“1 4-00000 23. If you have ever used ‘any names other than your true name, during mnat period, and under what circum- stances, were these names used’.... none.. / 2a. wave you ever legally changed your name to 25. pate:_non a) rixenon- b) Court. none 26. Where do you consi”
“14-00000 /T80/ 18. Relatives in service of any government, names and positions held. None. 19. List all official identity papers held with dates, numbers, place of issud U.S. Passport # 34 528 - Issued and duration of validity. Sea1953 Juna. Puerto Ricos 20. Religion”
“14-00000 2 NOT E. IF BORN OUTSIDE U.S. WHEN DID YOU FIRST ARRIVE IN THIS COUNTRY? APPLICA 8. E PORT OF ENTRY? ON PASSPORT OF WHAT COUNTRY? LAST US VISA___ Nrrntzer Type Place of Latin Date of Issue SEC. 2 PHYSICAL DESCRIPTION AGE yes, 11 wisex.MALE 26MEDIUM - HEIGHT ”
“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 ”
“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”
“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”
“25. Military service - dates, country, unit, rank, duty, where services performed, decorations, when discharged, why. Give detaila if ever prisoner of var 26. Present and past membership in organizations (professional, social, 2 political, etc.) Lions Clubs. American Socie”
“965 May 1968 1201 University Ave. New York New York May 1968 July 1968 D-9-2 (OPR) Fort Jackson S. C.| July 1968 Present D-15-4 (OPR) Fort Jackson S. C.!| 14. EMPLOYMENT (List all from 18th birthday or during past 15 years, whichever is shorter. If under 18, list present and ”
“18. Relatives in service of any government, names and positions held. Kane. 19. List all official identity papers held with dates, numbers, place of 1 sus and duration of validity, v. 8. Passport #3h52Pj imbued 1953, San Juan, P.R. 20. Religion - degree practiced, membership ”
“14-00000 SECTION VI SPECIAL QUALIFICATIONS AND INTERESTS 24.INDICafI ANY BRIIING. Clvf ui farLt INCLUDING TITLES 01 800*3 on ARTICLES. ALSO NAMES or Pom ISuERS as: ruscICl- TiOm Varts. / 25.SPFCIAL SKILL S, ABILITIES, momuifs SUCH AS 94010, PHOTOGRAPHY, ETC. One SECTIO”
“14-00000 2 E. IF BORN OUTSIDE U.S. WHEN DID YOU FIRST ARRIVE IN THIS COUNTRY? PORT OF ENTRY? ___ 1 ON PASSPORT OF WHAT COUNTRY? LAST U.S. VISA Numiter Type Place of Lnsite Date of Issue SEC. 2 PHYSICAL DESCRIPTION AGE __ 30 SEX Male HEIGHT 51 10 1/2" WEIGHT __ 168. ”
“14-00000 SECTION 19. RESIDENCES FOR PAST 19 YEARS "" jacesiss 0%°1%5 FMPAFi7. 7 to th STREET,(itDes Moines Fowt, 48 FROM: :! * A*0 WUME0 f 117 STATE €09€ al * 1941 1943 STATE Counfar 1943 40th ST, De livings, Iowa, USA. FROM: TO: A0FESS STREET AND NUMBER 1944 1041 C”
“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’rosiwgs At oe * 2. - ‘(0) 22 E. IF BORN OUTSIDE V. S. WHEN DID YOU FIRST ARRIVE IN TUIS COUNTRY? April 20, 1939 New York •79 Pour ofr ENTRY ON PASSPORT OF WHAT COUNTRY Germanvao, LAST U. S. VISA_ 3990 (Number) Immigration - Naples, Italy March 25, 1939 (Type) (Piwhe”
“14-00000 6 SEC. 12 EDUCATION ELEMENTARY scwcOL Whitman School ADDRESS BROCKTON, MASS, U.S.A DATES ATTENDED. 1928-1437 GRADUATESYES _ HIGH SCHOOL Pe ADDRESS BROCKTON, MASS, U.S.A. BROCSTON HIGH SCHOOL City State Country DATES Y. 1937-194 E CUIVERSITY ATTENDED 1 .. GRAD”
“deceased) / NA 9 11. 15 MODE ST, FAIRFAX, VIRGINIA DATE OF BIRTH Country) 12. PL ACE OF B18 14 (City. State. 13 August 1927 13. ROANOKE VIRGINIA IF BORN OUTSIDE U.S.DATE OF ENTRY 14. PLACE OF ENTRY NA NA 15. CITIZENSHIP (Country) 14. DATE ACQUIRED 17. WHERE ACQUIRED ”
“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”
“‘8- 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:, Ho. ‘f SEC. 16. GIVE FIVE CHARACTER REFERENCES — IN THE U.S. — WHO KNOW YOU INTI- MATELY — (GIVE RESID”
