TACTICAL RESPONSE Police Department 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE 3. LOCATION CODE 1'1. 551535305 11-JAN-2015 22:32:00 1 RIDGELAND AVE CHICAGO. IL 60649 290 0414 5. POSITION 7. FIRST NAME 0. STAR NO. 0. SE): 10. RACE CODE 129161 AHMAD 11072 $01 DOZF WHI 510 175 14. DATE OF APPT. 15. UNIT 5. BEAT OF ASSIGNMENT 17. DUTY STATUS 18. MEMBER 1B. MEMBER IN 31 004 0414 @111 On 02011 02 No @111 Yes 02 ND 20. LAST NAME 21. FIRST NAME 22. MI. 23. SEX 24. RACE 25. 0.0.ADDRESS 29. TELEPHONE NO. 50. WAS SUBJECT ARMEDRIANDBINBTS :11. SUBJECT 32. SUBJECT A I. l- a 33. WHERE WAS MEDICAL TREATMENT 34. BY a 3 u. as. CHARGES PLACED DNA 37, No. IR NO. El DNA 33. PASSIVE RESIBTER ACTIVE REBIBTER I FORGE El DID NOT FOLLOW USES FORCE LIKELY To DNA ?0 VERBAI. DIRECTION FLED WEAPON El CAUSE DEATH OR 75 2 GREAT BODILY HARM STIFFENED ATTACK WITHOUT (DEAD WEIGHT) AWAY :1 OTHER WEAPON K4 WEAPON a OTHER OTHER OTHER OTHER LI. 0 3 MEMBER PRESENCE OPEN HAND STRIKE El ELBOW STRIKE El KNEE STRIKE El FIREARM D- VERBAL COMMANDS TAKE DOWN I EMERGENCY 9, (u ESCORT HOLDS HANOCUFFING A CLOSED HAND .6.) 35 WHEN-06K 0c CHEMICAL WEAPON STRIKEIPUNCR KICKS OTHER 8 5 2 ARMSAR mm? IMPACT WEAPON ?3 TASER (PmbB Dlacharga) 03??be in 30* I: PRESSURE SENSITIVE AREAS ?0 3 CONTROL INSTRUMENT TASER (?mm 5m") 1:1 a 5 OCICHEMICAL WEAPON TASER WIAUTHORIZATION TASER (spark Digplayad) OTHER OTHER OTHER 39' I OCICHEMICAL WEAPON AUTHORIZED BY (NAME) ADDITIONAL INFORMATION - DNA POSITION STAR NO. UNIT '2 41. WEAPON TYPE 04 SEMIAUYO PISTOL 42. INCIDENT OCCURRED 4a. LIGHTING CONDITIONS Dayugm 44. WEATHER CONDITIONS (-5 01 REVOLVER 05 CHEMICAL WEAPON Indoors Outdoors "2 ?a ?4 SNOW 05 05 Good Arti?cial Lu 02 RIFLE 00 TASER (Probe Discharge) 45. 45. MODEL 41. BARREL LENGTH 45. CALIBERIGAUGE 03 SHOTGUN 07 OTHER BLOCK. 17 3 9 MM :5 49. TASER DART ID NO. PO SE AL NO. (Induce Letters) 51. CHICAGO GUN REG. NO. 52. IL FIREARM OWNER ID. No. 53. HANDGUN CERTIFICATE No. 2 2 54. SPECIAL WEAPON CERTIFICATE NO. 55. PROPERTY INVENTORY NO. 55. TYPE OF AMMUNITION USED 57.No. OF WEAPONS DISCHARGED BY 53. TOTAL NO. OF SHOTS MEMBER 9 MM THIS MEMBER. FIRED n_ 1 - 1 E) 59. WHO FIRED FIRST SHOT E) 03 OTHER (SPECIFY) 60. WAS FIREARM RELOADED BI. No OF CATDRIDGESI 32. How WAS HANDGUN WORN [j OTHER (SWIM 3 DURING INCIDENT SHOT SHELLS A 01 MEMBER [j 02 OFFENDER 01 YES 02 No RELOADED 01 RT. SIDE (WAIST) 0: LT. SIDE (WAIST) I 53. HOW WAS HANDGUN DRAWN as omen (Spacffy) . SPECIFY USED TO RELOAD as. DID MEMBER USE SIGHTS 3 01 STRONG SIDE DRAW 02 CROSS DRAW 01 YES 02 NC A '0 .1. 86. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES, DOORWAYS. CAR. FURNITURE. ETC) 87. DISTANCE BETWEEN INVOLVED MEMBER OFFENDER WHEN FIRST SHOT WAS FIRED '5 NONE o1o-05FT. [1 0205-10?. 0310-15FT. lg 68. FERSONIOBJECT STRUCKAS RESULT OF THE DISCHARGE OF MEMBERS WEAPON 59. POSITION 0F MEMBER DISCHARGING WEAPON o1 STANDING 02 LYING DOWN 01 PERSON 8 02 OBJECT [j 03 BOTH 04 UNKNOWN 03 SITTING 04 KNEELING 05 OTHER (SPECIFY) L. 72 NOTIFICATIONS (00 OR TASER INCIDENT): OEMC [j DSS LTJDIST. OF OCCUR. CPIC 3, 55' NOTIFICATIONS (FIREARM INCIDENT): g. OEMC or: OCCUR Duo CPIC IZI DET. DIVMembers ensure that all required notI?catIons and all WItnesseS to this use of force are documented In the appropIate case report. 3 73. REPORTING MEMBER (PrInl Name) STARIEMPLOYEE NO. SIGNATURE a; MASHAL, AHMAD 11072 A 12-JAN-2015 00:51:40 2 Reviewing supervisor will ensure the legibility and completeness of this report and attest by enterIng the required Informatlon below. 5 r4. REVIEWING SUPERVISOR Name) STAR NO. SI ATURE DATE REVIEWED TIME DOLAN, MICHAEL A 1779 00:53:06 LIEUTENANT OR ABOVEIOCIC REVIEW THE ON-CALL INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT MEMBER: 2.) ALL INCIDENTS INVOLVING INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBSEOUENT TO INTERACTIONS WITH A DEPARTMENT 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATINO SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. 75. SUBJECTS STATEMENT REGARDING THE USE OF FORCE DNA REFUSED El UNABLE To INTERVIEW (Specify Reason) Subject refused to provide a statement. 78. LIEUTENANT OR ABOVEIOCIC RATIONALE FOR BOX 77 FINDING Based on the information at the time of this report. it is the preliminary determination of the Undersigned that Of?cer Ahmad Masha] #11072 acted In compliance with Department policy. Of?cer Masha! discha ed his was on one time at a vicious dog (missing the dog) after the dog charged at him,whiie O?icer Mashai was being battered by subject? thus placing him in fear of his life. Log #1073318. 77. LIEUTENANT OR ABOVEIOCIC FINDING BASED UPON CURRENTLY AVAILABLE I HAVE CONCLUDED THAT THE ACTIONS I HAVE CONCLUDED THAT FURTHER INVESTIGATION iS REQUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG NOJCRNO, 073318 OBTAINED 78. LIEUTENANT OR ABOVEIOCIC (Print Name) SIGNATURE DATE COMPLETED TIME ALEXANDER, DANA 124AN-2015 01:09:59 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET. INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS - PHOTOCOPIES OF: El SUPPLEMENTARY REPORT LCD. REPORT TOTAL THIS EVENT No. [1 CASE REPORT OFFICER BATTERY REPORT CR REPORT 2 ARREST REPORT Ci REPORTS FROM DEPARTMENT WITNESSIES) TACTICAL RESPONSE 90 Police Department 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE 3. LOCATION CODE 3. 154AN-2015 18:56:00 15.W 74TH ST Apt 1ST FLOOR CHICAGO, IL 60621 290 0731 I: 5. POSITION B. LAST NAME 7. FIRST NAME 8. STAR NO. 9. SEX 10. RACE CODE 11. AGE 12. HT. 13. WT. ILI llil?l 3 9161 MCDONNELL MARTIN 3306 01 DOZF WHI 1982 5 14. DATE OF APPT. 15. EMPLOYEE IS. UNIT 8. BEAT OF ASSIGNMENT 17. DUTY STATUS 1a. MEMBER 1S. MEMBER IN a 01-SEP-2010 006 06623 ?D10n El 02 on D1YBS 20- LAST NAME 21. FIRST NAME P2. ML 23. SEX 24. RACE 25. DOB28. ADDRESS 29. TELEPHONE NO. 30. WAS SUBJECT 31. SUBJECT 32. SUBJECT ALLEGED (.2 Don's: : nzNo a 33. WHERE WAS MEDICAL TREATMENT 34. BY as. CONDITION Amman", Nam?, 02 um, ,nnuam 0 03 Hospitalized 04 HosplIBlIzsd 05 Refused Medical Aid 3 u. as. CHARGES PLACED DNA 3153 No, IR NO. DNA 35. PASSIVE RESISTER ACTIVE RESISTER ASSNLANTDASSAULT ABBAILANTIDEADLY FORCE IE DID NOT FOLLOW USES FORCE LIKELY TO DNA 2 a, VERBAL DIRECTION, El FLED ATTACK WITH WEAPON CAUSE DEATH OR 2 GREAT BODILY HARM STIFFENED ATTACK WITHOUT a I: (DEAD WEIGHT) PULLED AWAY OTHER WEAPON WEAPON a OTHER OTHER OTHER OTHER U. 3 MEMBER PRESENCE El OPEN HAND STRIKE ELBOW STRIKE KNEE STRIKE I: FIREARM l-I-l a. VERBAL COMMANDS TAKE DOWN IEMERGENCY [j 3 3 5? ESCORT HOLDS HMDCUFFING CLOSED HAND n: ?0 I: STRIKEIPUNCH CI KICKS OTHER I: CO CHEMICAL WEAPON no. 5 2 ARMBAR El mm? IMPACT WEAPON a, TASER (tha Discharge) (.398bi an, 40) [j IMPACT MUNITIDN 3 PRESSURE SENSITIVE AREAS (Describe in Box 40) ?5 TASER SiunI CONTROL INSTRUMENT a 5 OWCHEMICAL WEAPON TASER TASER (Spark OTHER OTHER OTHER 39' - OCICHEMICAL WEAPON AUTHORIZED BY (NAME) 40. ADDITIONAL INFORMATION WHILE EXECUTING A SEARCH WARRANT. RIO ATTEMPTED TO SEARCH A DNA BEDROOM WHEN A LARGE SIZED PITBULL BEGAN TO EXIT THE SAME BEDROOM POSITION STAR UNIT COMING TOWARDS RIO AGGRESIVELY. 41. WEAPON TYPE 01 REVOLVER 02 RIFLE as SHOTGUN 0? OTHER 04 SEMI-AUTO PISTOL as CHEMICAL WEAPON as TASER (Probe Discharge) Indoors 42. INCIDENT OCCURRED 02 Night 05 El Outdoors 43. LIGHTING CONDITIONS [j 04 Dusk 08 Good Arti?cial 03 Dawn 44. WEATHER CONDITIONS OTHER 45. MAKEIMANUFACTURER SPRINGFIELD M1A XD-M 46. MODEL 3.5 47. BARREL LENGTH 43, 9 MM 49. TASER DART ID NO. 5 . WEAPON SERIAL NC. (Include Letters) 51. CHICAGO GUN REG. NO. 52. IL FIREARM OWNER ID. NO. 53. HANDGUN CERTIFICATE NO. WEAPON DISCHARGE INCIDENT 54. SPECIAL WEAPON CERTIFICATE NO. 55. PROPERTY INVENTORY NO. 55. TYPE OF AMMUNITION USED 5?.No. OF WEAPONS DISCHARGED BY 58. TOTAL NO. OF SHOTS MEMBER QMM THIS MEMBER. 1 FIRED 4 59. WHO FIRED FIRST SHOT OTHER (SPECIFY) at). WAS FIREARM RELOADED 31. NO OF I52. HOW WAS HANDGUN WORN OTHER (Specify) 3 DURING INCIDENT SHOT SHELLS 8 D1 MEMBER 02 OFFENDER 01 YES 02 NO RELOADED D1 RT. SIDE (WAIST) 02 LT. SIDE (WAIST) 0' 63. How WAS HANDGUN DRAWN (3 113 OTHER (Specify) - SPECIFY METHODIEQUPPMENT USED TO RELOAD 65. DID MEMBER USE SIGHTS 3 2 $01 STRONG SIDE DRAW [i 02 CROSS DRAW 66. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES. DOORWAYS. CAR. FURNITURE. ETC) 67. DISTANCE BETWEEN INVOLVED MEMBER a. OFFENDER WHEN FIRST SHOT WAS FIRED SOFT BODY ARMOR a D10 .05Fr. [3 0205-10 Fl'. 0310-15FT. MOVER 15 FT. 8 ea. PERSONIOBJECT STRUCK As RESULT OF THE DISCHARGE OF MEMBERS WEAPON 69. POSITION OF MEMBER DISCHARGING WEAPON 01 STANDING 02 LYING DOWN 01 PERSON 02 OBJECT 03 BOTH 04 UNKNOWN 03 SITTING D4 KNEELING 05 OTHER (SPECIFY) E, 72. NOTIFICATIONS (00 OR TASER INCIDENT): OEMC a D33 8. LT.IDIST. OF OCCUR. CPIC g, .U 35' NOTIFICATIONS (FIREARM INCIDENT): OEMC 0F OCCUR oc(c CPIC IZI DET. DIVMembers ensure that all reqUIred noti?cations and all WItnesses to this use Of force are documented In the appropiale case report. 55 Ta. REPORTING MEMBER (Print Name) NO. SIGNATURE a; MCDONNELL, MARTIN 3306 a; 15-JAN-2015 21:09:28 3 '3 Reviewing supervisor will ensure the legibility and completeness of this report and attest by entering the required information below. a - 5 74. REVIEWING SUPERVISOR (Print Name) STAR NO. SIGNATURE DATE REVIEWED TIME L73 TATE, MICHAEL 2027 15-JAN-2015 21:10:06 LIEUTENANT OR ABOVEIOCIC REVIEW THE ON-CALL INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL FNCIDENTS INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBSEQUENT TO INTERACTIONS WITH A DEPARTMENT 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. 75. SUBJECTS STATEMENT REGARDING THE USE OF FORCE DNA REFUSED UNABLE To INTERVIEW (Specify Reason} 76_ LIEUTENANT OR ASOVEIOCIC FOR BOX 77 FINDING Based on the facts presented, RICapt. ?nds that the Of?cer Involved in the above incident acted within Department policies and procedures in the Use of Force. Futhermore, RI?Capt ?nds the Of?cers weapon need not be Inventoried in that all buEIetS ?red were accounted for. 77. LIEUTENANT 0R ABOVEIOCIC FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: I HAVE CONCLUDED THAT THE ACTIONS I HAVE CONCLUDED THAT FURTHER INVESTIGATION Is REQUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG NOJCRNO. 1 073378 OBTAINED Ta. LIEUTENANT OR (Print Name) SIGNATURE DATE COMPLETED TIME KULBIDA. EDWARD - 15-JAN-2015 21:17:26 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET, INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS - PHOTOCUPIES 0F: SUPPLEMENTARY REPORT I.o.o. REPORT no. TOTAL THIS EVENT No. CASE REPORT OFFICER BATTERY REPORT CR INITIATION REPORT 1 ARREST REPORT TO-FROM-SUBJECT REPORTS FROM DEPARTMENT WITNESSES) TACTICAL RESPONSE Police Department 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE 3. LOCATION CODE 3. EMEEUE 1 6-JAN-2015 12:47:00 56.5 PERRY AVE CHICAGO, IL 60621 290 0225 *7 n: 3. LAST NAME 7. FIRST NAME 8. STAR No. B. 10. RACE CODE 119171 FREEMAN SCOTT 1275 EM [:lozF BLK -1963 509 160 5 14. DATE OF APPT. 15. EMPLOYEE NO. 18. UNIT a. BEAT OF ASSIGNMENT 1r. DUTY STATUS 1a. MEMBER 19. MEMBER IN 1 1-AUG-1936 . 189 6241 @01 On 020ff 01YSS 02 ND D01 Yes 02 N0 20. LAST NAME 21. FIRST NAME MI, 23. SEX 24. RACE 25. DOB23. ADDRESS 29. TELEPHONE NO. 30. WAS SUBJECT 31. SUBJECT 32. SUBJECT ALLEGED FE Clmvas [: n2No Domes : 02No 0 33. WHERE WAS MEDICAL TREATMENT 34. BY as. CONDITION 01 Appmnuy Norma. 02 Under In?uence 03 Hospitallzed 04 Not 05 Refused Madlcal Aid a: as. CHARGES PLACED 3 DNA 31 35 No_ IR NO. DNA 38. PASSIVE RESIBTER ACTIVE RESIST ER LT ASSAILANTHJEADLY FORCE DID NOT FOLLOW USES FORCE LIKELY TO DNA VERBAL DIRECTION FLED I: IMMINENT THREAT ATTACK WITH WEAPON CAUSE DEATH OR GREA BODILY HARM STIFFENED ATTACK WITHOUT a i i: (DEAD WEIGHT) El PULLED AWAY [3 OTHER WEAPON El WEAPON a OTHER DTHER OTHER OTHER u. . 3 MEMBER PRESENCE OPEN HAND STRIKE ELBOW STRIKE KNEE STRIKE FIREARM I?m-1 VERBAL COMMANDS TAKE DOWN I EMERGENCY 3 I'll ESCORT HOLDS El CLOSED ?me, OTHER n: Ila (2) WRISTLOGK El DC CHEMICAL WEAPON [j KICKS CI no. 0- ARMBAR IMPACT wwou a TASER (Probe Discharge) (?95mm 40) I: IMPACT mum to" In PRESSURE SENSITIVE AREAS 3" 40) n: TASER (Contact SIun) CONTROL INSTRUMENT 5 OCICHEMICAL WEAPON TASER (Lasar Targeted) TASER (Spark OTHER OTHER OTHER - WEAPON AUTHORIZED BY (NAME) 40. ADDITIONAL INFORMATION RISGT DEPLOYED OC SPRAY TO DETER DOGS INSIDE OF DNA RESIDENCE AS TEAM D1 WAS EXECUTING SEARCH WARRANT SW1541 87. POSITION STAR No, um: 41. WEAPON TYPE 04 SEMI-AUTO PISTOL REVOLVER [j 02 RIFLE El 03 SHOTGUN 05 CHEMICAL WEAPON or OTHER 06 TASER (Probe Discharge) 42. INCIDENT OCCURRED Indoors Outdoors lj 02 Night 43. LIGHTING CONDITIONS El 05 PoorArII?clal l3 03 Dawn MDUSII 8 O?GoodArlIIiCIal 44. WEATHER CONDITIONS CLEAR 45. MAKEMANUFACTURER 46. MODEL 47. BARREL LENGTH 48. CALIBEFUGAUGE 4B. TASER DART ID NO. I50. WEAPON SERIAL NO. (Include Letters) 51. CHICAGO GUN REG. NO. 52. IL FIREARM OWNER ID. NO. 53. HANDGUN CERTIFICATE NO. WEAPON DISCHARGE INCIDENT 54. SPECIAL WEAPON CERTIFICATE NO. 55. PROPERTY INVENTORY NO. 56. TYPE OF AMMUNITION USED 57.NO. OF WEAPONS DISCHARGED BY 58. TOTAL NO. OF SHOTS MEMBER THIS MEMBER. 1 FIRED 59. WHO FIRED FIRST SHOT OTHER (SPECIFY) BO. WAS FIREARM RELOADED 61. NO OF CATDRIDGESI 62. HOW WAS HANDGUN WORN OTHER (Specify) 3 DURING INCIDENT SHOT SHELLS A 01 MEMBER CI 02 OFFENDER 01 YES 02 No RELOADED [3 01 RT. SIDE (WAIST) 02 LT. SIDE (WAIST) 53. HOW WAS HANDGUN DRAWN 03 OTHER (Spe?gfy) - SPECIFY USED TO RELOAD as. DID MEMBER USE SIGHTS [101 STRONG SIDE DRAW 02 CROSS DRAW 01 YES 02 NO a) '0 BB. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES. DOORWAYS. CAR. FURNITURE. ETC) 67. DISTANCE BETWEEN INVOLVED MEMBER OFFENDER WHEN SHOT WAS FIRED 010-05?. 0205-10Fl'. [loam-15H [j 04OVER15FT. 63. PERSONIOBJECT STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON 59. POSITION OF MEMBER DISCHARGING WEAPON 01 STANDING El 02 LYING DOWN [3 PERSON 02 OBJECT 03 BOTH 04 UNKNOWN [3 03 SITTING 04 KNEELING 05 OTHER (SPECIFY) n] 72 NOTIFICATIONS (CO CR TASER INCIDENT): OEMC DSS LT.IDIST. 0F OCCUR. CPIC go "m3 NOTIFICATIONS (FIREARM INCIDENT): [j OEMC OCCUR 3. 00m E) CPIC DET. DIVMembers ensure that all reqUIred noti?catlons and all WItnesses to MS use of force are documented In the apprOpIate case report. 5 73. REPORTING MEMBER (PI1nl Name) STARIEMPLOYEE NO. SIGNATURE a, FREEMAN, SCOTT 1275 16-JAN-2015 15:15:46 5 . . '2 Reviewing supervisor will ensure the Iegibility and completeness of this report and attest by entering the required InformatIon below. 5 74. REVIEWING SUPERVISOR (Print Name) STAR NO. GNATURE DATE REVIEWED TIME 5 SHEA, DANIEL 183 02-FEB-2015 14:51:18 W7) LIEUTENANT OR ABOVEIOCIC REVIEW THE ON-CALL INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALI. INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBSEOUENT To INTERACRONS WITH A DEPARTMENT 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. 75. STATEMENT REGARDING THE USE OF FORCE [3 DNA REFUSED lg UNABLE To INTERVIEW (Spadfy Reason) 0 dISCharge to supress animal attack. TB. LIEUTENANT OR ABOVEIOCIC RATIONALE FOR Box 71 FINDING mm the informatlon provided to RM at MS time all department directives and use Of force model were followed. 77. LIEUTENANT OR ABOVEIOCIC FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: i HAVE CONCLUDED THAT THE ACTIONS I HAVE CONCLUDED THAT FURTHER INVESTIGATION IS REQUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG NOJCRNO. OBTAINED Ta. LIEUTENANT OR ABOVEIOCIC (Prinl Nama) SIGNATURE DATE COMPLETED TIME 0 SHEA, DANIEL DZ-FEB-2015 14:55:01 TB. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET. INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. AWACHMENTS - PHOTOCOPIES 0F: SUPPLEMENTARV REPORT I.O.D. REPORT TOTAL TRR's THIS EVENT No. [1 CASE REPORT OFFICER BATTERY REPORT [3 CR INITIATION REPORT I 1 ARREST REPORT [j TO-FROM-SUBJECT REPORTS FROM DEPARTMENT WITNESSIESI TACTICAL RESPONSE Police Department ?7 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE 3. LOCATION CODE 1 5575530! 17-JAN-2015 17:57:00 11 PRAIRIE AVE CHICAGO IL 60628 092 0531 I n: a 5. LAST NAME 7. FIRST NAME 8. STAR NO. B. SEX 1o. RACE CODE 11ALI JAVED 8411 01 D112 API -1983 504 125 5 14. DATE OF APFT. 15. EMPLOYEE o. 111. UNIT 11. BEAT OF ASSIGNMENT DUTY STATUS 18. MEMBER 19. MEMBER IN 27-Nov-2006 005 0564A goNAME 21. FIRST NAME 22. MI. 23. 24. RACE 25. DOBB23. ADDRESS 29- TELEPHONE 30- WAS 31. SUBJECT 32. SUBJECT ALLEGED (.5 : n1ves DOZND : o1Yas [:IozNo 33. WHERE WAS MEDICAL TREATMENT 34. BY 35. CONDITION Amman?, Nam, mm, In?uence 03 Hospitalized 04 Not Hospitalized 05 Relused Medical Aid 3 a) as. CHARGES PLACED DNA 3165 .DNA 38. PASSIVE REBISTER ACTIVE REIIBTER FORCE DID NOT FOLLOW USES FORCE LIKELY TO DNA a, VERBAL DIRECTION I: FLED WEAPON El CAUSE DEATH OR Lu 0 2 GREAT BODILY HARM STIFFENED ATTACK WITHOUT I: (DEAD WEIGHT) PULLED AWAY OTHER WEAPON I a OTHER OTHER OTHER OTHER u. MEMBER PRESENCE OPEN HAND STRIKE El ELBOW STRIKE STRIKE El FIREARM g- VERBAL COMMANDS [j CLOSED HAND I1: ESCORT HOLDS n: WRISTLOCK 0c CHEWCAL WEAPON STRIKEIPUNCH KICKS ?3 OTHER ATTACKED BY DOG. no. Co. ARMBAR WEAPON IMPACT MUNITION 0) (Describe In Box 40) 5 PRESSURE SENSITIVE AREAS El ?Pmb' mama? (Descriha in Box 40) 3 CONTROL INSTRUMENT I: ER ?mm Stu") 5 OOICHEMICAL WEAPON [j TASER TASER (Spark Dieplayed) OTHER OTHER OTHER OCICHEMICAL WEAPON AUTHORIZED BY (NAME) 25:? ID POSITION STAR NO. UNIT 4o. ADDITIONAL INFORMATION OFFICER FIRED HIS SERVICE WEAPON 3 TIMES AND MISSED, IN FEAR OF BODILY HARM, WHEN A LARGE PITBULL CHARGED HIM, WHILE IN A FOOT PURSUIT OF A HOME INVASION OFFENDER. NO HITS TO DOG, PERSONAL INJURY OR PROPERTY DAMAGE NO INJURY TO OFFICER AND NO OCATED. 41. WEAPON TYPE 04 SEMI-AUTO PISTOL 01 REVOLVER [j as CHEMICAL WEAPON D2 RIFLE El 03 SHOTGUN 0? OTHER as TASER (Probe Discharge) 42. INCIDENT OCCURRED Indoors 02 Night 43. LIGHTING CONDITIONS [3 01 DayIIghI El oaDawn 04Duei1 44. WEATHER CONDITIONS CLEAR 45. EIOIB. I. OJSWISB INDUSTRIAL 32.. Outdoors 05 Poor as Good Arti?cial 46. MODEL BARREL LENGTH F229 3.9 4B. CALIBERIGAUGE 9MM 49. TASER DART ID NO. EAPO 54. SPECML WEAPON CERTIFICATE NO. 55. PROPERTY INVENTORY NO. SERIAL No. (Include Letters) 56. 51. CHICAGO GUN REG. NO. TYPE OF AMMUNITION USED Department Issued 52. IREARM OWNER ID. NO. 53. HANDGUN CERTIFICATE NO. 57.NO. OF WEAPONS DISCHARGED BY THIS MEMBER. 1 58. TOTAL NO. OF SHOTS MEMBER IRED E103 OTHER (SPECIFY) WEAPON DISCHARGE INCIDENT SB. WHO FIRED FIRST SHOT an. WAS FIREARM RELOADED 61. NO OF CATDRIDGESI 52. HOW WAS MEMBER-S HANDOUN WORN 1:103 OTHER (5pm,) 3 DURING INCIDENT SHOT SHELLS A I 01 MEMBER [j 02 OFFENDER [j o1YEs (12 no RELOADED 8 01 RT. SIDE (WAIST) 02 LT. SIDE (WAIST) 0' 53- HOW WAS HANDGUN DRAWN CI 03 OTHER (Specify) . SPECIFY USED To RELOAD DNA 55- DID MEMBER 2 2 $01 STRONG SIDE DRAW El 02 CROSS DRAW SS. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES, DOORWAYS. CAR, FURNITURE, ETC) DISTANCE BETWEEN INVOLVED MEMBER OFFENDER WHEN FIRST SHOT WAS FIRED NONE 010-05Fl'. 0205-10FT. [j 0310-15FT. [j 040VER15FT. a! BS. PERSONIOSJECT STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON an. POSITION OF MEMBER DISCHARGING WEAPON STANDING 02 LYING DOWN 01 PERSON 02 OBJECT 03 BOTH 04 UNKNOWN 03 SITTING D4 KNEELING [j as OTHER (SPECIFY) 72 NOTIFICATIONS (00 OR TASER INCIDENT): OEMC [3 D85 LT.IDIST. 0F OCCUR. CPIC a NOTIFICATIONS (FIREARM INCIDENT): OEMC 0F OCCUR OCIC CPIC DET. DIV. 5 5 3 Members will ensure that all required noti?cations and all Witnesses to this use of force are documented in the appropiate case report. 55 Ta. REPORTING MEMBER (Print Name) STARIEMPLOYEE NO. a) ALI, JAVED 841 1 '4 '2 Reviewing supervisor will ensure the Iegibility and completeness of this report and attest by entering the required information below. (25 T4. REVIEWING SUPERVISOR (an Name) STAR NO. SI DATE REVIEWED TIME 5'3 CASCONE, JAMES 1488 1 7-JAN-2015 19:43:07 i LIEUTENANT OR ABOVEIOCIC REVIEW THE ON-CALL INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT MEMBER: 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBSEOUENT TO INTERACTIONS WITH A DEPARTMENT MEMBER: 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. 75. STATEMENT REGARDING THE use OP FORCE DNA REFUSED UNABLE To INTERVIEW (Specify Reason) 76. LIEUTENANT OR RATIONALE FOR BOX 77 FINDING The of?cer was pursuing an offender in a Home invasion when a large pit bull charged at the of?cer. Fearing for his safety, the o?lcer fired his Weapon 3 times at the animal. missing all 3 times. Reporting Captain was on the scene. There were no Injuries. no property damage and all 3 rounds ware accounted for. Based on alt available information Rlet concludes that the officer's action conformed to Department policies and procedures. 77. LIEUTENANT OR FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: 8 I HAVE CONCLUDED THAT THE ACTIONS i HAVE CONCLUDED THAT FURTHER INVESTIGATION IS REQUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG NOJCRNO. OBTAINED Ta. LIEUTENANT OR (Print Name) SIGNATURE DATE COMPLETED TIME BRIAN 17-JAN-2015 20:18:16 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET. INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS - 0F: SUPPLEMENTARY REPORT I.O.D. REPORT TOTAL THIS EVENT NO. CASE REPORT OFFICER BATTERY REPORT CR REPORT 1 ARREST REPORT TO-FROM-SUBJECT REPORTS FROM DEPARTMENTWITNESSIES) TACTICAL RESPONSE Police Department 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE 3. LOCATION CODE 1 551535? 1B-JAN-2015 20:43:00 30' MADISON ST CHICAGO. IL 60612 330 1222 a 5. POSITION 0. LAST NAME 1. FIRST NAME 0. STAR No. a. sex 10. RACE CODE 119151 DONNELLY MICHAEL 13734 $01 Elan WHI 4988 511 215 a 14. DATE OF APPT. 1S. EMPLOYEE NO. 10. UNIT 0. BEAT OF ASSIGNMENT IT. DUTY STATUS Ia. MEMBER IS. MEMBER IN 04-Nov-2013 044 I 4358A 20. LAST NAME 21. FIRST NAME 22. MI. 23. EX 24. RACE 25. D.D.25. ADDRESS 29. TELEPHONE NO. 30. WAS SUBJECT 31. SUBJECT 32. SUBJECT ALLEGED FIE Dawes DOZNO : 02No Down 0 I: as. WHERE WAS MEDICAL TREATMENT 34. BY as. CONDITION Mam?, Nam, 02 Under .nnuam I: 03 Hospitalized I: 04 Not Hospitalized 05 Refused Medical Aid (I) 33. CHARGES PLACED DNA 31. ca no. IR NO. DNA 35. PASSIVE REGISTER ACTIVE REBIITER FORCE DID NOT FOLLOW USES FORCE LIKELY T0 DNA VERBAL DIRECTION FLED El Wm" WEAPON I: CAUSE DEATH OR 2 GREAT BODILY HARM STIPFENED ATTACK WITHOUT 'i I: (DEAD WEIGHT) PULLED AWAY OTHER WEAPON E, a OTHER OTHER OTHER U. A - "m1 VERBAL COMMANDS TAKE DOWN I EMERGENCY I: HANDCUFFING CLOSED HAND 9? ESCORT HOLDS a WRISTLOCK De CHEMICAL WEAPON STRIKEIPUNCH [j KICKS OTHER 0 5 0 CANINE [3 LL n. ARMBAR IMPACT WEAPON 2 1; (De-wbelnaoum PRESSURE SENSITIVE AREAS In 3 CONTROL INSTRUMENT TASERI mm 5m") a 5 OCICHEMICAL WEAPON TASER Tam?) I: TASER (Spark OTHER OTHER OTHER Ems WEAPON DISCHARGE INCIDENT OCICHEMICAL WEAPON AUTHORIZED BY (NAME) 40. ADDITIONAL INFORMATION SECURITY DOG IN LOWER LEFT LEG. I POSITION STAR NO. UNIT MEMBER FIRED WEAPON TO AT DOG AFTER BEING ATTACKED AND BIT BY SAID A1. WEAPON TYPE 01 REVOLVER [j 02 RIFLE 43. LIGHTING CONDITIONS 02 Night 03 Dawn 05 Poor 04 SEMI-AUTO PISTOL 44. WEATHER CONDITIONS CLEAR El 01 Daylight I: 04Dualt i] 03 Good Arti?cial 42. INCIDENT OCCURRED Indoors Outdoors CI 05 CHEMICAL WEAPON [3 OS TASER (Prob 45. 45. MODEL 47. BARREL LENGTH 4B, 03 07 OTHER 4 25 9 MM 49. TASER DART ID NO. 51. CHICAGO GUN REG. NO. I 52. IL FIREARM OWNER ID. NO. I50. WEAPON SERIAL No. (Indude Letters) 53. HANDGUN CERTIFICATE NO. 55. PROPERTY INVENTORY NO. 56. TYPE OF AMMUNITION USED Department Issued 57.NO. OF WEAPONS DISCHARGED BY THIS MEMBER. 54. SPECIAL WEAPON CERTIFICATE NO. 1 FIR 58. TOTAL NO. OF SHOTS MEMBER ED - 2 ?59. WHO FIRED FIRST SHOT 03 OTHER (SPECIFY) SD. WAS FIREARM RELOADED 51. NO OF CATDRIDGESI 62. HOW WAS HANDGUN WORN 03 OTHER (specuy) 3 DURING INCIDENT SHOT SHELLS A 01 MEMBER El 02 OFFENDER 01 YES 8 No RELOADED 8 01 RT. SIDE (WAIST) 02 LT. SIDE (WAIST) 0' 33. HOW WAS HANDGUN ORAWN [j 03 omen (595m - SPECIFY USED TO REF-DAD as. DID MEMBER USE SIGHTS 01 STRONG SIDE DRAW 02 CROSS DRAW 01 YES 02 No a: as. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES. CAR. FURNITURE. ETC) DISTANCE BETWEEN INVOLVED MEMBER OFFENDER WHEN FIRST SHOT WAS FIRED rs NONE [j 0205-?0Fr. Cl 0310-15FT. El MOVER15FT. a 68. PERSONIOBJECT STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON 89. POSITION OF MEMBER DISCHARGING WEAPON 01 STANDING 02 LYING DOWN A 01 PERSON 8 02 OBJECT 03 BOTH 04 UNKNOWN 03 04 KNEELING 05 OTHER (SPECIFY) . .. 72' NOTIFICATIONS (OC OR TASER INCIDENT): OEMC DSS a. LT.IDIST. OF OCCUR. CPIC . NOTIFICATIONS (FIREARM INCIDENT): OEMC DSSIDIST. OF OCCUR OCIC CPIC IXI DET. DIV. 5 Members will ensure that ail reqUIred notl?catlons and all WItnesses to thIs use of force are documented In the approplate case report. 13. REPORTING MEMBER (Print Name) STARJEMPLOYEE NO. SIGNATURE a; a, PLAN EY, JEFFERY 1411 a 19-JAN-2015 01:01:57 3 '2 Reviewing supervisor will ensure the legibility and Completeness of this report and attest by entering the required information below. 5 74. REVIEWING SUPERVISOR (Print Name) STAR NO. 5 TURE DATE REVIEWED TIME (7) STUART, STEPHANIE 330 19-JAN-201 5 01:06:1 0 LIEUTENANT OR ABOVEIOCIC REVIEW THE ON-CALL INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBSECIUENT TO INTERACTIONS WITH A DEPARTMENT MEMBER: 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. 75. SUBJECTS STATEMENT REGARDING THE use OF FORCE DNA [3 REFUSED UNABLE TOVINTERVIEW (SOacify Reason) 76. LIEUTENANT OR ABOVEIOCIC RATIONALE FOR BOX 77 FINDING Based upon the Information available at the time of this report. it is the preliminary determination Of the undersigned that Ofc. Donneiiy, Michael #13784 acted in compliance with Department policy. Ofc. Donneiiy fired his weapon in the destruction of a vicious animal that had Just bitten him and was in fear of further injury. Log#1073416 I 77. LIEUTENANT OR ABOVEIOCIC FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: I HAVE CONCLUDED THAT THE ACTIONS [j I HAVE CONCLUDED THAT FURTHER IS REQUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG NOJCRNO. 1073416 OBTAINED Ta. LIEUTENANT OR ABOVEIOCIC (Print Name) SIGNATURE DATE COMPLETED TIME RUIZ, r" 19-JAN-2015 01:17:43 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET. INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS - PHOTOCOPIES OF: SUPPLEMENTARY REPORT LOB. REPORT an. TOTAL THIS EVENT NO. CASE REPORT OFFICER BATTERY REPORT El CR INITIATION REPORT 1 ARREST REPORT TO-FRDMEUEJECT REPORTS FROM DEPARTMENT TACTICAL RESPONSE Police Department 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE 3. LOCATION CODE 75. 30-JAN-2015 16:30:00 6' DANTE AVE CHICAGO, IL 60637 090 0332 5. POSITION 3. LAST NAME 7. FIRST NAME 3. STAR NO. 9. 591 1D. RACE CODE 11PAPKE JOSEPH 4904 01 02 WHI 1976 511 220 14. DATE OF APPT. 15. EMPLOYEE NO. 15. UNIT a. BEAT OF ASSIGNMENT 1T. DUTY STATUS Ia. MEMBER 1B. MEMBER IN a 015 6236H E01 On 02 Off O1YSS 02 ND D91 Ya. 02 ND 20. LAST NAME 21. FIRST NAME 22. ML 23. SEX 24. RACE 25. 21ADDRESS 29. TELEPHONE NO. 30. WAS SUBJECT 31. SUBJECT 32. SUBJECT ALLEGED BE Dow" DDZNO [:quNo 33. WHERE WAS MEDICAL TREATMENT 34. BY 35. CONDITION Appmm,? Nam, 02 Under mm?, 3 us Hoapilallzed 04 as Refused a) as. CHARGES PLACED DNA 37? no, IR NO. DNA A 38. PASSIVE REBISTER ACTIVE RESISTER ABBAILANTIABSAULT ASSNLANTHJEADLY FORCE DID NOT FOLLOW USES FORCE LIKELY T0 DNA VERBAL DIRECTION FLED ATTACK WEAPON gag; Egg-?zz? 2 Lu 0 STIFFENED ATTACK WITHOUT (3 (DEAD WEIGHT) PULLED AWAY OTHER WEAPON I: WEAPON CI 0 a OTHER OTHER OTHER OTHER II. 3 MEMBER FIRESENCE OPEN HAND STRIKE ELBOW STRIKE KNEE STRIKE FIREARM D- VERBAL COMMANDS TAKE DOWN I EMERGENCY tn u, Lu HANDCUFFING CI CLOSED HAND a: ESCORT HOLDS on CHEMICAL WEAPON STRIKEIPUNCH KICKS OTHER D: WRISTLOCK El 8 5 n. ARMBAR I: IMPACT WEAPON :5 ?3 TASER (Probe OISCharge) mam? "1 El IMPACT IIJ PRESSURE SENSITIVE AREAS (Describe In BC: 40) a, '3 TASER (Contact Stun) 0 CONTROL INSTRUMENT 5 OBICHEMICAL WEAPON TASER (Laser Targeted) I: TASER (Spark Displayed) OTHER OTHER OTHER 2 OGICHEMICAL WEAPON AUTHORIZED BY (NAME) POSITION STAR NO. UNIT 40. ADDITIONAL INFORMATION 41. WEAPON TYPE 04 PISTOL 42. INCIDENT OCCURRED 43. LIGHTING CONDITIONS El 01 Dayugm 44. WEATHER CONDITIONS 01 REVOLVER 05 CHEMICAL WEAPON Indoors 02 03 mm 04 OTHER 05 Poor Arll?cial [3 on Good Arti?cial [j 02 RIFLE as r' . 45. MAKEIMANUFACTURER 48. MODEL BARREL LENGTH 43. CALIBERIGAUGE 03 SHOTGUN or OTHER 22 4.5 40 4B. TASER DART ID NO. 50. WEAPON SERIAL No. (Include Letters) '51. CHICAGO GUN REG. NO. '52. IL FIREARM OWNER ID. NO. 53. HANDGUN CERTIFICATE NO. WEAPON DISCHARGE INCIDENT 54. SPECIAL WEAPON CERTIFICATE NO. 55. PROPERTY INVENTORY NO. 56. TYPE OF AMMUNITION USED OF WEAPONS DISCHARGED BY 58. TOTAL NO. OF SHOTS MEMBER A Department Issued THIS MEMBER. 1 FIRED 3 59. WHO FIRED FIRST SHOT 03 OTHER (SPECIFY) 80. WAS FIREARM RELOADED 51. NO OF CATDRIDGESI 62. HOW WAS HANDGUN WORN OTHER (spasm) 3 DURING INCIDENT SHOT SHELLS A 01 MEMBER CI 02 OFFENDER 01 YES 2) no RELOADED 01 RT. SIDE (WAIST) 02 LT. SIDE (WAIST) a. 53. HOW WAS HANDGUN DRAWN OTHEW . 5PECIFY USED TO RELDAD 65. DID MEMBER USE SIGHTS a 801 STRONG SIDE DRAW 02 CROSS DRAW 01 YES 02 No '0 A 66. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES. DOORWAYS, CAR. FURNITURE. ETC) 57. DISTANCE BETWEEN INVOLVED MEMBER a. OFFENDER WHEN FIRST SHOT WAS FIRED BALLISTIC SHIELD a 010 -05 FT. 0205-10 FT. oa1o-151-?r. MOVER 151-1. BB PERSONIOBJECT STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON 69. POSITION OF MEMBER DISCHARGING WEAPON 01 s'rmnme 02 LYING Down O1 PERSON 02 OBJECT El I13 BOTH [j 04 UNKNOWN 03 SITTING 04 KNEELING 05 OTHER (SPECIFY) 72. NOTIFICATIONS (00 OR TASER INCIDENT): OEMC DSS LT.IDIST. OF OCCUR. CPIC 3, o' NOTIFICATIONS (FIREARM INCIDENT): (g OEMC OCCUR oc(c CPIC DET. DIVMembers ensure that all reqUIred notI?catIonS and all WIInesses to thIS use Of force are documented In the apprOpIate case report. 73. REPORTING MEMBER (Print Name) STARIEMPLOYEE NO. SIGNATURE a, PAPKE, JOSEPH 4904 30-JAN-2015 19:03:01 3 '2 Reviewing SUpervisor will ensure the Iegibility and completeness of this report and attest by entering the required Informatlon below. 0? L29 74. REVIEWING SUPERVISOR (Print Name) STAR NO. ATURE DATE REVIEWED TIME 5 RYLE, MICHAEL 418 30-JAN-2015 19:06:01 LIEUTENANT OR ABOVEIOCIC REVIEW THE ON-CALL INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT 2.) ALL INCIDENTS INVOLVING SERIOUS INJURY OR DEATH OF A MEMBER OF PUBLIC SUBSEOUENT TO INTERACTIONS WITH A DEPARTMENT MEMBER: 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME CIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS, 75. SUBJECTS STATEMENT REGARDING THE USE OF FORCE DNA REFUSED UNABLE TO INTERVIEW (Specify Reason) TB. LIEUTENANT OR ABOVEIOCIC RATIONALE FOR BOX 77 FINDING The Investigation revealed that the Of?cer's actions were within Department guidelines In that P.O. Papke ?red his weapon three times at a iarge Pit Bull type dog that was charging at him during the execution of a Search Warrant. All three shell casings Were recovered and inventoried under INV #13365260. IAD Fiedler arrived at 003rd District. Lukits #117 noti?ed at 1900 hrs. CL #1073605 was obtained to document this incident. 77. LIEUTENANT OR ABOVEIOCIC FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: I HAVE CONCLUDED THAT THE MEMBERS ACTIONS i HAVE CONCLUDED THAT FURTHER INVESTIGATION IS REQUIRED. WERE iN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LDG NOJCRNO. OBTAINED Ta. LIEUTENANT OR (Print Name) SIGNATURE DATE COMPLETED TIME SALDANA, FABIAN A 3D-JAN-2015 19:26:04 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET, INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY, ATTACHMENTS- PHOTDCOPIES OF: SUPPLEMENT-ARM REPORT [3 LCD. REPORT CASE REPORT OFFICER BATTERY REPORT El CR INITIATION REPORT [j ARREST REPORT TO-FROM-SUBJECT REPORTS FROM DEPARTMENT WITNESSES) 80. TOTAL THIS EVENT No. 1 TACTICAL RESPONSE Police Department 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE 3. LOCATION CODE 5- 55755505 25-JAN ~201 5 1 7:59:00 0'3 COMMERCIAL AVE CHICAGO, IL 60617 290 0423 m_ a 5. POSITION 6. LAST NAME 1. FIRST NAME 9. STAR No. 9. 1o. RACE CODE 11.AGE 12. HT. 13. WT. a 9151 DIAZ JOSE 15610 $01 WWH 510 190 14. DATE OF APPT. 15. EMPLOYEE NO. 19. UNIT BEAT OF ASSIGNMENT 17. DUTY STATUS 19. MEMBER 19. MEMBER IN 05-OCT-2012 004 I 0422 $01 On 02 Off D1YSS 02 NO D1Yas I: 02 No 20- LAST NAME 21. FIRST NAME n. MI. 23. SEX 24. RACE 25. 0.0.ADDRESS 29. TELEPHONE NO. 30. WAS SUBJECT 31. SUBJECT :12. SUBJECT ALLEGED (.2 : D1Yas [:IozNu Danie; : 92No Dona: Down E: as. WHERE WAS MEDICAL TREATMENT 34. BY 39. CONDITION Appamnuy Nam? 02 Under In?uence [j HOSpllaIId 94 Mel Hospitalized 05 Refused Medical AM a: as. CHARGES PLACED DNA 31_ 33 No, IR NO. DNA 38. PASSIVE REBISTER ACTIVE REEISTER ASSNLANTIASSAULT ASSNLANT: BATTERY ASSNLANTHIEADLY FORCE DID NOT FOLLOW USES FORCE LIKELY T0 DNA VERBAI. DIRECTION FLED WEAPON CAUSE DEATH OR GREAT BODILY HARM Lu 8 STIFFENED PULLED AWAY El ATTACK WITHOUT WEAPON [j a I: (DEAD WEIGHT) CI OTHER WEAPON I: a OTHER OTHER . OTHER OTHER 0. 3 MEMBER PRESENCE OPEN HAND STRIKE ELBOW KNEE STRIKE FIREARM a VERBAL COMMANDS 321$ DOWN IEMERGENCY DCUFFING CLOSED HAND 3 . ESCORT HOLDS an WRISTLOCK DC CHEMICAL WEAPON KICKS I: '5 D. ARMDAR CANINE CI IMPACT WEAPON 2 5 ?0 TASER (Pmbe mam? CI IMPACT I.LI PRESSURE SENSITIVE AREAS in BOX 40) ?5 TASER (Contact SIun) a, CONTROL INSTRUMENT 5 CCICHEMICAL WEAPON TASER "mar-ram? WMUTHORIZATION TASER (Spark Displayed) OTHER OCICHEMICAL WEAPON AUTHORIZED BY (NAME) 49. ADDITIONAL INFORMATION RO DIAZ ENCOUNTERED TWO PIT BULLS FIGHTING ON A DOMESTIC DISTURBANCE CALL AND ATTEMPTED TO STOP THE DOGS FROM FURTHER STAR w" HURTING EACH OTHER, ALSO R0 DIAZ WAS IN FEAR OF BEING BITIRECEIVING A BATTERY FROM EITHER DOG. SDS :11. 2 41. WEAPON TYPE semmum 915101, 42. INCIDENT OCCURRED 43. LIGHTING CONDITIONS Dayugm 44. WEATHER CONDITIONS 5 91 REVOLVER 95 CHEMICAL WEAPON Indoors Ouldoors 03 04 SNOW as Poor Arllficlal 06 Good Arll?CIBl [j 92 RIFLE as TASER (Probe a, 45. MAKEIMANUFACTURER 45. MODEL 41. BARREL LENGTH 41:. CALIBERIGAUGE n: 03 SHOTGUN 07 OTHER 5 49. TASER DART ID NO. 50. WEAPON SERIAL NO. (Include Lenora) 51. CHICAGO GUN REG. NO. 52. IL FIREARM OWNER ID. No. 53. HANDGUN CERTIFICATE NO. 06200AT1EIR6P X30001 ROM 2 54. SPECIAL WEAPON CERTIFICATE NO. 55. PROPERTY INVENTORY NO. 56. TYPE OF AMMUNITION USED 57.ND. OF WEAPONS DISCHARGED BY 59. TOTAL NO. OF SHOTS MEMBER I THIS MEMBER. FIRED n_ 1 . I59. WHO FIRED FIRST SHOT omen (spamm so. WAS FIREARM RELOADED 131. NO OF CATDRIDGESI 92. HOW WAS HANDGUN WORN [lea OTHER (Sme) 3 TASER DURING INCIDENT SHOT SHELLS 91 MEMBER 02 OFFENDER 01 YES (3 02 No RELOADED [j 91 RT. SIDE (WAIST) 02 LT. SIDE (WAIST) 01 93. HOW WAS HANDGUN DRAWN 93 OTHER (Spezfy) - SPECIFY USED TO RSI-GAD 95. 010 MEMBER USE SIGHTS 2 [301 STRONG SIDE DRAW Cl 92 CROSS DRAW 01 YES 92 NO 01 SB. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES, DOORWAYS. CAR. FURNITURE. ETC) ST. DISTANCE BETWEEN INVOLVED MEMBER II OFFENDER WHEN FIRST SHOT WAS FIRED DID-DEFT. 0310-15FT. as. PERSONIOBJECT STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON 159. POSITION OF MEMBER DISCHARGING WEAPON 01 gamma mm; Down (.0 IN PERSON 02 OBJECT 03 BOTH 04 UNKNOWN 03 SITTING 04 KNEELING 05 OTHER (SPECIFY) .. 