[104-10171-10136.pdf — page 5]
# SECRET(WHEN FILLED IN)FOR FIELD USE ONLY# 5564FOR HEADQUARTERS USE ONLYPROCESS SHEETFOR00'C COLLECTIONS| SUGGESTED SERIES | A. FIELD OFFICE                                 | B. REPORT NUMBER | C. FORWARDED | D. CASE NUMBER || ---------------- | ----------------------------------------------- | ---------------- | ------------ | -------------- || 00-A             | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 |                  |              |                || CO-B             | DOAS BNY                                        | 169920330237473  |              |                |F. SUBJECT AND AREA A 54180 INACTIVE (REMAINS)Radovan HORACH, International Rescue Committee, Rome, Italy(International)G. CONTACT (Name, Title, Organization, Address or 'Y' Number)International Rescue Committee255 Park AvenueNew York 10, New York 5-5564M. SOURCE (Name, Title, Organization, Address or 'Y' Number)Mr. Charles Sternberg A87027International Rescue Committee255 Park Avenue, New York 10, New York 5-5564I. SUB-SOURCE (Name, Title, Organization, Address)J.EXTRA DISSEMINATION CONTROLTHIS REPORT MAY BE RELEASED TO1, 2, 3, 4 BELOW UNLESS RESTRICTED IN SECTION "K"1. APPROVED LIST OF AGENCY CONSULTANTS2. APPROVED EXTERNAL PROJECTS3. NON-USIB AGENCIES FOR NIS STUDIES4. USIAFIELD REMARKSFor: Support (Travis)| E. RECEIVED                                  | S.             | RELEASED         |            |                      |     |     || -------------------------------------------- | -------------- | ---------------- | ---------- | -------------------- | --- | --- || NO.                                          | DAY            | YR               | REPORT NO. | NO.                  | DAY | YR  || 20 21 22 23 24 25                            | 26 27 28 29 30 | 31 32 33         | U S I D    | EXTRA DISSEM. RECORD |     |     || 34 35 36 37 38 39                            | 40 41 42 43 44 | S                | ON022      |                      |     |     || TYPE 00-E                                    | 45             | NOT DISSEMINATED | 46         |                      |     |     || GRAPHICS, MAPS, PUBLICATIONS, REPORTS, OTHER |                |                  |            |                      |     |     || SUBJECT     | AREA        || ----------- | ----------- || 47 48 49 50 | 51 52 53 54 || O E C O     | I E E R     || 1 S C I     | 2 F E P     || 2 P O L     | 3 L A       || 3 M I L     | 4 N C A     || 4 A I R     | 5 N O R     || 5 S O C     | 6 W E U     || 6 T O P     | 7 I N T     || 7 D I O     |             || 8 O N U C   |             || 9 M I S     |             |CHECK THIS SECTION IF RELEASABLE| K. MAY NOT BE RELEASED | L. O. K. AS IS | DELETE PART 2 OF S. D. | DELETE ENTIRE S. D. || ---------------------- | -------------- | ---------------------- | ------------------- || 1                      | 5              | 9                      |                     || 2                      | 6              | 10                     |                     || 3                      | 7              | 11                     |                     || 4                      | 8              | 12                     |                     |1. NOT DISSEMINATED ALREADY SUFFICIENTLY WELL KNOWN.2. TOO GENERAL.3. TYPE DATA SUPPLIED REGULARLY BY OTHER AGENCIES4. OTHER/MISCELLANEOUS5. COMBINED WITHEDITORIAL COMMENT. Fwd to WE/1/ Sweden..FIELD OFFICE CASE STATUSTHIS REPORT RESPONSIVE TO REQUIREMENTS FROM OFFICE OR AGENCY).EXPECT ADDITIONAL INFORMATION WITHIN (DAYS).![photo of handwritten notes saying Copy of attach #54180, & J.D.]| FINAL REPORT ON THIS CASE | YES              | NO     |                    || ------------------------- | ---------------- | ------ | ------------------ || C/S                       | E/O/CHIEF        | EDITOR | BRANCH STAFF CHIEF || CCMajor/hs                | Jay B. L. Reeves |        |                    |FORM 25 OBSOLETE PREVIOUS EDITIONSECRET2 (20-41)