EFTA00003044.pdf
485 KB
Extraction Summary
3
People
2
Organizations
1
Locations
0
Events
2
Relationships
1
Quotes
Document Information
Type:
Emergency contact form / employee record
File Size:
485 KB
Summary
This document is an Emergency Contact Form for LSJE, LLC, filled out by a contractor named Brian Bates on October 17, 2018. The form lists his position as 'Contractor', marital status as 'Single', and identifies Jamie Reed as his doctor. It includes redactions regarding his personal contact information, health concerns, and the specific identity of his emergency contact (identified only as his girlfriend).
People (3)
| Name | Role | Context |
|---|---|---|
| Brian Bates | Contractor / Employee |
Subject of the emergency contact form
|
| Jamie Reed | Doctor |
Listed as primary doctor for Brian Bates
|
| [Redacted] | Girlfriend |
Listed as emergency contact
|
Organizations (2)
| Name | Type | Context |
|---|---|---|
| LSJE, LLC |
Company header on the form
|
|
| The Saint James Group |
Implied by email address 'thesaintjames.group@gmail.com'
|
Locations (1)
| Location | Context |
|---|---|
|
|
LSJE, LLC business address
|
Relationships (2)
Listed as Contractor on LSJE Emergency Contact Form
Jamie Reed listed as Doctor's Name
Key Quotes (1)
"This information is for your safety and the safety of others."Source
EFTA00003044.pdf
Quote #1
Full Extracted Text
Complete text extracted from the document (916 characters)
LSJE, LLC
6100 Red Hook Quarters, Suite B-3, St. Thomas, VI 00802-1348
Phone: [Redacted] E-mail: thesaintjames.group@gmail.com
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: 10/17/18
Start Date: [Blank]
Employee Name: Brian Bates
Date of Birth: [Blank]
Physical Address: [Redacted]
Mailing Address: [Redacted]
Cell Phone: [Redacted]
Phone (other): [Blank]
E-mail: [Blank]
Marital Status: Single
Title/Position: Contractor
Driver's License No: [Redacted]
Start Date: [Blank]
Employee Name: Brian Bates
Date of Birth: [Blank]
Physical Address: [Redacted]
Mailing Address: [Redacted]
Cell Phone: [Redacted]
Phone (other): [Blank]
E-mail: [Blank]
Marital Status: Single
Title/Position: Contractor
Driver's License No: [Redacted]
Allergies or Health Concerns: [Redacted]
Blood type:
[] A- [] A+ [] AB- [] AB+ [] B- [] B+ [] O- [] O+ [x] Unknown
[] A- [] A+ [] AB- [] AB+ [] B- [] B+ [] O- [] O+ [x] Unknown
Current Medications: None
Doctor's Name: Jamie Reed
Doctor's Phone: [Redacted]
Doctor's Name: None
Doctor's Phone: [Blank]
Doctor's Phone: [Redacted]
Doctor's Name: None
Doctor's Phone: [Blank]
In case of emergency, please contact:
Name: [Redacted]
Relationship: Girlfriend
Phone: [Redacted]
Relationship: Girlfriend
Phone: [Redacted]
Name: [Blank]
Relationship: [Blank]
Phone: [Blank]
Relationship: [Blank]
Phone: [Blank]
This information is for your safety and the safety of others.
EFTA00003044
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