12. .- NOTIFICATIONS (CO CR TASER INCIDENT): OEMC 088 81 LTJDIST. OF OCCUR. CPIC 3, 53' NOTIFICATIONS (FIREARM INCIDENT): OEMC 0F OCCUR omc CPIC CI DET. DIV. 5 3 Members ensure that all re UIred noti?catlons and all WItnesseS to lhIs use Of force are documented In the a TC late case re ort. I 79. REPORTING MEMBER (Prinl Name) STARIEMPLOYEE NO. SIGNATURE a) DIAZ, JOSE 15610 (3 25-JAN-2015 19:06:54 3 '2 Reviewing supervisor will ensure the legibility and completeness of this report and attest by entering the required information below. 9? 5 74. REVIEWING SUPERVISOR Name) STAR NO. RE DATE REVIEWED TIME (7: ALVARADO, JAIME 1722 5 19:30:31 LIEUTENANT OR ABOVEIOCIC REVIEW THE ON-CALL INCIDENT COMMANDER IOCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT MEMBER: 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBSEOUENT TO INTERACTIONS WITH A DEPARTMENT MEMBER: 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK DF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. 75. sueJEOT's REGARDING THE USE OF DNA REFUSED The tazer deployments were utilized on two aggressive pitbuii dogs. UNABLE To INTERVIEW (Spedfy Reason) 73? LIEUTENANT OR ABOVEIOCIC RATIONALE FOR BOX 77 FINDING Based on the facts In this Incident. the member's actions defeated two large aggressive dogs from injuring each other further or subjects on scene and he was In compliance with department directives regarding the use of force. 77. LIEUTENANT OR ABOVEJOCIC FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: I HAVE CONCLUDED THAT THE ACTIONS I HAVE CONCLUDED THAT FURTHER INVESTIGATION IS REQUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG NOJCRNO. 1073514 OBTAINED 78? LIEUTENANT OR ABOVEIOCIC Name) SI DATE COMPLETED TIME LEIBAS SR. PHILLIP 25-JAN-2015 19:47:23 75. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET. INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS - PHOTOCDPIES 0F: SUPPLEMENTARY REPORT I.O.D. REPORT so, TOTAL THIS EVENT No, CASE REPORT OFFICER BATTERY REPORT CR INITIATION REPORT 1 ARREST REPORT El TD-FROM-SUBJECT REPORTS FROM DEPARTMENT WITNESSES) TACTICAL RESPONSE Police Department 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE 3. LOCATION CODE 51. 51755553 07-FEB-201 5 1 0:01 :00 75 3 UNIVERSITY AVE CHICAGO. IL 60519 090 0324 i I: a 5. POSITION S. LAST NAME 7. FIRST NAME 3. STAR No. S. SEX 1o. RACE CODE 119171 SCHNIER BRIAN 1273 01 DDZF WHI 1974 509 175 14. DATE OF AFPT. 11:. UNIT SEAT OF ASSIGNMENT 1T. DUTY STATUS 13. MEMBER 19. MEMBER IN 30-Nov-1998 189 6236 E01 on 02 on D1Yes 02 No D01 v? 02 No 21. FIRST NAME 22. Ml. 23. SEX 24. RACE 25. DOSADDRESS :11. TELEPHONE NC. SC. WAS SUBJECT 31. SUBJECT 32. SUBJECT ALLEGED WHERE WAS MEDICAL TREATMENT 34. BY as. CONDITION u, Amman", Nam.? I: 02 um, In?uence 03 Hoapltaiiznd 04 Not Hoepltallzad as Refund Medical Aid (9 as. CHARGES PLACED DNA 37, on no IR NO. DNA 38. PASSIVE REIISTER ACTIVE RESIBTER ASBNLANTIDEADLY FORCE DID NOT FOLLOW USES FORCE LIKELY TO DNA VERBAL DIRECTION El FLED ATTACK WITH WEAPON muse DEATH OR 2 GREAT BODILY HARM NJ 3 STIFFENED PULLED AWAY ATTACK WITHOUT a a I: (DEAD WEIGHT) OTHER WEAPON El EAFON a OTHER OTHER OTHER OTHER n. 3 MEMBER PRESENCE OPEN HAND STRIKE ELBOW BTRIKE KNEE STRIKE El FIREARM a VERBAL COMMANDS TAKE DOWN I EMERGENCY HANDCUFFINO CLOSED HAND - ESCORT HOLDS ,6 WRISTLOGK 0? CHEMICAL WEAPON STRIKEIPUNCH CI KICKS OTHER 0 IE I {a 2 CANINE El Bo IMPACT MUNITION u?I . OI 2 LIE-I lu PRESSURE SENSITIVE AREAS In Bax 40) I: '3 TASER (Contact am) a, CONTROL INSTRUMENT a 5 OCICHEMICAL WEAPON TASER TASER (Spark Displayed) OTHER OTHER OTHER 9? WEAPON DISCHARGE INCIDENT OCICHEMICAL WEAPON AUTHORIZED BY (NAME) POSITION STAR NO. UNIT 40. ADDITIONAL INFORMATION 41.WEAPON TYPE D1 REVOLVER 02 RIFLE on SHOTCUN 07 OTHER D4 SEMI-AUTO PISTOL as CHEMICAL WEAPON 06 TASER (Probe DISCharga) Indoors 42. INCIDENT OCCURRED El Ouidoom 4:1. LIGHTING CONDITIONS 02 03 Dawn as 01 Daylight 04 Dusk DB Good Arti?cial OTHER 44. WEATHER CONDITIONS 45. MMEIMANUFAOTURER ICLOCK. 46. MODEL 21 BARREL LENGTH 4.5 48. CALIBERIGAUGE 45 CAL 49. TASER DART ID NO. WEAPON SERIAL No. Ilncluda Letters) '51 CHICAGO GUN REG. NO. '52. IL FIREARM OWNER ID. NO. 53. HANDGUN CERTIFICATE NO. 54. SPECIAL WEAPON CERTIFICATE NO. 55. PROIER-TY INVENTORY NO. 58. TYPE OF AMMUNETION USED 57.NO. OF WEAPONS DISCHARGED BY 58. TOTAL NO. OF SHOTS MEMBER 45 ACP THIS MEMBER. 1 FIRED 4 59. WHO FIRED FIRST SHOT 03 OTHER (SPECIFY) so. WAS FIREARM RELOADED 31. No OF CATDRIDGESI 32. HOW WAS HANDGUN WORN as OTHER (5pm,) 3 DURING INCIDENT SHOT SHELLS A D1 MEMBER 02 OFFENDER 01 YES 3 02 NO RELOADED 01 RT. SIDE (WAIST) [j 02 LT. SIDE (WAIST) 5 SS. How WAS HANDGUN DRAWN 113 OTHER - SPECIFY USED TO RELOAD as. DID MEMBER USE SIGHTS a 801 STRONG SIDE DRAW 02 CROSS DRAW 01 YES 02 NO on '0 BB. DESCRIBE PROTECTIVE COVER USED (LIGHT POLESI DOORWAYS. CAR, FURNITURE. ETC) 57. DISTANCE BETWEEN INVOLVED MEMBER OFFENDER WHEN FIRST SHOT WAS FIRED NONE IX D1D-DSFT. 0205-1DFT. 0310-15FT. MOVER15FT. a BB. PERSONIOSJECT STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON 69. POSITION OF MEMBER DISCHARGING WEAPON n1 STANDING 02 LYING DOWN a, 01 PERSON 02 OSJECT 03 BOTH CI 04 UNKNOWN [j 03 [j 04 KNEELING 05 OTHER (SPECIFY) 72. 3A NOTIFICATIONS (DC 0R TASER INCIDENT): OEMC DSS LTJDIST. OF OCCUR. CPIC 3, NOTIFICATIONS (FIREARM INCIDENT): OEMC DSSIDIST. OF OCCUR a. OCIC CPIC IZI DET. DIVMembers ensure that all requ1red noti?catlons and ail WItnesseS to this use of force are documented In the appropiate case report. 55 73. REPORTING MEMBER (Print Name) STARIEMPLOYEE NO. SIG TURE 2 SCHNIER, BRIAN 3 . Reviewing supervisor will ensure the Iegibility and completeness of this report and attest by entering the required Information below. 74. REVIEWING SUPERVISOR (Print Name) STAR NO. SI DATE REVIEWED TIME RYLE, MICHAEL 418 07-FEB-201 5 12:45:46 LIEUTENANT OR REVIEW THE ON-CALL INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT MEMBER: 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBSEOUENT TO INTERACTIONS WITH A DEPARTMENT MEMBER: 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. 15. SUBJECTS STATEMENT REGARDING THE USE OF FORCE DNA CI REFUSED UNABLE To INTERVIEW (Spaery Reason) TB. LIEUTENANT OR ABOVEIOCIC RATIONALE FOR BOX 77 FINDING The undersigned Investigation has revealed that the invloved member was In compliance with Department Directives In that while conducting a Search Warrant he was attacked by a large dog and discharged his weapon to protect himseif and members of his team. Log 1073689 was obtained to document this incident. Noti?cations: inv. Lett #120 1210 hours; Sgt. Robert Vanna #2232 responded to 003. 77. LIEUTENANT OR ABOVEIOCIC FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: 8 I HAVE CONCLUDED THAT THE ACTIONS I3 I HAVE CONCLUDED THAT FURTHER INVESTIGATION IS REQUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG NOJCRNO, OBTAINED 78. LIEUTENANT OR Name) SIGNATURE DATE COMPLETED I TIME JONES. JAMES 07-FEB-2015 13:56:08 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET. INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FDRWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS - OF: SUPPLEMENTARY REPORT [1 Log. REPORT so. TOTAL TRR's THIS EVENT ND. CASE REPORT OFFICER BATTERY REPORT El GR INITIATION REPORT 2 ARREST REPORT TO-FRDM-SUBJECT REPORTS FROM DEPARTMENT TACTICAL RESPONSE Police Department I 1. DATE OF INCIOENT TIME 2. ADDRESS OF OCCURRENCE 3. LOCATION CODE 1. EMEEUR 09-MAR-2015 17:07:00 14. 72ND ST CHICAGO, IL 50636 303 0734 5. POSITION 6. LAST NAME 1. FIRST NAME 3. STAR NO. B. sec 10. RACE CODE 11GILLESPIE ANTHONY 3527 01 D02 WHI 1984 603 230 14. DATE OF APPT. 15. EMPLOYEE N0. 16. UNIT 5 BEAT OF ASSIGNMENT 17. DUTY STATUS 1a. MEMBER . MEMBER IN LLI a 09-JUL-2007 007 0735 @111 21. FIRST NAME 22. Ml. 23. SEX 24. RACE 25. DOB. 211213. ADDRESS 29- TELEPHONE NO- 30- WAS SUBJECT (SPECIFYI 31. SUBJECT 32. SUBJECT ALLEGED FE [101m Down Dumas Domes DOZNO a 33. WHERE WAS MEDICAL TREATMENT 34. BY 35, CONDITION 01 Apparently Normal 02 Under In?uence 03 Hospltallzed [j 04 Not Hospltallzed [j 115 Refused Medical Ald as. CHARGES PLACED DNA 31c); NQ IR NO. lg DNA 38. PASSIVE RESISTER ACTIVE RESIST ER LT ABGAILANTNJEADLY FORCE DID NOT FOLLOW USES FORCE LIKELY T0 DNA in VERBAL DIRECTION FLED El ATTACK WITH WEAPON CAUSE DEATH on 2 GREAT BODILY HARM STIFFENED ATTACK WITHOUT (DEAD WEIGHT) PULLED AWAY OTHER WEAPON WEAPON In 0 OTHER OTHER OTHER OTHER MDUTHITEETI-I u. 3 MEMBER PRESENCE ?2 OPEN HAND STRIKE ELBOW STRIKE I: KNEE STRIKE FIREARM a VERBAL COMMANDS TAKE DOWN I EMERGENCY Lu HANDCUPFING CLOSED HAND 3 1B 9? ESCORT HOLDS I: a WRISTLOCK De CHEMICAL WEAPON KICKS CI OTHER .1: n. ARMBAR CANINE IMPACT WEAPON ?0 TASER (Probe (9?th IMPAET El 0 LIE-I In PRESSURE SENSITIVE AREAS 30" 49) a, n: TASER (Contact Stun) a, CONTROL INSTRUMENT a 5 OCICHEMICAL WEAPON [j TASER (I'm'nmmd) TASER (Spark ?3 OTHER OTHER OTHER 39. OCICHEMICAL WEAPON AUTHORIZED BY (NAME) 40. ADDITIONAL INFORMATION [3 DOG ATTACKED OFFICER DNA POSITION STAR No. UNIT WEAPON DISCHARGE INCIDENT 41. WEAPON TYPE 01 REVOLVER 02 RIFLE 03 SHOTGUN n4 SEMI-AUTO PISTOL as CHEMICAL WEAPON I: 06 TASER (Probe El :17 OTHER 42. INCIDENT OCCURRED CI Indoors 02 Night 05 Poor Outdoors 43. LIGHTING CONDITIONS El 03 Dawn [1 01 Daylight as Good Artl?nlal 44. WEATHER CONDITIONS CLEAR SIGIS. I. GJSWISS INDUSTRIAL - I45. 46. MODEL P229 3.9 47. BARREL LENGTH 48. OTHER 49. TASER DART ID N0. '50. WEAPON SERIAL NO. (Include Letters) 51. CHICAGO GUN REG. NO. '52. IL FIREARM OWNER ID. NO. 53. HANDGUN CERTIFICATE NO. 54. SPECIAL WEAPON CERTIFICATE NO. 55. PROPERTY INVENTORY NO. 55. TYPE OF AMMUNITION USED 57.NO. OF WEAPONS DISCHARGED BY 58. TOTAL NO. OF SHOTS MEMBER 7 Department Issued THIS MEMBER. 1 FIRED 12 59. WHO FIRED FIRST SHOT 03 OTHER (SPECIFY) tit]. WAS FIREARM RELOADED B1. NO OF CATDRIDGESI 62. HOW WAS HANDGUN WORN [303 OTHER (spam) 3? DURING INCIDENT SHOT SHELLS A ?g 01 MEMBER [j 02 OFFENDER a 01 YES 92 No RELOADED 01 RT. SIDE (WAIST) Cl 02 LT. SIDE (WAIST) 53- HOW WAS HANDGUN DRAWN CI 03 OTHER (Specify) . SPECIFY USED To RELOAD EMERGENCY RELOAD 35? DID MEMBER USE SIGHTS 8 2 n1 STRONG SIDE DRAW 112 CROSS DRAW BB. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES. DOORWAVS. CAR. FURNITURE. ETC) DISTANCE BETWEEN INVOLVED MEMBER a. OFFENDER WHEN FIRST SHOT WAS FIRED A NONE 010-05FT. 0205.101-1. 0310-15FT. El MOVER15FT. a BB. PERSONIOBJECT STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON 69. POSITION OF MEMBER DISCHARGING WEAPON u1 02 DOWN a, 01 PERSON 112 OBJECT as BOTH 04 UNKNOWN as SITTING I: 04 KNEELING 05 OTHER (SPECIFY) T2 NOTIFICATIONS (00 OR TASER INCIDENT): OEMC DSS LTJDIST. OF OCCUR. CPIC Pu - .u 3% NOTIFICATIONS (FIREARM INCIDENT): OEMC DSSIDIST. OF OCCUR a. 0010 CPIC DET. DIVMembers ensure that all reqUIred notl?catIonS and all WItnesseS to thIs use of force are documented In the approplate case report. 5% 73. REPORTING MEMBER (Print Name) NO. SIGNATURE 3 BROWN. RYAN 1 836 .4 09-MAR-2015 18:28:10 ?03 3 Reviewing supervisor will ensure the Iegibility and completeness of this report and attest by entering the required Information below. 5 74. REVIEWING SUPERVISOR (Print Name) STAR NO. IGNATUR DATE REVIEWED TIME BIGG. KENNETH A 620 09-MAR-2015 18:51 :00 mm? LIEUTENANT. OR ABOVEIOCIC REVIEW THE ON-CALL INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM A DEPARTMENT MEMBER: 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBSEOUENT TO INTERACTIONS WITH A DEPARTMENT LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. 75. SUBJECTS STATEMENT REGARDING THE USE OF FORCE REFUSED UNABLE To INTERVIEW (SpedIy Reemn) 76. LIEUTENANT OR ABOVEJOCIC FOR BOX 77 FINDING A?er reviewing all the facts presented, RICapt.finds that the Of?cer involved acted withln all Department policles and procedures In the Use of Force. It is fuIther found that the Of?cer's Weapon need NOT be lnventorled in that all ?red bullets were accounted for. Officer's weapon was properly registered. 71. LIEUTENANT OR ABOVEIOCIC FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: I HAVE CONCLUDED THAT THE ACTIONS WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. i HAVE CONCLUDED THAT FURTHER INVESTIGATION IS REQUIRED. LOG NOJCRNO. 1 074101 OBTAINED 78. LIEUTENANT OR ABOVEIOCIC (Prim Name) KULBIDA, EDWARD SIGNATURE DATE COMPLETED TIME 09-MAR-2015 1 8:57:48 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET. INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS - PHOTOCOPIES OF: CASE REPORT ARREST REPORT SUPPLEMENTARY REPORT I.o.o. REPORT OFFICER BATTERY REPORT CR INITIATION REPORT REPORTS FROM DEPARTMENT WITNESSES) 50, TOTAL THIS EVENT No. 1 TACTICAL RESPONSE Police Department 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE 3. LOCATION CODE 1 5575555! 13-MAR-2015 06:48:00 103RD ST CHICAGO. IL 60643 304 2213 a 5 POSITION 0. LAST NAME 1. FIRST NAME B. STAR NO. 9. 10. RACE CODE 119161 KAUFMANN CHARLES A 7708 EM D02 WHI 1961 603 230 14. DATE OF APPT. 1a. UNIT BEAT OF ASSIGNMENT 17. DUTY STATUS IS. MEMBER 1B. MEMBER IN 17-Nov-1980 022 221 LAST NAME 21. FIRST NAME 22. MI. 23. SE): 24. RACE 25. DOB23. ADDRESS 29. TELEPHONE No. 30. WAS SUBJECT 31. SUBJECT 32. SUBJECT ALLEGED LE [3mm DuzNo Demo 8 33. WHERE WAS MEDICAL TREATMENT 34. BY 35. Appmnuy Norma, 02 Under mm36. CHARGES PLACED DNA 31GB IR NO. DNA 38. PASSIVE REBISTER ACTIVE RESISTER ASSNLANTIBATTERV FORCE DID NOT FOLLOW USES FORCE LIKELY TO DNA a; VERBAL DIRECTION FLED I: IMMINENT THREAT ATTACK WITH WEAPON CAUSE DEATH OR OF BATTERY STIFFENED GREAT BODILY HARM a (DEAD WEIGHT) AWAY OTHER a ?1 OTHER OTHER OTHER omER LL. 0 3 MEMBER PRESENCE OPEN HAND STRIKE ELBOW STRIKE KNEE STRIKE FIREARM a VERBAL COMMANDS TAKE DOWN I EMERGENCY HANDCUFFING CLOSED HAND 9? ESCORT HOLDS ?a El OC CHEMICAL WEAPON KICKS CI OTHER 5 2 ARMSAR ?mm IMPACT WEAPON 2 7?5 2 '0 TASER (Probe DIscharOe) El mm? IMPACT El 0 Lu PRESSURE SENSITIVE AREAS (9?th 9, ?5 TASER (Contact sum '3 a CONTROL INSTRUMENT [j 5 5 OCICHEMICAL WEAPON TASER CI I: WIAUTHORIZATION TASER (spark Displayed, El 0mm OTHER OTHER WEAPON DISCHARGE INCIDENT WEAPON AUTHORIZED BY (NAME) POSITION STAR NO. UNIT 40. ADDITIONAL INFORMATION RIO DISCHARGED HIS DEPT ISSUED OC SPRAY AND BEAT 2210 OC SPRAY WHILE CAPTURING A VISCIOUS DOG 41. WEAPON TYPE 02 RIFLE 03 SHOTGUN 01 REVOLVER El 04 SEMI-AUTO PISTOL 05 CHEMICAL WEAPON OS TASER (Probe DIscIIarga) 07 OTHER 42. INCIDENT OCCURRED I: IndoorS Outdoors 02 05 43. LIGHTING CONDITIONS El 03 Dawn 04 Dusk 01 anIIghI OB Good Arti?cial 44. WEATHER CONDITIONS CLEAR I45. MAKEIMANUFACTURER 45. MODEL BARREL LENGTH 4B. CALIBERIGAUGE 4S. TASER DART ID NO. 50. WEAPON SERIAL No. (Include Letters) 51. CHICAGO GUN REG. NO. 52. IL FIREARM OWNER ID. NO. 53. HANDGUN CERTIFICATE NC. I I 54, SPECIAL WEAPON CERTIFICATE NO. 55. PROPERTY INVENTORY No. 50. TYPE OF AMMUNITION USED STNO. OF WEAPONS DISCHARGED BY 58. TOTAL No. OF SHOTS MEMBER THIS MEMBER. 2 FIRED 50. WHO FIRED FIRST SHOT [103 OTHER (SPECIFY) ea. WAS FIREARM RELOADED 61. NO OF CATORIDGESI 32. HOW WAS HANDGUN WORN 03 OTHER (5pm,, 3 DURING INCIDENT SHOT SHELLS A 01 MEMBER 02 OFFENDER 01 YES 02 No RELOADED 01 RT. SIDE (WAIST) El 02 LT. SIDE (WAIST) 0? - 63. How WAS HANDGUN DRAWN 03 OTHER (SpacIry) - SPECIFY USED TO RELOAD - SS. DID MEMBER USE SIGHTS 2 D01 STRONG SIDE DRAW [j 02 CROSS DRAW 01 YES 02 NO N) 9 SB. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES, DOORWAYS. CAR. FURNITURE. ETC) 57. DISTANCE BETWEEN INVOLVED MEMBER OFFENDER WHEN FIRST SHOT WAS FIRED 010-05Fr. 0205-10FT. 0310-15FT. MOVER15FT. as. PERSONIOSJECT STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON SS. POSITION OF MEMBER DISCHARGING WEAPON (j STANDING mm; Down on 01 PERSON 02 OBJECT 03 BOTH 04 UNKNOWN El 03 SITTING 0-1 KNEELING [j 05 OTHER (SPECIFY) 72 NOTIFICATIONS (00 OR TASER INCIDENT): OEMC DSS LTJDIST. OF OCCUR. CPIC - .0 NOTIFICATIONS (FIREARM INCIDENT): OEMC (33510511 0): OCCUR oc c CPIC CI DET. DIVMembers ensure that all reqUIred notI?catlons and all WItnesses to thIS use of force are documented in the appropIate case report. 73. REPORTING MEMBER (Print Name) STARIEMPLOYEE NO. SIGNATURE a KAUFMANN, CHARLES A 13-MAR-2015 09:20:17 3 2) Reviewin su ervisor will ensure the le ibili and com Ieteness of this re art and attest enterin the re uired Information below. (3 T4. REVIEWING SUPERVISOR (Print Name) STAR NO. SIGNATURE DATE REVIEWED TIME KETTERING, DENNIS 1 827 13-MAR-201 5 09:25:51 WEAPON DISCHARGE INCIDENT 41. WEAPON TYPE 01 REVOLVER oz RIFLE 03 SHOTSUN CI 06 TASER or OTHER 04 SEMI-AUTO PISTOL as CHEMICAL WEAPON 42. INCIDENT OCCURRED 43. LIGHTING CONDITIONS 44. WEATHER CONDITIONS Mm Cum? oz 03 Dawn 04 Dunk CLEAR 05 Poor ArlIIldal [j as Good 45. MAKEIMANUFACTURER 43. MODEL 47. BARREL LENGTH 43. CALIBERIGAUDE 49. TABER DART ID NO. 50. WEAPON SERIAL Nu. (Includa Lallorl) 51. CHICAGO GUN REG. NO. 52. IL FIREARM OWNER ID. NO. 53. HANDGUN CERTIFICATE NO. I54. SPECIAL WEAPON CERTIFICATE NO. 55. PROPERTY INVENTORY NO. 53. TYPE OF AMMUNITION USED 57.NO. OF WEAPONS BY THIS MEMSER. .2 53. TOTAL NO. OF SHOTS MEMBER FIRED 59. WHO FIRED FIRST SHOT EDI MEMBER El 02 OFFENDER - D03 OTHER (SPECIFY) DURING INCIDENT 63. HOW WAS HANDGUN DRAWN 01 STRONG SIDE DRAW 02 CROSS DRAW 03 OTHER BO. WAS FIREARM RELOADED 01 YES 02 NO . SPECIFY METHODIEQUIPMENT USED TO RELOI 81. NO OF CATDRIDGEBI SHOT BHELLB RELOADED 52. HOW WAS HANDGUN WORN El I11 RT. SIDE (WAIST) LT. SIDE (WAIST) 03 OTHER (Spaclfy) as. DID MEMBER USE SIGHTS 01 YES Cl 02 NO 65. DESCRIBE PROTECTIVE COVER USED (LIGHT POLEB. DOORWAYS. CAR. FURNITURE, ETC) 67. DISTANCE BETWEEN INVOLVED MEMBER A OFFENDER WHEN FIRST SHOT WAS FIRED [j 0310-15FT. El DI PERSON 03 BOTH Ba. PERSONIOBJECT STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON 02 OBJECT MUNKNOWN as. POSITION OF MEMBER DISCHARGINO WEAPON 01 STANDING 03 SITTING [j 04 KNEELING 05 OTHER (SPECIFY) 02 LYING DOWN BBVZOZLOSI .LNBIE LIEUTENANT OR REVIEW THE ON-CALL INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT MEMBER: 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUSSEOUENT TO INTERACTIONS WITH A DEPARTMENT 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE BTEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. 75. SUBJECTS STATEMENT REGARDING THE USE OF DNA The subject is a dog and does not have the ability to speak . REFUSED UNABLE To INTERVIEW (Specify Reason) 7B. LIEUTENANT OR ABOVEIOCIC RATIONALE FOR BOX 77 FINDING The of?cers actions were in compliance with department rules and regulations. as well as city ordinances and state statutes. The dog had just attacked another dog causing fatal Injuries to that dog. and was advancing on people and of?cers in the area. Due to schoolchildren In the background behind the dog, a ?rearms discharge would not have been safe or appropriate 77. LIEUTENANT OR ABOVEIOCIC FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: 8 I HAVE CONCLUDED THAT THE ACTIONS I HAVE CONCLUDED THAT FURTHER INVESTIGATION IS REQUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG NOJCRNO, OBTAINED 78. LIEUTENANT OR ABOVEIOCIC (Print Name) SIGNATURE DATE COMPLETED TIME MC NICHOLAS, THOMAS 13-MAR-2015 10:44:31 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET. INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS - PHOTOCOPIES 0F: SUPPLEMENTARY REPORT I.O.D. REPORT 30. TOTAL THIS EVENT No. CASE REPORT . OFFICER BATTERY REPORT CR INITIATION REPORT 1 ARREST REPORT TO-FROM-SUBJECT REPORTS FROM DEPARTMENT WITNESSES) TACTICAL RESPONSE Police Department 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE 3. LOCATION CODE 5. 1 B-MAR-2015 18:47:00 1 AVERS AVE CHICAGO, IL 50551 303 11 12 5 POSITION B. LAST NAME 7. FIRST NAME 5. STAR NO. 9. SEX 10. RACE CODE 119161 WARD RODERICK 17032 01M [302 BLK 1974 501 240 14. DATE OF APPT. 16. EMPLOYEE NO. Is. UNIT a. BEAT 0F ASSIGNMENT 17. DUTY STATUS 10. MEMBER 10. MEMBER IN In 27-MAY-2014 044 4350A E01011 20. LAST NAME 21. FIRST NAME 22. MI. 23. SEX 24. RACE 25. 0.0.20. ADDRESS 20. TELEPHONE NO. 30. WAS SUBJECT 31. SUBJECT 32. SUBJECT ALLEGED Damn : 01Yes Down 0 as. WHERE WAS MEDICAL TREATMENT 34. BY as. CONDITION D, Ammuy "mm, El 02 um, Mum, I: 03 Hospitallzad [1 D4 05 Refused Aid 2 a) as. CHARGES PLACED DNA 31.35 no, IR No. DNA 38. PASSIVE REDISTER ACTIVE REBISTER ASSNLANTIDEADLY FORCE El DID NOT FOLLOW USES FORCE LIKELY T0 DNA VERBAL DIRECTION El FLED glFM??ggrnEAT I: WEAPON CAUSE DEATH OR 2 GREAT BODILY HARM STIFFENED a ?8 (um WEIGHT) El PULLED AWAY Cl OTHER mas?0mm? ngummom WEAPON El 0 a ?1 OTHER FIGENG OTHER DOG OTHER OTHER OTHER u. 0 3 MEMBER PRESENCE OPEN El ELBOW STRIKE KNEE STRIKE FIREARM O- VERBAL COMMANDS TAKE DOWN I EMERGENCY In D. l.l.l HANOCUFFING CLOSED HAND - ESCORT HOLDS OTHER n: :5 WRISTLOCK OC CHEMICAL WEAPON KICKS CI 0 '5 tn 0 CANINE IMPACT WEAPON I'z" ARMBAR CI TASER (Probe Discharg) (Deswhe In PRESSURE SENSITIVE AREAS (Dauertba In Box 40) ?0 3 CONTROL INSTRUMENT TASER (?mm Sm?) a 5 OCICREMICAL WEAPON E, TASER 7mm?) WMUTHORIZATIDN TASER (Spark DISplayed) OTHER I. WEAPON AUTHORIZED BY (NAME) 40. ADDITIONAL INFORMATION TASER CARTRIDGE SERIAL 662004VRX TOSITION STAR NO. UNIT '5 . 41. WEAPON TYPE 04 SEMI-AUTO (3)5111 42. INCIDENT OCCURRED 43. LIGHTINC CONDITIONS 8 01 44. WEATHER CONDITIONS 5 01 REVOLVER 05 CHEMICAL WEAPON Indoors Outdoors ?2 CI ?3 Dawn 0? CLEAR 5 05 Poor A?l?ciei 05 Good Arti?cial [j 02 RIFLE 05 TASER (Probe Discharge) c, 45. MAKEIMANUFACTURER 43. MODEL 47. BARREL LENGTH 40. CALIBERIGAUGE (E 03 SHOTGUN 01 OTHER 5 49. TASER DART ID No. 50. WEAPON SERIAL NO. (Include LSIISTS) ST. CHICAGO GUN REC. No. 52. IL FIREARM OWNER ID. NO. 53. HANDCUN CERTIFICATE No. C62004VRX X30001 K3P 54. SPECIAL WEAPON CERTIFICATE No. 55. PROPERTY INVENTORY No. BS. TYPE OF AMMUNITION USED BIND. OF WEAPONS DISCHARGED BY 55. TOTAL NO. OF SHOTS MEMBER 0 THIS MEMBER. FIRED n_ 1 59. WHO FIRED FIRST SHOT 93 OTHER (SPECIFY) an. WAS FIREARM RELOADED S1. NO OF CATDFIIDGESI 52. HOW WAS HANDGUN WORN D03 OTHER (5mm 3 DURING INCIDENT SHOT SHELLS 01 MEMBER 02 OFFENDER [j YES 02 NO RELOADED 01 RT. SIDE (WAIST) [j 02 LT. SIDE (WAIST) 5 03. HOW WAS HANDGUN DRAWN 03 omen (Spaclfy) - SPECIFY USED TO RELOAD as. DID MEMBER USE SIGHTS Iljm STRONG SIDE DRAW El 02 CROSS DRAW 01 YES 02 NO 0: ?0 ea. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES. DOORWAYS, CAR. FURNITURE. ETC) ST. DISTANCE BETWEEN INVOLVED MEMBER a. OFFENDER WHEN FIRST SHOT WAS FIRED D10-05FT. [j 0205-10FT. ID 0310-15FT. gt ea. PERSCNIOBJECT STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON 59. POSITION OF MEMBER OISCHARCING WEAPON 01 STANDING [j 02 LYING DOWN 09 El 01 PERSON 02 OBJECT 03 BOTH 04 UNKNOWN 03 04 KNEELING Cl 05 OTHER (SPECIFY) L. 72. :4 NOTIFICATIONS (00 OR TASER INCIDENT): OEMC DSS OF OCCUR. CPIC 3, .0 0 NOTIFICATIONS (FIREARM INCIDENT): OEMC Dss/ms'L 0F OCCUR 0c c CPIC DET. DIVMembers ensure that all requ1red noti?cations and all WItnesses tO thIS use Of force are documented In the apprOpIale case report. 73. REPORTING MEMBER Name) No. SIGNATURE 3 WARD, RODERICK 17032 16-MAR-2015 20:02:23 :3 '5 Reviewing supervisor Wili ensure the leglbility and completeness Of report and attest by entenng the required Infon'natlon below. (29 74. REVIEWING SUPERVISOR Name) STAR NO. SIGNATURE DATE REVIEWED TIME IT) ENRIQUEZ, JESUS 1213 16-MAR-2015 20:05:50 71 LIEUTENANT OR ABOVEIOCIC REVIEW THE ON-CALL INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBSEQUENT TO INTERACTIONS WITH A DEPARTMENT ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT 0R ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. 75. SUBJECTS STATEMENT REGARDING THE use 0F POROE DNA REFUSED The property that was tased was a Pit But! that was not on a leash. UNABLE TO INTERVIEW (Spat:in Reason) TB. LIEUTENANT OR ABOVEIOCIC RATIONALE FOR BOX 77 FINDING RIWOL reviewed all of the reports associated with this event and concludes that the member's actions were In compliance with Department procedures and directives. 77. LIEUTENANT OR ABOVEIOCIC FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: I HAVE CONCLUDED THAT THE ACTIONS I HAVE CONCLUDED THAT FURTHER INVESTIGATION IS REQUIRED WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG NOJORNO. 1 074249 OBTAINED 78. LIEUTENANT OR ABOVEIOCIC (PrinI Name) SIGNATURE DATE COMPLETED TIME BAIO. ANTONIO 16-MAR-2015 21:59:50 79. DISTRIBUTION OF ORIGINAL A TRR PACKET, INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. - PHOTOCOPIES 0F: SUPPLEMENTARY REPORT I.O.D. REPORT an. TOTAL THIS EVENT No, CASE REPORT El OFFICER BATTERY REPORT CR INITIATION REPORT 1 ARREST REPORT [3 TO-FROM-SUBJECT REPORTS FROM DEPARTMENT WITNESSES) TACTICAL RESPONSE Police Department 1. DATE OF INCIDENT TIME OCCURRENCE a. 30-MAR-2015 20:03:00 613 LAFLIN ST CHICAGO. IL 60635 290 0725 n: a 7. FIRST NAME B. STAR NO. 9. SEX Io. RACE CODE 119161 CERECERES ANTHONY 19293 @111 D02 1968 600 230 14. DATE OF APPT. IB. EMPLOYEE NO. 16. UNIT a. BEAT OF ASSIGNMENT 17. DUTY STATUS IS. MEMBER . ER IN 31-AUG-1998 006 06063 $01 On El 02 01120. LAST NAME 21. FIRST NAME 22. ML 23. SEX 24. RACE 25. 0.0.3. 211211. ADDRESS 29. TELEPHONE No. 30. WAS SUBJECT 31. SUBJECT 32. SUBJECT ALLEGED CE (jam. EDNA) am. 0 a WHERE WAS MEDICAL TREATMENT 34. BY 35. CONDITION Apparenw Nam, 02 um, Innuam Hospitalized 04 Not Hospitalized 05 Refused Medical Aid 3 II. a: Z- IBB. CHARGES PLACED DNA 371:3 no. IR NO. DNA 30. PAIINE REGISTER ACTIVE RESIBTER AISAILANTHJEADLY FORCE DID NOT FOLLOW - USES FORCE LIKELY TO DNA VERBAL DIRECTION El FLED El ATTACK WITH WEAPON CAUSE DEATH OR 2 GREAT BODILY HARM STIFFENED ATTACK WITHOUT (DEAD WEIGHT) PULLED I: OTHER WEAPON WEAPON a OTHER OTHER OTHER OTHER u. 3 MEMBER PRESENCE OPEN HAND STRIKE I: ELBOW leE El KNEE STRIKE FIREARM g: VERSAL COMMANDS TAKE DOWN I EMERGENCY HANDCUFFING CLOSED HAND 3 IV ESCORT HOLDS a WRISTLOCK 0c CHEMICAL WEAPON STRIKEIPUNCH KICKS OTHER 2 '5 2 ARMBAR CANINE I WEAPON El IMPACT MUNITION (n (Describe In Box 40) 3 PRESSURE SENSITIVE AREAS TASER Ohm?) (Dean-iha in Box 40) TASER (Contact SIun) a, CONTROL INSTRUMENT a 5 OCICHEMICAL WEAPON TASER 73?9"? TASER (Spark Displayed) El OTHER OTHER OTHER 39. - OCICHEMIOAL WEAPON AUTHORIZED BY (NAME) ADDITIONAL INFORMATION DNA POSITION STAR NO. UNIT . 41. WEAPON TYPE [j smmu-ro p.310), 42. INCIDENT OCCURRED 43. LIGHTING CONDITIONS 01 Damn. 44. WEATHER CONDITIONS 5 I: REVOLVER as CHEMICAL WEAPON Indoor, 0mm? 02 Night 03 Dawn Cl 04 Dusk CLEAR 3 as Poor-Arti?cial as Good Arti?cial 02 RIFLE 06 TASER (Pmba 45. MAKEIMANUFACTURER 43. MODEL 47. BARREL LENGTH 43. CALIBERIGAUGE 03 SHOTGUN 07 OTHER 3R UNPUBLISHED GUN MAKE cunE? 1 5 22315.55 5 4B. TASER DART ID NO. SB. WEAPON SERIAL No. (Includa Letters) 51. CHICAGO GUN REG. ND. 52. II. FIREARM OWNER ID. NO. 53. HANDGUN CERTIFICATE NO. 2 54. SPECIAL WEAPON CERTIFICATE NO. 55. PROPERTY INVENTORY No. 56. TYPE OF AMMUNITION USED 57.No. OF WEAPONS DISCHARGED BY 58. TOTAL NO. OF SHOTS MEMBER no- Depanmem Issued THIS MEMBER. 1 FIRED 1 59. WHO FIRED FIRST SHOT - 93 OTHER (SPECIFY) BD. WAS FIREARM RELOADED S1. NO OF CATDRIDGESI 52. How WAS HANDGUN WORN gas omen (Specify) El DURING INCIDENT SHOT SHELLS 01 MEMBER [j OFFENDER 01 YES 02 No RELOADED 01 RT. SIDE (WAIST) 02 LT. SIDE (WAIST) 01 - 53. How WAS DRAWN OTHER (Specify) - SPECIFY METHODIEGUIPMENT USED TO RELOAD as. DID MEMBER USE SIGHTS 2 IBM STRONG SIDE DRAW 02 CROSS DRAW BB. DESCRIBE PROTECTIVE COVER USED (LIGHT ROLES. DOORWAYS. CAR. FURNITURE. ETC) ST. DISTANCE BETWEEN INVOLVED MEMBER a. OFFENDER WHEN FIRST SHOT WAS FIRED In. DOORWAY DID-DEFT. 0205-10Fi'. 0310-15Fl'. B40VER15FT. 3 as. PERSONIOBJECT STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON BS. POSITION DF MEMBER DISCHARGING WEAPON STANDING 02 LYING DOWN 01 PERSON 02 OBJECT 03 BOTH [j 04 UNKNOWN [3 03 SITTING 04 KNEELING 05 OTHER (SPECIFY) .. 72 I NOTIFICATIONS (00 OR TASER INCIDENT): El OEMC 085 LTJDIST. 0F OCCUR. CPIC a, .0 :3 NOTIFICATIONS (FIREARM INCIDENT): [g OEMC OCCUR 3. com CPIC DET. DIVMembers ensure that all reqUIred notI?catIons and all Witnesses to this use of force are documented in the apprOpIate case report. 73. REPORTING MEMBER (Print Name) STARIEMPLOYEE NO. SIGNATURE a, CERECERES, ANTHONY 19293 30-MAR-2015 23:27:43 '2 Reviewing supervisor will ensure the legibIIity and completeness Of thIS report and attest by entering the required informatth below. 5? (29 74. REVIEWING SUPERVISOR Name) STAR NO. SIGNATURE DATE REVIEWED TIME 6 SCHULZ, ANTHONY 887 30-MAR-2015 23:28:22 LIEUTENANT OR ABOVEIOCIC REVIEW THE ON-CALL INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM DY A DEPARTMENT 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBSEOUENT TO INTERACTIONS WITH A DEPARTMENT 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMDER WHEN THAT use OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. TS. SUBJECTS STATEMENT REGARDING THE USE OF FORCE DNA REFUSED I: UNABLE TO INTERVIEW (Specify Reason) TB. LIEUTENANT OR RATIONALE FOR BOX TI FINDING Based on what IS known at this time. a preidlminary determination has been made that the discharge by Police Officer CERECERES falls within department guidelines In that upon making entry of a house where the of?cer was executing a Iawfui search wamant, an aggressive pit-bull terrier used as a guard dog began his attack upon of?cer CERECERES. The Of?cer's partner Initially was able to push back the dog with his foot but the dog renewed his attack. Officer CERECERES backed up as far as he could Into the foyer but had no other choice but shoot the dog in order to end the threat to him and his partner and avoid from being bitten. 77. LIEUTENANT OR ABOVEIOCIC FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: I HAVE CONCLUDED THAT THE MEMBERS ACTIONS I HAVE CONCLUDED THAT FURTHER INVESTIGATION IS REQUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG NOJCRNO 1 074451 OBTAINED 7B. LIEUTENANT OR ABOVEIOCIC Name) SIGNATURE DATE COMPLETED TIME VELEZ, CARLOS 23:38:34 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET. INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WELL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. - PHOTOCOPIES 0F: SUPPLEMENTARY REPORT I.O.D. REPORT 80. TOTAL THIS EVENT No. CASE REPORT [1 OFFICER BATTERY REPORT CR REPORT 1 ARREST REPORT TO-FROM-SUBJECT REPORTS FROM DEPARTMENT TACTICAL RESPONSE Police Department 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE 3. LOCATION CODE m? 31-MAR-2015 1 6:30: 00 1 78TH ST CHICAGO, IL 60649 092 0414 - n: 5. POSITION 5. LAST NAME 1. FIRST NAME 5. STAR NO. 9. SEX 1D. RACE CODE 119151 BOLIN RICHARD 14590 @131 CID: BLK 1970 601 190 14. DATE OF AFPT. 15. EMPLOYEE NO. 15. UNIT a. BEAT OF ASSIGNMENT 11. DUTY STATUS 18. MEMBER IS. MEMSER IN DJ 07-JUL-1997 005 On 8 02011 [j 01 Yes 02 No [101 Yes 02 NO 20- LAST NAME 21. FIRST NAME 22. MI. 2:1. SEX 24. RACE 25. DOB23' ADDRESS 29. TELEPHONE No. 30. WAS SUBJECT :11. SUBJECT 32. SUBJECT ALLEGED PE Don's-Dome Domes Dome Dumas a 33. WHERE WAS MEDICAL TREATMENT 34. BY as. CONDITION El 01 Amman?, Nam, 02 Under Mum El 03 Hospitalized 04 Not Hospitalized I: 05 Refused Medical Aid a) as. CHARGES PLACED DNA 37? ca No. DNA as. PASSIVE ACTWE REIISTER ASSNLANTIDEADLY FORCE DID NOT FOLLOW USES FORCE LIKELY T0 DNA 3 VERBAL DIRECTION FLED ATTACK WITH WEAPON CAUSE DEATH OR ?2 2 GREAT BODILY HARM STIFFENED ATTACK WITHOUT .3 i: (DEAD WEIGHT) CI PULLED OTHER WEAPON 0 u_ a OTHER OTHER OTHER Err BULL (BROWNIWHIE) 1.1. 3 MEMBER PRESENCE OPEN HAND STRIKE ELBOW STRIKE KNEE STRIKE FIREARM 9- VERBAL COMMANDS TAKE DOWN I EMERGENCY ESCORT Home HANDCUFFING CLOSED HAND n: OC CHEMICAL WEAPON El OTHER 0 WRISTLOCK u_ '5 MMBAR IMPACT WEAPON 2 2 '0 TASER (Probe Discharge) ?Jam? IMPACT [j In PRESSURE SENSITIVE AREAS El (99mm 59* 40) TASER (Contact Slun) a, CONTROL INSTRUMENT OCICHEMICAL WEAPON TASER "'m'nmm? TASER (Spark Displayed) OTHER OTHER OTHER SEE OCIGHEMICAL WEAPON AUTHORIZED BY (NAME) POSITION STAR NO. UNIT 40. ADDITIONAL INFORMATION 41. WEAPON TYPE D1 REVOLVER 02 RIFLE 03 SHOTGUN 01 OTHER 04 SEMI-AUTO PISTOL I: as CHEMICAL WEAPON DB TASER (Pmbe Discharge) Indoors 42. INCIDENT OCCURRED Outdoors 43. LIGHTING CONDITIONS El 02 El 05 PoorArtItIcIal [j 03 Dawn MDusk 8 01 Daylight Ba Good Arti?cial 44. WEATHER CONDITIONS CLEAR 45. MAKEIMANUFACTURER SMITH II WESSON -I.IB- SPECIAL) 45. MODEL 5943 47. BARREL LENGTH 4IN 48. CALIBERIBAUGE 9MM 4B. TASER DART ID NO. WEAPON SERIAL No. Ilnclud Laitara) 51. CHICAGO GUN REG. NO. '52. IL FIREARM OWNER ID. NO. 53. HANDGUN CERTIFICATE NO. WEAPON DISCHARGE INCIDENT 54. SPECIAL WEAPON CERTIFICATE NO. 55. PROPERTY INVENTORY NO. 58. TYPE OF AMMUNITION USED 57.NO. OF WEAPONS DISCHARGED BY 53. TOTAL NO. OF SHOTS MEMBER Department Issued THIS MEMBER. 1 FIRED 1 59. WHO FIRED FIRST SHOT [503 OTHER (5)35me WAS FIREARM RELOADED 61. NO OF CATDRIDGESI 62. HOW WAS HANDGUN WORN D03 OTHER (Specify) DURING INCIDENT SHOT SHELLS A g) IN MEMBER 02 OFFENDER [j 01 YES 02 No RELOADED 01 RT. SIDE (WAIST) El 02 It SIDE (WAIST) U. 53, How was MEMBER-5 HANDGUN DRAWN El 03 OTHER (Sway) . SPECIFY USED TO RELOAD 55. DID MEMBER USE SIGHTS 801 STRONG SIDE DRAW [j 02 CROSS DRAW 01 YES n2 NC a 'o EB. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES. DOORWAYS. CAR. FURNITURE. ETC) 87. DISTANCE BETWEEN INVOLVED MEMBER OFFENDER WHEN FIRST SHOT WAS FIRED NONE woman. 0205-10FT. [j 0310-15Fr. [j MOVER15FT. 68. PERSONIOBJECT STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON BB. POSITION OF MEMBER DISCHARGING WEAPON 01 surname 92 mm; DOWN A O1 PERSON 02 OBJECT 03 BOTH 04 UNKNOWN DO SITTING D4 KNEELING 05 OTHER (SPECIFY) -l 72 NOTIFICATIONS (0C OR TASER INCIDENT): OEMC DSS LTJDIST. OF OCCUR. CPIC 5" NOTIFICATIONS (FIREARM INCIDENT): g OEMC lass/DIST, 0F OCCUR CPIC BI DET. DIV. 5 Members w1 ensure that alI reqUIred notI?catIons and alt WItnesses to use of force are documented in the approplate case report. 73. REPORTING MEMBER (Print Name) STARIEMPLOYEE NO. SIGNA 8 a, BOLIN, RICHARD 14590 a, 31-MAR-2015 19:13:11 8 Reviewing supervisor will ensure the legibility and completeness Of this report and attest by entering the required information below. (29 74. REVIEWING SUPERVISOR Name) STAR NO. SIGNATURE DATE REVIEWED TIME "In" MEDINA, ANITA 1830 31 MAR-2015 19:14:29 LIEUTENANT OR ABOVEIOCIC REVIEW THE ON-CALL INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBSEOUENT TO INTERACTIONS WITH A DEPARTMENT MEMBER: 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. 75. SUBJECTS STATEMENT REGARDING THE USE OF FORCE DNA REFUSED UNABLE To INTERVIEW (Specify Reason) 7B. LIEUTENANT OR ABOVEJOOIC RATIONALE FOR BOX 77 FINDING Based on what is known at the time of this report. the member?s actions were In compllance with the Departments procedures and directives. 