[104-10194-10015.pdf — page 35]
# SECRETFIELD TRANSMITTAL - FITNESS REPORTINSTRUCTIONSThe following items of the Fitness Report will NOT be completed by field personnel preparing the report for transmitted to Headquarters:SECTION A, items 1, 6, and 7SECTION D, items 1, 2 and 3 (Only in respect to "Typed or Printed Name and Signature")|                                                                                                                   |                                                                          || ----------------------------------------------------------------------------------------------------------------- | ------------------------------------------------------------------------ || 1. I CERTIFY THAT I HAVE SEEN                                                                                     | DATE                                                                     || THIS FITNESS REPORT                                                                                               | 28. January 1969                                                         ||                                                                                                                   | TYPED OR PRINTED NAME AND SIGNATURE OF EMPLOYEE (In pseudonym)           ||                                                                                                                   | Sandra B. CAZAZZUS                                                       || 2. I CERTIFY THAT, EXCEPT FOR ITEMS OMITTED UNDER THE ABOVE INSTRUCTIONS, ALL ITEMS APPEARING ON THE ATTACHED PIT |                                                                          || NESS REPORT HAVE BEEN COMPLETED UNDER PROVISIONS OF CURRENT INSTRUCTIONS OR REGULATIONS                           |                                                                          || DATE                                                                                                              | TYPED OR PRINTED NAME AND SIGNATURE OF SUPERVISOR (In pseudonym)         || 28 January 1969                                                                                                   | Francis J. COIGNE                                                        || DATE                                                                                                              | TYPED OR PRINTED NAME AND SIGNATURE OF REVIEWING OFFICIAL (In pseudonym) || 28 January 1969                                                                                                   | Willard C. CURTIS                                                        |SPECIAL NOTEFitness Reports must be prepared with due regard for security considerations. For example, in the case of administrative and support personnel and others whose duties do not in themselves reveal sources of information and methods of operation, it is normally expected that a complete and realistic statement of specific duties may be reported in Section B. However, the nature, source, purpose or disposition of information or operations will not be included. On the other hand, the position titles and description of specific duties of certain other employees may jeopardize security and should not be fully reported on this form. In these cases, general statements of specific duties will be included in Section B indicating the level of responsibility.FORM4-62450 OBSOLETE PREVIOUS EDITIONS.SECRET|                     |                      || ------------------- | -------------------- ||                     | PROCESSING ACTION    || MARKED FOR INDEXING |                      ||                     | NO INDEXING REQUIRED ||                     | ONLY QUALIFIED DISK  ||                     | CAN JUDGE INDEXING   ||                     | MICROFILM            |DISPATCI.CLASSIFICATIONSECRETTOChief of Station, Mexico CityINFO.FROMChief, MOGAMESUBJECTAIM/JECENT - FEINGLASS/CAZAZZUS - Tax AdministrationACTION REQUIRED - REFERENCESREF: HBST-8732, 15 December 19671. Forwarded under separate cover is the name and address of the notional organization for FEINGLASS to use on his tax return. Also forwarded under separate cover is a brief outline of the nature of the notional.2. As previously discussed in a Headquarters tax briefing, this notional would not issue any tax documentation and was not to be used for any purpose other than their tax return. This return was to be kept in a safe place, since the return would indicate a different cover than what they are using in Mexico.3. In the event FEINGLASS ever indicates that the use of the notional is necessary for purposes other than the tax return, this requirement should be cleared by Headquarters prior to actual use.VICTOR D. UNITSKYDistribution:Orig. & 1 - COS (w/SCA)1 - WI/Contracts (vo/att)Attachment (USC)![signature] (4)