[104-10224-10012.pdf — page 71]
PLW: 15 JUL 63SECRET(When Filled In)NOTIFICATION OF PERSONNEL ACTIONOCF|                                           |                                      |                                 || ----------------------------------------- | ------------------------------------ | ------------------------------- || 1 SERIAL NUMBER                           | 2 NAME (LAST FIRST, MIDDLE)          |                                 || 006198                                    | WIGREN LEE H                         | 5 CATEGORY OF EMPLOYMENT        || 3 NATURE OF PERSONNEL ACTION              | 4 EFFECTIVE DATE                     | REGULAR                         || REASSIGNMENT                              | 07 14 68                             | 8 CSC OR OTHER LEGAL AUTHORITY  || 6 FUNDS                                   | 7 Financial Allotment No. Chargeable | 50 USC 403 J                    || 9 ORGANIZATIONAL DESIGNATIONS             | 9227 0170 0000                       | 10 LOCATION OF OFFICIAL STATION || DUP/CI STAFF                              | WASH., D.C.                          |                                 || RESEARCH AND ANALYSIS GROUP               | 12 POSITION NUMBER                   | 13 SERVICE DESIGNATION          || 11 POSITION TITLE                         | 0213                                 | D                               || OPS OFFICER                               | 16 GRADE AND STEP                    | 17 SALARY OR RATE               || 14 CLASSIFICATION SCHEDULE (GS, LB, etc.) | 15 OCCUPATIONAL SERIES               |                                 || GS                                        | 0136.01                              | 16329                           || 18. REMARKS                               | 13 5                                 |                                 |SPACE BELOW FOR EXCLUSIVE USE OF THE OFFICE OF PERSONNEL| 19. ACTION CODE | 20. Employ. Code | 21. OFFICE CODING | 22. STATION CODE | 23. INTEGREE CODE | 24. Maj. Code | 25. DATE OF BIRTH | 26. DATE OF GRADE | 27. DATE OF LEI || --------------- | ---------------- | ----------------- | ---------------- | ----------------- | ------------- | ----------------- | ----------------- | --------------- || 37              | 10               | 31500             | CI               | 75013             | 1             | 12 01 23          |                   |                 || 28. RATE EXPIRES | 29. SPECIAL REFERENCE | 30. RETIREMENT DATA | 31. SEPARATION DATA CODE | 32. Correction/Cancellation Data | 33. SECURITY REQ. NO | 34. SEX || ---------------- | --------------------- | ------------------- | ------------------------ | -------------------------------- | -------------------- | ------- ||                  |                       |                     |                          |                                  |                      |         |EOD DATA| 35. VET PREFERENCE | 36. SERV. COMP. DATE | 37. LONG. COMP. DATE | 38. CAREER CATEGORY || ------------------ | -------------------- | -------------------- | ------------------- ||                    |                      |                      |                     || 39. FEGLI / HEALTH INSURANCE | 40 SOCIAL SECURITY NO. || ---------------------------- | ---------------------- ||                              |                        |41. PREVIOUS CIVILIAN GOVERNMENT SERVICE1 - NO PREVIOUS SERVICE2 - NO BREAK IN SERVICE3 - BREAK IN SERVICE (LESS THAN 3 YRS)4 - BREAK IN SERVICE (MORE THAN 3 YRS)| 42. LEAVE CAT. CODE | 43. FEDERAL TAX DATA | 44. STATE TAX DATA || ------------------- | -------------------- | ------------------ ||                     | FORM EXECUTED        | FORM EXECUTED      ||                     | CODE                 | CODE               ||                     | NO. TAX EXEMPTIONS   |                    |FROM OTRUse Previous EditionSECRET![POSTED](When Filled In)