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14-00000 104-10117-10076 2025 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF 1992

PERSONAL HISTORY STATEMENT - (Appendix I)

Listed below are names of organizations identified by the Attorney General, under his responsibility pursuant to Executive Order 10450, dated 27 April 1953, to list the names of each foreign or domestic organization, association, movement, group or combination of persons which he designates as Totalitarian, Fascist, Communist, or subversive, or as having adopted or having shown a policy of advocating or approving the commission of acts of force or vio- lence to deny others their rights under the Constitution of the United States, or as seeking to alter the form of government of the United States by unconstitutional means.

Each applicant or employee and spouse (if any) must review the following list of organizations for certification purposes, and sign on the last page.

Abraham Lincoln Brigade Abraham. Lincoln School, Chicago, Illinois Action Committee to Free Spain Now Alabama. People's Educational. Association (see Communist Politi- cal Association) American Association for Reconstruction in Yugoslavia, Inc. Americam Branch of the Federation of Greek Maritime Unions American Christian, Nationalist. Party American: Committee for European Workers' Relief (see Socialist Workers Party) American. Committee for Protection of Foreign Born American Committee for Spanish Freedom American Committee for the Settlement of Jewa in Birobidjan, Inc. American Committee for Yugoslav: Relief,. Inc: American Committee to Survey Labor Conditions in Europe American Council: for a Demoerstic: Greece, formerly known as the Greek American Council;: Greek American: Committee for Na- tionsi Unity American Council: on Sortet: Relations American Croatian Congress Amertoan. Jewish Labor Council American. League Against War and Fascism American League: for Pence and Deтостасу American. Nationsi. Labor Party American National Socialist League American National Socialist Party American Nationalist Party American. Patriots, Inc. American Peace Crusade American Peace Mobilization American. Poles for Peace American. Polish. Labor Council American. Polish. League American Rescue Ship Mission (a project of the United American Spanish Aid Committee) American-Russian Fraternal. Society American. Russian. Institute; New York, also known as the Ameri- can Russian Institute for Cultural Relations with the Soviet Union American Russian Institute, Philadelphia American Russian Institute of San: Francisco American Russian: Institute of Southern California, Los Angeles American. Slav Congress American Women for Peace American. Youth Congress American Youth for Democracy Armenian Progressive League of America Associated Klans of America Association of Georgia Klans Association of. German Nationals (Reichsdeutsche Vereinigung) Ausland-Organization der NSDAP, Overseas Branch of Nazi Party

Baltimore Forum Benjamin Davis Freedom Committee Black Dragon Bociety Boston. School for Marxist: Studies, Boston, Massachusetts Bridges-Robertson-Schmidt. Defense Committee Bulgarian American: People's. League of the United States of America

California Emergency Defense Committee California. Labor Bohool,. Inc.,. 111. Divisadero Street, Ban Francisco, California Carpatho-Russian: People's Bociety Central. Council of American Women of Croatian Descent, also known. ss. Central Council of: American Croatian Women, Na- tional: Council of Croatian: Women: Gentral. Japanese: Association (Beikoku: Chuo Nipponjin: Kal) Central: Japancos. Association: of Southern: California. Central Organisation: of the German-American National Alliance (Deutsche-Amerikanische. Einheitsfront) Cervantes: Fraternal, Society China. Welfare Appeal, Inc. Chopin Cultural Center Citizens Committee for Harry, Bridges Citizens Committee of the Upper West Side (New York City) Citizena Committee to Free Kari Browder Citizena: Emergency Defense Conference Citizens Protective League Civil: Ilberties Sponsoring Committee of Pittsburgh Civil Rights Congress and its affiliated organizations, Including: Civil Rights. Congress for Texas Veterans Against. Discrimination. of. Civil Rights Congress of New York Civil Rights Congress. for Texas (see Civil Rights Congress) Columbians Comite Coordinador Pro: Republica Espanola Comite Pro Derechos Civiles (Ben Puerto Rican Comite Pro Libertades Civiles) Committee fur's Democratic Par Eastern Policy Committee for Constitutional and. Political. Freedom Committee. for: Nationalist Action Committee for Peace and Brotherhood Festival in Philadelphia Committee for the Defense of the Pittsburgh Bix Committee for the Negno in the Arts Committee for the Protection of the Bill of Rights Committee for. World Youth Friendship and Cultural Exchange Committee to Abolish Discrimination in Maryland (Bee. Congress Against. Discrimination; Maryland Congress Against Discrimination; Provisional Committee to Abollah Discrimination in the State of Maryland) Committee to Aid the Fighting South Committee to Defend Marie Richardson Committee to Defend the Rights and Freedom of Pittsburgh's Political Prisonera. Committee to Uphold the: Bill of Rights Commonwealth College; Mena, Arkansas Communist Party,. U. 8.. A., Its subdivisions, subsidiaries, and affilintos

