALD REEL
SSN: XXX-XX-2237
Benefit History for Claim with BYE Date of
On this report week claimed only shows if payment was issued for a given week. No weekly information will be shown if
individual claimed for a given week but no payment was issued (i.e. wait week, disqualified, excess earning, or any other
reason why payment not issued).
Benefit Year Ending (BYE) Date:
Application Date:
Maximum Benefits Payable (MBP):
Weekly Benefit Allowance (WBA):
New Balance Available (NBA):
Note: The information contained in this document is considered confidential and is subject to agency confidentiality statutes contained in Chapter 50.13
RCW. Any unauthorize use is prohibited and may be subject to penalties as prescribed in the cited statute.
Completed by: Dan Lockwood
Phone: (360) 725-9940
DOJ-01-0000005623
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 157 of 202
REQUEST ID: 20-022699-RDU-D4
Employment Security Department
June 25, 2020
WASHINGTON STATE
PO Box 9046 Olympia, WA 98507-9046
US DEPARMENT OF JUSTICE
CARLY RUSSLE
1400 NEW YORK AVENUE NW
ROOM 3206
WASHINGTON DC DC 20530
Receive a response within I business day by uploading and submitting your
request on-line. Go to www.esd.wa.gov/newsroom/public-records
RE: David Sandoval
SS N : XXX-XX-0074
The records or information being provided is considered private and
confidential under Chapter 50.13 RCW. Any misuse or unauthorized
disclosure of the records may subject a person or organization to penalties as
prescribed in the cited statute. The records or information provided here have
been obtained from the unemployment insurance records maintained by the
Employment Security Department.
From January 1,2017 through June 19, 2020, our records show the above
named individual did not receive a payment for unemployment insurance
benefits.
From January 1,2017 through March 31, 2020, enclosed are printouts
showing wages reported by employers in the State of Washington for the
above named individual. Records of reported wages are only as current as
the date stated above.
Unable to provide a signed records affidavit certifying the record under current
working circumstances.
If I can be of further assistance, please contact me at (844) 766-8930.
Sincerely,
Dan Lockwood
Assistant Records Officer
ESD Use: Response Letter Wage
DOJ-01-0000005624
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 94
Admitted ________________
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 158 of 202
STATE OF WASHINGTON
Employment Security Department
June 25, 2020
Records Disclosure Unit
Page 1 of 1
Wages reported by employers in the State of Washington from
1st Quarter of 2017 through the 1st Quarter of 2020.
SUBJECT NAME: Sandoval. David
SSN: XXX-XX-0074
*Most Recent Completed Quarter may not be reported as of this date.
*Employer address may differ from actual employment location.
Reported Employee Name:
Sandoval David
Employer Name:
IMPERIAL FORCES INC
Year Quarter:
2018 2
Wages:
Reported Employee Name:
Sandoval David
Employer Name:
IMPERIAL FORCES INC
Year Quarter:
2017 1
Wages:
Completed by: Dan Lockwood
Phone: (844) 766-8930
Note: The information contained in this document is considered confidential and is subject to agency confidentiality
statutes contained in Chapter 50.13 RCW. Any unauthorize use is prohibited and may be subject to penalties as
prescribed in the cited statute.
DOJ-01-0000005625
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 159 of 202
Unemployment Payment History
STATE OF WASHINGTON
Employment Security Department
June 25, 2020
Records Disclosure Unit
Page 1 of 1
Unemployment payment history from January 1,2017 through June 19, 2020.
SUBJECT NAME:
DAVID SANDOVAL
SSN: XXX-XX-0074
Benefit History for Claim with BYE Date of
On this report week claimed only shows if payment was issued for a given week. No weekly information will be shown if
individual claimed for a given week but no payment was issued (i.e. wait week, disqualified, excess earning, or any other
reason why payment not issued).
Benefit Year Ending (BYE) Date:
Application Date:
Maximum Benefits Payable (MBP):
Weekly Benefit Allowance (WBA):
New Balance Available (NBA):
Note: The information contained in this document is considered confidential and is subject to agency confidentiality statutes contained in Chapter 50.13
RCW. Any unauthorize use is prohibited and may be subject to penalties as prescribed in the cited statute.
