FEDERAL BUREAU OF INVESTIGATION Victim Information Name: Samuel Martinez Roque Are you reporting on behalf of a business ? No Business Name: Is the incident currently impacting business operations ? Age: Is the victim aged 17 or under ? Address: Address (continued): Suite/Apt./Mail Stop: City: El Paso County: Country: United States of America State: Texas Zip Code/Route: Phone Number: Email Address: Business IT POC, if applicable: Other Business POC, if applicable: Description of Incident Provide a description of the incident and how you were victimized. Provide information not captured elsewhere in this complaint form. https://complaint.ic3.gov/# 9/24/24, 11 : 45 AM Page 1 of 7 https://complaint.ic3.gov/# 9/24/24, 11 : 45 AM Page 2 of 7 https://complaint.ic3.gov/# 9/24/24, 11 : 45 AM Page 3 of 7 https://complaint.ic3.gov/# 9/24/24, 11 : 45 AM Page 4 of 7 Information About The Subject(s) Who Victimized You Name: Ramon Ontiveros Medina Business Name: Floor Ko, LLC Address: Address (continued): Suite/Apt./Mail Stop: City: El Paso Country: United States of America State: Texas Zip Code/Route: 79905 Phone Number: Email Address: ramon.ont4@gmail.com Website: IP Address: Name: Business Name: Address: Address (continued): Suite/Apt./Mail Stop: City: Country: State: Zip Code/Route: Phone Number: Email Address: Website: IP Address: Other Information If an email was used in this incident, please provide a copy of the entire email including full email headers. https://complaint.ic3.gov/# 9/24/24, 11 : 45 AM Page 5 of 7 Are there any other witnesses or victims to this incident ? Loren Ramos. He’s dead. 4 co-workers, but they all are illegal immigrants and they won’t tell on my former boss since he has control over them. https://complaint.ic3.gov/# 9/24/24, 11 : 45 AM Page 6 of 7 something I would get benefit from, but they don’t understand how starving feels like. If you have reported this incident to other law enforcement or government agencies, please provide the name, phone number, email, date reported, report number, etc. I have reported this to Law Enforcement, but they don’t listen. One agent threatened me because I told him someone drugged me. Check here if this an update to a previously filed complaint: ☐ Who Filed the Complaint Digital Signature By digitally signing this document, I affirm that the information I provided is true and accurate to the best of my knowledge. I understand that providing false information could make me subject to fine, imprisonment, or both. (Title 18, U.S.Code, Section 1001) Digital Signature: https://complaint.ic3.gov/# 9/24/24, 11 : 45 AM Page 7 of 7