77. LIEUTENANT OR ABOVEJOCIC FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: I HAVE CONCLUDED THAT THE ACTIONS I HAVE CONCLUDED THAT FURTHER INVESTIGATION Is REQUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG 1 074468 OBTAINED 78. LIEUTENANT OR ASDVEIOCIC (Print Name) SIGNATURE DATE COMPLETED TIME SANCHEZ, NOEL 31 -MAR-2015 19:17:16 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET, INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORETY. ATTACHMENTS - PHOTOCOPIES 0F: SUPPLEMENTARY REPORT I.0.D. REPORT so, TOTAL THIS EVENT No. [1 CASE REPORT 8 OFFICER BATTERY REPORT CR INITIATION REPORT 1 ARREST REPORT [1 REPORTS FROM DEPARTMENT TACTICAL RESPONSE Police Department 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE 3. LOCATION CODE m? 03-APR-2015 20:09:00 1? AVERS AVE . Apt 1 CHICAGO. IL 60651 090 1112 I: 5 POSITION 5. LAST NAME 7. FIRST NAME I). STAR NO. 9. SEN 1D. RACE CODE 11. AGE 12. HT. 13. WT. l.l.l a 9161 CORONA GUSTAVO 8159 01 [:qu 1978 510 190 14. DATE OF APPT. 15. EMPLOYEE No. 13. UNIT BEAT OF ASSIGNMENT 17. DUTY STATUS IB. MEMBER 19. MEMBER IN UJ 29-AUG-2005 189 62456 01 On 02 on ("We 02 NO Ya: 02 No 20. LAST NAME 21. FIRST NAME 22. Mi. 23. eat 24. RACE 25. DOB23. ADDRESS 29. TELEPHONE No. an. WAS SUBJECT 31. SUBJECT 32. SUBJECT ALLEGED PE DmmDozm Claw" : 02No [:InIYaa DOZNO as. WHERE WAS MEDICAL TREATMENT 34. BY as. CONDITION 0, ?Farm?, Nam. 02 Under In?uence 8 I: on Hospitalized 04 Not Houplialimd CI 05 Raruaad Medical Aid In SE. CHARGES PLACED DNA 37, no, it NO. DNA 38. PASSIVE REBISTER ACHVE REIIBTER ASSNLANTIBATTERY FORCE DID NOT FOLLOW USES FORCE LIKELY TO DNA In 0, (HERBAL DIRECTION FLED IMMINENT THREAT ATTACK WITH WEAPON El CAUSE DEATH OR OF BATTERY GREAT BODI HARM 5 STIFFENED ATTACK WITHOUT 5' I: (DEAD WEIGHT) PULLED AWAY OTHER WEAPON WEAPON a OTHER OTHER OTHER OTHER U. 3 MEMBER PRESENCE OPEN HAND STRIKE El ELBOW STRIKE KNEE 8mm FIREARM El 1? 9- VERSAL COMMANDS TAKE DOWN I EMERGENCY g, a ESCORT HOLDS HANDCUFFING CLOSED HAND I: ?a WRISTLOCK OC CHEMICAL WEAPON CI OTHER 0 5 II: CANINE IMPACT WEAPON u. ARMBAR TASER (Hm Discharge) (933mb, In am 40, IMPACT PRESSURE SENSITIVE AREAS 4?"de 3 CONTROL INSTRUMENT TASER (6mm 5 OCICHEMICAL WEAPON TASER WIAUTHORIZATION TASER (spark Displayed) OTHER 39? - OCICHEMICAL WEAPON AUTHORIZED BY (NAME) 40. ADDITIONAL INFORMATION DESTRUCTION OF ANIMAL. DNA IPOSITION STAR No. UNIT '5 41. WEAPON TYPE 04 SEMI-AUTO PISTOL 42. INCIDENT OCCURRED 43. LIGHTING CONDITIONS Day?gm 44. WEATHER CONDITIONS 5 01 REVOLVER 05 CHEMICAL WEAPON Indoors Outdoors 02 03 new? ?4 CLEAR [j 05 Poor OB Good manual [3 oz RIFLE as TASER (Probe Discharge) c, 45. MAKEIMANUFACTURER 45. MODEL BARREL LENGTH 45. CALIBERIGAUGE (E 03 SHOTGUN I: 07 OTHER ggmmawms INDUSTRIAL P226 3INCH 9 MM 5 49, TASER DART In no. ERIAL No. (Induce Laue?) . CHICAGO GUN REG. NO. 52. IL FIREARM OWNER ID. NO. 53. HANDGUN CERTIFICATE No. 2 2 54. SPECIAL WEAPON CERTIFICATE NO. 55. PROPERTY INVENTORY NO. SB. TYPE OF AMMUNITION USED 57.NO. OF WEAPONS DISCHARGED BY 53. TOTAL NO. OF SHOTS MEMBER 2 I Department Issued THIS MEMBER. 1 FIRED 6 59. WHO FIRED FIRST SHOT OTHER (SPECIFY) Bo. WAS FIREARM RELOADED 51. NO OF CATDRIDGESI az. How WAS HANDGUN WORN 93 OTHER (5mm 3 3 DURING INCIDENT SHOT SHELLS A MEMBER 02 OFFENDER [j 01 ((55 02 No RELOADED 8 SI RT. SIDE (WAIST) [j LT. SIDE (WAIST) - 53. How WAS MEMBER-s HANDGUN DRAWN [i 03 OTHER (Specify) - SPECIFY USED TO RELOAD SS. DID MEMBER USE SIGHTS 8 2 STRONG SIDE DRAW [j 02 CROSS DRAW as. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES. DOORWAYS. CAR. FURNITURE. ETC) DISTANCE BETWEEN INVOLVED MEMBER a. OFFENDER WHEN FIRST SHOT WAS FIRED 0? NONE Ci 0205-10Fl'. [j (MOVER15FT. BB. PERSONIDBJECT STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON 59. POSITION OF MEMBER DISCHARGING WEAPON STANDING [i 02 LYING DOWN CD 01 PERSON 02 OBJECT 03 BOTH 04 UNKNOWN 03 SITTING 04 KNEELING 05 OTHER (SPECIFY) 72. NOTIFICATIONS (00 OR TASER INCIDENT): OEMC 038 81 LTJDIST. OF OCCUR. CPIC 3, .U ?m4 o' NOTIFICATIONS (FIREARM INCIDENT): (g OEMC 0F OCCUR x. 0cm CPIC IZI DET. DIVMembers ensure that all reqUIred nOtI?cations and all Witnesses to this use Of force are documented In the apprOpIate case report. 5 73. REPORTING MEMBER (Print Name) STARIEMPLOYEE NO. SIGN a, CORONA, GUSTAVO 8159 03-APR-201 5 23:39:41 ?3 3 . . . Reviewing supervisor ensure the Iegibility and completeness Of thIS report and attest by enterIng the TeqUIred Information below. ?0 a) 7-1. REVIEWING SUPERVISOR (Print Name) STAR NO. SIGN RE DATE REVIEWED TIME 6 RYLE, MICHAEL 418 03-APR-2015 23:40:52 71 1 LIEUTENANT OR REVIEW THE ON-OALL INCIDENT COMMANDER (CCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTs INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT MEMBER: 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBSEOUENT To INTERACTIONS WITH A DEPARTMENT 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. 75. SUBJECTS STATEMENT REGARDING THE use OF FORCE DNA [3 REFUSED I: UNABLE To INTERVIEW (Spedfy Reason) Animal Destruction 78. LIEUTENANT OR ABOVEIOCIC RATIONALE FOR BOX 77 FINDING Based upon the Information available at the time of this report. it Is the preliminary determination of the undersigned the Of?cer Corona. Gustavo #8159 acted In oompiiance with Department policy. Of?cer Corona #8159 ?red his Weapon in fear for his life after a vicious pit bull charged towards him attempting to bite him thus placing him in fear of his life. Log#1074523 77. LIEUTENANT OR FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: 8 I HAVE CONCLUDED THAT THE ACTIONS I HAVE CONCLUDED THAT FURTHER INVESTIGATION IS REQUIRED. WERE IN COMPLIANCE WETH DEPARTMENT PROCEDURES AND DIRECT IVES. LOG 1 074523 OBTAINED 75. LIEUTENANT OR ABOVEIOCIC (Print Name) SIGNATURE DATE COMPLETED TIME ALEXANDER, DANA 04-APR-2015 00:06:33 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET. INCLUDING THE TRR AND COPIES OF THE. BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. - 0F: SUPPLEMENTARY REPORT El I.O.D. REPORT no. TOTAL TRR's THIS EVENT No. [3 CASE REPORT OFFICER BATTERY REPORT CR INITIATION REPORT 2 ARREST REPORT [3 TO-FROM-SUBJEGT REPORTS FROM DEPARTMENT WITNESSIESI TACTICAL RESPONSE Police Department 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE 3. LOCATION CODE 03-APR-2015 20:09:00 5N AVERS AVE Apt 1ST CHICAGO, IL 60651 290 1112 a: 5. POSITION B. LAST NAME 7. FIRST NAME 3. STAR NO. B. SE): 10. RACE CODE 119171 SANCHEZ ALEJANDRO 2141 E01 506 200 5 14. DATE OF APPT. 15. EMPLOYEE NO. 15. UNIT BEAT OF ASSIGNMENT 17. DUTY STATUS IB. MEMBER 19. MEMBER IN ll! 5 16-DEC-1991 189 6245 gm On 02 D1YBS 02 NO D01 Yes 02 No 20- LAST NAME 21. FIRST NAME 22. MI eat 24. RACE 25. DOBADDRESS 29. TELEPHONE NO. 30. WAS SUBJECT 31. SUBJECT :12. SUBJECT ALLEGED )n-E DMYOS Dawn [java-Ia Dow? as. WHERE WAS MEDICAL TREATMENT 34. BY 35. CONDITION El 01 Amaranth, Nam; 02 Under ,nnuam I: 03 Hospitailzad [j 04 Not Hospitalized DE Refused Medical Aid as. CHARGES PLACED DNA 37. ca IR NO. DNA 38. PASSIVE REGISTER ACTIVE REBISTER ABINLANT: DEADLY FORCE DID NOT FOLLOW USES FORCE LIKELY T0 DNA VERBAL DIRECTION CI FLED ATTACK WITH WEAPON CAUSE DEATH OR I: 2 GREAT BODILY HARM STIFFENED ATTACK WITHOUT Ii 5 (pm WEIGHT) PULLED AWAY [3 OTHER WEAPON WEAPON a OTHER OTHER OTHER OTHER u. 3 MEMBER PRESENCE OPEN HAND STRIKE ELBOW STRIKE KNEE STRIKE FIREARM n- VERBAL COMMANDS TAKE DOWN I EMERGENCY ESCORT HOLDS El CLOSED 0 '5 In CANINE D. ARMBAR IMPACT WEAPON a: I: TASER (Prune Discharge) (Camus In Box 411) IMPACT MUNITION PRESSURE SENSITIVE AREAS (Danube In Box 40) 9? TASER (ConIacI SIun) a, CONTROL INSTRUMENT a 5 OCICHEMICAL WEAPON TASER Emma) TASER (Spark OTHER OTHER OTHER 39. - OCICI-IEMICAL WEAPON AUTHORIZED BY (NAME) 40. ADDITIONAL INFORMATION DESTRUCTION OF ANIMAL DNA TOSITION STAR NO. UNIT '2 41. WEAPON TYPE SEMI-AUTO 42. INCIDENT OCCURRED 4a. LIGHTING CONDITIONS Damn. 44. WEATHER CONDITIONS 5 01 REVOLVER El 05 CHEMICAL WEAPON Indoors Outdoors "2 03 CLEAR 05 as Good 02 RIFLE as TASER (Probe DIsanrga) 45. MAKEIMANUFACTURER 45. MODEL 47. BARREL LENGTH 45. CALIEERIGAUGE n: as SHOTGUN or OTHER X045 4 0 45 ACP . 5 4B. TASER DART ID NO. . SERIAL No. (IncImIa Letters) 51. CHICAGO GUN REG. No. 52. IL FIREARM OWNER ID. NO. 53. HANDGUN CERTIFICATE NO. 2 54. SPECIAL WEAPON CERTIFICATE NO. 55. PROPERTY INVENTORY NO. 53. TYPE OF AMMUNITION USED 57.ND. OF WEAPONS DISCHARGED BY SB. TOTAL NO. OF SHOTS MEMBER 2 Department Issued THIS MEMBER. 1 FIRED 5 59. WHO FIRED FIRST SHOT [303 OTHER (SPECIFY) Bo. WAS FIREARM RELOADED BI. NO OF CATDRIDGESI 62. HOW WAS HANDGUN WORN Clea OTHER (SpacIIy) a DURING INCIDENT SHOT SHELLS A 01 MEMBER El 02 OFFENDER 01755 02 ND RELOADED 01 RT. SIDE (WAIST) 02 LT. SIDE (WAIST) 0' . ea. HOW WAS HANDGUN DRAWN 03 OTHER (5mm) . SPECIFY USED To RELOAD SE. DID MEMBER USE SIGHTS 8 2 $01 STRONG SIDE DRAW El 02 CROSS DRAW 56. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES, DOORWAYS. CAR. FURNITURE, ETC) ET. DISTANCE BETWEEN INVOLVED MEMBER a. OFFENDER WHEN FIRST SHOT WAS FIRED 0' NONE [3 0205-1GFT. 0310-15FT. 88. PERSONIOBJECT STRUCK AB RESULT OF THE DISCHARGE OF MEMBERS WEAPON 69. POSITION OF MEMBER DISCHARGINB WEAPON 01 STANDING 02 LYING [3 D1 PERSON 02 OBJECT 03 BOTH 04 UNKNOWN as SITTING El 04 KNEELING 05 OTHER (SPECIFY) L. 72. NOTIFICATIONS (06 OR TASER INCIDENT): OEMC D38 LTJDIST. OF OCCUR. CPIC a, a NOTIFICATIONS (FIREARM INCIDENT): (g OEMC OCCUR KI CPIC IXJ DET. DIVMembers ensure that reqUIred notI?catlons and all WItnesseS to thIS use Of force are documented In the approplate case report. a 73. REPORTING MEMBER (Print Name) STARIEMPLOYEE NO. SIGNATURE SANCHEZ, ALEJANDRO 2141 to 03-APR-2015 23:34:10 01 Reviewing supervisor will ensure the legibllity and compieteness Of this report and attest by entering the required informatIon below. 5 74. REVIEWING SUPERVISOR Name) STAR N0. SIGNATURE DATE REVIEWED TIME (T) RYLE, MICHAEL 418 03-APR-2015 23:39:13 LIEUTENANT OR ABOVEIOCIC REVIEW THE ON-CALL INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBSEOUENT TO INTERACTIONS WITH A DEPARTMENT 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. Ts. SUBJECTS STATEMENT REGARDING THE USE OF FORCE K4 DNA REFUSED Animal destruction UNABLE To INTERVIEW (Specify Reason) 7B. LIEUTENANT OR RATIONALE FOR BOX 77 FINDING Based upon the information available at the time of this report. it is the preliminary determination Of the undersigned that Sgt. Sanchez. Alejandro #2141 acted in compliance with Department policy. Sgt. Sanchez #2141 ?red his weapon in fear for his life after vicious buil charged towards him attempting to bite him thus placing him in fear of his life. Log#1074523. 77. LIEUTENANT OR FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: I HAVE CONCLUDED THAT THE MEMBERS ?7 El I HAVE CONCLUDED THAT FURTHER is REOUIRED. WERE iN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. Loe NOJCRNO, 1074523 OBTAINED 78. LIEUTENANT OR ABOVEIOCIC (Print Name) SIGNATURE DATE COMPLETED TIME ALEXANDER, DANA 03-APR-2015 23:55:25 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET. INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS PHOTOCOPIEs 0F: SUPPLEMENTARY REPORT [j I.0.D. REPORT an. TOTAL THIS EVENT No. 1] CASE REPORT OFFICER BATTERY REPORT . CR INITIATION REPORT 2 i] ARREST REPORT [3 REPORTS FROM DEPARTMENT WITNESSIES) TACTICAL RESPONSE Police Department 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE 3. LOCATION CODE 4. 5131mm?? 14-APR-2015 20:22:00 1.1V 58TH ST CHICAGOI IL 60621 303 0711 I: 7. FIRST NAME 3. STAR ND. 9. SEX 1D. RACE CODE 12. HT. 13. WT. 3 JAMES 6880 EDT [:02 WHI 1972 508 195 14. DATE OF APPT. 15. EMPLOYEE NO. 16. UNIT a. BEAT CF ASSIGNMENT 17. DUTY STATUS 13. MEMBER 19. MEMBER IN Lu 2 13-DEC-1999 006 57563 >14 01 On I: 020i20. LAST NAME 21. FIRST NAME 22. MI. 23. SH 24. RACE - 25. DOB23' ADDRESS 29. TELEPHONE No. 30. WAS SUBJECT 31. SUBJECT 32. SUBJECT ALLEGED 1?2 : 01Yaa : ozNo EIMYBS Down Dawes DDZNO . 33. WHERE WAS MEDICAL TREATMENT 34. BY 35. CONDITION Appamnw Nam, 02 Under Imam I: 03 Haspltallzad 04 Not HosplIBlized I: as Refused a; as. CHARGES PLACED DNA 37- CB No? DNA as. PASSIVE RESIBTER ACTIVE RESISTER FORGE >14 DID NOT FOLLOW USES FORCE LIKELY To DNA a, VERSAL DIRECTION FLED I: ATTACK WITH WEAPON I: CAUSE on Lu 0 2 GREAT BODILY HARM STIFFENED ATTACK WITHOUT (DEAD WEIGHT) I: PULLED AWAY OTHER WEAPON WEAPON In a OTHER OTHER OTHER OTHER u. 3 MEMBER PRESENCE OPEN HAND STRIKE ELBOW STRIKE I: KNEE STRIKE I: FIREARM a VERBAL COMMANDS TAKE DOWN I EMERGENCY HANDCUFFING CLOSED HAND 3 RI . ESCORT HOLDS n: .6 OC CHEMICAL WEAPON OTHER 8 5 In no. ARMBAR mm? IMPACT WEAPON TASER (Pram Discharge) (Danube In as, 4D, I: IMPACT MUNITION PRESSURE SENSITIVE AREAS El (Dsamba 30* 40) n: TASER SIun) a, CONTROL INSTRUMENT a 5 OCIGHEMICAL WEAPON TASER (LaBerTargetedI WIAUTHORIZATION TASER (Spark [3 OTHER OTHER OTHER 2 WEAPON DISCHARGE INCIDENT OCICHEMICAI. WEAPON AUTHORIZED BY (NAME) 40. ADDITIONAL INFORMATION DOG. IPOSITION STAR NO. UNIT FIRED AT A DOG TO PREVENT INJURY TO RIO. RIO DID NOT STRIKE ATTACKING 4a. LIGHTING CONDITIONS Daylight 02 03 Dawn 04 Dusk 05 Poor Arti?cial as Good 41. WEAPON TYPE 42. INCIDENT OCCURRED Indoors Outdoors 04 SEMI-AUTO PISTOL as CHEMICAL WEAPON 44. WEATHER CONDITIONS [1 01 REVOLVER CLEAR I 02 RIFLE 03 SHOTGUN DB TASER (Probe r' 4a. CALIBERIGAUGE QMM 46. MODEL 17 47. BARREL LENGTH or OTHER 5.5 45. MAKEMANUFACTURER CLOCK, 49. TASER DART ID NO. 51. CHICAGO GUN REG. NO. 52. IL FIREARM OWNER ID. NO. SERIAL No. Letters) 53. HANDGUN CERTIFICATE NO. 54. SPECIAL WEAPON CERTIFICATE NO. 55. PROPERTY INVENTORY No. SS. TYPE OF AMMUNITION USED ST.NO. EAPDNS DISCHARGED BY 5B. TOTAL No. OF SHOTS MEMBER Department Issued THIS MEMBER. 1 FIRED 3 59. WHO FIRED FIRST SHOT omen (SPECIFY) Bu. WAS FIREARM RELOADED 61. No OF CATDRIDGESI 32. Row WAS MEMBER-S HANDGUN WORN (393 omen (Spam) 3 DURING INCIDENT SHOT SHELLS A 01 MEMBER 02 OFFENOER E) 01 YES 02 ND RELOADED 01 RT. SIDE (WAIST) 02 LT. SIDE (WAIST) a. 63' WAS HANDGUN DRAWN CI 03 OTHER (Specify) . SPECIFY USED TO RELOAC DNA 35. DID MEMBER USE SIGHTS 3 801 STRONG SIDE DRAW D2 CROSS DRAW YES 02 NO .h '0 .2 SB. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES. DOORWAYS. CAR. FURNITURE, ETC) 67. DISTANCE BETWEEN INVOLVED MEMBER II OFFENDER WHEN FIRST SHOT WAS FIRED .h NONE D10-OSFT. 0310-15FT. MOVERISFT. 3 BB. PERSONIOBJECT STRUGK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON 89. POSITION OF MEMBER DISCHARGING WEAPON o1 STANDING 02 LYING DOWN O) [j 01 PERSON El 02 OBJECT as BOTH 04 UNKNOWN 03 SITTING 04 KNEELING [j 05 OTHER (SPECIFY) 72. NOTIFICATIONS (OC OR TASER INCIDENT): OEMC DSS LT.IDIST. 0F OCCUR. CPIC F, I3 NOTIFICATIONS (FIREARM INCIDENT): IE OEMC DSSIDIST. 0F OCCUR OCIC CPIC [2 DH. DIVMembers ensure that all reqUIred notI?catIons and all WItnesseS to Ms use of force are documented In the appropIate case report. 73. REPORTING MEMBER Name) STARIEMPLOYEE NO. SIGNATURE a; WYNN. JAMES 6880 14-APR-2015 22:12:49 Reviewing supervisor will ensure the legibility and completeness of this report and attest by entering the required informatlon below. a 5 T4. REVIEWING SUPERVISOR Name) STAR No. SIGNATURE DATE REVIEWED TIME TIRADO, JOSE 1042 14-APR-201 5 22:14:08 W7) LIEUTENANT OR REVIEW THE ON-CALI. INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT MEMBER: 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBSEOUENT TO INTERACTIONS WITH A DEPARTMENT MEMBER: 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER 75. SUBJECTS STATEMENT REGARDING THE USE OF FORCE Ki DNA Animal Destruction REFUSED [j UNABLE TO INTERVIEW (Spec-w Reason) 78. LIEUTENANT OR RATIONALE FOR BOX 77 FINDING Based on the facts recieved at the time of this report. It is the preliminary determination of the undersigned that Of?cer WYNN. James #6880 acted In compliance with Department policy. Of?cer discharged his weapon at a vicious dog after the dog charged at him placing him in fear of being injured. ch# 1074632 77. LIEUTENANT OR ABOVEIOCIC FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: 8 I HAVE CONCLUDED THAT THE ACTIONS I HAVE CONCLUDED THAT FURTHER INVESTIGATION IS REQUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG NOJCRNO, 1074682 OBTAINED Ta. LIEUTENANT 0R ABOVEIOCIC (Print Name) SIGNATURE DATE COMPLETED TIME RUIZ, 14-APR-2015 22:27:07 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET, INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS . PHOTOCOPIES OF: SUPPLEMENTARY REPORT Ion. REPORT an. TOTAL THIS EVENT NO. use REPORT [3 OFFICER BATTERY REPORT [3 CR INITIATIDN REPORT 1 ARREST REPORT TO-FROM-SUBJECT REPORTS FROM DEPARTMENT WITNESSES) TACTICAL RESPONSE Police Department 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE 3. LOCATION CODE 4'1. 551755? 26-APR-2015 I 10:16:00 S?s EWING AVE CHICAGO, IL 60617 092 0432 n: 5. POSITION 0. LAST NAME 7. FIRST NAME 0. STAR NO. 0. BEN 10. RACE CODE 119171 RAFFERTY MICHAEL 1955 01 DOZF WHI 1963 511 180 5 14. DATE OF APPT. 16. EMPLOYEE NO. 16. UNIT 0. BEAT OF ASSIGNMENT 17. DUTY STATUS 16. MEMBER 19. MEMBER IN 5 17-Nov-1986 004 0430 E61 20. LAST NAME 21. FIRST NAME 22. MI. 23. 24. RACE 25. DOB26. ADDRESS 20. TELEPHONE NO. 30. WAS SUBJECT 31. SUBJECT 32. SUBJECT ALLEGED (.5 [1mm : 02Nn : 01Yes Dom: Elana: [:0an 8 33. WHERE WAS MEDICAL TREATMENT 34. BY as. CONDITION ApparantIy Normal 02 Under In?uence -a 03 Hospltallmd 04 Not 05 Refused Aid 2 tn 36. CHARGES PLACED . DNA 37- GB No- DNA 33. PASSIVE RESISTER AGTIVE RESIBTER MSNLANTIASSAULT AISNLANTIBATTERY ASBNLANTIDEADLY FORCE K4 DID NOT FOLLOW USES FORCE LIKELY To DNA a, VERBAL DIRECTION FLED [j ATTACK WITH WEAPON CAUSE DEATH 0R Lu 0 2 GREAT BODILY HARM STIFFENED ATTACK WITHOUT a (DEAD WEIGHT) CI PULLED AWAY OTHER WEAPON WEAPON CI '33 a ?1 OTHER OTHER OTHER OTHER D. 3 MEMBER PRESENCE OPEN HAND STRIKE a ELBOW STRIKE I: KNEE STRIKE FIREARM 9- VERBAL COMMANDS El TAKE DOWN I EMERGENCY I: CI. to HANDCUFFING CLOSED HAND 3 cu . ESCORT HOLDS STRIKEPUNCH 3 OTHER ?a WRISTLOCK OC CHEMICAL WEAPON KICK 2 ARMBAR CANINE IMPACT WEAPON TASER (the Discharge) (Describe In Box 40) IMPACT MUNITION Lu PRESSURE SENSITIVE AREAS (993mm 50* 40) ?5 TASER CO I :1 SI "3 3 CONTROL INSTRUMENT I a 5 OCICHEMICAL WEAPON TASER TASER (Spark OTHER OTHER OTHER WEAPON AUTHORIZED BY (NAME) SCI-E POSITION STAR NO. UNIT 40. ADDITIONAL INFORMATION PITBULL WAS CHARGING AT RIS IN AN AGGRESSIVE MANNER, WITH TEETH BARED AND GROWLING. 41. WEAPON TYPE 04 SEMI-AUTO PISTOL 01 REVOLVER 02 RIFLE [j 03 SHOTGUN I: 05 CHEMICAL WEAPON [j 06 TASER (Probe I: 0? OTHER 42. INCIDENT OCCURRED 43. LIGHTING CONDITIONS Day?ghl 44. WEATHER CONDITIONS Indoors omdom 02 Night [3 0:1 Dawn 04 Dusk CLEAR {3 05 08 Good Arti?cial 45. MAKEIMANUFACTURER 46. MODEL BARREL LENGTH 46. CALIBERIGAUGE ARMB USED BY 4 49. TASER DART ID NO. . WEAPON SERIAL No. (Induda Letters) '51. CHICAGO GUN REG. NO. '52. IL FIREARM OWNER ID. NO. 53. HANDGUN CERTIFICATE NO. WEAPON DISCHARGE INCIDENT 54. SPECIAL WEAPON CERTIFICATE NO. 66. PROPERTY INVENTORY NO. 66. TYPE OF AMMUNITION USED 57.NO. CF WEAPONS DISCHARGED SY 56. TOTAL No. OF SHOTS MEMBER THIS MEMBER. 1 FIRED 1 59. WHO FIRED FIRST SHOT [j 03 OTHER (SPECIFY) 60. WAS FIREARM RELOADED 01. NO OF CATDRIDGESI 62. How WAS HANDGUN WORN 03 07,45); (spam, 3 DURING INCIDENT SHOT SHELLS 01 MEMBER CI 02 OFFENDER El 01 YES 02 NO RELOADED 01 RT. SIDE (WAIST) [3 02 LT. SIDE (WAIST) 53. HOW WAS MEMBERS HANDGUN DRAWN 03 OTHER (Specify) spEc Fy USED To RELOAD DNA 66. DID MEMBER USE SIGHTS 2 801 STRONG SIDE DRAW 02 CROSS DRAW 66. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES. DCORWAYS. CAR. FURNITURE. ETC) 67. DISTANCE BETWEEN INVOLVED MEMBER OFFENDER WHEN FIRST SHOT WAS FIRED a NONE 010-05FT. 0205-10FT. [j 0310-15FT. [j 040VER15FT. 3 Ba. PERSONIOBJECT STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON 69. POSITION OF MEMBER DISCHARGING WEAPON 01 STANDING 02 LYING DOWN 01 PERSON oz OBJECT [j 03 BOTH 04 UNKNOWN [3 03 SITTING 04 KNEELING 05 OTHER (SPECIFY) .. 72' NOTIFICATIONS (0C OR TASER INCIDENT): OEMC [3 D88 8: LT.IDIST. OF OCCUR. CPIC in o' NOTIFICATIONS (FIREARM INCIDENT): [g OEMC OF OCCUR OCIC CPIC IE DEF. DIV. 5 LI. - 5 5 Members will ensure that all required noti?cations and all witnesses to this use of force are documented in the appropiate case report. 5 TS. REPORTING MEMBER Name) STARIEMPLOYEE NO. SIGNATURE a RAFFERTY, MICHAEL 1956 a, a '2 Reviewing supervisor will ensure the and completeness Of this report and attest by entering the required information below. a 6 74. REVIEWING SUPERVISOR (PrintName) STAR No. DATE REVIEWED TIME (7) CAKES, KEVIN 178 26-APR-2015 12:34:1 7 71 LIEUTENANT OR ABOVEIOCIC REVIEW THE ON-CALL INCIDENT COMMANDER (OGIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBSEOUENT TO INTERACTIONS WITH A DEPARTMENT MEMBER: 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. 75. SUBJECTS STATEMENT REGARDING THE USE OF FORCE DNA REFUSED UNABLE TO INTERVIEW (Specify Reason) TB. LIEUTENANT CR ABDVEIOCIC RATIONALE FOR BOX 77 FINDING Member responded a Single In order to thwart the dog?s attack. IPRA Notification: Lyons, #123. 1220 hrs. Noti?catlon #1074863 77. LIEUTENANT OR ABDVEIOCIC FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: HAVE CONCLUDED THAT THE MEMBERS ACTIONS I HAVE CONCLUDED THAT FURTHER INVESTIGATION Is REQUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG NOJCRNO. OBTAINED TB. LIEUTENANT OR ABOVEIOCIC (Prnt Name) SIGNATURE DATE COMPLETED TIME CAKES, KEVIN 26-APR-201 5 12:38:01 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET. INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS - PHOTOCOPIES OF: SUPPLEMENT-ARV REPORT [3 Lou. REPORT 30. TOTAL THIS EVENT NO. CASE REPORT OFFICER BATTERY REPORT CR INITIATION REPORT 1 [j ARREST REPORT CI TO-FROM-SUBJECT REPORTS FROM DEPARTMENT WITNESSES) TACTICAL RESPONSE Police Department 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE 3. LOCATION CODE 3. 55175350! 19-APR-2015 21:27:00 5 HONORE ST CHICAGO. IL 60636 290 0714 a: a 5. POSITION 0. LAST NAME 7. FIRST NAME 0. STAR No. a. 10. RACE CODE 119161 HAMILTON JANELLE 12141 E02 BLK 980 507 150 14. DATE OF APPT. 15. EMPLOYEE NO. 10. UNIT a BEAT OF ASSIGNMENT 17. DUTY STATUS 1a. MEMBER 1S. MEMBER IN 28-APR-2008 106136 139 6225C 01 On 02 on 01Yu 02 No I 02 No '20. TNAME 21. FIRST NAME 22. MI. 23. SEX 24. RACE 25. DOB20. TELEPHONE NO. 30. WAS SUBJECT 31. SUBJECT INJU 32. SUBJECT ALLEGED I 5 30. WHERE WAS MEDICAL TREATMENT 34. BY .C NDITIDN 5? as. CHARGES PLACED DNA 37, ca IR NO. DNA 38. PASSIVE RESIBTER ACTIVE RESIBTER ASBAILANTIABBAHLT ASSNLANT: BATTERY ASSNLANTIDEADLY FORCE DID NOT LOW (El ?0 a, VERBAL DIRECTION El FLED g??r?g?em CI ATTACK WEAPON To - 2 GREAT BODILY HARM STIFFENED (DEAD WEIGHT) I: OTHER a OTHER OTHER OTHER OTHER u. 3 MEMBER PRESENCE I: OPEN HAND STRIKE El ELBOW STRIKE El KNEE STRIKE FIREARM a a VERBAL COMMANDS TAKE DOWN I EMERGENCY HANDCUFFING CLOSED HAND ID . a a ESCORT HOLDS on CHEMICAL WEAPON STRIKEPUNCH [j KICKS OTHER 0 5 CANINE u. o. ARMBAR I: IMPACT WEAPON U) snub I 40 IMPACT MUNITION PRESSURE SENSITIVE AREAS E, I a I lDaac?bafn 80:40) 8 CONTROL INSTRUMENT CI TASER Immac'smm a 5 OCICHEMICAL WEAPON CI TASER WMUTHDRIZATION TASER (Spark Displayed) OTHER 39_ - OCICHEMICAL WEAPON AUTHORIZED BY (NAME) 40. ADDITIONAL INFORMATION [3 DURING THE EXECUTION OF SEARCH WARRANT 15SW5529, DNA JANELLE HAMILTON #12141 DISCHARGED HER DUTY POSITION STAR WEAPON AT A PITBULL THAT RAN AT HER AS SHE OPENED A BEDROOM DOOR. THE ANIMAL RECEIVED SUPERFICIAL WOUNDS AND RAN OFF. 41. WEAPON TYPE 04 SEMI-AUTO PISTOL 01 REVOLVER CI 02 RIFLE 03 SHOTGUN 07 OTHER 05 CHEMICAL WEAPON 00 TASER (Probe 42. ENCIDENT OCCURRED Indoors Outdoors 8 02 43. LIGHTING CONDITIONS 03 Dawn [3 MDUSII El 05 PDorArlIfIcIBl 01 05 Good 44. WEATHER CONDITIONS RAIN 45. MAKEIMANUFACTURER CLOCK. 42 40. MODEL 47. BARREL LENGTH 30! 46. CALIBEFUGAUGE 380 ACP 49. TASER DART ID NO. 54. SPECIAL WEAPON CERTIFICATE NO. 5 . WEAPON SERIAL ND. Ilnclude Lauars) 55. PROPERTY INVENTORY NO. 51. CHICAGO GUN REG. NO. I 56. TYPE OF AMMUNITION USED 52. IL FIREARM OWNER ID. NO. 53. HANDGUN CERTIFICATE NO. SING. OF WEAPONS DISCHARGED BY 56. TOTAL NO. OF SHOTS MEMBER WEAPON DISCHARGE INCIDENT A THIS MEMBER. 1 FIRED 1 50. WHO FIRED FIRST SHOT 03 OTHER (SPECIFY) 50. WAS FIREARM RELOADED 51. No OF CATDRIDGESI 02. How WAS HANDGUN WORN (303 OTHER (5pm,) 3 DURING INCIDENT SHOT SHELLS 01 MEMBER 02 OFFENDER 01 YES 3 02 NO RELOADED 01 RT. SIDE (WAIST) 02 LT. SIDE (WAIST) 53. HOW WAS HANDGUN DRAWN 03 OTHER (Spaclfy) . SPECIFY METHOD-EQUIPMENT To RELOAD 65. DID MEMBER USE SIGHTS 3 01 STRONG SIDE DRAW El 02 CROSS DRAW 66. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES. DOORWAYS. CAR. FURNITURE. ETC) DISTANCE BETWEEN INVOLVED MEMBER A OFFENDER WHEN FIRST SHOT WAS FIRED DNA a 010-05FT. 0205-10FT. 0310-15FT. [j 68. PERSONIDBJECT AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON BB. POSITION OF MEMBER DISCHARGING WEAPON 01 STANDING 02 LYING DOWN ?9 01 PERSON 02 OBJECT 03 BOTH 04 UNKNOWN 03 SITTING 04 KNEELING 05 OTHER (SPECIFY) .. 72? NOTIFICATIONS (CC OR TASER INCIDENT): OEMC DSS LTJDIST. OF OCCUR. CPIC - "m4 NOTIFICATIONS (FIREARM INCIDENT): [g OEMC OCCUR a. 001:; CPIC IZI DET. DIV. Members ensure that all requ1red noti?catlons and all WItnesses to thIs use Of force are documented In the appropiate case report. 5 73. REPORTING MEMBER (Print Name) STARIEMPLOYEE NO. SIGNATURE HAMILTON, JANELLE 12141 O, 20-APR-2015 00:00:43 a 3 - Revlewing supervlsor will ensure the legibility and completeness of this report and attest by entering the required Information below. 74. REVIEWING SUPERVISOR Name) STAR NO. RE DATE REVIEWED TIME F) AVERY, VINCENT 1354 20-APR-2015 00:01:37 7? . LIEUTENANT OR ABOVEIOCIC REVIEW THE ON-CALL INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INOIDENTB INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT MEMBER: 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBSEQUENT TO INTERACTIONS WITH A DEPARTMENT MEMBER: 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATINO SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. 15. SUBJECTS STATEMENT REGARDING THE use OF FORCE DNA UNABLE TO INTERVIEW (Specify Reason) I Animal shooting. TB. LIEUTENANT OR ABOVEJOCIC RATIONALE FOR BOX 77 FINDING Based on the preliminary Investigation at the time of this report. it is the determination Of the Undersigned that Officer Janelle HAMILTON #12141 acted in compliance with Department policy. Of?cer Hamilton discharged her weapon at a Vlclous dog striking same after the dog charged at Of?cer Hamilton. thus piecing her in fear Of herlife. Log #1074761 77. LIEUTENANT DR FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: I HAVE CONCLUUED THAT THE ACTIONS I HAVE CONCLUDED THAT FURTHER INVESTIGATION Is REQUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG NOJCRNO. 1074761 OBTAINED Ta. LIEUTENANT OR AEOVEIOCIO Name) SIGNATURE DATE COMPLETED TIME ALEXANDER, DANA 20-APR-2015 00:06:10 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKETI INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDEO TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS- PHOTOCOPIES OF: SUPPLEMENTARY REPORT I.O.O. REPORT so. TOTAL TRR's THIS EVENT NO. CASE REPORT El OFFICER BATTERY REPORT [1 CR REPORT 1 [j ARREST REPORT REPORTS FROM DEPARTMENT WITNESSIEs) TACTICAL RESPONSE Police Department *7 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE 3. LOCATION CODE 355517355?: 20-APR-2015 I 17:50:00 61. WINCHESTER AVE CHICAGO, IL 60636 200 0714 I: a 5. POSITION 6. LAST NAME 7. FIRST NAME 6. STAR NO. 9. SH 10. RACE CODE 11BROWN ERIC 15572 $01 WHI 972 511 202 16. DATE OF APPT. 15. EMPLOYEE NO. 16. UNIT 6 BEAT OF ASSIGNMENT 17. DUTY STATUS 1B. MEMBER . MEER IN 21-FEB-2006 007 0712 $01 On 020121. FIRST NAME . ML 23. SE): 24. RACE 25. DOB26. ADDRESS 20. TELEPHONE NO. 30. WAS SUBJECT 31. SUBJECT 32. SUBJECT ALLEGED (-2 : 01Yes [jazNo : 01Yas [:0an 03. WHERE WAS MEDICAL TREATMENT 04. BY 35. CONDITION Aware?, Nam, 02 Under In?uence .3 03 Hoapltallzad 04 N61 05 Refused MedlcaI Aid a: 30. CHARGES PLACED DNA 3735 IR No. DNA 38. PASSIVE REBISTER ACTIVE REGISTER ASSNLANTHJEADLY FORGE CI DID NOT FOLLOW USES FORCE LIKELY TD DNA VERBAL DIRECTION FLED ISIILMANENETSIREAT ATTACK WITH WEAPON CAUSE DEATH OR 2 GREAT BODILY HARM STIFFENEO ATTACK WITHOUT a (DEAD WEIGHT) PULLEO AWAY OTHER WEAPON WEAPON CI 0 a ?1 OTHER OTHER OTHER OTHER U. MEMBER PRESENCE OPEN HAND STRIKE ELBOW STRIKE KNEE 5mm; FIREARM D- VERBAL COMMANDS TAKE DOWN EMERGENCY D- In HANDCUFFING CLOSED HAND 3 . ESCORT HOLDS OTHER ?a El 2 WRISTLOCK CC CHEMICAL WEAPON KICKS I: ARMBAR El CANINE IMPACT WEAPON '5 ?0 TASER (Probe Discharua) mm? IMPACT u.l PRESSURE SENSITIVE AREAS New?! in 30* 40) TASER Slun) a, CONTROL INSTRUMENT f, OCICHEMIOAL WEAPON TASER ?mm? TASER (Spark DISpIayed) El OTHER OTHER OWE-R WEAPON DISCHARGE INCIDENT OCICHEMICAL WEAPON AUTHORIZED BY (NAME) I POSITION STAR NO. UNIT 40. ADDITIONAL INFORMATION WEAPON DISCHARGE TO DESTROY DOG. 41. WEAPON TYPE 01 REVOLVER El 02 RIFLE 03 SHOTGUN 07 OTHER 04 SEMI-AUTO PISTOL 05 CHEMICAL WEAPON 06 TASER (PI-aha Discharge) Indoors 42. INCIDENT OCCURRED [j 02 05 Outdoors 43. LIGHTING CONDITIONS 44. WEATHER CONDITIONS CLEAR 8 01 DByIIghl 03 Dawn mom 06 Good 45. MAKEIMANUFACTURER SIGIS. l. INDUSTRIAL EZ- P226 43. MODEL 47. BARREL LENGTH 4.5" 48. CALIBERIGAUGE 49. TASER DART ID NO. W. (Include Letters) '51. CHICAGO GUN REG. NO. 53. HANDGUN CERTIFICATE NO. '52. II. FIREARM OWNER ID. NO. 64. SPECIAL WEAPON CERTIFICATE NO. 55. PROPERTY INVENTORY NO. 56. TYPE OF AMMUNITION USED 67.NO. OF WEAPONS DISCHARGED BY 50. TOTAL NO. OF SHOTS MEMBER Department Issued THIS MEMBER. 1 FIRED 1 59. WHO FIRED FIRST SHOT D03 OTHER (SPECIFY) 60. WAS FIREARM RELOADED 61. NO OF CATORIDGESI 62. HOW WAS HANDGUN WORN [j 93 OTHER (Specify) 3 DURING INCIDENT SHOT SHELLS A 01 MEMBER 02 OFFENDER 01 YES 02 No RELOADED 01 RT. SIDE (WAIST) 02 LT. SIDE (WAIST) 63. How WAS HANDGUN DRAWN 03 OTHER (SpacIry) - SPECIFY USED TO RELOAD SS. DID MEMBER USE SIGHTS 801 STRONG SIDE DRAW El 02 CROSS DRAW 01 YES 02 No .2 66. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES, DOORWAYS. CAR. FURNITURE. ETC) 67. DISTANCE BETWEEN INVOLVED MEMBER OFFENDER WHEN FIRST SHOT WAS FIRED A NONE 010-05FT. [j 0205-10FT. 0310-15FT. S: 66. PERSONIOBJECT STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON 09. POSITION OF MEMBER DISCHARGING WEAPON STANDING [j 02 LYING DOWN 01 PERSON 02 OBJECT 03 BOTH UNKNOWN 03 STITING 04 KNEELING El 05 OTHER (SPECIFY) E. 72 NOTIFICATIONS (0C OR TASER INCIDENT): El OEMC DSS 8: LTJDIST. OF OCCUR. CPIC F, - a NOTIFICATIONS (FIREARM INCIDENT): OEMC OCCUR oc c CPIC IZI DET. DIV. 3 Members ensure that all reqUIred notI?catIonS and all WItnesseS to We use of force are documented In the appropIate case report. 73. REPORTING MEMBER Name) STARIEMPLOYEE No. SIGNATURE BROWN, ERIC (up ['52 20-APR-2015 19:03:27 3 '5 Reviewing supervisor will ensure the legibility and completeness of this report and attest by entering the required Information below. 6 74. REVIEWING SUPERVISOR Name) STAR No. SIGNATURE DATE REVIEWED TIME 6 MARTIN, DALE 2065 20-APR-2015 19:04:44 7! LIEUTENANT OR ABOVEIOCIC REVIEW THE ON-CALL INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBSEOUENT TO INTERACTIONS WITH A DEPARTMENT 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. . THE ASSIGNED INVESTIGATING SUPERVISOR RANK OF OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. 75. SUBJECTS STATEMENT REGARDING THE USE OF FORCE DNA ?3 REFUSED UNABLE To INTERVIEW (Specify Reason) 76. LIEUTENANT OR ABOVEIOCIC RATIONALE FOR BOX 77 FINDING The Officer acted within the Chicago Department use Of force orders as he discharged his weapon once at a charging pit bull dog MISSING), to stop the attack of the dog AS THE DOG CHARGED TOWARDS HIM. 77. LIEUTENANT OR ABOVEIOCIC FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: I HAVE CONCLUDED THAT THE ACTIONS [j I HAVE CONCLUDED THAT FURTHER INVESTIGATION Is REQUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG NOJCRNO. 1 074778 OBTAINED 78. LIEUTENANT OR ABOVEJDCIC (Print Name) SIGNATURE DATE COMPLETED TIME WATSON, LARRY 20-APR-2015 19:14:00 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET, INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS PHOTOCOPIES OF: SUPPLEMENTARY REPORT [j I.O.D. REPORT so, TOTAL THIS EVENT Nut CASE REPORT 8 OFFICER BATTERY REPORT [1 CR INITIATION REPORT 1 El ARREST REPORT REPORTS FROM DEPARTMENT WITNESSES) TACTICAL RESPONSE Police Department 1. DA OF INCIDENT TIME 3. LOCATION CODE 3. Emu: 26-APR-2015 1 8:10:00 TROY ST CHICAGO, IL 50525 291 1713 n: 5. POSITION 6. LAST NAME 7. FIRST NAME 3. STAR No. 9. SEX to. RACE CODE 119151 HARITOS JOHN 1 5373 01 I: 02 WHI 972 500 180 14. DATE OF APPT. 15. NO. 16. UNIT a. BEAT OF ASSIGNMENT 17'. DUTY STATUS 1a. MEMBER INJURED7 1a. MEMBER IN 02-SEP-1997 017 1732 $01 On 02ml 21. FIRST NAME 22. MI. 23. SEX 24. RACE 25. D.O.28. ADDREBS 2e. TELEPHONE NO. 30. WAS SUBJECT 31. SUBJECT 32. SUBJECT ALLEGED ElatYes DDZNO Bow? DOZNO 8 as. WHERE WAS MEDICAL TREATMENT 34. BY WHOM7 35. Amman), Noml 02 um, ("Mm a ca Hospitalized 04 Not HDapllaIIzad I: 05 Refused ModIooI Aid a; 36. CHARGES PLACED DNA 3735 Na IR NO. DNA 33. PASSIVE ROSTER ACTIVE RESISTER ABBAILANTIASSAULT HWNTIDEADLY FORCE DID NOT FOLLOW USES FORCE LIKELY TO mm El HE, ATTACKWITHWEAPON Damon "Em CREATGODILYHARM . . .O STIFFENED .7?1 . ATTACK WITHOUT If!) F: (DEAD WEIGHT) CI OTHER WEAPON WEAPON - . 3:1 OTHER . OTHER OTHER OTHER A 2. MEMBER PRESENCE OPEN HAND STRIKE ELBOW STRIKE KNEE STRIKE FIREARM a VERSAL COMMANDS a CLOSED HAND to ESCORT HOLDS a: .5 OC CHEMICAL WEAPON El ?cm I: OTHER 0 5 In 0 CANINE IMPACT WEAPON ARMBAR CI TASER (Pm Dm?ma) (Madman an, 40) IMPACT MUNITION In PRESSURE SENSITIVE AREAS (Describe In Box 40) ?1 TASER (Contact Stun) a CONTROL INSTRUMENT a 5 OCICHEMICAL WEAPON TASER WIMJTI-IORIZATION Tm W) OTHER OTHER 39. - WEAPON AUTHORIZED BY (NAME) 40. ADDITIONAL INFORMATION DISCHARGED FIREARM TO STOP PIT BULL FROM ATTACKING 12 YEAR OLD GIRL. DNA IPOSITICN STAR No. UNIT 41, WEAPON TYPE 04 42. INCIDENT OCCURRED 43. LIGHTING CONDITIONS Dwight 44. WEATHER CONDITIONS CLEAR El 01 REVOLVER DSCHEMICAL WEAPON Indoors Outdoors 02 NW "3 mm" [j 05PoorArtl?Clal [j B2 RIFLE 06 TASER (Probe Discharge) 45. MAKEIMANUFACTURER 46. MODEL 47. BARREL LENGTH 03 SHOTGUN 07 OTHER CLOCK. 1 9 43 4a. CALIBERIGAUGE 9 MM 49. TASER DART ID NO. 51. CHICAGO GUN REG. NO. '50. WEAPON SERIAL No. (inalude Letters) 52, IL FIREARM OWNER ID. NO. 53. HANDGUN CERTIFICATE NO. 56. TYPE OF USED 54. SPECIAL WEAPON CERTIFICATE N0. 55. PROPERTY INVENTORY NO. THIS MEMBER. 57.NO. OF WEAPONS DISCHARGED BY 58. TOTAL NO. OF SHOTS MEMBER RED WEAPON DISCHARGE INCIDENT I Department Issued 1 1 59. WHO FIRED FIRST SHOT .303 OTHER (SPECIFY) so. WAS FIREARM RELOADED 61. NO OF CATDRIDGESI 82. How WAS HANDGUN WORN E103 OTHER (Specily) 3 9.0. DURING INCIDENT SHOT SHELLS D1 MEMBER [3 D2 OFFENDER 01 YES 8 02 NO RELOADED 0 01 RT. SIDE (WAIST) 02 LT. SIDE (WAIST) 83. HOW WAS HANDGUN DRAWN 03 OTHER (spray) . SPECIFY METHomEngm-r USED To mom; 0 65. DID MEMBER USE SIGHTS 2 D1 STRONG SIDE DRAW Cl 02 CROSS DRAW 01 ((55 a 02 No a, 9 BS. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES, DOORWAYS. CAR, FURNRURE, ETC) er. DISTANCE BETWEEN INVOLVED MEMBER a OFFENDER WHEN FIRST SHOT WAS FIRED NONE 010-05FT. El [j DSID-ISFT. MOVER15FT. 3 as. PERSONIOBJECT STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON 69. POSITION OF MEMBER DISCHARGING WEAPON STANDING 02 mm Down D1 PERSON 02 OBJECT ea [j 04 UNKNOWN {3 03 SITTING 04 KNEELING 050THER (SPECIFY) ?4 72' NOTIFICATIONS (0C OR TASER INCIDENT): OEMC j] 038 LTJDIST. OF OCCUR. Cl CPIC NOTIFICATIONS (FIREARM INCIDENT): [g DEMO or: occun 8. core 3] CPIC l2] DET. DIV. 3 Members wiil ensure that all required noti?cations and all witnesses to this use of force are documented in the appropiate case reporl. 