“8 SEC. 15. HAVE YOU EVER BEEN DISCHARGED OR ASKED TO RESIGN FROM ANY FOSITION? HAVE YOU LEFT A POSITION UNDER CIRCUMSTANCES WHICH YOU DESIRE TO EXPLAIN? GIVE DETAILS: NONE 8EC. 16. GIVE FIVE CHARACTER REFERENCES — IN THE U.S. — WHO KNOW YOU INTI MATELY — (GIVE RESIDENCE”
“h 4-00000 10 FROM TO City or Bection Country Purpose FROM City or Bection Country Purposes FROM TO City or Bection Country Purpose • B. LAST U.S. PASSPORT — NUMBER, DATE, AND PLACE OF ISSUE: NONE HOW MANY OTHER U.S. PASSPORTS HAVE YOU HAD? None GIVE APPROXIMATE ”
“DATE OF BIRTH 1928 OCCUPATION 125? WURCHESTER MASS 6. PRESENT EMPLOYER NA 1, HOUSE WIFE CITIZENSHIP e. FORMER C’’EntwiP’S: Correvties: 9. GATE M.S. CITIZENSHIP ACQUIRED SECTION IV YES DEPENDENT CHILDREN AND DEPE=DE=V5 OTHER THAN SPOUSE NAME DATE AND PLACE ths $1 9- c”
“1—C3EMPLOYM885/t: cuoxunldhreirthday or during last 15 yedrs. wollicagosorter. b: TO C. EMPLOYER This reply is result Of check Of darinoist —ad. PLACE T20 1959 Dec 1959 Paul Dler Bookstore Summer "60 1960* investigative San Francisco Council Campcrire Girs San Francisco, C”
“14-00000 •‘* the l’i L: see whohove.shr “ineslkjei ruur wtslpte (.‘ • net •,t st let -) se (FX: EMIKNCE. FULL NAME .rrusres of H. ME Al* BUSINESS 0* OVVFA (Give comiete zees tricka-tirug sfronot otvj rustul er) 7538 2. Herbert Brown. : Time Inc. Log Angeles Calif pub 1 i”
“-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.’,__ , LYes X]No S. IF YOU HAVE ANSWERED "YES””
“pointed to other positions, will you accept assignment anywhere in the United —4′21 or its territorial pos- sessions:_Ne. ..... b) If not, specify where you will accept assignment: Was.l-B.A.P..-.-----. 16. If appointed as a special Agent, or to other positions for assignment ”
“brother. address) or and give hio, or her, present SECTION XIV RELATIVES, ACQUAINTANCES AND CONTACTS 1. NAMES OF RELATIVES IN ANY GOVERNMENT SERVICEL INDICATE NAME OF GOVERNMENTS AND POSITIONS HELO. 2. RELATIVES, FRIENDS, CORRESPONDENTS IN U.S. (Explain relationship) 3. NATURALIZ”
“0 TRS /PRO126 29. (Continued) 30. Has subject done any writing? Give details including titles of books, articles, publishers, dates. None. 31. List persons living at same address, close associates, (individuals or 1. groups,) correspondents at home and abroad. - enexrOne /”
“14-00000 8 SEC. 15. HAVE YOU EVER BEEN DISCHARGED OR ASKED TO RESIGN FROM ANY FOSITION? HAVE YOU LEFT A POSITION UNDER CIRCUMSTANCES WHICH YOU DESIRE TO EXPLAIN? GIVE DETAILS: 1 I No SEC. 16. GIVE FIVE CHARACTER REFERENCES — IN THE U.S. — WHO KNOW YOU INTI MATELY — (G”
“though they were dismissed or you merely forfeited collateral.)........................ X 38. While in the military service were you ever arrested foot in offense which revolted in a trial by deck court or by summary, special, or general court martial... X // your ansuer to 37”
“5 0 0 -G 2 0 SEC. 18. GIVE THREE NEIGHBORS AT YOUR LAST NORMAL RESIDENCE IN THE U.S. — (Give . . residence and business addresses where possible.). Street and Number cny State 1. BUS. ADD. ___ :_________-____ RES. ADD. 2. BUS. ADD. RES. ADD. 3. . BUS. ADD. RES. ADD. ”
“14-00000 . SECTION III CITIZENSHIP L. Date of birth - . : 2 Plocre a bort ICO State, Country) . - X’Pvosow c-go-ah-n (County, 2-26-43 .... L Philadelphia, Pennsylvania U.S. CiNjesship Xe •hem 3 Dore noteraisod 6 Naturokionian co-eiiret’s mber acquired by Joner demas N/A N/”