Completed by: Dan Lockwood
Phone: (360) 725-9940
DOJ-01-0000005626
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 160 of 202
REQUEST ID: 20-022709-RDU-D5
-41111Pr
Employment Security Department
June 25, 2020
WASHINGTON STATE
PO Box 9046 Olympia, WA 98507-9046
US DEPARMENT OF JUSTICE
CARLY RUSSLE
1400 NEW YORK AVENUE NW
ROOM 3206
WASHINGTON DC DC 20530
Receive a response within 1 business day by uploading and submitting your
request on-line. Go to www.esd.wa.gov/newsroom/public-records
RE: RON ISHA SMITH
SSN: XXX-XX-0350
The records or information being provided is considered private and
confidential under Chapter 50.13 RCW. Any misuse or unauthorized
disclosure of the records may subject a person or organization to penalties as
prescribed in the cited statute. The records or information provided here have
been obtained from the unemployment insurance records maintained by the
Employment Security Department.
From January 1, 2017 through June 19, 2020, our records show the above
named individual did not receive a payment for unemployment insurance
benefits.
From January 1, 2017 through March 31, 2020, our records fail to show any
wages being reported by employer(s) in the State of Washington for the
above named individual. Records of reported wages are only as current as
the date stated above.
Unable to provide a signed records affidavit certifying the record under current
working circumstances.
If I can be of further assistance, please contact me at (844) 766-8930.
Sincerely,
WO-a
Dan Lockwood
Assistant Records Officer
ESD Use Response Letter Wage
DOJ-01-0000005627
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 95
Admitted ________________
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 161 of 202
STATE OF WASHINGTON
Employment Security Department
Records Disclosure Unit
June 25, 2020
Page 1 of 1
No wages reported for the
1st Quarter of 2017 through the 1st Quarter of 2020.
SUBJECT NAME: SMITH, RONISHA
SSN: )00(40C-0350
*Most Recent Completed Quarter may not be reported as of this date.
*Employer address may differ from actual employment location.
Reported Employee Name:
Employer Name:
Street:
City, State ZIP:
Year Quarter:
Wages:
Hours:
Completed by: Dan Lockwood
Phone: (844) 766-8930
Note: The information contained in this document is considered confidential and is subject to agency confidentiality
statutes contained in Chapter 50.13 RCW. Any unauthorize use is prohibited and may be subject to penalties as
prescribed in the cited statute.
DOJ-01-0000005628
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 162 of 202
Unemployment Payment History
STATE OF WASHINGTON
Employment Security Department
June 25, 2020
Records Disclosure Unit
Page 1 of 1
Unemployment payment history from January 1,2017 through June 19, 2020.
SUBJECT NAME:
RONISHA SMITH
SSN: XXX-XX-0350
Benefit History for Claim with BYE Date of
On this report week claimed only shows if payment was issued for a given week. No weekly information will be shown if
individual claimed for a given week but no payment was issued (i.e. wait week, disqualified, excess earning, or any other
reason why payment not issued).
Benefit Year Ending (BYE) Date:
Application Date:
Maximum Benefits Payable (MBP):
Weekly Benefit Allowance (WBA):
New Balance Available (NBA):
Note: The information contained in this document is considered confidential and is subject to agency confidentiality statutes contained in Chapter 50.13
RCW. Any unauthorize use is prohibited and may be subject to penalties as prescribed in the cited statute.
Completed by: Dan Lockwood
Phone: (360) 725-9940
DOJ-01-0000005629
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 163 of 202
AMP'
REQUEST ID: 20-022697-RDU-D5
Employment Security Department
June 25, 2020
WASHINGTON STATE
PO Box 9046 Olympia, WA 98507-9046
US DEPARMENT OF JUSTICE
CARLY RUSSLE
1400 NEW YORK AVENUE NW
ROOM 3206
WASHINGTON DC DC 20530
Receive a response within 1 business day by uploading and submitting your
request on-line. Go to www.esd.wa.gov/newsroom/public-records
RE: MATAESE TELA
SS N: XXX-XX-9664
The records or information being provided is considered private and
confidential under Chapter 50.13 ROW. Any misuse or unauthorized
disclosure of the records may subject a person or organization to penalties as
prescribed in the cited statute. The records or information provided here have
been obtained from the unemployment insurance records maintained by the
Employment Security Department.