73. REPORTING MEMBER (Print Name) STAREMPLOYEE NO. SI a; HARITOS, JOHN a, 22:23:46 S. '2 Reviewing supervisor will ensure the Iegibilityv and completeness Of this report and attest by entering the required information below. 5 74. REVIEWING SUPERVISOR (Prinl Name) STAR NO. DATE REVIEWED F: PASOUINELLI. CHARLES A 1283 26-APR-2015 22:24:34 . LIEUTENANT OR ABOVEIOCIC REVIEW THE INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT MEMBER: 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBSEOUENT TO INTERACTIONS WITH A DEPARTMENT 3.) ANY LESBER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. 75. euaJECTs STATEMENT REGARDING THE USE OF FORCE DNA [3 REFUSED UNABLE To INTERVIEW (Specify Reason) I u?mum- - "Ir u?m un-n .- bun: .. an! a 1 equal mm: The above member acted in accordance with Department Directives when he ?red his weapon to destroy a dog. in the process of attacking a chitd, in order to preserve ne'rJIITe. 77. LIEUTENANT OR ABOVEIDCIC FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: I HAVE CONCLUDED THAT THE ACTIONS I HAVE CONCLUDED THAT FURTHER INVESTIGATION Is REQUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG NOJCRNO. 1 074864 OBTAINED 7B. LIEUTENANT OR AEOVEIOCIC (PrInl Name) SIGNATURE DATE COMPLETED FLETCHER, CH RISTOPH 26-APR-2015 22:29:34 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET. SNCLUDING TT-IE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS - PHOTDCOPIES 0F: 12] SUPPLEMENTARY REPORT 3] mp. REPORT so. TOTAL TRR's THIS EVENT No. CASEREPORT OFFICER CR REPORT 2 ARREST REPORT TO-FROM-SUBJECT REPORTS FROM DEPARTMENT WITNESSES) TACTICAL RESPONSE Pollce Department 1. DATE OF INCIDENT TIME 2 ADDRES OF OCCURRENCE 3. LOCATION CODE 1 26-APR-2015 1 8:1 0:00 TROY ST CHICAGO, IL 60625 291 1713 n: a 5. POSITION a. LAST NAME 7. FIRST NAME 11. STAR NO. 9. sex 10. RACE CODE 119161 BAJOREK GRZEGORZ 14666 01 DOZF WHI 981 508 195 5 14. DATE OF APPT. 15. EMPLOYEE 16. UNIT BEAT OF ASSIGNMENT 17. DUTY STATUS 15. MEMBER 19. MEMBER IN Lu 5 28-APR-2008 017 1712 $01 On 02 011 [j D1Yas 02 Na 01 Yes 02 N0 20. LAST NAME 21. FIRST NAME 22. MI. 23. SEX 24. RACE 25. 0.0.211. ADDRESS 29. TELEPHONE No. 30. WAS SUBJECT :11. SUBJECT :12. SUBJECT ALLEGED FE Dow? [:11an [:lnzNo : 01Yaa Down a 33. WHERE WAS MEDICAL TREATMENT :14. BY 35. CONDITION Appmm,? Nam, 02 Under In?uunca 03 HOSpltalizad [j 04 Not Hospltallzed I: 05 Refused Aid a) 311. CHARGES PLACED a DNA 37, No_ IR No. DNA 35. F88le RESISTER ACTIVE REGISTER ASSNLANTIASSAULT ASSNLANTHJEADLY FORCE K1 DID NOT FOLLOW USES FORCE LIKELY TO DNA a, VERBAL DIRECTION El FLED ATTACK WITH WEAPON muse DEATH OR 2 GREAT BODILY HARM STIFFENED ATTACK WITHOUT 5 (DEAD WEIGHT) AWAY OTHER WEAPON I: WEAPON a OTHER OTHER OTHER OTHER u. 3 MEMBER PRESENCE OPEN HAND STRIKE E, BLBOW STRIKE KNEE STRIKE FIREARM I'm-l VERBAL COMMANDS TAKE DOWN I EMERGENCY HANDCUFFING CLOSED HAND In 5? ESCORT HOLDS a WRISTLOGK 0c CHEMICAL WEAPON STRIKEIPUNCH KICKS OTHER 0 5 In 0 CANINE IMPACT WEAPON ARMSAR TASER (m9 Discharge) (Damn. an, 40, IMPACT MUNITION In PRESSURE SENSITIVE AREAS (Dasmba In Box 40) a, '1 TASER (Contact SIun) a, CONTROL INSTRUMENT 5 OCICHEMICAL WEAPON TASER ?Lm'T?m?ad? WMUTHORIZATIDN TASER (Spark DIBpl?yed) El omER OTHER OTHER OCICHEMICAL WEAPON AUTHORIZED BY (NAME) 40. ADDITIONAL INFORMATION [3 MEMBER DISCHARGED HIS FIREARM TO STOP A PITBU LL (DOG) WHO WAS DNA MAULING A 12 YEAR OLD GIRL. DOG WAS DESTROYED. BPOSITION STAR NO. UNIT WEAPON DISCHARGE INCIDENT 41. WEAPON TYPE C1 REVOLVER 02 RIFLE 03 SHOTGUN 04 SEMI-AUTO PISTOL as CHEMICAL WEAPON . OTHER CLOCK. I45. MAKEIMANUFACTURER 19 4.00 42. INCIDENT OCCURRED 43. LIGHTING CONDITIONS Dayna)? 44. WEATHER CONDITIONS Indoors Gum? Cl 02 03 Dawn 04 Dusk CLEAR as as Good A?i?clal 46. MODEL BARREL LENGTH 43. CALIBERIGAUGE 9MM 49. TASER DART ID NO. WEAPON SERIAL NC. (Include Letters) 51. CHICAGO GUN REG. NO. '52. IL FIREARM OWNER ID. NO. 53. HANDGUN CERTIFICATE NO. 54. SPECIAL WEAPON CERTIFICATE NO. 55. PROPERTY INVENTORY NO. 58. TYPE OF AMMUNITION USED 57.NO. OF WEAPONS BY 55. TOTAL NO. OF SHOTS MEMBER THIS MEMBER. 1 FIRED 3 59. WHO FIRED FIRST SHOT [303 OTHER (SPECIFY) 60. WAS FIREARM RELOADED 61. NO OF CATDRIDGESI 32. HOW WAS HANDGUN WORN D03 OTHER (specify) DURING INCIDENT SHOT SHELLS A 111 MEMBER 112 OFFENDER 01 YES NO RELOADED 01 RT. SIDE (WAIST) [j 112 LT. SIDE (WAIST) 0' 53. How WAS HANDGUN DRAWN 03 OTHER (Specify) - SPECIFY USED TO RELOAD as. DID MEMBER USE SIGHTS 301 STRONG SIDE DRAW 112 CROSS DRAW 66. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES. DOORWAYS. CAR, FURNITURE. ETC) 67. DISTANCE BETWEEN INVOLVED MEMBER a. OFFENDER WHEN FIRST SHOT WAS FIRED DNA El 031D-15FT. [j 040VER15FT. 63. PERSONIOBJECT STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON BB. POSITION OF MEMBER DISCHARGING WEAPON STANDING C2 LYING DOWN ?1 [j PERSON 8 02 OBJECT 03 BOTH [1 D4 UNKNOWN 03 SITTING El 04 KNEELING 05 OTHER (SPECIFY) 72' NOTIFICATIONS (00 OR TASER INCIDENT): OEMC 053 LTJDIST. OF OCCUR. CPIC 5.. o' NOTIFICATIONS (FIREARM INCIDENT): OEMC DSSIDIST. OF OCCUR a. OCIC g) CPIC IE DET. DIV. u. . 5 3 Members will ensure that all required noti?cations and all Witnesses to this use of force are documented in the appropiate case repOIt. 55 73. REPORTING MEMBER Name) STARIEMPLOYEE NO. TURE a a, BAJOREK, GRZEGORZ 6 a, 3:4 26-APR-2015 21:46:59 3 3 '2 Reviewing supervisor will ensure the legibility and completeness of this report and attest by entering the required Information below. 74. REVIEWING SUPERVISOR (Print Name) STAR NO. DATE REVIEWED TIME 17? PASQUINELLI, CHARLES A 1283 26-APR-201 5 21:53:50 We LIEUTENANT OR ABOVEIOCIC REVIEW THE ON-CALL INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBSEOUENT TO INTERACTIONS WITH A DEPARTMENT 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED FNVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. 75. SUBJECTS STATEMENT REGARDING THE USE OF FORCE DNA a REFUSED UNABLE To INTERVIEW (Specify Reason) 76. LIEUTENANT OR ABOVEIOCIC RATIONALE FOR BOX 77 FINDING The above member acted In accordance with Department Directives when he fired his weapon to destroy a dog, In the process Of a Child. In order tO preserve her llfe. 77. LIEUTENANT OR FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: I HAVE CONCLUDED THAT THE ACTIONS I HAVE CONCLUOED THAT FURTHER INVESTIGATION I5 REOUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG 1074864 OBTAINED 7B. LIEUTENANT OR (Print Name) I SIGNATURE DATE COMPLETED TIME FLETCHERI CHRISTOPH 26-APR-201 5 22:1 3:34 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET, INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS - PHOTOCOPIES OF: SUPPLEMENTARY REPORT [3 LCD, REPORT an TOTAL THIS EVENT No. CASE REPORT OFFICER BATTERY REPORT CR INITIATION REPORT 2 ARREST REPORT TO-FRDM-SUBJECT REPORTS FROM DEPARTMENT WITNESSIES) TACTICAL RESPONSE Pollce Department 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE 3. LOCATION CODE 3. 5575355! I 14:30:00 8 BENNETT AVE CHICAGO, IL 80617 303 0414 a 5. POSITION 3. LAST NAME 7. FIRST NAME 3. STAR NO. II. SH 10. RACE CODE 11. AGE 12. HT. 1:1. WT. 3 91 61 NORMAN - DAVID 371 14. DATE OF APPT. 15. EMPLOYEE No. 1B. UNIT 5 BEAT OF ASSIGNMENT 17. DUTY STATUS Ia. MEMBER . MEMBER IN DJ 5 254AN-1988 002 I [3111 On 02 on D1YBS 02 ND D1Yea Ci 02 No 20. LAST NAME 21. FIRST NAME 22. MI. BEN 24. RACE 25. DOB2B. ADDRESS 29. TELEPHONE NC. SC. WAS SUBJECT :11. SUBJECT 32. SUBJECT ALLEGED PE Done. [:10an Dumas [:[oaNo Down 0 a 33. WHERE WAS MEDICAL TREATMENT 34. BY as. CONDITION Amway Nam, 02 Under {names 03 O4 Not HoaplIaIled CI as Refused (n 35. CHARGES PLACED DNA no); no, IR NO. DNA 38. PMSWE REGISTER AOTIVE ASSNLANTHJEADLY FORCE DID NOT FOLLOW USES RC IK DA a) VERBAL DIRECTION FLED IMMINENT THREAT ATTACK WITH WEAPON El GAusggEA?ogL r. OF BATTERY BOD AR ATTACK WITHOUT 9 a F: (DEAD WEIGHT) El PULLED AWAY OTHER WEAPON I: WEAPON a OTHER OTHER OTHER O11-IER u. 0 3 MEMBER PRESENCE OPEN HAND STRIKE ELBOW am?; KNEE STRIKE FIREARM a VERBAL COMMANDS ESCORT HOLDS CLOSED ?6 WRISTLOCK I CC CHEMICAL WEAPON KICKS OTHER 0 5 ?3 CANINE n_ ARMBAR IMPACT WEAPON I: Ci (Dammit) Baum) I: - Ill-I PRESSURE SENSITIVE AREAS (?Name In 50* ?0 3 CONTROL INSTRUMENT TASER ?mm a 5 WEAPON TASER CI TASER (Spark OTHER OTHER OTHER 39? - OCIOHEMICAL WEAPON AUTHORIZED BY (NAME) 40. ADDITIONAL INFORMATION DNA POSITION STAR NO. UNIT '5 41. WEAPON TYPE 04 SEMI-AUTO PISTOL 42. INCIDENT OCCURRED 4a. LIGHTING CONDITIONS 44. WEATHER CONDITIONS 6 01 REVOLVER [j 05 CHEMICAL WEAPON Indoors Outdoors ?2 ?3 04 CLEAR 05 as 02 RIFLE OS TASER (Probe c, 45. MAKEIMANUFACTURER 46. MODEL 47. BARREL LENGTH 45. CALIBERIGAUGE 03 SHOTGUN 07 OTHER gg??l??ir?s?m 469 3.5 9 MM 5 4S. TASER DART ID NO. WEAPON SERIAL NO. (Indude Letters) 51. CHICAGO GUN REG. ND. 52. IL FIREARM OWNER ID. NO. 53. HANOGUN CERTIPIOATE NO. 0? 54. SPECIAL WEAPON CERTIFICATE No. 55. PROPERTY INVENTORY NO. SE. TYPE OF AMMUNITION USED STNO. OF WEAPONS OISCHARGED BY 55. TOTAL NO. OF SHOTS MEMBER 2 THIS MEMBER. 1 FIRED 2 59. WHO FIRED FIRST SHOT OTHER (spawn) an. WAS FIREARM RELOADED 51. NO OF CATDRIDGESI 52. How WAS HANDGUN WORN 303 OTHER 5pr a DURING INCIDENT SHOT SHELLS can 01 MEMBER oz OFFENDER yes a No RELOADED 01 RT. SIDE (WAIST) oz LT. SIDE (WAIST) a 33. HOW WAS DRAWN 03 OTHER (Specify) - SPECIFY USED TO RELOAD B5. DID MEMBER LISE SIGHTS 2 DIN STRONG SIDE DRAW El 02 CROSS DRAW SS. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES. DOORWAYS. OAR. FURNITURE. ETC) 67. DISTANCE BETWEEN INVOLVED MEMBER 5. OFFENDER WHEN FIRST SHOT WAS FIRED NONE 0205-10?. [3 0310-15FT. 040VER15FT. as. PERSONIOBJECT STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON SB. POSITION OF MEMBER DISCHARGING WEAPON STANDING 02 LYING Com PERSON 02 OBJECT 03 BOTH [3 04 UNKNOWN 1] 03 SITTING 04 KNEELING El 05 OTHER (SPECIFY) L) 72. NOTIFICATIONS (00 OR TASER INCIDENT): OEMC DSS LT.IDIST. OF OCCUR. El CPIC 3, .0 NOTIFICATIONS (FIREARM INCIDENT): OEMC OCCUR g] CPIC El DET. DIVMembers ensure that all reqUIred notI?catlonS and all WItnesses to this use of force are documented In the approplate case report. 55 73. REPORTING MEMBER (Print Name) STARIEMPLOYEE NO. SIGNATURE a; NORMAN, DAVID 16:57:33 8 3 Revlewing supervisor will ensure the IegibilIty and completeness of the report and attest by entermg the reqUIred informatlon below. ?9 (29 14. REVIEWING SUPERVISOR Name) STAR NO. DATE REVIEWED TIME CLEARY, THOMAS 1781 27-APR-201 5 17:00:04 WEAPON DISCHARGE INCIDENT at]? 41. WEAPON TYPE 01 REVOLVER on RIFLE as SHOTOUN 04 SEMI-AUTO PISTOL 05 CHEMICAL WEAPON on TASER 07 OTHER Indoors 42. INCIDENT OCCURRED 02 High: 43. LIGHTING CONDITIONS 01 [j 03 Dawn MDusk 05 El 03 Good Arti?cial 44. WEATHER CONDITIONS CLEAR SPECIAL) 4E. MAKEIMANUFACTURER SMITH WESSON 418- (BODYGUARD.CHIEF 45. MODEL 469 3.5 47. BARREL LENGTH . 4B. CALIBERIGAUGE 49. TASER DART ID NO. RIAL NO. (Include I59. WHO FIRED FIRST SHOT 54. SPECIAL WEAPON CERTIFICATE NO. SE. PROPERTY INVENTORY NO. . CHICAGO GUN REG. NO. '52. IL FIREARM OWNER ID. NO. 53V HANDGUN CERTIFICATE NO. 56. TYPE OF USED HOLLOW POINT THIS MEMBER. 1 57.NO. OF WEAPONS DISCHARGED BY SB. TOTAL NO. OF SHOTS MEMBER FIRED 2 D03 OTHER (SPECIFY) a 01 MEMBER 02 OFFENDER an. WAS FIREARM RELOADED DURING INCIDENT 01 YES 8 02 NO - ea. HOW WAS HANOGUN DRAWN 01 STRONG SIDE DRAW [j 02 CROSS DRAW 03 OTHER STRAIGHT um 81. NO OF CATDRIDGESI SHOT SHELLS RELOADED . SPECIFY USED TO RELO [j 01 RT. SIDE (WAIST) 52. HOW WAS HANDGUN WORN 02 LT. SIDE (WAIST) I peci a 30THER POCKET 55. DID MEMBER USE SIGHTS 01 YES 8 02 NO NONE BB. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES. DOORWAYS. CAR. FURNITURE. ETC) 010-05FT. Cl 0205-10FT. ST. DISTANCE BETWEEN INVOLVED MEMBER a. OFFENDER WHEN FIRST SHOT WAS FIRED 0310-15FT. [j MOVER15FT. Cl 01 PERSON 03 BOTH SS. PERSONIOSIEGT STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON 02 OBJECT 04 UNKNOWN 39. POSITION OF MEMBER DISCHARGING WEAPON 01 STANDING 03 04 KNEELTNG as OTHER (SPECIFY) 02 LYING DOWN 91.7801. I I9 I OH '01. LIEUTENANT OR ABOVEIOCIC REVIEW THE ON-CALL INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT MEMBER: 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBSEOUENT To INTERACTTONS WITH A DEPARTMENT 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. Ts. SUBJECTS STATEMENT REGARDING THE USE OF FORCE DNA REFUSED UNABLE To INTERVIEW (Spadry Reason) TB. LIEUTENANT OR ABOVEIOCIC RATIONALE FOR BOX FINDING The Of?cer acted properly whlIe discharging his weapon at an unleashed dog that was coming towards the Of?cer and other Citizens. the dog was barking and Showing Its teeth while charging. The Officers actions saved any Injury from occuring. to himself. and the other Citizens In close proximity. 77. LIEUTENANT OR ABOVEIOCIC FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: 8 I HAVE CONCLUDED THAT THE ACTIONS I HAVE CONCLUDED THAT FURTHER INVESTIGATION IS REQUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG 1074879 OBTAINED TB. LIEUTENANT OR (Print Name) SIGNATURE DATE COMPLETED TIME NAVARRO, KEVIN 27-APR-2015 17:10:46 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET. INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS - PHOTOCOPIES OF: SUPPLEMENTARY REPORT REPORT an. TOTAL THIS EVENT No. CASE REPORT OFFICER BATTERY REPORT CR INITIATION REPORT 1 ARREST REPORT [3 TO-FROM-SUBJECT REPORTS FROM DEPARTMENT WITNESSIESI TACTICAL RESPONSE Police Department INVOLVED 2 1' SUBJECT INFORMATION 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE 3. LOCATION CODE 11-MAY-2015 1 8:59:00 5 FLOURNOY ST CHICAGO, IL 30344 330 1533 1. FIRST NAME (I. STAR NO. 9. SEN 1C. RACE CODE 12. HT. 13W 9151 HARRIS SHAYON 1 8011 E01 D02 BLK 969 510 220 14. DATE OF APPT. 15. EMPLOYEE ND. 111. UNIT a. SEAT OF ASSIGNMENT 17. DUTY STATUS IB. MEMBER 9. EMBER IN . 18-DEC-2000 189 Elm 21. FIRST NAME 22. MI. 23.315)! Dom 24. RACE 25. D.O.B. 26. HT. 27. WT. 28. ADDRESS 29. TELEPHONE NO. 33. WHERE WAS MEDICAL TREATMENT 34. BY 30. WAS SUBJECT IIPECIFY), OTHER II ECI FY) as. CONDITION El 03 31. SUBJECT I: 01 Apparanuy Normal [j 04 Not 32. SUBJECT ALLEGED Under in?uence as Refused Medical Aid 38. CHARGES PLACED 38:11: Costa L5 216 0% will a: 1:DNA RESIITER ACTIVE REGISTER ASSNLANTIASSAULT FORCE DID NOT FOLLOW USES FORCE LIKELY To a, VERBAL DIRECTION FI-ED CI IA ATTACK WEAPON El CAUSE DEATH OR 2 GREAT BODILY HARM STIFFENED ATTACK WITHOUT 5 (DEAD WEIGHT) [3 PULLED AWAY Cl OTHER WEAPON WEAPON CI ?1 OTHER OTHER OTHER AGGRESSIVE Vlclous ANIMAL MEMBER PRESENCE OPEN HAND STRIKE ELBOW STRIKE KNEE STRIKE FIREARM VERBAL COMMANDS TAKE DOWN I (u HANDCUFFING CLOSED HAND . ESCORT HOLDS n: 2 OC CHEMICAL WEAPON El KICKS El Lu 0 WRISTLOCK In CANINE G. ARMBAR IMPACT WEAPON (paw-(b. In 30; 40) IMPACT MUNITION PRESSURE SENSITIVE AREAS ?mm? (Dan-=th9 In Box 40) CD CONTROL INSTRUMENT TASER I am") OCICHEMICAL WEAPON TASER (Spark Dinplaysd) OTHER OTHER OTHER Sgt-s :9 WEAPON DISCHARGE INCIDENT WEAPON AUTHORIZED BY (NAME) STAR NO. UNIT 40. ADDITIONAL INFORMATION LOOSE PIT BULL RUNNING TOWARDS P.O. AND HIS SON IN AN AGGRESSIVE MANNER WITH INTENT TO CAUSE GREAT BODILY HARM AND OR DEATH. 41. WEAPON TYPE 04 SEMI-AUTO PISTOL El 01 REVOLVER as CHEMICAL WEAPON 02 RIFLE 05 TASER Discharge) 42. INCIDENT OCCURRED Indoor: Outdoors 43. LIGHTING CONDITIONS El 02 03 Down 05 El 04mm 06 44. WEATHER CONDITIONS CLEAR Department Issued 45. 48. MODEL BARREL LENGTH 48. 03 SHOTGUN 07 OTHER -U3- (BODYGUARD.CHIEF 9 49. TASER DART ID NO. 50, WEAPON SERIAL Nu, (Include Lauara) 51. CHICAGO GUN REG. NO. 52. IL FIREARM OWNER ID. NO. 53. HANDGUN CERTIFICATE NO. . SPECIAL WEAPON CERTIFICATE NO. 55. PROPERTY INVENTORY NO. 55. TYPE OF AMMUNITION USED STNO. OP WEAPONS BY 53. TOTAL NO. OF SHOTS MEMBER THIS MEMBER. FIRED 2 59. WHO FIRED FIRST SHOT Elna OTHER (SPECIFY) Bo. WAS FIREARM RELOADED 61. NO OF CATDRIDGESI 52. How WAS HANDGUN WORN [(03 OTHER (specify) 3 DURING INCIDENT SHOT SHELLS A 01 MEMBER El 02 OFFENDER 01 YES 8 no RELOADED 8 01 RT. SIDE (WAIST) [3 02 LT. SIDE (WAIST) 63. HOW WAS HANDGUN DRAWN 05 OTHER (Specify) . SPECIFY USED To RELOAD A 55. DID MEMBER USE SIGHTS a 01 STRONG SIDE DRAW 02 CROSS DRAW 01 YES 02 NC A '0 ea. DESCRIBE PROTECTIVE COVER USED (LIGHT POLEs. DOORWAYS. CAR. FURNITURE. ETC) 67. DISTANCE BETWEEN INVOLVED MEMSER a. OFFENDER WHEN FIRST SHOT WAS FIRED OPEN FIELD 010-05FT. 0205-10FT. MOVER 15FT. as. PERSONJOBJECT STRUCK As RESULT OF THE DISCHARGE OF MEMBERS WEAPON as. POSITION OF MEMBER DISCHARGING WEAPON o1 STANDING 02 mm; Down 01 PERSON 02 OBJECT 03 BOTH El 04 UNKNOWN 03 04 KNEELING [j as OTHER (SPECIFY) 72' NOTIFICATIONS (00 OR TASER INCIDENT): OEMC [j 088 8. LTJDIST. OF OCCUR. CPIC Fl 2' NOTIFICATIONS (FIREARM INCIDENT): OEMC DSSIDEST. OF OCCUR a. OCIC CPIC EZI DET. DIV. Members will ensure that all required noti?cations and all witnesses to this use Of force are documented in the appropiate case report. 73. REPORTING MEMBER (Print Name) STARIEMPLOYEE NO. SIGNATURE a a) HARRIS, SHAYON a, 33 21:52:54 3 2) Re?viewing supervisor will ensure the legibility and completeness of this report and attest by entering the required information beiow. 0" 74. REVIEWING SUPERVISOR (Print Nme) STAR NO. SIG DATE REVIEWED TIME 5 SAN DI 2116 11 5 21 :55:1 3 LIEUTENANT OR ABOVEIOCIC REVIEW THE ON-OALL INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBSEQUENT TO INTERACTIONS WITH A DEPARTMENT MEMBER: 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE BTEMB FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. TB. SUBJECTS STATEMENT REGARDING THE USE OF FORCE DNA REFUSED Dog UNABLE TO INTERVIEW (Speery Reason) 78. LIEUTENANT OR ABOVEIOCIC FOR BOX 77' FINDING Based on the evidence on the scene and facts documented In reports. DIC determined that the member?s actions Were in compliance with Department procedures and directives. 77. LIEUTENANT OR FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: I HAVE CONCLUDED THAT THE ACTIONS I HAVE CONCLUDED THAT FURTHER IS REQUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND LOO 1075121 OBTAINED Ta. LIEUTENANT OR ABOVEIOCIC (Print Name) SIGNATURE DATE COMPLETED TIME BETTS, DWAYNE 11-MAY-2015 22:07:40 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET. INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWAROED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS - PHDTOCOPIES OF: SUPPLEMENTARY REPORT I.O.D. REPORT an. TOTAL THIS EVENT NO. [3 CASE REPORT 8 OFFICER BATTERY REPORT CR INITIATION REPORT 1 ARREST REPORT TD-FROM-SUBJECT REPORTS FROM DEPARTMENT WITNESSES) TACTICAL RESPONSE Police Department 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE 3. LOCATION CODE W. 01 -MAY-2015 17:19:00 5W VAN BUREN ST CHICAGO, IL 60624 090 11 31 I: 6. LAST NAME 7. FIRST NAME 8. STAR NO. 9. SE): 10. RACE CODE 119171 DAKURAS ANDREW 2046 MM DozF WHI 999 510 160 14. DATE OF APPT. 15. EMPLOYEE No. 16. UNIT 9. BEAT oF ASSIGNMENT 17. DUTY STATUS 1a. MEMBER 19. MEMBER IN ll-I 03-JAN-1995 189 6243 E01 0.. [j ozorr 0111;: am. [:lmves oz No 21. FIRST NAME 22. M3. 23. SEX 24. RACE 25. D.O.25. ADDRESS 29. TELEPHONE NO. 39. WAS SUBJECT 31. SUBJECT 32. SUBJECT ALLEGED (.2 DMYestuzNo Dongs Down [:lmves Down a 93. WHERE WAS MEDICAL TREATMENT 34. BY 95. CONDITION Amman,? Norma. 02 Um," In?uence a 03 Hospitalized I: 94 Not Hospliailnd CI 05 Refused Median! AM a: as. CHARGES PLACED DNA 37. ca NO. NC. DNA 33. PASSIVE ACTIVE. RESIST-ER ASSNLANTIBNITERY FORCE DID NOT FOLLOW USES FORCE LIKELY T0 DNA VERBAL DIRECTION FLED ATTACK WEAPON [j CAUSE DEATH OR '5 2 GREAT BODILY HARM STIFFENED ATTACK WITHOUT a a I: (DEAD WEIGHT) PULLED AWAY OTHER WEAPON WEAPON a OTHER OTHER OTHER OTHER U. 3 MEMBER PRESENCE OPEN HAND STRIKE ELBOW STRIKE KNEE s'rmKE FIREARM D. VERBAL COMMAND TAKE DOWN I EMERGENCY U) o. 5 CI in ESCORT HOLDS CLOSED HAND n: 2 OC CHEMICAL WEAPON '3 KICKS OTHER 5 WRISTLOCK u. 53 mm )3 El 3 PRESSURE SENSITIVE AREAS TASER Wm" Duchy?) (Damn in BOX 40) ?0 CONTROL INSTRUMENT TASER ?mm Sf?) 3 WEAPON TASER (Laser Targeted) TASER (Spark Displayed) OTHER WEAPON DISCHARGE INCIDENT WEAPON AUTHORIZED BY (NAME) 40. ADDITIONAL INFORMATION USED TO REPEL A PIT BULL POSITION STAR NO. UNIT 41.WEAPON TYPE 42. INCIDENT OCCURRED Indoors Outdoors 04 SEMI-AUTO PISTOL K4 95 CHEMICAL WEAPON 43. LIGHTING CONDITIONS 8 D1 Daylight 02 93 Dawn 04 Dusk [j 05 as Good 44. WEATHER CONDITIONS 01 REVOLVER CLEAR 02 RIFLE 03 SHOTGUN El 03 TASER (Probe Discharge) 07 OTHER 45. MAKEMANUFACTURER 49. MODEL BARREL LENGTH 48. CALIBERIGAUGE 49. TASER DART ID NO. 50. WEAPON SERIAL No. (Include 51. CHICAGO GUN REG. NUT 52. IL FIREARM OWNER ID. NO. 53. HANDGUN CERTIFICATE NO. 54. SPECIAL WEAPON CERTIFICATE NO. 55. PROPERTY INVENTORY NO. 55. TYPE OF AMMUNITION USED 57.140. OF WEAPONS DISCHARGED BY 53. TOTAL NO. OF SHOTS MEMBER THIS MEMBER. 1 FIRED 59. WHO FIRED FIRST SHOT OTHER (SPECIFY) BO. WAS FIREARM RELOADED 81. NO OF CATDRIDGESI 62. HOW WAS HANDGUN WORN [303 OTHER (Specify) DURING INCIDENT SHOT SHELLS A 01 MEMBER Cl 02 OFFENDER 01755 02 NO RELOADED 01 RT. SIDE (WAIST) [j 92 LT. SIDE (WAIST) 53. HOW WAS HANDGUN DRAWN OTHER (spgm . SPECIFY USED TO RELOAD 35. DID MEMBER USE SIGHTS 2 D01 STRONG SIDE DRAW 92 CROSS DRAW 66. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES, DOORWAYS. CAR. FURNITURE. ETC) 67. DISTANCE BETWEEN INVOLVED MEMBER OFFENDER WHEN FIRST SHOT WAS FIRED mo-osrr. [j [j 0310-15FT. 68. PERSONIOBJECT STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON 69. POSITION OF MEMBER DISCHARGING WEAPON El STANDING oz LYING Down uh 01 PERSON . El 02 OBJECT 03 BOTH 04 UNKNOWN 93 o4 KNEELING [j 05 OTHER (SPECIFY) .. 72. NOTIFICATIONS (0C OR TASER INCIDENT): OEMC DSS LTJDIST. OF OCCUR. CPIC 3, o? NOTIFICATIONS (FIREARM INCIDENT): OEMC 0F OCCUR a. com CPIC DET. DIVMembers ensure that all reqUIred notI?catIons and ail WItnesseS to_tI?IIs use Of force are documented In the approplate case report. 5 73. REPORTING MEMBER (PrinI Name) STARIEMPLOYEE NO. SIGNATURE a) DAKURAS. ANDREW 2046 01 MAY-2015 20:01 :43 g: 3 Reviewing supervisor will ensure the and completeness of this report and attest by entering the required information below. 74. REVIEWING SUPERVISOR (Print Name) STAR NO. SIGNATURE DATE REVIEWED TIME 5 STAN KUS, JEFFERY 2422 01-MAY-201 5 20:09:18 W7) LIEUTENANT OR REVIEW THE ON-CALL INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBSEOUENT TO INTERACTIONS WITH A DEPARTMENT 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. 15. SUBJECTS STATEMENT REGARDING THE use OF FORCE [4 DNA CI REFUSED UNABLE TO INTERVIEW (Spadfy Reason) 7a. LIEUTENANT OR ABOVEIOCIC RATTONALE FOR Box 77 FINDING Member's actions conformed to department pollcy. 77. LIEUTENANT OR ABOVEIOCIC FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: I HAVE CONCLUDED THAT THE ACTIONS I HAVE CONCLUDED THAT FURTHER INVESTIGATION IS REQUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG NOJCRNO. OBTAINED 78. LIEUTENANT OR ABOVEIOCIC (P?nt Name) SIGNATURE DATE COMPLETED I TIME WALDERA. THOMAS 01-MAY-2015 20:12:31 79? DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET. INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS- PHOTOCOPIES OF: SUPPLEMENTARY REPORT [j I.O.D. REPORT 80. TOTAL TRR's THIS EVENT NO. CASE REPORT OFFICER BATTERY REPORT [1 CR INITIATIDN REPORT 1 El ARREST REPORT [3 TG-FROM-SUBJECT REPORTS FROM DEPARTMENT WITNESSES) TACTICAL RESPONSE Police Department 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE a. 09-MAY-2015 I 11 :17:00 120.5 LA SALLE ST CHICAGO, IL 60628 291 0523 a 7. FIRST NAME a. STAR NO. 6. sex 10. RACE CODE 1:1. WT. 9161 DEL OLMO EDGAR 9653 E01 D02 506 165 14. DATE OF APPT. - . 16. UNIT 6 BEAT OF ASSIGNMENT 17. DUTY STATUS 10. MEMBER 19. MEMBER IN 005 0513 27. WT. 20. LAST NAME 21. FIRST NAME DNA 0 .memoue .: - a ER II A ICALTREATMENT 34. BY as. CONDITION I 01 Amman, Nam, El 02 Underln?uam 03 Hoepllaltzed O4 NDI Hospitalized 05 Refued Medical Aid 3 u. 55. CHARGES PLACED I: DNA 37. (35 NO. IR ND. DNA 720 ILCS 5.011 2-5-A, 720 ILCS 19111723 38. PASSIVE REIISTER ACTIVE RESIBTER ABSAILANTRAEBAULT FORGE DID NOT FOLLOW USES FORCE LIKELY T0 DNA VERBAL DIRECTION FLED ATTACK WITH WEAPON CAUSE DEATH OR 2 GREAT BODILY HARM STIFFENED ATTACK WITHOUT a 5 I: (DEAD WEIGHT) I: AWAY OTHER WEAPON El CI 0 no. a 4: OTHER . OTHER OTHER LL 0 3 MEMBER PRESENCE OPEN HAND STRIKE ELBOW STRIKE KNEE smiKE FIREARM "4 VERBAL COMMANDS TAKE DDWNIEMERGENCY 9? ESCORT HOLDS 1; El 2 WRISTLOCK CO CHEMICAL WEAPON CI KICKS OTHER 2 "5 ARMBAR mm? IMPACTWEAPON .76 a, TASER (Probe momma, 30,. 40, IMPACT MUNITION Lu PRESSURE SENSITIVE AREAS El 0398ch In Box 40) a, 9? TASER (Contact Stun) a, CONTROL INSTRUMENT 5 OCICHEMICAL WEAPON TASER (Lm'Tam'Bd? TASER (Spark Displayed) OTHER OTHER OTHER 39. OCICHEMICAL WEAPON AUTHORIZED BY (NAME) 40. ADDITIONAL INFORMATION WHILE RIO WAS ASSISTING 563D ON A FOOT CHASE, A LARGE JUMPED DNA FENCE AND CHARGED IN DIRECTION OF RIO. IN FEAR OF HIS SAFETY AND STAR FELLOW OFFICERS RIO DISCHARGED HIS WEAPON IN DIRECTION OF DOG STRICKING IT. 2 41. WEAPON TYPE semmum pIsmL 42. INCIDENT OCCURRED 43. LIGHTING CONDITIONS 91 BMW 44. WEATHER CONDITIONS 5 01 REVOLVER 05 CHEMICAL WEAPON Indoors K4 OuidOOre "2 ?3 CLEAR 5 05 PoarArtl?CISi 66 Good 02 RIFLE 06 TASER (Probe r? 0 45. MAKEIMANUFACTURER 46. MODEL 47. BARREL LENGTH 46. CALIBERIGAUGE 03 07 OTHER $2616. I. mamas INDUSTRIAL 220 4 45 CAL 5 46. TASER DART ID NO. .WEAPDN SERIAL No. (Inauda 51. GUN REG. NO. '52. IL FIREARM OWNER ID. NO. 53. HANDGUN CERTIFICATE NO. 54. SPECIAL WEAPON CERTIFICATE NO. 55. PROPERTY INVENTORY NO. 56. TYPE OF AMMUNITION USED 57.N0. OF WEAPONS DISCHARGED BY 56. TOTAL NO. OF SHOTS MEMBER 2 Department Issued THIS MEMBER. 1 FIRED 3 IE 56. WHO FIRED FIRST SHOT D03 OTHER (SPECIFY) 00. WAS FIREARM RELOADED 61. NO OF CATDRIDGESI 62. HOW WAS HANDGUN WORN 03 omER (5mm 3 DURING INCIDENT SHOT SHELLS A 01 MEMBER 02 OFFENDER [j 01 YES 3 02 NO RELOADED 01 RT. SIDE (WAIST) 02 LT. SIDE (WAIST) 33. HOW WAS HANDGUN DRAWN 03 OTHER (Specify) SPECIFY METHODIEQUIPMENT USED To RELOAD 55. DID MEMBER USE SIGHTS 3 801 STRONG SIDE DRAW 02 CROSS DRAW [EB. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES. DOORWAYS. CAR. ETC) 67. DISTANCE BETWEEN INVOLVED MEMBER 6 OFFENDER WHEN FIRST SHOT WAS FIRED NONE 010-05Fr. 0205-10FT. 0310-15Fl?. MOVER16FT. a SS. STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON 66. POSITION OP MEMBER DISCHARCING WEAPON STANDING (j (12 mm; DOWN 01 PERSON 8 02 OBJECT 03 BOTH 04 UNKNOWN 03 SITTING 04 KNEELING 05 OTHER 72 - .- NOTIFICATIONS (00 OR TASER El OEMC [j 088 LTJDIST. 0F OCCUR. CPIC - NOTIFICATIONS (FIREARM INCIDENT): OEMC DSSIDIST. OF OCCUR OCIC g] CPIC IE DET. DIVMembers ensure that all re UIred notI?catlons and all WItnesses tO this use of force are documented In the a re late case re art. I 73. REPORTING MEMBER Name) STARIEMPLOYEE No. SIGNATURE a" DEL OLMO, EDGAR 9653 09-MAY-2015 12:53:48 3 Revtewin su ervisor will ensure the le ibili and com Ieteness of this re ort and attest enterin the re UIred infonTIatiDn below. A . (g 74. REVIEWING SUPERVISOR (Print Name) STAR NO. SIGNATUR DATE REVIEWED TIME 6 TIMOTHY 1922 09-MAY-2015 12:58:58 LIEUTENANT OR ABOVEIOCIC REVIEW THE ON-CALL INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT MEMBER: 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBSEOUENT TO INTERACTIONS WITH A DEPARTMENT 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. 75. SUBJECTS STATEMENT REGARDING THE use OF FORCE DNA DNA-Weapon Discharge for Anlmal Destruotlon. REFUSED UNABLE TO lNTERVlEW(Spaclfy Reason) 76. LIEUTENANT DR ABOVEIOCIC RATIONALE FOR BOX 77 FINDING Based Upon all information known at this time. the Reporting Commander has concluded that the member's actions were in compllance with Department procedures and directlves. 77. LIEUTENANT OR ABDVEIOCIC FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: 1 HAVE CONCLUDED THAT THE ACTIONS I: I CONCLUDED THAT FURTHER INVESTIGATION IS REQUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG NOJCRNO. OBTAINED 78. LIEUTENANT OR ABOVEIOCIC Name) SIGNATURE DATE COMPLETED TIME JOHNSON. KEVIN 09-MAY-2015 13:24:42 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET, INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL 8E FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS - PHOTDCOPIES 0F: [3 SUPPLEMENTARY REPORT El I.O.D. REPORT an, TOTAL TRR's THIS EVENT No. CASE REPORT OFFICER BATTERY REPORT cR INITIATION REPORT 1 [3 ARREST REPORT El REPORTS FROM DEPARTMENT WITNESSES) TACTICAL RESPONSE Police Department 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE 3. LOCATION CODE 5- 5555555! 10-MAY-2015 I 12:00:00 5? WOOD ST CHICAGO, IL 60636 290 0715 5. POSITION 15. LAST NAME 7. FIRST NAME 9. STAR NO. 9. eat 10. RACE CODE 119161 KILLEN KEVIN 6535 01 DDZF WHI 976 507 155 11. DATE OF APPT. 1B. EMPLOYEE No. 15. UNIT a. BEAT OF ASSIGNMENT 1r. DUTY STATUS 113. MEMBER 12. MEMBER IN 13-DEC-1999 009 0963A 02 on 02 m. [(01 Yes I12 No 20- LAST NAME 21. FIRST NAME 22. MI. 23. SEX 24. RACE 25. DOBADDRESS 29. TELEPHONE NO. 30. WAS SUBJECT 31. SUBJECT 32. SUBJECT ALLEGED :]01Yaa [:InaNo Claw? [:IazNa : 01Yaa DI)an a as. WHERE WAS MEDICAL TREATMENT 34. BY as. CONDITION (I1 Apparanlly Normal 02 Under In?uence El 03 Hospitalized 04 Hospitalized as Refused Medical Aid as. CHARGES PLACED DNA CB ND. IR NO. DNA 36, PASSIVE RESIITER ASSNLANTIBATTERV MSMLANTNJEADLY FORCE DID NOT FOLLOW USES FORCE LIKELY To VERBAL DIRECTION FLED El WEAPON CAUSE DEATH OR 2 GREAT BODILY HARM STIFFENED 3 (DEAD WEIGHT) AWAY OTHER CI I: a ?1 OTHER OTHER OTHER OTHER PIEDLL U. MEMBER PRESENCE OPEN HAND STRIKE El ELBOW STRIKE KNEE 5mm); FIREARM a VERBAL COMMANDS TAKE DOWN I EMERGENCY a, HANDCUFFING CLOSED HAND 1e . a a oc CHEMICAL WEAPON STRIKEIPUNCH KICKS [3 OTHER 2 '5 2 ARMBAR WINE 13?? IMPACT MUNITIDN 40) 3 PRESSURE SENSITIVE AREAS I: TASER (Danube In Bax 40) "3 3 CONTROL INSTRUMENT TASER ?mm? 5 WEAPON TASER (Lam-ram?) TASER (Spark Displayed) El OTHER OTHER OTHER 39. - OCICHEMICAL WEAPON BY (NAME) 40. ADDITIONAL INFORMATION El DESPITE REPEATED WARNINGS BY OFFICER KILLEN FOR THE OWNER T0 DNA RESTRAIN HIS PITBULL DURING THE EXECUTION OF A SEARCH WARRANT, AND STAR AFTER NOT COMPLYING. THE DOG CHARGED TOWARD RIO WHO FIRED A SINGLE SHOT AT THE VICIOUS ANIMAL STRIKING HIM ONCE IN THE HEAD. 41. WEAPON TYPE 01 REVOLVER 02 RIFLE [j 03 SHOTGUN :14 SEMI-AUTO PISTOL 05 CHEMICAL WEAPON on TASER (Probe Discharge) or OTHER Indoor! 42. INCIDENT OCCURRED 43. LIGHTING CONDITIONS [3 (II Daylight [j 02 Night 03 Dawn 04 El 05 Poor DE Good Outdoors 44. WEATHER CONDITIONS RAIN 45. MAKEIMANUFAOTURER 46. MODEL 47. BARREL LENGTH SMITH I WESSON 413- SPECIAL) 5943 4 4B. 9MM 4D. TASER DART ID NO. 5 . WEAPON SERIAL NO. (Include Letters) '51. CHICAGO GUN REG. NO. '52. IL FIREARM OWNER ID. NO 53. HANDGUN CERTIFICATE NO. WEAPON DISCHARGE INCIDENT 54. SPECIAL WEAPON CERTIFICATE NO. 55. PROPERTY INVENTORY No. 53. TYPE OF AMMUNITION USED smo. OF WEAPONS DISCHARGEO BY SB. TOTAL No. OF SHOTS MEMBER Department Issued THIS MEMBER. 1 FIRED 1 59. WHO FIRED FIRST SHOT (j omen (SPECIFY) so. WAS FIREARM RELOADED B1. NO OF CATDRIDGESI I12. How WAS HANDGUN WORN 03 OTHER (5mm 3 DURING INCIDENT SHOT SHELLS 01 MEMBER 02 OFFENDER El 01 YES a 02 NO RELOADED 8 01 RT. SIDE (WAIST) D2 LT. SIDE (WAIST) 33. HOW WAS MEMBER-S HANDGUN DRAWN 03 OTHER (Spalguyr) - SPECIFY USED TO REF-DAD SS. DID MEMBER USE SIGHTS 801 STRONG SIDE DRAW 02 CROSS DRAW Ba. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES. DOORWAYS. CAR. FURNITURE, ETC) ST. DISTANCE BETWEEN INVOLVED MEMBER a. OFFENDER WHEN FIRST SHOT WAS FIRED NONE 0205-10FT. 0310-15?. MOVERIBFT. 8 ea. STRUCK As RESULT OF THE DISCHARGE OF MEMBERS WEAPON BE. POSITION OF MEMBER DISCHARGING WEAPON g] 01 STANDING 02 LYING DOWN D1 PERSON 1:12 OBJECT 03 BOTH 04 UNKNOWN 03 SITTING [j 04 KNEELING (j 05 OTHER (SPECIFY) .. 72' NOTIFICATIONS (00 OR TASER INCIDENT): OEMC [1 D88 81 LTJDIST. OF OCCUR. El CPIC .0 0' NOTIFICATIONS (FIREARM INCIDENT): [g OEMC OCCUR a. 00m CPIC DET. DIVMembers ensure that all reqUIred notI?catlonS and all WItnesses to this use of force are documented In the appropIate case report. 73. REPORTING MEMBER (Print Name) STARIEMPLOYEE NO. SIGNATURE a" KILLEN, KEVIN 6535 1 0-MAY-201 5 14:47:48 Reviewing supervisor will ensure the legibility and completeness of this report and attest by entering the required Information below. a, (29 74. REVIEWING SUPERVISOR (Prim Name) STAR No. SIGNATURE DATE REVIEWED TIME 5 DE LA TORRE, MIGUEL 2699 10-MAY-2015 14:48:40 LIEUTENANT OR ABOVEIOCIC REVIEW THE ON-CALL INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENT INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT MEMBER: 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBSEOUENT TO INTERACTIONS WITH A DEPARTMENT 3.) ANY LEBSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. 15. sueJEOTs STATEMENT REGARDING THE USE OF FORCE DNA Animal Destruction UNABLE To INTERVIEW (Speclly Reason) 76. LIEUTENANT OR RATIONALE FOR BOX 77 FINDING The Reporting Commander conducted an nvasti to the events surrounding the weapons discharge to destroy an animal(pitbull) during the execution of Serach Warrant 15SW5790 Upon the execution of said search warrant. Officer was confronted by the owner hls(the owner 3 beginning to charge at of?cers. Despite repeated warnings by Of?cer for the owner to restrain his dog, the dog charged. Fearing for his safety and the safety of fellow officers from attack. Of?cer Killen fired one shot striking the dog In the head. The dog retreated to a side bedroom located within the apartment and remained in room on a bed. Animal control was called who removed the dog. One shot was tired and all rounds are accounted forl casing recovered and lnventorled under Inventory# 13436276. Dog owner tated that he didn't restrain dog because he was confused. but didn't relate what he was confused about. The Reporting Commanders nves go on determined that the Officer's actions were within the Department's Use of force Guidelines. 77. LIEUTENANT OR ABOVEIOCIC FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: I HAVE CONCLUDED THAT THE ACTIONS I HAVE CONCLUDED THAT FURTHER INVESTIGATION IS REQUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG NOJCRNO, 10751 00 OBTAINED TB. LIEUTENANT OR ABOVEIOCIC (Print Name) SIGNATURE DATE COMPLETED TIME PANEPINTO, LEO 10-MAY-2015 15:09:15 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET. INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS - PHOTOCOPIES OF: SUPPLEMENTARY REPORT Lop, REPORT 50. TOTAL TRR's THIS EVENT No. [3 CASE REPORT 8 OFFICER BATTERY REPORT CR INITIATION REPORT 1 ARREST REPORT REPORTS FROM DEPARTMENT WITNESSES) TACTICAL RESPONSE Police Department 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE 3. LOCATION CODE 30-APR-2015 19:18:00 32.N LOCKWOOD AVE Apt 1ST FLOOR CHICAGO, IL 6064 090 1523 5. POSITION 11. LAST NAME 7. FIRST NAME 8. STAR No. 9. S3 10. RACE CODE 11. AGE 12. HT. 13. WT. l.l.l a 91 B1 MINGARI KYLE . 4733 01 [j 02 WHI 509 160 14. DATE OF APPT. 15. UNIT a. BEAT OF ASSIGNMENT 17. DUTY STATUS 1B. MEMBER 11.1 18-DEC-2006 189 62263 01011 IIon mm um um. 21. FIRST NAME 221.1. 