104-10194-10026
2025 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF 1992
14-00000
MATERIAL REVIEWED AT CIA HEADQUARTERS BY
HOUSE SELECT CATTLE ON ASSASSINATIONS, STAFF
FILE TITLE/NUMBER/VOLUME:
SECRET
BERS
Phillips, DAVID ATLEE
INCLUSIVE DATES: 28 MAY 1952 - 13 MAY 1975
CUSTODIAL UNIT/LOCATION: CP.
ROOM: 5E13
DELETIONS, IF ANY:
DATE
RECEIVED
TATE
RETURNED
REVIEWED BY
(PRINT NAME)
SIGNATURE OF
REVIEWING OFFICIAL
2/10/78/2/10/78 DAN Hardway Down Hardway
1741-77 8/17/78
Hardway
DAN HSCOWAY No Hadway
NO DOJMENTS MAY BE COPIED OR REMOVED FROM THIS FILE
SECRET
PHILLIPS, DAVID A.TERMINA 45
14-00000
CENTRAL INTELLIGENCE AGENCY
WASHINGTON, D.C. 20505
2 February 1976
Mr. David A. Phillips
8224 Stone Trail Drive
Bethesda, Maryland 20034
Dear Dave:
From time to time we receive letters and telephonic
inquiries concerning the Association of Retired Intelligence
Officers. In view of the restrictions of the Privacy Act,
we hesitate to release your name and address without your
prior knowledge and consent.
If you have no problem with our providing your name
and address in response to such inquiries, please indicate
to that effect by signing below and returning this letter
to us for official filing. In the future, we would then
be free to release this information concerning the Association
of Retired Intelligence Officers without consulting you in
each and every instance.
Thank you for your assistance in this matter, and
best wishes.
Sincerely,
Ben
B. Defelice
Acting Director of Personnel
I hereby authorize the Director of Personnel to release my name
and address to individuals seeking contact with or information
concerning the Association of Retired Intelligence Officers:
David Atlee Phillips
4 Feuary 1971
Date
AND THANKS!
JAR
RE
EVOLUTION
AVES CAR
0:0
BICENTENNIA
14-00000
Mr. David A. Phillips
8224 Stone Trail Drive
Bethesda, Maryland
20034
NOTUIN
1 PM
4.FEB
1916,
GIVE
PROCLAIM LIBER
*130*
TO THE
MARCH OF DA
Director of Personnel
P. O. Box 1925
Washington, D. C.
20013
14-00000
MEMORANDUM FOR: :
Addresses for former Agency employees organizations:
Association of Retired Intelligence officers
Mr. Davit A. Phillips
8224 Stone Trail Drive
Bethesda, Marylani, 20034
Central Intelligence Retirees-Association (CIRA)
Box 1150
Fort Myer, Virginia, 22211
10
EDITIONS
Date
14-00000
WE
':5
JUL 1975
1 Mr. David A. Phillips
8224 Stone Trail Drive
Bethesda, Maryland 20034
Dear Dave:
I am happy to send to you, under separate cover,
your Agency Retirement Medallion. The Medallion is a
tangible form of recognition and appreciation of your
service to the Agency. It should serve as a lasting
reminder of an honorable career, rewarding associations
and the knowledge that you played your part in a vital
activity.
Let me,
therefore, add my congratulations and wish
you the very best for the future.
:
Sincerely,
P. W. M. Janney
Director of Personnel
Distribution:
Orig
✓ OPF
-
Addressee
OP/RAD/ROB/MWBenthall:cl
(1 July 75)
14-00000
}
10 June 1975
Mr. David A. Phillips
8224 Stone Trail Drive
Bethesda, Maryland 20034
Dear Dave:
The ordinary retirement letter is in no way
appropriate for you. In the first place, your
retirement is no stepping out of the active world
into a world of pleasure. Instead, you are launch-
ing off on even a tougher challenge because of your
sense of dedication. Your retirement also will not
be the termination of your interest in intelligence
and in this Agency. Instead, you are going to be
doing what you can to help it survive the current
set of attacks upon it. But most of all, your
retirement is the departure of one of our most
exceptional officers, to whom I had the great
pleasure to give the Distinguished Intelligence Medal
and whose work I have admired these many years.
only thing ordinary about your retirement is the
sincere and special personal and official good wishes
we in the Agency send to you and your family for
success and satisfaction in the years ahead. This
we send to all our retirees, and we send it to you
with special spirit.
Sincerely,
The
WEC: 1p (10 June 75)
Distribution:
Orig - Addressee
1 - DCI
1 - Dir/Personnel
1
- ER
f..
W. E. Colby
Director
75.2172
14-00000
1 SERIAL NUM
SECRET
REQUEST FOR PERSONNEL ACTION
led las
DATE PREPARED
28 March 1975
024345
Phillips, David A.
3 NATURE OF PERSIANE ACTON
Cancellation of N.S.C.A and
EFFECTIVE DATE REQUESTED
TEAR
MONTH 008
Retirement (Voluntary) under CIARDS 05
16 PUNDS
σ TO Y
• ORGANIZATIONAL DESTINATIONS
v to σ
7. PAN
09 75
AND NSCA
5135 4523 0000
10 LOCATION OF OFFICIAL STATION
S CATEGORY OF EMPLOYMENT
Regular
LEGAL AUTHORITY (Completed by Opfe of
Prove
Fucie Law 88-643,
Section 233
DDO/LA Division
Office of the Chief
111 POSITION TITLE
Chiefs LA Division
14 CLASSIFICATION SCHEDULES L.)
Wash,, D.C.
12 POSITION NUMBER
13 CAREER SERVICE DESIGNATION
CNS1
DYY
13 OCCUPATIONAL SERIES
10 GRADE AND STEP
17 SALARY OR RATE
GS
18 REMARKS
0001.10
*supergrade blurb
18 1
Co-ordinated with Faul Seidel/ROB 11 April 1975.
Kald Suck_
$ 36.000.
51
ama
DATE SIGNED
188 SIGNATURE OF CAREER SERVICE APPROVING OFFICES
DATE SIGNED
4/1/75
18A SIGNATURE OF REQUESTING OFFICIAL
H.L. Berthole, C/LA/Fers 28 Mar 75
300)
19 ACTION 20 EMPLOY 2
(00€
OFFICE CODES
23
3:00)
100)
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12 MAY 1975
1-175
3-80
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1-191
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Sficia
DATE APPROVED
14 APP: 1975
2. IMPOET CL BY:
007622
14-00000
.
SECRET
REQUEST FOR PERSONNEL ACTION
1. SERIAL NUMBER
024345
35 MAME 11-ddle)
PHILLIPS DAVID A
3 NATURE OF PERSONNES ACTION
PROMOTION
• FUNDS
V TO OF
♥ TO V
CP TO Y
CP TO CP
XX
4 EFFECTIVE DATE REQUESTED
MONTH
DAY
12.23
7 PAN AND NSCA
YEAR
73
4135-4523 0001
10. LOCATION OF OFFICIAL STATION
CATE PREPARED
27 Dec 73
3 CATEGORY OF HEROWENT
REGULAS
8 LEGAL AUTHORITY (Completed by Ofice of
Perianel)
G
• ORGANIZATIONAL DESIGNATIONS
DDO/WH DIVISION
52
OFFICE OF THE CHIEF
WASH., D.C.
12. POSITION NUMBER
0001
13 CAREER SERVICE DESIGNATION
D
(18)
16 GRADE AND STEP
11. POSITION TITLE
CHIEF WH DIVISION
14. CLASSIFICATION SCHEDULE (GN, LB, 16.)
GS
15 OCCUPATIONAL SERIES
0001.10
10. REMARKS
Approad By DC,
18A SIGNATURE OF REQUESTING OFFICIAL
DATE SIGNED
18 1
17. SALARY OR RATE
i
36,000
Super.
on 21
Осе
1773
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188 SKONATORE OF CARZER SERVICE OPPOVING OFFICE
Buy
Olmstead, C/MSB.
DATE SIGNED
27 Dec 73
19 ACTION 20 EMPLOY 21
CODE
(001
NUMERIC
26
NTE EXPIRES
29. SPECIAL
BEFERENCE
MO
DA
YR
30
1-15
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RETIREMENT DATA
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31 SEPARATION 32 CORRECTION/CANCELLATION DATA
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2223732/23/73
33. SECURITY
34. SEX
TYPE
MO
DA
TR
EOD DATA
182 NO
10/311
35 V PREFERENCE
CODE
0-MONE
1-5 M
2-10 PT
34 SERV COMP DATE
MO CA
TR
17 LONG COMP DATE
MO
DA
30
CAR BEST
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CAREER CATEGO
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CODE
CODE
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0-PAISED
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< SOCIAL SECURITY NO
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41.
COCE
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PREVIOUS CIVILIAN GOVERNMENT SERVICE
1-NO RESERVAC
2-BREAK IN SERVICE (LESS THAN 3 YEARS)
J-BEAR IN SERVICE (MORE THAN 3 YEARS)
45 POSITION CONTROL CERTIFICATION
42 LEAVE CAT
43
FEDERAL TAR DATA
"
STATE PAT DATA
PORM EXECUTED CODE
1-TES
2-80
NO TAX EXEMPTIONS
FORM EXECUTED
1-YES
2-90
CO 10 TAL STATE
ELE P. COOR
48 OP APPROVAL
1773
FORM 1152
USE PREVIOUS EDITION
1-12
SECRET
CLASSEED SV
01-0332
གློད་། ངའི:ན་ཨར་
21-2
APDIR
DATE APPROVED
27 Dec
141
14-00000
7/19j73
SECRET
Felled to r
REQUEST FOR PERSONNEL ACTION
1. SERIAL NUMBER
024345
2 NAME (ass-mt-Middle)
PHILLIPS, DAVID A.
3 NATURE OF PERSONNEL ACTION
CONVERSION FROM FSR STATUS
6. FUNDS
♥ TO V
♥TO σ
CP TO V
Ô TÔ Ở
X
ORGANIZATIONAL DESIGNATIONS
сов
EFFECTIVE DATE REQUESTED
DAY
MONTH
07
2.1
7. PAN AND NSCA
TEAR
73
4135 4523 0001
10 LOCATION OF OFFICIAL STATION
DATE PREPARED
10 July 1973
5 CATEGORY OF EMPLOYMENT
REGULAR
LEGAL AUTHORITY / Completed by Office of
Porwanel)
22
DOO/WH DIVISION
OFFICE OF THE CHIEF
11. POSITION TITLE
บ
CHIEF, WH DIVISION
14 CLASSIFICATION SCHEDULE (GN, LB, etc )
116 PEMARKS
GS
WASH., D.C.
32 POSITION NUMBER
0001
13 CAREER SERVICE DESIGNATION
D
17 SALARY OR RATE
:8)
15 OCCUPATIONAL SERIES
16 GRADE AND STEP
0001.10
17.4
CUASh., D.C
36,000
1
1
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Security
Finance
18A. SINATURE OF REQUESTING OFFICIAL
1
DATE SIGNED
E2 IMPDET
CL BY 007034
188 SIGNATURE OF CAREER SERVICE APPROVING OFFICER
HENRY L BERTHOLD, C/WH/PERS 10 Jul 73
19. ACTION 120 EMPLOY. 21
(00
CODE
56 16
К
SPACE BELOW FOR EXCLUSIVE USE OF THE OFFICE OF PERSONNEL
OFFICE CODING
22. STATION
CODE
NUMERIC
ALPHABETIC
51050 | WN
30
28
NTE EXPIRES
29 SPECIAL
REFERENCE
MO
DA
YR
75013
23 INTEGREE 24 ADOTES | 25 DATE OF BIRTH
(001
RETIREMENT DATA
CODE
31 SEPARATION
BATA COLE
(001
DATE SIGNED
2/11/13
24
MO
DA
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мо
DATE OF GRADE
DA
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21.
MO
DATE OF LEI
DA
TR
10322
MO
12 CORRECTION/CANCELLATION DATA
TYPE
33 SECURITY
14 SEX
CA
12
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35 VE? PREFERENCE
36 SERV COMP DATE
CODE
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1-5 PT
2-10 P
MO
41.
DA
YR
1
MO
37 LONG COMP DATE
CA
YR
38 CAREER CATEGORY
CAB REST
CODE
39
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FEGLY HEALTH SAF
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40. SOCIAL SECURITY NO
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PROV/TEMP
– INELIGIBLE
42 LEAVE CAT
43
CODE
FEDERAL TAX DATA
FORM EXECUTED CODE
1-YES
2-00
"
STATE TAX DATA
NO TAX EXEMPTIONS
FORM EXECUTED
1-PES
2-00
CODE NO TAX STATE
EXEMP CODE
100)
PREVIOUS CIVILIAN GOVERNMENT SERVICE
0-NO PREVIOUS SERVICE
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2-BREAK IN SERVICE (LESS THAN 3 FEARS)
IN SERVICE (MORE THAN 3 YEARS)
45 POSITION CONTROL CERTIFICATION
48 °
APPROVAL
LT
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H
15 JUL 1973
FORM
0-72 1152
USE PREVIOUS EDITION
SECRET
CLASSMED BT
01-0322
16-2
155x2
DATE APPROVED
16
141
14-00000
627123
the
1. SERIAL NUMBER
SECRET
(hew filled to)
REQUEST FOR PERSONNEL ACTION
2 NAME (last-tort-Moddiz)
024345
PHILLIPS, DAVID A.
3 NATURE OF PERSONNEL ACTION
REASSIGNMENT AND DELEGATION OF
NASTOJA
♥ TO V
✓ TO CP
CP TO V
Χ
σ to σ
° PUND'S
G
32
P.ORGANIZATIONAL DESIGNATIONS
CDO/WH DIVISION
OFFICE OF THE CHIEF
11. POSITION TITLE
1st Secretary In Rel Off
Chief, WH Division
14 CLASSIFICATION SCHEDULE (GS. LB, etc.)
DATE PREPARED
15 June 1973
EFFECTIVE DATE REQUESTED
MONTH
DAY
TEAR
06 15 73
7. PINANCIAL ANALYSIS NO
CHARGEABLE
$135 0620 0001
10 LOCATION OF OFFICIAL STATION
3 CATEGORY OF EMPLOYMENT
REGULAR
18 LEGAL AUTHORITY (Completed by Office of
Perioscl
WASH., D.C.
12. POSITION NUMBER
0001
15 OCCUPATIONAL SERIES
16 GRADE AND STES
13 CAREER SERVICE DESIGNATION
D
17. SALARY OR RATE
33857
33,051 Pis
$36,000
15
FSR
GS
10 REMARKS
FROM:
0001.10
02 3
17 4
DDO/WH/FOR FOLD/BR 3/CARACAS, VENEZUELA/0093
VICE THEODORE G. SHACKLEY
Supergrade Blu-
77003
Security
Finance
Caracas, Veney wild
DATE SIGNED
188 SIGNATURE OF CAREER SERVICE APPROVING OFFICER
DATE SIGNED
18A, SIGNATURE CY, REQUESTING OFFICIAL
H.L. BERTHOLD, C/WH/PERS 15 Jun 73
20 Jane 73
10 ACTION 20 EMPLOY 21
OFFICE CODING
300)
300)
6
5
20
NITE EXPIRES
MO.
OA.
XXXXXX
35 VET PREFERENCE
CODE
NUMERIC
10 51050/WN
ALPHABETIC
SPACE BELOW FOR EXCLUSIVE USE OF THE OFFICE OF PERSONNEL
22 STATION
INTEGREE 24 NDOTS 25 DATE OF BIRTH
CODE
CODE
DA.
MO
24 GATE OF GRADE
MO. DA.
27
TR.
DATE OF LEI
0.A.
19.
75013
31122
29 SPECIAL
REFERENCE
30
RETIREMENT DATA
11-05
31 SEPARATION
DATA (DOE
CODE
2-ORG
32 CORRECTION/CANCELLATION DATA
TYP2
MO
33. SECURITY
34 SEX
210. NO
DA.
78
EOD DATA
-FICA
IS-MONE
D-NOVE
[1-) n
12-10 PT
34 SERV COMP DATE
MO
DA
TR
MO
PREVIOUS CIVILIAN GOVERNMENT SERVICE
CODE
-80 PREVIOUS SERVICE
1-30 BREAR SERVICE
2-SLAS SERVICE (LESS THAN 3 YEARS)
3- GREAR IN SERVICE (MORE THAN 3 YEARS)
45 POSITION CONTROL CERTIFICATION
37 LOSS (CMP DATE [1
LAB RES
PROV, TEMP
04
"
CAREER CATEGORY
31
CODE
CODE
FEGLI HEALTH INSURANCE
WAIVER
40 SOCIAL SECURITY NO
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42 Leave Car
13
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FEDERAL TAX DATA
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NO TAX STATE CODE
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1-753
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1-80
CURY & 1.78
FORM 1152
5-70
48 OF APPROVAL
Harry Bitishles
USE PREVIOUS EDITION
SECRET
GROUP I
DATE APPROVED
28 June 73.
1940s TIC BES
(4)

14-00000
ASE
OUTGOING
SIGNAL CENTER USE ONLY
6.0
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0 0 0
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PAGE
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PAGED
411279
INFO: FILE DDC, "EYES ONLY!", DISEMBY: 28
PER 4'11 48 (EC)
OMF
0
CLASSIFICATION
SECRET
#633468 MANDLINGING
STAFF
CONF:
1 DIDES 0 o
0
RETURN TO
0
res
TO:
IMMEDIATE CARACAS
RYBAT PLVUCADET
CHOADEN FROM PARDEE
REF:
CARACAS 2L988 |IN 9217701
b. I AM PLEASED TO INFORM YOU THAT YOU HAVE BEEN SELECTED AS
CHIEF, WH DIVISION. YOUR APPOINTMENT WILL BE EFFECTIVE AT SUCH
TIME AS YOU (AND YOUR FAMILY) CAN CONVENIENTLY RETURN TO THE
WASHINGTON AREA. DEPARTMENT OF STATE ORDERS FOR YOUR MOVE WILL BE
121
REQUESTED ON A PRIORITY BASIS ON EL MAY. WOULD APPRECIATE YOUR
TENTATIVE SCHEDULE AS SOON AS PRACTICABLE..
2. YOUR SELECTION WILL BE ANNOUNCED EARLY THIS NEXT WEEK.
THEREFORE, YOU SHOULD FEEL FREE TO INDICATE TO UHOMEVER YOU FEEL
NECESSARY LOCALLY THE REASON FOR YOUR RETURN AND WHAT YOUR NEXT
ASSIGNMENT UILL BE.
3. I WANT TO EXTEND MÝ PERSONAL CONGRATULATIONS ON YOUR
SELECTION.
I AM SURE YOU WILL HANDLE THIS VERY IMPORTANT ASSIGNMENT
WITH THE SAME KIND OF EXCELLENCE, DEDICATION AND LEADERSHIP THAT
HAVE CHARACTERIZED YOUR PAST ASSIGNMENTS. H
DATE: 19 MAY 1973
ORIG:
JAMES W. FLANNERY
AC/UHD
EXT: 3364
UNIT:
CONCUR:
Hay B
Director of Personne!
5/23/73
Date
AUTHENTICATING OFFICER
NG OFFICE
COORDINATING OFFICE
Classwication
REPRODUCTION BY OTHER THAN THE ISSUING OFFICE IS PRONICITED
E 2
IMPORT
945
14-00000
SECRET
(When ad bel
REQUEST FOR PERSONNEL ACTION
|| SERIAL NUMBER · 12 NAME (Last—First~Middle )
024345
PHILLIPS
3 NATURE OF PERSONNEL ACTION
REASSIGNMENT
6. FUNDS
DAVID
A
{ DATE PREPARED
9 August 1972
& EFFECTIVE DATE REQUESTED
MONTH
DAF
YEAR
08 14 72
ντον
✓ 10 σ
7. RMANCAL ANALYSIS NO.
CHARGEABLE
CP TO V
σ TO σ
3135
8 1138
10. LOCATION OF OFFICIAL STATION
S. CATEGORY OF EMPLOYMENT
REGULAR
& LEGAL AUTHORITY (Completed by Officer of
Prod
9. ORGANIZATIONAL DESIGNATIONS
DDP/WH DIVISION -
FOREIGN FIELD
BRANCH 3-CARACAS, VENEZUELA STATION
11 POSITION TITLE"
1ST SECRETARY INT REL OFF
CHIEF OF STATION
14 CLASSIFICATION SCHEDULE (GS, LP, etc.)
FSR
ES
CARACAS, VENEZUELA
13 CAREER SERVICE DESIGNATION
12. POSITION NUMBER
0093
D
15. OCCUPATIONAL SERIES
ta GRACE AND STEP
03
7
17 SALARY OR RATE
28022
0136.05
17
3
18. REMARKS
米
Vice Thomas J. Flores
Approved 259a, attached.
* Brasilia, Bray NOTICE
Brasilia
SENSITIVE
$ 36000 -
gal rank
in secadome with Are 20-172(1)(0)
CLASSIFIED BY 51-5062
EXEMPT FROM OFNIRAL CL
SCHEDULE OF T. O
§ SC(
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ED.R.
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5
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7 dat or event)
1-Payroll
18A. SIGNATURE OF REQUESTING OFFICIAL
142
Hil! Berthala C/WH/Pers
19 ACTION 20 EMPLOY 21
CODE
DATE SIGNED
185.SIGNAT OF OF CAREER SERVICE APPROVING OFFICER
DATE SIGNED
8/9/72
SPACE BELOW FOR EXCLUSIVE USE OF THE OFFICE OF PERSONNEL
OFFICE CODING
22 STATION
(00
HEMIC
ALPHABETIC
37 10 51745
71
NTE EXPIRES
мо
.D.A.
29 SPECIAL
REFERENCE
WH 77005
23. INTEGREE
CODE
245
1708
15/8/2/2
DATE OF BIRTH
DA
MO
CATE OF GRADE
DA.
27.
DATE OF LE
TR.
MO.
CA.
31 SEPARATION CORRECTION CANCELLATION DATA
12
35 VET PREFERENCE
сом
34 SERY. COMP DATE
D-MORE
1-57
MO.
2-10 P
DA
30
RETIREMENT DATA
HECK
CODE
- DATA CODE
TYPE
MO
DA.
2-086
33 SECURITY
34 SEX
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137 LONG COMP DATE
DA.
TB.
CAR-REST
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36 CAREER CATEGOR
case
CODE
FEGLI HEALTH
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SYS OPT
40 SOCIAL SECURITY NO
HEALTH INS. CODE
12 LEAVE CAT
CODE
11
FEDERAL BATA
4
STATE TAX DATA
FORM EXECURED cose
NO. X 2TIONS
1-TES
RECUTED
1-473
3-30
CODE NO TAX STATE coce
EXEMP
41
PREVIOUS CIVILIAN GOVERNMENT SERVICE
Cool
-NO PREVIOUS SERVICE
1-80 BREAK 18 SERVICE
17-BEAR SERVICE (LESS THAN 3 YEARS)
|3–ATLAR IN SERVICE (MORE THAN 3 YEARS)
13. POSITION CONTROL CERTIFICATION
FORM 1152
$70
USE PREVIOUS EDITION
40 OP APPROVAL
SECRET
Hu
DATE APPROVED
141
GROUP 1
DOWNGIASIS
C
14-00000
1. NAME (Lost, First, Middle)
SS# 460-28-3930
Phillips, David A.
4. OFFICE. DIVISION. BRANCH (or overzeas station and
SECRET
12. DATE OF BIRTH
31 Oct 22
3. PRESENT POSITION
existing cover it lateral assignment) State (Integrated)
DDP/WH/Brasilia, BrazilXX.
7. PROPOSED STATION
Caracas, Venezuela
9. TYPE OF COVER AT NEW STATION
State (Integrated)
12. COMMENTS
Vice: Thomas Flores
COS
3.
GRADE
GS-17
16. EMPLOYEE EXTENSION
7431
8. PROPOSED POSITION (Title, Number. Grade)
COS/0093/GS-16
10. ESTIMATED DATE OF
DEPARTURE
August 1972
Please schedule appointments for the week of 10 July.
11. NO. OF DEPENDENTS TO
ACCOMPANY
fbx five
Mr. Phillips will not be occupying a specific language position.
However, his tested Spanish proficiency of High reading and Intermediate
Speaking and Understanding will add to the overall language requirements
of the Station...
13. DATE OF REQUEST
14. SIGNATURE OF, REQUESTING OFFICIAL
15. ROOM NUMBER AND BUILDING 16. EXTENSION
10 May 72
can
3D 5309 Hos
7431
17. OFFICE OF MEDICAL SERVICES DISPOSITION
18. OFFICE OF SECURITY DISPOSITION
OVERSEAS CANDIDATE REVIEW PANEL DISPOSITION
FORM
1-66
259a PARVIOUS
EDITIONS
QUALIFIED FOR PROPOSED ASSIGNMENT OVERSEAS
f. Sotter
Chairman, Overseas Candidate Review Panel
REQUEST FOR PCS OVERSEAS EVALUATION
SECRET
j
CBCLP+
's
14-00000
SECRET
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REQUEST FOR PERSONNEL ACTION
11 SERIAL NUMBE 12 NAME: Last-For-Maddie)
DATE PREPARED
24 November 1971
024345
Phillips, David A
3. NATURE OF PERSONNEL ACTION.
Promotion
& FUNDS
ντον
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xx
9. ORGANIZATIONAL DESIGNATIONS
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28 71
7 FINANCIAL ANALYSIS NO.
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2135-0694-0000
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BRASILIA, BRAZIL STATION
11 POSITION TITLE
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14. CLASSIFICATION SCHEDULE (GS, LB. k.)
