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Home My Public Portal AboutPRR 22-2870 TOWN OF GULF STREAM PALM BEACH COUNTY, FLORIDA Delivered via e-mail February 24, 2022 Don Bosak [mail to: donbosak@gmail.com] Re: GS #2870 (Police Report) Would like a copy of police report 22-0341. Dear Don Bosak [mail to: donbosak@gmail.com]: The Town of Gulf Stream has received your public records request dated February 24, 2022. You should be able to view your original request and response at the following link: https://portal.laserfiche.com/Portal/DocView.aspx?id=178341&repo=r-430100cc We consider this request closed. Sincerely, Reneé Rowan Basel As requested by Rita Taylor Town Clerk, Custodian of the Records AGENCY NAME *INCIDENT NUMBER GULF STREAM POLICE DEPARTMENT 220341 UNIFORM INCIDENT REPORT 'CLEARANCES CALL NUMBER 'GEOCODE A ❑ Death of Suspect G ❑ Arrest - Juvenile TOD 1310 I$1 INCIDENT (NON -CRIMINAL) B ❑ Prosecution Declined H El Warrant Issued ZTOA ❑ OFFENSE Gulf Stream Police Department C ❑ In Custody of Other Jurisd. 1 ❑ Invest. Pending F- 1310 ❑ SUPPLEMENT 246 Sea Road D ❑ Victim Refused to Coop. J ❑ Closed roc E ❑ Juvenile/No Custody K ❑ Unfounded 1400 Gulf Stream, FL 33483 F ❑ Arrest - Adult U ❑ Unknown z Phone: (561) 278-8611 Fax: (561) 276-2528 'CLEARANCE CLEARED ❑ DATE BY: Q 'REPORT DATErrIME 'INCIDENT OCCURRED FROM 'INCIDENT OCCURRED TO MONTH DAY YEAR TIME MONTH DAY YEAR TIME MONTH DAY YEAR TIME 02 18 2022 1310 INCIDENT LOCATION (Street Apt, City, State Zia 1171 GULF STREAM RD. 1BS GULF STRIA FL 33483 *OFFENSE *OFFENSE CODE 'A/C F/M & D R NY `TYPE CRIMINAL A TIVITY 1. CIVIL MATTER 1. (Enter up to three for each offense) 1. 2. 3. B- BUYING/RECEIVING — — _ C- CULTIVATING/MFG.IPUB. 2. 2. D- DISTRIBUTINGISELLING 3. — E- EXPLOITING CHILDREN 3. 3. 0- OPER/PROPOTING/ASSIST. 1 2 3 P- POSSESSING/CONCEALING — T-TRANSPRRANSMITTING 4. 4. U- USING/CONSUMING 1. — 2. — 3. — G- OTHER GANG ACTIVITY J- JUVENILE GANG ACTIVITY 5. 5. 1 _ 2 3 N- NO GANG ACTIVITY LOCATION OF OFFENSE (Enter up to two) 12 Jail/Prison 59 Daycare Facility 40 Other Retail Store OTHER SUSPECTED OF USING 1 2. 13 Parking Garage 41 Factory/Mill/Plant 53 Abandoned/ RESIDENTIAL STRUCTURE 14 Other Public Access Buildings RETAIL 42 Other Building Condemned Structure A ❑ ALCOHOL 01 Single Family Home 26 Bar 55 Arene/Stadiurn/ COMMERCIAL LOCATIONS / OZ Multiple Dwelling COMMERCIAL Buy Sell/Trade Shop OUTSIDE Fairgrounds/Coliseum � 03 Residential Facility 15 Auto Shop 28 Restaurant 43 Yard 58 Cargo Container D ❑ DRUGS Z 16 Financial Institution 29 Gas Station 44 Construction Site 60 DocklWharf/Frei ht/ 04 Other Residential 9 W 17 Barber/Beauty Shop 30 Auto Sales Lot 45 Lake/Waterway Modal TerminalU. 05 Garage/Shed18 C ❑ COMPUTER EQUIPMENT LL Hotel/Motel 31 Jewelry Store 46 FleldANoods 61 Farm Facility 0 PUBLIC ACCESS BLDGS. 19 Dry Cleaners/Laundry 32 Clothing Store 47 Street 62 Gambling Facility/ ❑ O6 Transit Facility 20 Professional Office 33 Drugstore 48 Parking Lot Casino/Race Track N NOT APPLICABLE 07 Government Office 21 Doctors Office 34 Liquor Store 49 Park/Playground 63 Military Installation 'TYPE WEAPON/FORCE USED 08 School 22 Other Business Office 35 Shopping Mall 50 Cemetery 65 Shetter-MissioN 09 College 23 Recreation/Entertainment Center 36 Sporting Goods 51 Public Transit Vehicle Homeless 67 Library 54 Amusement Park 37 Grocery/Supermarket 52 Other Outside Location 66 Tribal Lands 10 Church 24 Rental Storage Facility 38 Variety/Convenience 57 Camp/Campground 77 Other 11 Hospital 25 Other Commercial Service Loc. 39 Department Store 64 Rest Area 2. 