COLUMBUS CITY ATTORNEY RICHARD C. PFEIFFER JR.
www.columbuscityattorney.org
COMPLAINT FORM
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“THE VICTIM INTERVIEW AND ALL WITNESS STATEMENTS RELATED TO THIS COMPLAINT WILL BE AUDIO RECORDED =
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‘Name. t Middle Name
Whike. Fenade
Dato of Birth Race Sex
‘Street Address
Preah waaion_ —€, comme
I jone No. Home Phone “Phone No. Cell Phone No.
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Last Name Middle Nahe
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Social Security Number Date of Birth Race Sex
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‘Street Address Zip Cade Cty | | State
Le “prown = =BlacK yes | both
eight Eyes air is
Dalat 3
Employer “Sh Work Phone No. Home Phone No. i ‘
Ciyes [J No-
FRONT TN ONO US
IF YES, enter the information below:
Child's Name Date of Birth Child's Name Date of Birth
Child's Name “Date of Birth §=— Child's Name Date of Birth
TOT TTERTTT AT A TON ETO CODCTST
O Parentichild joyfriend/Girlfriend or Ex-Boyfriend/Ex-Girtriend (IF so, answer below)
(1 spouseEx-Spouse Have you lived with him/her within the past 5 years? [VES [JNO
BI Relative 0 other
PHS EDIT TO ED ON Oo
uly le Julyed Mu tight Ip-Gb—Cacsveathe Jets 4 42424
Dale adress 74 W ashact hye Zip CodeTA eves Ono
If YES, enter the information below:
Coluiious DING ion of Poll Los Ft 22 foi
Name of Police Department Police Report Number/Officer Name/Badge No.
Was anyone; including yourself, arrested out of the incident?[_] YES tio.
TNS OT TOTAAL TONS
mI
& assault (ifso, answer below) 1 Property Stolen/Damaged (Iso, answer below)
4. Do you have visible injuries? [W{vES[_]NO 4. Are you the owner ofthe property? Ces
2 Did you receive medica reatment?["]YES [BX 2. Is the value ofthe property less than $10007{_] vEs{_]
IFYES, where: (Ol Threats of Harm
O yes (no
ESR
IF YES, enter the information below:
No
No
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Witness’ Name Address ‘Phone Number
Witness’ Name ‘Address ‘Phone Number
Witness” Name Address Phone Number
WHAT WOULD YOU LIKE TO HAVE HAPPEN TODAY? (CHECK AND INITIAL ONE)
[Mf Evaluate for Criminal Charges [of Protection Order Referral
1 Complaint Only CO Mediation I warning Letter
SST STAY LPNS OO
NOTE: Falsification Is a misdemeanor of the first degree and Is punishable by a maximum sentence of a
$1000 fine and/or 180 days in Jail. O.R.C. § 2921.13
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stonarore | \) yg Ty “eSCOLUMBUS CITY ATTORNEY’S OFFICE, PROSECUTOR DIVISION
PROSECUTION RESOURCES UNIT, INTAKE SECTION
DOMESTIC VIOLENCE COMPLAINANT REQUEST FORM
Thave filed an intake complaint and met with a Legal Intake Counselor. My options were discussed with
me and I had an opportunity to ask questions. I understand the following:
1. Before any charge is filed, my intake complaint must be reviewed and evaluated by a prosecutor.
2, Ifa criminal charge is approved by a prosecutor and filed, there will probably be a warrant issued. This
‘means that the person [filed a complaint against will probably be arrested.
3. If a criminal charge is approved by a prosecutor and filed, I will be required to come back to court
several times. If am subpoensed and fail to appear, I can be held in contempt of court.
4, Once a charge is filed, 1 do not have the right to have the charge dismissed. I have the right to
patticipate in the case, but decisions regarding the outcome of the case will be made by the prosecutor
and/or judge.
5. What types of protection orders may be available to me.
6. If any children were abused or neglected or were at risk for abuse or neglect, the Legal Intake
‘Counselor is required by law to give that information to Franklin County Children Services.
7. If requested, a domestic violence advocate is available to speak with me.
I WANT TO PURSUE A CRIMINAL CHARGE tnt
I WANT MY INTAKE TO BE PROCESSED AS A COMPLAINT ONLY O
Additionally, the following items were given to me by a Legal Intake Counselor.
wero Information Card (blue)
(J DVTPO Information Card (yellow) — provided to the prosecuting witness after criminal charges filed
O Choices Brochure
C0 City Attomey Guide to the Courts & Protection Orders
C Domestic Violence Information Packet
4 a2} Iu
‘oldplainfint Signature“ANDREW 4.