“4-00000 6 SEC. 12. EDUCATION - , ELEMENTAL: S m.OL Chine Inland Mission’s: . , . ■ Public Public School School DATES ATTENDED _______ GRADUATE e* China 1 . 1925 - 1929 ADDRESS _ HIGH SCHOOL _ Yes. DATES ATrbsD ina Inland Mission GRADRiCo, Shantung, . China . S. ,”
“13. EMPLOYMENT (List all from 16th birthday or during last 15 years, whichever is shorter) □.FROM b. TO C. EMPLOYER d.PLACE Sep 60 kun 61 University of California Emrimaloy, California Sep 61 Don 6S City Lights Bockatora *9 Son Feanaieco, Colif. Jun 65 Preaant Rampart’s Reg”
“E 1Jedicate an omer. tomt of sub-tonant) 4. PERMANENT ADDRESS (Il dillerent than Item) SAME AS ABOVE S. IF U.S. NATURALIZED CITIZEN, GIVE ONE. DATE, CITY AND NUMBER OF CERTIFICATE GRANTED SEPT 15, 1923, TOMASTONE, CHOCHISE COUNTY, ARIZONA. 6. TRAVEL OUTSIDE COUNTRY OF PRESENT RES”
“- • RELATIONSHIP -.AGE CITIZENSHIP ADDRESS STREET AND NUMBER CITY STATE. COUNTRY. TYPE AND LOCATION of SERVICE (IF KNOWN) X se ths frustrate 2 1 4 9 NAME RELATIONSHIP AGE CITIZENSHIP • ADDRESS STREET AND NUMBER CITY STATE COUNTRY 'TYPE AND LOCATION OF SERVICE (IF kN”
“00000- 4 **9 *7 423X9045) 6 *0 9 7 *2 SEC 12. EDUCATION ELEMENTARY SCHOOL 1ADDRESS NYC- Drony__ New Yo k— City State Country DATES ATTENDED.1926-1932 ____ — GRADUATE? Yes HIGH SCHOOL De Witt Clinton ADDRESS Bronx. LTC Ct State Country DATES ATTENDED 1932-1935 GRADUAT”
“City, State, Country) American Embassy, La Paz, Bolivia 10 9. DATE OF DEATH 10. CAUSE OF DEATH 8. LIVING X yes NO II. CURRENT ADDRESS (Give last address, I/ deceased) 08 (2828 Connecticut Ave., N.W., 12. DATE OF BIRTH #203) Washington 8- D. C. 13. PLACE OF BIRTH (City S”
“SEC. 18. GIVE FIVE CHARACTER REFERENCES—IN THE U. S.—WHO KNOW YOU INTI MATELY—(Give residence and business addresses where possible.), Street and Number City. State 1. _Mr. MXAiam.L..Eigrabe ... BUS. ADD. Dopt.of Interiors ashington,.D..G=. • —- - RES. ADD. 5814 Albeaarlg. m”
“SECTION XXIV ADDITIONAL INFORMATION 1. DO YOU ADVOCATE OR HAVE YOU EVER ADVOCATED; OR ARE YOU NOW OR HAVE YOU EVER BEEN A MEMBER OF; YES OR HAVE YOU EVER SUPPORTED OR BEEN ASSOCIATED WITH ANY POLITICAL PARTY, INDIVIDUAL OR ORGAN - IZATION WHICH ADVOCATES OR TEACHES THE OVERTH”
“NY 52-10018 . Eyes Blue ’ Complexion Light Characteristics Thick side burns, hair to nape of neck in back; wears glasses Address 220 West 98th Street New York City Occupation Roman Catholic Priest in Society of Jesus Former Address 3058 Godwin Terrace Bronx, New York ”
“years, whichever is shorter) fice contain FBI - Records of this d. PLACE 1 reports dated through 1962 when WUBJECT -was previously Cazkelays California I Service Registrant, andprocessed as a Selective three letterhead memoranda San Francisco, Celif. I I subsequent thereto”
“ANY POLITICAL PARTY OR ORGANI ZATION WHICH ADVOCATES THE OVERTHROW OF OUR CONSTITUTIONAL FORM OF GOV ERNMENT IN THE UNITED STATES? NO. IF "YES," EXPLAIN: B. DO YOU USE, OR HAVE YOU USED, INTOXICANTS? ..... YES IF SO, TO WHAT an occasional drink at dinners and parties EX”
“not while in the Armed Porcon sive number, date, and place of issuance of American passport.) See employment with Department of State at Bogota, Colombia, Mexico city and - Caracas, Venezuela. 26. FOREIGN LANGUAGES (Nome and indicate the patent of your competence, i.t. Excel”
“1 4-00000 Harvard Crimson, Harvard University Cambr idge. Mass. 4. (Name and Chapter) TS1, and Number: icny) ihintvi (Cntry) DATES OF MEMBERSHIP:. 1941 1943 Crimson Network and Radio Workshop,Harvard Univera ty, Cambridge 5. ............................ ............. ...”
