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
AGENCY : INSCOM/CSF
RECORD NUMBER :
RECORDS SERIES :
194-10003-10335
INTELLIGENCE/COUNTERINTELLIGENCE SOURCES
AGENCY FILE NUMBER :
PAGE 3
DOCUMENT INFORMATION
ORIGINATOR :
USA
FROM
ΤΟ
TITLE
: 59TH ORD GP
: USA ADVANCED WEAPONS SUPPORT COMD
( RESTRICTED ]
:
DATE : 11/17/71
PAGES :
1
SUBJECTS : KACZMARCYYK, GEORGE-
RESULTS OF NATIONAL AGENCY CHECK
DOCUMENT TYPE : PAPER, TEXTUAL DOCUMENT
CLASSIFICATION : UNCLASSIFIED
RESTRICTIONS :
CURRENT STATUS :
3
RELEASED WITH DELETIONS
DATE OF LAST REVIEW : 03/09/95
OPENING CRITERIA :
COMMENTS : CONTINUATION SHEET INDEXED SEPARATELY.
NW 88613 Docid:34529118 Page 1
Date : 01/14/98
Page:
1
NACC Use Only
266-1407
5. MONTH, DAY, YEAR OF BIRTH
Aug 06, 47
RETURN
RESULTS
TO:
(Include ZIP
Code)
A
STAPLE HERE
DEPARTMENT OF DEFENSE
NATIONAL AGENCY CHECK REQUEST
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
Commending Officer
OUT
GE
US Army Advanced Weapons Support Command
ATTN: Intelligence Branch
PONY COR
A
9.
RELATIVES
FATHER
1
G
ACCT# 6124
DATE AND PLACE OF BIRTH
12 Nov.
11
360 STOPRESENT
10.
R 10/1
E5
5984
REQUEST DATE
16 Sep 71
2. SEX
☑Male"
4 SOCIAL SECURITY NUMBER
143 40 1685
7. SERVICE NUMBER
1272 4692
&& SECURITY PROGRAM.
☑✓ MILITARY EM
b.
☑1
CIVILIAN
☐ INDUSTRIAL
LOCAL FILES CHECKED
WITH FAVORABLE RESULTS
C. INITIATOR OF REQUEST
Commanding Officer
HHC, 59th Ord Gp
PRESENT ADDRESS
12. CITIZENSHIP
RESULTS OF NATIONAL AGENCY CHECK
This request for a NAC was completed by USAINTC on, NOV 17 1971
with results checked below:
FAVORABLE
FAVORABLE DETERMINATION
SEE ATTACHED SUMMARY
SEE ATTACHED COPY OF DOSSIER
NO DA FORM 873 IN DOSSIER.
DA FORM 873 IN DOSSIER FOR
GEORGE TOBIAS
MAJ,
MI
CHIEF, USAREUR LN T
Nov 60
YES NO 16
Jun 64
Wilson Jr HS #12
("Yes" answers must be explained in Item 18, below.)
Is the subject an alien or naturalized citizen?
b. Has the subject any foreign connections, employment or military service?
✗
i a
X
✗
C
☑a
✗
T
Has the subject travelled or resided abroad other than for the U.S. Government?.
Has the subject had employment requiring a security clearance or investigation?
e. Is the subject now or has he ever been in the Federal Civil Service or Armed Forces?
Has the subject qualified DD Form 398, 98, 48-1, or similar security form?
Has the subject ever been addicted to drugs?
REQUEST DATA
b.
BEQUESTER DESIGNATOR
NAVYA
DASA
DCA
ávestig
mitte
ere
ification
ords request
tion Divis
ocate
Vased o
your inquiry: Not
ince. To check
entifiable
Carance
De submitted to
che
erprints
CAA
REASON
BASIC TRAINEE
FRE-COMMISSION
NUCLEAR
BI.
✗ SECRET
☑ CLEARANCE
&
-
18. REMARKS (If additional space is needed, continue on plain paper.)
ITEM #13. Sep 71
✓
present, OPR, Pirmasens,
ermany
0
3
ITEM #8a. & 8b.
Josef Kaczmarczyk, DPOE: 2 Nov 60, NYC, NY, Alien reg. #A7904415
Dorota Iwanowa Kaczmarczyk, DPOE: 2 Nov 60, NYC, NY, Alien reg # A7904416
1 DEC se 1584
DD FORM
NW 88613 Docid:34529118 Page 2
continued
REPLACES DA FORM 3027, 1 AUG 65, WHICH IS OBSOLETE
✰ GPO: 1967 0 279-094