FSR
GS
13. REMARKS
(1)
15 OCCUPATIONAL SERIES
0136.05
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BRASILIA, BRAZIL
12 POSITION NUMBER
0186
16 GRADE AND STEP.
037
17 3
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17. SALARY OR RATE
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cc: Payroll
18A SIGNATURE OF REQUESTING OFFICIAL
DATE SIGNED
[183 SIGNATURE OF CAREER SERVICE APPECTING OFFICER
Robert W. Sheay, C/CSPS
DATE SIGNED
24 Nov 71
SPACE BELOW FOR EXCLUSIVE USE OF THE OFFICE OF PERSONNEL
19 ACTION 20 EMPLOY 21.
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46 OP APPROVAL
Hanny B. Fishes
SECRET
CRC
DATE APPROVED
1. Dec. 71
(4)
S
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10 MATISS
14-00000
SECRET
72-0311
Director of Central Intelligence
: Deputy Director for Plans
Appointment of Mr. David A. Phillips, as
Chief of Station, Caracas, Venezuela
MEMORANDUM FOR:
THROUGH
SUBJECT
:
1-78
1. The appointment of Mr. David A. Phillips, GS-17,
as Chief of Station, Caracas, Venezuela effective on or
about 15 July 1972 is recommended. Mr. Phillips would
replace Mr. Thomas J. Flores.
2. Mr. Phillips has been with the Agency since 1952,
first in a contract capacity, and since April 1955 as a
staff employee. He is currently serving as Chief of Station
in Brazil. He previously served as COS, Santo Domingo
and in Mexico City, Havana, Beirut, Guatemala, and Santiago.
Mr. Phillips has a strong command of both Spanish and
Portuguese. A biographic profile including information
regarding his Agency experience and training is attached.
1 Attachment
Alliam Dine
11iam V. Broe
Chief
Western Hemisphere Division
Biographic Profile (Parts 1 and 2)
APPROVAL RECOMMENDED:
THI
13
Date
Jan. 72.
Deputy Director for Plans
SECRET
14-00000
SECRET
SUBJECT:
Appointment of Mr. David A. Phillips, as
Chief of Station, Caracas, Venezuela
The recommendation in paragraph 1 is APPROVED:
Director of Central Intelligence
SECRET
19fen 72
:
14-00000
Eyes Cody
Mosoral Millet
14-00000
SECRET
hind las
DATE PREPARED
1
SEBAL
02-1345
REQUEST FOR PERSONNEL ACTION
12 NAME IN--Middle)
PHILLIPS, DAVID_A.
3 NATURE OF PERSONNEL ACTION
57
6 PUNDS
REASSIGNMENT
♥ TO Y
CT TO Y
C TO C
• ORGANZATA DESIGNATIONS
EFFECTIVE DATE REGESTED
DAY
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TEAR
01 11 70
7 FINANCIAL ANALYSIS NO
CHARGEABLE
0135_0694
10 LOCATION OF OFFICIAL STATION
2 January 1970
(5 CATEGORY OF EMPLOYMENT
REGULAR
10 LEGAL AUTHORITY (Completed by Offer of
Personnel)
DDP/WH
FOREIGN FIELD
BRANCH 5
RIO DE JANEIRO, BRAZIL STATION
11 POSITION TITLE
RIO DE JANEIRO,
|12 POSITION NUM
1st SECRETARY, POLITICAL OFFICER
CHIEF OF
STATION PATION (00)
14 CLASSIFICATION SCHEDUse (r), IN on /
18 REMARKS
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FROM:
13 OCCUPATIONAL SERIES
L0136.05
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10 GRACE AND STEP
03 7
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HOME BASE WH
APPROVED 259a attached
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BRAZIL
13 CAREER SERVICE DESIGNATION
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17 SALARY OR RATE
23,6
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Finance
2 - Security
HENRY L. BERTHOLD
C/WH/Pers
DATE SIGNE3
18 SIGNATURE OF CAREER SERVICE APPROVING OFFICER
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45 POSITION CONTROL CERTIFICATION
1- 1152
3-87
USE PREVIOUS EDITION
01.1-70/14
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SECRET
14;
GROUP 1
AND DOLLSati
14-00000
SECRET
1. NAME (Lost, First, Middle)
Phillips, David A.
4. OFFICE. DIVISION. BRANCH (or overseas station and
existing cover of lateral assignment)
DDP/WH/COG
7. PROPOSED STATION
-
Rio de Janeiro
.. TYPE OF COVER AT ALE STATION
2.
DATE OF
DEATH
10/31/22
S. PRESENT POSITION
: Branch Chief
3. CADE
GS-16
".. EMPLOYER EXTENSION
7451
.. PROPOSED POSITION (Title, Number. Grades
COS. # 0186, GS-00
10. ESTIMATED DATE OF
DEPARTURE
o/a
28 Dec. 169
1. NO. OF DEPENDENTS TO
ACCOMPANY
7
State
12. COMMENTS
Vice Robert D. Gahagen
State Integree
Form DS-1686 to be forwarded
13. DATE OF REQUEST
14, SIGNATURE OF REQUESTING OFFICIAL
Ruth A. Sanford
17. OFFICE OF MEDICAL SERVICES DISPOSITION
OFFICE OF SECURITY DISPOSITION
19. OVERSEAS CANDIDATE REVIEW PANEL DISPOSITION
29 DECI
QUALI
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"
259a ****ESIONE
OPTIONS
7560
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15. ROOM NUMBER AND BUILDING 18. EXTENSION
fort
3D 5309
REQUEST FOR PCS OVERSEAS EVALUATION
SECRET
6815
14-00000
☐
☐ CONFIDENTIAL
SUBJECT (
AND RECORD SHEET
Appointment of Mr. David A. Fillips no Chief of Station, Rio de Janeiro
FROM
Sherry, TMC
TO (Officer designation, nom number, and
building)
1.
Chalaman, FMC
2.
3.
ADOP
4.
5.
DDP
6.
7.
XNX DCI
8.
2.
10.
Chairman, PMC
11.
Secretary. 7ND GG10
12.
13.
14.
15.
1
EXTENSION
NO.
DATE
SECRET
DATE
OFFICER'S
INITIALS
COMMENTS (Number each comment to show from whom
to whom. Drow line across column after each comment,)
RECEIVED
FORWARDED
COS, Rio de Janeiro is a GS-17
position.
Mr. Philipps' current assignment as
Chief, Cuban Operations Group plus
previous overseas tours in WH Div.
Including a tour as Chief of Station
Canto Domingo, qualify him for the
proposed assignment as Chief of
Station, Rio de Janeiro.
He will enter Portuguese language
training this fall which should
provide adequate exposure to make
the transition from Spanish which
he speake with native fluency.
Mr. Phillips has been highly effee-
tive as a senior member of WH Div., i
both at Headquarters and in the
Field. His relations with his co-
workers and subordinates have alway
hown excellent and his liaison with
State Department representatives họ
been marked by good will and mutual
uspect.
NOTE:
Above statement prepared by
WH Division.
Mr. Gahagen has been recalled from
the Station. The DCOS Mr. Stevart
D. Burton, GS-15, will serve as
Actin: CCS until the arrival of
Mr. Gillips in January 1970.
610
3-02
SECRET
CONFIDENTIAL
INTER
USE C.._.
UNCLASSIFIED

14-00000
GRET
9-42091
8 AUG 1959
DEMORANDUM FOR: Director of Central Intelligence
THROUGH
SULJECT
: Deputy Director for Flans
: Appointment of Mr. David A. Phillips as
Chief of Station, Rio de Janeiro, Brazil
1. The appointment of Dr. David A. Phillips, GS-16,
an Chief of station, Rio de Janeiro, effective on or about
13 January 1970 is recommended Mr. Phillips would replace.
Mr. Robert D. Guhagen.
2. Mr. Phillips has been an employee of the Agency
Since 1031. Initially in a contract capacity. He has served in
Santiago, Guatemala City, Havana, Betrut, Mexico City and
most recently as Chief, Calian Operations Group. Mr. Phillips
is fluent in the Spanish language and to scheduled for two months
of full-time Portuguese training immediately prior to his depar-
ture. A biographie prolic including information regarding his
Agency experience and traluing is attached.
Attachment
Wim V. Broe
William V. Eroa
Chief
Western Hemisphere Division
Elegraphic Profile (Parts 1 and 2)
14-00000
SECRET
SUSOT: Appointment of Mr. David A. Phillips as Chief of
Station, Rio de Jancizo, Prazil
APPROVAL RECOMMENDED:
(s) Themes. since
Deputy Director for Plans
Dato
The recommendation in paragraph one is APPROVED: -
:
1 OCT 1902
Director of Central Intelligence-
Date
Distribution:
Original & - Addresses
2- DDP
1 - C/WIRD
1 - C/CIFS
1 - C/1/5
1 - C/WH/33
1 - C/Al/Personnel
RDF/W/H/PERS/PHILCDOUGALL:ajr/0815 (5 August 1009)
SECRET
14-00000
23 October 1968
MEMORANDUM FOR: Secretary, Clandestine Services
Career Service Board
SUBJECT
:
Recommendation for Promotion to
GS-16: David A. Phillips
1. Mr. David A. Phillips is strongly recommended for
promotion to GS-16 and is ranked Number 2 in WH Division's
preference for promotion in that grade.
2. Mr. Phillips stands out among his peers as a true
Clandestine Services operator. He has had a range of opera-
tional assignments enjoyed by few Clandestine Services officers.
He served in Cuba, Guatemala, Beirut, Chile, Mexico and the
Dominican Republic. His functional assignments have included
Contract Agent, Operations Officer under both unofficial and
official cover, Chief of Station, and he is currently assigned
as Chief, Cuban Operations Group. In regard to his tour as
Chief of Station, Santo Domingo, I cite the following quote
made by Dr. Hector Garcia-Godoy, Provisional President of
the Dominican Republic, concerning the turbulent events in his
country during his tenure:
1
"You know," he said, "looking back over those
months when things seemed pretty bleak, two
names come immediately to mind as able and
effective representatives of the United States.
They are Ellsworth Bunker and David Phillips."
4886-1968-
14-00000
3. Mr. Phillips has the intelligence, language capability,
personality, management and operational ability to move forward
steadily in this Agency and he is now ready for promotion to
GS-16. I urge you to act affirmatively on this promotion
recommendation.
William V. Dive
William V. Broe
Chief
Western Hemisphere Division
:
14-00000
SECRET.
27 February 1969
MEMORANDUM FOR: Chief, WH Division
SUBJECT:
Briefing at DO Base Chiefs' Conference
by Mr. David A. Phillips
I should like to express my thanks to you for having made
available Mr. David A. Phillips to brief the DO Base Chiefs'
Conference on 17 February 1969. His briefing was extremely
lucid and helpful and expressly commended by all Conference
participants. Please convey to him my personal appreciation
of his efforts.
S-E-C-R-E-T
Gorden L. Jorgensen
Chief, Do Division
奖
14-00000
6.40
:
6 December 1968
SECRET
lied for
CATE PREPARED
REQUEST FOR PERSONNEL ACTION
7 SERIAL NUMBER
2 NAME Flat mu-Middle)
024345
PHILLIPS, David A.
3 NATURE OF PERSONNEL ACTION
PROMOTION
.
CATE REQUESTED
MONThe
YEAS
FUNDS
♥ 10 V
CF 10 v
X
• ORGANIZATIONAL DESIGNATIONS
DDP/WH
WH/COG
Office of the Chief
11 POSITION TITLE
Att Pol Officer
Ops-Officer-Ch
14 CLASSIFICATION SCHEDULE (GS. 1.B. 10)
FSR
GS
18 REMARKS
12 1968
7. FINANCIAL ANALYSIS NO
CHARGEABLE
9135-0620
10 LOCATION OF OFFICIAL STATION
5 CATEGORY OF EMPLOYMENT
Regular
8 LEGAL AUTHORITY (Completed by offer of
Personnel)
Washington, D. C.
12 POSITION NUMBER
13. CAREER SERVICE DESIGNATION
1105
D
IS OCCUPATIONAL SERIES
15 GRADE AND STEP
17 SALARY OR RATE
0136.01
03
16
S
+
18 Re 335,
$25, 118
18A SIGNATURE OF REQUESTING OFFICIAL
DATE SIGNED
139 Sen OF CAREER SERVICE APPROVING OFFICER
DATE SIGNED
41 68
Secretary, CSCS Board
ACTION
(006
20. EMPLOY
21
OFFICE (Cras
100)
300)
[23: INTEGRET
1006
SPACE BELOW FOR EXCLUSIVE USE OF THE OFFICE OF PERSONNEL
27. STATION
24 Mets 25 DATE OF BIRT
26 DATE OF GRADE
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DATE OF LEI
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- THAN 3 FLARSI
SERVICE feas 3 FEARS
43 POSITION CONTROL CERTIFICATION
1-195
2-10
48 OF AP
5331152 LISE PREVIOUS EDITION
SECRET
3-193
2-80
H.B. Fisher
DATE APPROVED
GROLD 1
13 Dec. 68
+4,
14-00000
"
VOICE OF AMERICA
UNITED STATES INFORMATION AGENCY
WASHINGTON, D.C. 20547
April 15, 1968
Dear Dave:
I thought you would be pleased about a reference to you which
came up in the course of a longish conversation last night with
Dr. Hector Garcia-Godoy, former President of the Dominican
Republic and now Ambassador here, about the turbulent events
in his country three years ago.
"You know," he said, "looking back over those months when
things seemed pretty bleak, two names come immediately to mind
as able and effective representatives of the United States. They
are Ellsworth Bunker and David Phillips."
I thought such a pleasant echo of a rough period would help
heal your ulcers.
Cordially,
Piste
Richard G. Cushing
Deputy Director
Mr. David A. Phillips
8224 Stone Trail Drive
Carderock Springs
Bethesda, Md. 20034
14-00000
SECRET
10 ben killed in
'
DATE PREPARO
30 August 1967
REQUEST FÖR PERSONNEL ACTION
1 SERIAL NUMBER 17 NAME Fast-Fit-Middle )
024345
3 NATURE OF PERSONNEL ACTION
O PUNDS
REASSIGNMENT
♥ TO V
PHILLIPS, David A.
✔ TO C
CP TO V
X
σ 10 σ
9 ORGANIZATIONAL DESIGNATIONS
. EFFECTIVE DATE REQUESTED
MONIN
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YEAR
fö 67
7 FINANCIAL ANALYSIS NO
CHARGEARS
8135
0620
10 LOCATION OF OFFICIAL STATION
S CATEGORY OF EMPLOYMENT
REGULAR
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Personnel
DDP/WH
WH/COG
OFFICE OF THE CHIEF
11 POSITION TITLE -
ATTROL OFFICER
OPS OFFICER-CH
14 CLASSIFICATION SCHEDULE (65 EB, etc)
FSR
GS
18 REMARKS
WASH., D.C.
[13. CAREER SERVICE DESIGNATION
12 POSITION NUMBER
1105
D
15 OCCUPATIONAL SERIES
16. GRADE AND STEP
17 SALARY OR RATE
0136.01
03
15
5
19,978
s
FROM: DDP/WH/DR STATION
*Santo Domingo, Bow Rep
Reignty Approval Created by Pers. SD/GS 8/31/67
Dec 9/11/67
1-
18041
DATE SIGNED
189 SIGNATURE OF CAREER SERVICE APPROVING OFFICER
DATE SIGNED
Paliton.
SPACE BELOW FOR EXCLUSIVE USE OF THE OFFICE OF PERSONNEL
23 INTEGREE 124 HDQTRS 25 DATE OF BIRTH
ta
54
184 SIGNATURE OF REQUESTING 97
TING STIC
Henry L.Berthold
C/WH/Pers
19 ACTION 20 EMPLOY. 21
CODE
(00$
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1001
NUMERIC
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(00%
26 DATE C GRADS
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DA.
TR.
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DATE OF LEI
DA.
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1311-22
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29 SPECIAL
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33 SECURITY
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MO
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NO TAX NATIONS
FORM EXECUTED
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|2-BRƐAR IN SERVICE (LESS THAN 3 YEARS)
3-REAS IN SERVICE (HR 3 YEARS)
45 POSITION CONTROL CERTIFICATION
I-TES
2-80
I-TES
2-10
46 OP APPROVAL
FORM 1152
3-07
USE PREVIOUS EDITION
9/1/201
SECRET
Besichenker
1
GROUP 1
DATE APPROVED
8 sept.
ESCLUDED FROs selali :
AND DEL
4;
14-00000
SECRET
(When Filled In)
25 October 1966
MEMORANDUM FOR:
THROUGH
SUBJECT
REFERENCE
DAVID A. Phillips
: Notification of Designation as a Participant in the Organization
Retirement and Disability System
: Book Dispatch 5096 dated 12 August 1965
:
18 You have been found to be qualified as a participant in the Organization Retirement
and Disability System and have been so designated effective 23 October 1966.
2. Although such designation under present statutes is viewed favorably by most persons,
the regulation governing this retirement system gives the individual the right to appeal such
a determination if he deems the designation adverse to his best interests. In order that this
technical requirement may be satisfied, you are hereby notified of your right to appeal. An
appeal with reasons therefore must be received in Headquarters within 60 days of the date of
this memorandum or acceptance of designation will be assumed. Any questions that you may
have in connection with your designation that cannot be answered by referring to referenced
Book Dispatch should be forwarded to Headquarters.
3. We believe that the benefits of the Organization Retirement System are superior to the
benefits of the Civil Service Retirement System. However, there are a few situations in which
an employee at the time of retirement may have so many years of service (almost 37) that he
would receive a higher annuity under the Civil Service System. Because of this, the policy
decision has been made that a participant in the Organization System who would receive a
higher annuity under the Civil Service System may, not later than one year prior to his retire-
ment, apply to be removed from our system and transferred to the Civil Service System. Thus,
you should not anticipate this contingency as a factor in deciding whether you regard your
designation as a participant adverse to your best interests.
Richard Bigen
RICHARD B. EGAN
SECRET
GROUP 1
duded from
downgrading and
_
:
14-00000
David A. Phillips
CONFIDENTIAL
MEMORANDUM FOR: Chief, WH Division
THROUGH
: Deputy Director for Plans
SUBJECT
: Commendation
24 October 1966
1. The Dominican Republic Station has distinguished itself by
especially meritorious service during the past year and has made
a major contribution toward the advancement of the objectives of
the United States Government in a critical situation. One year ago
the people of the Dominican Republic were facing a dismal future.
Today, while the future remains uncertain, the prospects for even-
tual stability have been immeasurably increased. Several Depart-
ments and Agencies of the United States Government engaged in an
effort to bring this about. I believe that the role of the CIA in the
Dominican Republic during the past year was a crucial one. The
highly effective performance of the Santo Domingo Station and the
Base at Santiago was the result of the combined efforts of each offi-
cer and employee stationed there. These men and women gave un-
sparingly of their time, energy and brain power. Their efforts
were sustained over a long period under stressful circumstances.
Now, while our long-term mission continues, a significant mile-
stone has been reached and it is most appropriate at this time to
grant this special recognition for a job well done to all members
of the CIA team in the Dominican Republic during the year ending
June 30, 1966.
2. I should like to commend each member of the Station who
contributed to this noteworthy performance and request that a copy
of this commendation be placed in individual personnel files as ap-
propriate.
Richard Helms
Director of Central Intelligence
CONFIDENTIAL
G&P
cod and

14-00000
SECRET
Now a 10
REQUEST FOR PERSONNEL ACTION
IT SERIAL NUMBER 12 NAMEN-tion- Maddie)
6-54
| DATE PREPARED
4 October 1966
024345
PHILLIPS, DAVID A. ✓
[3' NATURE OF PERSONNEL ACTION
.. DESIGNATION AS A PARTICIPANT IN THE
CIA RETIREMENT AND DISABILITY SYSTEM
6 FUNDS
V TO V
✓ TO C
CP TO V
x
CP TO CF
• ORGANIZATIONAL DESIGNATIONS
EFFECTIVE DATE REQUESTED
DAY
MONTH
10 23 66
7. FINANCIAL ANALYSIS
NO CHARGEABLE
7135-0875
YEAR
10 LOCATION OF OFFICIAL STATION
3 CATEGORY OF EMPLOYMENT
REGULAR
LEGAL AUTHORITY (Completed by Office of
Personnel)
PL 88-643 Sect. 203
DDP/WH
11 POSITION TITLE
SANTO DOMINGO, DOMINICAN REPUBLIC
12 POSITION NUMBER
13. CAREER SERVICE DESIGNATION
D
14. CLASSIFICATION SCHEDULE (GS, LB etc)
13 OCCUPATIONAL SERIES
16 GRADE AND STEP
17 SALARY OR RATE
18 REMARKS
EMPLOYEE WILL RECEIVE NOTIFICATION FROM THE DIRECTOR OF PERSONNEL OF THIS
DESIGNATION AND RIGHT OF APPEAL TO THE DIRECTOR OF CENTRAL INTELLIGENCE.
18A SIGNATURE OF REQUESTING OFFICIAL
DATE SIGNED
[188 SIGNATURE OF CAREER SERVICE APPROVING OFFICER®
DATE SIGNED
19 ACTION 20 EMPLOY 21
CODE
(00%
OFFICE CODING
(008
SPACE BELOW FOR EXCLUSIVE USE OF THE OFFICE OF PERSONNEL
22 STATION 23 INTEGREE
21 HDQTES 25 DATE OF BIRTH
CODE
(00€
NUMERIC
ALPHABETIC
MO
DA
R.
мо
20 DATE OF GRADE
DA.
27
DATE OF LEI
mo
CA
"
20
NTE EXPIRES
120 SPECIAL
REFERENCE
3J
RETIREMENT DATA
CA
"
1-450
31.0
CODE
TIPE
31 SEPARATION 32 CORRECTION CANCELLATION DATA
DATA CODE
33 SECURITY
REQ NO
134 SEX
мо
DA
"
EOD DATA
5-0345
2
35 VET PREFERENCE
CODE
136 SERV COMP CATE
CE
DA
12
MO
37 10NG OP DATE 138
CA
CABEER CATEGOR
TO.
1-51
2-10 PT
CAN RES
PROV TEMP
CoOf
39
CODE 3-WA
FEGE HEALTH INSURANCE
40 SOCIAL SECURITY NO
HEALTH INS CODE
1-TES
"1
coo
PREVIOUS CIVILIAN GOVERNMENT SERVICE
42 LEAVE CAT
43
FEDERAL TAX DATA
"
STATE TAX DAYA
100)
| FORM EXECUTED CODE
NO TAX EXEMPTIONS
FORM EXECUTED
CODE
NO TAX STATE CODE
REVIOUS SERVICE
1-0 BREAD IN SERVICE
(2–185A19 SERVICE LESS THAN 3 YEARS)
3 THAN 3425)
5 POSITION CONTROL CERTIFICATION
1-FTS
2-10
1-VES
1-80
40 OF APPROVAL
DATE APPROVED
See memo signed by
D/Pers dated 100c
16-13668
1152
DP.4.7.66
USE PREVIOUS EDITION
SECRET
GROUP
(4)
EXCLUDED
14-00000
CONFIDENTIAL
(When Filled in)
NOTICE OF CREDITABLE SERVICE
[FOR LEAVE PURPOSES]
NAME (Last, First, Middle)
PHILLIPE, David A.
OFFICE (and Division)
CDP/WH
Foreign Field
Branch
ORIGINAL
CORRECTION
THIS DATE
7-01-66
VOUCHERED
☑ UNVOUCHERED
SERIAL NO.
024345
SERVICE COMPUTATION DATE (NO. da yr)
01-15-53
SIGNATURE (Office of Personnel)
Lovell P. Moore
OBSOLE. PREVIOUS
CONFIDENTIAL
FORM 17 EDITIONS.
5.63
ROUP 1
SECLUDED FROM AUTOMATIC
LANDING AND
UDA.JICATION
(4)
14-00000
1
11 SERIAL NUMBER
024345
SECRET
en filled ins
DATE PREPARED
27 JULY 1965
REQUEST FOR PERSONNEL ACTION
2 NAME t-1 cost-Modale)
PHILLIPS, DAVID A.