“14-00000 who • • f - 5 P SECTION VI SPECIAL QUALIFICATIONS AND INTERESTS 1- INDICATE ANY WRITING. GIVE DETAILS INCLUDING TITLES OF $9045 OR ARTICLES. ALSO NAMES of POELiSiEaS AND PU LICA TION DATES. * 2- SPECIAL SKILLS. ABILITIES, HOBBIES SUCH AS RADIO. PHOTO SRAPHY. E”
“It. DATE or BINT iz PLACE or oirth (City. State, Country) ieril 1 1020Dryton, Ohio 19. IT BORN OUISIDE U.S. DATE of ENTRY 12 PLACE 01 1M78v 19 CITIZENSHIP (Coontry). 16. DATE acQulRED Tir «or ACQutto (City, State, Cownery) tsa 19 pesent riPloyre ( Also five former eaployer,”
“(Country) IF BORN OUTSIDE U. S. INDICATE DATE AND PLACE OF ENTRY ------ CITIZENSHIP. L.S. WHEN ACQUIRED? WHERE!________________ (Clt») (State) (Country) OCCUPATION Secretary LAST EMPLOYER N.Y. Telephone Co. EMPLOYER’S OR BUSINESS ADDRESS 140 N.Y.C., N.Y.(State) West St.,”
“14-00000 a < 1 I • I SECTION VI _______________________ SPECIAL QUALIFICATIONS AND INTERESTS __________________ 1. INDICATE ANY #RITINO, GIVE DETAILS INCLUDING TITLES or Boons on ARTICLES. At so NAMES or PUBLISHERS AND PUBLICA- TION DATES. Articles 013 Industrial semoe”
“14-00000 19. Indique lodos los carnets do identidad quo tione, oon fechas, numoros, lugar donde fueron expedidos y fecha hasta que sean validos. US Parspout At Isaned at Buenos Anca; Argentina 20. Religion. Es miembro de alguna orden religiosa? Catholie 21. Afiliaciones ”
“14-00000 . (2) E. IF BORN OUTSIDE U. 3. WHEN DID YOU FIRST ARRIVE IN THIS COUNTRY: ....... PORT OF ENTRY?____ ___ ON PASSPORT OF WHAT COUNTRY: LAST U. S. VISA I Number) (Type) cIace of Zawoni Il!»(t of Issue) SEC. 2. PHYSICAL DESCRIPTION AGE .. .SEX HEIGHT - WEIGHT ..”
“NO CX IF ANSWER is "YES", GIVE PARTICULARS: SECTION 18. CREDIT REFERENCES-THREE IN THE UNITED STATES NAME " - - - ADDRESS STREET AND NUMBER STATE CITY a Hecht Go. Washington, 9. 8. . NAME ADDRESS STRCET AND NUMBER* ’ CITY STATE , ____ Qg Mg MaKelvey Co. Voderal 8troet, H ”
“a SEC. 15. HAVE YOU EVER BEEN DISCHARGED OR ASKED TO RESIGN FROM ANY POSITION? Not Applicable HAVE YOU LEFT A POSITION UNDER CIRCUMSTANCES WHICH YOU DESIRE TO, EXPLAIN? GIVE DETAILS: ‘ SEC. 16. GIVE FIVE CHARACTER REFERENCES — IN THE U.S. - WHO KNOW YOU INTI MATELY - (GI”
“25. Military service - dates, country, unit, rank, duty, where services performed, decorations, when discharged, why. Give details if ever prisoner of war .B. f 70 12 26. Present and post membership in organisations (professional, social, political, etc.) Lions Clubs. Ame”
“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”
“1 4-00000 2 E. IF BORN OUTSIDE U.S. WHEN DID YOU FIRST ARRIVE IN THIS COUNTRY? PORT OF ENTRY? ON PASSPORT OF WHAT COUNTRY? __ - LAST U.S. VISA Number TIN Place or Issue Date of Issue SEC. 2. PHYSICAL DESCRIPTION AGE 24 SEX male HEIGHT 5'11'1 WEIGHT 165 EYES HAIR COM”
“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”
“SEPARATED TO CIVILIAN STATUS? YES NO IF "YES." COMPLETE THE FOLLOWING: COUNTRY SERVICE COMPONENT I ‘FROM (Date) TO (Date) TYPE DISCHARGES OR SEPARATIONS-GRADE AND SERVICE NO. 3/599 K°A j A% HIDU 9. EDUCATION (Account for all civilian schools and military academies. Do not i”
“77A IF BORN OUTSIDE U. S. INDICATE DATE AND PLACE OF ENTRY .. CITIZENSHIP. 26 56 WHEN ACQUIRED? 51210 WHERE? (Chy) (Stale) (Country) OCCUPATION SocrctwysE cng. LAST EMPLOYER.vorsity of uliforuin EMPLOYERS OR BUSINESS ADDRESS ... (XL Brut Number) Jorkaly, (City) Califor”
“1 4-00000 SECRET (When Filled tn) SECTION ID CONTINUED FROM PAGE 1 21, DATes OF wit TAmY SERVICE (From- and Te. , ey venfw AND vran USNR July 1940- Oct. 1942 USALF Nov 1943- Fab. 1946 23. BRANCH OF STRVfCr 3). COnuter with WHICH MILITARY SERVICE areILIAVEO USSR USA F USA ”
