Table Of Content

TACTICAL RESPONSE REPORT/Chicago Police Department 1. DATE OF INCIDENT TIME 2. ADDRESS OF OCCURRENCE 3. LOCATION CODE 4. BEAT/OCCUR 01-OCT-2015 18:31:00 5818 S PEORIA ST CHICAGO, IL 60621 304 0712 D 5. POSITION 6. LAST NAME 7. FIRST NAME 8. STAR NO. 9. SEX 10. RACE CODE11. AGE 12. HT. 13. WT. RE EV 9161 WAGNER MICHAEL W 14637 01 M 02 F WHI 600 195 BL MO 14. DATE OF APPT. 15. EMPLOYEE NO. 16. UNIT & BEAT OF ASSIGNMENT 17. DUTY STATUS 18. MEMBER INJURED? 19. MEMBER IN UNIFORM? EV MN 30-NOV-2012 006 0606I 01 On 02 Off 01 Yes 02 No 01 Yes 02 No I 20. LAST NAME 21. FIRST NAME 22. M.I. 23. SEX 24. RACE 25. D.O.B. 26. HT. 27. WT. DNA ATWOOD VINCENTE L 01 M 02 F BLK 19-OCT-1988 510 175 N O 28. ADDRESS 8726 S UNION AVE CHICAGO, IL 29. TELEPHONE NO. 30. WAS SUBJECT ARMED?O THER (SPECIFY), 31. SUBJECT INJURED? 32. SUBJECT ALLEGED INJURY? TATI 60620 01 Yes 02 No OTHER (SPECIFY) 01 Yes 02 No 01 Yes 02 No CM ER 33. WHERE WAS MEDICAL TREATMENT OBTAINED? 34. BY WHOM? 35. CONDITION 01 Apparently Normal 02 Under Influence UBJFO 03 Hospitalized 04 Not Hospitalized 05 Refused Medical Aid SIN 36. CHARGES PLACED DNA 37. CB NO. IR NO. DNA **************************** PLEASE SEE NEXT PAGE *************************************** 19197670 38. PASSIVE RESISTER ACTIVE RESISTER ASSAILANT:ASSAULT ASSAILANT:BATTERY ASSAILANT:DEADLY FORCE FORCEDNA SUBJECT'SACTIONS ODVS(DETTIDEIHRF ANEBFDROAE WL NT ED EF DIOI RG L EH L C TO T) W I O N FPOLUTELHDLEERD A W A Y IOOMFTM HBIENARET NT ET R T Y H R E A T OAAWTTTETTHAAAEPCCROKK N WW II TT HH O W U ETAPON OUCGWTSAREHEUEAESSAPR ETFO O DBNRROEECADATEICLH YLH IO EKHRDEA LRFYMO TRO POSSIBLE WEAPON F ON FOR USE Ok all that apply) MEMBER'SRESPONSE MVEWAPESRRERRCMEMISBOSBBTASRAELLUTRRO RC HCPEOOKR MSLEDEMSNSEASNNICDTIESVE AREAS OTHOCTAAPAACKSENN CEENDINH R CDHEE UO(AMPFWNrIFoCDNIbAN eS/LG TED WRMisIEcEKAhREaPGrOgEeNN)CY ECSI(MDLTLePBORsAOIScKCrWEiEbTD /e SPW HiTUnEARN BANICKoPDHExO 4N0) KKI(MDNICePEsKAEcSCr iSbTTe M RinUIK NBEoITxI O40N) FOITRHEEARR M Sc TASER (Contact Stun) Ae CONTROL INSTRUMENT RE(Ch OWC/A/CUHTEHMOIRCIAZAL TWIOENAPON OTATSHEERR ( S p a r k D i s played) OTHER OTHER 39. * OC/CHEMICAL WEAPON AUTHORIZED BY (NAME) 40. ADDITIONAL INFORMATION OFFENDER IGNORED VERBAL COMMANDS BY P/O AND THEN REACHED INTO HIS DNA WAISTBAND PLACING P/O IN FEAR OF HIS LIFE BELIEVING THAT THE OFFENDER POSITION STAR NO. UNIT WAS RETREIVING A WEAPON TO USE AGAINST P/O T N DE 41. WEAPON TYPE 04 SEMI-AUTO PISTOL 42. INCIDENT OCCURRED 43. LIGHTING CONDITIONS 01 Daylight 44. WEATHER CONDITIONS CI 01 REVOLVER 05 CHEMICAL WEAPON Indoors Outdoors 02 Night 03 Dawn 04 Dusk CLEAR N 05 Poor Artificial 06 Good Artificial E I 02 RIFLE 06 TASER (Probe Discharge) G 45. MAKE/MANUFACTURER 46. MODEL 47. BARREL LENGTH 48. CALIBER/GAUGE R 03 SHOTGUN 07 OTHER SPRINGFIELD ARMORY M1A XD 4.5 45 CAL A H C 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 NO. S MG633325 R034975S 94750192 DI N 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 PO Department Issued THIS MEMBER. 