From January 1, 2017 through June 19, 2020, our records show the above
named individual did not receive a payment for unemployment insurance
benefits.
From January 1, 2017 through March 31, 2020, our records fail to show any
wages being reported by employer(s) in the State of Washington for the
above named individual. Records of reported wages are only as current as
the date stated above.
Unable to provide a signed records affidavit certifying the record under current
working circumstances.
If I can be of further assistance, please contact me at (844) 766-8930.
Sincerely,
Dan Lockwood
Assistant Records Officer
ESD Use: Response Letter Wage
DOJ-01-0000005630
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 96
Admitted ________________
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 164 of 202
STATE OF WASHINGTON
Employment Security Department
June 25, 2020
Records Disclosure Unit
Page 1 of 1
No wages reported for the
1st Quarter of 2017 through the 1st Quarter of 2020.
SUBJECT NAME: TEL& MATAESE
SSN: )00(40(-9664
*Most Recent Completed Quarter may not be reported as of this date.
*Employer address may differ from actual employment location.
Reported Employee Name:
Employer Name:
Street:
City, State ZIP:
Year Quarter:
Wages:
Hours:
Completed by: Dan Lockwood
Phone: (844) 766-8930
Note: The information contained in this document is considered confidential and is subject to agency confidentiality
statutes contained in Chapter 50.13 RCW. Any unauthorize use is prohibited and may be subject to penalties as
prescribed in the cited statute.
DOJ-01-0000005631
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 165 of 202
Unemployment Payment History
STATE OF WASHINGTON
Employment Security Department
June 25, 2020
Records Disclosure Unit
Page 1 of 1
Unemployment payment history from January 1,2017 through June 19, 2020.
SUBJECT NAME:
MATAESE TELA
SSN: XXX-XX-9664
Benefit History for Claim with BYE Date of
On this report week claimed only shows if payment was issued for a given week. No weekly information will be shown if
individual claimed for a given week but no payment was issued (i.e. wait week, disqualified, excess earning, or any other
reason why payment not issued).
Benefit Year Ending (BYE) Date:
Application Date:
Maximum Benefits Payable (MBP):
Weekly Benefit Allowance (WBA):
New Balance Available (NBA):
Note: The information contained in this document is considered confidential and is subject to agency confidentiality statutes contained in Chapter 50.13
RCW. Any unauthorize use is prohibited and may be subject to penalties as prescribed in the cited statute.
Completed by: Dan Lockwood
Phone: (360) 725-9940
DOJ-01-0000005632
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 166 of 202
-11.1Pr
Employment Security Department
WASHINGTON STATE
PO Box 9046 Olympia, WA 98507-9046
REQUEST ID: 20-022706-RDU-D5
June 25, 2020
US DEPARMENT OF JUSTICE
CARLY RUSSLE
1400 NEW YORK AVENUE NW
ROOM 3206
WASHINGTON DC DC 20530
Receive a response within 1 business day by uploading and submitting your
request on-line. Go to www.esd.wa.gov/newsroom/public-records
RE: LISA VELOTTA
SS N: XXX-XX-0046
The records or information being provided is considered private and
confidential under Chapter 50.13 ROW. Any misuse or unauthorized
disclosure of the records may subject a person or organization to penalties as
prescribed in the cited statute. The records or information provided here have
been obtained from the unemployment insurance records maintained by the
Employment Security Department.
From January 1, 2017 through June 19, 2020, enclosed are copies of
document(s) on file with this office regarding the above named individual's
unemployment compensation claim history.
From January 1, 2017 through March 31, 2020, enclosed are printouts
showing wages reported by employers in the State of Washington for the
above named individual. Records of reported wages are only as current as
the date stated above.
Attached is a standard Ul/Wage report. Please conact our office if further
records are requested.
If I can be of further assistance, please contact me at (844) 766-8930.