14-00000 1 : Communist Political Association, its subdivisions, subsidiaries, and amitates, including: Alabama People's Educational Association Florida Press and Educational League Oklahoma League for Political Education People's Educational and Press Association of Texas Virginia League for People's Education Congress Against Discrimination (Bee Committee to Abolish Discrimination in Maryland) Congress of American Revolutionary Writers Congrees of American Women Congress of the Unemployed Connecticut Committee to Aid Victims of the Smith Act Connecticut State Youth Conference Council for Joba, Relief and Housing Council for Pan-American Democracy Council of Greek Americans Council on African Affairs Croatian Benevolent Fraternity

Dai Nippon Butoku Kal (Military Virtue Bociety of Japan or Mill- tary Art Society of Japan) Dally Worker Press Club Daniels Defense Committee Dante Alighieri Society (between 1935 and 1940) Dennis Defense Committee Detroit Youth Assembly

East Bay Peace Committee Kisinore Progressive League Emergency Conference to Save Spanish Refugees (founding body of the North American Spanish Aid Committee) Everybody's Committee to Outlaw War

Pamilies of the Baltimore Smith Act Victims Families of the Smith Act Victims Federation of Italian War Veterans in the U. S. A., Inc. (Associa- sione Nazionale Combattenti Italiani, Federazione degli Stati Uniti d'America) Finnish-American Mutual Aid Society Florida Press and Educational League (see Communist Political Association) Frederick Douglass Educational Center Freedom Stage, Inc. Friends of the New Germany (Freunde des Neuen Deutschlands) Friends of the Soviet Union

Garibaldi American Fraternal Society George Washington Carver School, New York City German-American Bund (Amerikadeutscher Volksbund) German-American Republican League German-American Vocational League (Deutsche-Amerikanische Berufsgemeinschaft) Guardian Club

Harlem Trade Union Council Hawaii Civil Liberties Committee Heimusha Kai, also known as Nokubei Heleki Gimusha Kai, Zaibel Nihonjin, Heiyaku Gimusha Kai, and Zaibel Heimusha Kai (Jap- anese Residing in America Military Conscripts Association) Hellenic-American Brotherhood Hinode Kali (Imperial Japanese Reservists) Hinomaru Kal (Rising Sun Flag Bociety - a group of Japanese War Veterans) Hokubel Zaigo Bhoke Dan (North American Reserve Officers Asso- ciation) Hollywood Writers Mobilization for Defense Hungarian-American Council for Democracy Hungarian Brotherhood

Idaho Pension Union Independent Party (Seattle, Washington) (Bee Independent People's Party) Independent People's Party (See Independent Party) Industrial Workers of the World International Labor Defense International Workers Order, its subdivisions, subsidiaries and amiistes Japanese Association of America Japanese Overseas Central Society (Kaigai Dobo Chuo Kai) Japanese Overseas Convention, Tokyo, Japan, 1940 Japanese Protective Association (Recruiting Organization) Jefferson School of Social Science, New York City Jewish Culture Bociety Jewish People's Committee Jewish People's Fraternal Order Jikyoku Iinkai (The Committee for the Crisis) Johnson-Porest Group (See Johnsonites) Johnsonites (Bee Johnson-Forest Group) Joint Anti-Pascist Refugee Committee Joint Council of Progressive Italian-Americans, Inc. Joseph Wedemeyer School of Social Science, St. Louis, Missourt

Kibel Beinen Kai (Association of U. 8. Citizens of Japanese An- cestry who have returned to America after studying in Japan) Knights of the White Camellia Ku Klux Klan Kyffhseuser, also known as Kyffhaeuser League (Kyrhaeuser Bund), Kyffhaeuser Pellowship (Kyfthaeuser Kameradschaft) Kyffhaeuser War Relief (Kyffhaeuser Kriegshilfswerk)

Labor Council for Negro Rights Labor Research Association, Inc. Labor Youth League League for Common Sense League of American Writers Lictor Bociety (Italian Black Shirts)

Macedonian-American People's League Mario Morgantini Circle Maritime Labor Committee to Defend Al Lannon Maryland Congress Against Discrimination (See Committee to Abolish Discrimination in Maryland) Massachusetts Committee for the Bill of Rights Massachusetts Minute Women for Peace (not connected with the Minute Women of the U. S. A., Inc.) Maurice Braverman Defense Committee Michigan Civil Rights Federation Michigan Council for Peace Michigan School of Social Science