3. F 56 ATM Machine Separate from Bank 'METHOD OF ENTRY 'METHOD OF ENTRY —MOTOR VEHICLE THEFT 'METHOD OF ENTRY— BURGLARY/W ENTRY D(R ENTRY EXIT 1 ❑ FORCE 01 ❑ Motor Running/Keys in Car 06 ❑ Hot Wire ENTRY EXIT 1 ❑ DOOR ❑ 1 ❑ FRONT ❑ 2 ❑ NO FORCE 02 ❑ Unlocked 07 ❑ Slim Jim/Coat Hanger 1 ❑ BASEMENT❑ 2 ❑ WINDOW ❑ 2 ❑ SIDE ❑ 'NO- PREMISES ENTERED 03 ❑ Duplicate Key Used 08 ❑ Tumblers Removed 2 ❑ 1 'FLOOR ❑ 3 ❑ GARAGE ❑ 3 ❑ REAR ❑ 04 ❑ Window Broken 09 ❑ Column Peeled 3 ❑ 2"0 FLOOR ❑ 4 ❑ SKYLIGHT ❑ 4 ❑ ROOF ❑ 05 ❑ Towed 10 ❑ Ignition Peeled 4 ❑ OTHER ❑ 5 ❑ OTHER ❑ 5 ❑ OTHER ❑ METHODS OF 'CARGO THEFT OPERATION Y❑ N❑ 'NO. "TOTAL WICTIM I Ll INDIVIDUAL F U FINANCIAL INSTITUTION P U POLICE OFFICER (IN THE LINE OF DUTY) S U SOCIETY 0 r7 OTHER VICTIMS TYPE B❑ BUSINESS G❑ GOVERNMENT R❑ RELIGIOUS ORGANIZATION U []UNKNOWN NAME (Last, First, Middle) ADDRESS (Street Apt., City, Slate, Zip) PHONE EMPLOYER NAME AND PHONE ADDRESS (Street Apt., City, State, Zip) AGE/ rRACE U B U A NICITY HGT WGT HAIR EYES D.O.B. ❑ W ❑ 1 ❑ U U OCCUPATION SN*RESIDENT 1 U RESIDENT 3 U MILITARY 5 0 OTHER j r STATUS 2 ❑ TOURIST 4 ❑ STUDENT U ❑ UNKNOWN "VICTIM U Y IF INJURED, DESCRIBE c z INJURED? ❑ N INJURIES: 3 n %1GG- ASSAULT/ `LEOKA INFORMATION ICTIWSUSPECT RELATIONSHIP 'VICTIM/OFFENSE LINK m z HOMICIDE CIRC. TYPE OFACT. ASSIGN. TYPE OR! —OTHER I 0. 1. 2. 3. 4. S. r.. REPORTING OFFICER BADGE N0 DATE OFC. MICHAEL BALAK 765 02/18/2022 APPROVING OFFICER BADGE NO. DATE CAPT JOHN HASELEY 02/22/2022 FOLLOW-UP? III yes, follow-up ❑ Y ❑ N signment: ADDITIONAL LJ VICTIM/WITNESS U PROPERTY U STATEMENTS FORM RECEIVED BY: U INTELLIGENCE SPECIAL SUPPLEMENTS ❑ SUSPECT/ARRESTEE ❑ NARRATIVE ❑ OTHER ❑ INVESTIGATION ❑ RECORDS COPIES erzmr INCIDENT REPORT - PART 2 IN NUMBER VICTIM FFENSE INCIDENT D TIME N0, NAME AGE/ SSN 1 BOSAK�ON�) D.O.B. 10/05/1942 W W ADDRESS (Street, ppt Cily, State ) PHONE 1- 1171 N. OCEAN BLVD. 1 BS GULFSTREAM FL 33483 203-667-0587 O EMPLOYER NAME AND PHONE W ADDRESS (Street, Apt., City, State, Zip) STATEMENTS OBTAINED UY U N TYPE: U WRITTEN U ORAL U TAPED U OTHER CHECK CATEGORIES LJ STOLEN LJ RECOVERED U IMPOUNDED U RECEIVED U SUSPECTS VEHICLE U VICTIMS VEHICLE U UNAUTHORIZED USE ABANDONED NO. U DAMAGE TO VEHICLE LIC LIS LIY LIT VIN/OAN VALUE ❑ THEFT FROM VEHICLE VYR VMA VMO VST jVCO VEHICLE Y KEYS IN LJ Y HOLD Ll Y RELEASE LI Y LOCKED ❑ N VEHICLE ❑ N VEHICLE ❑ N CONTENTS❑ N I LU VEHICLE ASSOC. VEHICLE ASSOC. VEHICLE Y TOWED OWNERSHIP U TAG RECEIPT I I TITLE V / SUSPECT NO. W1 VICTIM NO. TOWED"? ❑ N BY VERIFIED BY: ❑ BILL OF SALE ❑ OTHER = STOLEN MOTOR NO STOLEN AREA STOLEN U RESID. ADDITIONAL VEHICLE ONLY ❑ BUSINESS ❑ RURAL DESCRIPTION AUTO INSURER NAME (Company) ADDRESS (Street, Apt., City, State, Zip) PHONE MOTOR VEHICLE NO. RECOVERED DATE REC. STOLEN IN YOUR JURISDICTION RECOVERY ONLY I IO Y ❑ N WHERE RECOVERED? 