NATURE OF PERSONNEL ACTION
REASSIGNMENT
6 FUNDS
DDP/Wii
V TO V
✓ TO C
CF TO V
XX
CP TO C
441
9 ORGANIZATIONAL DESIGNATIONS
FOREIGN FIELD
BRANCH 2
SANTO DOMINGO, DOMINICAN REPUBLIC
STATION
11 POSITION TITLE
ATT POL OFF
ETER (CHIEF OF STATION)
14 CLASSIFICATION SCHFOLLE (GS LR ch.)
IS OCCUPATIONAL SERIES
• EFFECTIVE DATE REQUESTED
MONTH
DAY
TEAR
JUN | 6 | 65
7 COST CENTER NO CHARGE
ABLE
6135.0875
10 LOCATION OF OFFICIAL STATION
5 CATEGORY OF EMPLOYMENT
REGULAR
8. LEGAL AUTHOmity (Completed by Offer of
Perman ()
Dom Rep
SANTO DOMINGO, DOMINICAN REPUBLIC
13 CAREER SERVICE DESIGNATION
FSR
GS
18 REMARKS
FROM:
0136.05
12 POSITION NUMBER
0274
16 GRADE AND STEP
03 5
15 4
D
17 SALARY OR PATE
16,920
$ 18,170
DDP/WH/BRANCH 1 MEXICO CITY, MEXICO ||STATION/0340/
Security Appleral Granted by PS2/05 2/25/85
The styles
MEMORANDUM SENT TO DDCT VIA DDP. REQUESTED THE APPOINTMENT OF
MR. PHILLIPS AS COS, SANTO DOMINGO, DOM. REP. STATION APPROVED
ON 13 APRIL. 1965. MR. PHILLIPS REPLACED MR. EDWIN M. TERRELL
WHO HAS BEEN ASSIGNED TO WH/BRANCH 2/HEADQUARTERS, EFFECTIVE
6 JUNE 1965.
FORM 259 HAS BEEN SUBMITTED
1-FINANCE
B
(87)
-SECURITY
DATE SIGNED
188 SIGNATURE OF CAREER SEPACE PARCYING OFFIC
DATE SIGNED
ROBERT D. CASHMAN
C/WH/PERS
29 July 65
SPACE BELOW FOR EXCLUSIVE USE OF THE OFFICE OF PERSONNEL
5
19 ACTION 20 EMPLOY 21
OFFICE TING
22 STAPON
23 INTEGREE
C00
CODE
100%
300)
24. HDQTRS 25
LODE
DATE OF 9:14,
26
NUMERIC
ALPHABETIC
мо
DA
T
ма
DAFE OF GRADE.
DA
مي
DATE OF LEI
DA
TR
37 10 51650
WH
28
NTE EXPIRES
29 SPECIAL
30
RETIREMENT DATA
REFERENCE
3
10/31/93
31 SEPARATION 12 CORRECTION CANCELLATION CATA
DATA CODE
MO
DA.
"
1-CSC
CODE
TYPE
33 SECURITY
34 SEX
REQ NO
MO
DA
TR
EOD DATA
3-FICA
5-WCASE
35 VET PREFERENCE
CODE
36 SERV COMP. DATE
37 LONG COMP DATE
38
CAREER CATEGORY
3-MONE
1-5 PT
2-10 PT
41
CODE
6-NO PREVIOUS SERVICE
CA
11
мо
DA
"
CAR BESY
PROV TEMP
сосе
19
ССР
FEGL HEALTH INSURANCE
40 SOCIAL SECURITY NO
2-4
1--rts
HEALTH INS CODE
PREVIOUS GOVERNMENT SERVICE DATA
NO PEAK IN SERVICE
2-BREAK IN SERVICE LESS THAN 3 YEARS)
|3-BREAK IN SERVICE (MORE THAN 3 YEARS)
45 POSITION CONTROL CERTIFICATION
8.3.625
42 LEAVE CAT
43
(008
FORM EXECUTED
FEDERAL TAX DATA
CODE
44
STATE TAX DATA
NO. TAX EXEMPTIONS
FORM EXECUTED
CODE
NO. TAX STATE COOL
1-YES
2-NO
1-TES
1-30
46. OP APPROVAL
46
a.
1152
USE PREVIOUS EDITION
SECRET
DATE APPROVED
8/3/1.5
14
14-00000
S-E-C-R-E-T
CENTRAL INTELLIGENCE AGENCY
WASHINGTON, D.C. 20505
TO
SUBJECT:
: David A. Phillips
TDY in the Dominican Republic
1
Most of you who went down to the Dominican Republic
departed with so much speed and so little ceremony that
there was no time to explain the importance and urgency
of your assignments. Now that you have served there
during the crisis, the importance of the task needs no
embellishment from us, but you should know that the con-
tribution of the augmented Station was decisive in shaping
the policies and actions of the government and in avoiding
several major mistakes. For weeks after the April revolu-
tion, our Station reporting was literally the only source
of information that the United States had on the role of
Communism among the rebel forces and on conditions outside
the capital.
Many fine things were done in the Station and in the
hinterland by all of you. Manning the check-points under
fire, flying to remote and hostile villages, moving tons
of supplies through the gauntlet of the communications
line, toiling over midnight reports, and keeping open our
country's only commo link -- all these things were common-
place. The dedication, discipline, and routine of our
personnel placed them in a class apart.
To the sense of pride and accomplishment you must
already feel, I want to add the gratitude and admiration
of the DDP and of the Agency.
Michardttelm
Richard Helms
Deputy Director of Central Intelligence
S-E-C-R-E-T
14-00000
SECRET
12 Ain 1965
5-196
65-1911
MEMORANDUM FOR: Deputy Director of Central Intelligence
VIA
SUBJECT
:
Deputy Director for Plans
Appointment of Mr. David A. Phillips as
Chief of Station, Santo Domingo, Dominican
Republic
1. The appointment of Mr. David A. Phillips as Chief
of Station, Santo Domingo, Dominican Republic, effective
on or about 15 October 1965, is recommended. Mr. Phillips
would replace Mr. Edwin M. Terrell,
2.
Mr. Phillips was employed in a contract status
from 1952 to 1955 and became a Staff Employee in April
1955. He resigned from the Agency in August 1958 to
enter private business. In March 1960 he returned to the
Agency as a staff employee and is presently assigned as
Operations Officer, Mexico City, Mexico, GS-15, A bio-
graphic data sheet, giving more detailed information on
Agency experience and training, is attached.
1 Attachment
Biographic Profile (Part 1)
APPROVAL RECOMMENDED:
Линаниями
Deputy Director for Plans
Row Heaton T
Desmond FitzGeƒktá
Chief
Western Hemisphere Division
(Date)
The recommendation in paragraph 1 is APPROVED:
Director of Central Intelligence
SECRET
(Date)
20 am. 1965
14-00000
6264
SECRET
Filled in)
REQUEST FOR PERSONNEL ACTION
". SERIAL NEWBER
NAME (Lost-First-Middle)
024345
3. NATURE OF PERSONNEL ACTION
PHILLIPS, DAVID A
PROMOTION
6. FUNGS
TO V
TO C
CP TO Y
X
OF TO OF
DATE PREPARED
27 September 196j
4. EFFECTIVE DATE REQUESTED] 5. CATEGORY OF EMPLOYMENT
MONTH
DAY
TEAR
09/29/63
7. COST CENTER NO. CHARGE.
ABLE
1355700 1000
REGULAR
8. LEGAL AUTHORITY (Completed by
Office of Personnel)
10. LOCATION OF OFFICIAL STATION
9. ORGANIZATIONAL DESIGNATION
DDP WH
BRANCH 3
MEXICO CITY
MEXICO STATION
11. POSITION TITLE
MEXICO CITY, MEXICO
12. POSITION NUMBER
ATT POL OFF
OPS OFFICER
0340
14
CLASSIFICATION SCHEDULE (GS, LP, etc.) 15. OCCUPATIONAL SERIES [16. GRADE AND STEP
FSR
GS
0136.01
03 0
15 3
16.
REMARKS
This is a PRA in accordance with 57
13. CAREER SERVICE DESIGNATION
D
17. SALARY OF WAT
22,555
543, 4400
115,045 155052
= -2x=(1) for 2 yones
18
3038
-
to
NESTING OFFICIAL
DATE SI5812
150. SIGNATURE OF CAREER SERVICE APPROVING
OFFICER
SIGNED
CASHMAN, C/WH/PERS
SPACE BELOW FOR EXCLUSIVE ASE OF THE OFFICE OF PERSONNEL
CAT 220 N.
ERSTATION
5/400 WH 15075
REVERENCE
3-
N
"
103122/09 2963/09/27
126,476 25 AY 1220F LE
w.
".
".
63
LATION CATA
13. SE
150. W.
24
JEOD DATA
25. VET
3 S
2016
2001
34
14.
་་་་
207
"
2006
142 11
49. POSITION CONTROL CERTIFICATION
13
4. P.
APPROVAL
FORM
1152 ***T
4
a
SECRET
:ינ
48-2476
Forum M
2:24
་་་
2
GROUP 1
DATE APPROVED
(4)
14-00000
SECRET
0
REQUEST FOR PERSONNEL ACTION
NAME r First Vidates
PHILIPS, David A.
3. NATO PERSONNEL ACTION
INTINATION--Dept. of State
.:
rniabr 2
17t 1901
CatheyOF TUPERYMENT
Regular
רויזר
AUTHORITY (Completed hy
(Office of Personnel)
Y TO V
"
FLAGS
CE TO V
ORGANIZATIONAL DESIGNATIONS
DOP/AR
7. Brunch 3
Mexico City
Mexico Station
" POSITION TITLE
Attache, Political Officer
Ops. Officer
☐
TO OF
AME
CF 70 OF
1135-5700-1000
NATION OF OFFICIAL STATION
Mexico City, Mexico
POR CONTROL NO. 1
1340
14
CLASSIFICATION SCHEDULE YOS, LP, SC) is DCUPATIONAL SERIES
338
G3
SALARY ON HAT.
i
0136.01
$17,935 4
312,730✓
REVARAN
No
sick and ✓ hours annual leave to be bringerred to the Dept. of State
081
LATING OFFICIAL
H. Roney, Cover Officer,
55 10
RS MORE DOVIS
64710 LCH 45015.
3 10.31 22
SF.
ENCE O
.
45.
POSITION CONTROL
CERTIFICATION
K 05/3/
1152
༥ ༡༠༨༤༥
20LET
ALP IN
SECRET
CANCER SERVICE
DESIGNATIO
SERVICE APPROVING OFFICER
HOD DAT
$10.
TH
35 મધ
14-00000
SECRET
sified I
DATE PREPARED
28 June 1961
REQUEST FOR PERSONNEL ACTION
NAME Last-First-W1481)
PHILLIPS, DAVID A.
SEPIAL 4UMATA
024345
"
3. NATURE OF PERSONNEL ACTION
REASSIGNMENT
6. FUNDS
08
10/5 61
4 EFFECTIVE DATE REQUESTED 5. CATEGORY IMPLOYMENT
REGULAR
7
v
TO V
Y TO CF
COST CENTER NO. CHARGE
ABLE
..
LEGAL AUTHOR (Completed by
(Office of Personnal,
CF TO Y
.x
CF TO C
2135 5700 1000
10. LOCATION OF
OFFICIAL STATION
ORGANIZATIONAL DESIGNATIONS
.
DDP WH
7 BRANCH 3.
MEXICO CITY, MEXICO STATION
MEXICO CITY, MEXICO
11. POSITION TITLE
12
POSITION SUMBER
12K-PCR Cosset so. E, FABLER SERVICE
DESTINATION
OPS OFFICER
D
-340
D
14
CLASSIFICATION SCHEDULE (GS, LP, etc.)
15. OCCUPATIONAL SERIES
15.
GRAGE AND STEP
17
SALARY NATE
$
CS
14
0136.01
14
3
12,730
18. REMARKS
From:
DDP/WH/4/BA-624/Wash.,D.C.
Subject scheduled to integrate o/a 2 August 1961.
It is requested that this action be made effective no later than 6 August 1961.
El copy to Security.
18+
SIGNATURE OF REQUEST
Henry
N
TH
Saturity Approval Tiranted by Pers. SOJOS 1/12/81
OFFICIAL
"Borthak
ACF BE1.08
200
37
24
are
10 64700 W
REFERENTE
EOP
45075
431/21/61
13. NATOWE OF CAREER
SERVICE APPROVING OFFICEW
Kauaid Gage
USIVE USE OF
THE
310131:22
DATA
SEA
35. afri
6358
.
45
POSITION CONTROL CERTIFICATION
1152
ay 05/15/61
་་་་་
SECRET
Kantffiane
10)
14-00000
SECRET
MEMORANDUM FOR THE RECORD
SUBJECT: David A. Phillips
29 Juna 1961
On 14 June 1961 the undersigned reviewed with Mr. David
A. Phillips his career development prospects for the next five year
period. We agreed that the following represented a desirable and
fairly firm goal in this respect;
a. In general his future training and field experience
should place sufficient stress on the CI and FI fields to avoid the
career confinement of strict CA specialization.”
b. His next assignment would be a normal field tour in
Mexico City. Upon return from that assignment, be would receive
up to six months training to be followed hỷ an assigament to the CA
Staff (or the organizational successor thereof). One of his primary
undertakings in the CA Staff would be to develop what might best be
termed "ideological warfare" (e.g., a search for basic ideas and
concepts with wide appeal) as opposed to the normal propagamla
approach (e.g., a running debate on current events),
ee: ASIA (Pere)
Atta Panel A
Afr. Phillips
TB C/WH
✓OP/RSD
SECRET
RICHARD M. BISSELL, JR.
Deputy Director
(Flans)
My 500h
776 32314.Pi
14-00000
SECRET
MEMORANDUM FOR: Chief, Finance Division
-FROM
$
Chief, WH/4/Support
SUBJECT
;
Premium Pay
1 June 1961
Due to the recent reduction in heavy workload requirements,
the following employees are no longer entitled to Premium Pay. It is
requested that this entitlement be discontinued effective c.o.b. 10
June 1961. The salaries are chargeable to Allotment #535-5000-8021:
BELSITO, Frank J.
BROWN, Fravel S.
CANN, Ruth E.
CARTWRIGHT, Cecil J.
CHELLINO, Samuel J.
PETERS, John D.
1. PHILIPS, David A.
PIEDMONTE, Robert P.
REYNOLDS, Robert
KENT; William M.
MORALES, David S.
MURRAY, William J.
OVERJORDE, Robert W.
PATTON, Lee B.
Distribution:
2 - Chief, Finance Division (es. employee)
2 - Director of Personnel (ea. employee)
:
Ellschnal fa
WILLIAM B. EISEMANN
Chief, WH/4/Support
⠀⠀
SECRET

14-00000
1. Serial No.
****
SCD
SECRE
REQUEST FOR PERSONNEL ACTION
12. Name (Last-first-Middle)
8. CSC Rotmt. 9. CSC.Or Other Legal Authority
Mo. Da. Yr. Yos 1 Code
No. 8
DC
14. Organizational Designations
AS DEVELO
:
10. Dept. Field
17. Position Tide
Dopt.
Code
Usild.
Fran
1-3. Date
Ma
Da
Stith
Yr.
None Code
• 5 Pt-11
10 81-81
| 10. Apint. Affidav. 11. FEGU 119. TCD
Ma
Mo. Da. Yr.
13.
Do. Yr. Yor-1 Codo Ms. Dr. Yr. Nos: 1 Code
PREVIOUS ASSIGNMENT
Codo 15. Location Of Official Station
Station Code.
18. Position No. 19. Serv. 20. Occup. Sories
21. Grade & Stop 22. Salary Or Rate 93. SD
24. Date Of Grado 95. PSI Due
26. Appropriation Number
Mo. Da. Yr. Mo. Da. Yr.
S
ACTION
27. Nature Of Action
Codo 28. Elf. Date
Mo.
Do. Yr.
REASSIGNMENT
129. Type Of Employee
REGULAR
Codo 30. Separation Data
3
31. Organizational Designations
DDP WH
BRANCH 4
PRESENT ASSIGNMENT
Code 32. Location Of Official Station
Station Code
WASH., D. C.
33 Dont Frold
34. Position Title
Dept -
Code
Usild.
Fron
OPS OFFICER
141. Date Of Grade (42 PSI Due
Mo. Da. Ys. Mo.
DJ.
D
1
Yr.
1
35. Position No.
136: Serv. 37. Occup. Series
-14.
-624
GS
0136.01
43. Appropriation Number
0135 1000 1000
SOURCE OF REQUEST
2
น
¡C. Request Approved By (Signature And Title)
38. Grado & Step 39. Salary Or Rate 40. SD
14 3.
$
11835
A. Requested By (Name And fille
P. C. BOWERS WH/PERSONNEL OFFICER
9. For Additional Information Call (Name a Tolophone Ext.)
JOHN WASHINKO X8242
Clearance
Signature
A. Career Board(
B Pos. Control
C Classification
Ranarks
Staffing Complement Change.
2 copies to Security.
FORM KU
1152
1 MAR 37
CLEARANCES
Date
Clearance
ID. Placement
F. Approved B.
SECRET
ཀ་༔ ༔་ཁ་7
ཕག་ས
Signature
Date
همن-13-1
(4)
14-00000
1-Sonal No.
R-4345
SCD
•Ms. Dȧ. Yr
RE
12. Name (Last-First-Middle)
PHILLIPS, DAVID A.
8. CSC Point
Yes. 1
Code
SEPSET
FOR PERSONNEL ACTION
Or Other Legal Authority
1 SCR 4035
.
13. Date Of Birth
4 Net Prot
15. 50x
10 31 22 NW M N Y
[10 Apmt Affidav.) 11 FEOL · 18
Mo. Da. Yr. et Code: Ma.
LCD
Da. Yr.
13-
Yes 1 Code]
05/15/No-82
02 12:54
:
[14. Organizational Designations
3.14.60
110. Dept -Fold 11%. Pusition Ville
PREVIOUS ASSIGNMENT
Code 15. Location Of Official Station
Station Code
18 Position No
10. Sorv 20. Occup Series
Dept
Codo
Usild-
Fron
21. Grade & Stop 22 Salary Or Rato 23. SO
194. Date Of Grado |25 PSI Duo
Appropriation Number
Mo Do. Yr Mo. Do. Yr.
7. Nature Of Action
EXCEPTED APPOINTMENT*
31. Organizational Designations
CS/CS DEVELOPMENT COMPLEMENT
DDP WH DIVISION
33. Dopt. Field 134. Position Title
Dopt
ACTION
Codos Elf. Date
29. Type Of Employee
[Code: 30. Separation Data
Mo. Da. Ye.
+314160
REGULAR
PRESENT ASSIGNMENT
Codo 32. Location Of Otticial Station
DC.
Station Codo
14658
WASHINGTON, D. C.
135. Position No.
136 Serv 37. Occup Series
Codol
USAd-
Fron
OPS OFFICER
134460
GS
0136.01
38. Grado & Step | 39. Sclary Or Rate
40. SD
141. Date Of Grade 142 PSI Due
Mo. Da. Ye. Mo. Da. Yt.
143. Appropriation Number
14
3 $11,835
D
0320-1998
SOURCE OF REQUEST
✓
¡C. Request Approved By (Signature And Title)
A. Requested By (Nume Andise)
P. C. BOWERS WH/PERSONNEL. OFFICER
8. For Additional Information Call (Name a Telephone Ext.)
John Washinko
X6242
Clearance
8. Pos. Control
Signature
A. Career Board K
C Classification
Remarks
CLEARANCES
Deto
Clearance
D. Placement
F. Approved By
Signature
Dato
*See DIR 10716 (OUT 83837) released by DDP on 16 January 1960. Proposed EOD date is
22 February 1960,
Tofin
2 copies to Security office. Placcips ads 21 120 39°
FORM NO 1152
1 МАЯ 07
Billiind
SECRET
the playe
14-00000
Resign For The Following Rodson:
OFFICE OF PERSONÁSI
RESIGNATION
FLB 4 237 PM RO
MAIL ROON
My Last Working Day Will Be
This Date (Date Of Signature)
Signature
3
Forward Communications, Including Salary Chocks And Bonds, To The Following Address (Number, Street, City, Zone, State):
3
the reptive for pricing in
✓..
dan C
14-00000
STANDARD FORM NO. 94
Office Memorandum
TO
File
FROM
SUBJECT:
PHILLIPS, DAVID A.
UNITED STATES GOVERNMENT
DATE 18 March 1960
Effective date of CA is 19 Aug 1958, per Mr. Toomey, x2823
This time is creditable for LCD only, per Mr. Stevens.
Mr. Phillips was same as independent contractor, per Lyle Miller, x3039.
He
14-00000
Javid Phillips as
Per Mr. Waks x8×48
Phillips is presently contract ligne.
als (& staff employee).
DDP. approval per Bissell is Cable
will be
WH -
Eut
ри
here to God march.
(Cizborne)
has already contacted unity
They will grant clearance, subject
to poly...
Kennedy (ME) has capins of 89 (one
Philips wife and child). the pays.
ok to portic and
dity, but nice
be subject to medical when and
duty,
Phillips will be in (I ten) mon.
: for TOY and will have
тоу
That time (1:00 pm)
poly
at
.w.ko
2-8-6
Poly
wee
march.
14-00000
:
SECRET
(When Filled In)
REQUEST FOR SECURITY CLEARANCE
NAME LAST FIRST MIDDLE)
PHILIAH DAVILA
POSITION TITLE
OPGR
LOCATION CITY, STATE. COUNTRY!
Mishin tou, DC.
TYPE OF APPLICANT
(120)
REQUEST NO. 11-
"Cs/03
1-8573 Lux Cut,
REQUEST ATE 1)
8 Eb 199
YEAR OF BIRTH (39.30)
1922
GRADE (43-44)
POSITION NUMBER (31-36)
OCCUP. CODE (3748)
0136.01
ASSIGNMENT (OFFICE, DIVISION. DRANCH)
HP/Hvision C/C Dey Comp
REGULAR
CONSULTANT
CONVERSION ACTION
CONTRACT
MILITARY
NAME OF REQUESTER 1ON OFFICIALI
IF OTHER SPECIFYI
CONTENT to SK
TYPE OF ASSIGNMENT AND FUNDS
ORGN. CODE (45-40)
1.600
TYPE OF APPL. (40)
2
HDQTRS & FUND (50)
Jelle Stepict/hc
CLEARANCE
REQUIRED
нае
USP
"
uv
x
PROVIDIONAL FOR (INDICATE NAME OF POOL OR GROUP).
1
SECRET CLEARANCE (51)
FULL
3
PERSONAL HISTORY STATEMENT
ATTACHMENTS
PHOTOGRAPH(O'
APPENDIX I
APPENDIX 11
REQUEST FOR WAIVER
REPORT OF INTERVIEW
MALE VETERAN
VETERANA STATUS
MALE NON VETERAN
FEMALE VETERAN
FEMALE NON-VETERAN
RECRUIT. CODE (51.54)
004
VET PREF. & SEX (55)
PLEASE EXPI ITE
Mr. Machinko, BH Division, advises that Mr. Osborne (Office of Security) has
indicated that subject would be granted immediate security clearance, subject
to poly.
Former Staff Employee. Your Case #1:0696.
Presently Contract Agent.
HAND CARRY
0
0
28
OTF
FORM NO.
៥. 38: 377
USE PREVIOUS 1
SPACE BELOW FOR OS USE ONLY
کوئی ہو
(9)
SECRET
14-00000
UNCLASSIFIED
INTERNAL
USE ONLY
CONFIDENTIAL ☐ SECRET.
ROUTING AND RECORD SHEET
SUBJECT: (Ophonal)
FROM:
on
WH/Personnel
TO: (Officer designation, room number, and
building)
1.
WH/Pers Ofer
2.
DATE
OFFICER'S
INITIALS
RECEIVED
FORWARDED
22gon DC13
NO
DATE
22 January 1960
COMMENTS (Number each comment to show from whom
to whom. Draw a line 
across column after each comment.)
Service as CA with
creditable bowe
bus ras SCO.
3-14-60 per sene trans
agency.
RCD
3.
C/WH/Support
125
Mr
4.
5.
WH/Pers
6.
8. "
Pamel A
CS/PO 2120 I Bldg.
THX 26
1/27 RG
42h 600 e per hite
Please coordinate with Ron Gage
conversation with fir.
Bowers, WH/Pers on 22 Jan 60.
9.
MIS CAPRIOTTY
10.
CURK
11.
12.
13.
14.
15.
P
FORM
1 DEC $6
USE PREVIOUS
FOUTIONS ☐ SEE
SECKET
Send 259 to
Dom Kennedy
Moj
stating 89's have
heen forwarded
forwarded 
to mo
Phillips, mife,
on
all children
and
tomo
7-10-6
Fod minist - 15m-8:30
1. ..
CONFIDENTIAL
☐ USE ONLY
☐ UNCLASSIFIED
C. 2. GOVERNMENT PRINTING OFFICE. 1958 - 676733
14-00000
UNCLASSIFIED
INTERNAL
USE ONLY
SUBJECT: (Opho
FROM:
CONFIDENTIAL
☐ SECRET
ROUTING AND RECORD SHEFT
NEA/ADM/Personnel
4108 1. Bldg. x8671
TO: (Officer designation room number, and
building)
DATE
OFFICER'S
INITIALS
RECEIVED
FORWARDED
NO.
DATE
6 August 1958
COMMENTS (Number each comment to show from whom
to whom. Draw a line across column after each comment.)
1.
NEA/B & F
2.
3.
S.
NEA/PERSCATAL
6.
7.
CS/CS PANEL (Section A) 2100L
8.
CED
:
9.
OFFICE OF
10.
114
2102-£
12.
81 188
124458 foo
134
Oak
AU$13
had
Employee
following:
becuenty debriefing
селе
Finance
Logistics
* Idlewald)
1, 13,00, 4, 1
for Reing.
Be your Signature
Thrive
13.
14.
15.
14-32-in-
FORM 610
1 DEC 56
USE PREVICIILS
EDITIONS
SECRET
CONFIDENTIAL
☐
IN. AL
USE ONLY
UNCLASSIFIED
14-00000
UNCLASSIFIED
INTERNAL
USE ONLY
SUBJECT (Optional)
FROM:
CONFIDENTIAL
SHCSECRET
ROUTING AND RECORD SHEET
NEA/ADM/Personnel
11031 Bldg. x8671
TO: (Officer designation, room number, and
building)
RECEIVED
DATE
FORWARDED
1.
NEA/B & F
OFFICER'S
INITIALS
NO.
DATE
16 May 1957
COMMENTS (Number each comment to show from whom
to whom. Draw a line across column after each comment.)
3.
NEA/TRG
4.
5.