Nanka Teikoku Gunyudan (Imperial Military Friends Group or Southern California War Veterans) National Association of Mexican Americans (also known as Asocia- cion Nacional Mexico-Americana) National Blue Star Mothers of America (not to be confused with the Blue Star Mothers of America organized in February 1942) National Committee for Freedom of the Press National Committee for the Defense of Political Prisoners National Committee to Win Amnesty for Bmith Act Victims National Committee to Win the Peace National Conference on American Policy in China and the Far East (a Conference called by the Committee for & Democratic Par Eastern Policy) National Council of Americans of Croatian Descent National Council of American-Soviet Friendship National Federation for Constitutional Liberties National Labor Conference for Peace National Negro Congress National Negro Labor Council Nationalist Action League

14-00000

Nationalist Party of Puerto Rico Nature Friends of America (since 1935) Negro Labor, Victory Committee New Committee for Publications Nichibel Kogyo Kaisha (The Great Fujii Theatre) North American Committee to Aid Spanish Democracy North American Spanish Aid Committee North Philadelphis Forum Northwest Japanese Association

Ohio School of Social Sciences Oklahoma Committee to Defend Political Prisoners Okishoma League for Political Education (see Communist Politi- cal Association) Original Southern Klans, Incorporated

Pacific Northwest Labor School, Seattle, Washington Palo Alto Peace Club Partido del Pueblo of Panama (operating in the Canal Zone) Peace Information Center Pesos Movement of Ethiopis People's Drama, Inc. People's Educational and Press Association of Texas (see Commu- nist Political Association) People's Educational Association (incorporated under name Los Angeles Educational Association, Inc.), also known as People's Educational Center, People's University, People's School People's Institute of Applied Religion Peoples Programs (Seattle, Washington) People's Radio Foundation, Inc. People's Rights Party Philadelphis Labor Committee for Negro Rights Philadelphia School of Bocial Science and Art Photo League (New York City) Pittsburgh Arts Club Political Prisoners' Welfare Committee Polonia Society of the IWO Progressive German-Americans, also known as Progressive Ger- man-Americans of Chicago Proletarian Party of America Protestant War Veterans of the United States, Inc. Provisional Committee of Citizens for Peace, Bouthwest Area Provisional Committee on Latin American Affairs Provisional Committee to Abolish Discrimination in the State of Maryland (Bee Committee to Abolish Discrimination in Maryland) Puerto Rican Comite Pro Libertades Civiles (CLC) (Bee Comite Pro Derechos Civiles) Puertorriquenos Unidos (Puerto Ricans United)

Quad City Committee for Peace Queensbridge Tenants League

Revolutionary Workers League Romanian-American Fraternal Bociety Russian American Society, Inc.

Sakura Kal (Patriotic Society, or Cherry Association composed of veterans of Russo-Japanese War) Bamuel Adams School, Boston, Massachusetts Banta Barbara Peace Forum Schappes Defense Committee Schneiderman-Darcy Defense Committee School of Jewish Studies, New York City Beattie Labor School, Beattle, Washington Berbian-American Fraternal Society Berbian Vidovdan Council Shinto Temples (limited to State Shinto abolished in 1945) Silver Shirt Legion of America Blavic Council of Southern California Slovak Workers Bociety Blovenian-American National Council Bocialist Workers Party, including American Committee for Euro- pean Workers' Relief Bokoku Kal (Fatherland Bociety) Southern Negro Youth Congress Buiko Sha (Reserve Officers Association, Los Angeles) Byracuse Women for Peace

Tom Paine School of Social Science, Philadelphia, Pennsylvanis Tom Paine School of Westchester, New York Trade Union Committee for Peace (See Trade Unionists for Peace) Trade Unionists for Peace (See Trade Unionists for Peace) Tri-State Negro Trade Union Council

Ukrainian-American Fraternal Union Union of American Croatians Union of New York Veterans United American Spanish Aid Committee United Committee of Jewish Bocieties and Landsmanschaft Fed- erations, also known as Coordination Committes of Jewish Landsmanschaften and Fraternal Organizations United Committee of South Slavic Americans United Defense Council of Southern California United Hariem Tenants and Consumers Organization United May Day Committee United Negro and Allied Veterans of America

Veterans Against Discrimination of Civil Rights Congress of New York (see Civil Rights Congress) Veterans of the Abraham Lincoln Brigade Virginia League for People's Education (see Communist Political Association) Voice of Freedom Committee

Walt Whitman School of Social Science, Newark, New Jersey Washington Bookshop Association Washington Committee for Democratic Action Washington Committee to Defend the Bill of Rights Washington Commonwealth Federation Washington Pension Union Wisconsin. Conference on Bocial Legislation Workers Alliance (since April 1936)

Yiddisher Kultur Farband Young Communist League Yugoslav-American Cooperative Home, Inc. Yugoslav Seamen's Club, Inc.