COLUMBUS
SINTHER; MAYOR
DIVISION OF POLICE
Columbus Division Of Police
120
farconi Blvd
Columbus, OH 43215
Preliminary Investigation
case Report Number: 160637752-001 Case Report Date: 7/22/2026 2:40:00 AM
Case Report
Administrative
Case Number seonors2 sop sot
Case Report Number 160637752-001 Census/Geo Code
Subject 10-Gomese Vlence Cal Source oir
Disposition Exception Related Cases
Entered On 712212016 5:11:05 AM ‘Means: Other
Entered By ERDENBERGER, DEVON J Other Means.
Reported On 7/22/2016 Motives Physical Harm:
Reporing Offeer _—_-ERDENRERGER, DEVON oe
Reporting Agency (CPD - Columbus PD ‘Teletypeit
Report Type LEADS ID Numbor
Assisted By RICKS, TERESAA Nice
ocurred On (Date and Saturday 7/16/2016 7:00:00 PM ‘Threat Group Crime N-No
ne) Incident Number 160637752
Srteteen Oats ard wean 7202019115000 Pret ‘oa
Location 1660 Carvasback Ln Property Process
pon a neon LecionfDspahed 20WardAve
Location Name Watemark Reporting Officer 408
Target ut Fay Dna onnment
Verification ‘Unverified Detective Notified
Verification Level ‘Vehicle Activity
Latitude Direction Vehicle
Longitude ‘Traveling
Jurisdiction ‘Columbus, OH Cross Street Nigh st
aa zones Unit Case Fes
Sector set
For Exceptional Clearances
Clearance Basis,
Reforrod To Prosecutor
Exceptional Clearance Date 7/22/2016
arrative‘Victim 1 stated that between the listed dates and tivies, Suspect 1, Vietim 1'S boyiriend, struck her several times leaving
bruises on her arms. Victim 1 stated the she lived with Suspect 1 for approximately 3 months within the last year.
_.Paspect I stated he never touched Victim 1 in a harmful manner and that the bruises on Victim 1 were from a bar fight.
jue was in. Suspect 1 stated that he and Victim 1 had never lived together but he did pay for Vietim 1's rent and was a
cco-signer on Vietim 1's vehicle. Due to conflicting versions of what had taken place over the listed dates and the inability
to prove co-habitation, Victim 1 was referred to the Prosecutor's Office.
Offense
Offense Domest Vilnce Method of Entry For Motor
Code Section Vehicle Theft
or Method of Entry For
PACos Burglary/B&E
ORC Code ze1e25
Method of Entry For
IBR Group A Burglary/B&E
Crime Against Person ‘Method of Operation amit With Premises
Location Type ekele Dorling Direction of Entry
Secondary Location Type Using Not Apple
‘Completed Yes Weapons None
Hate/Bias (No BlasNot Applcablo (Criminal Activity No Gang involvement
omestic Violence Yos ‘Type Security
‘emises Entered Tools
Entry
Offenders
Suspect Name: Elliott, Ezekiel
Aliases
‘Alas
Aerts)
Addresses
‘Address Type ‘Address cSZ [county [country
H-Home ‘422 E 20th Ave Apt 2 Columbus, OH 25 - Frankin United States of
43201 America
Phones
Phone Type Phone Number
‘Mobile
Printed 8/18/2016 5:58 PM Page 20f7email Address:
Emails
Sex Malo Pos
Race Back DLN
Ethnicity Not of Hispanic Origin DL State
bos Zz DL Country United States of America
Age 2 ‘SSN =_—_—s
Eye Color Brown Scars/Marks/Tatioos
Hair Color Black Attire
Hair Style Employer/School Dallas Cowboys
Hair Length Employer Address 1 AAT Way
Facial Hair Employer CSZ ‘ctngon, TX 78011
‘Complexion Occupation/Grade Football Player
Teeth Mo
Bulld ther MO
Height oo Habitual Offender
Weight 28 Status
Resident Resident
Notes:
entified via US passport
Victims
Name: Thompson, Tiffany M
Victim Type Individual
Victim of 291925.13C - Domestic Violence
Aliases
‘Alas
‘Alerts
Addresses
Address Type | Address sz County County
H- Home United States of
America
Phones
[one Type Phone Number
Printed 8/18/2018 5:58 PM. Page 3 of7MMos —
nails
small AdGress
Sex Female
Race we
Ethnicity Not of Hispanic Of
p08 Zz
Age 20
Eye Color sown
Hale Color Brown
Facial Hair
‘Complexion
Height os
Weight ‘20
Resident Resident
Pos
DLN ‘wreeea
Offender Relationships
‘fender Relationship
- Eliott, Ezekiel Boyfriend/Girlfriend
Circumstances
Just. Hom. Cire
LEOKA Info
‘Type
Assignment
Notes:
Identified via OH DL.
