Assassination Records Review Board
Final Determination Notification
AGENCY : HSCA
RECORD NUMBER : 180-10060-10444
RECORD SERIES : STAFF PAYROLL RECORDS
AGENCY FILE NUMBER :
December 8, 1995
Status of Document:
Postponed in Part
Number of releases of previously postponed information: 5
Reason for Board Action: The Review Board's decision was premised on several factors
including: (a) the significant historical interest in the document in question; (b) the
absence of evidence that the release of the information would cause harm to the United
States or to any individual.
Number of Postponements: 2
Postponements: All the postponements in this document represent Social Security numbers.
Reason for Board Action: The text is redacted because the public disclosure of the redaction could
reasonably be expected to constitute an unwarranted invasion of personal privacy, and that invasion of
privacy would be so substantial that it outweighs the public interest.
Substitute Language: SSN
Date of Next Review: 2017
Board Review Completed: 10/24/95
NW 88326 Docid:32239452 Page 1
Released under the John F. Kennedy Assassination Records Collection Act of 1992 (44 USC 2107 Note].
Case#:NW 88326 Date: 2025
AGENCY:
RECORD NUMBER
:
RECORDS SERIES :
STAFF PAYROLL RECORDS
AGENCY FILE NUMBER :
JFK ASSASSINATION SYSTEM
IDENTIFICATION FORM
AGENCY INFORMATION
Date: 08/20/93
Page: 1
HSCA
180-10060-10444
ORIGINATOR: HSCA
FROM:
TO :
TITLE :
DOCUMENT INFORMATION
DATE: 09/19/77
PAGES: 5
SUBJECTS :
HSCA, ADMINISTRATION
HORNBECK, JOHN
DOCUMENT TYPE :
PRINTED FORM
CLASSIFICATION: U
RESTRICTIONS : 3
CURRENT STATUS: P
DATE OF LAST REVIEW : 06/04/93
OPENING CRITERIA :
Box 2.
COMMENTS :
[R]
ITEM IS RESTRICTED
NW 88326 Docld:32239452 Page 2
NW 88326 Docld:32239452 Page 3
HORNBECK, John
Name of Employee
Position Number
2
146666588
Address
Address
Phone Number
Position Title
Love!
Step
C
OFFICE OF THE CLERK
U.S. HOUSE OF REPRESENTATIVES
PERSONAL LEAVE RECORD
1978
YEAR
ANNUAL LEAVE
CATEGORY
BALANCE BROUGHT
FORWARD FROM
PRECEDING YLAR
Annual
Lea.c
Sick
Leave
13
DATE OF APPOINTMENT
9-19-77
1.0
1.5
PRIOR FEDERAL SERVICE
2.0
Years
Months
DAY OF MONTHL
s
9
10.
11 12 13 14 15 16 17 18 19 20 21
22 23
25
25 26 27 28
29
ACCRUED
THIS MONTH
Annual Sick
30 31 Leave Leave
I
XXX
☑☑
7/11/78
1
11
or
A or
☑ ☑
=05 day annual leave
= 1.0 day annual leave
= 0.5 day sick leave
= 1.0 day sick leave
= 0.5 day administrative leave
= 1.0 day administrative leave
☐ or ☑
= 0.5 day unauthorized absence
=1.0 day unauthorized absence
= 0.5 day leave without pay
= 1.0 day leave without pay
717
AVAILABLE
THIS MONTH
CERTIFIED CORRECT:
Employco's Signature
Dutc
(if employee refuses to sign, state reason below.)
Approved:
Chief's Signature
Clerk of the House
BALANCE
AT CLOSE
OF MONTH
59
0
EMPLOYEE
INITIALS
Date
Dato
This record will be forwarded to the Clerk of the House at the end of each calendar year, or in case of termination, along
with the request for termination. Upon approval, the record will be filed in the employee's official personnel folder.
EXHIBIT
PAYROLL AUTHORIZATION FORM
(Please Use Typewriter U.S. HOUSE OF REPRESENTATIVES
or Ballpoint Pen)
Washington, D.C. 20515
To the Clerk of the House of Representatives:
I hereby authorize the following payroll action:
Employee Name (First-Middle-Last)
John W. Hornbeck
(Any erasures, corrections, or changes ·
on this form must be initialed by the
authorizing official.)
Effective Date
7/11/78
Type of Action
☐ Salary Adjustment
Employee Social Security Number
194-30-5931
☐ Appointment
Employing Office or Committee/Subcommittee
Assassinations
☐ Title Change
☐ Termination (At close of business on effective date)
☐ Leave without pay (Beginning with effective date above and ending
close of business__
Specify Date
(If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)
Position Title
Gross Annual Salary*
* If employee is a civil service, annuitant (includes U.S. House of Representatives), the gross annual salary shown should include the annuity received by the employee
plus the salary received from the employing office.
