Francesco/who-killed-jfk huggingface dataset:
[104-10194-10026.pdf — page 195]
SECRETOPFMr. David A. Phillips is retiring after a distinguished career with the Agency. He has been an employee of the Agency since 1951 when he initially joined as a Contract employee. He served with distinction in Santiago, Guatamala City, Havana, Beirut, Mexico City, Rio de Janeiro, Brasilia, and Caracas. His excollent command of both Spanish and Portuguese has enhanced each of his assignments in Latin America. A true DDOer, fifteen years of this glorious and active career were spent overseas. His outstanding dedication and devotion to the cause of freedom won for him in 1956, the Intelligence Medal of Merit.liis file is replete with letters of commendation and appreciation from the DCI, DDCI, the former President of the Dominican Republic, Ambassadors, and military commanders, all of whom recognized the uniqueness of his outstanding service. Mr. Phillips has been highly effective as a senior member of the Latin American Division which has been under his immediate command since 1973. An excerpt from a late fitness report nicely characterizes the caliber of his work. "It is as a senior operations officer that Mr. Phillips has had the greatest experience, and it is not surprising that he has made an excellent input into the improvement of operational matters throughout the many areas of this hemisphere for which he is responsible." Mr. Phillips will be remembered for his initiative, drive and imagination, and for the excellence of his representational responsibilities which in large part is attributable to his native charm, area knowledgeability and superb language skills. He will be remembered for his intent capability and desire to fulfill the needs of the Organization. It is fitting and proper that upon his retirement, Mr. Phillips be recognized with the award of the Distinguished Intelligence Medal.
[104-10194-10026.pdf — page 196]
CONFIDENTIALDavid A. Phillips5 JUN 1974Dear Dave,You have just finished an important albeit grueling GS-16 Evaluation Exercise at my direction. The recommendations for promotion and executive development you gave me were a major factor in my recommendations to the Director for the upward movement of officers who will be the top management cadre of the Directorate in the near future.I believe you will find that the last several weeks will have sharpened your focus on one of our most important management responsibilities, our personnel. Many thanks for a job well done.![signature]William E. NelsonDeputy Director for OperationsCONFIDENTIALE2 IMPDET CL BY 056788
[104-10194-10026.pdf — page 197]
SECRET(When Filled In)REPORT OF SERVICE ABROADTO: Office of Personnel, Transactions and Records Branch, Status Section,SERIAL NO. LAST FIRST NAME024345 Phillips DAVIDINSTRUCTIONSUSE APPROPRIATE SPACE BELOW TO REPORT DATA FOR EITHER PCS OR TOY. INSERT APPROPRIATE CODE NUMBER IN "CODE" COLUMNTO DESIGNATE WHETHER SUBMISSION IS OF BASIC DATA, CORRECTION, OR CANCELLATION (One only). REPORT DATES BY USINGTHE NUMBER FOR THE MONTH, AND LAST TWO DIGITS ONLY FOR YEAR. REFER TO OFI NO: 58. REVISED.PCS DATES OF SERVICE| ARRIVAL O/S       | DEPARTURE O/S     | TYPE OF DATA     | CODE | O/P USE ONLY | COUNTRY | CODE  || ----------------- | ----------------- | ---------------- | ---- | ------------ | ------- | ----- || MONTH DAY YEAR    | MONTH DAY YEAR    |                  |      |              |         |       || 25-26 27-28 29-30 | 31-32 33-34 35-36 | 1 - PCS (Basic)  | 37   | 38 39        |         | 40-42 ||                   |                   | 3 - CORRECTION   |      |              |         |       ||                   |                   | 5 - CANCELLATION |      |              |         |       |TOY DATES OF SERVICE| ARRIVAL O/S       | DEPARTURE O/S     | TYPE OF DATA     | CODE | O/P USE ONLY | AREA(S)            | CODE  || ----------------- | ----------------- | ---------------- | ---- | ------------ | ------------------ | ----- || MONTH DAY YEAR    | MONTH DAY YEAR    |                  |      |              |                    |       || 25-26 27-28 29-30 | 31-32 33-34 35-36 | 2 - TDY (Basic)  | 37   | 38 39        | WESTERN Hemisphere | 40-42 || 11 17 3           | 1 26 73           | 4 - CORRECTION   | 2    |              | 81                 |       ||                   |                   | 6 - CANCELLATION |      |              |                    |       |OFFICE OF PERSONNEL USE ONLY - PUNCH AREA![stamp indicating 'INPDET CL BY']SOURCE DOCUMENT AND CERTIFICATIONTRAVEL VOUCHER DISPATCHCABLE DUTY STATUS OR TIME AND ATTENDANCE REPORTOTHER (Specify)DOCUMENT IDENTIFICATION NO. DOCUMENT DATE/PERIODWM 370 1/74 11/11-12/4/73REMARKSPREPARED BY REPORT ANNOTATED ON ABOVE DATA CERTIFIED CORRECT, BASED UPON SOURCECONTROL DOCUMENT DOCUMENT CITEDDCODATE SIGNATUREC & L DIVISION. CTDB. 1/23/74C & T DIVISIONTHIS REPORT WILL BE FILED IN THE OFFICE OF PERSONNELIN THE INDIVIDUAL'S OFFICIAL PERSONNEL FOLDERFORM 1451a OBSOLETE PREVIOUS SECRET (4-10)3-67 EDITIONS
[104-10194-10026.pdf — page 199]
# SECRET(When Filled In)# REPORT OF SERVICE ABROADTO: Office of Personnel, Control Division, Statistical Reporting B| SERIAL NO. | NAME                      || ---------- | ------------------------- ||            | LAST (Print) FIRST MIDDLE || 034345     | PHILLIPS DAVID A.         |INSTRUCTIONSUSE APPROPRIATE SPACE BELOW TO REPORT DATA FOR EITHER PCS OR TOY. INSERT APPROPRIATE CODE NUMBER IN Cody COLUMN TO DESIGNATE WHETHER SUBMISSION IS OF BASIC DATA. CORRECTION, OR CANCELLATION (One only). REPORI DATES DE USING THE NUMBER FOR THE MONTH. AND LAST TWO DIGITS ONLY FOR YEAR. REFER TO OFI NO. 58. REVIS10.PCS DATES OF SERVICE| ARRIVAL O/S | DEPARTURE O/S           | TYPE OF DATA                                 | O/P USE ONLY | CODE  || ----------- | ----------------------- | -------------------------------------------- | ------------ | ----- || MONTH DAY   | MONTH DAY YEAR          |                                              |              | YEAR  || 25-26 27-20 | 29-30 31-32 33-34 35-36 | 3. PCS (Basic) 4. CORRECTION 5. CANCELLATION | 37 38 39     | 40-42 |TOY JATES OF SERVICE| ARRIVAL O/S       | DEPARTURE O/S     | TYPE OF DATA                                 | O/P USE ONLY | AREA(S)       | CODE  || ----------------- | ----------------- | -------------------------------------------- | ------------ | ------------- | ----- || MONTH DAY YEAR    | MONTH DAY YEAR    |                                              |              |               |       || 25-26 27-28 29-30 | 31-32 33-34 35-36 | 2. TOY (Basic) 4. CORRECTION 6. CANCELLATION | 37 38 39     |               | 40-42 || 02 11 74          | 03 09 74          | 2                                            |              | South America | 811   |OFFICE OF PERSONNEL USE ONLY - PUNCH AREA> [Figure: Signature]SOURCE DOCUMENT AND CERTIFICATIONTRAVEL VOUCHERDISPATCHCABLEDUTY STATUS OR TIME AND ATTENDANCE REPORTOTHER (Specify)DOCUMENT IDENTIFICATION NO.WH 1-74DOCUMENT DATE PERIOD11 Feb - 9 March 74REMARKSPREPARED BYREPORT ANNOTATED ON CONTROL DOCUMENTABOVE DATA CERTIFIED CORPECT. BASED UPON SOURCE DOCUMENT CITEDSCo CAL DIVISION, CTBR.DATE 1 May 74SIGNATURETHIS REPORT WILL BE FILED IN THE OFFICE OF PERSONNEL,IN THE INDIVIDUAL'S OFFICIAL PERSONNEL FOLDERFOPM 1451a OBSOLETE PREVIOUS4-71SECRET(4-10)
[104-10194-10026.pdf — page 200]
# REPORT OF SERVICE APROTO: Office of Personnel, Control Division, Statistical Reporting BranchSERIAL NO. LAST NAME MIDDLE037345 PHILLIPS David AINSTRUCTIONSUSE APPROPRIATE SPACE BELOW TO REPORT DATA FOR EITHER PCS OR TOY. INSERT APPROPRIATE CODE NUMBER IN "CODE" COLUMN TO DESIGNATE WHETHER SUBMISSION IS OF BASIC DATA. CORRECTION, OR CANCELLATION (One only). REPORT DATES BY USING THE NUMBER FOR THE MONTH. AND LAST THO DIGITS ONLY FOR YEAR. REFER TO OFI NO. 38. REVISED.PCS DATES OF SERVICE| ARRIVAL O/S       | DEPARTURE O/S     | TYPE OF DATA                                    | O/P USE ONLY | COUNTRY |      || ----------------- | ----------------- | ----------------------------------------------- | ------------ | ------- | ---- || MONTH DAY YEAR    | MONTH DAY YEAR    |                                                 | CODE         |         | CODE || 25-26 27-28 29-30 | 31-32 33-34 35-36 | 1 - PCS (Basic) 3 - CORRECTION 5 - CANCELLATION | 37           |         | 040  |TOY DATES OF SERVICE| ARRIVAL O/S       | DEPARTURE O/S     | TYPE OF DATA                                    | O/P USE ONLY | AREA(S) |      || ----------------- | ----------------- | ----------------------------------------------- | ------------ | ------- | ---- || MONTH DAY YEAR    | MONTH DAY YEAR    |                                                 | CODE         |         | CODE || 25-26 27-28 29-30 | 31-32 33-34 35-36 | 2 - TOY (Basic) 4 - CORRECTION 6 - CANCELLATION | 37           |         |      |OFFICE OF PERSONNEL USE ONLY - PUNCH AREASOURCE DOCUMENT AND CERTIFICATIONTRAVEL VOUCHER DISPATCHCABLE DUTY STATUS OR TIME AND ATTENDANCE REPORTOTHER (Specify)DOCUMENT IDENTIFICATION NO. DOCUMENT DATE/PERIOD646685 27 June 1972REMARKSPREPARED BY REPORT ANNOTATED ON ABOVE DATA CERTIFIED CORRECT, BASED UPON SOURCECONTROL DOCUMENT DOCUMENT CITEDDATE SIGNATURE25 SEPT 74THIS REPORT WILL BE FILED IN THE OFFICE OF PERSONNEL IN THE INDIVIDUAL'S OFFICIAL PERSONNEL FOLDER
[104-10194-10026.pdf — page 202]
SECRET5. PHYSICAL DWELLING PLACE (Permanent Place of Residence unless address in item 6 is approved in lieu thereof)FULL ADDRESS8204 STONE Tasil DRIVEZines By MD.6. OTHER PLACE REQUESTED (Requested permanent place of Residence if different from item 5)FULL ADDRESSDEPUTY DIRECTORAPPROVEDDATECONCURDEPUTY DIRECTORDATEAPPROVEDDIRECTOR OF PERSONNELDATE7Aug 1972IV. HOME LEAVE POINT7. AMONG THE PLACES YOU MAY REQUEST AS A HOME LEAVE POINT ARE: YOUR PERMANENT PLACE OF RESIDENCE SHOAN ABOVE, HEADQUARTERS AREA, AND WHERE YOUR CHILDREN, PARENTS, PARENTS-IN-LAW, BROTHERS, SISTERS. BROTHERS-IN-LAW, OR SISTERS-IN-LAW RESIDE.8. YOU MAY