33. CHARGES PLACED DNA 37. CD No. DNA 720 ILCS 5.011 720 ILCS 720 ILCS 720 ILCS 570.014 19106770 38. PASSIVE RESIITER ACTIVE RESISTER FORCE I: DID NOT FOLLOW - USES FORCE LIKELY T0 DNA VERBAL DIRECTION El FLED CI g?i??gf?n ATTACK WEAPON CAUSE DEATH OR 2 GREAT BODILY HARM STIFFENED ATTACK WITHOUT I: (DEAD WEIGHT) CI PULLED AWAY OTHER WEAPON lj IO a 4 OTHER OTHER OTHER OTHER 1.1. MEMBER PRESENCE El OPEN HAND STRIKE ELBOW 5mm); KNEE [3 FIREARM D- VERBAL COMMANDS TAKE EMERGENCY 3 5? ESCORT HOLDS CLOSED I: ?13 WRISTLOCK 00 CHEMICAL WEAPON KICKS [1 OTHER 0 5 CANINE IMPACT WEAPON ARMBAR CI TASER (Probe Dimm?) (Danube In Box 49, El IMPACT MUNITION In PRESSURE SENSITIVE AREAS "1 40) a, ?1 TASER (Contact SIun) a, CONTROL INSTRUMENT f, OCICHEMICAL WEAPON TASER (Lasa'Twmd) CI TASER (Spark Displayed) [3 OTHER OTHER OTHER 39. - OCICHEMICAL WEAPON BY (NAME) 40. ADDITIONAL INFORMATION DNA IPOSITION STAR NO. '5 I-IDJ 41. WEAPON TYPE 94 42. INCIDENT OCCURRED 43. LIGHTING CONDITIONS Daylight 44. WEATHER CONDITIONS 5 01 REVOLVER as CHEMECAL WEAPON Indoors Outdoors "2 "3 Dew" '3 ?4 Dusk CLEAR 3 05 [j on Good ArtIthlal 02 RIFLE as TASER (Probe 0 45. MAKEIMANUFACTURER I 43. MODEL 47. BARREL LENGTH 43. CALIBERIGAUGE CI 03 CI 07 OTHER AR15 16.0 22315.56 5 49. TASER DART ID No. 50. WEAPON SERIAL NO. (Induua Letters) 51. CHICAGO GUN REG. NO. 52. IL FIREARM OWNER ID. NO. 53. HANDGUN CERTIFICATE NO. 9 54. SPECIAL WEAPON CERTIFICATE No. 55. PROPERTY INVENTORY NO. 55. TYPE OF AMMUNITION USED 57.ND. OF WEAPONS DISCHARCED BY 53. TOTAL NO. OF SHOTS MEMBER Department Issued THIS MEMBER. 1 FIRED 9 59. WHO FIRED FIRST SHOT [jog OTHER so. WAS FIREARM RELOADED 61. NO OF CATDRIDGESI 32. How WAS HANDGUN WORN D03 OTHER (spam) 3 DURING INCIDENT SHOT SHELLS A 01 MEMBER 02 OFFENDER 01 YES 02 No RELGADED 01 RT. SIDE (WAIST) 02 LT. SIDE (WAIST) - 63. HOW WAS HANDGUN DRAWN (z (13 OTHER (Specify) I SPECIFY USED TO RELOAD 55. DID MEMBER USE SIGHTS 2 NOT DRAWN 0 Elm STRONG SIDE DRAW 02 CROSS DRAW f] 01 YES 8 02 No SS. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES, DOORWAYS. CAR. FURNITURE. ETC) 67. DISTANCE BETWEEN INVOLVED MEMBER a. OFFENDER WHEN FIRST SHOT WAS FIRED NONE 010-05FT. 0205-1DFT. [j 0310-15Fr. (MOVER15FT. 03 SB. PERSONIOBJECT STRUCK As RESULT OF THE DISCHARGE OF MEMBERS WEAPON 69. POSITION OF MEMBER DISCHARGING WEAPON 01 STANDING Lyme Down 3 PERSON 02 OBJECT 03 BOTH 04 UNKNOWN [j 03 SITRNG D4 KNEELING 05 OTHER (SPECIFY) 12 NOTIFICATIONS (0C OR TASER INCIDENT): OEMC [j 088 LTJDIST. OF OCCUR. CPIC 3, .0 0 NOTIFICATIONS (FIREARM INCIDENT): OEMC DSSIDIST. OF OCCUR 8. 0010 CPIC DET. DIVMembers ensure that all requ1red notI?catIonS and all w1tnessestothls use of force are documented In the approptate case report. 55' 73. REPORTING MEMBER (Print Name) NO. SIGNATURE g, MINGARI, KYLE 4733 22:03:03 8 I) '2 Reviewing supervisor will ensure the legibility and completeness of this report and attest by entenng the required Information below. on (25) T4. REVIEWING SUPERVISOR Name) STAR No. ATUR DATE REVIEWED TIME a SHOWERS, DAVID 1194 30-APR-2015 22:13:12 LIEUTENANT OR ABOVEIOCIC REVIEW THE INCIDENT COMMANDER IOCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTs INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT MEMBER: 2.) ALL INCIDENTS INVOLVING THE SERIOUS OR DEATH OF A MEMBER OF THE PUBLIC SUBSEOUENT TO INTERACTIONS WITH A DEPARTMENT 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. 75. SUBJECTS STATEMENT REGARDING THE USE OF FORCE DNA REFUSED UNABLE To INTERVIEW (Spaery Reason) The subject was interviewed in an herding room at the Human Square facility. Subject denied his dog on the Officers. stating that his dog attacks when It see unfamiiar people. The subject made no complaint about the o?icer's actions and stated he had been treated well. LIEUTENANT OR ABDVEIOCIC RATICNALE FOR BOX 77 FINDING Based on the information availabte at this time I believe the officer's actions were In compliance with Department policies. procedures and directives, Le. the Officer discharged his weapon to prevant Infury to himself andlor his partners from a Charging pitbull dog. 77. LIEUTENANT OR ABOVEIOCIC FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: I HAVE THAT THE ACTIONS [j I HAVE CONCLUOED THAT FURTHER IS REDUIRED. WERE IN COMPLIANCE DEPARTMENT PROCEDURES AND DIRECTIVES. LOG NOJCRNO, 1074932 OBTAINED 7B. LIEUTENANT OR ABDVEIOCIC (Print Name) SIGNATURE DATE COMPLETED TIME KUSINSKI, PAUL 30-APR-2015 22:29:12 79. DISTRIBUTION OF ORIGPNAL TRR: A TRR PACKET. INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS - PHOTOCOPIES 0F: El SUPPLEMENTARY REPORT REPORT so, TOTAL THIS EVENT No. CASE REPORT 8 OFFICER BATTERY REPORT l] CR INITIATION REPORT 1 [j ARREST REPORT Cl REPORTS FROM DEPARTMENT WITNESSIES) TACTICAL RESPONSE Police Department 1. DATE OF INCIDENT TIME 3. LOCATION CODE 5. 55175355! 14-MAY-2015 14:38:00 TRIPP AVE CHICAGO, IL 80823 092 1012 5 POSITION LAST NAME 7. FIRST NAME (I. STAR NO. S. SEX 1n. RACE CODE 11S161 PARKS JORDAN 18443 14. DATE OF APPT. IS. UNIT II. SEAT OF ASSIGNMENT 17. DUTY STATUS 1S. MEMBER 9. MEMBER IN a 25-AUG-2014 044 1012 $@111 Yes 02 NO 20. LAST NAME 21. FIRST NAME 22. MI. 23. SE): 24. RACE 25. DOB23' ADDRESS 29. TELEPHONE NO. SO. WAS SUBJECT 31. SUBJECT 32. SUBJECT ALLEGED Claw" Elan/as Dome [:lOIYaa Down a WHERE WAS MEDICAL TREATMENT 34. BY as. CONDITION 01 Amman?, Nam, El 02 um. In?uence El 03 Hospitalized 04 Not Hoepllalized 05 Refused MedlcelAId u) SS. CHARGES PLACED DNA 37, no, IR NO. DNA as. PASSIVE RESISTER ACT-IVE RESISTER ASSNLANTLASIAULT ASSAILANTIDATTERY ABSNLANTNJEADLV FORGE I: DID NOT FOLLOW USES FORCE LIKELY To DNA VERSAL DIRECTION El FLED yFM?qung?EAT ATTACK WITH WEAPON CAUSE DEATH OR 2 GREAT BODILY HARM STIFFENED ATTACK WITHOUT a I: (DEAD WEIGHT) PULLED AWAY OTHER WEAPON K4 WEAPON a OTHER OTHER OTHER OTHER LI. 0 MEMBER PRESENCE OPEN HAND STRIKE El ELBOW STRIKE KNEE 5mm; FIREARM a VERSAL COMMANDS TAKE DOWN I EMERGENCY HANDCUFFING CLOSED HAND 3 2 a: In Esco?" HOLDS STRIKEIPUNCH El KICKS [3 OTHER WRISTLOCK OC CHEMICAL WEAPON 5 8 ARMEAR ?mm IMPACT WEAPON a TASER (Probe Discharge) In BOX 40) IMPACT MUNITION PRESSURE SENSITIVE AREAS 3 CONTROL INSTRUMENT [j TASER mm? 5m") n: 5 OCICHEMICAL WEAPON TASER TASER (Spark DISpIeyed) OTHER OTHER OTHER 39. - OCICHEMICAL WEAPON BY (NAME) 40. ADDITIONAL INFORMATION DNA POSITION STAR NO. um 41. WEAPON TYPE 04 42. INCIDENT OCCURRED 43. LIGHTING CONDITIONS Daylighl 44. WEATHER CONDITIONS WEAPON DISCHARGE INCIDENT 01 REVOLVER 02 RIFLE [j 03 BHOTGUN as CHEMICAL WEAPON El 06 TASER (th9 Discharge) 07 OTHER Indoors Outdoors 02 CI 05 03 Dawn D4Duek 08 Good CLEAR CLOCK. 45. MAKEIMANUFACTURER 17 45. MODEL 47. BARREL LENGTH 4.5 48. 9MM 49. TASER DART ID NO. 50. WEAPON SERIAL No. (Include Letters) 51. CHICAGO GUN REG. NO. 52. IL FIREARM OWNER ID. NO. 53. HANDGUN CERTIFICATE N0. L54. SPECIAL WEAPON CERTIFICATE ND. 55. PROPERTY INVENTORY NO. 58. TYPE OF AMMUNITION USED 57.ND. OF WEAPONS DISCHARGED BY 58. TOTAL NO. OF SHOTS MEMBER WINCHESTER SMM MEMBER 1 3 SS. WHO FIRED FIRST SHOT OTHER (SPECIFY) SD. WAS FIREARM RELOADED SI. NO OF CATDRIDGESI 52. How WAS HANDGUN WORN DDS OTHER (Specify) 3? - DURING INCIDENT SHOT SHELLS A 01 MEMBER 02 OFFENDER 91 YES 02 No RELOADED 8 D1 RT. SIDE (WAIST) oz LT. SIDE (WAIST) SS. How WAS HANDGUN DRAWN [j (13 OTHER (Spec-Hy) - USED TO RELOAD SS. DID MEMBER USE SIGHTS a; 01 STRONG SIDE DRAW 02 CROSS DRAW [BB. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES, DOORWAYS. CAR, FURNITURE. ETC) 57. DISTANCE BETWEEN INVOLVED MEMBER OFFENDER WHEN FIRST SHOT WAS FIRED 8 DNA 8 010-05FT. [j 031D-15FT. 88. BTRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON 59. POSITION OF MEMBER DISCHARGING WEAPON 01 STANDING 02 LYING DOWN (9 El 01 PERSON 02 OBJECT 03 SOTH [j 04 UNKNOWN l] D: SITTING 04 KNEELING 05 OTHER (SPECIFY) - 3 '2 NOTIFICATIONS (00 OR TASER INCIDENT): OEMC D58 8. LT.IDIST. OF OCCUR. CPIC ~70 - .U 3 NOTIFICATIONS (FIREARM INCIDENT): a. Dem; (333mm. 01: occua a. can; CPIC DET. DIV. 5 5 Members ensure that ail requued notI?catIons and all WItnesses to Ms use Of force are documented In the appropIate case report. 5 73. REPORTING MEMBER (Print Name) STARIEMPLOYEE NO. SIGNATURE a PARKS, JORDAN 16 3 14-MAY-2015 17:40:49 3 3 '2 Reviewing supervisor will ensure the legibility and completeness Of this report and attest by entering the required Information below. 5 74. REVIEWING SUPERVISOR Name) STAR NO. SIGNATURE DATE REVIEWED TIME 5 ALVAREZ, JESSE 1971 14-MAY-2015 17:42:03 W71 LIEUTENANT OR ABOVEIOCIC REVIEW THE ON-CALL INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTS INVOLVING INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBSEOUENT TO INTERA MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2 THE DISCHARGE OF A FIREARM BY A DEPARTMENT ALI. INCIDENTS CTIONS WITH A DEPARTMENT 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. 75. SUBJECTS STATEMENT REGARDING THE USE OF FORCE DNA [3 REFUSED [j UNABLE To INTERVIEW (Specify Reason) TB. LIEUTENANT OR ABOVEIOCIC RATIONALE FOR BOX 77 FINDING The officer discharged his weapon. at point blank range, to make the canine stop biting his left forarm. which he was attched. The of?cer used every tactic to move away from the attacking canine in this incident. The of?cer followed the Department's Rules and Regulations with regards to the use of force policy in this Incident. IPRA Neubeck #154 IAD Fiedler #1989 77. LIEUTENANT OR FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: 8 I HAVE CONCLUDED THAT THE ACTIONS I HAVE CONCLUDED THAT FURTHER INVESTIGATION IS REQUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG NOJCRNO, 10751 72 OBTAINED TB. LIEUTENANT OR (Print Name) SIGNATURE DATE COMPLETED TIME CHAMBERS, KEVIN 14-MAY-2015 18:06:07 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET. INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS - 0F: SUPPLEMENTARY REPORT I.O.D. REPORT an. TOTAL THIS EVENT No. Cl CASE REPORT 8 OFFICER BATTERY REPORT [1 CR INITIATION REPORT 1 ARREST REPORT El TO-FROM-SUBJECT REPORTS FROM DEPARTMENT WITNESSES) TACTICAL RESPONSE Police Department 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE 3. LOCATION CODE 4. 537,535? 11-MAY-2015 18:48:00 123. INDIANA AVE CHICAGO. IL 60628 291 0532 - a 5. POSITION 0. LAST NAME 7. FIRST NAME 8. STAR NO. 0. SEX 10. RACE CODE 119151 LOPEZ NELSON 3544 01 DDZF 5 972 510 153 14. DATE OF APPT. 15. EMPLOYEE NO. 10. UNIT 5 BEAT OF ASSIGNMENT 17. DUTY STATUS 10. MEMBER 1B. MEMBER IN 29-OCT-2001 005 0506I $LAST NAME 21. FIRST NAME 22. MI. 23. SE): 24. RACE 25. D.O.ADDRESS 20. TELEPHONE NO. 30. WAS SUBJECT 31. SUBJECT 32. SUBJECT ALLEGED f: 01Yan Downs DOZNO : 01Yaa : 02Nu . Ii: 5 SS. WHERE WAS MEDICAL TREATMENT 34. BY as. CONDITION Nam, 92 Under mumRefused Aid a) SS. CHARGES PLACED DNA 37.133 ND. IR {4 DNA as. name RESIBTER ACTIVE RESISTER LT FORCE DID NOT FOLLOW USES FORCE LIKELY T0 DNA U, VERSAL DIRECTION FLED g?'g??gy?m [j WEAPON CAUSE DEATH OR 2 GREAT BODILY HARM STIFFENED ATTACK WITHOUT a (DEAD WEIGHT) Cl PULLED AWAY OTHER EAPON I: WEAPON a OTHER OTHER OTHER OTHER ll. 0 3 MEMBER PRESENCE OPEN HAND STRIKE ELBOW STRIKE KNEE STRIKE FIREARM g: VERBAL COMMANDS TAKE DOWN I EMERGENCY El HANDCUFFING CLOSED HAND 01 ESCORT HOLDS I: 2 OC CHEMICAL WEAPON OTHER 2 5 2 ?Mam CANINE IMPACT ON I: IMPACT MUNITION (0 (Describe In Box 40) PRESSURE SENSITIVE AREAS TASER (Pmbe (DBWIIJB 50" 40) CI ?5 TASER (Contact Stun) a, CONTROL INSTRUMENT a 5 OCICHEMICAL WEAPON I: TASER "mam TASER (spark OTHER OTHER OTHER 39_ - OCICREMICAL WEAPON AUTHORIZED BY (NAME) 40. ADDITIONAL INFORMATION [3 OFFICER FIRED HIS SERVICE 9 TIMES. TO DESTROY A LARGE, VICIOUS DNA AT TTACKED AND LLED A MALL MALTESE DOG, OWNED BY STAR IN A YARD AT THE OFFICER WAS FEARFUL ATTACK PEOPLE NEARBYI IF I ESCAPED. 41. WEAPON TYPE (alarm 42. INCIDENT OCCURRED 43. LIGHTING CONDITIONS Daylighl 44. WEATHER CONDITIONS 01 REVOLVER 05 CHEMICAL WEAPON IndoorB Outdoors 02 Night 03 Dawn 04 CLEAR WEAPON DISCHARGE INCIDENT [j 05 PoorArtI?CISl 00 Good Arti?cial 02 RIFLE 05 TASER (Probe DIschaIga) 45. CALIBERIGAUGE 45. MAKEJMANUFACTURER 46. MODEL 47. BARREL LENGTH 9 MM [3 0:1 SHOTGUN 07 OTHER CLOCK. 1 7 5 49. TASER DART ID NO. EAPON SERIAL ND. (Induda Letters) I51. CHICAGO GUN REG. NO. '52. IL FIREARM OWNER ID. NO. 53. HANDGUN CERTIFICATE NO. 54. SPECIAL WEAPON CERTIFICATE NO. 55. PROPERTY INVENTORY NO. 56. TYPE OF AMMUNITION USED 57.NO. OF WEAPONS DISCHARGED BY 58. TOTAL NO. OF SHOTS MEMBER ED Department Issued 1 9 50. WHO FIRED FIRST SHOT 03 OTHER (SPECIFY) 60. WAS FIREARM RELOADED S1. NO OF CATDRIDGESI 52. HOW WAS HANDGUN WORN [303 OTHER DURING INCIDENT SHOT SHELLS A 01 MEMBER 02 OFFENDER 01 YES 02 No RELOADED [j 01 RT. SIDE (WAIST) 02 LT. SIDE (WAIST) 03. HOW WAS MEMBER-S HANDGUN DRAWN 03 OTHER - SPECIFY USED TO RBI-DAD 55. DID MEMBER USE SIGHTS a: 2 EM STRONG SIDE DRAW 02 CROSS DRAW EB. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES. DOORWAYS. CAR. FURNITURE. 57. DISTANCE BETWEEN INVOLVED MEMBER OFFENDER WHEN FIRST SHOT WAS FIRED STOOD BEHIND FENCE 010 -05 Fl'. 8 02 05-10 FT. 03 10-15 FT. 1] MOVER 15 Fl'. 3 a 68. PERSONIOBJECT STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON 69. POSITION OF MEMBER DISCHARGING WEAPON 01 02 LYING DOWN 01 PERSON 02 OBJECT 03 BOTH 04 UNKNOWN. 03 04 KNEELING 05 OTHER (SPECIFY) E. '2 NOTIFICATIONS (CO CR TASER INCIDENT): OEMC DSS LTJDIST. OF OCCUR. (j CPIC 3., 2' NOTIFICATIONS (FIREARM INCIDENT): OEMC DSSIDIST. OF OCCUR OCIC CPIC Ed DET. DIV. 0 Members ensure that all rquJIred notl?catlons and all WItnesses to thIs use of force are documented In the apprOpIate case report. 73. REPORTING MEMBER (Print Name) NO. SIGNATURE a a) LOPEZ, NELSON 35 a, 35 11-MAY-2015 20:03:28 Reviewing su ervisor will ensure the Ieglbiti and com leteness of this re orl and attest by entering the required information below. I3 (29 74. REVIEWING SUPERVISOR (Print Name) STAR NO. 5 DATE REVIEWED TIME CASCONE, JAMES 1488 11-MAY-2015 20:04:30 W7) LIEUTENANT OR ABOVEIOCIC REVIEW THE ON-CALL INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT MEMBER: 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBSEOUENT TO INTERACTIONS WITH A DEPARTMENT MEMBER: 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATINO SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. Ts. SUBJECTS STATEMENT REGARDING THE use or- FORCE um REFUSED DNA. The involved member?s ?rearm will not be invantoried or subjected to ballistic examination. UNABLE To INTERVIEW (Specify Reason) TB. LIEUTENANT OR ABOVEIOCIC RATIONALE FOR BOX 77 FINDING Based upon the available information at this time. the Reporting Commander has concluded that the member?s actions were In compliance with Department procedures and directives. 77. LIEUTENANT OR ABOVEIOCIC FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: 8 I HAVE CONCLUDED THAT THE ACTIONS I HAVE CONCLUDED THAT FURTHER INVESTIGATION IS REQUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG 1075123 OBTAINED TB. LIEUTENANT OR ABOVEIOCIC (Print Name) SIGNATURE DATE COMPLETED TIME JOHNSON, KEVIN 20:43:16 TB. DISTRIBUTION OF ORIGINAL TRR: PACKET. INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS - PHOTOGOPIES 0F: SUPPLEMENTARY REPORT REPORT 80. TOTAL TRR's THIS EVENT No. '1 CASE REPORT OFFICER BATTERY REPORT CR REPORT 1 ARREST REPORT El TO-FROM-SUBJECT REPORTS FROM DEPARTMENT TACTICAL RESPONSE Police Department 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE a. mt? 25-JUN-2015 07:45:00 CICERO AVE CHICAGO. IL 60644 323 1533 5. POSITION . mama 3. STAR No. 9. s91 10. RACE CODE 11. AGE 1'5. HT. 13. WT. 9171 ROBERT 2451 E01 DOZF WHI 511 150 14. DATE OF APPT. ND. 13. UNIT SEAT OF ASSIGNMENT 11. DUTY STATUS 18. MEMBER 19. MEMBER IN 11-AUG-1986 015 1510 men own 11an am 21. FIRST NAME 22. MI. 23. SE): 30. WAS SUBJECT 25. HT. 27. WT. 9. TELEPHONE NO. UBJEC 32. SUBJECT ALLEGED IN INFORMATION 2D INVOLVED 8 ERE WAS MEDICAL TREATMENT :14. BY 3 as. CHARGES PLACED DNA 38. PASSIVE REBIBTER ACHVE REBISTER ABBNLANTSABBAULT ASIAILANTIDEADLY FORCE DID NOT FOLLOW USES FORCE LIKELY T0 DNA ?0 VERBAL DIRECTION ?~59 I: mg?r?g?m wm? WEAPON El CAUSE DEATH OR I: 2 GREAT BODILY HARM STIFFENED ATTACK WITHOUT I: (DEAD WEIGHT) El PULLED AWAY OTHER WEAPON I: WEAPON a 2 OTHER OTHER SLAMMED SELF To FLOC OTHER OTHER LI. 0 ?5 MEMBER PRESENCE OPEN HAND STRIKE ELBOW STRIKE KNEE STRIKE FIREARM "4 n- VERBAL COMMANDS TAKE DOWN I EMERGENCY in um; ESCORT HOLDS HANDCUFFING CLOSED HAND :6 WHEN-OCR OC CHEMICAL WEAPON KICKS OTHER 0 5 ti: CANINE IMPACT WEAPON i 3.) ARMBAR TASER (Fmbe madman) Ell (Dagth In Box 40) IMPACT MUNETION PRESSURE SENSITIVE AREAS (DENIM In BM 40) 3 CONTROL INSTRUMENT sum a 5 OCICHEMICAL WEAPON TASER (Laser Targaled) WIAUTHORIZATION TASER (Spark Displayed) OTHER OTHER OTHER OFEICER ASSISTAN 39' - WEAPON AUTHORIZED BY (NAME) 40. INFORMATION SUBJECT PULLED AWAY TWICE WHILE BEING ESCORTED AND THREW HIMSELF DNA FROM THE PLATFORM ONTO THE FLOOR OF A STOPPED CTA TRAIN. IPOSITION STAR No. UNIT ?5 41. WEAPON TYPE 34 SEMMUTO 42. INCIDENT OCCURRED 43. LIGHTING CONDITIONS E: Daylight 44. WEATHER CONDITIONS 5 01 REVOLVER 05 CHEMICAL WEAPON Outdoors '3 02 "19? 03 03"" 04 CLEAR El 05 Poor Arti?cial [j as Good Arti?cial 02 RIFLE 08 TASER (Probe Discharge) 0 45. MAKEJMANUFACTU RER 45. MODEL 47. BARREL LENGTH 43. CALIBERIGAUGE as [j 07 OTHER 5 4B. TASER DART ID NO. 50. WEAPON SERIAL ND. (Include Letters) 51. CHICAGO GUN REG. NO. 52. IL FIREARM OWNER ID. NO. 53. HANDGUN CERTIFICATE No. a . 54. SPECIAL WEAPON CERTIFICATE NO. 55. PROPERTY INVENTORY No. SS. TYPE OF AMMUNITION USED 57.NO. OF WEAPONS DISCHARGED SY SB. TOTAL NO. OF SHOTS MEMBER 0 THIS MEMBER. FIRED n. a 59. WHO FIRED FIRST SHOT 03 OTHER (SPECIFY) ED. WAS FIREARM RELOADED 61. NO OF CATDRIDGESI 62. HOW WAS HANDGUN WORN 03 OTHER (Specify) 3 DURING INCIDENT SHOT SHELLS .1. 01 MEMBER 02 OFFENDER 01 YES El 92 No RELOADED 01 RT. SIDE (WAIST) 02 LT. SIDE (WAIST) 4- as. How WAS NANDGUN DRAWN El 03 OTHER (Spa-?y) . SPECIFY USED To RELOAD SS. DID MEMBER USE SIGHTS 2 Elm STRONG SIDE DRAW 02 CROSS DRAW 01 YES 02 No a ?o as. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES, CAR. FURNITURE. ETC) 57. DISTANCE BETWEEN INVOLVED MEMBER a. OFFENDER WHEN FIRST SHOT WAS FIRED a [j D10-05FT. 0205-10FT. 0310-15FT. [j 3 BE. STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON 69. POSITION OF MEMBER DISCHARGING WEAPON o1 STANDING 02 mm; Down PERSON 02 OBJECT 03 BOTH 04 UNKNOWN [3 as SITTING 04 KNEELING 05 OTHER (SPECIFY) 72. NOTIFICATIONS (06 OR TASER INCIDENT): OEMC DSS LTJDIST. OF OCCUR. El CPIC F, NOTIFICATIONS (FIREARM INCIDENT): OEMC 1333101311 01: OCCUR com CPIC DET. DIVMembers ensure that all reqUIred notI?catIons and all WItnesses to thIs use of force are documented In the approplate case report. 73. REPORTING MEMBER (Prinl Name) STARIEMPLOYEE NO. SIGNATURE a DOLAN, ROBERT 2451 u. 25-JUN-2015 09:24:03 3 '2 Reviewing supervisor will ensure the Iegibility and completeness of this report and attest by entering the required informatlon below. ?9 (29 74. REVIEWING SUPERVISOR (Prinl Name) STAR No. SIG DATE REVIEWED TIME (7) RAFFAE, JAMES 849 25-JUN-2015 09:25:03 LIEUTENANT OR ABOVEIOCIC REVIEW THE ON-CALI. INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM EY A DEPARTMENT MEMBER: 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUSSEOUENT To INTERAC-RONS WITH A DEPARTMENT 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. 75. SUBJECTS STATEMENT REGARDING THE USE OF FORCE DNA REFUSED UNABLE TO INTERVIEW (Bpaclly Reason) 70. LIEUTENANT OR RATIONALE FOR BOX 77 FINDING believes that the Sgt's actions were In compliance wIth department dlrectlves and procedures. 77. LIEUTENANT OR ABOVEIOCIC FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: I HAVE CONCLUDED THAT THE ACTIONS I HAVE CONCLUDED THAT FURTHER INVESTIGATION IS REOUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG Ta. LIEUTENANT OR AEOVEIOCIC (Print Name) SIGNATURE DATE COMPLETED TIME HARRIS. DAVID 25-JUN-2015 09:45:43 TB. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET, INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS - PHOTOCOPIES OF: SUPPLEMENTARY REPORT I.O.D. REPORT 80. TOTAL TRR-s THIS EVENT NO. [3 CASE REPORT OFFICER BATTERY REPORT CR INITIATION REPORT 1 ARREST REPORT TO-FFIOM-SUBJECT REPORTS FROM DEPARTMENT WITNESSIESI TACTICAL RESPONSE Police Department i 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE 3. LOCATION CODE 4. 5573533! 27-JUN-2015 09:02:00 19w 818T ST CHICAGO. IL 60621 303 0712 a 5. POSITION a. LAST NAME 7. FIRST NAME STAR NO. 9. sex 10. RACE CODE 119151 WRIGHT MARCHAND 3164 E01 BLK 981 510 182 14. DATE OF APPT. 10. UNIT BEAT OF ASSIGNMENT 1T. DUTY STATUS 1a. MEMBER . IN Lu 5 30-OCT-2006 007 0712 E01 E01173: 02 No 21. FIRST NAME 22. MI. 23. SEX 24. RACE 25. DOB[:02 2 23, Apoa?ss 29. TELEPHONE No. 30. WAS SUBJECT 31. SUBJECT 32. SUBJECT ALLEGED (.2 Dow? : 02No Dawes DOZND Claw? a as. WHERE WAS MEDICAL TREATMENT 34. BY as. CONDITION I: Nam. 02 um, mum? 03 04 RN 05 Refused Medical Aid a) 39. CHARGES PLACED DNA CB NO. IR NO. DNA 3B. PABBNE ACTIVE REGISTER ASSNLANTMSAULT ABBAILANTIBATTERY ASBAILANTIDEADLY FORCE DID NOT FOLLOW USES FORCE LIKELY 70 DNA VERBAL DIRECTION FLED I: ATTACK WEAPON El CAUSE DEATH OR 2 GREAT BODILY HARM STIFPENED at (DEAD WEIGHT) El PULLED AWAY OTHER El WEAPON u. a OTHER OTHER OTHER OTHER VICIOIJS PIT BULL IL 0 3 MEMBER PRESENCE OPEN HAND STRIKE ELBOW STRIKE KNEE STRIKE FIREARM VERBAL COMMANDS TAKE DOWN I EMERGENCY HANDCUFFING CLOSED HAND 3 .m ESCORT HOLDS :6 OC CHEMICAL WEAPON '3 OTHER 8 5 2 ?Mam CAME IMPACT WEAPON IMPACT MUNITION a) (Donor-Ibo In Box 40) PRESSURE SENSITIVE AREAS TASER (Pmb' ohm?) I: (Describe In Box 40) I: 8 CONTROL INSTRUMENT TASER ?c?mm I: 5 OCICHEMICAL WEAPON TASER I: WIAUTHORIZATION TASER (Spark DprIByad) OTHER OTHER OTHER 39 - OCICHEMICAI. WEAPON AUTHORIZED BY (NAME) 40. ADDITIONAL INFORMATION 2D- IPOSITIDN STAR NO. UNIT 41. WEAPON TYPE 01 REVOLVER 02 RIFLE 03 SHOTGUN 04 SEMI-AUTO PISTOL 05 CHEMICAL WEAPON 03 TASER (Probe DISCharpe) 07 OTHER 42. INCIDENT OCCURRED El Indoors Ouldoors 02 Night 43. LIGHTING CONDITIONS 05 Poor 44. WEATHER CONDITIONS CLEAR 8 01 03 Dawn mom 03 Good 45. MAKEIMANUFACTURER RIGID. I. GJSWISS INDUSTRIAL - 45. MODEL P229 47. BARREL LENGTH 3.9 49. TASER DART ID NO. 50. WEAPON SERIAL ND. (Include l51. CHICAGO GUN REG. NO. I 52. IL FIREARM OWNER ID. NO. 53. HANDGUN CERTIFICATE NO. WEAPON DISCHARGE. INCIDENT 54. SPECIAL WEAPON CERTIFICATE NO. 55. PROPERTY INVENTORY NO. 55. TYPE OF AMMUNITION USED 57.NO. OF WEAPONS DISCHARGED BY 55. TOTAL NO. OF SHOTS MEMBER THIS MEMBER. 1 FIRED 5 59. WHO FIRED FIRST SHOT OTHER (SPECIFY) ED. WAS FIREARM RELOADED 61. NO OF CATDRIDGESI 82. HOW WAS HANDGUN WORN {303 OTHER (Specify) 3 DURING INCIDENT SHOT SHELLS A 01 MEMBER El 02 OFFENDER [j YES 8 02 NO RELOADED 01 RT. SIDE (WAIST) El 02 LT. SIDE (WAIST) 63. HOW WAS HANDGUN DRAWN 03 OTHER (Spacw) SPECIFY MEI-HODEQUIPMENT USED To RELQAD 55. DID MEMBER USE SIGHTS 801 STRONG SIDE DRAW 02 CROSS DRAW 01 YES 02 Nu 88. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES. DOORWAYS. CAR. FURNITURE. ETC) 67. DISTANCE BETWEEN INVOLVED MEMBER OFFENDER WHEN FIRST SHOT WAS FIRED 3 MIA El 010-05FT. 0205-1IJFT. MOVER15FT. a BB. STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON 69. POSITION OF MEMBER DISCHARGING WEAPON STANDING 02 Lyme DOWN 0" 01 PERSON 8 02 OBJECT 09 BOTH 04 UNKNOWN 8 09 SITTING 04 KNEELING 05 OTHER (SPECIFY) .. 72 NOTIFICATIONS (OC OR TASER INCIDENT): OEMC DSS LTJDIST. OF OCCUR. CPIC a, .o 3,4 NOTIFICATIONS (FIREARM INCIDENT): OEMC DSSIDIST. OF OCCUR 0ch CPIC El DET. DIV. Members ensure that all reqUIred notl?catlons and all WItnesses to the use of force are documented In the appropIate case report. 5 73. REPORTING MEMBER (Print Name) STARIEMPLOYEE N0. SIGNATURE a; WRIGHT. MARCHAND 31 64 .4 27-JUN-2015 11:19:49 i 3 2 Reviewing supervisor will ensure the legibility and completeness of this report and attest by entering the required information below. ?9 (29 74. REVIEWING SUPERVISOR (Print Name) STAR NO. SIG DATE REVIEWED TIME 5 FERRER, CARLOS 2409 12:06:56 LIEUTENANT OR ABOVEIOCIC REVIEW THE ON-CALL INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT 2.) ALL INCIDENTB INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUSSEOUENT TO WITH A DEPARTMENT MEMBER: 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. 75. SUBJECTS STATEMENT REGARDING THE USE OF FORCE DNA REFUSED CI UNABLE TO INTERVIEW (Specify Reason) TB. LIEUTENANT OR ABOVEIOCIC RATIONALE FOR BOX 77 FINDING The of?cer, while responding to a call of a vicious animai, arrived on scene to find a citizen standing still in fear. as a vicious dog growled, barked. and menaced the victim. The of?cer attempted to scare the animal with loud verbal commands and provided the animi with a period of time to ?ee the scene. The animal continued the aggressive behavior and lunged towards the victim. The of?cer in fear the animal was attacking the victim. discharged his weapon striking the animal five times. Based on the information avaliable at this time, I have concluded that the member's actions were in compliance with Deprtment procedures and directives. 77. LIEUTENANT OR ABOVEJOCIC FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: I HAVE CONCLUDED THAT THE ACTIONS I HAVE CONCLUDED THAT FURTHER Is REQUIRED. WERE iN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG NOJCRNO, 1 075880 OBTAINED Ta. LIEUTENANT on (Print Name) SIGNATURE DATE COMPLETED TIME DARLIN, RANDALL 27-JUN-2015 12:44:47 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET. INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS- PHOTOCOPIES OF: SUPPLEMENTARY REPORT Lop? REPORT 39, TOTAL TRR's THIS EVENT No. CASE REPORT OFFICER BATTERY REPORT El CR INITIATION REPORT 1 ARREST REPORT TGFROMUBJECT REPORTS FROM DEPARTMENT WITNESSIES) TACTICAL RESPONSE Police Department 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE 3. LOCATION CODE 5575535! 19-JUL-2015 I 07:07:00 32.5 OAKLEY AVE CHICAGO, IL 60608 303 0912 n: Ln" 5. POSITION 5. LAST NAME 7. FIRST NAME 5. STAR NO. S. SEX 10. RACE CODE 119161 AILLON EDMUNDO 9754 $01 [jun 1973 502 140 5 14. DATE OF APPT. 15. EMPLOYEE NO. 16. UNIT a. BEAT OF ASSIGNMENT 1T. DUTY STATUS 1B. MEMBER . DER IN I.I.I 05-FEB-2001 010 I 1033 Em On 02 or! o1Yu 02 NO Em Ya: 02 No 20. LAST NAME 21. FIRST NAME 22. ML 23. SEX 24. RACE 25. DOB2a. ADDRESS 29. TELEPHONE NO. 30. WAS SUBJECT 31. SUBJECT 32. SUBJECT ALLEGED PIE [: D1Yes DOZNO Dow? Down Dumas D11an 0 ?4 as. WHERE WAS MEDICAL TREATMENT 34. BY 35. CONDITION N,me Norm. 02 um, Mum. 03 I: 114 Not as Refused Medical SB. CHARGES PLACED DNA 31GB ND, IR NO. DNA 33. PASSIVE RESISTER ACTIVE RESISTER BATTERY ASSAILANTIDEACLY FORCE DID NOT FOLLOW USES FORCE LIKELY To IMMINENT THREAT ATTACK WITH WEAPON DNA 02, VERBAL DIRECTION I: I FLED OF ?mm gag: 353mg?? I: ?3 STIFFENED ATTACK WITHOUT a! i: (DEAD WEIGHT, PULLED AWAY OTHER WEAPON WEAPON u. a OTHER OTHER OTHER OTHER ATTACEING DOG u. 3 MEMBER PRESENCE :3 OPEN HAND STRIKE ELBOW STRIKE KNEE STRIKE El FIREARM "m4 VERBAL COMMANDS :1 TAKE DOWN I EMERGENCY a 111 "m1 ESCORT HOLDS HANDCUFHNG OTHER 1: 45 WRISTLOCK CC CHEMICAL WEAPON KICKS 2 5 ARMBAR 3 mm? I: IMPACT WEAPON 2 5 TASER (Pmba Dhaharge) (Damn-(be in Box 40) I: IMPACT MUNITION I-LI PRESSURE SENSITIVE AREAS 40) 0 Ir- TASER (Contact SIun) [j a a, CONTROL INSTRUMENT I: 5 OCICHEMICAL WEAPON TASER ?mm? TASER (Spark Diaplayed) El OTHER OTHER OTHER - OCICHEMICAL WEAPON BY (NAME) 40. ADDITIONAL INFORMATION ONE SHOT FIRED AND STRUCK ATTACKING DOG DNA STAR NO. UNIT 41. WEAPON TYPE 01 REVOLVER 02 RIFLE 04 SEMI-AUTO PISTOL [j 05 CHEMICAL WEAPON DB TASER (Pmbe Discharge) CI Indoors 42. INCIDENT OCCURRED Outdoors 02 (j 05 Poor 43. LIGHTING CONDITIONS 03 Dawn El mom 44. WEATHER CONDITIONS CLEAR 2 Lu 9 0 45. MAKEIMANUFACTURER 46. MODEL 41. BARREL LENGTH 43. CALIBERIGAUCE 03 SHOTGUN 07 OTHER INDUSTRIES USA COREBROINCOI I 5 9 5 49. TASER DART ID No. 50. WEAPON SERIAL Na. (Incluua Lgum) UN REG. NO. 52. IL FIREARM OWNER ID. NO. 53. HANDGUN CERTIFICATE ND. In 54. SPECIAL WEAPON CERTIFICATE NO. 55. PROPERTY INVENTORY NO. 53. TYPE OF AMMUNITION USED 57.ND. OF WEAPONS DISCHARGED BY 53. TOTAL No. OF SHOTS MEMBER 2 Department Issued THIS MEMBER. 1 FIRED 1 59. WHO FIRED FIRST SHOT [-303 OTHER (SPECIFY) so. WAS FIREARM RELOADED 61. NO OF CATDRIDCESI 52. HOW WAS MEMBERS HANDGUN WORN [(03 OTHER (specify, a DURING INCIDENT SHOT SHELLS A or MEMBER 02 OFFENDER 01 YES 92 ND RELOADED 01 RT. SIDE (WAEST) 02 LT. SIDE (WAIST) - as. HOW WAS HANDGUN DRAWN (j 03 OTHER (SpacIIy) ,spgcuw METHODIEQUIPMENT USED To RELOAD DNA 65. DID MEMBER USE SIGHTS 2 STRONG SIDE DRAW 02 CROSS DRAW 01 YES 02 No a ?0 SS. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES. DOORWAYS. CAR. FURNITURE, ETC) ST. DISTANCE BETWEEN INVOLVED MEMBER a. OFFENDER WHEN FIRST SHOT WAS FIRED NONE 0205-10FT. 0310-15Fl'. D4OVER15FT. SB. PERSONIOBJECT STRUCK As RESULT OF THE DISCHARGE OF MEMBERS WEAPON BS. POSITION OF MEMBER DISCHARGING WEAPON or STANDING [j 02 LYING DOWN 01 PERSON 02 OBJECT 03 BOTH D4 UNKNOWN 03 El 04 KNEELING 05 OTHER (SPECIFY) 72. NOTIFICATIONS (0C OR TASER INCIDENT): OEMC 088 LTJDIST. OF OCCUR. CPIC a, - I3 "05' NOTIFICATIONS (FIREARM INCIDENT): OEMC DSSIDIST. OF OCCUR OCIO CPIC El DET. DIVMembers ensure that all requrred notr?catlons and at! wrtnesses to Ms use Of force are documented In the appropiate case report. 55 73. REPORTING MEMBER (Print Name) STARIEMPLOYEE NO. SIGNATURE AILLON, EDMUNDO 9754 a, 19-JUL-2015 09:15:Reviewin su ervisor will ensure the IS IbIIit and com Ieteness Of this re or! and attest enterIn the re UIred Informatlon below. 0" (9 T4. REVIEWING SUPERVISOR Name) STAR NO. DATE REVIEWED TIME LOPEZ, SILVIA 2463 19-JUL-2015 09:17:17 LIEUTENANT OR ABOVEIOCIC REVIEW THE ON-CALL INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT MEMBER: 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBSEOUENT TO INTERACTIONS WITH A DEPARTMENT 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. 75. SUBJECTS STATEMENT REGARDING THE USE OF FORCE 8 DNA REFUSED UNABLE To INTERVIEW (Spectfy Reason) TB. LIEUTENANT OR ABOVEIOCIC RATIONALE FOR BOX 77 FINDING The member was alerted to a stray dog attacking another dog and a woman at the location stated. The member responded and observed the same. The member cleared the female from the attacking dog and fired one round to stop the attack on her dog. The actions were incompliance with department guidelines. 77. LIEUTENANT OR ABOVEJOCIC FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: I HAVE CONCLUDED THAT THE ACTIONS I HAVE CONCLUDED THAT FURTHER INVESTIGATION Is REOUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. Loe NOJCRNO. OBTAINED 78. LIEUTENANT OR ABOVEIOCIC (Print Name) SIGNATURE DATE COMPLETED TIME RYCZEK, MARTIN 09:34:38 79. DISTRIBUTION OF ORIGINAL TRR: A TRFI PACKET. INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS - PHOTOCOPIES OF: I: SUPPLEMENTARY REPORT LCD. REPORT 30, TOTAL TRR's THIS EVENT No. CASE REPORT OFFICER BATTERY REPORT CR INITIATION REPORT 1 ARREST REPORT TGFROM-SUBJECT REPORTS FROM DEPARTMENT WITNESSES) TACTICAL RESPONSE Police Department 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE 3. LOCATION CODE w. 12:55:00 7 CREGIER AVE Apt 3A CHICAGO, IL 50649 090 0332 n: 0 6. LAST NAME 7. FIRST NAME 8. STAR No. B. SEX 10. RACE CODE 119161 LEE DURAND 18858 01 BLK 979 511 221 14. DATE OF APPT. NO. 13. UNIT II. BEAT OF ASSIGNMENT 17. DUTY STATUS 18. MEMBER . BER IN 29-Nov-2004 024 6236B EDI 20- LAST NAME 21. FIRST NAME 22. MI. 23. SEX 24. RACE 25. D.O.ADDRESS 29. TELEPHONE NO. 30. WAS SUBJECT 31. SUBJECT 32. SUBJECT ALLEGED Domes Dow? Demo 8 WHERE WAS MEDICAL TREATMENT 34. BY as. CONDITION Appamnw Nam?, 02 Um," mm,? a . I: 88 Hospitalized 04 Not 85 Retuned u) 2 I38. CHARGES PLACED DNA no); No_ IR NO. DNA 38. PAIINE ACTIVE NESISTER ABSAILANTIMSAULT FORCE IX DID NOT FOLLOW USES FORCE LIKELY To a: IMMINENT THREAT ATTACK WITH WEAPON DNA to VERBAL DIRECTION El ED I: OF BATTERY CI CAUSE DEATH OR 5 STIFFENED GREAT BODILY HARM ATTACK WITHOUT a (DEAD WEIGHT) PULLED AWAY OTHER WEAPON WEAPON a 4 OTHER OTHER OTHER u. 3 MEMBER PRESENCE OPEN HAND STRIKE ELBOW STRIKE KNEE STRIKE [j FIREARM VERBAL COMMANDS TAKE DOWN I EMERGENCY I HANDCUFFING CLOSED HAND 3 II: EBCORT HOLDS ?a WRISTLOCK .. OC CHEMICAL WEAPON STRIKEPUNCH KICKS OTHER 2 5 2 mm CANINE a IMPACT WEAPON IMPACT MUNITION (n In BDII 40) 3 In PRESSURE SENSITIVE AREAS El TASER (mm mam?) iDawlbe In BOX 40) ?5 TASER (Contact SIun) a u, CONTROL INSTRUMENT f, OCICHEMICAL WEAPON TASER TASER (Spark Displayed) El OTHER EOE WEAPON DISCHARGE INCIDENT OCICHEMICAL WEAPON AUTHORIZED BY (NAME) IPOSITION STAR NO. UNIT 40. ADDITIONAL INFORMATION RIO WHILE EXECUTING A SEARCH WARRANT WAS CONFRONTED BY A LARGE AGGRESSIVE PITBULL MIX. RIO IN FEAR FOR HIS SAFETY AND THAT OF HIS FELLOW TEAMMATES DISCHARGED HIS WEAPON TO STOP THE THREAT. 41. WEAPON TYPE I: 01 REVOLVER 02 RIFLE 03 SHOTGUN 87 OTHER 04 SEMI-AUTO PISTOL I: as CHEMICAL WEAPON I: 08 TASER (Probe Discharge) Indoors 42. INCIDENT OCCURRED 43. LIGHTING CONDITIONS oz {j 05 Outdoor: CI 030m El MDUBK 81 DByIIght 08 Good 44. WEATHER CONDITIONS OTHER 45. MAKEIMANUFACTURER (BLOCK. 48. MODEL 21 47. BARREL LENGTH 4.4 4B. CALIBERIGAUGE 45 CAL 4B. TASER DART ID NO. WEAPON SERIAL ND. (Include Letters) '51. CHICAGO GUN REG. NO. '52. IL FIREARM OWNER ID. NO. 53. HANDGUN CERTIFICATE NO. 54. SPECIAL WEAPON CERTIFICATE No. 55. PROPERTY INVENTORY N0. 58. TYPE OF AMMUNITION USED 57.NO. OF WEAPONS DISCHARGED BY 53. TOTAL NO. OF SHOTS MEMBER Department. Issued THIS MEMBER 1 FIRED 8 59. WHO FIRED FIRST SHOT 03 OTHER (SPECIFY) 60. WAS FIREARM RELOADED 61. NO OF CATDRIDGESI 52. HOW WAS HANDGUN WORN 03 OTHER (spaclfy) . DURING INCIDENT SHOT SHELLS 8 01 MEMBER 02 OFFENDER yes a 82 NO RELOADED 8 RT. SIDE (WAIST) 02 LT. SIDE (WAIST) 63. HOW WAS HANDGUN DRAWN 03 OTHER (Spacliy) 54' METHDDIEQUIPMENT USED To RELOAD 65. DID MEMBER USE SIGHTS 2 $01 STRONG SIDE DRAW 02 CROSS DRAW 01 YES 02 No 00 as. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES, DOORWAYS. CAR. FURNITURE. ETC) 87. DISTANCE BETWEEN INVOLVED MEMBER a. OFFENDER WHEN FIRST SHOT WAS FIRED NONE 010-05FT. OZDS-IGFT. [j 0310-15FT. (MOVER15FT. a 88. PERSONIOBJECT STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON as. POSITION OF MEMBER DISCHARCINC WEAPON STANDING 02 LYING Down A 01 PERSON 02 OBJECT 03 BOTH [j 04 UNKNOWN 03 SITTING 04 KNEELING 05 OTHER (SPECIFY) .. 72. NOTIFICATIONS (00 OR TASER INCIDENT): OEMC DSS 8. LTJDIST. OF OCCUR. CPIC g. .D "m4 o' NOTIFICATIONS (FIREARM INCIDENT): DEMO K4 OCCUR 3. oc c CPIC IZI DIVMembers ensure that at] reqUIred notI?catIons and all WItnesses to We use of force are documented In the approptate case report. 5 73. REPORTING MEMBER (Prinl Name) STARIEMPLOYEE NO. SIGN TURE ?01? LEE, DURAND 18858 A 15:47:47 8 15; Reviewing supervisor wilI ensure the legibility and completeness of this report and attest by entering the required information below. 0' 5 74. REVIEWING SUPERVISOR (PrInt STAR NO. 5 RE DATE REVIEWED TIME 7) SCHNIER, BRIAN 1273 22-JUL-2015 15:49:00 W7) LIEUTENANT OR ABOVEIOCIC REVIEW THE ON-CALL INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT MEMBER: 2.) ALI. INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBSEOUENT TO INTERACTIONS WITH A DEPARTMENT MEMBER: 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. 