Sincerely,
tlz6a
Dan Lockwood
Assistant Records Officer
ESD Use: Response Letter Wage
DOJ-01-0000005633
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 97
Admitted ________________
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 167 of 202
STATE OF WASHINGTON
Employment Security Department
June 25, 2020
Records Disclosure Unit
Page 1 of 2
Wages reported by employers in the State of Washington from
1st Quarter of 2017 through the 1st Quarter of 2020.
SUBJECT NAME: VELOTTA, LISA
SSN: )00(-XX-0046
*Most Recent Completed Quarter may not be reported as of this date.
*Employer address may differ from actual employment location.
Reported Employee Name:
VELOTTA LISA
Employer Name:
PACIFIC MEDICAL CENTERS-PUYALLUP
Year Quarter:
2020 1
Wages:
Reported Employee Name:
VELOTTA LISA
Employer Name:
PACIFIC MEDICAL CENTERS-PUYALLUP
Year Quarter:
2019 4
Wages:
Year Quarter:
2019 3
Wages:
Year Quarter:
2019 2
Wages:
Year Quarter:
2019 1
Wages:
Employer Name:
STEEB VS OVERLAKE HOSPITAL MEDIC
Year Quarter:
2019 2
Wages:
Reported Employee Name:
VELOTTA LISA
Employer Name:
PACIFIC MEDICAL CENTERS-PUYALLUP
Year Quarter:
2018 4
Wages:
Year Quarter:
2018 3
Wages:
Year Quarter:
2018 2
Wages:
Year Quarter:
2018 1
Wages:
Completed by: Dan Lockwood
Phone: (844) 766-8930
Note: The information contained in this document is considered confidential and is subject to agency confidentiality
statutes contained in Chapter 50.13 RCW. Any unauthorize use is prohibited and may be subject to penalties as
prescribed in the cited statute.
DOJ-01-0000005634
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 168 of 202
STATE OF WASHINGTON
Employment Security Department
June 25, 2020
Records Disclosure Unit
Page 2 of 2
Wages reported by employers in the State of Washington from
1st Quarter of 2017 through the 1st Quarter of 2020.
SUBJECT NAME: VELOTTA, LISA
SSN: )00(40C-0046
*Most Recent Completed Quarter may not be reported as of this date.
*Employer address may differ from actual employment location.
Reported Employee Name:
Velotta Lisa
Employer Name:
Year Quarter:
PACIFIC MEDICAL CENTERS-PUYALLUP
2017 4
Wages:
Employer Name:
Year Quarter:
OVERLAKE HOSPITAL
2017 3
Wages:
Year Quarter:
2017 2
Wages:
Year Quarter:
2017 1
Wages:
Completed by: Dan Lockwood
Phone: (844) 766-8930
Note: The information contained in this document is considered confidential and is subject to agency confidentiality
statutes contained in Chapter 50.13 RCW. Any unauthorize use is prohibited and may be subject to penalties as
prescribed in the cited statute.
DOJ-01-0000005635
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 169 of 202
79
DOJ-01-0000005325
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 98
Admitted ________________
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 170 of 202
80
DOJ-01-0000005326
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 171 of 202
81
DOJ-01-0000005327
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 172 of 202
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 100
Admitted ________________
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 173 of 202
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 100
Admitted ________________
H105.905
REV.(5/17)
This is to certify that this is a true copy of the record which is on file in the Pennsylvania Department of Health, in accordance with
the Vital Statistics Law of 1953, as amended.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
10846110
Audrey C. Marrocco
State Registrar
July 23, 2020
No.
Date
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF HEALTH
VITAL RECORDS
CERTIFICATE OF DEATH
(Physician)
STATE FILE NO.
078522
Name of decedent
(First)
(Middle)
(Last)
1.
Samuel
S.
Morgan Sr.
Sex
2.
M
Date of death (Met,. Day, Yr.)
3. August 23, 1987
Race - (e.g., White, Black,
American )ndian, etc.)
4, white
Age last birth.
day
5A. 65
If under 1 yr.
If under 1 day
Date of birth, Mo,Day,Yr
BA.12/13/21
State or foreign country of
birth
68, N.J.
County of birth
EXamden
'
City, Soto, or Twp. of birth
60.Camden
Mos.