14-00000 DO NOT USE THIS SPACE ISSUED BY PERSONAL HISTORY STATEMENT INSTRUCTIONS THIS DATE (Pill in) September 6, 1961 OPSERTOB 1. Answer all questions completely or check appropriate box. If question is not applicable, write "NA". Write "Un- known only if you do not know the answer and it cannot be obtained from personal records. Use blank space at end of form for extra details on any question for which you have insufficient space.

  1. Type, print or write carefully; illegible or incomplete forms will not receive consideration.

  2. Consider your answers carefully. Your signature at the end of this form will certify to their correctness. Careful completion of all applicable questions will permit review of your qualifications to the best advantage. SECTION I

  3. FULL NAME (Last-First-Middle) GENERAL PERSONAL AND PHYSICAL DATA FLORES, Daniel
  4. HEIGHT
  5. WEIGHT 5'8" 165 pds.
  6. COLOR OF EYES Brown
  7. AGE
  8. SEX Black 26
  9. TAPE COMPLEXION Dark MALE FEMALE
  10. TYPE BUILD Medium
  11. COLOR OF HAIR
  12. SCARS (Type and Location) Right cheek, one-half inch scar; left upper lip, one- quarter inch scar; both received playing football
  13. OTHER DISTINGUSHING PHYSICAL FEATURES None
  14. CURRENT ADDRESS (No., Street, City, Zone. State and Country) (2828 Connecticut Avenue, N. W., #203) Washington 8, D. C.
  15. CURRENT PHONE NO. (265-8322)08
  16. NICKNAMES Dan об
  17. OFFICE PHONE NO. & EXT. None
  18. PERMANENT ADDRESS (No., Street, City, Zone, State and Country) AND PHONE NO. : 08 2828 Connecticut Avenue, N. W.

203 - Washington 8, D.C.

  1. LEGAL RESIDENCE (State, Territory or Country) Washington, District of Columbia
  2. OTHER NAMES YOU HAVE USED None
  3. INDICATE CIRCUMSTANCES (Including Length of Time) UNDER WHICH YOU HAVE EVER USED THESE NAMES.

    Personal acquaintances twelve years
  4. IF LEGAL CHANGE, GIVE PARTICULARS (Where and by What Authority). SECTION II NA POSITION DATA
  5. INDICATE THE TYPE OF WORK OR POSITION FOR WHICH YOU ARE APPLYING Any phase of communications; administration; or personnel work.

  6. INDICATE THE LOWEST ANNUAL ENTRANCE SALARY YOU WILL 3. DATE AVAILABLE FOR EMPLOYMENT ACCEPT (You will not be considered for any position with a lower entrance salary). X OCCASIONALLY $ 4,250.00 XFREQUENTLY Immediately

  7. INDICATE YOUR WILLINGNESS TO TRAVEL CONSTANTLY OTHER:
  8. INDICATE YOUR WILLINGNESS TO ACCEPT ASSIGNMENT IN THE FOLLOWING LOCATIONS (Check (X) each item applicable) WASHINGTON, D.C. ANYWHERE IN U.S. X OUTSIDE CONTINENTAL U.S. CERTAIN LOCATIONS ONLY (Specify):
  9. INDICATE WHAT RESERVATIONS YOU WOULD PLACE ON ASSIGNMENTS OUTSIDE THE WASHINGTON, D.C. AREA.

I would be willing to travel within the United States provided said travel would not involve a permanent move whereby my legal residence would be changed. However, it is my wish to live overseas on a permanent basis.

