This 25 year old, African American male, Freddie Carlos Gray Jr., died of a Neck Injury sustained as an unbelted occupant of a police transport van. The cause and manner of death are based on autopsy findings, review of medical records and the investigation of the circumstances surrounding the death, including available witness statements, captured scene videos and examination of the police transport vehicle. By report, the deceased was taken into custody following a police bike and foot pursuit on 4/12/2015. Upon being apprehended, Mr. Gray placed himself on the ground and his hands were cuffed behind his back. He reportedly asked for an inhaler, but none was found on his person. He was assisted to the police van on Presbury Street (1st stop), exhibiting both verbal and some physical resistance. Mr. Gray is seen on video entering the right hand compartment of the van, bearing weight on his legs and actively speaking. He was reportedly placed on the metal bench running from front to back along the outside wall of the van (the bench measures approximately 13" wide and 8' long allowing for 19" between the metal wall dividing the van into two discrete compartments and the bench edge). After the inner and outer doors were closed, it is reported that Mr. Gray could be heard yelling and banging, causing the van to rock. Originally the destination of the van was Central Booking; however, several intervening stops were made before it was finally diverted to the Western District headquarters. The 2nd stop was several blocks down (on Baker Street) to place an identification band and leg restraints on Mr. Gray. Reportedly, Mr. Gray was still yelling and shaking the van. He was removed from the van and placed on the ground in a kneeling position, facing the van doors, while ankle cuffs were placed, and then slid onto the floor of the van, belly down and head first, reportedly still verbally and physically active. The 3rd stop was captured on video at Mosher Street and North Fremont Avenue, where the van driver stopped the van, got out and looked in the back of the van. The van proceeded to the 4th stop (at Dolphin Street and Druid Hill Avenue) where the van driver called for assistance to check on Mr. Gray. The assisting officer opened the doors and observed Mr. Gray lying belly down on the floor with his head facing the cabin compartment, and reportedly he was asking for help, saying he couldn't breathe, couldn't get up and needed a medic. The officer assisted Mr. Gray to the bench and the van continued on its way until it was diverted to pick up another individual who was in custody. At this 5th stop (at North Avenue and Pennsylvania Avenue), Mr. Gray was found kneeling on the floor, facing the front of the van and slumped over to his right against the bench, and reportedly appeared lethargic with minimal responses to direct questions. The second individual was placed in the left hand compartment of the van and the vehicle was driven to the Western District headquarters. By report, this second detainee said that he heard Mr. Gray banging and kicking through the metal divider. On arrival, Mr. Gray was found in a kneeling position, unresponsive and not breathing. Emergency medical services were activated and he was transported to University Medical Center with active resuscitation.