1 FIRED 1 A WE 59. W01H MOE FMIRBEEDR FIRST 0S2H OOFTFENDER03 OTHER (SPECIFY) 6D0U. RWINAGS IFNIR0C1EID AYERENMST RELOA0D2 ENDO 6SR1HE.OL NOTOA S DOHEFED LCLASRTRIDGE0S/ 62. H0O1 WRT W. SAISD EM E(WMABIESRT)'S HAN0D2G LUTN. SWIDOER N(WAIST) 03 OTHER (Specify) 15 70. EVE 63. HOW WAS MEMBER'S HANDGUN DRAWN 03 OTHER (Specify) 64. SPECIFY METHOD/EQUIPMENT USED TO RELOAD DNA 65. DID MEMBER USE SIGHTS 27 NT NO 01 STRONG SIDE DRAW 02 CROSS DRAW 01 YES 02 NO 4 . 1 66. DESCRIBE PROTECTIVE COVER USED (LIGHT POLES, DOORWAYS, CAR, FURNITURE, ETC) 67. DISTANCE BETWEEN INVOLVED MEMBER & OFFENDER WHEN FIRST SHOT WAS FIRED 3 NONE 01 0 - 05 FT. 02 05 - 10 FT. 03 10 - 15 FT. 04 OVER 15 FT. 1 7 68. PERSON/OBJECT STRUCK AS RESULT OF THE DISCHARGE OF MEMBERS WEAPON 69. POSITION OF MEMBER DISCHARGING WEAPON 01 STANDING 02 LYING DOWN 4 01 PERSON 02 OBJECT 03 BOTH 04 UNKNOWN 03 SITTING 04 KNEELING 05 OTHER (SPECIFY) 72. NOTIFICATIONS (OC OR TASER INCIDENT): OEMC DSS & LT./DIST. OF OCCUR. CPIC 71. R CASEINFO. MNOeTmIFbIeCrAsT wIOilNl eSn (sFuIRreE AthRaMt aINllC rIeDqEuNirTe)d: notifications aOnEdM aCll witnessDeSsS t/oD ItShTis. uOsFe O oCf CfoUrRc e& aOreC IdCocumented inC tPhIeC appropiate DcaEsTe. DreIVp.ort. HY .D. NO. 4 73. REPORTING MEMBER (Print Name) STAR/EMPLOYEE NO. SIGNATURE 4 S WAGNER, MICHAEL W 14637 6 RE 02-OCT-2015 01:15:12 00 U T Reviewing supervisor will ensure the legibility and completeness of this report and attest by entering the required information below. 0 A N G 74. REVIEWING SUPERVISOR (Print Name) STAR NO. SIGNATURE DATE REVIEWED TIME SI KANE, PAUL A 84 02-OCT-2015 01:17:24 CPD-11.377 (REV. 3/08) N 36. CHARGES PLACED DNA O 625 ILCS 5.0/11-305-A, 9-20-020(B), 9-24-010(B), 720 ILCS 5.0/12-2-C-8, 625 TATI ILCS 5.0/6-303-A, 720 ILCS 5.0/12-2-C-8, 625 ILCS 5.0/11-204.1-A-4 CM ER BJO UF SN I LIEUTENANT OR ABOVE/OCIC 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 SUBSEQUENT TO INTERACTIONS WITH A DEPARTMENT MEMBER; 3.) ALL INCIDENTS INVOLVING THE DISCHARGE OF IMPACT MUNITIONS BY A DEPARTMENT MEMBER; 4.) ANY LESSER USE OF FORCE BY A DEPARTMENT MEMBER WHEN THAT USE OF FORCE STEMS FROM THE SAME INCIDENT DESCRIBED HERE IN 1 THROUGH 3. 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. SUBJECT'S STATEMENT REGARDING THE USE OF FORCE DNA REFUSED INTERVIEW NOT CONDUCTED (Specify Reason) 76. LIEUTENANT OR ABOVE/OCIC RATIONALE FOR BOX 77 FINDING Based on what is known at this stage of the investigation, a preliminary determination has been made that the discharge by police officer Michael Wagner #14637, are within department guidelines. Officer Wagner while attempting to apprehend the offender who rammed into the squad car with his vehicle and then upon exiting the vehicle refused verbal commands and reached into his waistband as if to retrieve a weapon and at this time Officer Wagner fearing that the offender was retrieving a weapon to shoot him and his partner discharged his firearm but did not strike the offender. The offender was then apprehended after a short foot chase. 77. LIEUTENANT OR ABOVE/OCIC FINDING BASED UPON CURRENTLY AVAILABLE INFORMATION: I HAVE CONCLUDED THAT THE MEMBER'S ACTIONS I HAVE CONCLUDED THAT FURTHER INVESTIGATION IS REQUIRED. WERE IN COMPLIANCE WITH DEPARTMENT PROCEDURES AND DIRECTIVES. LOG NO./CRNO. 1077396 OBTAINED 78. LIEUTENANT OR ABOVE/OCIC (Print Name) SIGNATURE DATE COMPLETED TIME WALLER, FRED L 02-OCT-2015 01:41:34 79. TOTAL TRR's THIS EVENT No. 1