REQUEST FOR APPROVAL SOME OTHER POINT SUBJECT TO THE PROVISIONS OF MR 20-309(3)(C). THE REQUEST MUST BE ACCOMPANIED BY A MEMORANDUM EXPLAINING THE CIRCUMSTANCES9. DESIGNATION PER ITEM 7 ABOVEFULL ADDRESSSAME AS 5 ABOVE.10. DESIGNATION PER ITEM 8 ABOVE.FULL ADDRESSRELATIONSHIP OF RELATIVE AT HOME LEAVE POINTNONEDEPUTY DIRECTORAPPROVEDDATECONCURDEPUTY DIRECTORDATEAPPROVEDDIRECTOR OF PERSONNELDATEEMPLOYEE CERTIFICATIONI have read and understand my service obligations and travel entitlements as described in this agreement.SIGNATURE OF EMPLOYEEDATE7/28/72SECRET
[104-10194-10026.pdf — page 203]
SECRET(When Filled in)REPORT OF SERVICE ABROADTO: Office of Personnel, Transactions and Records Branch, Status SectionSERIAL NO.1-6024345LAST(Print)PhillipsFIRSTDavidNAMEMIDDLEAINSTRUCTIONSUSE APPROPRIATE SPACE BELOW TO REPORT DATA FOR EITHER PCS OR TDY. INSERT APPROPRIATE CODE NUMBER IN "CODE" COLUMN TO DESIGNATE WHETHER SUBMISSION IS OF BASIC DATA, CORRECTION, OR CANCELLATION (One only). REPORT DATES BY USING, THE NUMBER FOR THE MONTH, AND LAST TWO DIGITS ONLY FOR YEAR. REFER TO OFI. NO. 58.-REVISED.PCS DATES OF SERVICE| ARRIVAL O/S |       |       | DEPARTURE O/S |       |       | TYPE OF DATA    | CODE | O/P USE ONLY | COUNTRY | CODE  || ----------- | :---: | :---: | ------------- | :---: | :---: | --------------- | ---- | ------------ | ------- | ----- || MONTH       |  DAY  | YEAR  | MONTH         |  DAY  | YEAR  |                 |      |              |         |       || 25-26       | 27-28 | 29-30 | 31-32         | 33-34 | 35-36 | 1. PCS (Basic)  | 37   | 38 39        |         | 40-42 ||             |  27   |  71   |               |       |       | 8. CORRECTION   |      |              | Brazil  | 020   ||             |       |       |               |       |       | 9. CANCELLATION | 3    |              |         |       |TDY DATES OF SERVICE| ARRIVAL O/S |       |       | DEPARTURE O/S |       |       | TYPE OF DATA    | CODE | O/P USE ONLY | AREA(S) | CODE  || ----------- | :---: | :---: | ------------- | :---: | :---: | --------------- | ---- | ------------ | ------- | ----- || MONTH       |  DAY  | YEAR  | MONTH         |  DAY  | YEAR  |                 |      |              |         |       || 25-26       | 27-28 | 29-30 | 31-32         | 33-34 | 35-36 | 2. TDY (Basic)  | 37   | 38 39        |         | 40-42 ||             |       |       |               |       |       | 6. CORRECTION   |      |              |         |       ||             |       |       |               |       |       | 0. CANCELLATION |      |              |         |       |OFFICE OF PERSONNEL USE ONLY - PUNCH AREASOURCE DOCUMENT AND CERTIFICATIONTRAVEL VOUCHER DISPATCHCABLE DUTY STATUS OR TIME AND ATTENDANCE REPORTOTHER (Specify)DOCUMENT IDENTIFICATION NU. 14171 DOCUMENT DATE/PERIOD: 13 July 1971REMARKSCorrectionBRASILTA - LATERALPREPARED BY REPORT ANNOTATED ON CONTROL DOCUMENT ABOVE DATA CERTIFIED CORRECT, BASED UPON SOURCE DOCUMENT CITEDOCODATE 7/19/71SIGNATUREMarylin BurliverTHIS REPORT WILL BE FILED IN THE OFFICE OF PERSONNEL IN THE INDIVIDUAL'S OFFICIAL PERSONNEL FOLDERFORM 1451a OBSOLETE PREVIOUS EDITIONS3-67SECRET
[104-10194-10026.pdf — page 204]