'TYPE PROPERTY 1 NONE 3 COUNTERFEITED/FORGED 5 STOLEN/ETC. 7 RECOVERED P PHOTO TOTAL VALUE LOSSIETC. (emeroodesw w) 2 BURNED 4 DESTROYED/DAMAGEDNANDALIZED 6 SEIZED U UNKNOWN E EVIDENCE 'LOSS QUANTITY DESCRIPTION *PROP 'VALUE CODE CODE VICT. VEH MAKEIBRAND MODEL DATE RECOVERED NO NO. SERIAL NCIC OTHER NUMBER NUMBER NUMBER 'LOSS QUANTITY DESCRIPTION 'PROP 'VALUE CODE CODE VICT. VEH MAKE/BRAND MODEL DATE RECOVERED NO. NO. SERIAL NCIC OTHER NUMBER NUMBER NUMBER 'LOSS QUANTITY DESCRIPTION •PROP 'VALUE CODE CODE VICT. NO VEH MAKEBRAND MODEL DATE RECOVERED W LU NO. SERIAL NCIC OTHER d NUMBER NUMBER NUMBER W 'LOSS QUANTITY DESCRIPTION 'PROP 'VALUE IL CODE CODE VICT VEH MAKEBRAND MODEL DATE RECOVERED NO, NO. SERIAL NCIC OTHER NUMBER NUMBER INUMBER PROPERTY CODES: 10 Other Valuables 22 Photographic Equipment 72 Musical Instruments VEHICLES STRUCTURES EXCHANGE MEDIUMS PERSONAL EFFECTS 23 Farm Equipment 73 Portable Electronic Equip. 35 Aircraft 46 Single Occupancy 01 Money 11 Clothing/Furs 24 Heavy C.onstructior/lmdustrial 74 Watercraft Equip,/Parts/Acc. 36 Automobiles 47 Other Dwellings 02 Credit/Debit Card 12 Purses/Handbags(WaUets 25 Building Supplies -Coast 29 Other Equipment 37 Bicycles 48 Commercial/Business 03 Negotiable Instruments 13 Other Personal Effects 26 Tools CONSUMABLE ITEMS 38 Buses 49 Industrial/Manufacturing 04 Other Exchange Mediums HOUSEHOLD ITEMS 27 Vehicle Parts/Accessories 30 Alcohol 39 Tricks 50 Public/Community DOCUMENTS 14 Household Items 57 Aircraft Parts/Accessories 31 Drugs/Narcotics 40 Trailers 51 Storage 05 Non -Negotiable Instruments EQUIPMENT 28 School Supplies 32 Consumable Goods 41 Watercraft 52 Other Structure 06 Personal (Identity) Papers 15 Drug/Narcotic Equip. 58 Artistic Supplies/Accessories 60 Chemicals 42 Recreational Vehicle OTHER 62 Documents/Personal or 16 Gambling Equipment 59 Camping/Hunting/Fishing 61 Crops 43 Other Motor Vehicle 53 Merchandise Business 17 Computer Hardware/Soft. Equipment/Supplies 63 Explosives WEAPONS 54 Other Property 07 Other Documents 18 Office Equipment 67 Law Enforcement Equip. 65 Fuel 44 Firearms 55 Pending Inventory VALUABLES 19 Stereo TV Equip. 68 Lawn/Yard/Garden Equip. ANIMALS 45 Other Weapons 66 Identity -Intangible 08 Jewelry/Precious Metals 20 Recordings -Audio Visual 69 Logging Equipment 33 Livestock 64 Firearm Accessories 71 Metals, Non -Precious 09 Art Objects, Antiques 21 Sports Equipment 70 MedicaUMedical Lab Equip. 34 Household Pets ON FEBRUARY 18, 2022, AT 1310 HOURS, I RESPONDED TO A CALL OVER THE PHONE OF POSSIBLE EMBEZZLEMENT FROM TOWN RESIDENT MR. DONALD BOSAK OF 1171 N OCEAN BLVD APT. 1 BS. I SPOKE OVER THE PHONE WITH MR. BOSAK WHO HE BELIEVES IS A VICTIM OF EMBEZZLEMENT BY HIS COUSIN MS. CELESTE HAWTHORNE. IT SHOULD BE NOTED THAT MR BOSAK ADVISED ALL OF THESE EVENTS OCCURRED IN THE STATE OF CONNECTICUT AND THE CASE OVERALL HAS NOTHING TO DO WITH THE STATE OF FLORIDA OR THE TOWN OF GULF STREAM. MR. BOSAK WAS REFERRED TO THE GULF STREAM PD BY THE STAMFORD CT PD WHO _� ~ Q ADVISED MR. BOSAK HE WOULD NEED TO FILE A CASE WITH HIS RESIDING LOCAL POLICE DEPARTMENT. MR. BOSAK ALONG WITH a HIS SISTER MS. WENDY MONTANARO AND COUSIN MS. CELESTE HAWTHORNE OVERSAW THE SELLING OF SEVERAL FAMILY `L z PROPERTIES UNDER THE NAME WENDON REALTY LLC. MR. BOSAK ADVISED THAT THE SALE OF THE PROPERTIES TOOK PLACE ON fl•ptl 12/31/2021 IN WHICH HE, HIS SISTER AND COUSIN WOULD SPLIT THE FUNDS RECEIVED EQUALLY. CONTINUE TO NEXT PAGE. SUSPECT/ARREST SUPPLEMENT GEN�yNG INCIDENT 220341 NUMBER VICTIM FFENSE INCIDENT DATE AND TIME NO- ADULT JUVENILE UNKNOWN APPROPRIATE CATEGORY OTHER CHARGES FILED? 