WT-3 (Rev. 10/15) SUPPLEMENTARY REPORT FOR WIRETAPS REPORTED IN PREVIOUS CALENDAR YEARS THIS REPORT IS MADE IN ACCORDANCE WITH TITLE 18, UNITED STATES CODE, SECTION 2519. DO NOT REPORT ANY COSTS, ARRESTS, TRIALS, MOTIONS OR CONVICTIONS THAT HAVE BEEN PREVIOUSLY REPORTED ON EITHER THE ORIGINAL FORM 2 OR ON A SUPPLEMENTARY REPORT FORM 3. IF YOU HAVE NO ADDITIONAL ACTIVITY TO REPORT, NO REPORT IS REQUIRED. PLEASE COMPLETE ALL COLUMNS FOR EACH ENTRY. An example is provided below. Completed copies of the form as well as any questions concerning this form may be sent via e-mail to sd-wiretap@ao.uscourts.gov. (1) Report Year (2) A.O. Report Number (3) Date of Application ADDITIONAL ACTIVITY DURING CALENDAR YEAR (4) Cost $ Number (5) Persons Arrested Offense(s) (6) Trials Completed (7) Motions to Suppress Granted Denied Pending Number (8) Persons Convicted Offense(s) Example 2001 6 06-28-2001 3 Gambling, narcotics, conspiracy 2 1 1 1 Gambling Name of the person responsible for completion of this form Jurisdiction State Attorney General ' Yes Area Code and Phone Number Street Address City and State Zip Code Date American LegalNet, Inc. www.FormsWorkFlow.com