SECRET# REPORT OF SERVICE ABROADTO: Office of Personnel, Transactions and Records Branch Status SectionSERIAL NO.NAMELAST FIRST MIDDLE1-6 7-24C24345 Phillips David AINSTRUCTIONSUSE APPROPRIATE SPACE BELOW TO REPORT DATA FOR EITHER PCS OR TOY. INSERT APPROPRIATE CODE NUMBER IN "CODE" COLUMN TO DESIGNATE WHETHER SUBMISSION IS OF BASIC DATA, CORRECTION, OR CANCELLATION (One only). REPORT DATES BY USING THE NUMBER FOR THE MONTH. AND LAST TWO DIGITS ONLY FOR YEAR. REFER TO OFI NO. SP. REVISED.PCS DATES OF SERVICEARRIVAL O/S DEPARTURE O/S TYPE OF DATA O/P COUNTRY CODEMONTH DAY YEAR MONTH DAY YEAR USE 43-4225-26 27-28 29-30 31-32 33-34 35-36 ONLY*01 11 70 07 09 71 1 - PCS (Basic) 37 Brazil 0902 - CORRECTION 38 393 - CANCELLATIONTOY DATES OF SERVICEARRIVAL O/S DEPARTURE O/S TYPE OF DATA O/P AREA(S) CODEMONTH DAY YEAR MONTH DAY YEAR USE 40-4225-26 27-28 29-30 31-32 33-34 35-36 ONLY2 - TDY (Basic) 374 - CORRECTION 38 396 - CANCELLATIONOFFICE OF PERSONNEL USE ONLY - PUNCH AREASOURCE DOCUMENT AND CERTIFICATIONTRAVEL VOUCHER DISPATCHCABLE DUTY STATUS OR TIME AND ATTENDANCE REPORTOTHER (Specify)DOCUMENT IDENTIFICATION NU. DOCUMENT DATE/PERIOD13872 8 July 1971REMARKSRio de Janare - LateralNo Record - date cleanedPREPARED BY REPORT ANNOTATED ON ABOVE DATA CERTIFIED CORRECT, BASED UPON SOURCE DOCUMENT CITEDDCO CONTROL DOCUMENTC & L DIVISION, CTRANS. DATE SIGNATUREC & T DIVISION 7/15/71 M. BurlesonTHIS REPORT WILL BE FILED IN THE OFFICE OF PERSONNEL IN THE INDIVIDUAL'S OFFICIAL PERSONNEL FOLDERFORM 1451a OBSOLETE PREVIOUS EDITIONS3-67SECRET
[104-10194-10026.pdf — page 205]
# 14-00000Chief of Station, Santo DomingoSpecific - Performance of TDY Personnel During Recent DR CrisisACTION REQUIRED-IF KNOWN1. As Headquarters is well aware, a constant flow of TDY personnel was provided the Station by Headquarters during the crisis period of the recent revolution. Obviously, the Station could have found it most difficult, if not impossible, to perform in the fashion it did without this assistance. What deserves special comment, however, is the generally high quality of their performance under quite demanding, fluid, and, often, dangerous conditions. With few exceptions, already known to Headquarters, the TDY personnel did a magnificent job both collectively and as individuals. Considering the grade and experience of most of these officers, it can probably be assumed that this was to be expected. But, what clearly was not predictable was their willingness to accept any type of assignment regardless of grade or circumstances, their quick adaptability and initiative in an unfamiliar and confused situation, and their stamina under the stress of long and irregular work days seven days a week. Furthermore, in spite of the close working quarters, constant association, and strain inherent in this type of situation, "personality clashes" or other signs of incompatibility were very few indeed.2. Undoubtedly, Headquarters has sensed the foregoing from returnees. The purpose of sending this dispatch is to make it a matter of record and to suggest to Headquarters that their standard of performance under these conditions may merit consideration of some special recognition in the personnel files of the personnel concerned.Continued...Distribution:3 - WHDAttachment:As stated - h/w| CROSS REFERENCE TO | DISPATCH SYMBOL AND NUMBER | DATE            || ------------------ | -------------------------- | --------------- ||                    | HDCT-1221                  | 17 July 1965    ||                    | CLASSIFICATION             | HQS FILE NUMBER ||                    | S-E-C-R-E-T                |                 |
[104-10194-10026.pdf — page 206]