NEA/PERSONNEL
Č NEA
7.
WH DIVISION
8.
9.
CS/CS PANEL (Section A) 23091
10.
PED
11.
PI
OFFICE OF PERSONNEL
و
Ju may
by
De/Nea
Please attack current
22 May 22/2/ fituers rebral
MAY!
Jane
Pat
Latest Report
for period February –
September 1956 is in
26/6/37 4/21/32 2,088. Shtly after
927
10/6/260
25/0723
JUN
1957
26 Juve
KCD Booms 16 th your 2 hane Dale
13.
14,
Chief / CPD
15.
00
shut
CONFLICT PERSONNEL DIVISION
FORM 610
1 DEC 36
USE PREVIOUS
EDITIONS
Ext
SECRET
this periods, est
was returned for
TO'' with NEA.
261
اور پرانے
20 Jun 57
Control #542
For your signature to support
2088.
chlist if
needed submitted to
INIL
CONFIDENTIAL ☐ USE ONLY
☐ UNCLASSIFIED
14-00000
SECRET
{WHEN FILLED IN)
REPORT OF SEPARATION
1. NAME LAST-FIRST-MIDOLE)
DATE
18 August 1958
SERVICE DESIGNATION
DP
Ons Officer (FP)
& DATE OF BIRTH ✓ JOB TITLE
10/31/22
2. OFFICE
DOF/MSA
& LONGEVITY COMPUTATION DATE
1/1/85
11. DATE EXIT INTERVIEW
G. DIVISION
[D'F/NEWA
9. DATE OF RESIGNATION
13-Aug 58.
12. NAME OF EXIT INTERVIEWER
13. REMARKS
To exter Private Business
This is for record only
No exit interview conducted
4 GRADE
GS-14
7. BRANCH
Rgypt 2 Arab States Dr.
10. BEPARATION CATEGORY
1,13,00,4,1
14
IS NOT RECOMMENDED FOR RE-EMPLOYMENT
12 L 18
IS NOT RECOMMENDED FOR RE-EMPLOYMENT
0:GNATURE OF SUPERVISOR
16.
19
IS NOT RECOMMENDED FOR RE-EMPLOYMENT
SIGNATURE OF PLACEMENT OFFICER
SIGNATURE OF PERSONNEL RELATIONS OFFICER
FORM NO. 971 REPLACES FORM 37.184
1 MAT 06
WHICH 10 OBSOLETE
SECRET
(4)

14-00000
7
STANDARD FOR NO. 64
Office Memorandum UNITED STATES GOVernment
ΤΟ
The record
DATE: 15 Aug 68
FROM
SUBJECT:
1.
: Dorothy S. Kreinheder/CPD (Staff Agent Branch)
ail Phillips
This is certification that during the Personnel interview with Mr.
on 7 Aug 58 he specifically stated that he did not want an SF-8(Unemployment
Compensation Program) sent to the DDP/NEA Division.
2. Subject coordinated with CCB 7 Aug 58 ro: retirement(all services were
being combined and sent to the CSC)
3. Subject had intention of checking B & C re: Hospitalisation, Mutual Insurancs
& Conversion of FEGLI.
Dorothy S. Krenheder!
Dorothy S. Kreinheder
14-00000
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4EY WASYBUAJ ST.
FORT
WORTH,
TEXAS
(
14-00000
DATE PREPAREDE
Mu До
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REQUEST FOR PERSONNEL ACTION
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81 6 158
1. Serial No.
2. Nome (Last-Plest Midlan
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3. Care of Birth
6. C.100
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PREVIOUS ASSIGNMENT
Code
15. Location Of Official Station
16. Dept. Field
14. Organizational Designations
DDP/NEA
PROJECT ANNEX
EGYPT & ARAR STATES BRANCH
PROJECT PECTATE
17, Position Title
BEIRUT, LEBANON
18. Postrion No.
Dept.
Codo
Yould
Fron
ら
OPS. OFFICER (F))
BEP 8127
21. Grade & Step
22. Salary Or Rate 23. 50
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24. Dato Of Grade
Do Yo
25. PSI Due
Mo Da
14
3
$ 11,835.00
DP
27. Nature Of Action
RESIGNATION*
31. Organizational Designations
тек
Station Code
Srv:20. Occup. Sories
GS
0136.31
25. previation Number
9-33-1-91-21)
ACTION
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128. Eff. Date
No Da
29. Type Of Employee
Code: 30. Separation Data
Y
8 135 REGULAR (SA)
PRESENT ASSIGNMENT
Codo
132. Location Of Official Stat1300
Station Code
33. Dept. Field
34. Position Title
135. Position No.
37. Occup. Series
Dept.
Code
slide
Fign
38. Grade & Step
139. Satory Of Rute 40. 50
Mo Da
41. Date Of Grade
Yo
42. PSt Du⚫
Мо
4.3. Apation Number
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A. Requested By (Nacho And $1110)
Leer
SOURCE OF REQUEST
た
FRANK J. DEWAL,Jr., NEA/SS/FERSEL
B. For Additional Information Call (Name & Telephone bit.)
Shirley M. Ryan
Cloorence
Core Board
B Pos Control
C. Classification
Remarks
ext. d
Signature
Ranall Gage
*Sec reverse side.
PORM
18.37
11520 (USE PREVIOUS EDIT
C. Request Approved By (Signante And Title)
CLEARANCES
Dato
13
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Figesties
Clearance
:D. Placement
SECRET
Approved By
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ཨཀ╗ཌིག'
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5/14/20
(a)
14-00000
SECRET
(When Filled in)
RESIGNATION
BUSINESS
Hesign For Theng Reason:
ENTER
PRIVATE
"Last Working Day Will Be
This Date (Date Of Signature)
Signature
Phine
Cob 13 Aug58
12958
Forward Communications, Including Salary Checks And Bonds, To The Following Address (Number, Street, Cly, Zone, State);
4804 WRINQUAN
-
FORT WORTH, TEXAS
SECRET
14-00000
STANDARD 52
SCHO
THE
PERVAN PER
R
SEAREL
REQUEST FOR PERSONNEL ACTION
UN VOUCHERED
REQUESTING OFFICE: Fill in items 1 through 12 and A through D except 6B and 7 unless otherwise instructed.
Il applicable, obtain resignation and fill in separation data on reverse.
LAME (MT - Miss Mr. -One given name, inițial(s), and surname)
1. MATURE OF ACTION REQUESTED:
2 DATE OF BIRTH
(wid Phil 31 Oct. 1922
A PERSONALL (Specify whether appoint
Reassignment
Stall G. 1)
separation, etc)
2. POSITION (Specify whether establph, change grade of title, etc )
& SERVICE, GRADE, AND
SALARY
FROM-Ops. Off. (PP)
BAF 125
& POSITION TITLE AND
NUMBER
GS-0136.31-14
$10,535.00 p.a.
οκ πανω
DDP/WH
Branch III
& ORGANIZATIONAL
DESIGNATIONS
1 REQUEST NO
& EFFECTIVE DATE
A PROPOSED
14 DATE OF REQUEST
16 May 57
7 CS OR OTHER
LEGAL AUTHOR-
ITY
30 April 1957 ook 179
B. APPROVED:
16 EN 1957
10-Ops. Offi (PP)
GS-0136.31-14
$10,535.00 p.a.
DDP/NEA7 Avex
Egypt and Arab States Branch
Project PECTATE
HAVANA, CUBA. STATEV
7 Euvana, Cuba
✓ FIELD
& REMARKS (Use reverse if necessary
1L HEADQUARTERS
DEPARTMENTAL
12 FIELD OR DEPARTMENTAL
Beirut, Lebanon
☑ nao
DEPARTMENTAL
22/2
2. REQUESTED S1 (Name and file)
7. J. Hester, NEA/ADM/PERSONNEL
FOR ADDITIONAL INFORMATION CALL (Name and telephone extension)
Shirley Matthews
13 VETERAN PREFERENCE
SOMEWHAT OTHER SPT
10 POINT
DISAB. OTHER
ext. 8671
Is Mine 57
Grow Showers for w
+ Mord To NEA
19 pics Security -16 May 22. Spel
D. REQUEST APPROVED
Signature:
Title:
14 POSITION CLASSIFICATION ACTION
NEW VICE LA PEAL
17. SUBJECT TO C. S.
RETIREMENT ACT
(YES-NO)
Yes
63 14 JUNES
SDIDR
18. DATE OF APPOINT. 19. LEGAL RESIDENCE
MENT AFFIDAVITS
(ACCESSIONS ONLY)
☐ CLAIMED PROVED
STATE:
1514 sertify Funds Avaliable.
08-545-55-055-
M Charge A723361-91-215-
2. STARSAPÜRMARKS.
Present Letter O.K perkle. 8 July 57 LOVED
Pertana taking Care of Allowances!
21. CLEARANCES
INITIAL OR SIGNATURE
DATE
REMARKS.
*:
1957
9 CEIL OR POS CONTROL
75
25 UN
C CLASSIFICATION
G. PLACEMENT OR EMPL
E
F. APPROVED BY
Louis W.
A
352
21 557
AS1YJNED
nsi
10 HUL 1947
10-42437-8
-->h
14-00000
STANDARD FORM 52°
P
SECRET
REQUEST FOR PERSONNEL ACTION.
UHVOUCHERED
REQUESTING OFFICE: Fill in items 1 through 12 and A through D except 68 and 7 unless otherwise instructed.
If applicable, obtain resignation and fill in separation data on reversa.
LANG-Ulivan name; initial(s), and surname)
& NATURE OF ACTION REQUESTED
A PERSONNEL (Specify whether appointment, promotion, separation, sto.)
Reassignment (Staff Agent)
& POSITION (Specify what her establish, change grade or title, etc )
L DATE OF BIRTH
31 Oct 1922
1 REQUEST NO
& EFFECTIVE DATE
A. PROPOSED:
4 DATE OF REQUEST
7 May 1956
7 C S OR OTHER
LEGAL AUTHOR-|
ITY
FROM-
Ops Officer (PP)
FELD
:
A REMARKS (Uso reverse if Dec
-New T/O
B. REQUESTED Name and titles.
DEPARTMEN
& POSITION TITLE AND.
NUMBER
10-
EAF-125
POSTED ON
OF-
Ah
& SERVICE, GRADE, AND
SALARY
ORGANIZATIONAL
DESIGNATIONS
11. HEADQUARTERS
Č FOR ADDITIONAL INFORMATION CALL (Name and telephone extension)
1. SOFLANOVICE
13 VETERAN FREFERENCE
NONE WW (OTHER, S-PT
10 MANT
DISAB OTHER
7-1457
FIELD OR DEPARTMENTAL
B. APPROVED:
JUN
Officer (PP)
Ops Offic
GS-0136.31-14
DDP/H
Branch III
3 1956
BAF-125
$10320.00 p.a.
HAVARA.CULA - STATION
Havana, Cuba
FIELD
USED IN LIEU OF SESO
NOTIFICATION OF FERDONATEL
ACTION
Signature:
Title:
14 POSITION CLASSIFICATION ACTION
NEW VICE I A SEAL
DEPARTMENTAL
(DP)
15 16 17. APPROPRIATION
SEX RACE
H
FROM:
TO.
6-3545-55-055.
Saze
21. STANDARD FORM 50 REMARKS
SD-DP
18 SUBJECT TO C S
RETIREMENT ACT
(YES-NO)
19 DATE OF APPOIN).
MENT AFFIDAVITS
(ACCESSIONS ONLY)
ixed CONCUR
20. LEGAL RESIDENCE
☐ CLAIMED PROVED
STATE:
22. CLEARANCES
A
B. CEIL OR AUS. CONTROL
C. CLASSIFICATION
D PLACEMENT OR EMPL
E
EVITIAL OR SIGNATURE
DATE
REMARKS:
GED 5/17/16
F. APPROVED AY_
PP/Career SerPPROVED
"Effective:
1956
SECRET
16-473-1
14-00000
STANDARD FORM 52
PRED
14-TEINS · PHOTOG
COTES Br°
REQUEST FOR PERSONNEL ACTION
UN VOUCHERED
REQUESTING OFFICE: Fill in items 1 through 12 and "A through D except 68 and 7 unless otherwise instructed.
If applicable, obtain resignation and fill in separation data on reverse. -
&AME (MMM-Ongan pemonitis) and purname)
& NATURE OF ACTION REQUESTED:
A PERSONNEL (Specify whether appointment, promotion, separation, etc.)
Excepted Appointment (Staff Agent).
& POSITION (Spevily whether establish, change grado or tithe, etc)
2. DATE OF TH
31 Oct 1922.
& REQUEST NO.
& EFFECTIVE DATE
À PROPOSED
& DATE OF REQUEST
16 Jan. 56
7 C'S OR OTHER
LEGAL AUTHOR-
ITY
FROM-
& POSITION TITLE AND
NUMBER
1 To
& SERVICE, GRADE, AND
SALARY
L ORGANIZATIONAL
DESIGNATIONS
B. APPROVED:
FEB
1955
Ops Officer (PP)
БАР-125
GS-0136.31-14 $10,320.00 pore
DDP/WH
FL HEADQUARTERS
Havana,,
Cuba.
DEPARTMENTAL
1
12 FIELD OR DEPARTMENTAL
x
FIELD
GEPARTMENTAL
(PP)
FIELD
& REMARKS (Use reverso if necessary)
& REQUESTED BY W and tith
D. REQUEST APPROVED BY
// Signature:
FOR ADDITIONAL INFORMATION CALL fame and telephone extens.on)
POWERS
13. VETERAN PREFERENCE.
NONE | Wa⠀ OTHEN] S-PT. 10 POINT
i
DISAB. OTHER
Title:
14 POSITION CLASSIFICATION ACTION
NEW VICE LA REAL
15
16 17. APPROPRIATION
SEX RACE
MW
FROM:
TO
603545-55-055
21. STANDARD FORM 50 REMARKS
22. CLEARANCES
A
B CEIL OR POS CONTROL
C. CLASSIFICATION
D PLACEMENT OR EMPL
E
W
18 SUBJECT TO C S
RETIREMENT ACT
(YES-NO)
Yes
19 DATE OF APPOINT-
MENT AFFIDAVITS
(ACCESSIONS ONLY)
SD-DP
30 LEGAL RESIDENCE
☐ CLAIMED
STATE:
pproved AN 1956
PROVED
Service
APP
CONTRACT PERSONNEL DIVISIZY
FEB
1956
INITIAL OR SIGNATURE
DATE
REMARKS
Effected
AN
1930
F APPROVED
alpertir
18-35339-2
14-00000
STANDARD FORM 52
PROMETHE
1'S CH
-PL
SANAL CHAPTER B
REQUEST FOR PERSONNEL ACTION
BOUCHERED
REQUESTING OFFICE: Fill in items 1 through 12 and A. through D except 68 and 7 unless otherwise instructed.
If applicable, obtain resignation and fill in separation data on reverse.
1. MAME (Mr. Mini-Mro. One given name, initial(s), and surname)
Mr. David A. PHILLIPS
$ NATURE OF ACTION REQUESTED:
A PERSONNEL (Specify whether appointment, promotion, separation, etc.)
Resignation
R. POSITION (Specify whether establish, ohange grade or titko, ata.)
2. DATE OF BIRTH
1 REQUEST NO.
31 Oct 1922
& EFFECTIVE DATE
A. PROPOSED
& DATE OF REQUEST
1956
16 January
7 CS OR OTHER
LEGAL AUTHOR-
ITY
B APPROVED-
FEB 1956
F8015-
Ops Officer
GS-0136.31-14
BW-229
$10,320.00 p.a.
DDP/PP Operations Staff
Information Coordination Division
Office of the Chief
Washington, D. Co
FIELO
DEPARTMENTAL
A REMARKS (Use reverse if necessary)
& POSITION TITLE AND
NUMBER
TO-
& SERVICE, GRADE, AND
SALARY
TIL ORGANIZATIONAL
DESIGNATIONS
IL HEADQUARTERS
12 FIELD OR DEPARTMENTAL
RELO
DEPARTMENTAL
Concurred in with Mr Shafer Caif/100/PP by phone. 3 Feb-1956.
To seek other employment.
KLW.
B. REQSISTED BY (Nend title)
& FOR ADDITIONAL INFORMATION CALL (Name and telephone extension)
BONERS
13 VETERAN PREFERENCE
MORE OTHER SPT. 10 POINT
X 4457
15
SEX RACE
16
MW
DISAB OTHER
x
17 APPROPRIATION
FROM:
ΤΟ
6-2105020
21. STANDARD FORM 50 REMARKS
22 CLEARANCES
A
B CEIL OR POS CONTROL
C. CLASSIFICATION
D FLACEMENT OR EMPL
E
F. APPROVED BY
1. REQUEST APPROVED BY
Signature:
Title:
14 POSITION CLASSIFICATION ACTION
NEW VICE A REAL
18. SUBJECT TO CS
RETIREMENT ACT
(PES-NO)
13. DATE OF APPOINT.
MENT AFFIDAVITS
(ACCESSIONS ONLY)
SD-DP
20 LEGAL RESIDENCE
☐ CLAIMED ☐ PROVED
STATE:
INITIAL OR SIGNATURE
DATE
REMARKS
AJAN
231958
0
☑
/N/T6
Approved
w-calling
7P/Career Service
per 7. Bear, Jo 18 Jan '56
for
10--67359-8
1400000
STANDARD PAM-52
PONT GAT
Jeta 1
PER
REQUEST FOR PERSONNEL ACTION
VOUCHERED
REQUESTING OFFICE: Fill in items 1 through 12 and A through D except 6B and 7 unless otherwise instructed.
If applicable, obtain resignation and fill in separation data on reverse.
· Mat (Nr.–Misa-Mrs-One given name, initial(e), and surname)
MR. DAVID A PHILLIPS
NATURE OF ACTION RECISTER
& PERSONNEL (Specify wdecher appointment, promotion, separation, etc.)
REASSIGNMENT (CORRECTION)
& POSITION (Spocity u dather establish, change grade or title, etc )
CATE OF BIRTH
1 REQUEST NO.
31 Oct 22
A DATE OF REQUEST
& EFFECTIVE DATE
A PROPOSED:
16 Sept. 55
7. CS OR OTHER I
LEGAL AUTHOR-1
HIY
D APPROVED
GS-0136.11-14
19600 p/a
10,32
1 Paramilitary off. BW-156
DDP/PP Operations Staff
Office of the Chief
Washington, D. C..
FIELD
1 & POSITION TITLE AND
NUMBER
& SERVICE GALTE AND
SALARY
12 ORGANIZATI SA
DESIGNATIONS
IL HEADQUARTERS
XXX DEPARTMENTAL
REMARKS (Use revarso / recessery)
12 FIELD OR DEPARTMENTAL
TO-
Ops Officer
GS-0136.31-14
BW-229
DDP/PP Operations Staff
Information Coordination-Div.
Office of the Chief
Washington, D. C.
FIELD
XXXX DEPARTMENTAL
To correct allotment number shown in action effective 14 Aug '55
ESTED BY (Name title
Laura E. Keen, AC/PP/Admin
FOR ADDITIONAL INFORMATIC CALL (Namie and telephone extension)
Frances A. Taylor x-8606
13 VETERAN PREFERENCE
OTHER SPT I 23-POINT
DISAR OTHER
"
& EST APPROVED BY
Signature:
Tales
11 POSITION CLASSIFICATION ACTION
WICE LA REAL
1517. APPROPRIATION
15
SEX RACE
N W
FROM 6-2101-20.
(6-2105-20
TO:
3. STANDARD FOR C
CLEARANCES
A
SD:DP
1 SUB to cs
RETIREMENT ACT
1223-10)
yes
19. DATE OF APPOINT.
MENT AFFIDAVITS
(ACCESSION: ONLY)
1.20 LEGAL RESIDENCE
☐ CAVED ☐ PROVED
STATE
Approved SEP 20 1955
Dicollins.
PP/Career Servies
مانانی
INITIAL OR SIGNATURE
DATE
581815
B CEL OR POS CONTROR
C. CLASSIFICATION
6 3/26
6 be 21 Septsr
D PLACEMENT OR EMPL
per i Bour, po 22 septts
14-00000
STANDARD FORM 52
COLM
T
TH
BAL OUT OF
REQUEST FOR PERSONNEL ACTION
VOUCHERED
REQUESTING OFFICE: Fill in items 1 through 12 and A through D except 68 and 7 unless otherwise instructed.
If applicable, obtain resignation and fill in separation data on reverse.
L NAME (Mr.-Mi-Mrs. One diven name, initial(e), and surname)
A
MR. DAVID THE PHILLIPS
& NATURE OF ACTION REQUESTED
▲ PERSONNEL (Specify whether appointment, promotion, separation, etc.)
Reassignment
· POSITION (Specify whether establish, change grade or title, eta )
2. DATE OF BIRTH
1 REQUEST NO
31 Oct. 1922
& EFFECTIVE DATE
A. PROPOSED
DATE OF REQUEST
1 July 195$
7. CS OR OTHER
LEGAL AUTHOR.
ITV.
B. APPROVED:
14 aug B-229
55
BW-156
& POSITION TITLE AND
AUMBLA
TO- Ops Officer
SERVICE GRACE AND
SALARY
i
12. ORGANIZATIONAL
DESIGNATIONS
IL HEADQUARTERS
10320
GS-0136.31-14 $9600 p/a
DDP/PP Operations Staff
Information Coordination Div.
Office of the Chief
Washington, D.C.
FROM Paramilitary off.
10320
63-0136.11-14 $9600 p/a
DDP/PP Operations Staff
Office of the Chief
Washington, D.C.
FIELD
xx DEPARTMENTAL
A REMARAS (Use reverse if necessar7)
For record purposes only
FIELO
12. FIELD OR DEPARTMENTAL
Бех DEPARTMENTAL
B. REQUESTED BY (Name
Jeanne K. Letellier, C/PP/Admin
C. FOR ADDITIONAL INFORMATION CALL (Name and telephone estension)
Frances A. Taylor, × 8605
13. VETERAN FREFERENCE
NONE WWll OTHER, 5 PT.
10 POINT
INSAB OTHER
a. REQUEST APPROVED 81
Signature:
Titles
Approved JUL 14 1955
.PP/Career Service
14 POSITION CLASSIFICATION ACTION
NEW VICE L'A REAL
15 15
SEX RACE
MW
17 APPROPRIATION
FROM. 5-2101-20
10 6-2101-20
21. STANDARD FORM 50 REMARKS
22 CLEARANCES
A
B CEIL OR POS CONTROL
C. CLASSIFICATION
D PLACEMENT OR EMPL
E
F. APPROVED BY
15 SPAFCT_ID C. S
RETIREMENT ACT
(325-3)
SD-DP
19. DATE OF APPOINT-
MENT AFFIDAVITS
(ACCESSIONS ONLY)
20 LEGAL RESIDENCE
☐ CLAIMED
PROVED
INITIAL OR SIGNATURE
DATE
RENKAS
7-8
sex azfalos
18-1
per"
STATE:
1. Bear jo lang 's's

14-00000
7
To:
เ
SECRET
31
ENTRANCE ON DUTY NOTICE
Fra Taylor
G.
ཝ་
17
Philip David A.
DD P/FR__
06:35 FOR ENTHAN E
FR
t.
7 June 1955.
*
THE PERSONNEL FILE OF
E AND GRAD
Paramilitary occ
CS-14.
3. TO CLEARANCE
|REASSIGNMENT
1 Amil 1955...
OTE:
SEMA.
Other
་་་།"འ་;
H. G. Reynolda cop
Bill
DISTRIBUTION ORIGINAL "AND COPY (18) TO ITEM NO. 3.
COFY (PINK) TO PESO POLDER
FORM NO.
NOV 1952 37-118 ** [ATIONS NOT
SECTED
(4)
SECRET
N
CONFIDENTIAL
REQUEST FOR PRE-EMPLOYMENT MEDICAL EVALUATION
1. CATE
4/7/55
NAME
(Last)
Itilips
285ANIZATIONAL ASSIGNMENT
(First)
David
(Middle)
Atlee
5. POSITION TITLE (and gradej
3. SUSPENSE DATE 110 WORKING DAYS
6. PERSONNEL DIVISI
Overt
1. THE MEDICAL OFFICE IS REQUESTED TO CHECK THE DESIRED ACTION, RETURNING THE ORIGINAL COPY OF THIS FORM
APPROPRIATE PERSONNEL DIVISION NO LATER THAN THE SUSPENSE DATE INDICATED IN ITEM NO. 3.
A
D
approve processing 8
Rejected for medical reasons
Hold pending receipt of additional medical C
-information [fore latters attached ho
☐ Cocart
THE
Request pre-cepto, mont
medical semination
8. Remarks:
FORM #0.
FEB 1953
NAME
37-163
This () suposodes
the 
(
-
James M. Sang. J
SIGNATURE FOR MEDICAL OFFICE
-Has Faller
છે
Flang
CONFIDENTIAL
[ CONFIDENTIAL]
REQUEST FOR PRE-EMPLOYMENT MEDICAL EVALUATION
110599
Phillips,
DOP/PP
28 ASSIGNMENT
(first)
David
(wissse)
Atlee
5. POSITION TITLE cond gra
Paramilitary off.
GS-14
1. CATE
30 March 1955
). SUSPENSE DATE 120 KING DAYSE
6. PERSONNEL DESION
☑ Quert
ZAL OFFICE IS REQUESTED TO CHECK THE DESIRED ACTION, RETURNING THE ORIGINAL COPY OF THIS FORM TO THE
APPROPRIATE 
PERSONNEL DIVISION NO LATER THAN THE SUSPENSE 
CATE INDICATED IN ITEM 2. 3.