“STREET d. CITY e.STA X (((((SEE ATTACHED SUPPLEMENT))))) )4. EMPLOYMEN i (List ell from 1881 birthday or during past 15 years, whichever is shorter. If under 13, list prosen? and most employment) a. FROM b. To C. EMPLOYER d. PLACE (((((SEE ATTACHED SUPPLEMENT))))) 15. LA”
“11. OTHER RELATIVES AND ALIEN FRIENDS LIVING IN FOREIGN COUNTRIES (List grandparents, first cousins, aunts, uncles, brothers- and sisters-in-law, and other persons with whom a close relationship existed or exists) RELATIONSHIP AND NAME AGE OCCUPATION ADDRESS CITIZENSHIP None ”
“14-00000 SEC. 18. GIVE THREE NEIGHBORS AT YOUR LAST NORMAL RESIDENCE IN THE U.S. — (Give residence and business addresses where possible.) Street and Number City State 1. Mr. J. Stanley Davis: BUS. ADD. 3 Englewood Place, Albany, I.Y. Res. add. 90 State St • , Albany*- L.Y”
“14-00000 "I SECTION II CITIZENSHIP 10. PRESENT ciri ZA NS* P 11. NA r I Or AI 1 1 • et BIRTH AND Anv SUBSEQUENT CITIZENSHIPS (If different than Stem 10.) 12, PRESENT, RESIDENCE (Indicate ne owner, tenant or sub.tenont) 13. PERMANENT ADDRESS (IP different than Item 12.) ”
“STATE May64 Sep66 905 E. 167 St. Bronx NY Sep66 May68 1201 University Ave. in response to Bounxeguest NY May68 Pres On post residence there are attached reports which gnnear { 0 prelate to the, sub 4.& quiry. FATHER 14. EMPLOYMENT (List all from 18th birthday or during pa”
“14-00000 I 'UU C: RELATIVES *;« •1* LN COUNTRIES €: (i,n,r A00655 Hone 15. FOREIGN LASGCAG55 (es-pnes :tem :9 on Fo-n $° . :___________ Save and solassie the extent of ynum comrstence, f.c. Excellent, 3 , Pair 8, ng s ■ C. mgite D. SFEN . UNDERS* ND- Spsnich Ereallan”
“net ohllo se the Armed Forces sive number, date, and place of issuance of American poasport.) Bone 26. FOREIGN LANGUAGES (Nomd and indiepto the extent of your competence, i.o, Excellent, Good, Poir). a. LANGUAGE b. READ C. WRITE d. SPT AK e. UNDERSTAND None 21. EDUCATIO”
“-----------------------------------------2DBi-t-iso-antum 9A- 1 - 1965 .1COOEMPLOYMBND (Ws ad ormiadyeirthday or during last 15 years. whowrea/ Oshorter/ 4100 1959 a. FROM LTO C. EMPLOYER : - d. PLACE Dec 1959 Paul Dler Bookstore San Francisco, Calif. Summer ‘oC San Francisc”
“hold. b. What did he learn on "techniques and tactics" of clan- destine work in these jails? :c. Who were his most important teachers in those subjects? 23. List addresses where you lived after you were released from. ; the prison, until you were contacted. 24. List Jobs y”
“14-00000 4, ... St. and Nomhwr) (Country) 1Same and thaytar} (4009) DATES OF MEMBERSHIP: 6. - IRI and Number 1 (State) tountry) (Name and Chapter) DATES OF MEMBERSHIP: 6. eft. and Number + State: (Country) Name and Chapter) tt’tpr DATES OF MEMBERSHIP: 1 7. OW. and”
“SOCIETIES AWD ORGANIZATIONS - OF ALL KINDS TO WHICH YOU HAVE BELONGED, OTHER THAW PELIGIOUS SOCIETIES, POLITICAL PARTIES AND LABOR UNIOMS. - INCLUDE ANY ORGANIZATION HAVING HEADQUARTERS OR A BRANCH I# A FOREIGN COUNTRY OF Wil ICH YOU HAVE BEEN A MIM - BER OR TO WHICH YOU WAVE”
“State, Country) 1 4008 20th Road, North, Arlington, Virginia 7LIVING 6. DATE Of DfAlst 9. CAUSE OF DEATH CODED iLi mo na na FOR Janin 10. CUR-ZAT ADDAESB (Give last address, Il dacensady 11. 15 Mode Street, Fairfax, Virginia DATE ce 81R T* 12. PLACE or BIRTH (City, S”