;
Days
5B,
j
Hours ;
Min.
5C.
I
County of death
7A,
Montg.
CitY. 90ro, or Two, of death
—
7(3, Pennsburg
Hospital or Institution (If not erther, give address)
7C,
Pennsburg, PA
If ho p. or inst. indicate DOA,
OP/ER r ip inpatient (spar
70.
...1utpatien
Decedent's Mailing Address (Street or RFD No.)
(City or Town)
MMO
(Zip Code)
8
Pennsburg, PA
Marital Status
9,W
Surviving Spouse (If wife, give maiden name)
10.
Citizen of what country?
U . S . A .
Was decedent ever in 1.1.5. Armed Forces?
0 Yes
E:3 No
12.
Social Security Number
53,
3218
Usual Occupation (Kind of work done during most
of work ng life)
14A.welder - Firestone Co ld&
Kind of business or industry
Tire Company
Where did
15a. State Pennsylvania
decedent
Did decedent live
I5c,C3 Yes, decedent lived in
township.
city or bora.
Pennsburg
actuallY liVe?
15b, County Mont gomery
is
In, township?
154E3 No decedent lived within actual limits of
Father's name
(First)
(Middle)
(Last)
( 16.
Jesse
Morgan Sr.
(First)
(Middle)
(Last)
Mother's maiden rams
17.
Adelaide
(Sharp) Morgan
Informant's name (Type or Print)
IBA,
Samuel Morgan Jr.
Intormant's
(Street or RFD Na.)
(City or Town)
!State)
(Zip Code)
Mailing address
188.
Hereford, PA
..--".
El Burial
0 Removal
19A. OCremation pother
Date of burial, etc.
,8/28f87
Name of cemetery or crematory
i
LonAswamp•Union. Cemetery
sc.
-
Location
(City, flora, twP.)
(State)
19D.
Longswamp,Iwp., PA
Signature of funeral director a
license number
• •
Name and address of funeral establishment
)
FD —
...„..20A.
...-ceekess.gi
.
0 1 2 _3 17 15 - L
Falk Funeral. Home Inc.
Registrar's Signe
.
,,,i ,
A , l'iP
Date teeth,
by registrai
218. 6 2,5 1 g 7
163 Main St.
2Aennsburg, PA
18073
...." a
'2
E at
21A,
•
the cause
staled.
n
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of my ko
nwledge
place
, death oc
red at the time, dale and pla
and dun to
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for
Name and Adress ore,ghtlier Whys man. Medical Examiner or Cowner) pally!
246: '10 M S
se., _q
' nip gorelis I/ Olen!
Enter only one eau
IA)
i i7L
9.0
/ r 7 1(7
Due to or as a consequente of:
Oil
PART
Due to, or as a at/en/ tenet 21(:'
(C)
PART I
Other Significant Conditions - Conditions contributing to death but not related to cause given in Part f(s)
Interval between onset and death
3 deief_..s-
Interval between onset and death
Interval between onset and death
Autopsy
Yes
7,
INo
was case referred to Medical Ex.
arninee or Coroner?
28. 0
Yes 0
No
If Ace.. Suicide. Horn., ljndet.Or
Pending Investigation (Smelly)
29A.
liirim777—kl
vor
29E.
ONo [(Yes
Hour of
Injury
29C.
Place of Injury (At home, farm. at net, etc.)
21W.
AM
P.M.
Describe how injury occurred:
29D.
(Street or RFD No.)
Location
Boro, or
p.)
(State)
29G.
Date of Injury (Mo., Day, Yr.)
298.