1 m ❑ ❑ rHECK ❑SUSPECT ❑ ARRESTEE ❑SUSPECT/ARRESTEE ❑ RUNAWAY ❑ MISSING n OTHER ❑Y n N NAME (Last, First, Middle) SSN MONTANARO, WENDY ALIAS GANG AFFILIATION ADDRESS (Street, Apt, City, State, Zip) PHONE 3440 S OCEAN AVE PALM BEACH FL 203-994-9356 EMPLOYER NAME AND PHONE ADDRESS (Street, Apt, City, State, Zip) LACE OF BIRTH DL#(STATE OCCUPATIONISCHOOL W 'AGE/ SEXN B ETHNICITY 'HEIGHT `WEIGHT 'HAIR 'EYES a D.O.B. ®� ❑ ❑ U W MARITAL SCARS, MARKS, TATOOS 0 STATUS W ADDITIONAL DESCRIPTIVES 0 Q Z SUSPECTED OF USING POTENTIAL INJURIES? ❑ALCOHOL ❑ DRUGS 'RESIDENT STATUS 1 M RESIDENT 2 ❑ TOURIST 3 ❑ MILITARY 4 ❑ STUDENT 5 ❑ OTHER (eplain) U ❑ UNKNOWN ARRESTEE WAS ARMED WITH ARRESTEE ARMED WITH 1. 2. _ 3. 99 NONE 13B OTHER FULLY AUTOMATIC FIREARM 16 IMITATION FIREARM 50 POISON 11 FIREARM 14 SHOTGUN 17 SIMULATED FIREARM 60 EXPLOSIVES 12 HANDGUN 15 OTHER FIREARM 18 BB/PELLET GUN 65 FIREANCENDIARY DEVICE 12A AUTOMATIC HANDGUN 15A SEMI -AUTOMATIC SPORTING RIFLE 20 KNIFFJCUTTING INSTRUMENT 70 DRUGSNARCISLEEPING PILLS 13 RIFLE 15B SEMI -AUTOMATIC ASSAULT FIREARM 30 BLUNT OBJECT 80 OTHER WEAPON 13A FULLY AUTOMATIC RIFLE 15C MACHINE PISTOL U) NAME ADDRESS (Street, Apt, City, State, Zip) PHONE Z 0 0 L N Q Wa z. z. 2. ARRESTIOFFENSE DESCRIPTION ARREST/OFFENSE CODE F/M 8 DEGREE WARRANT# ARREST LARCENY TYPE 23A POCKET PICKING 23B PURSE SNATCHING 2 2 2 Z Z 23C SHOPLIFTING ZO 23D THEFT FROM BUILDING 23E THEFT FROM COIN -OP MACH- I-- 23F THEFT FROM MOTOR VEHICLE 4. 4. 4. 4. g4. 23G MOTOR VEH. PARTS/ACCESS. a' 240 THEFT OF MOTOR VEHICLE 0 5. 5. 5. 5. S 23H OTHER: LL ? ARREST DATE TIME ARREST LOCATION (Street, Apt, City, State, Zip) F W INCIDENT TRACKING NUMBER ARREST DISPOSITION BAIL d' Q MIRANDA WITNESSED BY: TIME READ FINGERPRINTED FINGERPRINT CARD NO. HOTOS TAKEN NO. TAKEN PHOTO ID NO. FBVBCI# ❑Y ❑ N I ❑Y ❑ N 'MULTIPLE ARRESTEE SEGMENTS INDICATOR 'ARREST 1 ❑ COMPLAINT 3 ❑ WARRANT 5 ❑ ORDER OF PROTECTION [-]COUNT ARRESTEE ❑ MULTIPLE ARRESTEE INDICATOR ❑ NIA TYPE 2❑ IN -PROGRESS 4 ❑ SUMMONS 9 ❑ OTHER JUV. PARENT/ UY DATEITIME NOTIFIED NOTIFIED BY `JUVENILE U HANDLED WITHIN THE DEPARTMENT GDN. NOTIFIED ❑ N DISPOSITION ❑ REFERRED TO OTHER AUTHORITIES W PARENT/GUARDIAN NAME AND ADDRESS (Street, Apt., City, State, Zip) RELATIONSHIP PHONE Z W PARENT/GUARDIAN NAME AND ADDRESS (Street, Apt., City, State, Zip) RELATIONSHIP PHONE PREVI U DATE OF DATE OF NCIC # DATE/TIME ENTERED } RUNIMISS. ❑N LASTCONTACT EMANCIPATION 3 LAST SEEN WEARING Q 5 ix REPORTING OFFICER BADGE NO. DATE OFC MICHAEL BALAK 765 02/18/2022 APPROVING OFFICER BADGE NO. DATE CAPT. JOHN HASELEY 02/22/2022 ivxiaa COURT DATE SUSPECT/ARREST SUPPLEMENT 220341 GENCYNG VICTIM FFENSE LNUMBER DENT DATE TIME NO. ADULT JUVENILE UNKNOWN ICHECKAPPROPIRLATECATEGORY OTHER CHARGES Ft LED? 1 m ❑ ❑ 1 ❑SUSPECT ❑ ARRESTEE ❑SUSPECT/ARRESTEE ❑ RUNAWAY ❑ MISSING n OTHER ❑Y M N NAME (Last, First, Middle) SSN HAWTHORNE, CELESTE ALIAS GANG AFFILIATION ADDRESS (Street, Apt, City, State, Zip) PHONE