DISPATCHS-1-C-R-E-T NDCT-19213. Without detracting one whit from the performance of the other officers on TDY assignment, the present COS would like to single out as deserving special comment. Their performance has been exceptional. A special note is attached for Ready Vickers. Therefore, it is recommended that the attached memoranda be inserted into each of their personnel files.4. Also, the COS would like to register the fact that the foregoing not only speaks highly of the TDY personnel assigned, but Headquarters as well in providing this type of support.5. As a final comment, Headquarters may care to check with Edwin R. Melcan the COS for a good memorandum with either with respect to the part of this period, to obtain any special comments he might wish to make in this regard -- either with respect to content or individuals whom he considered exceptional and who are not known to the present COS.Darrel Phillips
[104-10194-10026.pdf — page 207]
S-E-C-R-E-T17 July 1965MEMORANDUM FOR THE RECORDSUBJECT:Richard W. RastetterTDY in Santo Domingo1.  "Rastetter" was assigned to Station Santo Domingo on a TDY basis for the period 2 June to 16 July 1965. During this assignment, Rastetter was placed in charge of the Station CA program with special emphasis on exploiting targets of opportunity in the very fluid crisis situation then prevalent and, simultaneously, generating new assets and new approaches to lay the groundwork for the altered situation which would be confronting the Station in the post-crisis era. In addition to supervising the C.A program, he handled a number of existing agents, developed some new assets, and conducted numerous special C.A operations, including some quite effective black activities. On this assignment, Rastetter worked some fourteen to sixteen hours a day throughout the entire period.2.  The undersigned is aware that C.A would expect a quite professional and dedicated performance from an officer of Rastetter's seniority, experience, and caliber; however, even taking this into consideration, his performance in every respect was exceptional, and should merit special recognition.3.  It is recommended that a copy of this memorandum be placed in Rastetter's personnel folder.S-E-C-R-E-T
[104-10194-10026.pdf — page 208]
SECRETCD9 942096 AUG 1969MEMORANDUM FOR: Director of Central IntelligenceTHROUGH : Deputy Director for PlansSUBJECT : Appointment of Mr. David A. Phillips as Chief of Station, Rio de Janeiro, Brazil1. The appointment of Mr. David A. Phillips, GS-16, as Chief of Station, Rio de Janeiro, effective on or about 15 January 1970 is recommended. Mr. Phillips would replace Mr. Robert D. Gahagen,2. Mr. Phillips has been an employee of the Agency since 1951 initially in a contract capacity. He has served in Santiago, Guatemala City, Havana, Beirut, Mexico City and most recently as Chief, Cuban Operations Group. Mr. Phillips is fluent in the Spanish language and is scheduled for two months of full-time Portuguese training immediately prior to his departure. A biographic profile including information regarding his Agency experience and training is attached.![Signature of William V. Broe]William V. BroeChiefWestern Hemisphere DivisionAttachmentBiographic Profile (Parts 1 and 2)SECRET