FORM 444 USE PREVIOUS EDITION. 11-58 JOY COONEY .۱۰ 49 3/ (4)

14-00000 SECTION III 1. DATE OF BIRTH CITIZENSHIP 2. PLACE OF BIRTH (City, State, Country) August 4 1985 10 (San Marcos, Texas 09 X BIRTH 4. CITIZENSHIP ACQUIRED BY MARRIAGE OTHER (Specify): 7. COURT ISSUING NATURALIZATION CERTIFICATE NA 5. DITE NATURAL- IZED ΝΑ 3. PRESENT CITIZENSHIP (Country) United States of America 6. NATURALIZATION CERTIFICATE NO. NA 8. ISSUED AT (City, State, Country) NA 9. HAVE YOU HELD PREVIOUS NATIONALITY 10. IF YES, GIVE NAME OF COUNTRY YES X NO 11. GIVE PARTICULARS CONCERNING PREVIOUS NATIONALITY. NA NA 12. HAVE YOU TAKEN STEPS TO CHANGE PRESENT CITIZENSHIP 13. GIVE PARTICULARS X YES NO NA 14. IF YOU HAVE APPLIED FOR U.S. CITIZENSHIP, WHAT IS PRESENT STATUS OF YOUR APPLICATION (First Papers, Etc.)? ΝΑ 15. DATE OF ARRIVAL IN U.S. 16. PORT OF ENTRY ΝΑ NA 18. LAST U.S. VISA (No., Type, Place of lasue) NA SECTION IV EDUCATION 17. ON PASSPORT OF WHAT COUNTRY NA 19. DATE VISA ISSUED NA 1. CHECK (X) HIGHEST LEVEL OF EDUCATION ATTAINED LESS THAN HIGH SCHOOL GRADUATE HIGH SCHOOL GRADUATE TRADE, BUSINESS, OR COMMERCIAL SCHOOL GRADUATE X TWO YEARS COLLEGE OR LESS 1. NAME OF ELEMENTARY SCHOOL (San Marcos) Elementary School 3. DATES ATTENDED (From-and-To) OVER TWO YEARS OF COLLEGE NO DEGREE BACHELOR'S DEGREE GRADUATE STUDY LEADING TO HIGHER DEGREE MASTER'S DEGREE 2. ELEMENTARY SCHOOL

  1. ADDRESS (City (City, State, State, Country) DOCTOR'S DEGREE

(San Marcos, Texas, U.S.A. 4. GRADUATE Sept., 1942 - May, 1951 1. NAME OF OF HIGH SCHOOL 08 San Marcos High School 3. DATES ATTENDED (From-and-To) Sept., 1951 - May, 1955 1. NAME OF HIGH SCHOOL NA 3. DATES ATTENDED (From-and-To) : XYES NO 3. HIGH SCHOOL 2. ADDRESS (City, State, Country) (San Marcos, Texas, U.S.A. 10 4. GRADUATE XYES 2. ADDRESS (City, State, Country) NO YES 4. COLLEGE OR UNIVERSITY STUDY NAME AND LOCATION OF COLLEGE OR UNIVERSITY 6/70 4. GRADUATE NO

SUBJECT MAJOR MINOR DATES ATTENDED FROM DEGREE REC'D DATE REC'D SEM/QTR HOURS TO (Specify) SECTION IV CONTINUED TO PAGE 3 50

14-00000 SECTION IV CONTINUED FROM PAGE 2 5. IF A GRADUATE DEGREE HAS BEEN NOTED IN ITEM 4 WHICH REQUIRED SUBMISSION OF A WRITTEN THESIS, INDICATE THE TITLE OF THE THESIS AND BRIEFLY DESCRIBE ITS CONTENT. NA NAME AND ADDRESS OF SCHOOL NA 6. TRADE, COMMERCIAL AND SPECIALIZED SCHOOLS STUDY OR SPECIALIZATION FROM TO MONTHS 7. MILITARY TRAINING (FULL TIME DUTY IN SPECIALIZED SCHOOLS SUCH AS ORDNANCE, INTELLIGENCE, COMMUNICATIONS, ETC.) NAME AND ADDRESS OF SCHOOL STUDY OR SPECIALIZATION FROM TO MONTHS Marine Security Guard School - Henderson Hall Hq. Marine Corps, Washington 25, D.C. Security Guard Training 9/28/58 10/31/58 (5 wks) 8. OTHER EDUCATIONAL TRAINING NOT INDICATED ABOVE. Weapons Training in Marine Corps. Acted as partisan during cold weather training at Bridgeport, California (Pickle Meadows - USMC). SECTION V 1. LANGUAGE FOREIGN LANGUAGE ABILITIES COMPETENCE IN ORDER LISTED R-Read, W-Write, S-Speak HOW ACQUIRED (List below each language in which you розаева any degree of competence. Indicate your - proficiency to Read, Write or Speak by placing a check (X) in the appropriate box(es). EQUIV- ALENT TO NATIVE FLUENCY FLUENT BUT OBVIOUSLY FOREIGN ADEQUATE ADEQUATE LIMITED FOR RESEARCH FOR TRAVEL KNOW- LEDGE NATIVE OF COUNTRY PRO- CONTACT ACADEMIC LONGED (with RES- parents, IDENCE etc.) STUDY (all levels) R W S R W S R W S R W S R W S Spanish X X X 2. IF YOU HAVE CHECKED "ACADEMIC STUDY" UNDER "HOW ACQUIRED", INDICATE LENGTH AND INTENSIVENESS OF STUDY. NA 3. IF YOU HAVE INDICATED FLUENCY FOR A LANGUAGE HAVING SIGNIFICANT DIFFERENCES IN SPOKEN AND WRITTEN FORM, EX- PLAIN YOUR COMPETENCE THEREIN. NA 4. DESCRIBE YOUR ABILITY TO DO SPECIALIZED LANGUAGE WORK INVOLVING VOCABULARIES AND TERMINOLOGY IN THE SCIEN- TIFIC, ENGINEERING, TELECOMMUNICATIONS, MILITARY, AND OTHER SPECIALIZED FIELDS. Could act as literal interpreter at almost any level. 5. IF YOU HAVE NOTED A PROFICIENCY IN LANGUAGE, WOULD YOU BE WILLING TO USE THIS ABILITY IN ANY POSITION FOR WHICH YOU MIGHT BE SELECTED? YES NO .3.51

