Physical
|
Height:
5'11"
(180 cm) |
Weight:
185 lb
(83 kg) |
Eye Color:
Hazel
|
Hair:
Brown/
Straight |
Skin Tone:
Medium
|
Ancestry:
Caucasian
|
|
Blood Type:
A-
|
Ethnic Background:
Belgian-Dutch-Irish/German-Irish
|
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|
Education:
JD/Law
|
Occupation:
Non-profit Exec. Director
|
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|
Interests:
|
Cooking, Dogs, Live Music
|
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Medical
| Question | Response |
| Have you or any of your family members been diagnosed with alcoholism or drug addiction? If yes, relation and age affected: | No |
| Any dietary restrictions? If yes, explain: | No - (But I am a pescetarian by choice) |
| Do you wear glasses or contact lenses? Are you near or far-sighted? | Yes - Near-sighted |
| Allergies (medicines, food, pollens)? If yes, please list substance and reaction caused: | No |
| CMV IgG Antibody | Positive |
| CMV IgM Antibody | Negative |
| Note any comments regarding above items: | N/A |
Family Medical HistorySee list of questions asked here
Your Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 67 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 68 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Brothers
Your Brother 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 45 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Sisters
Your Sister 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 47 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Sister 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 40 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 73 | |
| Health Problem | Liver cancer (not treated) | 69 |
| Cause of death: Liver cancer | 73 | |
| Living / Dead | Dead |
Your Mother's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 89 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 65 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Sisters 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 63 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Sisters 3
| Question | Response | Comment/Age Affected |
| Current age or age at death | 61 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Sisters 4
| Question | Response | Comment/Age Affected |
| Current age or age at death | 59 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Sisters 5
| Question | Response | Comment/Age Affected |
| Current age or age at death | 56 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Sisters 6
| Question | Response | Comment/Age Affected |
| Current age or age at death | 52 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 50 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Brothers 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 47 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 72 | |
| Health Problem | Lung cancer (smoker, not treated) | 66 |
| Cause of death: Lung cancer | 72 | |
| Living / Dead | Dead |
Your Father's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 60 | |
| Health Problem | Breast cancer (not treated) | 55 |
| Cause of death: Breast cancer | 60 | |
| Living / Dead | Dead |
Your Father's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 71 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Sisters 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 69 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Sisters 3
| Question | Response | Comment/Age Affected |
| Current age or age at death | 64 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Sisters 4
| Question | Response | Comment/Age Affected |
| Current age or age at death | 62 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Sisters 5
| Question | Response | Comment/Age Affected |
| Current age or age at death | 59 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 78 | |
| Health Problem | Heart disease (smoker, treated with medication) | 70 |
| Cause of death: Heart disease | 78 | |
| Living / Dead | Dead |
Your Father's Brothers 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 70 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Brothers 3
| Question | Response | Comment/Age Affected |
| Current age or age at death | 19 | |
| Health Problem | Hodgkin's lymphoma (not treated) | 17 |
| Cause of death: Hodgkin's lymphoma | 19 | |
| Living / Dead | Dead |
Religion:
| Faith | Christian |
| Denomination | Catholic |
Updates to Profile
| Update Available | Yes |
| Updates - Personal | Update received September 2016: In addition to his BA and JD degrees, the donor has earned an MBA degree in Accounting; Occupation has changed from Attorney to Non-profit Executive Director. No change to donor Personal Profile: July 2018, May 2019, February 2020, March 2021, February 2022, February 2023, October 2024, September 2025. ***Update received January 2026: Donor has agreed to allow the Cryobank to release their identifying information to adult offspring 18 and older who complete the ID donor Contact request process. Please contact Fairfax Cryobank for details.*** |
| Updates - Medical | No change to donor Medical Profile: September 2016, July 2018, May 2019, February 2020, March 2021, February 2022, February 2023, October 2024, September 2025. |
| Updates - Family Medical History | No change to donor Family Medical History: September 2016, July 2018, May 2019, February 2020. Update received March 2021: Donor reports that he has two healthy sons, aged 2 and newborn. No change to donor Family Medical History: February 2022. Update received February 2023: Donor's Mother has died at age 76 after being hit by a car as a pedestrian; Donor reports the birth of a third healthy son; Paternal Aunt #2 has died at age 72 due to Alzheimer's; Paternal Uncle #2 has died at age 73, specific cause unreported. No change to profile: October 2024, September 2025. |

Physical
Medical
Family Medical History
Religion
Updates to Profile