(If Committee Employee, complete appropriate item below.)
1. ☐ Standing Committee: Staff -☐ Clerical or ☐ Professional.
2.
Special (Investigative staff of Standing Committee) or Select Committee: Authority-H. Res. _
3. ☐ Joint Committee.
956
.95th
of'
Congress.
(If Employee of an Officer of the House, complete item below.)
Position Number ___
If applicable, Level_
Step ___
I certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of
relatives.
July 7
Date_
78
19__
(if appropriate, signature of Subcommittee Chairman.or Ranking Minority Member)
(Signature of Authorizing Official)
LOUIS STOKES, CHAIRMAN
(Type or print name of Authorizing Official)
(Type or print name and title of above official)
(Title If Member, District and State)
All appointments and salary adjustments for employees under the House. Classification Act and for Committee em-
ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must.
be approved by the Committee on House Administration.
Office of Finance use only:
Office Code
Monthly Annuity $__
.00
as of
APPROVED:..
Chairman, Committee on House Administration
Copy for Initiating Office or Committee
NW 88326 Docld:32239452 Page 4
ID
Benefits
Payroll
(Revised: August 1; 1977)
PAYROLL AUTHORIZATION FORM
(Please Use Typewriter
or Ballpoint Pen)
U.S. HOUSE OF REPRESENTATIVES
Washington, DC 20515 *
To the Clerk of the House of Representatives:
I hereby authorize the following payroll action.
(Any erasures, corrections, or changes
on this form must be initialed by the
authorizing official )
Employee Name (First-Middle-Last)
John W. Hornbeck
Employee Social Security Number
194 30 5931
Employing Office or Committee
Appointment
☐ Salary Adjustment
Effective Date
9/19/77
Type of Action
Assassinations
Termination (At close of business on effective date)
(If type of action is an Appointment or Salary Adjustment, complete the following information)
Position Title
Staff Counsel
(If Committee Employee, complete appropriate item below)
1. ☐ Standing Committee: Staff -☐ Clerical or ☐ Professional
2 Special or Select Committee. Authority-H Res. 465
3 ☐ Joint Committee.
(If Employee of an Officer of the House, complete item below)
Position Number_
If applicable, Level_
of 95th
_Congress.
Step___
Gross Annual Salary
$34,000
I certify that this authorization is not in violation of 5 U.SC 3110(b), prohibiting the employment of
relatives.
Date__
September 19, 1977
(Signature of Authorizing Official)
Louis Stokes
(Type or print name of Authorizing Official)
Chairman
(Title If Member, District and State)
All appointments and salary adjustments for employees under the House Classification Act and for Committee em-
ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must
be approved by the Committee on House Administration
Office of Finance use only:
Office Code
Monthly Annuity $.
.00
NW 88326 Docld:32239452 Page 5
APPROVED..
Chairman, Committee on House Administration
Copy for Initiating Office or Committee
19/23
Fo
/
via Harlech
MEMORANDUM
TO:
ALL STAFF
RE:
Payroll Certification
The Regulations and Accounting Procedures for Allowances and
Expenses of Committees, Members and Employees of the U.S. House of
Representatives require that, among other things, the Committee's
monthly payroll certification include the relationship, if any, of
each employee to any current Member of Congress. This certification
is signed monthly by our Chairman.
The following are the relationships to be included in the
certification:
father
nephew
niece
brother-in-law
sister-in-law
mother
son
daughter
brother
sister
uncle
aunt
first cousin
husband
stepfather
wife
stepmother
father-in-law
stepbrother
mother-in-law
stepsister
half-brother
half-sister
son-in-law
daughter-in-law
Please complete the appropriate portion below, sign and date
this form, which will then become a part of your permanent personnel
file. If this status changes, you must notify the Committee's Budget
Office immediately of the change.
☑I am not related to any current (95th Congress) Member of Congress.
☐ I am related to a current (95th Congress) Member of Congress.
(Please specify.)
J
9-20-77
Signature of Employee
Date
NW 88326 Docld:32239452 Page 6
MEMORANDUM
TO:
FROM:
DATE:
RE:
Thomas Howarth
Budget Officer
Charlie Mathews
Special Counsel
лет
September 19, 1977
W.
John Hornbeck
194.30.5931
This is to advise you that John Hornbeck has ac-
cepted a position on the John F. Kennedy Task Force,
effective September 19, 1977, at an annual salary of
$34,000.
Please extend every possible assistance to Mr.
Hornbeck.
NW 88326 Docid:32239452 Page 7
Staff Counsel,
JFK