DOJ-02-0000008313
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 103
Admitted ________________
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 174 of 202
DOJ-01-0000006565
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 104
Admitted ________________
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 175 of 202
DOJ-01-0000006566
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 176 of 202
DOJ-01-0000006567
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 177 of 202
DOJ-01-0000006568
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 178 of 202
DOJ-01-0000006493
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 105
Admitted ________________
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 179 of 202
DOJ-01-0000006494
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 180 of 202
DOJ-01-0000006495
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 181 of 202
DOJ-01-0000006496
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 182 of 202
DOJ-02-0000006876
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 106
Admitted ________________
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 183 of 202
DOJ-02-0000006877
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 184 of 202
DOJ-02-0000006923
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 107
Admitted ________________
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 185 of 202
DOJ-02-0000006924
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 186 of 202
Electronic Endorsements:
>256074974< 6/22/2020 17082880 BOFD
>256074974< 6/22/2020 17082880
>061000146< 6/23/2020 2639347620
DOJ-01-0000005032
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 109
Admitted ________________
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 187 of 202
MARK "X" TO CHANGE
ADDRESS/ORDER
ITEMS ON REVERSE
(FOR MAIL USE ONLY. DO NOT SEND CASH THROUGH THE MAIL
DEPOSITS MAY NOT BE AVAILABLE FOR IMMEDIATE WITHDRAWAL)
TOTAL
NFCU
PO BOX 3100
MERRIFIELD VA 22119-3100
DEPOSIT VOUCHER
ACCOUNT NUMBER
ACCOUNT TYPE
AMOUNT ENCLOSED
Say "Yes" to Paperless Statements
If you haven't already, go paperless! You can access up to 36 months of statements anytime, anywhere.
To get started, select "Statements" in digital banking.*
It's an easy way to reduce the risk of identity theft and cut down on paper clutter.
Insured by NCUA. *Message and data rates may apply. Visit navyfederal.org for more information.
ES1 LLC
6812798
7096277053
3126944507
Page 1 of 3
7096277053
$35.91-
$4,063.19
$2,686.65
$1,340.63
$0.10
3126944507
$0.00
$23,515.25
$22,515.00
$1,000.25
$0.25
06-01
Beginning Balance
Checking
Savings
Previous
Deposits/
Withdrawals/
Ending
YTD
Balance
Credits
Debits
Balance
Dividends
Totals
$35.91-
$27,578.44
$25,201.65
$2,340.88
$0.35
Date
Transaction Detail
Amount($)
Balance($)
Business Checking - 7096277053
Statement of Account
#BWNLLSV
#000000P6X1RWY8A6#000JQU90F
ES1 LLC
4700 36TH AVE SW
SEATTLE WA
98126-2716
405709627705331269445070000000000000000000000000000000
Summary of your deposit accounts
Checking
35.91-
Statement Period
06/01/20 - 06/30/20
Access No. 6812798
Routing Number: 2560-7497-4
Questions about this Statement?
Toll-free in the U.S. 1-888-842-6328
For toll-free numbers when overseas,
visit
Collect internationally 1-703-255-8837
navyfederal.org/overseas/
Say "Yes" to Paperless! View your
digital statements via Mobile or
Navy Federal Online Banking.
REMITTANCE RECEIVED AFTER STATEMENT PERIOD WILL APPEAR ON YOUR NEXT STATEMENT
Business Checking
Business Savings
Navy Federal Credit Union
000258
07/02/2020
DOJ-01-0000002746
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 110
Admitted ________________
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 188 of 202
Page 2 of 3
06-01
Business Debit Card Overdraft Fee 05-30-20 Chevron 0301816
06-22
eDeposit-Scan/Mobile 000000100579786
06-22
eDeposit-Scan/Mobile 000000100579690
06-22
POS Debit- Business Debit Card 3287 06-21-20 T-Mobile Store # 2 Seattle WA
06-22
POS Debit- Business Debit Card 3287 06-20-20 Nikos Gyros Seattle WA
06-22
POS Debit- Business Debit Card 3287 06-20-20 The Home Depot #89 Seattle WA
06-24
POS Debit- Business Debit Card 3287 06-22-20 Taco Time West Sea Seattle WA
06-25
POS Debit- Business Debit Card 3287 06-23-20 Opc WA Dept. Of Re 925-855-5000
WA
06-25
POS Debit- Business Debit Card 3287 06-23-20 WA Dept. Of Revenu 925-855-5000
WA
06-25
Transfer To Shares
Es1 LLC
06-26
POS Debit- Business Debit Card 3287 06-25-20 Netflix.Com Netflix.Com CA
06-29
POS Debit- Business Debit Card 3287 06-27-20 Adobe Acropro Subs 408-536-6000