[104-10194-10026.pdf — page 209]
- 2 -SUBJECT: Appointment of Mr. David A. Phillips as Chief of.Station, Rio de Janeiro, BrazilAPPROVAL RECOMMENDED:![signature] 20 Sept 69Deputy Director for Plans DateThe recommendation in paragraph one is APPROVED:![signature] 1 Oct 69Director of Central Intelligence DateSECRET
[104-10194-10026.pdf — page 210]
# CONFIDENTIALComplete in original. The data recorded on this form is essential in determining travel expenses allowable in con-nection with leave at government expense, overseas duty, return to residence upon separation, and for providingcurrent residence and dependency information required in the event of an employee emergency. This form will befiled in the employee's official personnel folder.NAME OF EMPLOYEE (Last) (First) (Middle) SOCIAL SECURITY NUMBERPhillips David Arloo 460-28-3930PLACE OF RESIDENCE WHEN INITIALLY EMPLOYED BY AGENCY LAST PLACE OF RESIDENCE IN CONTINENTAL U.S. (If appointed abroad)Santiago, Chile Washington, D.C.PLACERORN 1.3. DESIGNATED AS PERMANENT RESI- HOME LEA RESIDENCEFort Worth, TexasMARITAL STATUS (Please note this is a change)SINGLE MARRIED SEPARATED DIVORCED WIDORED ANNULLEDIF MARRIED, PLACE OF MARRIAGE DATE OF MARRIAGE28 March 1969IF DIVORCED, PLACE DIVORCE DECREE DATE SPOUSE DIEDIF WIDOWED, PLACE SPOUSE DIEDIF PREVIOUSLY MARRIED, INDICATE NAME(S) OF SPOUSE, REASON(S) FOR TERMINATION, AND DATE(S)Joan Hildebrant, incompatibility, cerca September 1941Helen Haasch, incompatibility, XR 22 November 1967.## MEMBERS OF FAMILYNAME OF SPOUSE ADDRESS (NO Street City State Zip Code) TELEPHONE NO.Virginia S.- Phillips 8224 Stone-Trail-Drive, Bethesda Md 20034 469-6733NAMES OF CHILDREN ADDRESS SEX DATE OF BIRTHNaria Same as above F 1949David Jr " M 1951Christopher " M 1956(See Continuation).NAME OF YOUR FATHER (Or male guardian) ADDRESS TELEPHONE NO.DeceasedNAME OF YOUR MOTHER (Or female guardian) ADDRESS TELEPHONE NO.DeceasedWHAT MEMBERS OF YOUR FAMILY IF ANY, HAS BEEN TOLD OF YOUR AFFILIATION WITH THE ORGANIZATION IF CONTACT IS RE-QUIRED IN AN EMERGENCY.My brooper, Edwin T. Phillips, Jr.## PERSON TO BE NOTIFIED IN CASE OF EMERGENCYNAME (Mr., Mrs., Miss) (Last-First-Middle) RELATIONSHIPMr. Phillips, Edwin Thomas BrotherHOME ADDRESS (Yo. Street City. State. Zip Code) HOME PHONE NUMBERFort Worth National Bank, Bldg., Fort Worth, Texas UnknownBUSINESS ADDRESS (No Street City, State. Zip Code) APPLICABLE: BUSINESS TELEPHONE & EXTENSIONSame asa above. UnknownIS THE INDIVIDUAL NAMED ABOVE WITTING OF YOUR AGENCY AFFILIATION? (Il "No" give naine and address of organiza-YES Xtum he believes you work for.) NOYesIS THIS INDIVIDUAL AUTHORIZED TO MAKE DECISIONS ON YOUR BEHALF IN THE EVENT YOU ARE INCAPABLE? (II "No" YES Xlve name and address of perean, If any, who can make such decisions in case of emergency.) NOYes, he-in my-attorney-in-factDOES T explam any on item 6.) MAS BE SIGNATED AS YOUR EMERGENCY ADDRESSEE (il answer is "No" YES XNOThe persons named in item 3 above may also be notified in case of emergency. IF SUCH NOTIFICATION IS NOT DESIRABLE BE-CAUSE OF HEALTH OR OTHER REASONS, PLEASE SO STATE IN ITEM 6 ON THE REVERSE SIDE OF THIS FORM.CONTINUED ON REVERSE SIDECURRENT RESIDENCE AND DEPENDENCY REPORTCONFIDENTIAL