Seeking Victim Information in the investigation of Capstone Capital Management

The FBI’s Indianapolis Division is seeking victim information in the investigation of Capstone Capital Management. A suspected Ponzi scheme is being conducted by executives of Capstone Capital Management, et al. The executives misappropriated and misdirected funds earmarked for particular investments in order to facilitate the long-standing fraud scheme. Furthermore, the Capstone executives made multiple misrepresentations to their clients and investors about the use of investor funds to conceal their misappropriation of those funds.

If you believe you were a victim in this investigation, please fill out this short form. Your responses are voluntary but may be useful in the federal investigation and to identify you as a potential victim. Based on your responses, you may be contacted by the FBI and asked to provide additional information.

The FBI is legally mandated to identify victims of federal crimes it investigates. Victims may be eligible for certain services, restitution, and rights under federal and/or state law. Your responses are voluntary but may be useful in the federal investigation and to identify you as a potential victim. Based on the responses provided, you may be contacted by the FBI and asked to provide additional information. All identities of victims will be kept confidential.

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Contact Information

First Name

Middle Name

Last Name

Date of Birth mm/dd/yyyy

Phone Number (no dashes, spaces, or parenthesis)

Email Address

Address Line 1

Address Line 2

City

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QUESTIONAIRE

1. Who introduced you to Senior Life Settlements as an investment?

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2. How much did you invest and when?

3. What was your expected return on investment?

a. Why did you believe this?

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4. What type of marketing materials were you presented? And by whom?

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5. What did you understand your investment funds would be used for?

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6. What is your understanding of Capstone Capital Management’s role in the investment model?

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7. What is your understanding of Libra Fund in the investment model?

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8. What is your understanding of Life Expectancy plus 2 years as it pertains to your Life Settlement investment?

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9. What entity, or entities, was responsible for purchasing Life Settlement policies and making timely premium payments?

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10. What type of fees did you expect to pay for commission or otherwise?

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11. If you ever had questions or concerns about your investment, who did you speak to and what were you advised?

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Privacy Act Statement

The FBI is authorized to collect the information on this form by one or more of the following provisions: Title 28, United States Code, sections 533 and 534; Title 28, Code of Federal Regulations, section 0.85; and the Attorney General Guidelines for Victim and Witness Assistance. The information requested will assist the FBI in providing you with assistance to which crime victims are entitled under federal law. You do not have to provide the requested information; however, failure to do so may hinder the FBI in providing you with crime victim assistance. The information collected on this form is protected by the Privacy Act of 1974, as amended, Title 5, United States Code section 552a, and is maintained in the FBI’s Central Records System, DOJ/FBI-002, a description of which was published in the Federal Register at 63 Fed. Reg. 8671 (Feb. 20, 1998) and which may be viewed at www.justice.gov/opcl/doj-systems-records#doj

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Seeking Victim Information in the investigation of Capstone Capital Management

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