EMPLOYER NAME AND PHONE ADDRESS (Street, Apt., City, State, Zip) LACE OF BIRTH DL#/STATE OCCUPATION/SCHOOL W 'AGE/ SEX CE U B U AK ETHNICITY 'HEIGHT 'WEIGHT 'HAIR 'EYES a D.O.B. ❑ W ❑ 1 ❑ 1 I W MARITAL SCARS, MARKS, TATOOS 0 STATUS WQ ADDITIONAL DESCRIPTIVES u Z SUSPECTED OF USING POTENTIAL INJURIES? ❑ALCOHOL ❑DRUGS RESIDENT STATUS 1 ❑ RESIDENT 2 ❑ TOURIST 3 ❑ MILITARY 4 ❑ STUDENT 5 ❑ OTHER(e)wwn) U ❑ UNKNOWN ARRESTEE WAS ARMED WITH ARRESTEE ARMED WITH 1. _ 2. _ 3. _ 99 NONE 13B OTHER FULLY AUTOMATIC FIREARM 16 IMITATION FIREARM 50 POISON 11 FIREARM 14 SHOTGUN 17 SIMULATED FIREARM 60 EXPLOSIVES 12 HANDGUN 15 OTHER FIREARM 18 BB/PELLET GUN 65 FIRE/INCENDIARY DEVICE 12A AUTOMATIC HANDGUN 15A SEMI -AUTOMATIC SPORTING RIFLE 20 KNIMCUTTING INSTRUMENT 70 DRUGS/NARC/SLEEPING PILLS 13 RIFLE 15B SEMI -AUTOMATIC ASSAULT FIREARM 30 BLUNT OBJECT 80 OTHER WEAPON 13A FULLY AUTOMATIC RIFLE 15C MACHINE PISTOL . W NAME ADDRESS (Street, Apt., City, State, Zip) PHONE Z 00 L L ]. W 2_ 2. 2. ARRESTIOFFENSE DESCRIPTION ARREST/OFFENSE CODE F/M & DEGREE WARRANT# ARREST LARCENY TYPE I 23A POCKET PICKING 23B PURSE SNATCHING 2 2 2 Z 2 23C SHOPLIFTING 23D THEFT FROM BUILDING 0 23E THEFT FROM COIN -OP MACH. F 23F THEFT FROM MOTOR VEHICLE Q 4. 4. 4. 4. 4, 23G MOTOR VEH. PARTS/ACCESS. 240 THEFT OF MOTOR VEHICLE 0 5. 5. S. 5. 5. 23H OTHER: Z ARREST DATE TIME ARREST LOCATION (Street, Apt., City, State, Zip) I- W *INCIDENT TRACKING NUMBER ARREST DISPOSITION BAIL R' Q MIRANDA WITNESSED BY: TIME READ FINGERPRINTED FINGERPRINT CARD NO. HOTOS TAKEN N0. TAKEN PHOTO 1D NO. FBIBCt# ❑Y ❑ N I ❑Y ❑ N 'MULTIPLE ARRESTEE SEGMENTS INDICATOR 'ARREST 1 ❑ COMPLAINT 3 ❑ WARRANT 5 ❑ ORDER OF PROTECTION [-]COUNT ARRESTEE ❑ MULTIPLE ARRESTEE INDICATOR ❑ NIA TYPE 2❑ IN -PROGRESS 4 ❑ SUMMONS 9 ❑ OTHER JUV. PARENT/ UY DATE/TIME NOTIFIED NOTIFIED BY *JUVENILE U HANDLED WITHIN THE DEPARTMENT GDN. NOTIFIED ❑ N DISPOSITION ❑ REFERRED TO OTHER AUTHORITIES J PARENTIGUARDIAN NAME AND ADDRESS (Street, Apt., City, State, Zip) RELATIONSHIP PHONE Z PARENT/GUARDIAN NAME AND ADDRESS (Street, Apt, City, State, Zip) RELATIONSHIP PHONE PREVIOUS Y TFJTI DATE OF DATE OF NCIC # OAME ENTERED } RUNIMISS. ❑N ST CONTACT EMANCIPATION WEARING NLAST SEEN Q Z REPORTING OFFICER BADGE NO. DATE OFC MICHAEL BALAK 765 02/18/2022 APPROVING OFFICER BADGE NO. DATE CAPT. JOHN HASELEY 02/22/2022 nreros COURT DATE NARRATIVE SUPPLEMENT INCIDENT 2 NUMBER 20341 VICTIM FFENSE NGDENT DATE D TIME MR. BOSAK ADVISED THAT HIS COUSIN MS. HAWTHORNE WAS DEEMED THE MANAGER AND OVERSAW THE ENTIRE PROCESS OF THE SALE. ONCE THE SALE WAS COMPLETE THE FUNDS WERE DISPERSED. MR. BOSAK CLAIMS MS. HAWTHORNE SENT HIM A LETTER STATING THAT S85K WAS WITHHELD FROM HIS SHARE DUE TO A LIST OF TRANSACTIONS THAT MR. BOSAK MADE ON A PERSONAL ACCOUNT THAT HE REIMBURSED HIMSELF FROM THE LLC. ACCORDING TO MR. BOSAK HE ADVISED HE DID MAKE APPROXIMATELY 22 PURCHASES TOTALLING APPROXIMATELY $85K ON HIS PERSONAL AMERICAN EXPRESS CARD ON BEHALF OF WENDON COMPANY INC. DUE TO THE PURCHASES NOT BEING PART OF WENDON REALTY LLC, MR. BOSAK BELIEVES HE RIGHTFULLY REIMBURSED HIMSELF AND SHOULD BE ENTITLED TO THE $85K MS. HAWTHORNE IS WITHHOLDING FROM HIM. MR. BOSAK BELIEVES THESE ACTIONS BY MS. HAWTHORNE WOULD BE