CA
06-30
Dividend
06-22
POS
11.00
06-22
POS
19.27
06-22
POS
37.75
06-24
POS
15.93
06-25
POS
0.60
06-25
POS
24.00
06-26
POS
17.60
06-29
POS
16.50
For ES1 LLC
Date
Transaction Detail
Amount($)
Balance($)
06-30
Ending Balance
Date
Item
Amount($)
Date
Item
Amount($)
Business Checking - 7096277053
(Continued from previous page)
29.00
64.91
-
-
301.80
236.89
3,761.36
3,998.25
11.00
3,987.25
-
19.27
3,967.98
-
37.75
3,930.23
-
15.93
3,914.30
-
0.60
3,913.70
-
24.00
3,889.70
-
2,515.00
1,374.70
-
17.60
1,357.10
-
16.50
1,340.60
-
0.03
1,340.63
Statement Period
06/01/20 - 06/30/20
Access No. 6812798
1,340.63
Items Paid
Statement of Account
Average Daily Balance - Current Cycle: $617.96
Navy Federal Credit Union
000259
07/02/2020
DOJ-01-0000002747
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 189 of 202
Disclosure Information
•
The interest charge on the Checking Line of Credit advances begins to accrue on the date an advance is posted to your account and continues to accrue daily on the unpaid principal balance.
If you think there is an error on your statement, write to us at:
In your letter, give us the following information:
You must contact us within 60 days after the error appeared on your statement.
You must notify us of any potential errors in writing (or electronically). You may call us, but if you do, we are not required to investigate any potential error, and you may have to
pay the amount in question.
While we investigate whether or not there has been an error, the following are true:
to pay the amount in question or any interest or other fees related to that amount.
If we take more than 10 days in resolving an electronic transfer inquiry, we will provisionally credit your account for the amount in question so that you will have access to the funds during the
In case of errors or questions about your electronic transfers telephone us at 1-888-842-6328, write us at the address provided above, or through Navy Federal Online Banking as soon as you
can, if you think your statement or receipt is wrong or if you need more information about a transfer listed on the statement or receipt. We must hear from you no later than 60 days after we
sent the FIRST statement on which the problem or error appeared.
We will investigate your complaint and will correct any error promptly. If we take more than 10 business days to do this, we will provisionally credit your account for the amount you think is in error,
so that you will have the use of the money during the time it takes us to complete our investigation.
envelope to: Navy Federal Credit Union, PO Box 3100, Merrifield, VA 22119-3100. Payments received by 5:00 pm Eastern Time at the mail address above will be credited the same day. Mailed payments
for your Checking Line of Credit account may not be commingled with funds designated for credit to other Navy Federal Credit Union accounts.
What to Do if You Think You Find a Mistake on Your Statement
we take the beginning balance of your account each day, add any new advances or fees, and subtract any payments, credits, or unpaid interest charges.
Subject to Interest Rate" disclosed in the Interest Charge Calculation table is the "average daily balance." To calculate the "average daily balance" add up all the "daily balances" for
the billing cycle and divide the total by the number of days in the billing cycle.
by the number of days the applicable rate was in effect and multiplying each of the results by the applicable daily periodic rate and adding the results together.
•
We calculate the interest charge on your account by applying the daily periodic rate to the "daily balance" of your account for each day in the billing cycle. To get the "daily balance"
•
You may also determine the amount of interest charges by multiplying the "Balance Subject to Interest Rate" by the number of days in the billing cycle and the daily periodic rate. The "Balance
•
If there are two or more daily periodic rates imposed during the billing cycle, you may determine the amount of interest charges by multiplying each of the "Balances Subject to Interest Rate"
Errors Related to a Checking Line of Credit Advance
Navy Federal Credit Union, PO Box 3000, Merrifield, VA 22119-3000; or by fax, 1-703-206-4244.
You may also contact us on the Web: navyfederal.org.
•
Account information: Your name and account number.
•
Dollar amount: The dollar amount of the suspected error.
•
Description of problem: If you think there is an error on your bill, describe what you believe is wrong and why you believe it is a mistake.