“LEGAL CHANGE, GIVERPARTICULARS (WHERE,WHEN AND BY WHAT AUTHORITY)“ • aivdo •. •. DATE OF-BIRTH - - - PLACE OF BIRTH CITY i,h - STATE - COUNTRY - Mar. 19, 1911 New York City, - New York, .U.S.A. PRESENT CIRiKSHTP- ACOUTRED GV:. 3 US.--- B18FALA MARRIAGE L NATURALIZATION o= B”
“1 4-00000 SEC. 18. GIVE THREE NEIGHBORS AT YOUR LAST NORMAL RESIDENCE IN THE U.S. — (Give residence and business addresses where possible.) Btreet and Number City State 1. MISS ILGA E. HERRICK BUS. ADD. RES. ADD. 232 BELMONT AV, BRECK TON MASS MRS. FRANK B. YATES 2. Lan”
“4-00000 PLEASS RSAD INSTRUCTION SNFET BEFORE PREPARING THIS FORW UV office vision oso WHD STATEMENT OF FEDERAL CIVILIAN AND MILITARY SERVICE TO 1 ! FEDERS Ctviti Am SERVICE FFG:% wit IMS AGENCY amp FOLLOW in REVERSE CNRCNOLOG1C4 eRpr) IROM TO TOTAL GEPVICE. AGENCY LOCAT”
“-Austin, Texas--------------- 16. PRESENT EMPLOYER (Give last employer, if Father is deceased or unemployed) 15. OCCUPATION Baptist Minister Mexican Baptist Church 17. EMPLOYER'S BUSINESS ADDRESS OR FATHER’S BUSINESS ADDRESS IF SELF-EMPLOYED (501 S. Guadalupe Street^San Mar”
“14-00000 $;--• SECTION VIII CONTIN LED FROM PAGE 4 4. ARE rou NOW OR MAVE You EVER BEEN A LICENSED on CERTIFIED MEMBER oF ANY TRADE OR PROFESSION, SUCH AS PILOT. ELECTRICIAN. RADIO OPERATOR, TEACHER, LAWYER, CPA. ME DICAL TECHNICIAN, ETC." _* |YEs X.NO S. IF YOU HAVE ANSW”
“90. 8 SEC. 15. HAVE YOU EVER BEENDISCHARGED OR ASKED TO RESIGN FROM ANY FOSITION? HAVE YOU LEFT A POSITION UNDER CIRCUMSTANCES WHICH YOU DESIRE TO . : EXPLAIN? GIVE DETAILS: . " : " *- - NOT APPLICABLE = SEC. 16. dIve FIVE CHARACTER RESERINCES-N THE U.S. — WHO KNOW YOU INT”
“14-00000 4- 14 (Name and Chapter) (St. and Number) iciyi (Beate) (Country) DATES OF MEMBERSHIP: .... 5. ... IA (Name and Chapter) (SL and Number) (CRy)" (Brusey" icouniy) DATES OF MEMBERSHIP: 6.- VA (Name and Chapter) (L and Number) (Cir) (8rato) icvaniy) DATES OF”
“14-00000 1 SEC. 15. HAVE YOU EVER BEEN DISCHARGED OR ASKED TO RESIGN FROM ANY POSITION? HAVE YOU LEFT A POSITION UNDER CIRCUMSTANCES WHICH YOU DESIRE TO EXPLAIN’ GIVE DETAILS: NOT APPLICABLE SEC. 16. GIVE FIVE CHARACTER REFERENCES - IN THE U.S. — WHO KNOW YOU INTI MATE”
“OCCUPATION — LAST EMPLOYER t mIPLOYER’s OR BUSINESS ADDRESS -__ .__ **m .3 127 15 r6 GL & NO .. ;. CUy 3. + State. Country >.5 -n’e MILITARY SERVICE FROM -_TO. BRANCH OF SERVICE- . . Date #r . . - Date COUNTRY - DETAILS OF OTHER GOVT. SERVICE, vs. oz.rorGN”
“1 4-00000 , (12) C. HAVE YOU EVER BEEN IN, OR PETITIONED ron, BANKRUPTCY? ____ no. GIVE PARTICULARS, INCLUDING COURT: ________ :........................................... D. GIVE THREE CREDIT REFERENCES—IN THE U. 3. 1. NAME Mer dian Hl Qt ADDRESS 2601-16th St.NW Washingto”
“14-00000 SEC. 18. GIVE FIVE CHARACTER REFERENCES—is THE U. S.—WHO KNOW YOU INTI MATELY—(Give residence and business addresses where possible.) Street and Number City State 1. Edward Lee Anderson BUS ADD. See Dispatch reference. RES. ADD. 2. Willard Galbraith a # .... BU”
“Nt 9 verge HOME OFFICE B.E.1 1070 Princeton House, 271 High Holborn, LONDON W.C.I a Telegrams: lidep, London WC1 Please address any veply to Telephone 01-405 4321 na tharn SECRETARY OF STATE Telex 261867 Yow references 6110880 10.4.68 None A Nationality Date of B”