CONSISTENT WITH AN EMBEZZLEMENT CHARGE. DUE TO THE FACT THIS INCIDENT IS NOT A PART OF THE STATE OF FLORIDA LET ALONE THE TOWN OF GULF STREAM, I CANNOT COMMENT ON EMBEZZLEMENT CHARGES SINCE THERE IS NO SUCH STATE STATUTE. ANY EMBEZZLEMENT CASE IN THE STATE OF FLORIDA WOULD FALL UNDER FLORIDA'S PROPERTY THEFT STATUTES. AT THIS TIME THIS INCIDENT DOES NOT APPEAR TO FALL UNDER ANY THEFT STATUTES AND DUE TO THESE REASONS THIS APPEARS TO BE A CIVIL MATTER. FOLLOW UP WITH MR. BOSAK WILL BE CONDUCTED ON WEDNESDAY FEBRUARY 23, 2022, FOR FURTHER INVESTIGATION. REASON CLEARED A LI DEATH OF OFFENDER D U VICTIM REFUSED TO COOP G LJ ARREST -JUVENILE J LJ CLOSED DATE CLEARED B ❑ PROSECUTION DECLINED E ❑ JUVENILE(NO CUSTODY H ❑ WARRANT ISSUED K ❑ UNFOUNDED C Cl EXTRADITION DENIED F ❑ ARREST - ADULT 1 ❑ INVEST. PENDING U ❑ UNKNOWN REPORTING OFFICER BADGE N0. DATE OFC MICHAEL BALAK 765 02/18/20« APPROVING OF F ICER BADGE NO DATE AGENCY NAME *INCIDENT NUMBER GULF STREAM POLICE DEPARTMENT 220341 UNIFORM INCIDENT REPORT CALL NUMBER •GEOCODE 'CLEARANCES A ❑ Death of Suspect G ❑ Arrest —Juvenile TOD 1145 ❑ INCIDENT (NON -CRIMINAL) B ❑ Prosecution Declined H ❑ Warrant issued W TOA ❑ OFFENSE Gulf Stream Police Department C ❑ In Custody of Other Jurisd. 1 ❑ Invest. Pending Z 11as 0 SUPPLEMENT 246 Sea Road D ❑ Victim Refused to Coop. J ❑ Closed TOC E ❑ JuvenileNo Custody K ❑ Unfounded 1300 Gulf Stream, FL 33483 F ❑ Arrest - Adult U ❑ Unknown z Phone: (561) 278-8611 Fax: (561) 276-2528 'CLEARANCE CLEARED p Q DATE BY: 'REPORT DATEITItME 'INCIDENT OCCURRED FROM *INCIDENT OCCURRED TO MONTH DAY YEAR TIME MONTH DAY YEAR TIME MONTH DAY YEAR TIME 02 23 2022 1145 INCIDENT SEA RD GUN (Street _ 3 483 e, Zip) 3333 *OFFENSE 'OFFENSE CODE F/M & DEGREE TEBIA *LARCENY *TYPE CRIMINAL ACTIVITY 1, CIVIL MATTER 1. (Enter up to three for each offense) 1. 2._ 3. B- BUYING/RECEIVING — — C- CULTIVATINGIMFG./PUB. 2- 2. D- DISTRIBUTINGISELLING 1. 2.— 3. E- EXPLOITINGCHILDREN 3. 3. O- OPERIPROPOTING/ASSIST. 1 2 3 P- POSSESSING/CONCEALING — T- TRANSP TRANSMITTING 4_ 4. U- USINGICONSUMING 1._ 2._ 3. G- OTHER GANG ACTIVITY J- JUVENILE GANG ACTIVITY 5. 5. N- NO GANG ACTIVITY LOCATION OF OFFENSE (Enter up to two) 12 Jail/Prison 59 Daycare Facility 40 Other Retail Store OTHER 'SUSPECTED OF USING 1. 2. 13 Parkin Garage 9 9 41 Factory/MiA/Plant 53 Abandoned/ RESIDENTIAL STRUCTURE 14 Other Public Access Buildings RETAIL 42 Other Building Condemned Structure A ❑ ALCOHOL 01 Single Family Home 26 Bar 55 Arena/Stadiuml W COMMERCIAL LOCATIONS 27 Bu /Sell/rrade ShopOUTSIDE Fairgrounds/Coliseum 02 Multiple Dwelling N 15 Auto Shop 28 Restaurant 43 Yard 58 Cargo Container 03 Residential Facility ar9 D ❑ DRUGS Z 16 Financial Institution 29 Gas Station 44 Construction Site 60 Dock/Wharf/Frei ht/ 04 Other Residential 9 LWj, 05 Garage/Shed 17 Barber/Beauty Shop 30 Auto Sales Lot 45 LakeANaterway Modal Terminal C ❑ COMPUTER EQUIPMENT W 18 Hotel/Motel 31 Jewelry Store 46 Field/Woods 61 Farm Facility O PUBLIC ACCESS BLDGS. 19 Dry Cleaners/Laundry 32 Clothing Store 47 Street 62 Gambling Facility/ ❑ NOT 06 Transit Facility 20 Professional Office 33 Drugstore 48 Parking Lot CasinolRace Track N APPLICABLE 07 Government Office 21 Doctor's Office 34 Liquor Store 49 Park/Playground 63 Military Installation 08 School 22 Other Business Office 35 Shopping Mall 50 Cemetery 65 Shelter -Mission! 