Approve processing •
for E.0.0.
Rejected for medical reasons
a.
Remera:
Hold pending receipt of additional medical
Information (fore letters attached)
Requant pre-uplo
medicas
●mination
(4)
ADDITIONAL MEDICAL INFO ON: (4-6-55)
Trench mouth or prorrhea
Bed wetting after 6 years of age.
ッド
OK
1
14-00000
! CONFIDENTIAL!
REQUEST FOR SECURITY CLEARANCE
SR-5033-PP
3.1
30 March 1955
TAN
FULL AN
(Lasti
Phillips
David
POSITION TITLE
(Mislei
Atlee
GSAGE
RIN
1922
CODE
Paramilitary oss. PP
IN-156-14
LOCATION OF
CODE
VISION
CODE
EPANCH
CODE
DDP/PP
Oparations Stafe.
:
10100 of Chier
NOSSAPIC DESTINATION CITY AND STATE UP COUNTRY, AU BOKK_FMLATE}
Washington,
TYPE OF EMPLOYEE
*WER:
FUNDS
NOUCHERED
REGULAR
CONTACT
3.
CONSULTANT
VOUCHERED
TYPE(S) OF SECURITY CLEARANCE REQUESTED
PROVISIONAL FORE Ishow name of poot or group)
SECRET
FULL
WAIVER
BAARTUITY CATE (08-5-d
EST. CLEARANCE DATE (MO-
ASAP
SEX AND VETERAN STATUS
REMARKS:
NO CORRE)
M-V
M-NV
MILITARY
RECRUITMENT SOURCE
CODE
106
3.
F-V
F-NV
1 (SQ) 1 (ots)
H. G. Reynolds
"
ep
Attachments:
PHS
Append.
Photos.
FORM BO.
JUN 1951
37-104
Director Personnel
(0)
14-00000
UNCLASSIFIED
CONFIDENTIAL
ROUTING AND RECORD SHEET
SECRE
INSTRUCTIONS: Other designations should be used in the "TO" column. Under each comment a line should be drawn across sheet
and each comment numbered to correspond with the number in the "TO" column. 
Each officer should initial (check mark insufficient)
before further noting. This Routing and Record Sheet should be returned 
to Registry
FROM:
TO
PP/CS
TELEPHONE NO.
DATE
ROOM
NO
OFFICER'S
INITIALS
TELEPHONE
REC D
FWARD
05/05P2004 33 8/8 8
Ledfod
P&RD Curie
4.
5.
6.
7.
8.
S
3
March March
3/4/3/17/10
DATE
3 March 55
COMMENTS
3. I suggest was
appraws an
lichais.
5,200 s/Spind
Pireuiat a wri
sect for its info
ali muutes..
گا
2+3 aque.
ge
9.
10.
11.
12.
13.
14.
15.
FOOM
MAY SA 51-10
PRINTIONS
MAY BE USED
SECRET
CONFIDE AL
UNCLASSIFIED
(40)
I
14-00000
STANDMP FOR 52°
PROW
BS (My O
SALAT
S
REQUEST FOR PERSONNEL ACTION
VOUCHERED
REQUESTING OFFICE: Fill in items 1 through 12 and A through D except 6B and 7 unless otherwise instructed.
If applicable, obtain resignation and fill in separation data on reverse,
L NAME (Mr-Miss-Mr. --One given name, initial(s), and surname)
MR. DAVID ATLER PHILLIPS
-
& NATURE OF ACTION REQUESTED
A PERSONNEL (Specify whether appointment, promotion, separation, etc )
EXCEPTED APPOINTMENT
& POSITION (Specify whether establish, change grade or title, etc.)
2. DATE OF BIRTH
31 October 1922
A REQUEST NO.
& EFFECTIVE DATE
A. PROPOSED:
1 April 1955
& DATE OF REQUEST
Feb. '55
7. C S OR OTHER
LEGAL AUTHOR-
ITY
:
FROM
& POSITION TITLE AND
NUMBER
10-
& SERVICE, GRADE, AND
SALARY
IL ORGANIZATIONAL
DESIGNATIONS
11. HEADQUARTERS
FIELD
CEPARTMENTAL
A REMARKS (Use reverse if necessary)
12. FIELD OR DEPARTMENTAL
For slotting purposes only pending approval of
"new T/O
B APPROVED:
Paramilitary off.
GS-0136.11-14
BW-156-14
$9600 p/a
P&P
DDP/Operations Staff
Office of the Chief
Washington, D.C.
FIELD
☑ DEPARTMENTAL
John R. Baker,
C/PP
B. REQUESTED B)
D. REQUEST APPROVED BY
་་-
Jeanne K. Letellier, C/PP/Admin
C. FOR ADDITIONAL INFORMATION CALL (Nace and telephone extension)
Frances A. Taylor, x 8606
13 VETERAN PREFERENCE
NONE WALL OTHER, 5 PT
13 POINT
DISAB OTHER
Signature:
Title:
Career Service:PP
14 POSITION CLASSIFICATION ACTION
NEW VICE Ledford
A HEAL
-15
15 17. APPROPRIATION
SEX PACE
MW
FROM.
TO 5-2101-20
21. STANDARD FORM 50 REMARKS
22. CLEARANCES
Α
B. CEIL OR POS. CONTROL
C. CLASSIFICATION
D. PLACEMENT OR EMPL
E
F. APPROVED BY
INITIAL OR SIGNATURE
18 SUBJECT гo c s
RETIREMENT ACT
(YES-NO)
19 DATE OF APPOINT.
MENT AFFIDAVITS
(ACCESSIONS CALY)
20 LEGAL RESIDENCE
☐ CLAIMED PROVED
STATE:
ApprodMAR 2 1955
Um Calling
PP/Career Service
DATE
REMARKS:
Ett 3/24
Robert A. tricklin by John Caldwell
10-67329-2
14-00000
UNCLASSIFIED
CONFIDENTIAL
ROUTING AND RECORD SHEET
SECRET
INSTRUCTIONS: Officer designations should be used in the "TO" column. Under each comment a line should be drawn across sheet
and each comment numbered to correspond with the number in the "TO" column. Each officer should initial (check mark insufficient)
before further routing. This Routing and Record Sheet should be returned to Registry.
FROM:
1.
PP/Admin
TO
TELEPHONE NO.
DATE
ROOM
M
REC D
FWO D
OFFICER'S
INITIALS
TELEPHONE
2.
C/PP
CS/PP
305/05
2032 K PED
20012
2405
K
Mm. Colle
PP/CMO
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
FORM 51-10
I MAY 54
PREVIOUS EDITIONS
MAY BE USED
DATE
7 February 1955
COMMENTS
.
1955
25teb
home
Contract une be
terminated apporti 19pril 55
3854
Duright,
Per our telephone
Conversation, I feel that
our Career System should-
provide for the review of
such cases from the
point of view of:
(0) Bringing Someone in at
this grade level
(b) Whether the person's backyard
dexperience indicate that he
showed be picked up wander the
jiniscation of a specialist panel
orthors Panel.
It seems to me that
Such review could be ther
repmaibility of the spartel
or of the functional Pazel Boned.
The latter seem to makemontt
sende.
Could you
review this one
im PP from that point of view
-how you
and time know
.
folks feel on the policy questions;
SECRET
CONFIDE
_AL
2
UNCLASSIFIED
(40)
14-00000
!
SECRET
11 C
MEMORANDUM FOR:
SUBJECT:.
Chief Finance Division
Equalization Allowance Adjustment
for
Hound Phillpe
1. Effective 15 December 1957, subject individual's equalization
ailowance is decreased from $950 to $565 per annum due to a decrease
in the cost of living at subject's post as compared with Washington, D. C.
2. All other terms and conditions of the original authorization
remain in full force and effect.
SIGNED
Louis W. Armstrong
Chief, Contract Personnel Division
Distribution:
Orig. and I
-
Addressee
2 - NEA Division
2 - CPD
OP/CPD:HSurles:ahw (9 Dec 57)
SECRET
14-00000
S-E-C-R-E-T
(When Filled In)
27 JUN 1957
MEMORANDUM FOR:
Chief, Contract Personnel Division
ATTENTION
FROM
SUBJECT
8 Deputy Director of Security (Investigations
and Support)
Droid Phillyr
1. Reference is made to the memorandum dated 18 June 1957
in which a covert security clearance was requested to permit the
'Subject's conversion from an Ops Officer (FP), GS-14, DDP/NH, Branch
III, Havana, Cuba, to an Ops Officer (PP), GS-14, DDP/NEA, Egypt and
Arab States Branch, Project PECTATE, Beirut, Lebanon.
2. In accordance with the provisions set forth in the Director's
Memorandum of 14 February 1949 entitled, "Security and Operational
Clearances, #t a covert security clearance is granted for the use of the
Subject, as described in your request as set forth in paragraph 1,
above. For administrative purposes only, this clearance is effective
as of 15 June 1957.
3. Subjects of covert security clearances are not to represent
themselves as, nor are they to be represented as, employees of CIA.
4. Your attention is called to the fact that a covert security
clearance does not constitute complete compliance with the provisions
of CIA Regulation 10-210. Therefore, if you should desire at a later
date to change the status or use of this individual, a request for
clearance to cover any proposed change should be submitted to this
office.
5. This clearance becomes invalid in the event the Subject's
services are not utilized within 60 days of the date of this memorandum.
FOR THE DIRECTOR OF SECURIT1:
S-E-C-R-E-T
Pest N. Cumming hav
Robert H. Cunningham
14-00000
:
SC ST
Date: 18 June 1957
MEMORANDUM FOR; Chief, Special Security Division
FROM
: Chief. Special Contracting, Allowances &
Processing Staff, Wing 2F Curie Hall
Phillipe
SUBJECT
(P); Your Number
_40696
1. In compliance with paragraph four (4), your memorandum date 1
subject as above, clearance to cover the following
proposed change in subject's status and/or use is hereby requested.
Ops Officer (PP)
Position Title
Ops. Off (PP)
OS-14.
Grade & Salary
GS-14
DDP/WH
Branch III
Org Designation
Headquarters
DDP/NEA
Egypt & Arab States Branch
Project PECTATS
Havana, Cuba-
Beirut, Lebanon
) Field
Dept'l
Field or Hatrs.
( ) Field
:
☐ Dept'i
2. Changes other than specified above:
Cover is Comercial
Case Officer: Robert S. Goralski X3548
3. The proposed effective date of the change is. 16 June 1957 (For Financial
and Administrative reasons.
Please phone verbal concurrence
to Dot Kreinheder X3585
Verbal Concurrence
granted by mr Godar
21 June 57
LOUIS W. ARMSTRONG
XXXXXXXXXXXIKTEX
SECRET
14-00000
SECRET
FEB 1957
MEMORANDUM FOR:
SUBJECT:
Chief, Finance Division
Equalisation Allowance Adjustment for
Phillips, Hoved
1. Effective 13 January 1957, subject individual's equalization
allowance is decreased from $3780 to $3145 per annum due to a
reduced cost of living index for subject's post.
2. All other terms and conditions of the original authorisation
remain in full force and effect.
SIGNED
RALPH S. POLLOCK
Chief, Contract Personnel Division
elt-28 Feb 57
Distribution:
Original and 1: FD
2: WH Div
1: Subject File
1: Chrono File
1: Equal Allow File
1: my copy
14-00000
MORANDUM PORS
THROUGH
SUBJECT
SECRET
26 April 1967
Deputy Director for Investigations
à Operational Support
1 Contract Personnel Division
Proudonym
-
Change of
REFERENCE
1
Memorandum for Deputy Director for Investigations
& Operational Support, through, Contract Personnel
Division, from this office, dated 26 April 1987
Due to a compremtse, the posudonym of Paul D. LANGEVIN has been
shanged. Please refer to reference for new pssudonym.
Distribution-
See
France
572
Chrous Statistics
allowance Stas
Selections
staff
Pes
SECRET
// J. C. KING
Chief, HHD

14-00000
SECRET
26 April 1957
MEMORANDUM FOR: Deputy Director for Investigations
& Operational Support
Contract Personnel Division.
TIRUCH
SUBJECT:
New soudonym
REFERENCE:
Phiye Hand
Memorandum for Deputy Director for Investigations
& Operational Support, through, Contract Fersonnel
Division, from this office, dated 26 April 1957
The pseudonym of subject of reference has been changed to
Hoid Phillipr
SECRET
J. C. KING
Chief, YHD
1
الكلمات الالم الشعور
14-00000
MEMORANDUM FOR:
Chief, Finance Division
SUBJECT:
Equalization Allowance Adjustment for
Phillips, Hasa
1. Effective 7 October 1956, subject individual's equalization
allowance is increased from $3670 to $3780 per annum.
2. All other terms and conditions of the original authorization
rornain in full force and effect.
RALPH S. POLLOCK
Chiof, Contract Fersonnel Division
:
14-00000
SECRET
JUL 1957
MEMORANDUM FOR: Chief, Finance Division
SUBJECT:
Equalization Allowance for
Phillips Doved
1. Fubject individual is authorised an equalization allowance
at the rate of $950 per annum upon his arrival at Beirut, Lebanon.
2. All other terms and conditions of the original authorization
remain in full force and effect.
Distribution:
Orig. and 1-
FD
2 - NEA
✓
-
Subject File
I
-
Equal Allow File
1
-
Chrono
1
-
Extra
aih 2 July 1957
Louis W. Armstrong
Chief, Contract Personnal Division
SECRET
***
:
14-00000
ORIG :
UNIT :
61.9
P. C. BOHERS
WH/PERS
4457
8 FEBRUARY 1956
HAVANA, CUBA
EXT
:
DATE :
TO
FROM:
DIRECTOR
CONF:
WH 5
INFO :
19
CLASSIFIED MESSAGE
Fa
SECRET
2
SA
FI/ADMIN, FI/RI 2, OP 2, 8/C 2
DIR 46833 (OUT 67172) 21462.8 FEB 56
'TO: HAVA
RE: DIR 30629 (CUT 86720)
-Havid Philye
ARV HAVA 1440 HRS 9 FEB PAA 436 WITH FAMILY,
END OF MESSAGE
Jcking
C. KRIG
RELEASING OFFICER
H. J. PRESTON
COORDINATING OPER
SECRET
IT IS FORBIDDEN TO MAKE A COPY OF THIS MESSAGE
RCUMINE
CITS:
DIR
COER LE GER
A
པ་ན་ ་ས།
IN OFFICER
Copy No.
!
1
14-00000
отливойната на бы
Office Memorandum. UNITED STATES GOVERNMENT
ΤΟ
:
Chief, Contract Personnel Division
FROM
SUBJECT:
2
DATE MAR 20 1955
Deputy Director of Security (Investigations and Surrort)
Philips Haid
1. Reference is made to your request dated 20 January
1956 for a Covert Security Clearance to permit appointment
of Subject to Staff Agent/operations officer at Havana, Cuba.
2. In accordance with the provisions set forth in
the Director's Memorandum of 14 February 1949 entitled,
"Security and Operational learances,
" a covert security
clearance is granted for the covert use of the Subject, as
described in your request as set forth in paragraph zl,
above. This will confirm the Covert Security Clearance
granted telephonically to Mr. Ken Wambold, CFD x-3585 on
26 January 1956.
3. Subjects of covert security clearances are not
to represent themselves as, nor are they to be represented,
as, employees of CIA.
4. Your attention is called to the fact that a covert
security clearance does not constitute corrlete compliance
with the provisions of CIA negulation 10-210. Therefore,
if you should desire at a later date to change the status
or use of this individual, & remmest for clearance to cover
any procosed change should be submitted to this office.
5. This clearance becomes invalid in the event the
Subject's services are not utilized within 60 days of the
date of this memorandum.
FOR THE DIRECTOR OF CITY:
SECRET
Nobert
14-00000
SECRET
(When the In)
REQUEST FOR SECURITY CLEARANCE
RADE (LAST FIRST-
POSITION 03
REQUEST NO (4-51
192281
OCCUP. COCK (37. 42)
REQUEST DATE 6
20 Jan 1955
EAR OF BIRTH 129-301
31 Oct 1922
RADE (43-44)
:S-14
ORGA. CODE (45.49)
Cerations Officer (PP)
LOCATION (CITY, STATE COUNTRY)
Havana, Cuba
ASSIGNMENT (OFFICE DIVISION, BRANCH)
DOR/WW
☑REGULAR
CONSULTANT
CONTERS: ACTION
IF OTHER. SPECIFY:
TYPE OF APPL. (49)
TYPE OF APPLICANT
ACT
MALITART
SE to SA
TIFE OF ASSIGNMENT AND FUNDS
MDQTERS FUND (30)
CLEARANCE
REQUIRED
ATTACHMENTS
Collock, C/CPP for
VETERANS STATUS
| PROVISIONAL FOR LINDICATE RARE OF POOL OR GROUPI:
QÚÐARA SEÇ KOTITY OLJARATING
1 PERSONAL HISTORY STATEMENT
PHOTOGRAPH (5)
[ MALE VETERAN
MALE NON VETERAN
APPERSTE!
FEMALE. VETERAN
FEMALE NON-VETERAN
☐ MOSS " Y UV
SECRET CLEARANCE (51)
FULL
APPERS:
REQUEST FOR WAIVER
REPORT OF INTERVIEW
RECRUIT. CODE 152-54)
YET. PREF. SEX (55)
REMARKS.
Security #40696
557%
56.
ANTT MORO
SPACE BELOW FOR SO USE ONLY
-
2003
377
BARE 27-406
SECRET
14-00000
021 08/MK/ALN
CLASSIFIED MESSAGE
DATE
•
3 MAY 57
TO
' DIRECTOR
FROM
BEIRUT
ACTION:
NEA 6
INFO
S-E-CR-E-T
FI/OPS 2, FI/RI 2; FD 3, OP 2, S/C 2
TO
DIR
PECTATE
Phillips
INFO
ROUTING
4
5.
8
- MAY 3 12312 57
ROUTINE
IN 39082
SA
⚫ CITE
BEIR 3537
AND FAMILY ARRIVED 30 APRIL.
END OF MESSAGE
S-E-C-R-E-T
IT IS FC DEN TO MAKE A COPY OF THIS N
تنامه تر
AGE
Copy No.
14-00000
200 HM/JM/BJ
CLASSIFIED MESSAGE
DATE
•
3 APR 57
200
SECRET
TO
•
DIRECTOR
FROM
HAVANA
ACTION:
WH 5
INFO
FI/OPS 2, FI/RI. 2, NEA
TO
PRITY DIR
ROUTINO
1
-4
2
S
o
APR 30 08:57
REC'D CABLE SECT.
བ ཅ༥ ལ་ སྒ, ༠༩ བ
PRIORITY
OP 2, S/C 2
IN 37747
INFO: BEIR
CITE
HAVA 900
ADMIN
Havid Shake
AND FAMILY DEPARTED HAVA CUBANA FLIGHT
998 0800 HOURS 29 APR ETA BEIRUT 2100 HOURS 30 APR BEIRUT TIME
PAA FLIGHT 64.
END OF MESSAGE
Clara
1160
SECRET
IT IS FIDDEN TO MAKE A COPY OF _MESSAGE Cepy No.
14-00000
onhang
PHILLIPS, David Allco
16. MARITAL STATUD
Remarried
Stare
STAVE
11 WINT
ACSCAGE
9787779
ASSESSMENT DATE
Moto
1. DEPEND
preclude ca
HEMSLASHIP
Nom 1948.
NONE SERVICE
13. NON CIA EMPLOYMENT
SECRET
(then Foll+I)
-SIGÓRAPHIC PROFILE (PART 1) COD: 15 Jan 1953.
.. DAIL DI
" 31 Oct 1922
*1953 1954 1970
Da's 1969
ACTIVE
WITH 20
US NATGRATION DATEESS
NA
VAL
Prop PCS 0/s PCS Q/S
RELEASE tak.
MIL BEN.
CATOL
11. LANGUAGE APTITUDE TEST Dats
Nona
17:43 1951 1956 1959
1942-43 Self-employed, Actor
Rotace STATUS
64436
13. PROPIONAL TRẬT QUE
Kana
1943-45 Military Service, WAP, S/Sgt
1949-54 *The South Pacific Hall" (Nowa Papor), Santiago, Chilo, amaraditon Publi
Lecturas
16. NON CIA EDUCATION
1940-41 College of William & Mary, Williamsburg, Va
1941-42 Toxas Christian Univ, Ft Worth, Texna - Drome, English
1948 Univ of Chilo, Santiago, Chilo - Spanich
30
Drama, English
17. FOREIGH
LANGUAGE
ADILITIES
(Longuage, Prolio
Jeleney, Dale Tooted)
French-R Elen; H. Slight (Jun 1961); Sille ep 1939) Trash & i
P.SU.Slight; Rone-Oct 157
(2)
Spanish, New World - R High;
Portuguese (Brazilia) - R Inter (Dec 1969)
14. AGENCY SPONSORED TRAINING
1955 Reading Improvement.
1965 CCS Seminar
1959. Short Range Act Cont Surv
1969; Portuguese
1969 COS Sen
1971 Wpas/ Defensive Driving
110 CIA EMPLOYMENT HISTORY SINCE 10 SEPT 19er (Personnel Acilona, Wilitory Orders, and Principel Cotario)
DEFECTIVE DATE POSITION TITLE & OCCUPATIONAL CORRADE
1952-53 Contract Agent
1954-55 Contract Employee
0136.11 34
0133.31 14 DP
0136.31 14 CP
0136.31 14 P
80
1958-60 Contract Agent (Indwendent
0136.01 24 D
.0135.01 14 D
0135.01
0135.01 13
B
8
ONCANIZATION & ORGAN TITLE (1 ony)
[WH/Santiago, Chile
ACATION
WH
DOP/PAP Opa Str
Quatemala
#d
DOP/PP Ops/Info Coord Div
DOP/H HIT/Havana Cuba Stú
DOP/NA/MAS Br/ProSPECTATE
.
Havana
Estrut
Ravana
83:
DDP/CS Day Comp/hH
POP/14
DER/HH-3/Mexico Sta
Apr 1955
Para Mil of
Aug 1955
ops officer
Feb 1956
Apr 1957
ង
Mar 1900
1000
(Apr 1960
Pep 1951
(S) 1953
(Jun 1909
Sep 1967
Dec 1968
Opa Off
0136.01 15
" 12
0135.01 16
D
17
目
"
料
Jan 1970
Chief of Sta
0135.05 16 D
Jul 1971
"
"
"
0135.05 16
"
"
零境
Nov 1971
"
H
"
0138.05 17
"
"
Aug 1972
"
"
"
0136.05 17 0
-886 ITEMS to la strEASED
Chief of station 0131.05 15 D
DATE 4oca 14 NOFILT
3 Jun 1944
1200 (PART 1) ugostion
SECRET
P-2/Con Rep States
DIF/WH/Ch,Cuban Ops Group
[DIT/Wil/i7-5/Cos
"
""
DOP/WA-3/Yunaquela Sta
PROFILE
Maxics aft
Santofcaing
Rio de Janeiro
Ralia]
Caracas
འཕྲོ་ འཏུ
14-00000
PARK SERIAL NO.
NAME (Last-Firit-Middle)
PHILLTEC, David Atlee
SECRET
(Thin Filled In)
BIOGRAPHIC PROFILE (Continuation Sheet)
DATE OF BIRTH
31 Oct 1922.
19. CIA EMPLOYMENT HISTORY SINCE
EFFECTIVE DATE POSITION TITLE
Jun 1973 Ch Wi
18 SEPT.
OCCUPATIONAL CODE
GRADE "
1947 (Personnel Actions, Military Orders, and Principal Details) (Cont'd.)
ORGANIZATION BORGAN, TITLE (If any).
LOCATION
Dec 1973
"
"
"
0001.10 37 1 MG/Chief, WH Division
0001.10 18 D
"
11.
PATE HEVIGNED
12605
10.78
Jun 1974
1200-la
16 s
PROFILE REVIEWED OV
hal onl
SECRET
[ 12. IMPORT (L. BY 2 PROFILE ***

14-00000
PERS, SEAIAL 40.
024385
LEHILLTOS _ David Atloa
PHOTOGRAPH
SECRET
led in)
BIOGRAPHIC PROFILE (PART 2)
VATE OF NAIN
31 Oct 1222
AZAN DIRATOR
MAIL 131
THEVC
IDENTITY OF OTHER DOCUMENTS WHICH SHOULD BE REVIEWED IN DETAIL
25. ADDITIONAL INFORMATION
SEE COVER HISTORY ATTACHED.
Award 1955 Intelligence Medal of Merit for his outstanding dedication and devotion
to 
the 
cause of freedom, during the period Jai - Jul 1954.
Commandation 1961 from DCI for loyal and devoted po.formance while serving with JMATE
Auded 1955 Intelligence Medal of Merit for outstanding dedication and devotion
to 
the cause of freedom.
Appreciation 1962 from US Ambassador, Kaxico City conveying President Kennedy's thank)
to 
Embassy 
Staff who contributed to success of his Kaxican visit.
Appreciation 1966 from CNDR, USPUNEP for outstanding contribution in the
accomplishment of USPOEDORP Intelligence rissions 1 May 1965 17 Jan 1966.
Commendation 1966 from the DCI for especially teritorious service during the past
year by members of the Dominican Republic Station.
Commandation from DDCI for services rendered during the crisis while TDY in the
|Dominican Republic Station.