75. SUBJECTS STATEMENT REGARDING THE USE OF FORCE DNA REFUSED UNABLE TO INTERVIEW (Specify Reason) 76. LIEUTENANT OR ABOVEJOCIC RATIONALE FOR BOX 77 FINDING Based on the preliminary information at this time the undersigned finds that the involved officer adhered to Department Guidelines and procedures. Above Log number was obtained to track this incident. Mack noti?ed at 1433 hours. 77. LIEUTENANT OR ABOVEIOCIC FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: I HAVE CONCLUDEO THAT THE ACTIONS I HAVE CONCLUDED THAT FURTHER INVESTIGATION IS REQUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG 1076271 OBTAINED 75. LIEUTENANT DR ABOVEIOCIC (Print Name) SIGNATURE DATE COMPLETED TIME JONES. JAMES 22-JUL-2015 15:59:15 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET. INCLUDING TI-EE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS - PHDTOCOPIES OF: SUPPLEMENTARY REPORT REPORT an, TOTAL THIS EVENT No. [3 CASE REPORT OFFICER BATTERY REPORT CR REPORT 1 I: ARREST REPORT TO-FROM-SUBJECT REPORTS FROM DEPARTMENT WITNESSES) TACTICAL RESPONSE Police Department INFORMATION Eg INVOLVED DOZF 1. DATE OF INCIDENT TIME 3. LOCATION CODE 4. 24-JUL-2015 11:1 5:00 EMERALD AVE CHICAGO, IL 60621 291 0711 5. LAST NAME 1. FIRST NAME 5. STAR No. B. SCI 10. RACE CODE 11. ASE 1'5. HT. 13. WT. 91 61 FOSS ROBERT 5854 E01 14. DATE OF APPT. 15. EMPLOYEE No. 15. UNIT 5 BEAT OF ASSIGNMENT 11. DUTY STATUS Ia. MEMBER 19. MEMBER lN 28-SEP-1992 193 8559A 21. FIRST NAME . M.I. 23. SEX 24. RACE 25. 26. HT. 27. WT. I28. ADDRESS 29. TELEPHONE NO. 30. WAS SUBJECT Domes : 02No [:Imves 31. SUBJECT 32. SUBJECT ALLEGED DDZNO DDZNO 0 El 33. WHERE WAS MEDICAL TREATMENT 34. BY 35. CONDITIOR Norma, 02 um, Mme, 03 HOBpllalizBd 04 Not Hospitalized 05 Medical Aid a) I35. CHARGES PLACED DNA 31c; No, IR NO. DNA 33. PASSIVE REGISTER ACTIVE REGISTER ABSNLANTEASSAULT MSAILANTIDEADLY FORGE DID NOT FOLLOW USES FORCE LIKELY T0 DNA VEREAL DIRECTION FLED ATTACK WEAPON CAUSE DEATH DR Lu 0 2 GREAT BODILY HARM STIFFENED ATTACK WITHOUT a 3 I: (DEAD WEIGHT) PULLED AWAY CI OTHER WEAPON I: WEAPON OTHER OTHER 900 MENACED RIO OTHER OTHER II. 3 MEMBER PRESENCE OPEN HAND STRIKE ELBOW STRIKE KNEE STRIKE FIREARM 3: VERBAL COMMANDS 5? a, ESCORT HOLDS CLOSED HAND El OTHER 3 DC CHEMICAL WEAPON KICKS lg WRISTLOCK u' 5 n' BAR CANINE IMPACT WEAPON I: IMPACT MUNITION In In BO: 40) PRESSURE SENSITIVE AREAS TASER (mm mm?) (Deacdba in Box 40) CI 3 3 CONTROL INSTRUMENT TASER mm? 5m") I: 5 OCICHEMICAI. WEAPON TASER TASER (Spark Displayed) OTHER OTHER OTHER ID ED. WEAPON DISCHARGE INCIDENT GEORGE, MARK A WEAPON AUTHORIZED BY (NAME) 40. ADDITIONAL INFORMATION POSITION 91:71 STAR NO. UNIT 2256 01 7 WHILE AFFECTING SEARCH WARRANT 15SW6714 A FEMALE WHITE PIT BULL BREED DOG CHARGED AND MENACED RIO. OFFICER RJ. FOSS #5854. RIO RJ. FOSS #5854 DISCHARGED HIS OC SPRAY THUS CAUSING THE AFOREMENTIONED DOG TO RETREAT AND BECOME PASSIVE. 41. WEAPON TYPE 01 REVOLVER 02 RIFLE 03 SHOTGUN 04 SEMI-AUTO PISTOL as CHEMICAL WEAPON De TASER (Probe DIschaIge) El D1 OTHER Indoors 42. INCIDENT OCCURRED [j 02 Night as PoarArtlIIDIal Outdoors 43. LIGHTING CONDITIONS [j as Dawn D4Dusk 8 D1 Daylight 05 Good Arti?cial 44. WEATHER CONDITIONS CLEAR I45. MAKEIMANUFACTURER 46. MODEL 47. BARREL LENGTH 4B. CALIBERIGAUGE 49. TASER DART ID NO. '50. WEAPON SERIAL ND. (Induda Letter!) 51. CHICAGO GUN REG. NO. 52. IL FIREARM OWNER ID. NO. 53. HANOGUN CERTIFICATE NO. 54. SPECIAL WEAPON CERTIFICATE NO. I55. PROPERTY INVENTORY NO. 55. TYPE OF AMMUNITION USED SING. OF WEAPONS DISCHARGED DY 511. TOTAL No. OF SHOTS MEMBER THIS MEMBER. 1 FIRED 59. WHO FIRED FIRST SHOT [j OTHER (SPECIFY) an. WAS FIREARM RELOADED 31. NO OF DATDRIDGESI 52. How WAS HANDGUN WORN [j 93 OTHER (Spadfy) (S DURING INCIDENT SHOT SHELLS 8 01 MEMBER 02 OFFENDER 01 YES [3 02 No RELOADED DI RT. SIDE (WAIST) El 02 LT. SIDE (WAIST) as. How WAS HANDGUN DRAWN Cl 03 OTHER - SPECIFY METHOD-EQUIPMENT USED TO RELOAD as. DID MEMBER USE SIGHTS 2 STRONG SIDE DRAW El 02 CROSS DRAW YES a; no 0' 9 BB. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES. DOORWAYS. CAR. FURNITURE. ETC) 57. DISTANCE BETWEEN INVOLVED MEMBER a. OFFENDER WHEN FIRST SHOT WAS FIRED a El 0310-1551. MOVERISFT. 68. PERSONIOBJECT STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON 39. POSITION OF MEMBER DISCHARGINO WEAPON 01 STANDING 02 ()0pr I3 01 PERSON 02 OBJECT Da BOTH 04 UNKNOWN 03 SITTING D4 KNEELING as OTHER (SPECIFY) 72 NOTIFICATIONS (00 OR TASER INCIDENT): IZI OEMC 088 81 LTJDIST. 0F OCCUR. CPIC 3, o' NOTIFICATIONS (FIREARM INCIDENT): ass/(3137, OCCUR OCIC CPIC El DET. DIVMembers ensure that all reqUIred noti?catlons and all WItnesses to We use Of force are documented in the appropiate case report. 5 73. REPORTING MEMBER (Print Name) STARIEMPLOYEE NO. SIGNATU a a, FOSS, ROBERT 0, 24-JUL-2015 13:01 :39 I '2 Reviewing supervisor will ensure the legibility and completeness Of this report and attest by entering the required information below. "4 74. REVIEWING SUPERVISOR (Print Name) STAR ND. DATE REVIEWED TIME (7) GEORGE, MARK A 2256 24-JUL-2015 13:38:55 W7) LIEUTENANT OR ABOVEIOCIC REVIEW THE ON-CALL INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT MEMBER: 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE SUBSEOUENT TO INTERACTIONS WITH A DEPARTMENT MEMBER: 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT HERE IN 1 OR 2. THE ASSIGNED INVESTIGATINB SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. TE. SUBJECTS STATEMENT REGARDING THE USE OF FORCE DNA REFUSED UNABLE To Reason) 7a. LIEUTENANT OR ASCVEIDCIC RATIONALE FOR Sox 77 FINDING The Of?cer. while executing search warrant 155W6714 was menaced by a pit bull. The of?cer fearing for his safety discharged pepper spray to deter the attacking animal. Based on the information available at this time. I have concluded that the member's actions Were in compliance with Department prooedures and directives. 77. LIEUTENANT 0R ABOVEIOCIC FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: I HAVE CONCLUDED THAT THE MEMBERS ACTIONS I HAVE CONCLUDED THAT FURTHER INVESTIGATION Is REDUIREDT WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG NOJCRNO. OBTAINED Ta. LIEUTENANT OR ABOVEIOCIC (Print Name) SIGNATURE DATE COMPLETED TIME DARLIN, RAN DALL 24-JUL-2015 14:20 :47 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET. INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. - PHOTOCOPIES 0F: [j SUPPLEMENTARY REPORT I.o.o. REPORT an. TOTAL THIS EVENT NO. CASE REPORT [3 OFFICER BATTERY REPORT CR INITIATION REPORT 2 [j ARREST REPORT El REPORTS FROM DEPARTMENT WITNESSIESI TACTICAL RESPONSE Police Department 1. DATE OF INCIDENT TIME 3. LOCATION CODE 4. 53755355 24-JUL-2015 1 0:30:00 8 EMERALD AVE CHICAGO, IL 60621 303 071 1 a 5. POSITION a. LAST NAME 7. FIRST NAME 0. STAR NO. 0. Bar 10. RACE CODE 11GEORGE MARK A 2256 14. DATE OF APPT. 15. EMPLOYEE No. 10. UNIT 0. BEAT OF ASSIGNMENT 17. DUTY STATUS 10. MEMBER . MBER IN Lu 5 25-JAN-1988 193 I 6559 $01 On 0201? 01YSS 02 No B01 Yes 02 No 20- LAST NAME 21. FIRST NAME 22. MI. 23. sex 24. RACE 25. DOB23. ADDRESS 29. TELEPHONE NO. :10. WAS SUBJECT 31. SUBJECT 32. SUBJECT ALLEGED (.2 [:Imves DDZNO [: 01Yas [:IozNo 3 as. WHERE WAS MEDICAL TREATMENT 34. BY as. CONDITION Amway 02 Under ?mm? 3 03 04 Not Hospitalized 05 Refused a: as. CHARGES PLACED DNA 37_ ca no IR NO. DNA 38. FIAIBNE RESIITER ACTIVE REIIBTER FORCE DID NOT FOLLOW USES FORCE LIKELY T0 DNA ?0 VERBAL DIRECTION FLED g?g?gy?? ATTACK WEAPON I:l CAUSE DEATH OR I5 2 GREAT BODILY HARM STIFFENED ATTACK WITHOUT I: (DEAD WEIGHT) El PULLED AWAY OTHER WE Po" WEAPON a 4 OTHER DOG OTHER OTHER ATTCRINGIAGGRESSIVE DOG LL 0 3 MEMBER PRESENCE OPEN HAND STRIKE ELBOW STRIKE KNEE STRIKE FIREARM g- VERBAL COMMANDS El 3 5? ESCORT HOLDS CLOSED I: a WRISTLOCK on WEAPON STRIKEIPUNCH KICKS E, OTHER 1 ROUND FIRED 5 2 ARan CANINE El IMPACT ON IMPACT MUNITION U) --I (Describe in Box 40) u.l PRESSURE SENSITIVE AREAS (mm mm?) (Describe In Box 40) I: I TASER (Contact Stun) . a, CONTROL INSTRUMENT 3 OCICHEMICAL WEAPON (??3'Ts'9md? TASER (Spark DIapIayad) OTHER . OTHER 1 ROUND DISCHARGED OTHER 1 ROUND 39_ - OCICHEMICAL WEAPON AUTHORIZED BY (NAME) 40. INFORMATION ENCOUNTERED AN AGGRESSIVE PITBULL, DURING THE EXECUTION OF SEARCH ONA WARRANT RISGT. DISCHARGED HIS FIREARM, ONE TIME, TO FEND WPOSITION STAR UNIT OFF THE ANIMAL. '5 41. WEAPON TYPE SEMI-AUTO 42. INCIDENT OCCURRED 4B. LIGHTING CONDITIONS 8 01 Daylight 44. WEATHER CONDITIONS '5 01 REVOLVER 05 CHEMICAL WEAPON Indoors Outdoors 92 "3 CI CLEAR 5 05 Poor Arti?cial 00 Good Arti?cial 02 RIFLE as TASER (Probe Discharge) 0 45. MAKEJMANUFACTURER 45. MODEL BARREL LENGTH 40. CALIBERIGAUGE 03 OTGUN 07 OTHER BANTAMBRIGADIER 92Fs 4? 9 MM 5 49. TASER DART ID NO. 50. WEAPON SERIAL No. Ilnctude Letters) 51. CHICAGO GUN REG. NO. 52. IL FIREARM OWNER ID. NO. 53. HANDGUN CERTIFICATE NO. In 54. SPECIAL WEAPON CERTIFICATE NO. 55. PROPERTY INVENTORY NO. 55. TYPE OF AMMUNITION USED 57.NO. PONS DISCHARGED BY 50. TOTAL NO. OF SHOTS MEMBER 2 THIS MEMBER. 1 FIRED 1 59. WHO FIRED FIRST SHOT 503 OTHER (SPECIFY) so. WAS FIREARM RELOADED S1. NO OF CATDRIDGESI 02. HOW WAS MEMBER-S HANDGUN WORN D03 OTHER (5pm) 3 DURING INCIDENT SHOT SHELLS 01 MEMBER 02 OFFENDER 01 YES 02 NO RELOADED 01 RT. SIDE (WAIST) 02 LT. SIDE (WAIST) 0' - 53. How WAS HANDGUN DRAWN 03 OTHER (Specify) SPECIFY USED TO RELOAD as. DID MEMBER USE SIGHTS 801 STRONG SIDE DRAW El 02 CROSS DRAW [as. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES, DOORWAYS. CAR. FURNITURE. ETC) DISTANCE BETWEEN INVOLVED MEMBER OFFENDER WHEN FIRST SHOT WAS FIRED a DNA 010-05FT. El 0310-15FT. 04OVER15FT. 88. STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON 69. POSITION OF MEMBER WEAPON a 01 STANDING (12 LYING Down A 01 PERSON 02 OBJECT 03 BOTH 8 D4 UNKNOWN [3 03 SITTING 04 KNEELING 05 OTHER (SPECIFY) 72 .- NOTIFICATIONS (00 OR TASER INCIDENT): El OEMC 038 LTJDIST. OF OCCUR. CPIC a, "m4 NOTIFICATIONS (FIREARM INCIDENT): Kr OEMC 0F OCCUR OCIC CPIC IZI DET. DIVMembers ensure that all reqUIred notI?catlons and all Witnesses to this use Of force are documented In the apprOpIate case report. 5 73. REPORTING MEMBER Name) STARIEMPLOYEE NO. SIGNA a: a; GEORGE, MARK A 2256 0, Reviewing supervisor will ensure the legibility and completeness of this report and attest by entermg the required Information below. ?4 74. REVIEWING SUPERVISOR (Print Nam) STAR NO. DATE REVIEWED TIME 6 BIGG, KENNETH A 620 24-JUL-2015 14:02:58 W7) LIEUTENANT OR REVIEW THE ON-CALL INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBSEOUENT TO INTERACTIONS WITH A DEPARTMENT 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. 75. SUBJECTS STATEMENT REGARDING THE USE OF FORCE DNA REFUSED UNABLE To (Specify Reason) 78. LIEUTENANT OR ABOVEJOCIC RATIONALE FOR BOX 77 FINDING The Sergeant. while executing search warrant 15SW6714 was attacked by a pit bull. The of?cer fearing for his safety discharged his ?rearm one time in an attempt to destroy the attacking animal. Based on the Information available at this time. i have concluded that the member's actions were in compliance with Department procedures and directives. ,3 77. LIEUTENANT OR FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: I HAVE CONCLUDED THAT THE ACTIONS [j I HAVE THAT FURTHER INVESTIGATION IS REQUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG 1076316 OBTAINED Ta. LIEUTENANT OR ABOVEIOCIC (Print Name) SIGNATURE DATE COMPLETED TIME DARLIN. RANDALL 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET. INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WELL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS - PHOTOGOPIES OF: [3 SUPPLEMENTARY REPORT [3 Lop. REPORT 50. TOTAL THIS EVENT No. [3 CASE REPORT OFFICER BATTERY REPORT CR INITIATION REPORT 2 I: ARREST REPORT TO-FROM-SUBJECT REPORTS FROM DEPARTMENT WITNESSES) TACTICAL RESPONSE Police Department 1. DATE OF INCIDENT TIME 2 ADDRESS OF OCCURRENCE 3. LOCATION CODE w. 24-JUL-2015 20:45:00 Bus MARYLAND AVE CHICAGO, IL 60619 291 0031 I: a 5. POSITION 0. LAST NAME 7. FIRST NAME 0. STAR NO. 9. SEX 10. RACE CODE 11PERDOMO JAIRO 19737 $01 D02 WWH 981 507 210 14. DATE OF AFPT., 10. UNIT BEAT OF ASSIGNMENT 1T. DUTY STATUS IS. MEMBER . MEMBER IN Ill 5 02-DEC-2013 009 42500 0101-. 02 OII CI 01m: 02 No [3 02 No 21. FIRST NAME 22. MI. 23. SEX 24. RACE 25. DOBADDRESS 20. TELEPHONE NO. 30. WAS SUBJECT 31. SUBJECT 32. SUBJECT ALLEGED 1:101?. : 02No :I01Yas DOZNO : 01Yaa : 02No . a as. WHERE WAS MEDICAL TREATMENT 34. BY as. CONDITION ?1 Amman", Nam, Und?, Mme, 03 04 Net Hospitalized 05 Refused Medical Aid U) 33. CHARGES PLACED 8 DNA 37, ca IR NO. DNA 38. PASSIVE RESISTER ACTIVE REBISTER MBAILANT: DEADLY FORCE I: DID NOT FOLLOW USES FORCE LIKELY T0 DNA VERBAL DIRECTION El FLED mMg?Ir'gyRE? CI ATTACK CAUSE DEATH OR Lu 0 2 GREAT BODILY HARM STIFFENED ATTACK WITHOUT 5 (DEAD WEIGHT) PULLED AWAY OTHER WEAPON WEAPON E, a OTHER OTHER OTHER OTHER u_ 3 MEMBER PRESENCE OPEN HAND STRIKE ELBOW STRIKE KNEE 5mm [3 FIREARM D- VERBAL COMMANDS TAKE DOWN EMERGENCY g- "m4 ESCORT HOLDS CLOSED I: 0: 2 DC CHEMICAL WEAPON '3 m? I: OTHER 0 Lu 0 WRISTLOCK In CANINE LI. O. ARMBAR IMPACT WEAPON a; CI TASER (Prune mm a (Baguth In 30,. 4.5) IMPACT MUNITION PRESSURE SENSITIVE AREAS '9 I (Describe In on 40) '1 TASER Stun) a, CONTROL INSTRUMENT a 8 OCICHEMICAL WEAPON TASER (Lm'Ta'gm?I) TASER (Spark Displayed) OTHER OTHER OTHER 39. - OCICREMICAL WEAPON AUTHORIZED BY (NAME) 40. ADDITIONAL INFORMATION I: RIO WAS APPROACHED BY A DOG (PIT BULL) IN AN AGGRESSIVE MANNER. DOG DNA ATTEMPTED TO ATTACK RIO. RIO FIRED SERVICE WEAPON ONE TIME STRIKING IPOSITION STAR THE DOG IN THE HEAD. DOG IS DECEASED. 41. WEAPON TYPE 04 SEMI-AUTO PISTOL 01 REVOLVER 05 CHEMICAL WEAPON I: 02 RIFLE 03 SHOTGUN 03 TASER (Probe DIsaharge) 07 OTHER 42. INCIDENT OCCURRED Indoor! Outdoors 43. LIGHTING CONDITIONS 02 Night 05 naOawn D4Dusk 44. WEATHER CONDITIONS CLEAR . 01 Daylight 00 ArtIIiCIal 45. CLOCK, 46, MODEL 1 9 47. BARREL LENGTH 48. CALIBERIGAUGE 4 9MM 49. TASER DART ID NO. 50 WEAPON SERIAL NO. (Induda Letters) '51. CHICAGO GUN REG. NO. 54. SPECIAL WEAPON CERTIFICATE NO. 55. PROPERTY INVENTORY NO. 5B. TYPE OF AMMUNITION USED SING. OF WEAPONS DISCHARGED BY 52. IL FIREARM OWNER ID. NO. 53. HANDGUN CERTIFICATE NO. 58. TOTAL NO. OF SHOTS MEMBER WEAPON DISCHARGE INCIDENT Department Issued THIS MEMBER.- 1 FIRED 1 59. WHO FIRED FIRST SHOT OTHER (spEc(FY) 60. WAS FIREARM RELOADED 81. NO OF 62. HOW WAS HANDGUN WORN 03 org-(ER (spawn 3 DURING INCIDENT SHOT SHELLS A 01 MEMBER 02 OFFENDER 01 YES 8 No RELOADED 01 RT. SIDE (WAIST) 02 LT. SIDE (WAIST) a. 03. HOW WAS HANDGUN DRAWN 03 OTHER (SpacIIy) 395cm USED To RELOAD DNA as. DID MEMBER USE SIGHTS 2 01 STRONG SIDE DRAW 02 CROSS DRAW 01 YES 02 NO 01 '0 60. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES. DOORWAYS. CAR. FURNITURE. ETC) DISTANCE BETWEEN INVOLVED MEMBER 81 OFFENDER WHEN FIRST SHOT WAS FIRED a NONE 0205-10Fr. 0310-15FT. 040VER15FT. 00. PERSONIOBJECT STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON 89. POSITION OF MEMBER DISCHARGING WEAPON STANDING 02 LYING DOWN 01 PERSON 02 OBJECT 03 BOTH 04 UNKNOWN 03 SITTING 04 KNEELING 05 OTHER (SPECIFY) 72? NOTIFICATIONS (06 OR TASER INCIDENT): OEMC D38 8: LTJDIST. OF OCCUR. CPIC NOTIFICATIONS (FIREARM INCIDENT): OEMC ass/DIS: occun 3. acre - CPIC DET. DIV. Members witI ensure that all required noti?cations and all witnesses to this use of force are documented in the appropiate case report. 73. REPORTING MEMBER Name) STARIEMPLOYEE NO. SIGNATURE a PERDOMO, JAIRO 19737 4; 25-JUL-2015 00:11:08 2) '2 Reviewing Supervisor wiII ensure the legibility and completeness of this report and attest by entering the required information below. A 5 T4. REVIEWING SUPERVISOR (Print Name) STAR NO. 5 NATURE DATE REVIEWED TIME MARTIN, CLIFFORD 1456 25-JUL-2015 00:13:07 W7) LIEUTENANT OR ABOVEIOCIC REVIEW THE INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBSEOUENT TO INTERACTIONS WITH A DEPARTMENT MEMBER: 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. 76. SUBJECTS STATEMENT REGARDING THE USE OF FORCE DNA REFUSED UNABLE TO INTERVIEW (Specify Reason) Animal Destruction TB. LIEUTENANT OR ABOVEJOCIC RATIONALE FOR BOX 77 FINDING Based on the preliminary Investigation at the time of this report. It IS the determination of the Undersigned that Of?cer Jairo Perdomo #19737 acted In compliance with Department policy. Of?cer Perdomo discharged his weapon at a vicious dog striking same after the dog charged at Of?cer Perdomo. thus placing him in fear of his life. Log #1076331. TL LIEUTENANT OR FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: I HAVE CONCLUDED THAT THE ACTIONS I HAVE CONCLUDED THAT FURTHER INVESTIGATION Is REOUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG 1 076331 OBTAINED Te. LIEUTENANT OR (Print Name) SIGNATURE DATE COMPLETED TIME ALEXANDER, DANA I 00:22:36 79. DISTRIBUTION OF ORIGINAL TRR: A TRR THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS - PHOTOCOPIES 0F: [j SUPPLEMENTARY REPORT [3 LCD. REPORT 30. TOTAL THIS EVENT No. [3 CASE REPORT OFFICER BATTERY REPORT [3 CR INITIATION REPORT 1 ARREST REPORT [3 REPORTS FROM DEPARTMENT WITNESSES) TACTICAL RESPONSE Police Department 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE 3. LOCATION CODE 4. 551755355 27-JUL-2015 I 19:30:00 4OQE 134TH ST IL 60633 304 0433 a 3 LAST NAME 7. FIRST NAME 0. STAR NO. B. 991 10. RACE CODE 11. ACE 1'5. HT. 1'3. WT. a AMY 7379 [101 WHI 1977 508 125 5 14. DATE OF APPT. 13. UNIT 0. BEAT OF ASSIGNMENT 17. DUTY STATUS 13. MEMBER . EMSER IN Lu 5 . 14-AUG-2000 004 I 0433 21. FIRST NAME 22. MI. SEK 24. RACE 25. DOB29. TELEPHONE NO. :10. WAS SUBJECT 31. SUBJECT 32. SUBJECT ALLEGED 23. ADDRESS h: : 02No :]01Yn Dawn 8 WHERE WAS MEDICAL TREATMENT 34. BY 35. CONDITION Appmnuy Nam?. 02 um, .nnuam 03 Hospitalized 04 Not Hospitalized 05 Raiusad Medical Aid a: 30. CHARGES PLACED DNA 31 as NO, IR No. DNA 35. PMDNE RESIDTER ACTIVE REBISTER FORCE DID NOT FOLLOW USES FORCE LIKELY TO DNA ?0 a, VERBAL DIRECTION FLED CI Am? WEAPON CI CAUSE DEATH OR 2 GREAT BODILY HARM STIFFENED ATTACK WITHOUT 5 (DEAD WEIGHT) CI WEED OTHER EAPON CI 8 a 4 OTHER OTHER OTHER LL. 0 3 MEMBER PRESENCE OPEN HAND STRIKE ELBOW 5mm); KNEE mm); FIREARM CL VERBAL COMMANDS El TAKE DOWN I EMERGENCY lg a, l.l.l ESCORT HOLDS HANOCUFFING CLOSED HAND 45 OC CHEMICAL WEAPON KICKS OTHER 5 2 ARan CANINE IMPACT WEAPON IMPACT MUNITION 0) (Describe In Box 40) 3% PRESSURE SENSITIVE AREAS TASER "3m" (998131? 50* 40) 3 CONTROL INSTRUMENT TASER (?mm n3: 8 OCICHEMICAL WEAPON TASER (Laser Targeted) TASER (Spark Displayed) OTHER OCICHEMICAL WEAPON AUTHORIZED BY (NAME) SEE IF I POSITION STAR NO. UNIT 40. ADDITIONAL INFORMATION SHOTS FIRED AT A DOG 41. WEAPON TYPE I: 01 REVOLVER 02 RIFLE 03 SHOTGUN 07 OTHER 04 SEMI-AUTO PISTOL 05 CHEMICAL WEAPON 06 TASER (Probe Discharge) Indoors 42. INCIDENT OCCURRED Outdoors [j 02 Night [3 CI 05 43. LIGHTING CONDITIONS 8 01 03 Dawn MDUSIT El 05 Good Arti?cial 44. WEATHER CONDITIONS CLEAR 45. MAKEIMANUFACTURER SMITH I. WESSON -US- (BODYGUARD.CHIEF IIPECIAL) 5943 48. MODEL 4.00 47. BARREL LENGTH 48. CALIBERIGAUGE QMM 40. TASER DART ID NO. 50. WEAPON SERIAL ND. (Include Letters) 51. CHICAGO GUN REG. NO. 52. IL FIREARM OWNER ID. NO. 53. HANDGUN CERTIFICATE ND. WEAPON DISCHARGE INCIDENT 54. SPECIAL WEAPON CERTIFICATE NO. 65. PROPERTY INVENTORY No. 58. TYPE OF AMMUNITION USED 57.NO. OF WEAPONS DISCHARGED BY 50. TOTAL No. OF SHOTS MEMBER Department Issued THIS MEMBER. 1 FIRED 5 59. WHO FIRED FIRST SHOT [303 OTHER (SPECIFY) 30. WAS FIREARM RELOADED 31. No OF CATDRIDGESI 52. HOW WAS MEMBER-S HANDGUN WORN [303 OTHER (Specify) .3 DURING INCIDENT SHOT SHELLS A 01 MEMBER 02 OFFENDER 01 YES no RELOADED 0 01 RT. SIDE (WAIST) 02 LT. SIDE (WAIST) u. 33. HOW WAS HANDGUN DRAWN 03 OTHER (Spazi-ry) - SPECIFY USED TO RELOAD 65. DID MEMBER USE SIGHTS '3 2 IE 01? STRONG SIDE DRAW 02 CROSS DRAW 01 YES 02 NO '0 .L as. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES. DOORWAYS. CAR. FURNITURE. ETC) 37. DISTANCE BETWEEN INVOLVED MEMBER 3 OFFENDER WHEN FIRST SHOT WAS FIRED NONE 010-05I??r. 0310-15Fr. MOVER15FT. 68. PERSONIOBJECT STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON SB. POSITION OF MEMBER DISCHARGING WEAPON 01 STANDING 02 LYING DOWN 01 PERSON 02 OBJECT 03 BOTH 04 UNKNOWN 03 SITTING 04 KNEELING 05 OTHER (SPECIFY) 72 I .3 NOTIFICATIONS (00 OR TASER INCIDENT): OEMC D38 LTJDIST. OF OCCUR. CPIC a o' NOTIFICATIONS (FIREARM INCIDENT): OEMC DSSIDIST. OF OCCUR OCIC CPIC DET. DIV. u. . . 5 Members will ensure that at] required noti?cations and at] witnesses to this use of force are documented in the appropiate case report. 55 73. REPORTING MEMBER (Print Name) No. SIGNATURE a CAREY. AMY 7379 27-JUL-2015 22:14:43 3 I '2 Reviewing supervisor will ensure the legibility and completeness of this report and attest by entenng the required Information below. 9? 5 74. REVIEWING SUPERVISOR (Print Name) STAR NO. DATE REVIEWED TIME KAPA, CHRISTOPH 325 27-JUL-2015 22:16:01 W7) LIEUTENANT OR ABOVEIOCIC REVIEW THE ON-CALL INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR ALL INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBSEOUENT TO INTERACTIONS WITH A DEPARTMENT MEMBER: 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 DR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER 15. SUBJECTS STATEMENT REGARDING THE USE OF FORCE DNA REFUSED UNABLE TO INTERVIEW (Specify Reason) Shots ?red at attacking dog. no hits. TB. LIEUTENANT OR ABOVEIOCIC RATIONALE FOR BOX 77 FINDING Based upon the Information availabie at the time Of this report, it is the preliminazy determination of the undersigned that P.0. Walsh #7379 and PD. Doyle #7600 acted in compliance with Department policy. P.O. Walsh and Doyle ?red their weapons at a attacking dog. in fear of themselves and others being bitten. P.O. Walsh and Doyle whom were investigating a call of a vicious animai attacking it's owner. un-holstered their weapons as the dog lunged towards them forcing them to tire their Weapons at the attacking dog. 77. LIEUTENANT OR ABOVEIOCIC BASED UPON CURRENTLY AVAILABLE INFORMATION: I HAVE CONCLUDED THAT THE MEMBERS ACTIONS I HAVE CONCLUDED THAT FURTHER INVESTIGATION IS REQUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG 1076374 OBTAINED 73. LIEUTENANT OR ABOVEIOCIC (Print Name) SIGNATURE DATE COMPLETED TIME NAVARRO, KEVIN 27-JUL-2015 22:44:16 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET. INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS - PHOTOCOPIES 0F: El SUPPLEMENTARY REPORT I.O.D. REPORT an TOTAL THIS EVENT NS CASE REPORT OFFICER BATTERY REPORT CR INITIATION REPORT 2 [l ARREST REPORT REPORTS FROM DEPARTMENT WITNESSIESI TACTICAL RESPONSE Police Department 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE 3. LOCATION CODE 4. 55775355? 27-JUL-2015 19:33:00 4 134TH ST .QCHICAGO, IL 00633 304 0433 a 0. LAST NAME 7. FIRST NAME 0. STAR No. 0. SET 10. RACE CODE 11.AGE 12DOYLE KATHLEEN A 7500 D01 02 WHI 979 600 185 14. DATE OF APFT. 13. UNIT 0. BEAT OF ASSIGNMENT 17. DUTY STATUS Ia. MEMBER . EMBER IN 5 25-SEP-2006 004 0433 01On am ("Yes 02 N. 01Yaa 21. FIRST NAME 22. MI. 23. SEX 24. RACE 25. DOBADDRESS 20. TELEPHONE NO. 30. WAS SUBJECT 31. SUBJECT 32. ALLEGED Bowen Down Dumas [: 02No Downs :10an a 33. WHERE WAS MEDICAL TREATMENT 34. BY as. CONDITION Aware? Norm, 02 Under Mme. 03 Hospitalized 04 Noi Hospitalized 05 Raman Medical Aid a: 30. CHARGES PLACED DNA 37. ca No_ IR NO. DNA as. PASSIVE RESISTER ACTIVE RESISTER ABBAILANTIDEADLY FORCE DID NOT FOLLOW USES FORCE LIKELY T0 DNA a; VERBAL DIRECTION CI FLED IMMINENT THREAT ATTACK WITH WEAPON CAUSE DEATH OR I- GREAT BODILY HARM Lu 0 STIFFENED ATTACK WITHOUT at) I: (DEAD WEIGHT) AWAY OTHER WEAPON WEAPON . no. a ?1 OTHER OTHER OTHER u. 3 MEMBER PRESENCE OPEN HAND STRIKE ELBOW STRIKE KNEE STRIKE FIREARM VERBAL COMMANDS TAKE DOWN I EMERGENCY HANDCUFFING CLOSED HAND I0 . a :6 2 $3322?? OC CHEMICAL WEAPON El KICKS OTHER .1: . n_ ARMBAR CANINE I: IMPACT WEAPON 2 5 In TASER (Probe Discharge) El (Deserle in Box 40) El IMPACT MUNITION El PRESSURE SENSITIVE AREAS ("Emma ?3 8 CONTROL INSTRUMENT TASER (?mm 5m") El 6 OCICHEMICAL WEAPON TASER (Lm'Ta'gmd? CI TASER (Spark DIapIayad) OTHER EDS WEAPON DISCHARGE INCIDENT WEAPON AUTHORIZED BY (NAME) 40. ADDITIONAL INFORMATION SHOTS FIRED AT DOG POSITION STAR NO. 41. WEAPON TYPE 42. INCIDENT OCCURRED Indoors Outdoors 04 SEMI-AUTO PISTOL 05 CHEMICAL WEAPON 43. LIGHTING CONDITIONS 3 01 Daylight 02 mm 03 Dawn 04Duak 05 03 Good Arti?cial 44. WEATHER CONDITIONS 01 REVOLVER CLEAR 02 RIFLE as TASER (Pmba Discharge) 48. MODEL 47. BARREL LENGTH P239 4' 4B. CALIBERIGAUGE 45. MAKEIMANUFACTURER 9 MM El 03 SHOTGUN SIGIS. I. GJSWISS INDUSTRIAL .- 01 OTHER 49. TASER DART ID NO. 50. WEAPON SERIAL ND. (lnduda Letters) l51. CHICAGO GUN REG. NO. '52. IL FIREARM OWNER ID. NO. 53. HANDGUN CERTIFICATE NO. 54. SPECIAL WEAPON CERTIFICATE NO. 55. PROPERTY INVENTORY N0. 56. TYPE OF AMMUNITION USED 57.N0. OF WEAPONS DISCHARGED BY 58. TOTAL NO. OF SHOTS MEMBER Department Issued THIS MEMBER. 1 FIRED 3 59. WHO FIRED FIRST SHOT OTHER (SPECIFY) BU. WAS FIREARM RELOADED 61. NO OF 62. HOW WAS HANDGUN WORN OTHER (Specify) :3 DURING INCIDENT SHOT SHELLS A 01 MEMBER 02 OFFENDER u1YEs 02 NO RELOADED 01 RT. SIDE (WAIST) 02 LT. SIDE (WAIST) 33. Now WAS HANDGUN DRAWN OTHER {Spagfw - SPECIFY METHODIECIUIPMENT USED TO RELOAD 35. DID MEMBER USE SIGHTS 2 $01 STRONG SIDE DRAW 02 CROSS DRAW 7 01 YES 02 NO 9 Int 53. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES. DOORWAYS, CAR, FURNITUREI ETC) DISTANCE BETWEEN INVOLVED MEMBER a. OFFENDER WHEN FIRST SHOT WAS FIRED NONE 0205-10Fr. 0310-15FT. 04OVER15FT. 68. PERSONIOBJECT STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON 69. POSITION OF MEMBER DISCHARGING WEAPON 8 01 STANDING El 02 LYING DOWN 01 PERSON 02 OBJECT 03 BOTH 04 UNKNOWN 03 SITTING 04 KNEELING [j 05 OTHER (SPECIFY) 72. NOTIFICATIONS (00 OR TASER INCIDENT): OEMC 088 8. LTJDIST. 0F OCCUR. CPIC o' NOTIFICATIONS (FIREARM INCIDENT): OEMC DSSIDIST. 0F OCCUR a. OCEC (g CPIC El DET. DIVMembers ensure that all reqwred notIficatIons and all WItnesses to this use of force are documented In the appropIate case report. 5 73. REPORTING MEMBER (Print Name) NO. SIGNATURE a u, DOYLE. KATHLEEN A 7600 o: 'ch 27-JUL-2015 22:17:33 3 3 Reviewing supervisor will ensure the legibility and completeness of this report and attest by entering the required informatlon below. a" 5 74. REVIEWING SUPERVISOR Name) STAR NO. SIG DATE REVIEWED TIME :73 KAPA, CHRISTOPH 325 27-JUL-2015 22:17:53 LIEUTENANT OR ABOVEIOCIC REVIEW TI-IE INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUSSEOUENT TO INTERACTIONS WITH A DEPARTMENT 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. 15. SUBJECTS STATEMENT REGARDING THE USE OF FORCE DNA [3 REFUSED Shots ?red at attacking dog, no hits. UNABLE To INTERVIEW (Specify Reason) TBI LIEUTENANT OR RATIONALE FOR BOX 77 FINDING Based upon the information available at the time of this report. it is the preliminary detennlnation of the undersigned that P.O. Walsh #7379 and PD. Doyle #7600 acted In compliance with Department policy. P.O. Waish and Doyle fired their weapons at a iunging attacking dog. In fear of themselves and others being bitten. P.O. Walsh and Doyle whom were investigating a call of a vicious animal attacking it's owner. un-holstered their weapons as the dog lunged towards them forcing them to ?re their weapons at the attacking dog. 77. LIEUTENANT OR ABOVEIOCIC FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: I HAVE CONCLUDED THAT THE ACTIONS I HAVE CONCLUDED THAT FURTHER INVESTIGATION IS REQUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG NOJCRNO 1 076374 OBTAINED 78. LIEUTENANT OR ABOVEIOCIC (Print Name) SIGNATURE DATE COMPLETED TIME NAVARROI KEVIN 27-JUL-2015 22:43:59 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET. INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. AWACHMENTS - PHOTOCOPIES 0F: SUPPLEMENTARY REPORT LCD. REPORT 30. TOTAL THIS EVENT NO. CASE REPORT OFFICER BATTERY REPORT CR INITIATION REPORT 2 [j ARREST REPORT I {j TO-FROM-SUBJECT REPORTS FROM DEPARTMENT WITNESSES) TACTICAL RESPONSE Police Department 1. DATE OF NO TIME DDRESS OF oc' 3. LOCATION CODE 20:45:00 2?5 WHIPPLE ST CHICAGO, IL 60623 291 1033 5. POSITION S. LAST NAME 7. FIRST NAME 3. STAR NO. 9. SE): RACE CODE 11.AGE 12. HT. 13. WT. 91 S1 SAN DOVAL VICTOR 19663 gm [102 1974 508 170 5 11. DATE OF APPT. EMPLOYEE NO. 13. UNIT BEAT OF ASSIGNMENT 11. DUTY STATUS 1a. MEMBER . ER IN 27-JUL-1998 010 1031 @111 On 020" 01YSS 02 NO 01 Yes 02 N0 21. FIRST NAME .M.I. 23. SEX 24. RACE 25. 0.0.1:102 2 ADDRESS 29. TELEPHONE NO. 30. WAS SUBJECT 31. SUBJECT 32. SUBJECT ALLEGED FE Don's. : 01Yu Down 0 "4 WHERE WAS MEDICAL TREATMENT 34. BY 35. CONDITION Appmnuy Nam, 02 um, mama, DS Hospitalized D4 Hoepltallzed I: D5 Refund MedicalAld San. CHARGES PLACED DNA 37. GB NO. IR DNA as. PASSIVE REGISTER ACTIVE FCRCE DID NOT FOLLOW USES FORCE LIKELY TO DNA ?0 a, VERBAL DIRECTION FLED El g?Fmgu?gyn?T WEAPON CAUSE DEATH OR '5 2 GREAT BODILY HARM STIFFENED ATTACK WITHOUT '5 (DEAD WEIGHT) AWAY OTHER WEAPON El WEAPON a OTHER OTHER OTHER OTHER LI. 0 MEMBER PRESENCE OPEN HAND STRIKE ELBOW STRIKE El KNEE STRIKE FIREARM a VERBAL COMMANDS TAKE DOWN EMERGENCY HANDCUFFING CLOSED HAND 3 ESCORT HOLDS a: a WRIBTLOCK OC CHEMICAL WEAPON KICKS I: OTHER 0 5 a" ?n mm IMPACT WEAPON IMPACT MUNITION to (Describe In Ba: 40) PRESSURE SENSITIVE AREAS ?th" ?mm? (Dunedin In Box 40) I: 3 CONTROL INSTRUMENT mm? 6m") a 6 OCJCHEMICAL WEAPON TASER (Lm'nmm) ?5 TASER (Spark Dluplayed) OTHER OTHER OTHER SEE OCICHEMICAL WEAPON AUTHORIZED BY (NAME) 40. ADDITIONAL INFORMATION POSITION STAR NO. UNIT 41. WEAPON TYPE D1 REVOLVER 02 RIFLE 03 SHOTGUN 07 OTHER 04 SEMI-AUTO PISTOL 05 CHEMICAL WEAPON 06 TASER (Probe Discharge) Indoor: 42. INCIDENT OCCURRED [j 02 Night 05 PODrArlIlchel 43. LIGHTING CONDITIONS 03 Dawn El D1 Daylth MDUBII DB Good Arti?cial 44. WEATHER CONDITIONS CLEAR CLOCK. INCL-ALI- I45. UFACTURER 21 46. MODEL 47. BARREL LENGTH 4.5 48. CALIBERIGAUGE 45 CAL 49. TASER DART ID NO. 54. SPECIAL WEAPON CERTIFICATE NO. 50. WEAPON SERIAL ND. (Include Lellers) 55. PROPERTY INVENTORY NO. 58. TYPE OF AMMUNITION USED Department Issued l51. CHICAGO GUN REG. NO. '52. IL FIREARM OWNER ID. NO. 53. HANDGUN CERTIFICATE NO. 57.NO. OF WEAPONS DISCHARGED BY THIS MEMBER. 1 50. TOTAL NO. OF SHOTS MEMBER IRED 2 WEAPON DISCHARGE INCIDENT 59. WHO FIRED FIRST SHOT OTHER (sPEcn-Y) 60. WAS FIREARM RELOADED 51. NO OF CATDRIDGESI 52. HOW WAS HANDGUN WORN OTHER (spacuy) :3 DURING INCIDENT SHOT SHELLS 01 MEMBER El 02 OFFENDER 01 yes D: NO RELOADED 8 01 RT. SIDE (WAIST) El oz LT. SIDE (WAIST) a. as. HOW WAS HANDGUN DRAWN [j omen (SpBEfy) . SPECIFY METHODIEQUIPMENT USED TO RSI-GAD as. DID MEMBER USE SIGHTS 801 STRONG SIDE DRAW 02 CROSS DRAW 01 ((55 92 no 0 .3 BS. DESCRIBE PROTECTIVE COVER USED (LIGHT PDLES, DODRWAYS. CAR. FURNITURE. ETC) ST. DISTANCE BETWEEN INVOLVED MEMBER a. OFFENDER WHEN FIRST SHOT WAS FIRED .4 NONE AVAILABLE 8 D1 -05 FT. 02 0540 Fr. [3 MOVER15 FT. 8 an. PERSONIOBJECT STRUCK As RESULT OF THE DISCHARGE OF MEMBERS WEAPON SS. POSITION OF MEMBER DISCHARGING WEAPON STANDING oz LYING DOWN 0 01 PERSON 02 OBJECT Da BOTH 04 UNKNOWN 03 SITTING D4 KNEELING El 05 OTHER (SPECIFY) 72 NOTIFICATIONS (CO CR TASER INCIDENT): OEMC [j DSS 8. LTJDIST. 0F OCCUR. CPIC a NOTIFICATIONS (FIREARM INCIDENT): OEMC 0F OCCUR a. com CPIC IZI DET. DIV. 5 Members ensure that all reqUIred notI?catlons and all WItnesses to Ms use of force are documented In the approplate case report. 73. REPORTING MEMBER Name) STARIEMPLOVEE NO. SIGNATURE SANDOVAL, VICTOR 19663 29-JUL-2015 00:08:00 3 Reviewing su ervisor will ensure the legibili and completeness of this re art and attest by entering the required Information below. 6 74. REVIEWING SUPERVISOR (Flint Name) STAR NO. DATE REVIEWED TIME 5 0 SULLIVAN, SEAN 1115 29-JUL-2015 00:10:57 It LIEUTENANT OR REVIEW THE INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT MEMBER: 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBSEOUENT TO INTERACTIONS WITH A DEPARTMENT ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HEREIN 1 OR 2. THE ASSIGNED INVESTIGATINO SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS, 75. EUEJEOTs REGARDING THE usE OF FORCE a DNA DNA - Animal Destruction Incident UNABLE To INTERVIEW (Bpaclfy Ramon) LIEUTENANT OR RATIONALE FOR BOX 77 FINDING Based on what is known at this stage of the investigation. a preiiminary determination has been made that the discharges by Of?cer Victor Sandoval are a proper use of force In that Officer Sandoval discharged his firearm at an aggressive dog that was attacking an assisting officer. Officer #3705. During this attack the officer was bitten causing injury and would have continued to bite him if Officer Sandoval did not end the threat by putting the dog down. 77. LIEUTENANT OR ABOVEJOCIC FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: I HAVE CONCLUDED THAT THE ACTIONS I HAVE CONCLUDED THAT FURTHER INVESTIGATION Is REQUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG 1076399 OBTAINED Ta. LIEUTENANT OR ABOVEIOCIC (Print Name) SIGNATURE DATE COMPLETED TIME VELEZ, CARLOS 29-JUL-201 5 01:02:47 79, DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET. INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS - 0F: SUPPLEMENTARY REPORT El I.O.D. REPORT so. TOTAL THIS EVENT No. [1 CASE REPORT OFFICER BATTERY REPORT [3 CR INITIATION REPORT 1 ARREST REPORT REPORTS FROM DEPARTMENT WITNESSIEs) TACTICAL RESPONSE Police Department 1. DATE OF INCIDENT TIME . 3. LOCATION CODE 4. ?ma?a: 05-AUG-2015 I 11:15:00 19 NEWLAND AVE CHICAGO, IL 60707 210 2513 I: a 7. FIRST NAME B. STAR NO. 3. SEX 10. RACE CODE 11.AGE 12. HT. 13. WT. Is a SOCRATES 21032 $01 [302 BLK 1 966 500 210 14. DATE OF APPT. 16. UNIT A BEAT OF ASSIGNMENT IT. DUTY STATUS IB. MEMBER BER IN a 04-DEC-1995 61D LAST NAME 21. FIRST NAME 22. MI. 23. SEX 24. RACE 25. DOB[302 2 25' ADDRESS 29. TELEPHONE NO. 30. WAS SUBJECT 31. SUBJECT 32. SUBJECT ALLEGED DUIYSSDOZNO Domes Down Don's: . a 33.WHERE WAS MEDICAL TREATMENT 34. BY 35. CONDITION [j o, Ammuy Norma, 02 Undo, Mum, 03 Hospitalized 04 Not Hospitalized 05 Raruaed a) 30. CHARGES PLACED DNA 37125 >14 DNA 33. PASSIVE RESISTER ACTIVE REIIOTER ABBAILANTHJEADLY FORCE DID NOT FOLLOW - USES FORCE LIKELY T0 DNA (n VERBAL DIRECTION FLED IMMINENT THREAT ATTACK WITH WEAPON CAUSE DEATH OR F. OF BATTERY GR BOD In 9 STIFFENED EAT HARM ATTACK WITHOUT (DEAD WEIGHT) PULLED AWAY I: OTHER WEAPON WEAPON a OTHER OTHER OTHER OTHER u. 3 MEMBER PRESENCE OPEN HAND BTRIKE ELBOW STRIKE KNEE STRIKE FIREARM a g: VERSAL COMMANDS TAKE DOWN I EMERGENCY (u HANDCUFFING CLOSED HAND 3 ESCORT HOLDS n: 1; 9 WRISTLOCK OC CHEMICAL WEAPON I: KICKS CI OTHER 0 2 ARMW CANINE IMPACT MUNITION OX 5 In PRESSURE SENSITIVE AREAS TASER mm? own?) (Describe In Box 40) a, '3 TASER (Contact SIun) a a, CONTROL INSTRUMENT a: 5 OCICHEMICAI. WEAPON TASER El Displayed) OTHER OTHER OTHER Ems OCICHEMICAL WEAPON AUTHORIZED BY (NAME) 40. ADDITIONAL INFORMATION DESTRUCTION OF ANIMAL IPOSITION STAR NO. UNIT 41. WEAPON TYPE 02 RIFLE 03 SHOTGUN 01 REVOLVER 04 SEMI-AUTO PISTOL as CHEMICAL WEAPON 03 TASER (the Discharge) 07 OTHER 42. INCIDENT OCCURRED El Indoor! Outdaars 02 Night 43. LIGHTING CONDITIONS El 05 Poor Arti?cial 01 Daylight 03 Dawn 00 Good Arti?cial 44. WEATHER CONDITIONS CLEAR 45. MAKEIMANUFACTURER SIGIS. I. OJBWISS INDUSTRIAL 31.. 