09 College 23 Recreation/Entertainmeni Center 36 Sporting Goods 51 Public Transit Vehicle Homeless "TYPE WEAPONlFORCE USED 67 Library 54 Amusement Park 37 Grocery/Supermarket 52 Other Outside Location 66 Tribal Lands 10 Church 24 Rental Storage Facility 36 Variety/Convenience 57 Camp/Campground 77 Other 11 Hospital 25 Other Commercial Service Loc. 39 Department Store 64 Rest Area 1. 2. 3. 56 ATM Machine Separate from Bank "METHOD OF ENTRY `METHOD OF ENTRY — MOTOR VEHICLE THEFT 'METHOD OF ENTRY— BURGLARYB&E ENTRY EXIT ENTRY EXIT 1 ❑ FORCE 01 ❑ Motor Running/Keys in Car 06 ❑ Hot Wire ENTRY EXIT 1 ❑ DOOR ❑ 1 ❑ FRONT ❑ 2 ❑ NO FORCE 02 ❑ Unlocked 07 ❑ Slim JimfCoat Hanger 1 ❑ BASEMENT❑ 2 ❑ WINDOW ❑ 2 ❑ SIDE ❑ 'NO. PREMISES ENTERED 03 ❑ Duplicate Key Used 08 ❑ Tumblers Removed 2 ❑ 1 'FLOOR ❑ 3 ❑ GARAGE ❑ 3 ❑ REAR ❑ 04 ❑ Window Broken 09 ❑ Column Peeled 3 ❑ 2No FLOOR ❑ 4 ❑ SKYLIGHT ❑ 4 ❑ ROOF ❑ 05 ❑ Towed 10 ❑ Ignition Peeled 4 ❑ OTHER ❑ 5 ❑ OTHER ❑ 5 ❑ OTHER ❑ METHODS OF 'CARGO THEFT OPERATION Y❑ N❑ 'NO. 'TOTAL 'VICTIM I INDIVIDUAL F U FINANCIAL INSTfTUTION P U POLICE OFFICER (IN THE LINE OF DUTY) S USOCIETY 0 U OTHER VICTIMS TYPE e❑ BUSINESS G❑ GOVERNMENT R❑ RELIGIOUS ORGANIZATION U []UNKNOWN NAME (Last, First, Middle) ADDRESS (Street, Apt, City, Slate, Zip) PHONE EMPLOYER NAME AND PHONE ADDRESS (Street, Apt., City, State, Zip) 'AGE/ EX:*RACE Li B LJ A HGT WGT HAIR EYES D_O.B. ❑ W ❑ 1 ❑ U rNierry I UOCCUPATION SN-RESIDENT 1 RESIDENT 3 U MILITARY 5 0 OTHER STATUS 2 ❑ TOURIST 4 ❑ STUDENT U ❑ UNKNOWN TIM Y IF INJURED, DESCRIBE z z RED? ❑ N INJURIES: 3 2 0 G. ASSAULT/ FHOMICIDE `LEOKA INFORMATION CTIM/SUSPECT RELATIONSHIP `VICTIMIOFFENSE LINK m z CIRC. A TYPE OFACT. ASSIGN. TYPE ORI—OTHER 0. 1. 2. 3. 4. 5. yN kJ REPORTING OFFICER BADGE NO DATE OFC. MICHAEL BALAK 765 02/23/2022 APPROVING OFFICER BADGE NO. DATE CAPT. 10HN HASELEY 0212412022 FOLLOW-UP? Iff yes, follow-up ❑ Y ❑ N signment: ADDITIONAL LJ VICTIMNYITNESS U PROPERTY U STATEMENTS FORM RECEIVED BY: U INTELLIGENCE SPECIAL SUPPLEMENTS ❑ SUSPECT/ARRESTEE ❑ NARRATIVE ❑ OTHER ❑ INVESTIGATION ❑ RECORDS COPIES a2m i INCIDENT REPORT - PART 2 DATE TIME NO. NAME (Last, First, Middle) AGE! SSN I D.O.B. I W ADDRESS (Street. Apt., City, State, Zp) PHONE FW- O EMPLOYER NAME AND PHONE W ADDRESS (Street, Apt., City, State, Zip) STATEMENTS OBTAINED UY U N TYPE: U WRITTEN U ORAL U TAPED U OTHER CHECK CATEGORIES LJ STOLEN = RECOVERED U IMPOUNDED U RECEIVED U SUSPECTS VEHICLE LI VICTIM'S VEHICLE U UNAUTHORIZED USE LJ ABANDONED N0 U DAMAGE TO VEHICLE LIC LIS UY LIT VIWOAN 'VALUE ❑ THEFT FROM VEHICLE VYR VMA VMO VST VCO VEHICLE Y KEYS INY HOLD Y RELEASE Y oa LOCKED ❑ N VEHICLE ❑ N VEHICLE ❑ N CONTENTS❑ N J VEHICLE ASSOC. VEHICLE ASSOC. VEHICLE Y TOWED OWNERSHIP U TAG RECEIPT U TITLE V / SUSPECT NO. I VICTIM NO. TOWED? ❑ N BY VERIFIED BY: ❑ BILL OF SALE ❑ OTHER S STOLEN MOTOR NO STOLEN AREA STOLEN U RESID. ADDITIONAL > VEHICLE ONLY ❑ BUSINESS ❑ RURAL I DESCRIPTION AUTO INSURER NAME (Company) ADDRESS (Street, Apt., City, State, Zip) PHONE MOTOR VEHICLE N0. RECOVERED DATE REC. STOLEN IN YOUR JURISDICTION RECOVERY ONLY I ❑ Y ❑ N WHERE RECOVERED? 