Appreciation 1968 from former President of the Dominican Republic, to Deputy
Director
, Voice of Amorica, USIA, 
for Subject's able and offective representation of
the United States during turbulent events 
in the country three years ago.
Appreciation 1969 from Ch, DOD 
for briefing the DO Base Chiefs' Conference
[17 Feb 
1989.
26. DATE REVIEWED
5 Jun 1974
FORM
3.40
1200 (PART 2) 11:1
UN PREVIOUS
27. PROFILE REVISED BY
hms/cal
SECRET CL BY
201610026 PROFILE
641
:
14-00000
TO:
((Check)
SECRET
NOTIFICATION OF ESTABLISHMENT OR CANCELLATION
OF OFFICIAL COVER BACKSTOP
× CHIEF, CONTROL, DIVISION, OP
x
CHIEF, CONTRACT PERSONNEL DIVISION, OP
CHIEF, OPERATING COMPONENT (For action)
ATTN:
REF:
SUBJECT
WH
27 July 1973
S NUMBER
391-24-1032
EMPLOYED NOVDER
024345
ID CARD NUMBER
ESTABLISHCO
x
OFFICIAL
COVER
DISCONTINUED
Chief Support Staff
Form 1322 dated 7 Jun 73
UNIT
TILE
2500
PHILLIPS, DAVID A.
Department of State
KEEP ON TOP OF FILE WITH COVER IN CUTEST
ESTABLISHMENT OF OFFICIAL COVER BLOCK RECORDS
x
BASIC COVER "PROVICer
EFFECTIVE DATE
OPERATIONAL COVER PROVIDED
EOD
FOR _ TUY __ OTHER (Specify)
SUBMIT FORM 642 IMMEDIATELY TO CHANGE TELEPHONE
LIMITATION CATE
ILL
x
(RHD 20-7,
SUBMIT FORM 3214 St
TORE ISSUED..
(HHR 20-11)
x
SUBMIT FORM 1323 FOR ANY CHANGE AFFECTING THIS
COVER. (NR 2) 3
1.4
CANCELLATION OF OFFICIAL COVER UNBLOCK RECORDS
EFFECTIVE DATE:
SUBMIT FORM 3254
TO BE ISSUED. (HHR 20-13)
-2
SUBMIT FORM 642 IMMEDIATELY TO CHANGE TELEPHONE
LIMITATION CATEGORY TO CATEGORY.
(HH9 26-7)
EAA: CATEGORY 1
CATEGORY II
RETURN ALL ALUMNATION TO CCS
SUBMIT FOPM 2688 FOR
HOSPITALIZAT
DO NOT WRITE IN THIS BLOCK -
2
SUBMIT FORM 1323 FOR TRANSFERRING COVER
RESPONSIBILITY. (HR 240-20)
x
EAA. CATEGORY 1
✗
CATEGORY !!
✗SUBMIT FORM 2698 FOR AGE HOSPITALIZATION CARD
REMARKS AND/OR COVE HISTORY
JAN 53-54-SANTIAGO/NOC
MAY 54-FEB 56-NEW YORK/NOC
FEB 56-APR 57-HAVANNA/NOC
APR 57-JUL 58-BEIRUT/NOC
AUG 58-MAR 60-HAVANNA/NOC
MAR 60-22 AUG 61-HQS/NOC
23 AUG 61-JUL 65-MEXICO/STATE INT
JUL 65-JUN 67-SANTO DOMINGO/STATE INT
JUN 67-JUN 70-HQS/STATEINT
JUN 70-14 JUN 73-BRAZIL/STATE INT
DISTRIBUTION15 JUN 73-21 JUL 73-HQS/
COPY 1. CoSTATE INT
corv 2 - OPERATING COMPONENT
CAPT 05/59 22 JUL 73-HIQS/STATE NOM
COP .. OLATER
COPY $. COS-FILE
4 f:BP:ss
6-73
*** 1551***
PRESIONI 8617I09
James :.. Franchlin
SECRET
CHIEF OFFICIAL COVER, CENTRAL COVER
[2. IMPOLT CL BY D07622
STAFF
14-00000
TC:
(Check)
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NOTIFICATION OF ESTABLISHMENT OR CANCELLATION
OF OFFICIAL COVER BACKSTOP
☑
CHIEF, CONTROL DIVISION, OF
CHIEF, CONTRACT PERSONNEL DIVISION, OF
x CHIEF, OPERATING COMPONENT (For action)
LA
ATTN:
CHIEF SUPPORT STAFF
REF:
RETIREMENT
LUBJECT
DAVID ATLEE PHILLIPS
7 MAY 1975
<> NUMBER
391-24-4032
PEMPLOYEE NUMBER
024345
110 CARD NUMBER
ESTABLISHED
OFFICIAL
COVER
DISCONTINUED
UNIT
DEPARTMENT OF STATE
FILE NU.
2500
KEEP ON TOP OF FILE WHILE COVER IN EFFECT
ESTABLISHMENT OF OFFICIAL COVER BLOCK RECORDS
BASIC COVER PROVIDED
EFFECTIVE DATE
CANCELLATION OF OFFICIAL COVER UNBLOCK RECORDS
☑ EFFECTIVE DATE: EOD
✗
SUBMIT FORM 3254
CIA
W-2
231
OPERATIONAL COVER..PROVIDED.
FOR TOY
OTHER (Specify)
TO 95 ISSUED: (NNB 2011).
SUBMIT FORM 617 IMMEDIATELY TO CHANGE TELEPHONE
LIMITATION CATEGORY TO CATEGORY
X
(PHR 20-7)
SUBMIT FORM 642 IMMEDIATELY TO CHANGE TELEPHONE
(LIMITATION CATEGORY TO CATEGORY,
NA EAA. CATEGORY 1
CHNY 20-7)
CATEGORY ||
X RETURN ALL OFFICIAL DOCUMENTATION TO CCS
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VOMIT FORM 2689 FOR
SUBMIT FORM
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COVER (HR
"
SUBMIT FORM FOR RING
RESPONSIBILITY. (HR 240-2)
.EAA. CATEGORY 1
SUBMIT FORM 2688 FOR
REMAPS AND/OR COVER HISTORY
OF FILE
CATEGORY 11
HOSPITALIZATION CARD
SUBJECT WILL BE ACKNOWLEDGED AS CIA FOR
ENTIRE PERIOD OF EMPLOYMENT BUT WILL NOT
REVEAL SPECIFIC PLACES OR LOCATIONS OF
COVER ASSIGNMENTS..
STRIBUTION
2.
CG CPD
OPERATING COMPONENT EP/mlr
OS/SRBCD
OC DO TED
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PREVIOUS EDITION
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SECRET
OFFICIAL COVER BRANCH, COVER AND COMMERCIAŬ STAFF
E-2. IMPDET CL. BY 007622
(13-20-43)
14-00000
TC:
(Check)
SECRET
NOTIFICATION OF ESTABLISHMENT OR CANCELLATION
OF OFFICIAL COVER BACKSTOP
CHIEF, CONTROL DIVISION, OP
✗
CHIEF, CONTRACT PERSONNEL DIVISION, OP |
27 MARCH 1975
53 NUMBER
391-24-4032
EMPLOYEE
024345
NUMBER
ID CARD NUMBER
X
CHIEF, OPERATING COMPONENT (For action)
LA
ATTN:
ESTABLISHED
CHIEF SUPPORT STAFF
OFFICIAL
REF:
VERBAL
SUBJECT
COVER
DISCONTINUED
XX
UNIT
DAVID ATLEE PHILLIPS
DEPARTMENT OF STATE
ILL
AJ,
2500
KEEP ON TOP OF FILE WHILE COVER IN EFFECT
ESTABLISHMENT. OF OFFICIAL COVER BLOCK RECORDS
CANCELLATION OF OFFICIAL COVER UNBLOCK RECORDS
BASIC COVER PROVIDED
EFFECTIVE DATE
☑
EFFECTIVE DATE:
SUBMIT FORM 3254
22 JULY 1973
CIA
☑
OPERATIONAL COVER PAGVIDED
FOR
TOY
этиги (Specily)
☑
TO BE ISSUED. (HHB 20-11)
SUBMIT FORM 642 IMEDIATELY TO CHANGE TELEPHONE
LIMITATION CATEGORY TO CATEGORY
(PMR 20.7)
SUBMIT FORN 642 IMMEDIATELY TO CHANGE TELEPHONE
LIMITATION CATEGORY TO CATEGO
(HH 20-7)
NA EAA: CATEGORY 1
CATEGORY #1
☑
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SUBMI
FO DE ASSUR
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EAA. CATEGORY 1
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15 JAN 53-54-CHILE/SANTIAGO/NOC
MAY 54-FEB 56-NEW YORK/NOC
FEB 56-APRIL 57-CUBA/HAVANA-NOC
APRIL 57-JULY 58-LEBANON/BEIRUT/NOC
AUG 58-MARCH 60-CUBA/HAVANA/NOC
MARCH 60-22 AUG 61-BQS/NOC
23 AUG 61-JULY 65-MEXICO/MEXICO CITY/STATE INTEGRATED
JULY 65-JUNE 67-SANTO DOMINGO/STATE/INTEGRATED
JUNE 67-JAN 70-HQS-STATE/INTEGRATED
JAN 70-JULY 71-BRAZIL/RIO DE JANEIRO-STATE INTEGRATED
JULY 71 JULY 72-BRAZIL/BRASILIA/STATE-INTEGRATED
DISTRIBUTION
COPY CD O CPD
COPY 2 OPERATING COMPONENT
COPY 305/5R&CO
CJPY .. OC 0 TFB
COPY 5 - CCS-FILE
FORD
171551 SE
(TO BE CONTINUED)
CHIEFT OFFICIAL COVER BRENCH COVER
SECRET
AND CORNER FALSTAFF
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E-2. IMPOET CL. BY 007622
PREVIOUS
COITION
.:
14-00000
SECRET
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NOTIFICATION OF ESTABLISHMENT OR CANCELLATION
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CHIEF, CONTROL DIVISION, OP
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CHIEF
,
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ATTN:
REF:
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<s
MON
¡EMPLOYEL NUMBER
HID CARD NUMBER
ESTABLISHED
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. COVER
DISCONTINUED
UNIT
PILI. NO.
2500
DAVID ATLEE PHILLIPS
KEEP ON TOP OF FILE WHILE COVER IN EFFECT
ESTABLISHMENT OF OFFICIAL COVER BLOCK RECORDS
BASIC COVER PROVIDED
EFFECTIVE DATE
OPERATIONAL COVER PROVIDED
(FOR TOY OTHER (Specify)
SUNT FORM 642 IMMEDIATELY TO CHANGE TELEPHONE
LIMITATION CATEGORY TO CATEGORY
(889 20-7)
SUBMIT FORM 325.
(HHS 20-11) ·
2 TO BE ISSUED.
SUBMIT FORM 132 OR ANY CHANGE, TYFECTING THIS
COVER. (HR 240-2)
✓
ex
1
SUBMIT FORM 1323 FOR TRANSFERRING COVER
RESPONSIBILITY. (HR 240-20)
CANCELLATION OF OFFICIAL COVER UNBLOCK RECORDS
EFFECTIVE DATE:
SUBMIT FORM 3254
TO BE ISSUED. (HHB 20-11)
#-2
SUBMIT FORM 642 IMMEDIATELY TO CHANGE TELEPHONE
LIMITATION CATEGORY TO CATEGORY
(944 20.7)
EAA: CATEGORY 1
CATEGORY II
RETURN FALL TRÆRGIALION TO CCS
SLFORD 268859
HOSPITALIZATION CARO
DO NOT WRITE IN THIS BLOCK
HEAA. CATEGORY 1
CATEGORY 11
HOSPITALIZATION CARD
SUBMIT FORM 2688 FOR
FREMARKS AND/OR COVER HISTORY (CONTINUE)
AUG 72-14 JUNE 73-VENEZUELA/CARACAS-STATE
INTEGRATED
15 JUNE 73-21 JULY 73-HGS-STATE/INTEGRATED
22 JULY 73-24 MARCH 75-HQS-STATE/NOMINAL
25 MARCH 75-HQS/OVERT
DISTRIBUTION:
COPY 1 CD CPD
COPY 2. OPERATING COMPONENT
COPY 3. OS
COPY 400×20 TFS
COPY 5. COS-FILE
1-74
1551*E
PREVIOUS EDITION
لعبة
Julle
EP: hir
CHIEF
A COVER BRANCH
OVER
SECRET
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(13-20-43)
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SECRET
NOTIFICATION OF EST.. SHMENT OR CANCELLATION
OF OFFICIAL COVER BACKSTOP
x CHIEF, CONTROL DIVISION, or
27 July 1973
KYTNUMALA
391-24-4032
EMPLOYEE NUMBER
CHIEF, CONTRACT PERSONNEL DIVISION, OP
}
× CHIEF, OPERATING COMPONENT (For action)
WH
024345
IC CARD NUMBER
ATTN:
Chief Support Staff
ESTABLISHED
REF:
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COVER
DISCONTINUED
Form 1322 dated, 7 Jun 73
SUBJECT
UNIT
PHILLIPS, DAVID A.
x
#ILL
'
2500
Department of State
KEEP ON TOP OF FILE WHILE COVER IN EFFECT
ESTABLISHMENT OF OFFICIAL COVER BLOCK RECORDS
BASIC COVER PROVIDED
EFFECTIVE DATE
EOD
CANCELLATION OF OFFICIAL COVER UNBLOCK RECORDS
EFFECTIVE DATE:
SUBMIT FORM 3254
W-2
TO. BE ISSUED. (HHR 20-14)
OPERATIONAL COVER PROVIDED
FOR
TOY
OTHER (Specify)
[SUBMIT FORM 642 IMMEDIATELY TO CHANGE TELEPHONE
[LIMITATION CATE
DEGE
III
SUBMIT FORM 642 IMMEDIATELY TO CHANGE TELEPHONE
LIMITATION CATEGORY TO CATEGORY
(HHR 26-7)
EAA: CATEGORY I
CATEGORY 11
X (HHB 20-7)
SUBMIT FORM 325 State REISSUED.
x
(HH8 20-11)
x
SUBMIT FORM 1322 FOR ANY CHANGE AFFECTING THIS
COVER. (HR 24&aza) Å
SUBMIT FORM 1323 FOR TRANSFERRING COVER
RESPONSIBILITY. (HB 240-20)
RETURN ALL MENTATION TO CCS
SUBMIT FORM 2688 FOR,
HOSPITALIZA
DO NOT WRITE IN THIS BLOCK -
X
EAA. CATEGORY 1
✗
CATEGORY 11
X SUBMIT FORM 2688 FOR AGE HOSPITALIZATION CARD
REMARKS AND/OR COVER HISTORY
JAN 53-54-SANTIAGO/NOC
MAY 54-FEB 56-NEW YORK/NOC
FEB 56-APR 57-HAVANNA/NOC
APR 57-JUL 58-BEIRUT/NOC
AUG 58-MAR 60-HAVANNA/NOC
MAR 60-22 AUG 61-HQS/NOC
23 AUG 61-JUL 65-MEXICO/STATE INT
JUL 65-JUN 67-SANTO DOMINGO/STATE INT
JUN 67-JUN 70-HQS/STATEINT
JUN 70-14 JUN 73-BRAZIL/STATE INT
DISTRIBUTION 15 JUN 73-21 JUL 73-HQS/
COPY CDC STATE INT
COPY 2.
COPY 3.
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COVER CONTROL OF RETIREMENT PROCESSING
TO: Retirement Operations Branch
Office of Personnel
RETIREE
CATEGORY OF
EMPLOYMENT
FILL
CATE
17 oplag 1075.
On the basis of a review of the records of the Cover & Commercial Staff,
the following action is to be taken on processing retirement documenta-
tion for the person named above.
TYPE RETIREMENT
CIVIL SERVICE
COVER
OVERT
ROUTINE
COVERT
(OFFICIAL COVER)
LOCK-UP
CORRESPONDENCE
OVERT
ANNUITY PAYMENTS SHOULD BE
TAX DOCUMENTATION SHOULD BE
REQUEST TRANSFER OF FUNDS FROM
CIVIL SERVICE COMMISSION
FEGLI
OVERT
TYPE OF HOSPITALIZATION CARD:
AUTHORIZATION TO-CONVERT INSURANCE
REMARKS
MEMBER OF CIVILIAN RESERVE
OTHER INSTRUCTIONS AS FOLLOWS:
DATE
CLARDS
COVERT
(18)
SPECIAL
Dep, 1978
RETENTION
OF AWARDS
"
YES
NO
COVERT
THRU CCS
FINANCES
U.S. GOV'T. CHECK
OTHER
(Payment in-
structions
follow)
CIA
CSC
OTHER
(MEMO FOLLOWS)
YES
NO
INSURANCE
COVERT
i
YES
RESERVE
INTERNAL TRANSFER
MAINTAIN RECORDS INTERNALLY ONLY
CONVERSION MUST BE APPROVED BY CCS
YES
NO
OVERT
CHIEF COVER SUPPORT BRANCH
COVER A COMMERCIAL STAFF
THIS SECTION TO BE COMPLETED BY OFFICE OF SECURITY
NO SECURITY OBJECTIONS TO ABOVE.
COVERT
CHIEF
EMPLOYEE ACTIVITY BRANCH, OFFICE OF SEC
F.GM
12-73
3429
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17 OFF PERS. FILE ROOM
14-00000
FOR PURPOSES OF THE FAIR LABOR STANDARDS ACT. AS AMENDED.
YOU ARE DESIGNATED EXEMPI.
EFFECTIVE DATE OF DESIGNATION:
01 MAY 1974.
PHILLIPS DAVID A
024345
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"PAY ADJUSTMENT IN ACCORDANCE WITH THE PROVISIONS OF SECTION 5305 OF
TITLE 5, U.S.C. AND EXECUTIVE CKDER 11811 PUSSLANT TO AUTHORITY OF OCI
AS PROVIDED IN THE CIA ACT OF 1949, AS AMENDED, AND CCI DIRECTIVE
CATEC 08 OCTOBER 1962."
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NAME
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3 NATURE OF PERSONNEL ACTION RETIREMENT (VOLUNTARY
UNDER CIA RETIREMENT AND DISABILITY
SYSTEM AND CANCELLATION OF NSCA
TECHIVE DATE
COR
05 09 175
3 CATEGORY OF EMPLOYMENT
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12 POSITION NUMBER
13 SERVICE DESIGNATION
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14 CLASSIFICATION SCHEDULE ICS Bon
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AS PROVIDED IN THE CIA ACT OF 1949, AS AMENDED, AND DCT DIRECTIVE
DATED OF 261 1962.”
EFFECTIVE DATE OF PAY ADJUSTMENT: 14 COTOREK 1973
NEW
NAME
SERIAL
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CF GS 17 4
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$36,000
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17 JUL 73
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EFFECTIVE DATE OF PAY ADJUSTMENT: 9 OCTOBER
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NAME
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4 EFFECTIVE DATE
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ACT OF 1949.
AS AMENDED, AND A-DCI DIRECTIVE 
DATED & OCTOBER 1962.
”
EFFECTIVE DATE OF PAY ADJUSTMENT: 3 JULY 1966
NAME
PHILLIPS DAVID A
SERIAL
024345
51 750 CF
ORGN. FUNDS GR-STEP
GS 15 4 $18,825 $19,371
OLD
SALARY
NEW
SALARY
SECRET
30 June 1966
MEMORANDUM FOR: Chief, TRB
SUBJECT
: Record of Contract Service for
David A. Phillips
1. Per your request we are forwarding record of Subject's contract
service:
Date
4 March 1954
31 July 1954
1 August 1954
31 March 1955
19 August 1958
13 March 1960
Action
Hired as Contract Employee
Terminated
Hired as Contract Employee
Terminated
Hired as Contract Agent
Terminated
2. Subject was employed on a full time basis with leave benefits
from 4 March 1954 through 31 March 1955. Accordingly, this entire period
is"creditable" for establishing. his annual leave category. However, the
period from 19 August 1958 through 13 March 1960, as an independent contractor,
is not creditable for this purpose. Only the period from 4 March 1954
through 31 December 1954 is "creditable for Civil Service Retirement,
since Contract Employee's were mandatorily covered by Social Security
as of 1 January 1955. 1951-1953 Contract Agent time is not creditable.
3. Attached is OF record of Agency service with salary breakdown.
Rogers C. Brooks
་་
14-00000
EPTIONAL PURE 18
KIP
UNITED STATES GOV NMENT
Memorandum
ΤΟ
:
Chief, Contract Personnel Division
ATTN : Mary Kay Shink
FROM :
Compensation and Tax Division.
Office of Finance
SUBJECT: Agency Service of David Atlee PHILIPS
DATE: 16 June 1966
The records of the Office of Finence show the following Agency
service for Subject:
Contract Agent:
EOD 1 February 1951 " $600.00 P/M
Term 28 February 19510600.00 P/M
ECD 25 January 1952
86000.00 P/A
$6000.00 P/A
$7200.00 P/A
88360.00 P/A
88360.00 P/A
not creditable,
SEE memo
30-66
not creditable
S86 Memo
ok
6-30-66
Term 31 August 1953
Contract Employee:
ECD 4 March 1954
Pay Inc. 1 August 1954
Term. 31 March 1955
Staff Employee:
Ex. Appt. 1 April 1955
Res. 6 February 1956
Staff Agent:
09600.00 P/A
$10,220.00 P/A
Ex. Appt. 7 February 1956 #10,320.00 P/A
PSI 7 Octobe- 1956 $10, 535.00 P/A
Pay Paise 12 January 1958 $11,595.00 P/A
PSI 6 April 1958
Res. 13 August 1959
Contract Agent:
EOD 19 August 1958
Term. 13 March 1960
Staff Employee:
11,875.00 P/A
$11,835.00 P/A
$7,200.00 F/A
£7,200.00 P/A
Fr. Arpt. 14 March 1960
Subject has been a Staff
7.
$11,835.00 P/A
O.K.
not cuditable pain
mama from CPD
6-30-66
Employee since 14 March 1960,
Seduction
JOSEPH H. HUTSON
Chief
Agent Payroll Branch
0.
K.
as eft
Employee
14-00000
"PAY AT '、、
PURSANT
AC
AS ASENTE, AND 4-071
i
TECTIVE
EFFECTIVE DATE OF DAY ADJUSTMESTI
19-301
ALT OF 1949,
19.2."
NAME
SENTAL
. UID
SALARY
NE
SALARY
PHILLIPS DAVID A
024345 51 450 OF
GS 15 •
$18,17
518,825
5,1
5 AUG 65
SECRET
(When Filled In)
NOTIFICATION OF PERSONNEL ACTION
F
SERIAL NUMBER
2. NAME (LAST-FIRST-MIDOLE)
024345
3. NATURE OF PERSONNEL ACTION
1 PHILLIFS DAVID A
14 EFFECTIVE DATE > CATEGORY OF EMPLOYMENT
NO.
DA
REASSIGNMENT
-FUNDS
♥ TO V
V TO (F
☐ (F TO VCF 10 CF
ORGANIZATIONAL DESIGNATIONS
DOP/WH
FOREIGN FIELD
BRANCH 2
SANTO DOMINGO, DOMINICAN REPUBLIC
051 05165
REGULAR
7. COST CENTER NO. CHARGEABLE 8. CSC OR OTHER LEGAL AUTHORITY
6135 0975 cood
50 USC 403 J
10 LOCATION OF OFFICIAL STATION
STATION
11 POSITION TITLE
ATT POL OFF
CHIEF OF STATION
14. CLASSIFICATION SCHEDULE (65. 10, otc )
SANTO DOMINGO, DOM REP
12 POSITION NUMBER
0274
13 SERVICE DESIGNATION
D
15 CCCUPATIONAL SERIES
16 GRADE AND STEP
17. SALARY OR RATE
FSR
GS
10136.05
03 5
15 4
16920
18170
13 REMARKS
MEXICO CITY,
MEXICO
19 ACTION 20. Employ 21.
Code
CODE
37 10
25 MTE EXPIRES
SPACE BELOW FOR EXCLUSIVE USE OF THE OFFICE OF PERSONNEL
22 STATION 23 INTEGREE 24 Hdg 25 DATE OF BIRTH
CODE
CODE
Coco
OFFICE CODING
NUMERIC
ALPHABETIC
51650 WH
19039
31 SEPARATION
DATA CODE
29 SPECIAL 30 RETIREMENT DATA
REFERENCE
26 DATE OF GRADE
04
DA
27 DATE OF LES
❤o.
DA
T
XX
XXXX
1. CSC
1. FICE
4368
■
1031122
32 CORRECTION-CANCELLATION DAT
TYPE
!
1
31 SECURITY
34 SEX
. REQ NO
EOD DATA
35 VET PREFERENCE
36 SERV COMP. DATE 17 toas com DATE
38 CAREER CATEGORY
CODE
CCD8
FĒSLY / WEALTH INSURANCE
DAIVER
40 SOCIAL SECURITY NO
6.7.48 CODE
**
REN
CODE
O. MOME
06
SPT
3. 10 PT
41,
PREVIOUS GOVERNMENT SERVICE DATA
<? LEAKE CAT | 43
3023
COOK
10- NO PREVIOUS SERVICE
FEDERAL TAX GATA
COMELECUTED CADA
C TAS ES
' NO IN SERVICE
1.125
BREAS IN SERVICE RESS
'
BREAK ON SERVICE IMONE THAN FARK
SIGNATURE OR OTHER AUTHENTIC,TION.
