5116122, 12:27 AM 103 Complaint Referral Form Complaint Referral Form Internet Crime Complaint Center Victim Information Name: Kiran Bernard Are you reporting on behalf of a business? No Business Name: Is the incident currently impacting business [None] operations? Age: 30 - 39 ‘Address: Ireland Address (continued): Suite/Apt./Mail Stop: City: Derry city County: Country: Ireland State: [None] Zip Code/Route: DT47 2AN Phone Number: 0209199861 Email Address: edmondo1 105@gmail.com Business IT POC, if applicable: Other Business POC, if applicable: Description of Incident Provide a description of the incident and how you were victimized, Provide information not captured elsewhere in this complaint form, https://twitter.com/RonFilipkowski/status/1525807641133555712 My skull was threatned to be smashed by Ted Nugent https://time.com/4213198/ted-nugent-anti-semitic-facebook-gun-control/ He made anti-semitism comments towards my heritage https://www.newyorker.com/news/amy-davidson/ted-nugents-subhuman-mangrel-slur-in-translation Iwas called a SUBHUMAN MONGREL because of my multiracial descent Which of the following were used in this incident? (Check all that apply.) 1D Spoofed Email D Similar Domain 1D Email Intrusion MOther Please specify: Articles, social media Law enforcement or regulatory agencies may desire copies of pertinent documents or other evidence regarding your complaint. Originals should be retained for use by law enforcement agencies. Information About The Subject(s) Who Vi hitps:icomplaintie3.govidetaut aspx18122, 1227 AM 103 Complaint Reteral Form Name: Ted Nugent Business Name: Address: ‘Address (continued) Suite/Apt./Mail Stop: City: Country: United States of America State: [None] Zip Code/Route: Phone Number: Emall Address: Website: IP Address: Other Information If an email was used in this incident, please provide a copy of the entire email including full email headers. [No response provided] ‘Are there any other witnesses or victims to this incident? [No response provided] If you have reported this incident to other law enforcement or government agencies, please provide the name, phone number, email, date reported, report number, etc. [No response provided] 1 Check here if this an update to a previously filed complaint: Who Filed the Complaint Were you the victim in the incident described above? No IF not, please provide us with your contact information: Name: Kiran Bernard Business Name: Phone Number: Email Address: edmondo1 105@gmail.com Digital Signature By digitally signing this document, I affirm that the information I provided is true and accurate to the best ‘of my knowledge. I understand that providing false information could make me subject to fine, imprisonment, or both. (Title 18, U.S. Code, Section 1001) Digital Signature: KIRAN BERNARD Thank you, Your complaint was submitted to the IC3, Please save or print a copy of your complaint before closing this window, This is the only time you will have to make a copy of your complaint. hitpsiicomplainties.govideaut agp 2p