14-00000 SECTION VI GEOGRAPHIC AREA KNOWLEDGE AND FOREIGN TRAVEL 1. LIST BELOW ANY FOREIGN REGIONS OR COUNTRIES IN WHICH YOU HAVE TRAVELLED OR GAINED KNOWLEDGE AS A RESULT OF RESIDENCE, STUDY OR WORK ASSIGNMENT. INDICATE TYPE OF KNOWLEDGE SUCH AS TERRAIN, HARBORS, UTILITIES, RAIL- ROADS, INDUSTRIES, POLITICAL PARTIES, ETC. NAME OF TYPE OF REGION OR COUNTRY SPECIALIZED KNOWLEDGE DATES OF RESIDENCE OR TRAVEL DATES AND PLACE OF STUDY RESI- DENCE KNOWLEDGE ACQUIRED BY TRAVEL STUDY WORK ASSIGN MENT 11/13/58 to Bolivia Peru Chile Argentina Uruguay General knowledge 1/11/60 X 1/14/60 to General knowledge -11/20/60 X 6/16/59 to 6/21/59 X 6/21/59 to 6/30/59 X 6/30/59 to 7/2/59 X 2. INDICATE THE PURPOSE OF VISIT, RESIDENCE, OR TRAVEL IN EACH OF THE REGIONS OR COUNTRIES LISTED ABOVE. Marine Security Guard Vacation - - American Embassy - Bolivia and Peru Chile; Argentina, Uruguay, Panama 3. UNITED STATES PASSPORT NUMBER AND EXPIRATION DATE, IF ISSUED. No.174850 SP-85575) Passport has been cancelled. SECTION VII 1. TYPING (wpm) 2. SHORTHAND (wpm) 45 wpm None TYPING AND STENOGRAPHIC SKILLS GREGG 3. SHORTHAND SYSTEM USED CHECK (X) APPROPRIATE ITEM SPEEDWRITING STENOTYPE OTHER (Specify): 2. INDICATE OTHER BUSINESS MACHINES WITH WHICH YOU HAVE HAD OPERATING EXPERIENCE OR TRAINING (Comptometer, Mimeograph, Card Punch, Etc.). Thermofax, mimeograph, switchboard SECTION VIII SPECIAL QUALIFICATIONS

  1. LIST ALL HOBBIES AND SPORTS IN WHICH YOU ARE ACTIVE OR HAVE ACTIVELY PARTICIPATED. INDICATE YOUR PROFICIENCY IN EACH. Foot ball good Basketball - fair Swimming : .-.good Reading
  2. average Contract. Bridge - very good •
  3. INDICATE ANY SPECIAL QUALIFICATIONS RESULTING FROM EXPERIENCE OR TRAINING WHICH MIGHT FIT YOU FOR A PARTICULAR POSITION OR TYPE OF WORK. None to my knowledge
  4. EXCLUDING BUSINESS EQUIPMENT OR MACHINES WHICH YOU MAY HAVE LISTED IN ITEM 2, SECTION VII, LIST ANY SPECIAL SKILLS YOU POSSESS RELATING TO OTHER EQUIPMENT AND MACHINES SUCH AS OPERATION OF SHORTWAVE RADIO (Indi- cate CW speed, sending and receiving), OFFSET PRESS, TURRET LATHE, SCIENTIFIC AND PROFESSIONAL DEVICES. None SECTION VIII CONTINUED TO PAGE 5 52