STATE TAX CATA
NO TAX STATE CODE
EXEMP
14-00000
UPO 03/31/65
1 SERIAL NUMBER
024345
SECRET
(When filled in)
NOTIFICATION OF PERSONNEL ACTION
2 NAME (LAST FIRST MIDOLE)
PHILLIPS DAVID A
3 NATURE OF PERSONNEL ACTION
CONV. TO CAREER EMPLOYEE STATUS
4 EFFECTIVE DATE
M
"
04 0150
5 CATEGORY OF EMPLOYMENT
7 COST CENTER NO CHARGEABLE
CSC OR OTHER LEGAL AUTHORITY
♥ TO V
VTO (F
6 FUNDS
(F TO Y
X
(F 10 (
ORCANIZATIONAL DESIGNATIONS
10 10CATION O OFFICIAL STATION
DUP/WH DIVISION
11 POSITION TITLE
12 POSITION NUMBER
13 CAREER SERVICE DESATION
14 CLASSIFICATION SCHEDULE (GS IB etc)
15 OCCUPATIONAL SERIES
16 GRADE AND STEP
17 SALARY OR RATE
18 PENAPIS
Form
لها
POSTED
04/01/052K
11508
MFG. IN
Edition
SIGNATURE OR OTHER AUTHENTICATION
Use ProvioUS
SECRET
6842
ཁམ་གབ ལུང་
(filled in;
14-0000
12
1.
Serial No
024345
Mame
PHILLIPS DAVID A
Cost Center Number
45G
[WOP Mours
31 700
CF
OLD SALARY RATE
NEW SALARY RATE
Grade
Sixp
Salary.
Lost EW. Date
Grode
Stop
Salary.
'
TYPE ACTION
EMOCI Dole
LSI
ADJ
17,600
18,170
65. 153 $18.995 09/29/63 GS 15 4 $1
Remarks and thum
09127164
01
✓ NO EXCESS LYOP
557
AUDITED BY
ESS
✓ IN PAY STATUS AT END. OF WAITING PERIOD
HOP STATUS AT END OF WAITING PERIOD
CLERKS INITIALS
n
°
I CERTIFY THAT THE WORK OF THE ABOVE NAMED EMPLOYEE IS
OF AN ACCEPTABLE LEVEL OF COMPETENCE.
000
130
SIGNATURE 12º
An
"
DATE
29/7/14
L
Dor..on
PAY CHANGE NOTIFICATION
Form
931
Otto Previous
560
23.tion
(451)
GRADE
1
GENERAL SCHEDULE RATES
Federal Employees Salary Act of 1964
Per Annum Rates and Steps
2
3
4
5
6
7
8
9 | 10
GS- 1 $3,385|$3,500 $3,615 $3,730 $3,845|$3,960 $4,075 $4,190 $4,305 $4,420
GS- 2 3,680 3,805 3,930 4,055 4,180 4,305 4,430 4,555 4,680 4,805
GS-3 4,005 4,140 4,275 4,410 4,545 4,680 4,815 4,950 5,085 5,220
GS-4 4,480 4,630 4,780 4,930 5,080 5,230 5,380 5,530 5,680 5,830
GS 5 5,000 5,165 5,330 5,495 5,660 5,825 5,990 6,155 6,320 6,485
GS-6 5,505 5.690 5,875 6,060 6,245 6,430 6,615 6,800 6,985 7,170
GS- 7 6,050 6,250 6,450 6,650 6,850 7,050 7,250 7,450 7,650 7,850
GS-8 6,630 6,850 7,070 7,290 7,510 7,730 7,950 8,170 8,390 8,610
GS-9 7,220 7,465 7,710 7.955 8.200 8,445 8,690 8,935 9,180 9,425
GS-10 7,900 8,170 8,440 8,710 8,980 9,250 9,520 9,790 10,060 10,330
GS-11 8,650 8,945 9,240 9.535 9.830 10,125 10,420,10,715 11,010 11,305
GS-12 10,250 10,605 10,960 11,315 11,670 12,025 12,380 12,735 13,090 13,445
GS-13 12,075 12,495 12,915 13,335 13,755 14,175 14,595 15,015 15,435 15,855
GS-14 14,170 14,660 15,150 15,540 16,130 16,620 17,110, 17,600 18,090 18,580
GS-15 16,460 17,030 17,600 18,170 18,740 19,310 19,880 20,450 21,020 21,590
GS-16 18,935 19,590 20,245 20,900 21,555 22,210 22,865 23,520 24,175
GS-17 21,445 22,195 22,945 23,695 24,445
GS-18 24,500|
14-00000
IN ACCORDANCE WITH THE PROVISIONS OF PUBLIC LAW 87-793 Oct
MEMORANDUM DATED 1 AUGUST 1958
, SALARY IS ADJUSTED AS FOLLOWS,
EFFECTIVE 9 JANUARY 1964.
NAME
SENIAL
ORGN FUNDS
:GA-ST
OLD
SALARY
NEW
SALARY
PHILLIPS DAVID
074545
51 700
CF
05 193
$15,925
$16,495
MHC: 27 SEPT 63
ODF
SECRET
(When Filled In)
NOTIFICATION OF PERSONNEL ACTION
1 SERIAL NUMBER
| 2 NAME (LAST FIRST MIDDLE)
024345
3 NATURE OF PERSONNEL ACTION
PROMOTION
PHILLIPS DAVID A
4 EFFECTIVE DATE
S CATEGORY OF EMPLOYMENT
4. FUNDS
9 ORGANIZATIONAL DESIGNATIONS
DOP WH
BRANCH 3
MEXICO CITY
04
09.2963
7. COST CENTER NO CHARGEABLE
♥ TO V
VTO CF
(F 10 Y
CF. TO (F
REGULAR
CSC OR OTHER LEGAL AUTMOUN
4135 5700 1000) 50 USC 403 J
10 LUCATION OF OFFICIAL STATION
MEXICO STATION
13. POSITION TITLE
ATT POL OFF
OPS OFFICER
14. CLASSIFICATION SCHEDULE (55. 18, atc.)
15. REMARKS
GS
MEXICO CITY, MEXICO
15 OCCUPATIONAL SERIES
0136.01
MEXICO CITY,
12 POSITION NUMBER
0340
AND STEP
1658"
15 3
MEXICO
13 SERVICE DESIGNATION
D
37 SALARY GR RATE
13440
15525
( 3
1 LONG.COMP DATE
3 ACTION 20 Empl21 OFFICE (COING
CODE
22
10
28 NTE EXPIRES
09 28
51700 WH
29 SPECIAL
REFERENCE
65:31
35 VET PREFERENCE
SPACE BELOW FOR EXCLUSIVE USE OF THE OFFICE OF PERSONNEL
22 STATION 20 INTEGREE
1001
100%
45073
1
30
RETIREMENT
31 SEPARATIO
DATA LODE
32 (ECTION CANCELLATION DATA
24
21 DATE OF BIRTH
20 DATE OF GRADE
27 DATE OF LEI
1
..
3
10 311 22 09:29
63 09.29
63
1 MB 734 SEX
EOD DATA
33 CAREER CATEGOR
"
2008
FEGLI HEALTH INSURANCE
SCIAL SECZ3:79 80
HEALTHIN (021
TES
2308
----
PREVIOUS GOTLOVILK? SERVE DATA
NO PER SEX
Beta 247
62 LEAVE Cat 43
FEDERAL TAR Data
.
SIGNATURE ON OTHER AUTHENTICATION
u
his
จ
STATE TAX Data
10
}
t
دروید
i
14-00000
6-
201
SPROTIVE 13
$$
THE
DATED
1952
ONS OF PUBLIC LA
67-731
BUST 1984. SALARY 15 ADJUSTED AS
NAME
SERIAL 2954
800
FUNDS GRLST SALARY
E
GROST SALARY
PHILLIPS DAVID A
024345, 44750
CF 14 4
512390
14 4 316170
-
1
Serial No
2
Nome
Cost Center Number
340
L'WOF Hours
024345
PHILLIPS CAVID A
64 700
CF
'
OLD SALARY RATE
NEW SALARY RATE
,
TYPE ACTION
Grade
Step!
Salary
Do
Grode
Step
Salary
Effective Dote
PSI
เม
ADA
&
GS 14 4 $14,120 09/17/61 GS 14 5 $14,545 09/15/63
8 Remarks and Authenthan
/ NO EXCESS LWOP
✓ IN PAY STATUS AT END OF WAITING-PERIOD
/ LHOP STATUS AT END OF WAITING PERIOD
CLERKS INITIALS
°
AUDITED BY
4 CERTIFY THAT THE WORK OF THE ABOVE NAMED EMPLOYEE IS
OF AN ACCEPTABLE LEVEL OF COMPETENCE.
SIGNATURE
FILECHŮL
0000 000 00
00
PAY CHANGE NOTIFICATION
539
2115
DATE 1/4)
04/1963
1/ 7/13/
form
961
Oto Previous
560
23207
599960°c®ཏྟི། མྨཱ ཀ སྤ% ¥༢2ན 41e --ངབ*ཟམ
1. Seal No.
12
(4 $11
SECRET
(When Filled In)
Name
3.
Cost Center Number
14 LWOP Hours
24345
PHILLIPS NAVID A
CID SALARY RATE
DOP/WH
87
NEW SALARY RATE
UV
17. TYPE ACTION
---
Grade
Step
Salary
Last Date
Grade
Step
Salary
Effective Date
PSI LSI ADJ.
“ና 14 3 12,730 03/14/85
14
4 $12,990 09/17/61
B. Remarks and Authentication
NO EXCESS LWOP
IN PAY STATUS AT END OF WA
WAITING PERIOD
IN LWOP STATUS AT END OF WAITING PERIOD
W

14-00000
:.
BWS: 31 AUG 1961
SECRET
(When Fülei ta'
.ODF
1. SERIAL NUMBER 2 NAME (LAST FIRST MIDDLE)
NOTIFICATION OF PERSONNEL ACTION
024345
PHILLIPS DAVID A
3. NATURE OF PERSONNEL ACTION
•
M
..
INTEGRATION
-
DEPT. OF STATE
301
23.611
17 CEST LEWTER NO. CHARGEABLE
TO ▼
TO CF
$. FUNDS
# TO ▼
CF TO F
9. ORGANIZATIONAL DESIGNATIONS
1 DATE S CATEGORY OF EMPLOYMENT
2135 5700 1000
18 Naho OF OFFICIAL STATION
REGULAR
8. CSC OR OTHER LEGAL AUTHORITY
50 USC 403 J
DDP WH
BRANCH 3
MEXICO CITY
MEXICO STATION
11 POSITION TITLE
MEXICO CITY, MEXICO
ĽUDEN
ATI PCL OFF
OPS OFFICER
14. CLASSIFICATION SCHEDULE (GS, WD, etc)
10 REMARKS
FSR
GS
| 13. CAREER SERVICE DESIGNATION
th
0340
D
15 OCCUPATIONAL SERIES
1 AND STEP
17 SALARY OR RATE
0136.01
03
14 3
12535
12730
SUBJECT IS TO BE PAID THE DIFFERENCE BETWEEN CIA SALARY OF $12730
AND FSR SALARY CF $12535 TO BE PAID BY DEPT. OF STATE AND ALLOWANCES
IN ACCORDANCE THEREWITH.
NO SICK AND NO ANNUAL LEAVE TO BE TRANSFERRED TO THE DEPT. OF STATE.
ACTION: 20 Employ: 21. OFFICE CODING
CODE
Code
SPACE BELOW FOR EXCLUSIVE USE OF THE OFFICE OF PERSONNEL
22 STATION 29 INTEGREE 2425 DATE OF BIRTH
CODE
ALPHABETIC
10
64700 WH
45075
29 SPECIAL 130
REFERENCE
RETIREMENT DATA
10001
NTE EXPRES
1
25 DATE OF GRADE
27 DATE OF LEI
Cade
ВА
"
*0.
ДА
си
"
13
10,31 22
31 SEPARATION 132 CORRECTION-CANCELLATION DATA
BATA CODE
TYPE
DA
T
°
20
!
FICO
MONE
VET PREFERENCE
3 SERV COMP DATE
37 LONG COMP DATE
10
"
33 WL SERV (REDITAD "
CODE
PT
33 SECURITY
34 SEX
tx 030
EOD DATA
FEGLINEALTH INSURANCE
WAIVER
40. SECIAL SECURITY NO
HEALTH INS CODE
雄
YES
PREVIOUS GOVERNMENT SERVICE DATA
42 LEAVE CAT U
CODE
FEDERAL TAX BATA
E
autoD COOL
NO, TAX EXEMPTIONS
40 BEAK IN SERVICE
BREAK IN SERVICE FLESS THAN 12 MOST
BREAK IN SERVICE INDRE THAN 12 MOSSį
SIGNATURE OR OTHER AUTHENTICATION
Obsolete Previous
1150
SECRET
Editions
44
STATE JAK DATA
QUTED
1
་་་
1. No
( Tension cool
【་ཡ
SLID
appstuzik
14 13
14-00000
PSC: 23 AUG 1961
OCF
1. SERIAL BOWIER
2 BANE LAST-FIRST MIDDLE}
SECRET.
(When Tiled t
NOTIFICATION OF PERSONNEL ACTION
024345
PHILLIPS DAVID A
3. NATURE OF PERSONBEL ACTION
REASSIGNMENT
•
FUT.DS
9. ORGANIZATIONAL DES-GRATIONS
DOP WH
TO V
▼ 10 (F
CF to
CF 10 CF
BRANCH 3
MEXICO CITY, MEXICO STATION
11 POSITION TITLE
CPS OFFICER
4 CLASSIFICATION REDULE (LS WB, etc)
GS
TO BE INTEGRATED.
*EFFECTIVE DATE
SCT US EMPLOYMENT
100
08 15 61
i
17. COST CENTER BO. CHARGEABLE
REGULAR
CSC OR OTHER LEGAL AUTHORITY
2135 5700
1000
50 USC 403 J
18T OF OFFICIAL STATION
MEXICO CITY, MEXICO
12 POST agaith
0340
13 CAREER SERVICE DESIGNATION
D
15 OCCUPATIONAL SERIES
16 69436 AND STEP
17 SALARY ON RATE
0136.01
14 3
12730
19 ACTION 20 Ex
CODE
71. OFFICE CODING
SPACE PELOW FOR EXCLUSIVE USE OF THE OFFICE OF PERSONNEL
22 STATION 23 INTEGREE 26 25 GATE OF Br
(sts
CODE
CODE
ALPHABETIC
37
78 NTE EXPIRES
10
64700 WH
45075
(05
3
24 DATE OF GRADE
17 DATE OF LEI
"
10. 31, 22.
29 SPECIAL
08:
RETIREMENT BATA
REFERENCE
33. SEPARATIO
DATA CODE
137 (647N CANCELLATIO SATA
1
33 SECURITY 34 SEX
RED NO.
MO
"
$
! CBC
FICA
7048
jesse
!་་་
35 VET PREFERENCE
24 SERV COMP. BATE
37 LONG COMP. DATE 1.18. MIL, SERV CREN'T LED 30
LOSE
: a
G
CA
"
2. no
EOD DATA
BESLI HEALTH INSURANCE
*O SOCIAL SECURITY NO
TEALTH INS CODE
41
CODE
PREVIOUS GEMENT SERVICE CATA
Stor
NATA IN SERVICE
·
'
WHERE IN SENPH12
Form
6.60
Obaclete Previous
1150
Editions
42. LEAVE CAT: 43
COCE
1
1
131
FECERAL TAN GATA
M
STATE TAX DATA
2:4
FOON BRECUTED
Coor
" TES
SIGNATURE OR OTHER AUTHENTICATION
NO
FOS
ED
CD ECHO03/27/01 UK
SECRET
+6.911
L
14-00000
ران اور
IN ACCORDANCE WITH THE PROVISIONS OF .. 86-566 AND DOT END DATED
1 AUGUST 1965. SALARY IS AQWISTED AS FOLLOAS EFFECTIVE 10 JULY 1957.
30
NAME
SECIAL
ORGN GR-ST OLD SALARY
NEW SALARY
3
PHILLIPS DAVID A
524345
46 17 GS-14 3 $11,835
$12,730
151
EMMETT D. FCHOLS
DIRECTOR OF PERSONNEL
SECRET
(-)
NOTIFICATION OF PERSONNEL ACTION
BWS: 15 APR 1960
1. Serial No.
12. Name (Last-First-Middle)
524345
PHILLIPS DAVID A
7.
SCD
18. CSC Rumt. 19. CSC Or Other Legal Authority
Yos-1 Code
MJ. Da Yr.
02
12 54 Nc-2 1 50 USCA 403
14. Organizational Designations
13 Date C 14 Vot. Prof
5. Sex 16. CS-ECOD
10312218010314° 60°
10. Apet. Affidav. 11 FEGL 12. LCD
13. LCD
Mo. Co. Yr. Yes. Cool M.05 55 12
PREVIOUS ASSIGNMENT
Coco
(15. Location Of Official Station
Station Code
CS/CS DEVELOPMENT COMPLEMENT
DCP WH DIVISION
13688
WASH., D.C.
75013
16. Dept. Field 17. Position Tide
13. Position No.
Dort 1
usid 3
Codo
1
OPS OFFICER
Fran 5
031460
IGS
N9. Serv. 20. Occup. Series
0136.01
21. Grade & Step 22. Salary Or Rate 23. SD
14 3
$11835
27. Nature Of Action
REASSIGNMENT
(31 Organizational Degnations
DOP WH
BRANCH 4
3.3. Der Fold 134. Position Title
jushd-3
Ce
1
OPS OFFICER
.5
[18. Grodo Stop 39. Salary Or Rate
143
$11835
46. Somers
124. Date Or G-5.
103 14 55 of 17 of
ACTION
20. Appropriation Number
17010320 1998
Code Date
29. Type C 09
Code: 30. Separation Data
Ма Da. Yt.
56
17,60 REGULAR
40. SO
D
PRESENT ASSIGNMENT
Codo 39 Location Or Otheral Station
Station Code
14617
WASH.,
c.
175013
35. No.
35. Serv. 37. Occup. Series
CE24
GS
0136.01
41 Rete Of Grade - 43
Mr.
Ma
03
160 09
Yr.
43 Appropriation Number
161 10135 1000 1000
26-60.WK
1.2
14-00000
PAS: 14 MARCH 1960
1. Sonal No.
|
524345
7. SCD
SECRET
(thus Fillesta)
NOTIFICATION OF PERSONNEL ACTION
2. Name (Last-First-Middle)
DAVID A PHILLIPS
PHILLIPS DAVID A
10 31 22 10 P1-8
T
.Du.
Yr.
03 14 60
1.13.co
03 12 02 21 05 55 10 2 20
13. Date Of Birth 14. Vet. Pref
Mo. Da -Yr
None-0 Code
-5 Pt-1
5. Sox
3. CS-FOD
Ma.
M
Mo..Do Yr.
02 12 54
8 CSC Retat.
Yes 1 Code
No. 2
19. CSC Or Other Logal Authority
10. Apmt Affidav (11 FEGU 12.
LCD
1
50 USCA 403
PREVIOUS ASSIGNMENT
14. Organizational Designations
Codo 15. Location Of Official Station
Station Code
15. Dept. Field
17. Position Title
Dopt 1
Code
ustid 3
Fron -5
18. Position No.
19. Serv. 20. Occup. Series
21. Grade & Step 22. Salary Or Rate
23. SD
[24. Date Of Grado 25 PSI De
126. Appropriation Number
| Mo. Da. Yr. Mo. Da.
S
ACTION
27. Nature Of Action
Code
33. Elf Date
MO Da. Yr.
29. Type Of Employee
|Code: 30. Separation Data
EXCEPTED APPOINTMENT
17
03114160 REGULAR
PRESENT ASSIGNMENT
31. Organizational Designations
CS/CS DEVELOPMENT COMPLEMENT
DOP WH DIVISION
33. Dept Field
134. Position Title
Dop: -1
Code
ustid 3
OPS OFFICER
Coda 32. Location Of Official Station
Station Code
4688
WASH.
$75013
35. Psition No.
36. Serv. 137. Occup. Series
031460
GS
0136.01
Fron 5
36 Grade & Step 39 Salary Or Rate 140. SO
$
143
11835
44. Romarks
APPOINTEE.
D
41. Date Of Grade 42. PSI DuỖ
Ma. Da Yr. Mo. a. Yr.
03:14:60/09/1761 0320 1998
143. Appropriation Number
FORM NO
1 MAR 57
1150a
2.3-23-60
SECRET
i
3-24-60
(4)
14-00000
STANDARD FORM SO 17 PARTY
BY APOIL
POULGATES en
CL
CHAPTER 1,KSAMI MANZAR
"
1. RAMENÍ BATO
NOTIFICATION OF PERSONNEL ACTION
་་་་།།ས་
Chilla
2. DATE OF BIRTH
3. JOURNAL DE ACTIGE NO
4. DATE
10/31/88
SECRET
WHEN FLID IN.
18 Aug 88
This is to notita kek en jae todowing action affecting your employment:
5. NATURE OF ACTIONOLOGY)
& EFFECTIVE DATE
7. CIVR SERVICE OR OTHER LEGAL AUTHORITY
HT)
13 Aug 58
80 RSCA
TO
FROM
8. POSITION TITLE
RESIGNATION (STAFF AGENT
Ops Officer (PP)
8127
08-0136.31–14 $11,835.00 pla
DDP/NRA
Project Annex
Egypt & Arab States Branch
Project PECTATE
Beirut, Lebanon
9. SERVICE, S
GRACE, SALART
10. ORGANIZATIONAL
DESIGNATIONS
11. HEADQUARTERS
FIELD
13. YETERAN'S PREFERENCE
NONE WWI OTHER 5-PT.
15.
SEX
16. APPROPRIATION
DEPARTMENTAL
12. FIELD OR DEPTL
FIELD
14. POSITION CLASSIFICATION ACTIOR
NEW VICE | I. A |REAL
17 SRECT TO C $
RETIREMENT ACT
1949-801
M
FROM:
TO:
20 REMARKS:
9-3381-91-218
Subj debriefed by Security (Prasce)
Subj debriefed by Pinance (Shipley)
Subj debriefed by Personnel (Kreinheder)
ENTRANCE PERFORMANCE mars:
SECRET
DEPARTMENTAL “
15 DATE DE Loogas?.
BEST 06:15
CL3/04
SD,DP
1 LEGAL RESIDENCE
CLAIMED ☐ PROVED
STATE
PORTED ON
GF-45
Is any in
FOR DIRECTOR OF PERSONNEL
Jet 12
21. ATHENTICATION
1. COPY
14-00000
STANDARD FORM 50 (7 PART)
BEV APRIL TO
PROMULGATED BE
Com
ར་་་་་་་་ད་ས་་་ས་་་་་“་པ་ས་
NOTIFICATION OF PERSONNEL ACTION
SECRET
WHEN FREDA
1. NAME your
IRITIBLIS) AND SUN)
2. DATE OF DIRTS
3. ACTION NO.
4. DATE
ps
:
31 Cot 1522
15 Au: 57
This is to notify you of the following action affecting your employment:
3. NATURE OF ACTION USE STANDARD TERMINOLO
6. EFFECTIVE DATE
7. CIVA SERVICE OR OTHER LEGAL AUTHORITY
FROM
BAF-126
REASSIGNMENT (CORRECTION) STAFF AGAT)
Ops. Off (PP)
63-0136.31-14 $10,535.00 p/a
DDP/WII
Branch III
Havana Cuba Station
9 SERVICE. SERIES
GRADE, SALARY
ぐ
10 ORGANIZATIONAL
DESIGNATIONS
130 Ave 1957
50 KS 4031
TO
8. POSITION TITLE
Ops. Cfficer (FP) PSP-8127
03-0136.31-14 $10,535.00 p/a
DOP/A
11. HEADQUARTERS
Project ex
cypandab States Branch
Project FSCTATE
Beirut, Lebanon
Havana, Cuba
FIELD
13 VETERAN'S PREFERENCE
NONE WWII OTHER 5-PT. 10 POINT
DEPARTMENTAL
12. FIELD OR DEPT'L
15.
SEX
16. APPROPRIATION
B
FROM 6-3545-55-065
7-3361-91-215
10:
20. REMARKS:
*Subject arrived PCS Beirut 30 Apr 57.
Project PECTATE was approved 15:57
F
14. POSITION CLASSIFICATION ASTRON
NEW VICE 1 AREAL
DEPARTMENTAL
SD:DP
17. SUBJECT TO C. S.
RETIREMENT ACT
+75-80+
Yea
18 247 DE APPOINT.
MENTALITS
147-11994
LEGAL RESIDENCE
☐ CLAIMED ☐ PROVED
STATE:
POSTED ON
ENTRANCE PERFORMANCE RATING
FOR DIRECTOR OF PERSONNEL
Louie W. Constrong
SECRET
1.E COPY
жо
21 AT2 0742 AUTHENTICAT:59
14-00000
STANDARD FOR 52 (PART)
VE CHAVER 2000133:04
CHAPTERRY PETERA
1. NAME (
NOTIFICATION OF PERSONNEL ACTION
2. DATE OF BIRTH
X JOURNAL OR ACTION NO. 4. DATE
SECRET
WHEN FILLED IN!