•
We cannot try to collect the amount in question or report you as delinquent on that amount.
•
The charge in question may remain on your statement, and we may continue to charge you interest on that amount. But, if we determine that we made a mistake, you will not have
•
While you do not have to pay the amount in question, you are responsible for the remainder of your balance.
•
We can apply any unpaid amount against your credit limit.
time of our investigation.
Errors Within Your Checking Account, Money Market Savings Account, or Savings Account
•
Tell us your name and account number (if any).
•
Describe the error or the transfer you are unsure about, and explain as clearly as you can why you believe it is an error or why you need more information.
•
Tell us the dollar amount of the suspected error.
Payments
Your check must be payable to Navy Federal Credit Union and include your Checking Line of Credit account number. Include the voucher found at the bottom of your statement and mail the enclosed
Page 3 of 3
06-01
Beginning Balance
06-22
Deposit
06-22
Transfer To Checking
06-24
Sav Adjustment - DR
06-24
Sav Adjustment - DR
06-25
Transfer From Chk/MMSA
Es1 LLC
06-30
eDeposit-Scan/Mobile 000000101083720
06-30
Dividend
For ES1 LLC
Date
Transaction Detail
Amount($)
Balance($)
06-30
Ending Balance
Business Savings - 3126944507
Savings
0.00
20,000.00
20,000.00
2,500.00-
17,500.00
15.00-
17,485.00
20,000.00-
2,515.00-
2,515.00
0.00
1,000.00
1,000.00
0.25
1,000.25
Statement Period
06/01/20 - 06/30/20
Access No. 6812798
1,000.25
Statement of Account
Navy Federal Credit Union
000260
07/02/2020
DOJ-01-0000002748
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 190 of 202
This is a LEGAL COPY of your
check. You can use it the same
way you would use the orginal
check.
STOP PAYMENT
(Page 1 of 2)
Navy Federal Credit Union
000343
07/02/2020
DOJ-01-0000002831
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 111
Admitted ________________
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 191 of 202
Do not endorse or write below this line
(Page 2 of 2)
Navy Federal Credit Union
000344
07/02/2020
DOJ-01-0000002832
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 192 of 202
LARGE CASH REQUEST
BECU 216 04/2014
It may take 7 to 10 days before the cash is available, if the cash has to be ordered from the Federal Reserve
Bank. Vault cashiers will call the member to confirm date of pick up and cash amount.
Please submit form to either TFC or EFC, depending on your location.
NAME
MEMBERSHIP
Primary Member
Joint Member
ACCOUNT NUMBER
TIER
A
B
C
E
DATE OF MEMBERSHIP
ENGAGED MEMBER
Yes
No
AMOUNT REQUESTED
PICK UP LOCATION
TFC
EFC
DATE MEMBER EXPECTS FUNDS
WHERE FUNDS CAME FROM
HOW LONG FUNDS HAVE BEEN ON DEPOSIT
USE OF FUNDS
BEST CONTACT PHONE NUMBER
EMPLOYEE SUBMITTING REQUEST
DATE
Eric Shibley (DITURI CONSTRUCTION LLC )
■
3615467219
05/01/2020
■
■
$ 563,500.00 ■
05/20/2020
External Deposit - CELTIC BANK - PPP LOAN 124084805
7 days
Paying Payroll of Workers
(206) 771-7868
Tyler Cummings
05/13/2020
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 112
Admitted ________________
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 193 of 202
DOJ-11-0000025316
DOJ-02-0000007158
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 113
Admitted ________________
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 194 of 202
DOJ-02-0000007143
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 114
Admitted ________________
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 195 of 202
DOJ-02-0000009416
U.S. v. Shibley
CR20-174 JCC
Government Exhibit No. 115
Admitted ________________
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 196 of 202
DOJ-02-0000009396
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 197 of 202
DOJ-02-0000009397
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 198 of 202
DOJ-02-0000009398
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 199 of 202
DOJ-02-0000009423
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 200 of 202
DOJ-02-0000009424
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 201 of 202
DOJ-02-0000009425
Case 2:20-cr-00174-JCC Document 137-9 Filed 11/26/21 Page 202 of 202File and source
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