JFK ASSASSINATION SYSTEM
IDENTIFICATION FORM
AGENCY INFORMATION
Date : 01/13/98
Page : 1
AGENCY : INSCOM/CSF
RECORD NUMBER":
RECORDS SERIES :
AGENCY FILE NUMBER :
194-10004-10135
DOD-AFFILIATED PERSONNEL INCIDENT INVESTIGATIONS
PAGES 14-14A
DOCUMENT INFORMATION
ORIGINATOR :
USA
FROM :
USAPSG
: DCS-OPS USAINTC
ΤΟ
TITLE :
( RESTRICTED
DATE : 05/05/67
PAGES
SUBJECTS
:
2
FROMER, DAVID REED
REQUEST FOR AND RESULTS OF PERSONNEL SECURITY ACTION
DOCUMENT TYPE : PAPER, TEXTUAL DOCUMENT
CLASSIFICATION
RESTRICTIONS
CURRENT STATUS :
: CONFIDENTIAL
: 3
RELEASED WITH DELETIONS
DATE OF LAST REVIEW : 03/07/95
OPENING CRITERIA :
COMMENTS
: RECORD REGRADED UNCLASSIFIED ON 2 SEP 94.
NW 88613 Docld:34528544 Page 1
Released under the John F. Kennedy Assassination Records Collection Act of 1992
44 USC 2107 Notel. Caselt NW 88613 Date: 03-18-2025
REQUEST FOR AND RESULTS OF PERSONNEL SECURITY ACTION
(AR 381–130)
THRU:
TO: (Control Office)
DCS-OPS
USAINTC
ATTN:
OPS III (Mr. Burwasser)
DATE
5 May 1967
FROM: (Requesting Agency)
USAPSG
· Fort Holabird, Md.
(Enter name and address of the ACTION AGENCY to which results are to be sent, if known by
requester)
CONTROL OFFICE USE ONLY
REQUIREMENT
REQUEST NO.
୮
U.S. Army Fersonnel Security Group
Fort Holabird, Maryland 21219
Adjudications Division
ATTN:
ㄱ
DOSSIER, NO.
OPENING DATE
REMARKS
1. SUBJECT (Last name in capitals, first and
middle names)
FROMER, David Reed
4. DATE OF BIRTH
(Day, Month, Year)
21 July 1942
7. REQUESTED ACTION
8. TYPE OF INVESTIGATION:
☐ NACI
NAC
SECTION I- REQUESTER TO CONTROL OFFICE
2. ALIAS(ES), MAIDEN NAME
None
5. PLACE OF BIRTH (City, State and country)
Chicago, Illinois
VALIDATION
☑ INVESTIGATION
BI ☑ OTHER (Explain in Item 15)
10. TO DETERMINE SUITABILITY FOR:
RECORDS CHECK
3. SERVICE/SOCIAL SECURITY NO.
564-58-8137
6. GRADE AND POSITION
Registrant
9. a. FOR CLEARANCE AND/OR ACCESS TO:
☐ TOP SECRET ☐ SECRET
b.
FOR LIMITED ACCESS AUTHORIZATION
CONFIDENTIAL
11. JUSTIFICATION
c.
INTERIM CLEARANCE DESIRED
d. ☑ OTHER (Explain in Item 15)
AR 604-5, COMPLETED ON
REVEALED:
12. REVIEW OF FILES REQUIRED BY PARAGRAPH
NO UNFAVORABLE INFORMATION
CONTEMPLATED
☐ UNFAVORABLE INFORMATION DETERMINED NOT TO BE A BAR TO ACTION
☐ INFORMATION SUMMARIZED IN ITEM 15
13. LATEST INVESTIGATION/CLEARANCE (Type, when, by whom)
14. NO BREAK IN FEDERAL SERVICE
EXCEEDING SIX MONTHS SINCE
15. REMARKS (If unfavorable information entered, transmit in sealed envelope thru intelligence channels.).
Request that Headquarters and Local FBI (S) file checks be conducted on SUBJECT's
parents.