43. MODEL P220 4 47. BARREL LENGTH 4B. 45 CAL 49. TASER DART ID NO. 50. WEAPON SERIAL NO. (Include Letters) 54. SPECIAL WEAPON CERTIFICATE NO. 55. PROPERTY INVENTORY N0. Department Issued 51. CHICAGO GUN REG. NO. '52. IL FIREARM OWNER ID. NO. 58. TYPE OF AMMUNITION USED 53. HANDGUN CERTIFICATE NO. 57.NO. OF WEAPONS DISCHARGED BY THIS MEMBER. 1 58. TOTAL NO. OF SHOTS MEMBER IRED 2 WEAPON DISCHARGE INCIDENT 59. WHO FIRED FIRST SHOT El OTHER (SPECIFY) 60. WAS FIREARM RELOADED 61. NO OF 52. HOW WAS HANDGUN WORN D03 OTHER (Specify) 3 DURING INCIDENT SHOT SHELLS . A 01 MEMBER El 02 OFFENDER 01 YES 8 02 No RELOADED 01 RT. SIDE (WAIST) 02 LT. SIDE (WAIST) a. R03. HOW WAS MEMBER-S HANDGUN DRAWN 03 OTHER METHODIEQUIPMENT USED TO RELDAD as. DID MEMBER USE SIGHTS a 01 STRONG SIDE DRAW 02 CROSS DRAW 01 YES 02 No '0 ea. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES, DOORWAYS, CAR. FURNITURE. ETC) 67. DISTANCE BETWEEN INVOLVED MEMBER A OFFENDER WHEN FIRST SHOT WAS FIRED a NO 8 010-05FT. 0205-10FT. 0310-15FT. 38. PERSONIOBJECT STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON BB. POSITION OF MEMBER DISCHARGING WEAPON STANDING Lyme Down 01 PERSON 02 OBJECT 03 BOTH 04 UNKNOWN 03 SITTING 04 KNEELING [j 05 OTHER (SPECIFY) '4 72 NOTIFICATIONS (00 OR TASER INCIDENT): OEMC DSS OF OCCUR. CPIC in .U llo_' NOTIFICATIONS (FIREARM INCIDENT): OEMC OF OCCUR OCIC CPIC DET. DIV. Members will ensure that all requxred notl?catIonS and all WItnesseS to thIs use of force are documented In the approplate case report. 73. REPORTING MEMBER (Print Name) NO. SIGNATURE 2" a, MABRY, SOCRATES 21032 A 06-AUG-2015 12:30:39 a 3 2 Reviewing supervisor will ensure the legibility and completeness Of this report and attest by entering the required information below. a, (29 74. REVIEWING SUPERVISOR (Print Name) STAR NO. SIG DATE REVIEWED TIME 5 WEIDIG, STEVEN 101 7 06-AUG-2015 12:33:22 LIEUTENANT OR ABOVEIOCIC REVIEW THE ON-CALL INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT MEMBER: 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBSEOUENT TO INTERACTIONS WITH A DEPARTMENT 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. 75. SUBJECTS STATEMENT REGARDING THE USE OF FORCE DNA REFUSED UNABLE TO INTERVIEW (Specify Reason) TB. LIEUTENANT OR ABOVEIOCIC RATIONALE FOR BOX 77 FINDING Based on RICpt?s Investigation at this timeI the Of?cer was within department guidelines and Justi?ed in this shooting. Administrative Log #1076549 obtained from Pfelfer #179. Time of Incident was 1040i1rs. Ballistic testing waived due to no personal injury and no identi?able property damage or potential property damage. other than the animal. Of?cer's weapon la in compliance and quali?ed weapon on OBMAR15. The officer's FOID card ls valid and expires on 01MAR23. E.T. De Jesus #6332, St 5831 responded and processed scene. IAD. Pettls #1184 responded and administered tests for drugs and alcohol. Results of the officer's breath test were all Zeroslnegatlve for any alcohol. 77. LIEUTENANT OR FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: 8 I HAVE CONCLUDED THAT THE ACTIONS WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG NOJCRNO. OBTAINED I HAVE CONCLUDED THAT FURTHER INVESTIGATION IS REQUIRED. 75. LIEUTENANT OR ABOVEIOCIC (Print Name) LAJEWSKI, ROBERT SIGNATURE DATE COMPLETED TIME 06-AUG-2015 16:30:09 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET. INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS - PHOTGCOPIES OF: SUPPLEMENTARY REPORT I.O.D. REPORT CASE REPORT OFFICER BATTERY REPORT CI CR INITIATION REPORT [1 ARREST REPORT [3 REPORTS FROM DEPARTMENT WITNESSES) 50, TOTAL TRR's THIS EVENT ND. 1 TACTICAL RESPONSE Police Department 2. ADDRESS OF OCCURRENCE 1. DATE OF INCIDENT TIME 3. LOCATION CODE 3. 17-AUG-2015 14:30:00 55TH PL CHICAGO, IL 60637 330 0231 I 6 POSITION 6. LAST NAME T. FIRST NAME B. STAR NO. 9. SEX 1o. RACE CODE 119161 GARCIA DAVID 10754 01 [102 WWH 986 506 1 69 14. DATE OF APPT. 15. EMPLOYEE NO. 18. UNIT A BEAT OF ASSIGNMENT 11. DUTY STATUS 1B. MEMBER . EMBER IN Lu 5 15-JUL-2013 002 0232 $20. LAST NAME 21. FIRST NAME 22. MI. 23. 24. RACE 25. DOB28. ADDRESS 29. TELEPHONE NO. 30. WAS SUBJECT 31. SUBJECT 32. SUBJECT ALLEGED 1?2 [:fuIYea [: DzNo : 02No a 33. WHERE WAS MEDICAL TREATMENT 34. BY 35. CONDITION 01 Appmnuy Norma, 02 Under ,n?uam 8 03 Hospitalized 04 Not Hospitalized 05 Refused Madlcal Ald SB. CHARGES PLACED DNA 37. ca No. IR NO. DNA 38. PMSWE REIISTER ACTIVE REBIETER ASBAILANTHJEADLY FORCE DID NOT FOLLOW USES FORCE LIKELY TO DNA VERBAL DIRECTION CI FLED I: ATTACK WEAPON CAUSE DEATH OR Lu 0 2 GREAT BODILY HARM STIFFENED ATTACK WITHOUT a (DEAD WEIGHT) PULLED AWAY OTHER WEAPON I: . a ?1 OTHER OTHER OTHER omen u. 3 MEMBER PRESENCE OPEN HAND STRIKE ELBOW STRIKE El KNEE STRIKE FIREARM D- VERBAL COMMANDS TAKE DOWN I EMERGENCY ESCORT HOLDS CLOSED in: 01: CHEMICAL WEAPON I: OTHER WRISTLOCK 5 ?3 IMPACT WEAPON u. 5 IL ARMBAR a TASER (Probe Discharge) (Dascdbe (.1 Box 40) IMPACT MUNITION I-l-l PRESSURE SENSITIVE AREAS (?'39th 40) a, ?5 TASER (Contact SIun) a, CONTROL INSTRUMENT [j a 5 WEAPON TASER (LaserTa'ga'ad) TASER (Spark Displayed) El OTHER 39? - OOICHEMICAL WEAPON AUTHORIZED BY (NAME) 40. ADDITIONAL INFORMATION DNA POSITION STAR NO. UNIT 41. WEAPON TYPE 01 REVOLVER I: 02 RIFLE 03 SHOTGUN or OTHER 04 SEMI-AUTO PISTOL 05 CHEMICAL WEAPON [j as TASER (Probe Discharge) Indoors 42. INCIDENT OCCURRED Outdoors [3 02 Night 05 Poor Arll?CIEl 43. LIGHTING CONDITIONS D1 04Duak as Good 03 Dawn 44. WEATHER CONDITIONS CLEAR 45. SPRINGFIELD ARMORY M1A XD-M 46. MODEL 47. BARREL LENGTH 4.5 46. CALIBERIGAUGE 9MM 49. TASER DART ID NO. 54. SPECIAL WEAPON CERTIFICATE NO. 50. WEAPON SERIAL ND. (Include Letters) '51. CHICAGO GUN REG. NO. I52. IL FIREARM OWNER ID. NO. 53. HANDGUN CERTIFICATE NO. 55. PROPERTY INVENTORY NO. 56. TYPE OF AMMUNITION USED 57.NO. OF WEAPONS DISCHARGED BY 56. TOTAL NO. OF SHOTS MEMBER WEAPON DISCHARGE INCIDENT Issued THIS MEMBER. 1 FIRED 6 59. WHO FIRED FIRST SHOT [(03 OTHER (SPECIFY) so. WAS FIREARM RELOADED 51. NO OF CATORIDGESI 62. How WAS HANOGUN WORN [(03 OTHER (5pm,) 3 DURING INCIDENT SHOT SHELLS A 01 MEMBER 02 OFFENDER 01 V55 02 NO RELOADED 01 RT. SIDE (WAIST) 02 LT. SIDE (WAIST) - 33. HOW WAS HANDGUN DRAWN 03 OTHER (Specify) SPECIFY USED To RELOAD 55. DID MEMBER USE SIGHTS 2 $01 STRONG SIDE DRAW 02 CROSS DRAW 01 YES 02 NO <9 '0 BB. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES. DOORWAYS. CAR, FURNITURE. ETC) 57. DISTANCE BETWEEN INVOLVED MEMBER a OFFENDER WHEN FIRST SHOT WAS FIRED 8 NONE 0205-10FT. [j 0310-15FT. SB. PERSONIOBJECT STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON BB. POSITION OF MEMBER DISCHARGING WEAPON STANDING [j LYING DOWN i 01 PERSON ,02 OBJECT Ij 03 BOTH 04 UNKNOWN 03 SITTING 04 KNEELING 05 OTHER (SPECIFY) ., 72' NOTIFICATIONS (OC OR TASER INCIDENT): OEMC (j DSS LT.IDIST. OF OCCUR. CPIC go S3 NOTIFICATIONS (FIREARM INCIDENT): [g OEMC 0F OCCUR 3. oc c CPIC IZI DET. DIV. u. . .2. Members will ensure that all required noti?cations and all witnesses to this use Of force are documented in the appropiate case report. 5 T3. REPORTING MEMBER {Print Name) STARIEMPLOYEE NO. 3 GARCIA, DAVID 10754 a, 17-AUG-2015 1 6:16:25 If? ?l I 2 Reviewing supervisor will ensure the and completeness of this report and attest by entenng the reqwred Informatlon below. ?0 (29 14. REVIEWING SUPERVISOR {Print Name) STAR No. SIG DATE REVIEWED TIME 5 DOHERTY, RAYMOND 383 17-AUG-2015 16:24:34 7! LIEUTENANT OR ABOVEIOCIC REVIEW THE ON-CALL INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT MEMBER: 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBSEOUENT TO INTERACTIONS WITH A DEPARTMENT 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. 75. SUBJECTS STATEMENT REGARDING THE USE OF FORCE DNA REFUSED UNABLE To INTERVIEW (Specify Reason) TB. LIEUTENANT OR RATIONALE FOR BOX 77 FINDING Log# 1076749 Based upon the preliminary Information at this time it is the determination of the undersigned that the Officer acted within the rules of the Department. Weapon was discharged while in fear of his life. he ?red 6 rounds at the do striking him multiple times. 77. LIEUTENANT OR ABOVEIOCIC FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: 8 I HAVE CONCLUDED THAT THE ACTIONS I HAVE CONCLUDED THAT FURTHER INVESTIGATION IS REQUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG NOJCRNO. OBTAINED 78. LIEUTENANT OR ABOVEJOCIC (Print Name) SIGNATURE DATE COMPLETED TIME WILLIAMS, TERENCE 17-AUG-2015 16:38:21 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET. INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. AWACHMENTS - PHOTOGOPIES 01": SUPPLEMENTARY REPORT [3 I.O.D. REPORT an, TOTAL TRR's THIS EVENT ND. CASE REPORT OFFICER BATTERY REPORT CR REPORT 2 El ARREST REPORT TO-FROM-SUBJECT REPORTS FROM DEPARTMENT WITNESSES) TACTICAL RESPONSE Police Department 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE 3. LOCATION CODE 55175550! 17-AUG-2015 I 14:30:00 55TH PL Apt DNA CHICAGO, IL 60637 330 0231 I: 15. POSITION 5. LAST NAME 7. FIRST NAME 3. STAR NO. 9. SEX Io. RACE CODE 119171 QUARTERMAN EVELYNNA 2366 [301 $02 BLK 966 504 160 5 14. DATE OF APPT. 15. EMPLOYEE NO. 1a. UNIT BEAT OF ASSIGNMENT 17. DUTY STATUS 18. MEMBER . EMBER IN DJ 17-MAY-1993 002 0270 gm On I: 02 on O1YSS LAST NAME 21. FIRST NAME 22. MI. 23. SEX 24. RACE 25. DOB25. ADDRESS 29- TELEPHONE 30- WAS SUBJECT 31. SUBJECT 32. SUBJECT ALLEGED as. WHERE WAS MEDICAL TREATMENT 34. BY as. CONDITION Amman?, Nam, 02 Under "mum El 03 Hospitalized 04 Not Hospitalized I: 05 Refused Medical Aid a: Z, 36. CHARGES PLACED DNA 38. PASSIVE REIISTER ACTIVE RESISTER ASSNLANTIASSAULT ABSAILANTHJEADLY FORCE DID NOT FOLLOW USES FORCE LIKELY TO DNA VERBAL DIRECTION I: FLED ATTACK WEAPON CAUSE DEATH OR 2 GREAT BODILY HARM STIPFENED ATTACK WITHOUT a (DEAD WEIGHT) El PULLED AWAY OTHER WEAPON El WEAPON I: a OTHER OTHER OTHER u. 3 MEMBER PRESENCE OPEN HAND STRIKE ELBOW STRIKE I: KNEE STRIKE FIREARM a- VERBAL COMMANDS TAKE DOWN IEMERGENCY HANDCUFFING CLOSED HAND ?5 - ESCORT HOLDS WRISTLOCK oc CHEMICAL KICKS 5 In no. ARMSAR CI IMPACT WEAPON a a, (mks mm?) (Damn, In M40) IMPACT MUNITION PRESSURE SENSITIVE AREAS loam? 30* 40) 3 CONTROL INSTRUMENT El ms 5 OCICHEMICAL WEAPON [j ?mm? WIAUTHORIZATION (spark Displayed) '3 OTHER OTHER OTHER EDS WEAPON DISCHARGE INCIDENT OCICHEMICAL WEAPON AUTHORIZED BY (NAME) 40. ADDITIONAL INFORMATION POSITION STAR NO. UNIT 41. WEAPON TYPE 04 SEMI-AUTO PISTOL . 05 CHEMICAL WEAPON 02 RIFLE 03 SHOTGUN as TASER (Probe Discharg) 01 OTHER 42. INCIDENT OCCURRED 43. LIGHTING CONDITIONS 8 O1 Daylight 44. WEATHER CONDITIONS El Indoors 0mm? [1 03 Down CLEAR 05 Poor Arti?cial as Good 45. MAKEIMANUFACTURER 4a. MODEL 47. BARREL LENGTH 45. CALIBERIGAUGE COMPACT 040 9 MM 49. TASER DART ID NO. 0. WEAPON SERIAL No. (Include tellers) l51. CHICAGO GUN REG. NO. '52. IL FIREARM OWNER ID. NO. 53. HANDGUN CERTIFICATE NO. 54. SPECIAL WEAPON CERTIFICATE NO. 55. PROPERTY INVENTORY NO. 56. TYPE OF AMMUNITION USED 57.NO. OF WEAPONS DISCHARGED BY 50. TOTAL NO. OF SHOTS MEMBER Department Issued THIS MEMBER. 1 FIRED 7 59. WHO FIRED FIRST SHOT D03 OTHER ED. WAS FIREARM RELOADED 61. NO OF CATDRIDGESI 82. HOW WAS HANDGUN WORN 93 OTHER (specify) 53? DURING INCIDENT SHOT SHELLS . A 01 MEMBER 02 OFFENDER 91 YES 02 NO RELOADED RT. SIDE (WAIST) 02 LT. SIDE (WAIST) 0' 33? HOW WAS DRAWN CI 03 OTHER (Specify) . SPECIFY METHODIEQUIPMENT USED TO RELOAD NO 55- DID MEMBER USE SIGHTS 301 STRONG SIDE DRAW 02 CROSS DRAW 01 YES 02 No Sp '0 68. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES. DODRWAYS, CAR. FURNITURE. ETC) 57. DISTANCE BETWEEN INVOLVED MEMBER OFFENDER WHEN FIRST SHOT WAS FIRED 8 NONE 010-05FT. 8 0205-10FT. 0310-15FT. [j MOVER15FT. 63. PERSONIOBJECT STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON 69. POSITION OF MEMBER DISCHARGING WEAPON 01 LYING Down 01 PERSON 02 OBJECT 03 BOTH 04 UNKNOWN [3 as SITTING o4 KNEELING 05 OTHER (SPECIFY) .. 72. Yd NOTIFICATIONS (00 OR TASER INCIDENT): [j OEMC D35 3. LT.IDIST. OF OCCUR. CPIC a o' NOTIFICATIONS (FIREARM INCIDENT): OEMC DSSIDIST. OF OCCUR OCIC CPIC IZI DET. DIVMembers ensure that all reqUIred notl?catlons and all witnesses to the use Of force are documented In the approplate case report. 5 73. REPORTING MEMBER (Print Name) STARIEMPLOYEE NO. SIGNATURE a, QUARTERMAN, EVELYN NA 2366 a, 3:1 :3 '2 Reviewing supervisor will ensure the legibility and completeness Of this report and attest by entenng the required informatIon below. ?0 (25 74. REVIEWING SUPERVISOR (Print Name) STAR NO. SIGNATURE DATE REVIEWED TIME ?05 DOHERTY, RAYMOND 383 17-AUG-2015 16:24:47 7\ LIEUTENANT OR ABOVEIOCIC REVIEW THE ON-CALL INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT MEMBER: 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBSEOUENT T0 INTERACTIONS WITH A DEPARTMENT MEMBER: 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. TB. auaJEcrs STATEMENT REGARDING THE USE OF FORCE DNA Ci REFUSED UNABLE To INTERVIEW (Spedfy Reason) TI. LIEUTENANT OR ABOVEIOCIC RATIONALE FOR BOX 77 FINDING Log# 1076749 Based upon the preIImInary Infon'netlon at this time It Is the determlnation of the undersigned that the acted within the rules of the Department. Weapon was dlecharged while In fear of her life. she ?red 7 rounds at the dog strIkIng multiple tlmes. 77. LIEUTENANT OR FINDING BASED UPON CURRENTLY AVAIEABLE INFORMATION: I HAVE CONCLUDED THAT THE ACTIONS I: I HAVE CONCLUDED THAT FURTHER INVESTIGATION IS REQUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG OBTAINED 73. LIEUTENANT on (Print Name) SIGNATURE DATE COMPLETED I TIME WILLIAMS, TERENCE 17-AUG-2015 16:36:24 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET. INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS - PHOTOCOPIES OF: SUPPLEMENTARY REPORT llo?n, REPORT 30. TOTAL THIS EVENT No. CASE REPORT I: OFFICER BATTERY REPORT CR INITIATION REPORT 2 I: ARREST REPORT TO-FROM-SUBJECT REPORTS FROM DEPARTMENT WITNESSIES) TACTICAL RESPONSE Police Department 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE 3. LOCATION CODE 5. 19-AUG-2015 I 14:26:00 7? KIMBARK AVE CHICAGO, IL 60619 290 0324 5. POSITION 6. LAST NAME 1. FIRST NAME 3. STAR No. S. SEX Io. RACE CODE 11.AGE 12. HT. 13. WT. I.I.I lg 3 9171 SCHNIER BRIAN 1273 $01 [102 WHI 509 175 5 14. DATE OF APPT. 15. EMPLOYEE No. 15. UNIT SEAT OF ASSIGNMENT 17. DUTY STATUS ta. MEMBER . EMBER IN I.I.I 30-Nov-1993 189 6236 @111 E301 YSS 02 Na 20 LAST NAME 21. FIRST NAME 22. MI. SE): 24. RACE 25. DOBADDRESS 29. TELEPHONE NO. :10. WAS SUBJECT 31. SUBJECT 32. SUBJECT ALLEGED Dow? [: 02No [:InIYee DOZNO Clones Down 33. WHERE WAS MEDICAL TREATMENT 34. BY as. CONDITION {3 (11 ApparunIIy' Normal CI I12 Under In?uence El 113 04 Ne1 Hospitalized as Medical Aid In as. CHARGES PLACED DNA 31. ca ND, IR NO. DNA 38. PASSIVE REGISTER ACTIVE RESIST ER FORCE K1 DID NOT FOLLOW USES FORCE LIKELY TO DNA a, VERBAL DIRECTION FLED ATTACK WITH WEAPON CAUSE DEATH on 2 GREAT BODILY HARM STIFFENED ATTACK WITHOUT a I: (DEAD WEIGHT) PULLED Aw" I: OTHER WEAPON a OTHER OTHER OTHER OTHER u. 5 MEMBER PRESENCE OPEN HAND STRIKE El ELBOW STRIKE KNEE STRIKE FIREARM g- VERSAI. COMMANDS TAKE DOWN 1 EMERGENCY :1 II 5? a ESCORT HOLDS OTHER ea WRISTLOCK OC CHEMICAL WEAPON KICKS 5 2 ARMBAR CANINE IMPACT WEAPON 1MPACT MUNITION U) (Deaa'lhe In Box 40) 1&1 PRESSURE SENSITIVE AREAS El TASER mm?) El (Damiba In Box 40) ?0 3 CONTROL INSTRUMENT TASER ?mm? 3m?) 5 DOICHEMICAL WEAPON TASER TASER (Spark DIepIayed) El OTHER OTHER OTHER 39, - CCICHEMICAL WEAPON AUTHORIZED BY (NAME) 40. ADDITIONAL INFORMATION . WHILE MAKING FORCED ENTRY INTO THE TARGET RESIDENCE FOR A SEARCH DNA WARRANT RISGT WAS CONFRONTED BY A VICIOUS PITBULL THAT CHARGED POSITION STAR RISGT. RISGT WAS FORCED TO DISCHARGE HIS FIREARM TO PREVENT BEING ATTACKED FROM THE DOG 1' 41. WEAPON TYPE 8 n4 p s1'o _ 42. INCIDENT OCCURRED 43. LIGHTING CONDITIONS [1 01 Dayugm 44. WEATHER CONDITIONS 5 111 REVOLVER 05 CHEMICAL WEAPON Indoor: [3 Outdoors 02 "a new" Du? OTHER 3 05 PeorAnmeIeI 06 Good 02 RIFLE [j 08 TASER (Probe Discharge) 45. MAKEIMANUFAGTURER 43. MODEL 47. BARREL LENGTH 43. CALIBERIGAUGE (E DB SHOTGUN 117 OTHER 21 4.5 45 CAL 5 4e. TASER DART ID NO. 51), WEAPON SERIAL No_(1ndude 1.311313) 51. CHICAGO GUN REG. NO. 52. IL FIREARM OWNER ID. NO. 53. HANDGUN CERTIFICATE NO. 2 . 54. SPECIAL WEAPON CERTIFICATE NO. 55. PROPERTY INVENTORY NO. 56. TYPE OF AMMUNITION USED ST.NO. OF WEAPONS DISCHARGED BY SB. TOTAL No. OF SHOTS MEMBER THIS MEMBER. FIRED n_ - 1 4 a 159. WHO FIRED FIRST SHOT 03 OTHER (SPECIFY) an. WAS FIREARM RELOADED 51. NO OF CATDRIDGESI I12. HOW WAS HANDGUN WORN OTHER (Specify) at DURING INCIDENT SNOT SHELLS I11 MEMBER I12 OFFENDER 01 YES 3 02 NO RELOADED 8 :11 RT. SIDE (WAIST) 02 LT. SIDE (WAIST) a. 83. HOW WAS HANDGUN DRAWN 113 OTHER (Spaoify) - SPECIFY USED TO RELOAD 65. DID MEMBER USE SIGHTS 2 E01 STRONG SIDE DRAW I12 CROSS DRAW 111 YES 02 NO .3 as. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES. DOORWAYS. CAR. FURNITURE. ETC) 67. DISTANCE BETWEEN INVOLVED MEMBER a. OFFENDER WHEN FIRST SHOT WAS FIRED 8 NONE 010-05FT. 11205-11111. 0310-15FT. 3 SS. PERSDNIOBJECT STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON SS. POSITION OF MEMBER DISCHARGING WEAPON STANDING (12 LYING DOWN ?3 01 PERSON 02 OBJECT 03 BOTH 04 UNKNOWN 03 51mm; D4 KNEELING 05 OTHER (SPECIFY) .4 12. z" NOTIFICATIONS (OC OR TASER INCIDENT): OEMC [j 088 81 LTJDIST. OF OCCUR. CPIC g, .0 35' NOTIFICATIONS (FIREARM INCIDENT): (g OEMC OCCUR oc c CPIC El DET. DIVMembers ensure that all requ1red notI?catIons and all WItnesseS to thIs use Of force are documented In the apprOpIate case report. 5 Ta. REPORTING MEMBER (Prinl Name) STARIEMPLOYEE No. SIGNATURE 8'3 03 SCHNIER, BRIAN 1273 to 19-AUG-2015 16:39:51 8 '2 Reviewing supervisor will ensure the legibility and completeness of this report and attest by entering the required Information below. 0? 74. REVIEWING SUPERVISOR (Pun: Name) STAR NO. SI DATE REVIEWED TIME LT) RYLE, MICHAEL 41 19-AUG-2111 5 1 6:42:29 mm?" LIEUTENANT OR REVIEW THE ON-CALL INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTs INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT MEMBER: 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBSEOUENT To WITH A DEPARTMENT MEMBER: 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. 75. SUBJECTS STATEMENT REGARDING THE USE OF FORCE DNA REFUSED UNABLE TO INTERVIEW (Specify Reason) TB. LIEUTENANT OR RATIONALE FOR BOX 77 FINDING The undersigned Investlgatlon has revealed that the Involved member was In compliance with Department Directives in that whlle conducting a Search Warrant he was attacked by a large dog and dISCharged his weapon to protect himself and members of team. Log #1076773 was Obtained to document this Incident. Noti?catlons: IPRA lnv. Lucas #117 1645 hours; IAD Sgt. Fledler responded to 003. 77. LIEUTENANT OR ABOVEIOCIC FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: I HAVE CONCLUDED THAT THE ACTIONS I HAVE CONCLUDED THAT FURTHER INVESTIGATION IS REQUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG NOJCRNO. OBTAINED 78. LIEUTENANT OR ABOVEIOCIC (PrInl Name) SIGNATURE DATE COMPLETED TIME JONESI JAMES 19-AUG-2015 16:53:53 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET. INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS - PHOTOCOPIES OF: [1 SUPPLEMENTARY REPORT REPORT 7 so. TOTAL THIS EVENT No. CASE REPORT OFFICER BATTERY REPORT El CR INITIATION REPORT 1 ARREST REPORT REPORTS FROM DEPARTMENT WITNESSES) TACTICAL RESPONSE Police Department 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE 3. LOCATION CODE 3. 55175530!? 21-AUG-2015 19:22:00 6?3 ELLIS AVE CHICAGO, IL 60637 303 0321 I Jr a: a POSITION B. LAST NAME 7. FIRST NAME B. STAR ND. S. SE): 10. RACE CODE 119161 BRACKIN CONNOR 15674 $01 DDZF WH 1988 508 175 5 14. DATE OF APPT. 13. UNIT BEAT OF ASSIGNMENT 17. DUTY STATUS 1B. MEMBER . IN l.l.l 29-SEP-2014 044 4154@111 YES 02 No 20. LAST NAME 21. FIRST NAME .M.I. eat 24. RACE 25. D.O.ADDRESS 29. TELEPHONE NC. SC. WAS SUBJECT 31. SUBJECT 32. SUBJECT ALLEGED Domes : 02Nu : D1Yaa DnaNo 33. WHERE WAS MEDICAL TREATMENT 34. BY 35. CONDITION El 01 Appmnuy Mom, I: 02 Under ,nnuem - 03 04 Not Hoapllalized El 05 Refused MedlDSIAld 3a. CHARGES PLACED a DNA 37, ca IR No. DNA 33. PASSIVE RESISTER ACTIVE RESIBTER ABBNLANTIDEADLY FORCE DID NOT FOLLOW USES FORCE LIKELY TO - DNA VERBAL DIRECTION FLED ATTACK WITH WEAPON El CAUSE DEATH on 2 GREAT BODILY HARM STIFFENED ATTACK WITHOUT 5 I: (DEAD WEIGHT) PULLED AWAY OTHER WEAPON wwo" CI 0 :3 0 OTHER u. OTHER OTHER OTHER PEBULL ATTACKING ANOTHER Do LI. 0 3 MEMBER PRESENCE OPEN HAND STRIKE [j ELBOW STRIKE El KNEE STRIKE FIREARM la)" VERBAL COMMANDS TAKE EMERGENCY a, CLOSED HAND :1 - ESCORT HOLDS n: at; 1% WRISTLOCK OC CHEMICAL WEAPON STRIKEIPUNCH KICKS OTHER 0 :5 a: CANINE I: D. ARMSAR IMPACT WEAPON In El TASER (Probe Discharge) (Describe In Box 40) In PRESSURE SENSITIVE AREAS El in 3? 40) a, ?5 TASER (Contact Stun) a, CONTROL INSTRUMENT a 5 OCICHEMICAL WEAPON ?mm? TASER (Spark El OTHER OTHER OTHER 39. - OCICHEMICAL WEAPON AUTHORIZED BY (NAME) ADDITIONAL INFORMATION DNA POSITION STAR NO. UNIT 2 '5 41. WEAPON TYPE 04 SEMMUTO 42. INCIDENT OCCURRED 43. LIGHTING CONDITIONS [j Dam)? 44. WEATHER CONDITIONS 5 01 REVOLVER 05 CHEMICAL WEAPON Indoors Outdoors ?2 ?3 "4 Du? CLEAR 5 as Poor Arti?cial as Good Arti?cial 02 RIFLE DB r" - c, 45. MAKEIMANUFACTURER 45. MODEL 17. BARREL LENGTH 48. CALIBERIGAUGE as SHOTGUN or OTHER CLOCK. G17 4,4391] 9 MM 5 49. TASER DART ID No. so. WEAPON SERIAL ND. (Include Letters) 51. CHICAGO GUN REG. No. 52. IL FIREARM OWNER ID. NO. 53. HANDGUN CERTIFICATE NO. 2 2 54. SPECIAL WEAPON CERTIFICATE NO. 55. PROPERTY INVENTORY No. BS. TYPE OF AMMUNITION USED 57.ND. OF WEAPONS DISCHARGED BY 53. TOTAL NO. OF SHOTS MEMBER Department Issued THIS MEMBER. 1 FIRED 1 59. WHO FIRED FIRST SHOT [(93 OTHER (swampy) so. WAS FIREARM RELOADED B1. NO OF CATDRIDGESI 62. HOW WAS MEMBER-S HANDGUN WORN [303 OTHER (3pm,, 3 DURING INCIDENT SHOT SHELLS A 111 MEMBER El 02 OFFENDER 01 YES 02 no RELOADED 0 01 RT. SIDE (WAIST) El oz LT. SIDE (WAIST) 33- HOW WAS HANDGUN DRAWN CI 03 OTHER (Spaciiy) . SPECIFY USED TO RELOAD DNA 35- DID MEMBER USE SIGHTS a 5 E01 STRONG SIDE DRAW 02 CROSS DRAW 01 YES j 02 NO .S SS. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES. DOORWAYS. CAR. FURNITURE. ETC) a7. DISTANCE BETWEEN INVOLVED MEMBER OFFENDER WHEN FIRST SHOT WAS FIRED 0.. DNA 01D-DSFI. 0205-1DFT. 3 BB. PERSONIOBJECT STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON SS. POSITION OF MEMBER DISCHARGING WEAPON smupme mm; Down 00 01 PERSON 02 OBJECT 03 BOTH [j 04 UNKNOWN [3 as SITTING 04 KNEELING 05 OTHER (SPECIFY) s. 72 NOTIFICATIONS (CO CR TASER INCIDENT): OEMC El D33 8: LTJDIST. OF OCCUR. CI CPIC g, .0 NOTIFICATIONS (FIREARM INCIDENT): OEMC DSSIDIST. OF OCCUR OCIC CPIC IZI DET. DIV. Members ensure that all reqUIred notl?catlons and all Witnesses to MS use of force are documented In the apprOpIate case report. 5 73. REPORTING MEMBER Name) STARIEMPLOYEE ND. SIGNATURE a; BRACKIN, CONNOR 3; 21-AUG-2015 22:15:41 8 Reviewing supervisor will ensure the legibility and completeness of this report and attest by entering the requrred informatlon below. a (29 74. REVIEWING SUPERVISOR (Print Name) STAR NO. DATE REVIEWED TIME 6 ARTEAGA JR, ROBERT 205 21 22:30:41 LIEUTENANT OR ABOVEIOCIC REVIEW THE ON-CALL INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBSEOUENT TO INTERACTIONS WITH A DEPARTMENT MEMBER: 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATINO SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER 75. SUBJECTS STATEMENT REGARDING THE. USE OF FORCE DNA REFUSED UNABLE TO INTERVIEW (Specin Reason) 78. LIEUTENANT OR ABOVEIOCIC RATIONALE FOR BOX 77 FINDING The undersigned Investigation has revealed that the Involved member was in compliance with Department Directives In that while on routine patrol observed a pltbuii dog attacking another smaller dog. His partner utIIized his Asp to no avail at which time involved member used his weapon to end the attack. This incident has been documented under Log #1076816; IPRA Bruce IAD Sgt. Fiedler #1989. 77. LIEUTENANT OR FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: i HAVE CONCLUDED THAT THE ACTIONS l] I HAVE DONOLUDED THAT FURTHER INVESTIGATION i5 REQUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES LOG NOJGRNO. OBTAINED 7B. LIEUTENANT OR ABDVEIOCIC (Print Name) SIGNATURE DATE TIME JONES, JAMES 21 -AUG-2015 22:52:33 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET. INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE POLICE REVIEW AUTHORITY. - PHOTOCOPIES 0F: SUPPLEMENTARY REPORT I.O.D. REPORT 50, TOTAL THIS EVENT No. CASE REPORT OFFICER BATTERY REPORT El OR INITIATION REPORT 2 El ARREST REPORT REPORTS FROM DEPARTMENT WITNESSES) TACTICAL RESPONSE Police Department 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE 3. LOCATION CODE 3. 55mm 22-AUG-2015 09:38:00 KILBOURN AVE CHICAGO, IL 60352 178 0834 I: 5. POSITION 6. LAST NAME 7. FIRST NAME B. STAR No. 9. Bat 10. RACE CODE 119161 GARCIA RAFAEL 7688 gm (jam 5 964 503 165 14. DATE OF APPT. 1s. EMPLOYEE NO. 1S. UNIT II. BEAT OF ASSIGNMENT 17. DUTY STATUS 1a. MEMBER 1B. MEMBER IN Lu 5 008 0835 E01 On 02011 20. LAST NAME 21. FIRST NAME 22. MI. 23. SEX 24. RACE 25. D.O.25. ADDRESS 29. TELEPHONE No. 30. WAS SUBJECT 31. SUBJECT 32. SUBJECT ALLEGED (-2 : o1Yea Dom: Dongs : 02No Dunes a as. WHERE WAS MEDICAL TREATMENT 34. BY :15. CONDITION Appmnuy Normal 02 Under In?uence 2 CI Ca 04 Not Holpltallzed as Rem-ad Medical Aid a) 38. CHARGES PLACED DNA 37_ GB No. IR NO. DNA 33. PASSIVE REIISTER ACTIVE RESISTER ABIAILANTIASBAULT ABIAILANTIDEADLY FORCE DID NOT FOLLOW US 0 CE E. VERBAL DIRECTION CI FLED IMMINENT THREAT ATTACK WITH WEAPON Iggw TO I: :0 OF BATTERY I 5 BTIFFENED ATTACK REAT BOD LY HARM (DEAD WEIGHT) CI PULLED OTHER WEAPON El mm? a ?1 OTHER OTHER OTHER u. 0 3 MEMBER PRESENCE OPEN HAND STRIKE ELBOW STRIKE E, KNEE STRIKE FIREARM a VEREAL COMMANDS TAKE DOWN I EMERGENCY HANDCUFFING CLOSED HAND :3 5" ESCORT HOLDS .6 35 WRISTLOCK 0c CHEMMLWEAPON El smmemuncn [1 (?ans OTHER EMAIL 5 ARMBAR mm? IMPACT WEAPON a; TASER mach (Describe In Box 40) CI IMPACT MUNITION El I: PRESSURE SENSITIVE AREAS I In Box 40) ?3 8 CONTROL INSTRUMENT TASER (?mm 8m") a 5 WEAPON TASER ("Wham") (Spark Dlaplayad) OTHER OTHER OTHER 39. - OCICHEMICAI. WEAPON AUTHORIZED BY (NAME) 40. ADDITIONAL INFORMATION El DESTROYED DOG DNA POSITION STAR NO. UNIT A1. WEAPON TYPE OI REVOLVER 02 RIFLE 03 SHOTGUN O4 SEMI-AUTO PISTOL as CHEMICAL WEAPON on TASER (Probe Discharge) 07 OTHER 42. INCIDENT OCCURRED Indoors Outdoors 43. LIGHTING CONDITIONS 02 Night as PoorArtIiIcIaI CI 03 Dawn 8 [j MDusk on Good Arti?cial 44. WEATHER CONDITIONS CLEAR I45. MAKEIMANUFACTURER SMITH A WESSON .US- SPECIAL) 46. MODEL 5943 47. BARREL LENGTH 4 4S. CALIBERIGAUOE 9 MM WEAPON DISCHARGE INCIDENT 49. TASER DART ID NO. 50. WEAPON SERIAL No. IInEIude Letters) 51. CH REG. NO. '52. IL FliiRM OWNER ID. NO. 53. HANDGUN CERTIFICATE NO. 54. SPECIAL WEAPON CERTIFICATE NO. 65. PROPERTY INVENTORY NO. 56. TYPE OF AMMUNITION USED 57.NO. OF WEAPONS DISCHARGED BY 58. TOTAL NO. OF SHOTS MEMBER Department Issued THIS MEMBER. 1 FIRED 1 59. WHO FIRED FIRST SHOT D03 OTHER (SPECIFY) BD. WAS FIREARM RELOADED 31. NO OF CATDRIDGESI 62. HOW WAS HANDGUN WORN [303 OTHER (Specify) 3? DURING INCIDENT SHOT SHELLS 01 MEMBER 02 OFFENDER 01 YES (g 02 Ho RELOADED a 01 RT. SIDE (WAIST) El 02 LT. SIDE (WAIST) as. How WAS HANDGUN DRAWN (j 03 OTHER (SpacIIy) - SPECIFY USED TO RELOAD Bs. DID MEMSER USE SIGHTS a; 801 STRONG SIDE DRAW 02 CROSS DRAW 66. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES, DOORWAYS. CAR. FURNITURE. ETC) DISTANCE BETWEEN INVOLVED MEMBER OFFENDER WHEN FIRST SHOT WAS FIRED a NONE 8 0205-10FT. 031D-15FT. 040VER15FT. 88. PERSONIOBJECT STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON 69. POSITION OF MEMBER DISCHARGING WEAPON o1 STANDING 02 Lyme Dom CD O1 PERSON :12 OBJECT 03 BOTH 04 UNKNOWN 03 SITTING 04 KNEELING 05 OTHER (SPECIFY) .. 72. L. NOTIFICATIONS (00 OR TASER INCIDENT): El OEMC DSS LT.IDIST. 0F OCCUR. CPIC 3, NOTIFICATIONS (FIREARM INCIDENT): [g OEMC 0F OCCUR a. 0010 CPIC KI DIVMembers ensure that all reqUIred notl?catIons and all WItnesses to Ms use of force are documented In the appropIate case report. 5 73. REPORTING MEMBER (Print Name) STARIEMPLOYEE NO. SIGNATURE GARCIA, RAFAEL 7688 :3 Reviewing supervisor will ensure the legibility and completeness of this report and attest by entering the required Information below. A (25 74. REVIEWING SUPERVISOR (Print Name) STAR NO. SIG DATE REVIEWED TIME "c5 THOMAS 2553 22-AUG-2015 11 :51 :05 Wt LIEUTENANT OR REVIEW THE ON-CALL INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBBEOUENT TO INTERACTIONS WITH A DEPARTMENT 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. Ts. sumacrs STATEMENT REGARDING THE use or FORCE DNA REFUSED UNABLE TO INTERVIEW (Specify Reason) Vicious animal. 76. LIEUTENANT OR ABDVEIOCIC RATIONALE FOR BOX 77 FINDING A vicious canine was loose and had attacked a female victim. biting her. The member responded to the incident and subsequently encountered the animal. The animal charged the member. The member In fear of his safety and others discharged his weapon, striking the animal which resulted in the animal's death. Based upon all the available evidence, the Undersigned ?nds the member acted within Departmental guidelines. IPRA was contacted and Davis #130 issued the listed Lo number. No other identifiable property damage or Injury was observed. 77. LIEUTENANT OR AEOVEJOCIC FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: 8 I HAVE CONCLUDED THAT THE ACTIONS I HAVE CONCLUDED THAT FURTHER IS REQUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. Loo NOJCRNO. 1076822 OBTAINED '73. LIEUTENANT OR ABOVEIOCIC (Print Name) SIGNATURE DATE COMPLETED TIME 0 DONNELL, JAMES 22-AUG-2015 12:58:38 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET. INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS - PHOTOCOPIES OF: I: SUPPLEMENTARY REPORT I I.O.D. REPORT 80, TOTAL TRR's THIS EVENT No. CASE REPORT OFFICER BATTERY REPORT CR REPORT 2 ARREST REPORT TO-FROM-SUBJECT REPORTS FROM DEPARTMENT WITNESSIES) TACTICAL RESPONSE Police Department 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE 3. LOCATION CODE 1 551753553 22-AUG-2015 09:38:00 8 KILBOURN AVE CHICAGO, IL 60652 176 0834 I: a 5. POSITION B. LAST NAME 1. FIRST NAME 3. STAR NO. 9. SET 111. RACE CODE 119161 TUMAN JOSEPH 3074 01 DOEF WHI 965 510 175 14. DATE OF APPT. 15. EMPLOYEE 13. UNIT 11 BEAT OF ASSIGNMENT 17. DUTY STATUS Ia. MEMBER . ER IN 5 02-MAY-1994 008 .0835 E01 20. LAST NAME 21. FIRST NAME 22. MI. 23. SE): 24. RACE 25. DOB2B. ADDRESS 29. TELEPHONE No. an. WAS SUBJECT 31. SUBJECT 32. SUBJECT ALLEGED (5'2 [:InaNo Donna Dom: Dawes a WHERE WAS MEDICAL TREATMENT 34.31? 35. CONDITION 01 Apparent? Nam, 02 um, "1mm, ca Hoapllalimd 04 Not Hospitalized I3 I15 Refused Medical AM a) as. CHARGES PLACED DNA 37- GB No- DNA 35. PMBWE RESIDTER ACTIVE REBIETER ASSAILANTIMBAULT FORCE I: DID NOT FOLLOW USES FORCE LIKELY TO ES MARROW 0 STIFFENED ATTACK WITHOUT (DEAD WEIGHT) El PULLED AWAY OTHER WEAPON WEAPON CD .9, a OTHER OTHER OTHER omen 1.1. 3 MEMBER PRESENCE OPEN HAND STRIKE ELBOW STRIKE KNEE STRIKE FIREARM 53' a VERBAL COMMANDS I EMERGENCY FING CLOSED HAND - ESCORT HOLDS n: .5 WRISTLOCK Dc CHEMML WEAPON El STRIKEIPUNCH CI KICKS OTHER Mk 0 :5 ti: CANINE n. ARMBAR IMPACT WEAPON a, I: TASER (Pmbe mama) (Describe in 30,. 40) IMPACT g: PRESSURE SENSITIVE AREAS (?Wm 3 CONTROL INSTRUMENT TASER (?mm 5m") 5 OCICHEMICAL WEAPON TASER ?Lm'Tame'ad? TASER (spark Display?) OTHER OTHER OTHER Eli-E WEAPON AUTHORIZED BY (NAME) 40. ADDITIONAL INFORMATION POSITION STAR ND. UNIT 41. WEAPON TYPE 42. INCIDENT OCCURRED Indoors Outdoors 44. WEATHER CONDITIONS- CLEAR 04 SEMI-AUTO PISTOL as CHEMICAL WEAPON 43. LIGHTING CONDITIONS o1 Dayligm BMW 03 Dawn mom 01 REVOLVER El 05 PoorArlliiclal 06 Good Arti?cial 02 RIFLE as TASER (Probe Discharge) 45. MAKEIMANUFACTURER 43. MODEL 47. BARREL LENGTH 43. CALIBERJGAUGE El 03 SHOTGUN 07 OTHER -US- 5943 4 9 MM 51. CHICAGO GUN REG. NO. 49. TASER DART ID NO. 50 PON SERIAL ND. (Include Lattars) '52. IL FIREARM OWNER ED. N0. 53. HANDGUN CERTIFICATE NO. 54. SPECIAL WEAPON CERTIFICATE NO. 55. PROPERTY INVENTORY NO. 58. TYPE OF AMMUNITION USED SING. OF WEAPONS DISCHARGED BY 58. TOTAL NO. OF SHOTS MEMBER WEAPON DISCHARGE INCIDENT Department Issued THIS MEMBER. 1 FIRED 1 59. WHO FIRED FIRST SHOT 03 OTHER (SPECIFY) an. WAS FIREARM RELOADED 81. NO OF CATDRIDGESI 52. HOW WAS HANDGUN WORN (393 OTHER (5pm,, 3 DURING INCIDENT SHOT SHELLS A 01 MEMBER CI 02 OFFENDER 01 yes (12 NO RELOADED 01 RT. SIDE (WAIST) El I12 LT. SIDE (WAIST) 83. HOW WAS HANDGUN DRAWN 03 OTHER (Specify) USED TO RELOAD B5. DID MEMBER USE SIGHTS a 801 STRONG SIDE DRAW [1 I12 CROSS DRAW [j 01 YES I12 No 88. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES. DOORWAYS. CAR. FURNITURE. ETC) ST. DISTANCE BETWEEN INVOLVED MEMBER OFFENDER WHEN FIRST SHOT WAS FIRED a NONE 010-O5FT. 031D-15FT. [j as. PERSONIOBJECT STRUCK AS RESULT OF THE DISCHARGE OP MEMBERS WEAPON 69. POSITION OF MEMBER DISCRARGING WEAPON STANDING [j 02 mm; now? I11 PERSON 02 OBJECT 03 BOTH 04 UNKNOWN [3 as SITTING I14 KNEELING [i 05 OTHER (SPECIFY) '4 72' NOTIFICATIONS (00 OR TASER INCIDENT): OEMC D88 LTJDIST. OF OCCUR. (CPIC in Fl 3 o' NOTIFICATIONS (FIREARM INCIDENT): [g OEMC 0F OCCUR oc c CPIC DET. DIV. 5 u. . 5 Members will ensure that all required noti?cations and all witnesses tO this use of force are documented in the appropiate case report. 5 Ta. REPORTING MEMBER (Print Name) STARIEMPLOYEE NO. :3 a, TUMAN, JOSEPH LLI . . 22 AUG 2015113631 A '5 Reviewing supervisor will ensure the legibility and complet ness of this report and attest by entering-the required information below. (29 T4. REVIEWING SUPERVISOR (Print Name) STAR NO. SIGNA RE DATE REVIEWED TIME 71 THOMAS 2553 22-AUG-2015 11:46:38 LIEUTENANT OR ABOVEIOCIC REVIEW THE ON-CALL INCIDENT COMMANDER IOCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT MEMBER: 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUSLIC SUBSEOUENT TO INTERACTIONS WITH A DEPARTMENT MEMBER: 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. TS. SUBJECTS STATEMENT REGARDING THE USE OF FORCE DNA REFUSED UNABLE TO INTERVIEW ISpacIIy Reason) Vicious animal. TB. LIEUTENANT OR RATIONALE FOR BOX 77 FINDING A vicious canlne was loose and had attacked a female victim. biting her. The member responded to the Incident and subsequently encountered the animal. The animal Charged the member. The member in fear Of his safety and others discharged his weapon, striking the animal which resulted In the animal's death. Based upon all the available evidence. the Undersigned finds the member acted within Departmental guidelines. was contacted and Davis #130 Issued the listed Log number. NO other Identi?able property damage or injury was observed. 77. LIEUTENANT 0R ABOVEIOCIC FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: I HAVE CONCLUDED THAT THE ACTIONS I HAVE CONCLUDED THAT FURTHER INVESTIGATION IS REQUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG NOJCRNO. 