14-00000 SECTION VIII CONTINUED FROM PAGE 4 4. ARE YOU NOW OR HAVE YOU EVER BEEN A LICENSED OR CERTIFIED MEMBER OF ANY TRADE OR PROFESSION, SUCH AS PILOT, ELECTRICIAN, RADIO OPERATOR, TEACHER, LAWYER, CPA, MEDICAL TECHNICIAN, ETC.? YES NO 5. IF YOU HAVE ANSWERED "YES" TO ABOVE, INDICATE KIND OF LICENSE AND STATE ISSUING LICENSE (Provide License Registry Number, If known). NA 6. FIRST LICENSE OR CERTIFICATE (Year of Issue) NA 7. LATEST LICENSE OR CERTIFICATE (Year of Issue) NA 8. LIST ANY SIGNIFICANT PUBLISHED MATERIALS OF WHICH YOU ARE THE AUTHOR (Do NOT submit copies unless requested). INDICATE THE TITLE, PUBLICATION DATE, AND TYPE OF WRITING (Non-Fiction or Scientific articles, General Interest subjects, Novels, Short Stories, Etc.). I. None 9. INDICATE ANY DEVICES WHICH YOU HAVE INVENTED AND STATE WHETHER OR NOT THEY ARE PATENTED. None 10. LIST PUBLIC SPEAKING AND PUBLIC RELATIONS EXPERIENCE. Have spoken in my father's church and other churches approximately 150 times. Met and assisted public in Embassies during my tour of duty with the Marine Security Guard. 11. LIST ANY PROFESSIONAL, ACADEMIC OR HONORARY ASSOCIATIONS OR SOCIETIES IN WHICH YOU ARE NOW OR WERE FORMERLY A MEMBER. LIST ACADEMIC HONORS YOU HAVE RECEIVED. None SECTION IX 1 EMPLOYMENT HISTORY NOTE: (LIST LAST POSITION FIRST.) Indicate chronological history of employment for past 15 years. Account for all periods including casual employment and all periods of unemployment. Giveaddress and state what you did during periods of unemployment. List all civilian employment by a foreign Govemment, regardless of dates. In completing item 9, "De- scription of Duties consider your experience carefully and provide meaningful, objective statements. 1. INCLUSIVE DATES (From and To By Mo. and Yr.) From 1949 to 1953 3. ADDRESS (No., Street, City, State, Country) 10 (San Marcos, Texas 4. KIND OF BUSINESS Drug Store 6. TITLE OF JOB Fountain attendant 9. DESCRIPTION OF DUTIES Employee at soda counter 2. NAME OF EMPLOYING FIRM OR AGENCY Hillburn's Drug Store об 5. NAME OF SUPERVISOR 06 Mr. William (Hillburn) 7. SALARY OR EARNINGS $100.00 PER month 8. CLASS. GRADE (If Federal Service) 10. REASONS FOR LEAVING To participate in school events (football). SECTION IX CONTINUED TO PAGE 6 .5. 53

14-00000 SECTION IX CONTINUED FROM PAGE 5 2 3 1. INCLUSIVE DATES (From and To By Mo. and Yr.) July 1954-June 1955 3. ADDRESS (No., Street, City, State, Country) об 2. NAME OF EMPLOYING FIRM OR AGENCY (Diamond) Grocery Store 08 5. NAME OF SUPERVISOR (South Guadalupe St. San Marcos, Texas 4. KIND OF BUSINESS Grocery Store 6. TITLE OF JOB Butcher 9. DESCRIPTION OF DUTIES Mr. (Ignacio Gonzales) 06 7. SALARY OR EARNINGS $30.00 8. CLASS. GRADE (If Federal Service) Week PER Slaughtering and preparing meat for sale as well as actual selling. 10. REASONS FOR LEAVING To attend college ? 1. INCLUSIVE DATES (From and To By Mo. and Yr.) May, 1955 - 3. ADDRESS (No., Street, City, State, Country) San Marcos 4. KIND OF BUSINESS September, 1956 Texas Private School 6. TITLE OF JOB Painter's Assistant 9. DESCRIPTION OF DUTIES Painted dormitories in the Academy 10. REASONS FOR LEAVING To attend school 1 2. NAME OF EMPLOYING FIRM OR AGENCY (San Marcos Baptist Academy об 5. NAME OF SUPERVISOR Mr. (John Sparkman) 06 7. SALARY OR EARNINGS 8. CLASS. GRADE (Il Federal Service) $ 35.00 PER week 4 1. INCLUSIVE DATES (From and To By Mo. and Yr.) September, 1956 - July, 1957 3. ADDRESS. (ND., Street, City, State, Country) (San Marcos Texas 4. KIND OF BUSINESS Clothing Store 6. TITLE OF JOB Sales Clerk 9. DESCRIPTION OF DUTIES 2. NAME OF EMPLOYING FIRM OR AGENCY (Economy) Department Stores 08 5. NAME OF SUPERVISOR 06 Mr. Max Mendlovitz) 7. SALARY OR EARNINGS 8. CLASS. GRADE (If Federal Service) $ 30.00 PER week Assisted customers in selecting and buying goods. 10. REASONS FOR LEAVING To join the Marine Corps. 5 1. INCLUSIVE DATES (From and To By Mo. and Yr.) July 26, 1957 July 25, 1961 - 3. ADDRESS (No., Street, City, State, Country) Marine Corps Schools, Quantico, 4. KIND OF BUSINESS Military 6. TITLE OF JOB Marine Corps Museum Attendant 2. NAME OF EMPLOYING FIRM OR AGENCY United States Marine Corps Virginia 5. NAME OF SUPERVISOR Col. John Magruder 7. SALARY OR EARNINGS 8. CLASS. GRADE (If Federal Service) $ 180.00 PER month Cpl. (E-4) SECTION IX CONTINUED TO PAGE 7 له 54