Witnesses
DL State tio
DL County Untod state of America
SSN ed
Attire
Employer/School
Employer Address
Employer CSZ
Occupation/Grade
Testify Yes
Injury
Victim 160637752
Investigative Case
Number
Activity
‘ORL-Other Jurisdiction
Other Entities:
~vopertios
Property Photograph
Printed 8/18/2016 5:56 PM
Page 4 0f7f
fe
‘ate Type 2
Description Dv photos
Evidence (reidng ter SeuadPropaty
Status nd Ton)
Count 6
Value
Manufacturer
Model
Serial
NumbenvVIN
‘Owner Applied
Number
Finish
\Vehicle Information
Vehicle Type
Vehicle Year
‘Odometer
Reading
Rody Style
sense Number /
License Exp. Date
License State '
Bicycle Make
Bicycle Model
Color Type Color
Drug Information
Drug Type
Drug Quantity
Drug Measure
Notes
Uploaded to the
Investigative Information
‘Type of information
Printed 8/18/2016 5:56 PM
Condition
Identifying Marks
Color
Recovered Date
Owner
Disposition
Evidence Tag
Alerts)
Caliber
(Other - List In Notes Section
Bicycle Speed
Bicycle Whee!
size
Boat Name
Boat Type
HIN
Hull Shape
Propulsion
Boat Length
Page 5 of 7Investigative information
Personnel
2011036 - ERDENBERGER, DEVON J
Date/Time
7/22/2016 5:34:49 AM
Narrative
(On Friday, July 22, 2016 at approximately 2:40am, Officer Ricks #1546 and Officer Erdenberger #2688 were dispatched
to 29 E 3rd Ave. on a domestic violence incident. The caller said her boyfriend hit her and she had bruises. The caller
said the suspect was still at the house.
Upon arrival, Officers Ricks and Erdenberger made contact with the caller, Tiffany Thompson, who was later identified
via her OH driver's license. Ms. Thompson said on Saturday, July 16, 2016 she and the suspect, Ms. Thompson's
boyfriend, Ezekiel Eliott got into an argument about their unhealthy relationship. Ms. Thompson said she and Mr. Eliott
lived together for about 3 months from November 2015 until January 2016. Ms. Thompson and Mr. Eliott were at Mr.
Elliott's Watermark apartment, 1860 Canvasback Lane Apt. 4 0n Saturday. Ms. Thompson said they got into an argument
hecause Mr. Elliott cheats on her all the time and when they had broken up for a bit and she slept with another guy. The
‘gument turned physical and Mr. Elliott attempted to hit Ms. Thompson in the face. Ms. Thompson said she raised her
right arm to cover her face from the strike. Ms, Thompson had a bruise on her right forearm. That was the end of the
fight and argument on Saturday.
(On Sunday, July 17, 2016, Ms. Thompson said a fight between her and Mr. Eliot started because they went out to.
different places and Ms. Thompson did not make it home before Mr. Eliott. Mr. Elliott choked her leaving a red mark
‘and bruise on her neck.
On Monday, July 18, 2016, Ms. Thompson said she remained at the Watermark apartment with Mr. Eliot's fiend while
Mr. Eliott went out. Ms. Thompson sald when Mr. Eliott returned to the apartment he picked Ms. Thompson up and
threw her against the wall. Mr. Elliott told Ms. Thompson she was lucky that he has not killed her yet.
Ms. Thompson said on Tuesday, July 19, 2016, she and Mr. Elliott did not fight. Ms. Thompson said Mr. Elliott cried and
told Ms. Thompson he loved her and did not want to have to put his hands on her but “it's tough love."
Printod 8/18/2016 6:56 PM Page 6 0f 7‘Wednesday, July 20, 2016, Ms. Thompson and Mr. Elliott went to 4th Street Patio. Ms. Thompson Said everything was
fine unt they got home and she asked him a question. Ms. Thompson could not remember the question she asked that
at Mr. Elliot off. Ms, Thompson said Mr. Eliott “lost it" and picked her up under her arms, in her armpits, and threw