EFTA00003039.pdf
458 KB
Extraction Summary
1
People
2
Organizations
1
Locations
0
Events
1
Relationships
1
Quotes
Document Information
Type:
Emergency contact form / hr record
File Size:
458 KB
Summary
An Emergency Contact Form for LSJE, LLC (an entity associated with Jeffrey Epstein's Virgin Islands operations) for an employee named Nicholas Victorin. The form is almost entirely blank, with a handwritten note at the top stating 'Declined to Complete,' indicating the employee chose not to provide the requested personal and medical details.
People (1)
| Name | Role | Context |
|---|---|---|
| Nicholas Victorin | Employee |
Name written in the 'Employee Name' field of the form.
|
Organizations (2)
| Name | Type | Context |
|---|---|---|
| LSJE, LLC |
Company name on the letterhead of the form.
|
|
| The Saint James Group |
Implied by the email address thesaintjames.group@gmail.com
|
Locations (1)
| Location | Context |
|---|---|
|
Address listed in the header for LSJE, LLC.
|
Relationships (1)
Nicholas Victorin is listed as 'Employee Name' on the LSJE, LLC Emergency Contact Form.
Key Quotes (1)
"Declined to Complete"Source
EFTA00003039.pdf
Quote #1
Full Extracted Text
Complete text extracted from the document (911 characters)
Declined to Complete
LSJE, LLC
6100 Red Hook Quarters, Suite B-3, St. Thomas, VI 00802-1348
Phone: [Redacted] E-mail: thesaintjames.group@gmail.com
LSJE, LLC
6100 Red Hook Quarters, Suite B-3, St. Thomas, VI 00802-1348
Phone: [Redacted] E-mail: thesaintjames.group@gmail.com
Emergency Contact Form
Today's Date: [Blank]
Start Date: [Blank]
Employee Name: Nicholas Victorin
Date of Birth: [Blank]
Physical Address: [Blank]
Mailing Address: [Blank]
Cell Phone: [Blank]
Phone (other): [Blank]
E-mail: [Blank]
Marital Status: [Blank]
Title/Position: [Blank]
Driver's License No: [Blank]
Start Date: [Blank]
Employee Name: Nicholas Victorin
Date of Birth: [Blank]
Physical Address: [Blank]
Mailing Address: [Blank]
Cell Phone: [Blank]
Phone (other): [Blank]
E-mail: [Blank]
Marital Status: [Blank]
Title/Position: [Blank]
Driver's License No: [Blank]
Allergies or Health Concerns: [Blank]
Blood type:
[] A- [] A+ [] AB- [] AB+ [] B- [] B+ [] O- [] O+ [] Unknown
Blood type:
[] A- [] A+ [] AB- [] AB+ [] B- [] B+ [] O- [] O+ [] Unknown
Current Medications: [Blank]
Doctor's Name: [Blank] Doctor's Phone: [Blank]
Doctor's Name: [Blank] Doctor's Phone: [Blank]
Doctor's Name: [Blank] Doctor's Phone: [Blank]
In case of emergency, please contact:
Name: [Blank] Relationship: [Blank] Phone: [Blank]
Name: [Blank] Relationship: [Blank] Phone: [Blank]
Name: [Blank] Relationship: [Blank] Phone: [Blank]
Name: [Blank] Relationship: [Blank] Phone: [Blank]
This information is for your safety and the safety of others.
EFTA00003039
EFTA00003039
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