"Request this investigation be expedited as determination under AR 604-10 is
being delayed at Department of the Army pending results".
REGRAD
ODIFIED
1 F01/PO
AUTH Para 1-603 UD5200.1R
ON 2 Sepay
BY CDR
INCLS
Dossier 564588137
re SUBJECT
TYPED NAME AND TITLE
JB FINNEGAN
COL
AIS
16.
INCLS
14
SIGNATURE
SECTION 11 - CONTROL OFFICE TO REQUESTER
NEW FINGERPRINT CARD REQUIRED
☐ ITEMS
DATE
ON SPH (PSQ) REQUIRE CORRECTION AND/OR COMPLETION.
IRR COPY
INTERIM REPORT FORWARDED.. REQUEST REPORT OF ACTION TAKEN AND RETURN OF INCLOSURES UPON COMPLETION.
TYPED NAME AND TITLE
Regraded UNSÍGNAĴURÐ
DA.
FORM
$ APR 64
2784
NW 88613 Docid:34528544 Page 2
when separated from
classified inclosures
SECTION III – REQUESTER TO CONTROL OFFICE
17. REPORT OF ACTION
INFORMATION NOTED
SUBJECT REASSIGNED TO NON-
..
Autobot PATEN
☐ INFORMATION CONSIDERED NO BAR TO
CLEARANCE. REQUEST COMPLETION
OF INVESTIGATION.
18. SUBJECT WAS TRANSFERRED
SENSITIVE DUTIES, INVESTIGATION
MAY BE CANCELED.
TO
HEADQUARTERS
19. REMARKS (If returning corrected forms, state here)
INCLS
TYPED NAME AND TITLE
PER
SIGNATURE
DATED
SECTION IV - CONTROL OFFICE TO ACTION AGENCY
20. RESULTS OF PERSONNEL SECURITY ACTION
DATE
NO RECORD
FAVORABLE
MINOR UNFAVORABLE INFORMATION RECORDED IN ITEM 21
PRIOR INVESTIGATION INSUFFICIENT FOR ACTION CONTEMPLATED
IF NEEDED, INITIATE REQUEST FOR INVESTIGATION.
FORWARDED FOR SECURITY DETER-
MINATION BY CLEARING AUTHORITY
TYPE OF INVESTIGATION
☐ NAC
COMPLETED BY
DATE
DOSSIER NUMBER
NACI
BI
OTHER
21. REMARKS
a. THIS FORM, TOGETHER WITH ANY INCLOSURES, REPORT OF ACTION TAKEN AND USACRF COPY OF DA FORM 873
(if appropriate) WILL BE RETURNED TO THE CONTROL OFFICE WITHIN
b.
DAYS AFTER RECEIPT.
IN THE EVENT SUBJECT HAS BEEN TRANSFERRED FROM YOUR COMMAND, THIS FORM AND INCLOSURES WILL BE
RETURNED IMMEDIATELY WITH ITEM 23 COMPLETED.
C.
ATTENTION IS INVITED TO: PARAGRAPHS
AR 604-5; PARAGRAPH _ AR 604-11; PARAGRAPH _
AR 640-98; AND PARAGRAPH
AR 381-130, AS APPLICABLE.
INCLS
TYPED NAME AND TITLE
SECTION V - ACTION AGENCY TO CONTROL OFFICE
22. REPORT OF ACTION
23.
TO
FAVORABLE DETERMINATION, USACRF
COPY DA FORM 873 ATTACHED
SUBJECT WAS TRANSFERRED
24. REMARKS
SIGNATURE
DATE
UNFAVORABLE DETERMINATION,
RECOMMENDED ACTION IN ITEM 24
HEADQUARTERS
PER
REQUEST ADDITIONAL INVESTI-
GATION AS INDICATED IN ITEM 24
DATED
! REGRADE
ON 2 Sepay
BY CDR T
ODIFIED
F01/PO
AUTH Para 1-603 DVD 5200.1R
INCLS
TYBED NAME AND TITLE.
SIGNATURE
142
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