“14-00000 PERSONAL RECORD QUESTIONNAIRE PART 1 - BIOGRAPHICAL INFORMATION INSTAUCT:OuS:1. 4e,te leaely.nneeenn 2. insoer ell muestrons. If question s 0 not applicable, write *N4” y. Attach blank noseq. ol si.fitionl vnace , % needed. SECTION 1 GENERAL PERSONAL AND PHYSICAL”
“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”
“France Sept 1960 Aug 1962 312 Enmond Place Alexandria Va 22514 i‘1058 Cure *0. Feo 1955 10 ,9 -., Toi J UNITED STATES CITIZENSHIP. 10 SOCIAL SECURITY No 1 INDICATE WHETHER: - - 042 20 5339 - . (AMBY BIRTH [ ' (9) NATURALIZATION 11; MILITARY SERVICE (P. st or present) ..(”
“14-00000 T 29. (Continued) 30. Has subject done any writing? Give details including titles of books, articles, publishers, dates. p Articles cm Industrial Democracy *a American Citizenship %- Cement Plants 0X9WE TAS STH CO 4 Sugar Milla ■ eieetiB 31. List persons livin”
“AUTHORITY) HOW LOWC? Not Applicable DATE OF BIRTH PLACE OF BIRTH (Iff STATE CouWIPY 1 March 1926 ACQUIRED BY:." PRESENT CITIZENCHIP MASON CITY -* IOWA USA U. S. BIPIH. MAERIAG MALZAL9N C- not apelica ble Not Applicable Not applicable NATURALIZATION CERTIFICATE LOCATI”
“14-00000 (2) E. IF nons OUTSIDE U. s. WHEN DID you FIRST ARRIVE is THIS COUNTRY: UAL PORT OF ENTRY, . : ON PASSPORT OF WHAT COUNTRY? LAST U. S. VISA___ I Number , ellace of L-anet lentim; SEC. 2. PHYSICAL DESCRIPTION AGE 62 SEX Zo. HEIGHT 5mo12 WEIGHT 170. EYES do”
“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”
“NY 52-10018-G Scars % to 3," under lower lip, heart-shaped Residence 4 Nest 101st Street Apartment 42 NYC, NY Telephone Business-348-0600 Home-None Parents FRANK and GRACE POMNERSHEIM 3603 Woodward Avenue Seaford, NY 516-SU1-0695 Social Security Number 079-34-4305 ”
“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/”
“CITIZENSHIP - WHEN ACQUIRED? _ WHERE? City State OCCUPATION LAST EMPLOYER -CON $”
“191S Amesbury Missachusotts PRESENT’ CITIZENSHIP/ ACQUIRE By: U,S.A. BlK MARRIAGE u= NATURALIZATION L DATE ISSUED NAME OF COURT NUMBER NATURALIZATION CERTIFICATE Not Applicable LOCATION OF COURT CITY STATE COUNTRY PREVIOUS CITIZENSHIP DATE FROM: TO: HELD OTHER CITIZENS”
“ADDRESS St. & No. City State Country MILITARY SERVICE FROM . TO:___ _ BRANCH CF SERVICE Date r COUNTRY —DETAILS OF OTHER GOV’T. SERVICE, U.S. OR FOREIGN GENS D 1 S1 tw g e iss”
“Descriptions 5 ft., 7s inches tall; weight - 1553 slender build, light complexion with brown hair and eyest oval-shaped face with a soar on the cons. cheak cons. he left chesk Educations Public schools, Ponce, Puerto Rico; the Morristown School, Morrietmm, New Jereoy, Mass”
“FROM TO FROM June'to Fib'+g 620 Arlington St. Tamaquay Pa., ol.S.A. TO State Country FROM FROM Oct 42 June 46 Militar 1039 TO. 172 TO 207 y LehiServi g h S c t e ., - Tome Tamaqua, address Pr., sume U.S.A. as above 12265 1935 104 Lehigh St., Tamuyus, Pr. 3.”
“LIVING 4- DATE OF DEATH 9. CAUSE CF DEATH FOR Xlves so NA Nili”IA To*for 10. CURRENT ADDRESS (Give last address, il deceased) ■ 2121 Virginia Ave NW, Washington 7, D.C. quRirS..N.C 5 15 AUG 1958. sr. DATE OF BIRTH 12. PLACE OF BIRTH ( City. State, Country) DAsE 3 9/9/34 Cold ”
“14-00000 .L /* SECTION II CITIZENSHIP :4. PRESENT CITIZENSHIP 11. BATIGHALITY AT SiAm AND ANY SUBSEQUENT citizzusuie qat daltesont then Itee so.) US NA sx. PRESENT BISICENCE (indscote so owner, sonant or eub-tonanty New York City, New York 3. PERMANENT abdaess (se differ”
“14-00000 Etc. 13. GIVE FIVE CHARACTER REFERENCES IN THE U. S—WHO KNOW YOU INTI- MATELY—(Give residence and business addresses where possible.) . Street etnel Number Citpa State 102. Goo Dorbyshto (o’ nt’s. ADD&R, wioC Cudin. MT *** • ... RES. ADD.9 7 rpoiprod c. Vdialaad”