Released under the John F. Kennedy
Assassination Records Collection Act of
1992 (44 USC 2107 Note). Case#:NW
88613 Date: 03-18-2025
JFK ASSASSINATION SYSTEM
IDENTIFICATION FORM
AGENCY INFORMATION
Date : 01/14/98
Page : 1
AGENCY : INSCOM/CSF
RECORD NUMBER :
RECORDS SERIES :
194-10003-10338
INTELLIGENCE/COUNTERINTELLIGENCE SOURCES
AGENCY FILE NUMBER : PAGES 8-9
DOCUMENT INFORMATION
ORIGINATOR :
USA
FROM
ΤΟ
:
59TH ORD GP
:
TITLE :
USA ADVANCED WEAPONS SUPPORT COMD
[ RESTRICTED ]
DATE : 09/16/71
PAGES :
2
SUBJECTS: KACZMARCYYK, GEORGE
DOCUMENT TYPE :
CLASSIFICATION
:
RESTRICTIONS :
CURRENT STATUS :
PAPER, TEXTUAL DOCUMENT
UNCLASSIFIED
3
RELEASED WITH DELETIONS
DATE OF LAST REVIEW : 03/09/95
OPENING CRITERIA :
COMMENTS :
NW 88613 Docid:34529121 Page 1
".
NACC Use Only.
266-1407
5. MONTH, DAY, YEAR OF BIRTH
Aug 06, 47
RETURN
RESULTS
TO:
(Include ZIP
Code)
9.
FATHER
Γ.
TAO
172
STABLE HERE
DEPARTMENT OF DEFENSE
NATIONAL AGENCY CHECK RECREST,
1. LAST NAME - FIRST NAME MIDDLE NAME
KACZMARCZYK, Edward NMN
3. ALIAS(ES) AND ALL FORMER NAME(S)
NONE
6. PLACE OF BIRTH
Bomblitz, West Germany
Commanding Officer
GE
US Army Advanced Weapons Support Command
ATTN: Intelligence Branch
RELATIVES
ONY 0109
KACZMARCZYK, Josef
A
b. MOTHER (Full Maiden Name)
INAMOWA, Dorota
C SPOUSE (Full Maider. Name)
EASON, Patricia Ann
10.
@
DATE AND PLACE OF BIRTH
12 Nov 12
Frampol, Poland
19 Mar 06
Alexandrowsk, Ukraine
30 Apr 48
Newport News, Va.
59
REQUEST DATE
1 Sep 71
K256
4 SOCIAL SECURITY NUMBER
143 40 1685
7. SERVICE NUMBER
PA 1272 46921
8.4 SECURITY PROGRAM
☐☐ MILITARY IM
b.
*
CIVILIAN
INDUSTRIAL.
ACCT# 6124
B00 Stone St
Dothan, Ala.
LOCAL FILES CHECKED
WITH FAVORABLE RESULTS
C. INITIATOR OF REQUEST.
Commanding Officer
HHC, 59th Ord Gp
11.
PRESENT ADDRESS
300 Stone St
Dothan, Ala,
5309 Riverdale Rd #715
Riverdale, Md
12
CITIZENSHIP
Bolish
Polish
US
13. RESIDENCES (List all from 18th birthday or during past 15 years, whichever is shorter. If under 18, list present and most recent addresses.)
a. FROM
1b. TO
C. NUMBER AND STREET
Dec 64.
Jun 65
OFR
Jul 65
Feb 67
OPH
Mar 67
Jan 68.
OFR
Jan 68
Mar 69
UPR
Apr 69
Mar 70
OFR
Aug 70
Aug. 71
4313 I Rose Terrace
d. CITY
Ft Dix
e. STATE
NJ
Evreux-FauvilleAFE France
Patrick AFB
Ft Sill.
Fla.
Okla
Hue
RVN
Ft Knox
Ky
14. EMPLOYMENT (List all from 18th birthday or during past 15 years, whichever is shorter. If under 18, list present and most recent employment)
d. PLACE
a. FROM
Mar 70.
Jun 70
b. TO
Jun 70
Aug 70
c. EMPLOYER
Unemployed
Briggs Co
Landover, Md
CZIP NOT REQUIRED
No Record
DO NOT FORWARD TO FIEL!
Central Office
-
INS
Route to CORAIB
EXT
Room 240
"A7-904-417
Alien Reci#
Citizenship
དv ༄-༧ཟུགཔ
A C.92.71178,
R Has the subject ever been addicted to drugs?
18. REMARKS (If additional space is needed, continue on plain paper.)
ITEM #13. Sep 71 - present, OFF, Pirmasens,
TUE #82. & 80..
File at
10/29/169
8
Josef Raczmarczyk, DPOD: 2 Nov
Dorote Iwanows Rechar
NYC,
DD
FORM
1 DEC 66 1584.
ermany
Central Office
HHW
86269
DISCO
100
I&NS
چر
окок
Alien reg. A7904415
Alien reg A-904416
REPLACES DA FORM 3027, 1 AUG 65, WHICH IS OBSOLETE
continued
GPO: 1967 0 279-094
NW 88613 Docid:34529121 Page 2
1584 continued.
KACZ ARCENT, Bord MI, Drop: Aug 06, 47, somblitz,”
West Germany, SSAN: 1 40 1685
dez #15. Subject was naturalized on 24 Oct 69 in US District Court, Honolulu,
Hawaii. Naturalization No: 9271176
ID 150.
Uncle,
Aunt,
Aunt,
Stenley Kaczmarczyk, age 65,
Ann Artebolowsle
67, Charkow,
Poland
163
Hohenie briowa „ age unk, Charlow, UTSE
Stepbrother,Hadimir Ivenow
, ego unk, Charkov,
15c.
Subject immigrated to United States with parents on 25 Nov 50. From 19 Dec 55
until 2 Nov 60 traveled through USSR and Poland visiting family. Detained
in WPS for 9 months before it was permitted. Subject left Poland with family
on 16 Apr 57 to return to- United States. Family (including subject) was held
over in Hamburg, West Germany, awaiting sponsorship to return to nited States.
While in Germany, subject visited Luton, Bedfordshire, England, from 17 Dec 58
until 12 Mar 59.
Subject re-entered the United States on
legal residence.
Nov 60, NYC, MI, for purpose
Subject also visited Canada from 6 Aug 65 12 Aug 63.
PER 15e.
Active duty, US Army, 25, Dec 64
Far 70, Aug 70 to present..
No Record
Alien Reg.
Citizenship
NW 88613 Docid:34529121 Page 3
DO NOT FORWARD TO FIEL!
Central Office INS
Route to CORAIB Room 240
-
Central Office
33
J&NS
File at
Issued at