14-00000 5 6 9. DESCRIPTION OF DUTIES SECTION IX CONTINUED FROM PAGE 6 Acted as guide to all visitors entering Museum, explaining Marine Corps history, etc. Also on several occasions acted as interpreter for visiting military personnel from Latin America. 10. REASONS FOR LEAVING Dis charged 1. INCLUSIVE DATES (From and To By Mo. and Yr.) 2. NAME OF EMPLOYING FIRM OR AGENCY July 28, 1961 - August 30, 196108 (Ohio Valley) Engineering Company 3. ADDRESS (No., Street. City, State, Country) S. Capitol and I Streets, S. W.), Washington, D. C. KIND OF BUSINESS Construction 6. TITLE OF JOB Laborer 9. DESCRIPTION OF DUTIES 08 Handyman for Company 10. REASONS FOR LEAVING 5. NAME OF SUPERVISOR Mr. (L. G. Bruce) 06 7. SALARY OR EARNINGS $2.17 18. CLASS. GRADE (If Federal Service) PER hour Temporary work while seeking permanent employment. 1. INCLUSIVE DATES (From and To - By Mo. and Yr.) 3 ADDRESS (No., Street, City, State, Country) 4. KIND OF BUSINESS 2. NAME OF EMPLOYING FIRM OR AGENCY 5. NAME OF SUPERVISOR 6. TITLE OF JOB 7 9. DESCRIPTION OF DUTIES 10. REASONS FOR LEAVING 7. SALARY OR EARNINGS $ PER 8. CLASS. GRADE (If Federal Service) 8. IF PRIOR SERVICE WITH THE FEDERAL GOVERNMENT IS NOTED ABOVE, INDICATE THE NUMBER OF YEARS CREDITABLE TOWARD U.S. CIVIL SERVICE RETIREMENT, IF KNOWN. 9. HAVE YOU EVER BEEN DISCHARGED OR ASKED TO RESIGN FROM ANY POSITION. 7 1/2 years YES HAVE YOU LEFT A POSITION UNDER CIRCUMSTANCES WHICH YOU DESIRE TO EXPLAIN? IF YOUR ANSWER TO EITHER OR BOTH QUESTIONS IS "YES", GIVE DETAILS YES NO NO Honorably discharged from United States Marine Corps. 55 -7- 31吋

14-00000 SECTION X 1. ARE YOU REGISTERED FOR THE DRAFT UNDER THE UNIVERSAL MILITARY TRAINING AND SERVICE ACT OF 1948 (As amended) 4. IF DEFERRED, GIVE REASON NA CHECK (X) AS APPROPRIATE ARMY NAVY HAVE SERVED NOW SERVING - MILITARY SERVICE 1. CURRENT DRAFT STATUS X YES 2. SELECTIVE SERVICE CLASSIFF CATION NO 3. SELECTIVE SERVICE NO. 41-65-35-18708 IV-A 5, LOCAL DRAFT BOARD NO. OR DESIGNATION AND ADDRESS

65

- 101 1/2 E. San Antonio St.,208 2. MILITARY SERVICE RECORD 10 (Lockhart, Texas