1076822 OBTAINED 78. LIEUTENANT OR ABOVEIOCIC (Print Name) SIGNATURE DATE COMPLETED TIME 0 DONNELL, JAMES 22-AUG-2015 13:02:05 79, DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET. INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS - PHOTOCOPIES OF: SUPPLEMENTARY REPORT El I.O.D. REPORT an, TOTAL THIS EVENT NO. [3 CASE REPORT [3 OFFICER BATTERY REPORT [3 CR INITIATIDN REPORT 2 ARREST REPORT TD-FROM-SUBJECT REPORTS FROM DEPARTMENT WITNESSIES) TACTICAL RESPONSE Police Department 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE LOCATION CODE 1 5555550? 03-SEP-2015 07:59:00 77.5 PEORIA ST CHICAGO. IL 60620 291 0621 i a 5. POSITION 3. LAST NAME 7. FIRST NAME a. STAR ND. 9. ea 10. RACE CODE 119161 GOCHEE JAMES 3909 E01 [jun WHI 604 220 14. DATE OF APPT. 16. UNIT A BEAT DF ASSIGNMENT 17. DUTY STATUS 1a. MEMBER 19. MEMBER IN 24-FEB-2003 008 0622 (11 On 0201! El D1YBS 02 No 01YGS El 02 N0 21. FIRST NAME 22. M.l. 23. SH 24. RACE 25. D.O.23. 29. TELEPHONE NO. an. WAS SUBJECT 31. SUBJECT :12. SUBJECT ALLEGED Damon DOZNO Dom? : 02Na Don's: DOZNO 8 as. WHERE WAS MEDICAL TREATMENT 34. BY 35. CONDITION 01 Apparently Nam, 02 Under ,n?uam '1 (13 Hospitalized I: 04 Hospitalized 05 Refused 2 u) SB. CHARGES PLACED DNA 37. CS NO. IR NO. DNA 38, REIISTER ACTIVE RESISTER ASSAILANTIABSAU LT ASSNLANTIBATTERY FORCE DID NOT FOLLOW USES FORCE LIKELY TO DNA a) VERML DIRECTION FLED WEAPON El CAUSE DEATH OR 2 GREAT BODILY HARM a STIFFENED FULLED AWAY WITHOUT a i: (DEAD WEIGHT) El OTHER WEAPON WEAPON 2 OTHER OTHER OTHER OTHER LI. 0 3 MEMBER PRESENCE OPEN HAND STRIKE ELBOW STRIKE KNEE STRIKE FIREARM VERSAL COMMANDS TAKE) DOWN I EMERGENCY HAN CUFFING CLOSED HAND 3 II: ESCOR HOLDS n: I CC CHEMICAL WEAPON STRIKEIPUNCN KICKS OTHER to WRISTLOCK 5 (n 2 ?Mam CANINE IMPACT WEAPON a TASER (Prob Diud?ama) In BOX 40) IMPACT MUNITION PRESSURE SENSITIVE AREAS El 30* ?3 3 CONTROL INSTRUMENT TASER (?mam 5m") a 5 OCICHEMICAL WEAPON TASER WIAUTHORIZATION TASER (Spark Displayed) OTHER OTHER OTHER EDI-I WEAPON DISCHARGE INCIDENT WEAPON AUTHORIZED BY (NAME) IPOSITION STAR NO. UNIT 40. ADDITIONAL INFORMATION 41. WEAPON TYPE 01 REVOLVER 02 RIFLE 03 SHOTGUN 04 SEMI-AUTO PISTOL as CHEMICAL WEAPON CC TASER (Probe Discharge) or OTHER Indoors 42. INCIDENT OCCURRED [j 02 Night as Poor Arti?cial LIGHTING CONDITIONS 8 D1 Daylight 03 Dawn [i as Good 4A. WEATHER CONDITIONS CLEAR 45. MAKEIMANUFACTURER INCL-AW- 17 43. MODEL BARREL LENGTH 045 48. CALIBERIGAUGE 9MM 49. TASER DART ID NO. iiRlAl. No. Ilnciude I51. CHICAGO GUN REG. NO. ?54. SPECIAL WEAPON CERTIFICATE NO. 55. PROPERTY INVENTORY NO. 53. HANDGUN CERTIFICATE NO. TYPE OF AMMUNITION USED '52. IL FIREARM OWNER ID. NO. 57.NO. OF WEAPONS DISCHARGED BY 58. TOTAL NO. OF SHOTS MEMBER FIRED Department Issued ms MEMBER 1 1 59. WHO FIRED FIRST SHOT D03 OTHER (SPECIFY) so. WAS FIREARM RELOADED 61. NO OF CATDRIDGESI (12. How WAS HANDGUN WORN l] (13 OTHER (Specify) in? DURING INCIDENT SHOT SHELLS A 01 MEMBER 02 OFFENDER 01 YES a; No RELOADED 01 RT. SIDE (WAIST) 02 LT. SIDE (WAIST) 0' 33, How WAS MEMBER-5 HANDGUN DRAWN 03 OTHER (angry: . SPECIFY METHODIEDUIPMENT USED TO RELOAD 55. um MEMBER use SIGHTS I: 801 STRONG SIDE DRAW I12 CROSS DRAW [ea. DESCRISE PROTECTIVE COVER USED (LIGHT POLES, DOCRWAYS. CAR. FURNITURE. ETC) ST. DISTANCE BETWEEN INVOLVED MEMBER a. OFFENDER WHEN FIRST SHOT WAS FIRED 3 GATE 8 DID-nan. 0205-1DFT. 0310-15FT. til en. PERSONIOSJECT STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON as. POSITION OF MEMBER OISCHARGING WEAPON 01 STANDING 02 mm; Down A 01 PERSON 02 OBJECT as BOTH 04 UNKNOWN 03 SITTING 04 KNEELING 05 OTHER (SPECIFY) NOTIFICATIONS (0C OR TASER INCIDENT): OEMC 035 a. LT.IDIST. OF OCCUR. [i CPIC Cl 33? 8' NOTIFICATIONS (FIREARM INCIDENT): OEMC DSSIDIST. OF OCCUR OCIC CPIC ON. ?5 5 2 Members will ensure that all required noti?cations and all witnesses to this use of force are documented in the appropiate case report. 5 1:1. REPORTING MEMBER (Print Name} STARIEMPLOYEE ND. SIGNATURE GOCHEE, JAMES 39 3; 03-SEP-2015 10:17:07 3'0 3 Reviewing supervisor will ensure the Iegibility and completeness of this report and attest by entering the required Information below. 0' 74. REVIEWING SUPERVISOR (an Name) STAR NO. SIGNATURE DATE REVIEWED TIME (7) COLLINS, TERRENCE 882 03-SEP-2015 10:18:33 LIEUTENANT OR ABOVEIOCIC REVIEW THE ON-CALI. INCIDENT COMMANDER (OCICI WILL THE REVIEW SECTION FOR 1.) ALL INVOLVING THE DISCHARGE OF A FIREARM ST A DEPARTMENT 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUSLIC SUBSEOUENT To INTERACTIONS WITH A DEPARTMENT MEMBER: 3.) ANY USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. Ts. SUBJECTS STATEMENT REGARDING THE USE OF FORCE DNA REFUSED UNABLE TO INTERVIEW (Specify Reason) RlCaptaln interviewad PO Gochee who related that he responded to call of a Vicious dog (Event# D4535)at 77. S. Peoria St. When he arrived he observad two large dogs In the rear yard. As Of?cer approached rear fence at that lotion one large dog advanced on him in a menacing manner growling and screamed at dog to no avail, and when the dog continued to advance through the broken gate, Officer Gochee fearing for his safety discharged his duty weapon one(1) time striking the dog In the head. The dog immediately dropped from the fatal Wound. Beat 610- Collins #882 Secured scone. Shell casing recovered and Inventoried (13521355)- ET processed scene Beat 5822- Animal Control on scene Beat 206-Hernandez#60 & Beat 20?- Loza#332 who removed carcass and the second dog in yard. and Obtained by Sgt.Sgt.iOoiltnsI 040 hours from inv.lnv.leaiffer discharge incident. Officer GochGocheeln compliance with weapons quali?cation (18Feb15) and was carrying proper Department issued ammunition. IAD.Sgt.aJ.man #1923 in DOB-conducted BreaBreathaiizar aamp; drug screen. 76. LIEUTENANT OR RATIONALE FOR BOX 77 FINDING RlCaptalrI finds the Of?cer Gochee's actions ware well within Departmental Guidelines for the Use Of Force when he was confronted with a potential life threatening situation. When vicious dog advanced on officer even alter attempts ware made to disperse the animal, he utilized a single discharge of his weapon to neutralize the threat. RICaptain ?nds that Of?cer Gochea's actions were compliant with Department procedures and directlvas. 77. LIEUTENANT OR ABOVEIOCIC FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: I HAVE CONCLUDED THAT THE ACT IONS I HAVE CONCLUDED THAT FURTHER INVESTIGATION IS WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG NOJCRNO1 OBTAINED TB. LIEUTENANT DR (Print Name) SIGNATURE DATE COMPLETED TIME KANE. PAUL A 03-SEP-2015 13:32:48 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET. INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS - PHOTOCOPIES 0F: SUPPLEMENTARY REPORT I.O.D. REPORT so. TOTAL THIS EVENT NO. [i CASE REPORT OFFICER REPORT CR INITIATION REPORT 1 ARREST REPORT [3 TO-FROMSUBJECT REPORTS FROM DEPARTMENT TACTICAL RESPONSE Police Department 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE I 3. LOCATION CODE 04-SEP-2015 18:14:00 6?8 DREXEL AVE Apt 1ST FLOOR CHICAGO, IL 60637 090 0321 n: 7. FIRST NAME 3. STAR NO. 9. SEX 1o. RACE CODE 11JOSEPH 4904 01 DOZF WHI 976 511 220 5 14. DATE OF APPT. 1s. EMPLOYEE NO. IS. UNIT BEAT OF ASSIGNMENT 17. DUTY STATUS tB. MEMBER 19. MEMBER IN 05-DEC-2005 015 6236H gm 0. 02011 D01 am D01 am 20. LAST NAME 21. FIRST NAME 22. MI. 23. BEN 24. RACE 25. DOBD02 25. ADDRESS 29- TELEPHONE NOT 30- WAS SUBJECT 31. SUBJECT 32. SUBJECT ALLEGED FE DMVOBDOZNO Dom? Drum [:11an a 33. WHERE WAS MEDICAL TREATMENT 34. BY 35. CONDITION Apparently Normal 02 Under In?uence .., 03 Hospitalized 04 Net Hospitalized 05 Refused Medical Aid 3 LI. a: SE. CHARGES PLACED 8 DNA 31GB ND, IR NO. DNA 38. PASSIVE REIISTER ACTIVE ASSAILANTMEADLY FORCE DID NOT FOLLOW USES FORCE LIKELY T0 DNA a VERBAL DIRECTION FLED ATMCK WITH WEAPON ggr?mm 2 Lu 0 STIFFENED ATTACK WITHOUT a ?8 (DEAD WEIGHT) El CI OTHER WEAPON I: 42 OTHER OTHER OTHER OTHER LI. 0 3 MEMBER PRESENCE OPEN HAND STRIKE ELBOW STRIKE KNEE STRIKE El FIREARM a g- VERBAL COMMANDS TAKE DOWN I EMERGENCY HANDCUFFINO CLOSED HAND CHEWCAL WEAPON STRIKEIPUNCH KICKS OTHER 0 CANINE IMF. ACT WEAPON 33 ARMBAR I: TASER (Pmbe Discharge) El (93mm In 59,. 40, El IMPACT MUNITION s: ?4 lu PRESSURE SENSITIVE AREAS in Em U, TASER (Contact em) a, CONTROL INSTRUMENT a 5 OCICHEMICAL WEAPON TASER TASER (Spark Displayed} OTHER OTHER OTHER 39. - DCICHEMICAL WEAPON AUTHORIZED BY (NAME) 40. ADDITIONAL INFORMATION RIO WHILE IN THE PROCESS OF MAKING ENTRY INTO A SEARCH WARRANT DNA OBSERVED A DOG CHARGING IN THE RIOS DIRECTION. IN AN POSITION STAR NO- ATTEMPT TO STOP THE DOGS ATTACK. RIO RESPONDED BY SHOOTING THE DOG. 41. WEAPON TYPE (11 REVOLVER 02 RIFLE 03 SROTGUN 04 SEMI-AUTO PISTOL 05 CHEMICAL WEAPON 42. INCIDENT OCCURRED Indoom Outdoors 43. LIGHTING CONDITIONS [3 02 Night 03 Dawn as 01 Daylight 04Dusk as 44. WEATHER CONDITIONS CLEAR as TASER (Probe r" 07 OTHER 45. MAKE-MANUFACTURER IGLOCK. 43. MODEL 22 4.5 BARREL LENGTH 4B. CALIBERIGAUGE 40 49. TASER DART ID ND. 50. WEAPON SERIAL ND. (MI-Jude Letters) 51. CHICAGO GUN REG. NO. 52. IL FIREARM OWNER ID. NO. 53. HANDGUN CERTIFICATE NO. WEAPON DISCHARGE INCIDENT 54. SPECIAL WEAPON CERTIFICATE ND. 55. PROPERTY INVENTORY NO. 56. TYPE OF AMMUNITION USED 57.NO. OF WEAPONS OISCHARGED BY 58. TOTAL NO. OF SHOTS MEMBER Department Issued THIS MEMBER. 1 FIRED 2 59. WHO FIRED FIRST SHOT Dos OTHER (SPECIFY) so. WAS FIREARM RELOADED 81. NO OF CATDRIDGESI 52. HOW WAS HANDCUN WORN [3 03 OTHER (5mm 3 DURING INCIDENT SHOT SHELLS - A '11 MEMBER 02 OFFENDER 01 YES 8 02 NO RELOADED 01 RT. SIDE (WAIST) 02 LT. SIDE (WAIST) 83. HOW WAS HANDGUN DRAWN 03 OTHER (specuy) . SPECIFY USED TO RELOAD 35? MEMBER USE SIGHTS EDI STRONG SIDE DRAW 02 CROSS DRAW 01 YES 02 No '0 .B 66. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES. DOORWAYS. CAR. FURNITURE. ETC) 57. DISTANCE BETWEEN INVOLVED MEMBER OFFENDER WHEN FIRST SHOT WAS FIRED NONE OTC-OSFT. 0205-10FT. [j as. PERSONIOSJECT STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON ea. POSITION OF MEMBER DISCHARGING WEAPON STANDING [3 oz LYING DOWN 01 PERSON 02 OBJECT 03 BOTH 04 UNKNOWN 03 04 KNEELING 05 OTHER (SPECIFY) 12 NOTIFICATIONS (CO CR TASER INCIDENT): OEMC DSS LTJDIST. 0F OCCUR. CPIC o' NOTIFICATIONS (FIREARM INCIDENT): [g OEMC OF OCCUR OCIC Kl CPIC IZI DET. DIV. 5 u. 5 Members will ensure that all required noti?cations and ail witnesses to this use Of force are documented in the appropiate case report. 5 73. REPORTING MEMBER (Print Name) STAFUEMPLOYEE NO. 3 a; PAPKE, JOSEPH 04-SEP-2015 20:25:24 '2 Reviewing supervisor will ensure the legibility and completeness of this report and attest by entering the required Information below. ?1 5 74. REVIEWING SUPERVISOR (Prim Name) STAR NO. DATE REVIEWED TIME '03 SCHNIER. BRIAN 1273 04-SEP-2015 20:35:11 TI LIEUTENANT OR ABOVEIOCIC REVIEW THE CAI-CALL INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT MEMBER: 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC TO INTERACTIONS WITH A DEPARTMENT MEMBER: 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMB FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATINO SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. 75. STATEMENT REGARDING THE USE OF FORCE DNA REFUSED UNABLE TO INTERVIEW (Specify Reason) 76. LIEUTENANT OR ABOVEIOCIC RATIONALE FOR BOX 77 FINDING The undersigned lnveetlgatlon has revealed that the Involved member whlle conductan a Search Warrant was attacked by a large pltbull lype dog and discharged weapon to protect hlmself and members Of his team. Log #1077002 was Obtained to document Incldent. IPRA lnv. Sheets #150 2030 hours; IAD Sgt. Baler responded to 003 77. LIEUTENANT OR ABOVEIOCIC FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: 8 I HAVE CONCLUDED THAT THE ACTIONS I HAVE CONCLUDED THAT FURTHER INVESTIGATION IS REQUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG OBTAINED Ta. LIEUTENANT CR (9an Name) SIGNATURE DATE COMPLETED TIME JONES. JAMES - 04-SEP-2015 20:43:41 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET. INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS - OF: SUPPLEMENTARY REPORT ran REPORT 30. TOTAL TRR's THIS EVENT NC. El CASE REPORT El OFFICER BATTERY REPORT CR INITIATION REPORT 1 CI ARREST REPORT [3 REPORTS FROM DEPARTMENT WITNESSES) TACTICAL RESPONSE Police Department 1. DATE OF INCIDENT TIME 3. LOCATION CODE 05-5EP-2015 07:08:00 12 ELIZABETH ST CHICAGO, IL 60543 304 0524 n: a 5. LAST NAME 1. FIRST NAME 5. STAR NO. S. SE): 10. RACE CODE 119161 MOORE LATANYA 7296 D01 802 BLK 1971 505 148 1-1. DATE OF APPT. 15. EMPLOYEE NO. 1B. UNIT 5 BEAT OF ASSIGNMENT 11. DUTY STATUS 1a. MEMBER 19. MEMBER IN .- 10-OCT 2000 005 0524 @111 21. FIRST NAME 22. M1. 23. SE): 24. RACE 25. DOB25. ADDRESS 29. TELEPHONE NO. 30. WAS SUBJECT 31. SUBJECT 32. SUBJECT ALLEGED LE D01YB5DO2ND : 111Yu Domes : uzNo E: as. WHERE WAS MEDICAL TREATMENT 34. BY as. CONDITION Appamnw Nam, 02 Under Mum 0 OS 04 Not Hospitallzad 05 Medical Aid 3 Ill- (1.) as. CHARGES PLACED 8 DNA 31c); no) IR NO. DNA 1 0581 22 38. PASSIVE REIISTER ACHVE RESISTER AIBNLANTIDEADLY FORGE DID NOT FOLLOW USES FORCE LIKELY TO DNA ?0 a, VERBAL DIRECTION CI FLED ATTACK WITH WEAPON CAUSE DEATH OR I- 2 GREAT BODILY HARM I.I.I STIFFENED PULLED WAY ATTACK WITHOUT a (DEAD WEIGHT) El OTHER WEAPON El EAPO a OTHER OTHER OTHER OTHER U. 3 MEMBER PRESENCE OPEN STRIKE ELBOW STRIKE KNEE STRIKE FIREARM a 9- VERBAI. COMMANDS I: TAKE DOWN I EMERGENCY 5? ESCORT HOLDS HANDCUFFING CLOSED a: 1; WHISTLOCK CO CHEMICAL WEAPON CI KICKS OTHER 0 5 In 0 CANINE O. ARMBAR IMPACT WEAPON 0? TASER (Probe DIschaICa) mam? IMPACT PRESSURE SENSITIVE AREAS [1 (Describe In Box 40) a, ?5 TASER (Conch Stun) a, CONTROL INSTRUMENT a 5 OCICHEMICAL WEAPON TASER 7" TASER (Spark Displayed) OTHER - OCICHEMICAL WEAPON BY (NAME) 40. ADDITIONAL INFORMATION DNA IPOSITION STAR NO. um '5 41. WEAPON TYPE smmum 42. INCIDENT OCCURRED 43. LIGHTING CONDITIONS (g Dayiighl 44. WEATHER CONDITIONS 01 REVOLVER as CHEMICAL WEAPON Indoors Outdoors "2 "a 99*" Dm CLEAR 05 Poor as Good 02 RIFLE as TASER (th Discharg) 45. MAKEIMANUFACTURER 45. MODEL BARREL LENGTH 43. 03 SHOTGUN 0 OTHER STURM. HUBER co. 5 7 (BEARCAT.BLACKHAWK.SPEED SIX) 7 9 49. TASER DART ID NO. 50. WEAPON SERIAL No. (Induce Lattam) 51. CHICAGO GUN REG. NO. 52. IL FIREARM OWNER ID. NO. 53. HANDGUN CERTIFICATE No. 1? i 54. SPECIAL WEAPON CERTIFICATE NO. 55. PROPERTY INVENTORY NO. 55. TYPE OF AMMUNITION USED 57.NO. OF WEAPONS DISCHARGED BY SS. TOTAL NO. OF SHOTS MEMBER 2 THIS MEMBER. 1 FIRED 3 59. WHO FIRED FIRST SHOT [j OTHER (swampy, SD. WAS FIREARM RELOADED 51. NO OF CATDRIDGESI 52. HOW WAS MEMBER-S HANDGUN WORN [j OTHER (spam, 3 DURING INCIDENT SHOT SHELLS A 01 MEMBER {j 02 OFFENDER E) ?155 92 No RELOADED 01 RT. SIDE (WAIST) 02 LT. SIDE (WAIST) - 53' HOW WAS HANDGUN DRAWN 03 OTHER (Smelly) . SPECIFY USED TO RELOAO MAGAZINES 85- DID MEMBER USE SIGHTS 5 01 STRONG SIDE DRAW 02 CROSS DRAW YES (g 112 NO as. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES. DOORWAYS. CAR. FURNITURE. ETC) DISTANCE BETWEEN INVOLVED MEMBER a. OFFENDER WHEN FIRST SHOT WAS FIRED a BULLET PROOF VEST [j 010 .05 FT. 8 02 05-10 FT. 0310-15 FT. MOVER 15 FT. 8 SS. PERSONIOBJECT STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON as. POSITION OF MEMBER DISCHARGING WEAPON STANDING [j mm; Down to D1 PERSON 02 OBJECT 03 BOTH 04 UNKNOWN [3 Ca SITTING 04 KNEELING 05 OTHER (SPECIFY) 5 72. NOTIFICATIONS (00 OR TASER INCIDENT): El OEMC [3 D53 81 LTJDIST. OF OCCUR. CPIC a, 3,1 NOTIFICATIONS (FIREARM INCIDENT): OEMC DSSIDIST. OF OCCUR OCIC CPIC DIVMembers ensure that all reqwred notI?catlons and all WItnesses to thIs use of force are documented In the appropIate case report. 73. REPORTING MEMBER Narna) STARIEMPLOYEE No. SIGNATURE a a) MOORE, LATANYA 7296 A '63" 05-SEF-2015 09:26:34 1311 . Reviewing supervisor will ensure the Iegibility and completeness Of this report and attest by entering the required Information below. ?5 74. REVIEWING SUPERVISOR (Print Name) STAR NO. DATE REVIEWED TIME STACEY 2163 09:26:14 LIEUTENANT OR ABOVEIOCIC REVIEW THE ON-CALL INCIDENT COMMANDER (OGIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT MEMBER: 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBSEOUENT TO INTERACTIONS WITH A DEPARTMENT 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. 76. susJEcTs STATEMENT REGARDING THE usE OF FORCE DNA UNABLE To INTERVIEW (Specify Reason) 78. LIEUTENANT OR ABOVEIOCIO RATIONALE FOR BOX 77 FINDING After reviewing the case report and conferring with Commnder Kevin Johnson, who responded to the scene and Investigated the weapons discharge Incident. the undersigned has determined that all available information shows the Officer's actions were in compliance with Department policy. The Investigation revealed that the Of?cer was responding to a call of a vicious animal. when she was confronted by pit bull. The Officer ?red three rounds. all of which were accounted for. The pit hull was not destroyed and Animal Control responded to the scene and removed the animal. The owner was Issued citations for not restraining an animal. The Officer's weapon was not inventoried based on the facts of the investigation. TT. LIEUTENANT OR FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: i HAVE CONCLUDED THAT THE AOTIONs I HAVE CONCLUDED THAT FURTHER Is REQUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG OBTAINED 78. LIEUTENANT OR ABOVEIOCIC (Print Name) SIGNATURE DATE COMPLETED TIME PIGOTT, MICHAEL 05-SEP-201 5 17:01 :36 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET, INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWAROED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS - PHDTOCOPIES OF: SUPPLEMENTARY REPORT [3 Leo. REPORT so. TOTAL THIs EVENT No. 1] CASE REPORT OFFICER BATTERY REPORT [3 OR INITIATION REPORT 1 REPORT TGFROMUBJECT REPORTS FROM DEPARTMENT WITNESSES) TACTICAL RESPONSE Police Department 4? 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE 3. LOCATION CODE 3- 5517553? 10:42:00 61. KOMENSKY AVE CHICAGO, IL 60629 303 0813 n: 5. POSITION B. LAST NAME 7. FIRST NAME I). STAR ND. 9. 391 10. RACE CODE 119161 KULBIDA MICHAEL 12036 $01 DDZF WHI 1961 511 160 14. DATE OF APPT. 15. EMPLOYEE No. 1B. UNIT a. BEAT CF ASSIGNMENT 17. DUTY STATUS TB. MEMBER 1B. MEMBER IN 02-MAY-1994 008 0813 20. LAST NAME 21. FIRST NAME 22. ML 23. SEK 24. RACE 25. DOB. 21125. ADDRESS 29. TELEPHONE No. 30. WAS SUBJECT 31. SUBJECT :12. SUBJECT ALLEGED ElesaDnzNo Donna DOZNO [:Imvu 0 ?4 as. WHERE WAS MEDICAL TREATMENT 34. BY 35. CONDITION Mum?, Nam, 02 um, mum? on D4 Not Hospitalized as RaIuamI Medical AM a: 36. CHARGES PLACED DNA 37, No. MO. DNA 38. PMUIVE RESIITER ACTIVE ASSAILANTIASSAULT FORCE DID NOT FOLLOW USES FORCE LIKELY T0 DNA VERBAL DIRECTION FLED E?FMg?ggngE? ATTACK WEAPON El CAUSE DEATH OR 2 GREAT BODILY HARM STIFFENED ATTACK WITHOUT 'i I: (DEAD WEIGHT) El PULLED AWAY OTHER WEAPON I: WEAPON CI 0 a OTHER OTHER OTHER - OTHER u. 3 MEMBER PRESENCE OPEN HAND STRIKE ELBOW STRIKE KNEE STRIKE FIREARM a VERBAL COMMANDS 3 to ESCORT HOLDS CLOSED .6 ac CHEWCM WEAPON STRIKEIPUNCH KICKS OTHER 8 5 2 ARMSAR IMPACT WEAPON 2 a: TASER (Hubs mm?) (Dase?be In Box 40) El IMPACT MUNITION PRESSURE SENSITIVE AREAS (Describe In Box 40) 3 CONTROL INSTRUMENT TASER (6mm 8 OWCHEMICAL WEAPON TASER TASER (Spark (mm 39. - OCICHEMICAL WEAPON AUTHORIZED BY (NAME) 40. ADDITIONAL INFORMATION TO STOP THE ATTACK OF VICIOUS PIT BULL. DNA POSITION STAR NO. UNIT '5 41. WEAPON TYPE 04 SEMI-AUTO 42. INCIDENT OCCURRED 4a. LIGHTING CONDITIONS 8 Daylight 44. WEATHER CONDITIONS 5 01 REVOLVER El 05 CHEMICAL WEAPON Indoors Outdoora 02 El 03 Dawn "4 m? CLEAR as [j as Good 02 RIFLE CB TASER (Pmba 0 45. 46. MODEL BARREL LENGTH 48. 03 SHOTGUN a? OTHER :ygg'lAal'rVESBDN -us- IBODYGUARD.CHIEF 5943 040 9 MM ?5 4B. TASER DART ID No. 50. WEAPON SERIAL ND. (Include 51. CHICAGO GUN REG. NO. 52. IL FIREARM OWNER ID. NO. 5:1. HANOGUN CERTIFICATE NO. 2 2 54. SPECIAL WEAPON CERTIFICATE ND. 55. PROPERTY INVENTORY NO. 56. TYPE OF AMMUNITION USED 57.NO. OF WEAPONS DISCHARGED BY SB. TOTAL No. OF SHOTS MEMBER 2 Department Issued THIS MEMBER. 1 FIRED 1 59. WHO FIRED FIRST SHOT [303 OTHER (SPECIFY) 60. WAS FIREARM RELOADED 111. No OF CATDRIDGESI 62. HOW WAS HANOGUN WORN [303 OTHER (specify) 3 DURING INCIDENT SHOT SHELLS 01 MEMBER [j 02 OFFENDER was no RELOADED 01 RT. SIDE (WAIST) [1 D2 LT. SIDE (WAIST) Ba. HOW WAS HANOGUN DRAWN omen (spasm . SPECIFY METHODIEDUIPMENT USED TO RELOAD 55. DID MEMBER USE SIGHTS a 111 STRONG SIDE DRAW 02 CROSS DRAW 01 YES 02 NO '0 as. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES, DOORWAYS. CAR. FURNITURE. ETC) 51. DISTANCE BETWEEN INVOLVED MEMBER OFFENDER WHEN FIRST SHOT WAS FIRED a NONE 0205-1DFT. 0310-15FT. [j 040VER15FT. 3 BB. PERSONIOBJECT STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON BS. POSITION OF MEMBER DISCHARGING WEAPON 01 STANDING [j 02 LYING DOWN ?9 01 PERSON 02 OBJECT 03 BOTH [j 04 UNKNOWN 03 SITTING [i 0-1 KNEELING 05 OTHER (SPECIFY) .. 72 .4 NOTIFICATIONS (00 OR TASER INCIDENT): OEMC DSS LTJDIST. OF OCCUR. CPIC 3, - .0 "tn-I NOTIFICATIONS (FIREARM INCIDENT): OEMC OCCUR a. KI CPIC DET. DIV. 3 5 Members ensure that all reqUIred noti?catIons and all WItnesses to Ms use of force are documented In the apprOpIate case report. 5 73. REPORTING MEMBER Name) STARIEMPLOYEE No. GNATURE a a, KULBIDA, MICHAEL 12036 a, 09-SEP-2015 12:13:37 3? '2 Reviewing supervisor will ensure the iegibility and completeness of this report and attest by entering the required information below. ?9 (29 74. REVIEWING SUPERVISOR (Print Name) STAR NO. SIG DATE REVIEWED TIME 5 FLORES. GABRIEL 2187 09-SEP-2015 12:17:01 LIEUTENANT OR ABOVEIOCIC REVIEW THE ONCALL INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INOIDENTS INVOLVING THE DISCHARGE oF A FIREARM BY A DEPARTMENT MEMBER: 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY oR DEATH OF A MEMBER OF THE PUBLIC SUBSEOUENT TO INTERACTIONS WITH A DEPARTMENT 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER 75. SUBJECTS STATEMENT REGARDING THE USE OF FORCE DNA [3 REFUSED UNABLE TO INTERVIEW (Specify Reason) Animal Case 78. LIEUTENANT OR ABOVEJOCIC RATIDNALE FOR BOX 7'7 FINDING Member discharged his firearm at a vicious animal that had attacked a citizen and another animal. The Vicious animal attempted to attack again when the member discharged firearm to prevent further injury from occurring. Based upon the avilable evidence. the finds the member acted within Departmental guidelines. The listed Log number was Obtained from IPRA. 77. LIEUTENANT OR ABOVEIOCIC FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: 8 I HAVE CONCLUDED THAT THE MEMBERS ACTIONS I HAVE CONCLUDED THAT FURTHER INVESTIGATION IS REOUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG NOJCRNO. 1077075 OBTAINED Te. LIEUTENANT OR ABOVEIOCIC (Print Name) SIGNATURE DATE COMPLETED TIME 0 JAMES 09-SEP-2015 13:47:47 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET. INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS- PHOTOCOPIES OF: SUPPLEMENTARY REPORT I.O.D. REPORT so, TOTAL THIS EVENT No. CASE REPORT [3 OFFICER BATTERY REPORT El CR INITIATION REPORT 1 [j ARREST REPORT TO-FROM-SUBJECT REPORTS FROM DEPARTMENT WITNESSIES) TACTICAL RESPONSE Police Department 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE a. 15-SEP-2015 14:25:00 12?s EMERALD AVE CHICAGO, IL 50623 291 0523 a 5. POSITION 5. LAST NAME 7. FIRST NAME 5. STAR NO. B. 1o. RACE CODE 119161 HERRERA RAYMUNDO 9994 E01 D02 WWH 50 1 65 14. DATE OF APPT. 15. EMPLOYEE No. 16. UNIT BEAT OF ASSIGNMENT 17. DLITY STATUS 18. MEMBER 1B. MEMBER IN 005 0562A $01 On 02 OH I: D1YBS 02 No E101 Yes 02 No 21. FIRST NAME 25. DOB. 26. HT. 27. WT. DNA 29. TELEPHONE NO. '33. WHERE WAS MEDICAL TREATMENT 34. BY 36. CHARGES PLACED DNA SUBJECT INFORMATION 38. PASSIVE REGISTER ACTIVE RESISTER ASSNLANTIASSAULT ABBAILANTHJEADLY FORCE DID NOT FOLLOW USES FORCE LIKELY TO DNA a, VERSAL DIRECTION KI FLED g??r?gy?m WEAPON CAUSE DEATH OR 2 GREAT BODILY HARM STIFFENED ATTACK WITHOUT a] I: (DEAD WEIGHT) El PULLED AWAY OTHER WEAPON WEAPON a OTHER OTHER OTHER OTHER LL 0 3 MEMBER PRESENCE OPEN HAND STRIKE ELBOW STRIKE KNEE STRIKE FIREARM 9- VERBAL COMMANDS TAKE DOWN I EMERGENCY In 5" ESCORT HOLDS CLOSED 0: 15 WHISTLER OC CHEMICAL WEAPON STRIKE-PUNCH KICKS OTHER 0 5 CANINE n. ARMBAR IMPACT WEAPON 2 TASER (Probe Discharge) (Describe In Box 40) PRESSURE SENSITIVE AREAS "mail"! ?0 3 CONTROL INSTRUMENT TASER ?mm? 5 DCICHEMICAL WEAPON TASER (ma'Tammd) TASER (Spark Displayed) OTHER OTRER OTHER PURSUED SUBJECT 39_ - OCICHEMICAL WEAPON AUTHORIZED BY (NAME) 40. ADDITIONAL INFORMATION RIO RESPONDED TO A PERSON WITH A GUN SUBJECT FLED INTO RESIDENCE DNA RIOS DESTROYED CANINE IN THE YARD AS HE PERSUED SUBJECT INTO THE POSITION STAR UNIT RESIDENCE. 41. WEAPON TYPE 04 SEMI-AUTO PISTOL 42. INCIDENT OCCURRED AS. LIGHTING CONDITIONS 3 Dayna? 44. WEATHER CONDITIONS 5 01 REVOLVER as CHEMICAL WEAPON Indoors Outdoors "2 "3 Dew? CLEAR 05 PoorArIifchaI [j as Good Arti?cial 02 RIFLE [3 DB TASER (Probe c, 45. MAKEIMANUFACTURER 45. MODEL 47. BARREL LENGTH 43. CALIBERIGAUGE 03 SHOTGUN or OTHER gaggfg?n ARMS USED BY XDM 3_8 9 MM 5 4B. TASER DART ID No. 50. WEAPON SERIAL ND. (IncImIa 51. CHICAGO GUN REG. NO. 52. IL FIREARM OWNER ID. NO. 53. HANDGUN CERTIFICATE ND. 2 2 54. SPECIAL WEAPON CERTIFICATE NO. 55. PROPERTY INVENTORY NO. 55. TYPE OF AMMUNITION USED 57.NO. OF WEAPONS DISCHARGED BY 53. TOTAL NO. OF SHOTS MEMBER 2 Department Issued THIS MEMBER. 1 FIRED 5 If, 59. WHO FIRED FIRST SHOT as OTHER (SPECIFY) an. WAS FIREARM RELOADED 31. No OF CATDRIDGESI 32. HOW WAS HANDGUN WORN [j 03 OTHER (Specify) a DURING INCIDENT SHOT SHELLS .4 a or MEMBER 02 OFFENDER 01 YES 92 No RELOADED 01 RT. SIDE (WAIST) [j 02 LT. SIDE (WAIST) 63. HOW WAS HANDGUN DRAWN (j 03 OTHER . METHODIEQUIPMENT USED TO RELOAD as. DID MEMBER USE SIGHTS a STRONG SIDE DRAW 02 CROSS DRAW or YES 02 NO '0 as. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES. DOORWAYS. CAR. FURNITURE. ETC) 37. DISTANCE BETWEEN INVOLVED MEMBER OFFENDER WHEN FIRST SHOT WAS FIRED a NONE woman. 0205-1DFT. 0310-15FT. a: BB. STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON SS. POSITION OF MEMBER DISCHARGING WEAPON (g STANDING D2 LYING DOWN -5 D1 PERSON 02 OBJECT 03 BOTH 04 UNKNOWN 03 SITTING 04 KNEELING 05 OTHER (SPECIFY) .. 72. NOTIFICATIONS (0C OR TASER INCIDENT): OEMC DSS 8r LTJDIST. OF OCCUR. CPIC .0 55' NOTIFICATIONS (FIREARM INCIDENT): OEMC or: OCCUR ooIc CPIC DET. DIVMembers ensure that all requIred notr?catrons and all wrtnesses to thIS use of force are documented In the approprate case report. 55 Ta. REPORTING MEMBER [Prinl Name) STARIEMPLOYEE No. SIGNATURE a, RAYMUNDO 9994 15-SEP-2015 16:42:13 3 IE Reviewing supervisor will ensure the legIbiIity and completeness of this report and attest by entering the required informatron below. 0' 5 74. REVIEWING SUPERVISOR (Print Name) STAR ND. SIGNATURE DATE REVIEWED TIME 5 WILLIAMS. CASSANDRA 1154 06-JAN-2016 03:57:13 LIEUTENANT OR ABOVEIOCIC REVIEW THE ON-CALL INCIDENT COMMANDER (OCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBSEOUENT TO INTERACTIONS WITH A DEPARTMENT MEMBER: 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMB FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATINO SUPERVISOR THE RANK OF LIEUTENANT 0R ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. Ta. SUBJECTS STATEMENT REOARDINO THE use OF FORCE DNA [3 REFUSED UNABLE TO INTERVIEW (apncu'y Rama) WOL approving TRR from 05 Jan 16. Arrastee Iready processed nd bonded. Ta. LIEUTENANT OR ABOVEIOCIC RATIONALE FOR BOX 71 FINDING Per the reported facts. P0 acted In accordance with the Law and CPD Dlrectlves. 77. LIEUTENANT OR FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: 8 I HAVE CONCLUDED THAT THE ACTIONS I HAVE CONCLUDED THAT FURTHER INVESTIGATION IS REQUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG NOJCRNO. OBTAINED TE. LIEUTENANT OR (Print Name) SIGNATURE DATE COMPLETED TIME JOZEFOWICZ, HARRY 09-JAN-2016 09:16:35 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET. INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS- PHOTOCDPIES 0F: [3 SUPPLEMENTARY REPORT [3 I.O.D. REPORT 39. TOTAL TRR's THIs EVENT No. [1 CASE REPORT OFFICER BATTERY REPORT [3 CR INITIATION REPORT 1 ARREST REPORT REPORTS FROM DEPARTMENT WITNESEIESI TACTICAL RESPONSE Police Department 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE 3. LOCATION CODE - 23-SEP-2015 16:50:00 4 IOWA ST CHICAGO, IL 60651 303 1111 i n: 5. POSITION 5. LAST NAME 7. FIRST NAME a. STAR NO. 9. 10. RACE CODE 11. AGE 12. HT. 13. WT. l.l.l Dd! 3 9161 YOUNG PAUL 16017 $01 [:lozF WHI 976 511 176 14. DATE OF APPT. . EMPLOYEE NO. 15. UNIT 5 BEAT OF ASSIGNMENT 1T. DUTY STATUS Ia. MEMBER . MEMBER IN LLI 011 I 1111 $01 On [j IIon 20. LAST NAME 21. FIRST NAME 22. MI. SE): 24. RACE 25. DOB23. ADDRESS 22. TELEPHONE NC. SC. WAS SUBJECT 51. SUBJECT 32. SUBJECT ALLEGED FE Dawes DozNo DDZNO 0 g, as. WHERE WAS MEDICAL TREATMENT 34. BY 35. CONDITION El 01 N,me Nam, 02 mum" [j as 04 Nm Holpllailznd 05 Refused Medical a: [35. CHARGES PLACED DNA 37, (73 IR NO. IX DNA 36. PASSIVE REDIBTER ACTIVE REIISTER MSMLANTMIEAULT FORGE K1 DID NOT FOLLOW USES FORCE LIKELY T0 DNA a, VERBAL DIRECTION FLED ATTACK WITH WEAPON CAUSE DEATH OR I: 0 ATTACK WITHOUT GREAT BODILY HARM a (DEAD WEIGHT) PULLED AWAY OTHER WEAPON I: a OTHER OTHER OTHER OTHER U. MEMBER PRESENCE OPEN HAND STRIKE IELaow STRIKE KNEE STRIKE FIREARM a VERBAL COMMANDS Tim's: 133$?! ID ESCORT HOLDS CLOSED 2 WRISTLOCK OC CHEMICAL WEAPON [j STRIKE-PUNCH KICKS OTHER a 2 CANINE El IMPACT WEAPON IMPACT MUNITION a) In Box 40) PRESSURE SENSITIVE AREAS El "Mb" D'mamCONTROL INSTRUMENT TASER (?mm Stu") a 5 OCICHEMICAL WEAPON In" CI WIAUTHORIZATION TASER (spark madly?) OTHER OTHER OTHER 39' - OCICHEMICAL WEAPON AUTHORIZED BY (NAME) 40. ADDITIONAL INFORMATION DNA POSITION STAR NO. UNIT '5 Ila-l 41. WEAPON TYPE 04 P s1'o _ 42. INCIDENT OCCURRED 4a. LIGHTING CONDITIONS (3 01 44. WEATHER CONDITIONS 6 01 REVOLVER as CHEMICAL WEAPON Indoors Ouidoorl ?2 ?3 "4 CLEAR 3 05 Poor as I: 02 RIFLE as TASER (Pmbe 45. MAKEIMANUFACTURER 45. MODEL - BARREL LENGTH 43. CALIBERIGAUGE (it: on SHOTGUN 07 OTHER 21 45 45 CAL 5 4B. TASER DART ID NO. 50. WEAPON SERIAL No. (Insane Letters) 51. CHICAGO GUN REG. NO. 52. IL FIREARM OWNER ID. No. 53. HANOCUN CERTIFICATE No. In I 54. SPECIAL WEAPON CERTIFICATE No. 55. PROPERTY INVENTORY NO. 56. TYPE OF AMMUNITION USED OF WEAPONS DISCHARGED BY 5B. TOTAL NO. OF SHOTS MEMBER no. Department Issued THIS MEMBER. 2 FIRED 3 E) 59. WHO FIRED FIRST SHOT 03 OTHER (SPECIFY) so. WAS FIREARM RELOADED SI. NO OF CATDRIDGESI 52. HOW WAS MEMBER-S HANDGUN WORN 03 OTHER (5pm,, 3 DURING INCIDENT SHOT SHELLS 01 MEMBER 02 OFFENDER [j 01 Yes no RELOADED 0 8 01 RT. SIDE (WAIST) [j 02 LT. SIDE (WAIST) 63. HOW WAS HANDGUN DRAWN 03 OTHER (Speclty) USED To RELDAD 65. MEMBER USE SIGHTS 01 STRONG SIDE DRAW [j 02 CROSS DRAW 01 YES (12 no 6, ?l as. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES. DOORWAYs. CAR, FURNITURE. ETC) DISTANCE BETWEEN INVOLVED MEMBER a. OFFENDER WHEN FIRST SHOT WAS FIRED A NONE 010-05FT. 0205-10Fr. 3 BB. STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON SB. POSITION OF MEMBER OISCHARGING WEAPON STANDING [j LYING DOWN 01 PERSON 02 OBJECT 03 BOTH 04 UNKNOWN 03 SITTING 04 KNEELING 05 OTHER (SPECIFY) . \l 72. r. NOTIFICATIONS (00 OR TASER INCIDENT): OEMC DSS LTJDIST. OF OCCUR. CPIC 3, .0 (L3 0 NOTIFICATIONS (FIREARM INCIDENT): 5:3 OEMC DSSIDIST. OF OCCUR OCIC CPIC DET. DIVMembers ensure that all required notI?catlons and all WItnesses to We use of force are documented in the approplate case report. 73. REPORTING MEMBER (Print Name) NO. SIGNATURE 03 YOUNG, PAUL 16 0.. 3g 23-SEP-2015 18:46:44 3 Reviewing supervisor will ensure the IegIbliity and completeness of this report and attest by entenng the required InformatIon below. a? (29 74. REVIEWING SUPERVISOR (an Mama) STAR NO. SIG DATE REVIEWED TIME TRUHLAR, JEFF 2128 23-SEP-2015 18:48:44 71 WEAPON DISCHARGE INCIDENT 41. WEAPON TYPE 01 REVOLVER o: RIFLE El 04 SEMI-AUTO PISTOL 05 CHEMICAL WEAPON on TASER El Indoor: 42. INCIDENT OCCURRED 43. LIGHTING CONDITIONS 02 Nighl [j 03 Dawn 05 O1Day1lghl El 06 44. WEATHER CONDITIONS CLEAR as SHOTOUN 07 OTHER 45. 43. MODEL 47. BARREL LENGTH 4B. CALIBERIGAUGE 4B. TABER DART ID NO. 50. WEAPON SERIAL No. IlncIuda LeIIerl) 51. CHICAGO GUN REG. NO. 52. TL FIREARM OWNER ID. NO. 54. SPECIAL WEAPON CERTIFICATE NO. 55. PROPERTY INVENTORY ND. SB. TYPE OF AMMUNITION USED 57.140. OF WEAPONS BY THIS MEMBER. 53. HANDGUN CERTIFICATE NO I 2 58. TOTAL NO. OF SHOTS MEMBER IRED ED. WAS FIREARM RELOADED DURING INCIDENT 59. WHO FIRED FIRST SHOT D03 OTHER (SPECIFY) 01 MEMBER 02 OFFENDER 01 YES 02 NO 83. HOW WAS HANDOUN DRAWN 03 OTHER (Spedfy) D1 STRONG SIDE DRAW 02 CROSS DRAW 61. NO OF SHOT SHELLS RELOADED 32. HOW WAS HANDSUN WORN El D1 RT. SIDE (WAIST) oz LT. SIDE (WAIST) 03 OTHER (Speclfy) . SPECIFY USED TO SS. DID MEMBER USE SIGHTS 01 YES 02 NO BB. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES. DOORWAYS. CAR. FURNITURE. ETC) as. PERSONIOBJECT STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON 01 PERSON El 02 OBJECT [j as SOTH El 04 UNKNOWN 87. DISTANCE INVOLVED MEMBER FIRST SHOT WAS FIRED [j 0205-10FT. El 03 MKNEELINO as OTHER (SPECIFY) I 69. POSITION OF MEMBER DISCHARGING WEAPON El 01 STANDING 02 LYING DOWN 9017b IQQZSI MIG LIEUTENANT OR REVIEW THE ON.CALL INCIDENT COMMANDER (DCIC) WILL COMPLETE THE REVIEW SECTION FOR 1.) ALL INCIDENTS INVOLVING THE DISCHARGE OF A FIREARM BY A DEPARTMENT MEMBER: 2.) ALL INCIDENTS INVOLVING THE SERIOUS INJURY OR DEATH OF A MEMBER OF THE PUBLIC SUBSEOUENT TO INTERACTIONS WITH A DEPARTMENT MEMBER: 3.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 OR 2. THE ASSIGNED INVESTIGATING SUPERVISOR THE RANK OF LIEUTENANT OR ABOVE FROM THE DISTRICT OF OCCURRENCE WILL COMPLETE THE REVIEW SECTION FOR ALL OTHER INCIDENTS. 75. STATEMENT REGARDING THE USE OF FORCE DNA [3 REFUSED UNABLE TO INTERVIEW (Specify Reason) 76. LIEUTENANT OR RATIONALE FOR BOX 77 FINDING Based on Information available at this time, It is the preliminary determination of the undersigned that P.O. Young's actions were in compliance with Department procedures and directives. noti?ed. Nu?o #142 1825 hrs. Tracking No. 1077297 obtained for this Incident. Bureau of lntemal Affairs. HI 8021. Sgt. Baler #879 in 011 to obtain urine sample and administer breathalyzer test. LIEUTENANT OR ABOVEIOCIC FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: I HAVE CONCLUDED THAT THE ACTIONS I HAVE CONCLUDED THAT FURTHER INVESTIGATION IS REOUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG NOJCRNO. OBTAINED TB. LIEUTENANT OR ABOVEIOCIC (Print Name) SIGNATURE DATE COMPLETED TIME SALDANA, FABIAN A 23-SEP-201 5 20:27:1 3 79. DISTRIBUTION OF ORIGINAL TRR: A TRR PACKET. INCLUDING THE TRR AND COPIES OF THE BELOW LISTED ATTACHMENTS WILL BE FORWARDED TO THE INDEPENDENT POLICE REVIEW AUTHORITY. ATTACHMENTS - PHOTOCOPIES OF: REPORT Lop. REPORT 59, TOTAL THIS EVENT No. CASE REPORT 1] OFFICER BATTERY REPORT CR REPORT 1 ARREST REPORT TO-FROM-SUBJECT REPORTS FROM DEPARTMENT WITNESSES)