'TYPE PROPERTY 1 NONE 3 COUNTERFEITEDIFORGED 5 STOLENIETC. 7 RECOVERED P PHOTO TOTAL VALUE LOSSIETC. (ente,wdesbelwv) 2 BURNED 4 DESTROYED/DAMAGEDIVANDALIZED 6 SEIZED U UNKNOWN E EVIDENCE 'LOSS QUANTITY DESCRIPTION 'PROP 'VALUE CODE CODE VICT. VEH MAKE/BRAND MODEL DATE RECOVERED NO NO. SERIAL NCIC OTHER NUMBER NUMBER NUMBER *LOSS QUANTITY DESCRIPTION 'PROP 'VALUE CODE CODE I VICT. VEH MAKE/BRANDMODEL DATE RECOVERED NO, NO. SERIAL NCIC OTHER NUMBER NUMBER NUMBER *LOSS QUANTITY DESCRIPTION 'PROP 'VALUE CODE CODE VICT. NO VEH MAKE/BRAND MODEL NO. DATE RECOVERED W W SERIAL NCIC OTHER d NUMBER NUMBER NUMBER W *L0.SS QUANTITY DESCRIPTION 'PROP 'VALUE IL CODE CODE VICT VEH MAKE/BRAND MODEL DATE RECOVERED NO. NO. SERIAL NCIC OTHER NUMBER NUMBER NUMBER PROPERTY CODES: 10 Other Valuables 22 Photographic Equipment 72 Musical Instruments VEHICLES STRUCTURES EXCHANGE MEDIUMS PERSONAL EFFECTS 23 Farm Equipment 73 Portable Electronic Equip. 35 Aircraft 46 Single Occupancy 01 Money 11 Clothing/Furs 24 Heavy ConstractioMndustrial 74 Watercraft EquipJParWAcc. 36 Automobiles 47 Other Dwellings 02 Credit/Debit Card 12 Purses/Handbags/Wallets 25 Building Supplies-Const. 29 Other Equipment 37 Bicycles 48 CommercialBusiness 03 Negotiable Instruments 13 Other Personal Effects 26 Tools CONSUMABLE ITEMS 38 Buses 49 Industrial/Manufacturing 04 Other Exchange Mediums HOUSEHOLD ITEMS 27 Vehicle PartslAccessories 30 Alcohol 39 Trucks 50 PublirJCommunity DOCUMENTS 14 Household Items 57 Aircraft Parts/Accessories 31 DrugslNarcotics 40 Trailers 51 Storage 05 Non -Negotiable Instruments EQUIPMENT 28 School Supplies 32 Consumable Goods 41 Watercraft 52 Other Structure 06 Personal (Identity) Papers 15 Drug/Narcotic Equip. 56 Artistic Supplies/Accessones 60 Chemicals 42 Recreational Vehicle OTHER 62 Documents/Personal or 16 Gambling Equipment 59 Camping/Hunting/Fishing 61 Crops 43 Other Motor Vehicle 53 Merchandise Business 17 Computer HardwarelSoft. Equipment(Supplies 63 Explosives WEAPONS 54 Other Property 07 Other Documents 18 Office Equipment 67 Law Enforcement Equip. 65 Fuel 44 Firearms 55 Pending Inventory VALUABLES 19 Stereo TV Equip. 68 LawnlYard/Garden Equip. ANIMALS 45 Other Weapons 66 Identity -Intangible 08 Jewelry/Precious Metals 20 Recordings -Audio Visual 69 Logging Equipment 33 Livestock 64 Firearm Accessories 71 Metals, Non -Precious 09 Art Objects, Antiques 21 Sports Equipment 70 MedicaVMedical Lab Equip. 34 Household Pets ON FEBRUARY 23, 2022, AT 1145 HOURS, I MADE CONTACT WITH MR. DONALD BOSAK AT THE GSPD AT 246 SEA RD IN REFERENCE TO FOLLOW UP FOR CASE 22-0341. MR. BOSAK PUT TOGETHER SEVERAL PAGES OF INFORMATION OUTLINING WHAT IS HAPPENING WITH THE S85K BEING WITHHELD FROM HIM BY HIS COUSIN MS. CELESTE HAWTHORNE. MR. BOSAK DID NOT HAVE ANY ADDITIONAL CRIMINAL EVIDENCE TO SUGGEST A CRIME IS BEING COMMITTED ACCORDING TO THE STATE OF FLORIDA. I MADE MR. BOSAK > KNOW THAT EVEN THOUGH THE INCIDENT HAS NOT OCCURRED IN FLORIDA THAT WE WOULD TAKE THE INFORMATION HE HAS ~ PROVIDED AND CREATE A CASE FILE WHICH COULD BE UTILIZED BY ANOTHER POLICE DEPARTMENT IF NEEDED. AT THIS TIME THIS CASE IS CLOSED DUE THIS BEING A CIVIL MATTER OCCURRING OUTSIDE THE TOWN OF GULF STREAM AND FLORIDA. END OF a z WWI SUPPLEMENT.