Nimes
31 Cot 1922
11 July 1957
This is is sorry won'ót the following action affecting your employment:
3. NATURE OF ACTION T
& EFFECTIVE DATE
7. CIVIL SERVICE ON OTHER LEGAL AUTHORITY
ASSICMENT (STAFF AGENT)
FROM
Ope Off (PP) BAF-128
55-0136.31-14 $10,535.00 p/a
16 Jun 57
50 USCA
A 4031
TO
8. POSITION TITLE
Ops Officer (PP) REP-8127
9 SERVICE SERIES,
GRADE SALARY
CS-0136.31-14
$10,535.00 p/a
DDP/TH
BRANCH III
Havana Cuba Station
VRA, Cuba
FIELD
13 VETERAN'S PREFERENCE
NONE WWI OTHERĮ 3 PY 10 POINT
10 ORGANISATIONAL
DESIGNATIONS
11. HEADQUARTERS
DDP/NEA
Project Annex
Egypt and Arab States Branch
Project PEETATE
Beirut, Lebanon
DEPARTMERTAD.
12 FIELD OR DEPT'L
15
SEX
16 APPROPRIATION
FROM:
M
TO:
6-3546-56-055
-3351-01-215
20. REMARKS:
ENTRANCE PERFORANCE RATING:
SECRET
FIELD
14. POSITION CLASSIFICATION ACTION
NEW
VICE 1. A REAL
DEPARTMENTAL
17 SUBJECT TO C. S.
RETIREMENT ACT
(733-401
Yes
18 DATE OF APPOINT.
MENT AFFIDAVITS
ACCESSIONSStr
SD1DP
1. LEGAL RESIDENCE
☐ CLAIMED ☐ PROVED
STATE:
POSTED ON
07:45
FOR DIRECTOR OF PERSONNEL
Louis W. Armectrong
21 SIGNATURE ON OTHER AUTHENTICATION
1. EE COPY
File
14-00000
we find
2. Part
PAYROLL CHANGE DATA
GROSS DAY
RET.
FEDERAL
TAX
BOND
POSTED ON
NMENT PRINTING OFF
J. Back
0. Grades belor
03-14 310,320.00
Shop Ha
FLCA STATE TAX LIFE INS.
GROUP
NET DAY
11. Appropriations)
12. pered by
dak 1 Aug 56
13. Audited by
TS. Dote lost 16. Old salory
orlodic step increase ☐ Poy odament ☐
17. Newry
sctive
rate
•
$10,320.00 $10,535.00
AND CONDUCT.
AAACTURE
equivalent
Increase
ot 501 Apr 55
OP datu (PT in appropriate spaces covering LWS*
ing following periodis
lod(s)
to access LWOP. Total arcWP_
NDARD FORM NO. 11266-Rorbed
prescribed by Comp Gan, U. S.
ber 20, 1934, General Seguiations No 102
☐
(Segnature of other authenti
(Ock oppicable box in case of com
☐ in pay store at and
partod
må of war period
Jo hale of Chark
CONSENTIAL
PAYROLL CHANGE SLIP
-
PERSONNEL COPY
A
STEP INCREASE CERTIFICATION
and organizational designations
PAP/VXA
16155ce's name (and social security account number when expropriate)
اد.
if this
роб
BASE PAY OVERTIME
CONFIDENTIAL
(be filled i.)
Poyrull
✰ U. s. GOVERNMENT PRINTING OFFICE 1958-827103
6. Graden solary
CS-14
3. Block No.
4. Slip No.
$10,536.00
PAY ROLL CHANGE DATA
GROSS PAY
RET.
FELAHAL
TAL
BOND
F. I. C. A STATE TAX
GROUP
LIFE INS
NET PAY
smarks:
PURSUANT TO CCI DIRECTIVE
EFFECTIVE 12 JAN 7955-
SALARY ADJUSTED TO:
55
Other p
16 Old salary
17. Non
18.
rate
43579
T
ARE SATISFACTORY
riodic step-increase ☐ Pay adivatment
tive
15. Cate last
equivalent
*58
increase
7 Oct 56 $10,535.00 $10,750.00
P data (Fill in appropriate paces Lovering we
18 following periods)
}
LWOP.
DARD FORM NO.
Ly
Total excess LWOP.
110...es
Gen.. U. S.
Der 26, 1954 General Regulations No. 102
11: Appropriation(s)
12. Prepared by
dak 3 Fab 58
13. Austed by
(Signature or other authentication)
Check applicable box in case of excess LWCP)
In pay status at end of waiting period.
In LWCP status at end of waiting period.
'PAY ROLL CHANGE SLIP-PERSONNEL COPY
Initial of Clerk
14-00000
STANDARD FORM 50 (8 PART)
PULCATED ST
NICE
DSCOIL
CHAPTERRY
LESSONNEL L
CENTRAL INTELLIGENCE AGENC
1:
NOTIFICATION OF PERSONNEL ACTION
1. NAMES ONE, INITIALES), AND SURNAME
2. DATE OF BIRTH
3. JOURNAL OR ACTION NO.
4. DATE
21 Oct 1922
7 Feb 1956
& EFFECTIVE RATE
6. Feb 1956
EFFECTIVE DATE
7. CIVIL SERVICE OR OTHER LEGAL AUTHORITY
Mr. David A. Phillips
This is to notify you of the following action affecting your employment ·
S. NATURE OF ACTION use s
Resignation
FROM
Opa Officer BH-229
[03-0136.31-14 $10,320.00 par summ
DDP/PP Operations Staff
Information Coordination Division
Office of the Chief
8. POSITION TITLE
9 SERVICE. SERIES,
GRADE. SALARY
10 ORGANIZATIONAL
DESIGNATIONS
Washington, D. C.
FIELD
13. VETERAN'S PREFERENCE.
NONE WWII OTHER 3-PI. 10 POINT
13
SEX
16 APPROPRIATION
M
H
FROM:
TO:
20. REWARKS.
309
13. HEADQUARTERS
DEPARTMENTAL
12. FIELD OR DEPT'L
FIELD
14 POSITION CLASSIFICATION ACTION
NEW VICE I. A. REAL.
TO
SD/DP
DEPARTMENTAL
6-2105-20
17. SUBJECT TO C 5
RETIREMENT ACT
(TRS-831
16 DATE OF APPOINT.
MENT AFFIDAVITS
ACCESSIONS ONLY)
19 LEGAL RESIDENCE
☐ CLAIMED ☐ PROVED
STATE:
*To seek other employment.
Statement of accrued annual leave to your credit will be
forwarded with your final salary check.
57,
ENTRANCE PERFORMANCE RATING:
"Wirector of Personal a
งบ
• 38 300°
4. PERSONNEL FOLDER COPY
72/7/56
J G L G
98 OTHER AUTHENTICATION
1. U. . GOVERNMENT PRINTING OFFICE, 1988-382009
14-00000
STANDARD FOR 50 S PARD
V. APRIL 1954
PROMULGATED BY.
B. CIVIL STR.COMmision
A PEDERAL PER MANUAL
CENTRAL INTELLIGENCE AGENCY
NOTIFICATION OF PERSONNEL ACTION
1. NAME ..---ONE NAME (NITIALS AND SAN
Mr. David A. Phillips
24
31 Get 1922
This is to notify you of the following action affecting your employment:
S. NATURE OF ACTION USE BANDARD TERMINOLOGY)
Frassignment (Correction)
FROM
Paramilitary GPP. B-156
05-0136.11-14 $10,320.00 Per Annum
dah
JURNAL ORACTION NO.
4 DATE
3 Cctober 1955:
2. CIVIL SERVICE OR OTHER LEGAL AUTHORITY
50 USA 403 J
EFFECTIVE DATE
14 Aug 1955
POSITION TITLE
Opa Officer
SERVICE SERIES
GRADE SALARY
TO
5-229
Office of the Chief
10. CRGANIZATIONAL
DESIGNATIONS
" HEADQUARTERS
GS-0136,31-14 $10,320.00 For Anua
DDF/PP Operations Staff
Information Coordination Division
Office of the Chief
baahington, D.C.
FIELD
13 VETERAN'S PREFERENCE
S.PT
ID-POINT
DEPARTMENTAL
12 FIELD J4 DEPTL
1310
S+x
17. APPROPRIATION
6-2101-20
6-2105-20
FIELD
14 POSITION CLASSIFICATION ACTION
TT
18 SUBJECT 10 c. s 19 DATE OF APPOINT.
RETIREMENT ACT
MENT AFFIDAVITS
ACC13 JNLY
17-0
DEPARTMENTAL
50/OP
20 LEG RESIDENCE
☐ AIMED ☐ PRO.13
STATE.
This action is subject to all applicable laws, rules, and regulations and may bə
subject to investigation and approval by the United States Civil Service Coumissión.
The action may be corrected or canceled if not in accordance with all requirements
.
This Action correcte Item No. 17 on the "Lo Side of Notification
dated 4 August 1955, to show the correct Allotment Humber, Previously
shown as 6-2101-20
ESANCE PERFORMANCE RATING
HIS RENHOLDS
4. PERSONNEL FOLDER COPY
OTHER AUTHENTICATION
PRINTING ***

14-00000
STANDARD FORM 50 (8 PART)
APRIL, 100
PROMULGATED O
. B. CIVIL SERVICE CO
CHAPTER 1. FEDERAL PERSONNEL MANUAL
CENTRAL INTELLIGENCE AGENCY
NOTIFICATION OF PERSONNEL ACTION
1 NAMES ONLINE ITILISI, AND SURNAME
2 DATE OF BIRTH
1 JOURNAL ORACTION NU
4. DATE
MR. DAVIE A PHILIPS.
31 Oct. 1922.
14 Aug 1955
This is to notify you of the following action affecting your employment:
S. NATURE OF ACTION (USE STANDARD TERMINOLOST
8. EFFECTIVE DATE
7 CIVIL SERVICE OR OTHER LEGAL AUTHORITY
Simont
in Aug 1955
50 JEGA 403 3
FROM
8. POSITION TITLE
Paramilitary off. B-156
Ups Officer
04-229
9. SERVICE. SERIES.
GRADE,
ARY
05-0136.11-14
$10320.60 per sunu
R-0136.31-14
610,320.00 per annum
DDP/FP Operations Staff
Office of the Chief
10. ORGANIZATIONAL
DESIGNATIONS
II. HEADQUARTERS
DDP/PP Operations Staff
Information Coordination Div.
Office of the Chief
Washington D. C.
IELD
13 VETERANS PREFERENCE
Oll OTHER
OLPARTMENTAL
12 FIELD DA DEPT'L
FIELD
14 POSITION CLASSIFICATION ACTION
NEW VICE 1. A. REAL.
DEPARTMENTAL
13-POINT
DISAB
x
15
7 APPROPRIATION
SEX TRACE
TO
***5-2101-20
606101-20
19 SUBJECTS
RETIREMENT ACT
(713-431
10
Yes.
80 P
DATE APPOINT
MENT AFFIDAVITS
14CCESSIONS
63L PES1401
☐ CLAIMED ☐ PROVED
STATE:
_ Texas.
2 REMARKS: This action is subject to all applicable laws, rules, and regulations and may be
subject to investigation and approval by the United States Civil Service Commission
.
The action may be corrected or canceled if not in accordance with all 
requirements.
Director of Personnel
ENTRANCE PERFORMANCE RATING
10.320
W
D
H.G.REYHOL
4. PERSONNEL FOLDER COPY
nj 8/11/55
...
RAUTATION
1994-914799
14-00000
STANDARD FORM 50 (S' PART)
at Apa
PROMVILATED BY
n
CHAPTER EDERAL PENNONNA WABUM
CENTRAL INTELLIGENCE AGENCY
NOTIFICATION OF PERSONNEL ACTION PC 26 April 1955
1. MAKE (-133-ONE GIVEN NAMS INITIALIS, AND SURNAME
Mr. David A. Phillips
SR 1039
4 DATE
sep
1 April 1955
12 DATE OF BIRTH 3. JOURNAL OR ACTION NO.
31 October 1922
This is to notify you of the following action affecting your employment▸
$ NATURE OF ACTION (USE STANDARD TERMINOLOGY
6. EFFECTIVE DATE
7. CIVIL SERVICE OR OTHER LEGAL AUTHORITY
Excepted Appointment
FROM
1 April 1955
50 UGCA 403
B. POSITION TITLE
TO
Paramilitary Off. PM BW-156-14
FIELD
19 VETERAN'S PREFERENCE
1.Pf. 10.POINT
DISAD OTHE
9 SERVICE. SERIES
CS-0136.11-14
GRADE. SALARY
89600.00 P/a
TO ORGANIZATIONAL
DESIGNATIONS
DDP/P&P Operations Staff
Office of the Chiof
13. HEADQUARTERS
Washington, D. C,
DEPARTMENTAL
12. FIELD ON DEPTIL
FIELD
14 POSITION CLASSIFICATION ACTION
VICE
A. AL
DEPARTMENTAL
•
17 APPROPRIATION
70'
-སྦྱ
"!
5-2101-20
18 SUBCT TO C
RETIREMENT ACT
(483-85)
19 DATE OF APPOINT.
MENT AFFIDAVITS
CONS
123-April 1955
20 LEGAL RESIDENCE
☐ CLAIMED ☐ PROVED
Texan
37.115
REMARKS. This action is subject to all applicable laws, rules, and regulation: and may be
subject to Investigation and approval by the United States Civil 
Service Commission.
The action may be corrected or canceled if not in accordance with all 
requirements.
Subject to a satisfactory physical examination.
"
RC 06
536 04-01-55
CSECD 04-01-55
LCD
04-01-55
тно
5/2/55
(K)
ENTRANCE PERFORMANCE RATING
Director of Persomial
Lu
03995
ودان
40820
00
4. PERSONNEL FOLDER COPY
ROR OTHER ALTHENTICATION
SKA 27 1455
.. OWEN PRINT 8-313735
14-00000
SECRET
12 May 1966
MIRHORANDUM FOR: Chief, Contract Personnel Division
ATTAATION
1 Mary Kay Spink
SUBJECT
Verification of Contract Service
PHILLIPS, David A.
In order to establish the salary, LCD and to compute
the SCD for both leave and retirement purposes, it is
necessary to verify the contract, service and salary of
David A. PHILLIPS, DOB 31 October 1922, who claims employment
with this Agency in a contract status from 27 March 1952
to 1 April 1955 and from 19 August 1958 to 13 March 1960.
Signed
Lovell P. Hoore
Deputy Chief, Transactions & Records Branch
Distribution:
0 & 1 - Addressee
- CPF
-
PHILLIPS
1 - THR - Chrono
SECRET
9371
14-00000
31 March 1955
4 February 1971
David A. Phillips
30 June 1966
WH/Personnel
-
4 March 1954
14-00000
30 June 1966
MEMORANDUM FOR : Chicf. TRB
SUBJECT
: Record of Contract Service for
David A. Phillips
1. Per your request we are forwarding record of Subject's contract
service:
Date
.
4 March 1954
31 July 1954
1 August 1954
31 March 1955
19 August 1953
13 March 1930
Action
Hired as Contract Employee
Terminated
Hired an Contract Employee
Terminated
Hired as Contract Agent
Terminated
2. Subject was employed on a full time basis with leave benefits
from 4 March 1954 through 31 March 1955. Accordingly, this entire period
is'creditable" for establishing his annual leave category. However, the
period from 19 August 1958 through 13 March 1950, as an independent contractor,
is not creditable for this purpose. Only the period from 4 March 1954
through 31 December 1954 is "creditable for Civil Service Retirement.
since Contract Employee's were mandatorily covered by Social Security
as of 1 January 1955. 1951-1953 Contract Agent time is not creditable
3. Attached is OF record of Agency service with salary breakdown.
Distribution:
Orig Addressee
-
2 - CPD
Rogers C. Brooks
Acting Chief. Contract Personnel Division
14-00000
ATTN
Chief, Contract Personnal Division
Mary Kay Sink
Compensation and Tax Division
Office of Finance
Agency Service of David Atlee PHILLIPS
16 June 1966.
The records of the Office of Finance show the following Agency
service for Subject:
Contract Agents
ECD 1 February 1951 $600.00 P/N:
Term 28 February 1951 0 8600.00 P/M
ECD 25 January 1952 @ $6000.00 P/A
Term 31 August 1953 a 16000.00 P/A
ECD 4 March 1954 * $7200.00 P/A
Pay Inc. 1 August 1954 0 88360.00 P/A
Term. 31 March 1955
Staff Employee:
Ex. Appt. 1 April 1955
Pes. 6 February 1956
Staff Agent:
$8360.00 P/A
$9600.00 P/A
(10,320.00 P/A
Dr. Appt. 7 February 1956 C 10,320.00 P/A
PGI 7 October 1956 010, 535.00 P/A
Pay Paise 12 January, 1953
11,595.00 P/A
PSI 6 April 1958 $11,835.00 P/A
Drs. 13 August 1958 @ $11,835.00 P/A
Contract Agents
EOD 19 August 1958 $7,200.00 P/A
Term. 13 March 19607,200.00 P/L
Staff Employees
Er. Ampt. 14 March 1960 $11,835.00 P/A
Subject has been a Staff Employee since 14 March 1960.
JOSEPH H. HUESON
Chief
14-00000
SECTION A
1. EMPLOYEE KÜLBER
2024385
.7. OFFICIAL POSITION TITLE.
NAME (Loaf, first,"
Chief, WH Division
'CAREER
CLASSIFICATION
FITNESS REPORT
GENERAL INFORMATION
10/31/22
Phillips, David, AVBR OF ASSIGNMENT CURRENT STATION
9/11 TYPE OF APPOINTMENT
SERVE!
RESERVE
13 REPORTING PERIOD (from-20-)
CONTRACT
DDO/WH/O-CH
OTHER
13: DATE OF BIRTH & SEX
ADE 6. SD
Headquarters
S NOS.
'10' CODE Ick one)
OP
12. TYPE OF REPORT
TEMPORARY ANNUAL
14. DATE REPORT DUE IN O.P.
REASSIGN
MENT
SPECIAL
1. May 1973
SECTION B
-
31 March 1974
30 April 1974
QUALIFICATIONS UPDATE
IF QUALIFICATIONS UPDATE FORM IS BEING SUBMITTED WITH CHANGES, AND IS ATTACHED 10 THIS REPORT, PLACE THE
WORD YES IN THE BOX TO THE RIGHT. IF NO CHANGES ARE REQUIRED, PLACE THE WORD "NO" IN THE BOX AT, RIGHT.
SECTION C
U-Unsatisfactory
M-Marginal
P-Proficient
S-Strong
O-Ornonding
PERFORMANCE EVALUATION_
Performance enacceptable A rating in this category requires immediate and positive remedial ton. The nature of the action
could range from counseling, to further training, to placing on probation, to reassignment or to separation. Describe action taken
or proposed in Section D.
:
Performance a deficient in some aspects The reasons for assigning this rating should be stated in Section D and remedial actions
token or recommended should be described
Performance is satisfactory. Desired results are being produced in the manner expected.
Performance characterized by exceptional proficiency
Performance is so exceptional in relation to requirements of the work and in comparison to the performance of others doing umilar
work as to warrant special recognition.
SPECIFIC DUTIES
List up to six of the most important specific duties performed during the rating period. Insert rating letter which best describes the manner in which employee
performs EACH specific duty Consider ONLY effectiveness in pertemance of that duty. All employees with supervisory responsibilities MUST be rated on
their ability to supervise indicate number of employees supervised).
SPECIFIC DUTY NO. 1
Plans, organizes and implements the programs of the Operations
Directorate in the Western Hemisphere area.
SPECIFIC DUTY NO 2
Supervises approximately 255 staff employees in Headquarters and
310 in 26 Stations and Bases abroad.
SPECIFIC DUTY NO 3
Represents the Agency in contacts with senior representatives of
liaison services.
RATING
LETTER
S
RATING
LETTER
S
RATING
LETTER
°
SPECIFIC DUTY NO. 4
Represents the Directorate and/or the Agency in official contacts
with other components of our government.
SPECIFIC DUTY NO
Implements the EEO policy of the Agency.
SPECIFIC DUTY NO. 6
OVERALL PERFORMANCE IN CURRENT POSITION
---
Take into account everything about the employee which influences his effectiveness in his current position such as performance of specific tunes.
product comes on pe cooperates pertinent personal rams or habits and particula imitations or talents. Based of your incwiege
of employs overformance during rating period, place the letter in the rating box corresponding to the statement which wate
rately reflect his eve of performance.
7343
45
CLASSIFICATION
SECRET
054585
E2, UMPOET CL BY
RATING
LETTER
S
RATING
LETTER
s
RATING
LETTER
RATING
LETTER
S
14;
14-00000
SECTION D
CLASSIFICATION
NARRATIVE COMMENTS
Indicate significant strengths of esses demonstrated in current poution keeping in proper perspective their relationship to overall performance. State
suggestions: mode for improvement of work performance /Give recommendations for training Comment on foreign language competence, if required for
current position. Amplify or explain ratings given in Section C to provide best basis for determining futup personnel action, manner of performance, of
managerial or supervisory duties and cof consciousness in the use of personnel. space, equipmention tarifs, must be commented, un, if applicable, if
extra space as needed to complete Section D. attach a separate sheet of paper.
This report covers Hr. Phillips' initial period as a Division
Chief. It coincided with a period of unusually high stress and
strain in the Western Hemisphere Division, particularly in relation-
-ships with the State Department and in the problems left over from
our drastic measures designed to protect ourselves against a
potential counterintelligence disaster. The most important fact to
be recorded about Mr. Phillips' direction of his Division during
this period is that he kept operations at the top of his priority
list, and that as a result our operational achievements in the area
during the past year have been on the whole better than in the year
before.
Mr. Phillips is developing into a very competent manager, and
has handled well the problems involved in adjusting to decreasing
manpower ceilings. He is prudent in the use of official funds. Не
is a good supervisor and is providing excellent leadership to his
subordinates; who have responded with a clear improvement in morale
during the period since Mr. Phillips assumed charge.
SECTION E
MONTHS EMPLOYEE HAS BEEN
UNDER MY SUPERVISION
CERTIFICATION AND COMMENTS
1. BY SUPERVISOR
(continued next page)
IF THIS REPORT HAS NOT BEEN SHOWN TO EMPLOYEE. GIVE EXPLANATION
9
TYPED OR PRINTED NAME AND SIGNATURE
DATE
22 April 1974
OFFICIAL TITLE OF SUPERVISOR
Associate Deputy Director
for Operations.
2. BY EMPLOYEE
STATEMENT CONCERNING THIS EVALUATION
OF MY PERFORMANCE
HAVE ATTACHED
HAVE NOT ATTACHED
COMMENTS OF REVIEWING OFFICIAL
DATE
David H. Blee
SIGNATURE OF EMPLOYEE
3. BY REVIEWING OFFICIAL
Concur. An excellent operational leader who is learning rapidly the
nuances of a Division Chief's job in Washington. He is an inspirational leader
whose management techniques and abilities are still developing. All in all
a first rate performanc
DATE
OFFICIAL TITLE OF REVIEWING OFFICIAL
11 June 1974
Deputy Director for
Operations
TYPED OR PRINTED NAME AND SIGNATURE
William B. Nelson
4. BY EMPLOYEE
OATE
CERTITY THAT HAVE SEEN THE ENTRIES IN
ALL SECTIONS OF THIS REPORT
SIGNATURE OF EMPLOYEE
CLASSIFICATION
14-00000
SCORET
Fitness Report 'David A. Phillips
Section D., Continued:
The most dramatic challenge to the capabilities of the
WH Division in the past year flowed from the overthrow of
the Allende government in Chile. Overall, the intelligence
reporting was timely and accurate, the adjustments to our
political action prograns skillfully made, and the responses
to Congressional inquiry well handled.
It is as a senior operations officer that Mr. Phillips
has had the greatest experience, and it is not surprising
that he has made an excellent input into the improvement of
operational matters throughout the many areas of this
hemisphere for which he is responsible. He has also consistently
handled the many and important senior liaison contacts which he
has made during this year, both at Headquarters and during field
visits, with great effectiveness.
i
14-00000
SECTION A
1. EMPLOYEE NUMBER
024345
2. NAME (Loil, firs:, middle)
7. OFFICIAL POSITION TITLE
Chief, WH Division
CAREER
с
CLASSIFICATION
FITNESS REPORT
GENERAL INFORMATION
Phillips, David A..
3. DATE OF BIRTH
SEX GRADE 6. 50
10/31/22 LM
8. OFF/DIV/BR OF ASSIGNMENTS. CURRENT STATION
DDO/WII/O-CH.
11. TYPE OF APPOINTMENT
OTHER (SPM)
RESERVE
CONTRACT
13. REPORTING PERIOD (from-10-)
1 May 1973
-
31 March 1974
Headquarters.
MPORARY
ANNUAL
✗
14. DATE REPORT DUE IN O.P.
30 April 1974
GRADE/a
GS-18
D.
10. CODE fchona)
HOS
12. TYPE OF REPORT
REASSIGN
MENT.
DF.
SPECIAL
SECTION B
QUALIFICATIONS UPDATE
IF QUALIFICATIONS UPDATE FORM IS BEING SUBMITTED WITH CHANGES, AND IS ATTACHED TO THIS - REPORT, PLACE THE
WORD "YES" IN THE BOX TO THE RIGHT, IF NO CHANGES ARE REQUIRED: PLACE THE WORD "NO" IN THE BOX AT RIGHT.
SECTION C
U-Unsatisfactory
M-Marginal
P.-Proficient
--
S-Strona
Outstanding
PERFORMANCE EVALUATION_
Performance is unacceptable. A rating in this category requires immediate and positive remedial action. The nature of the oction
could range from counseling to further training to placing on probohan, to reassignment or to separation Describe-oction taken
or proposed in Section D.
Performance is deficient in some aspects. The reasons for assigning this rating should be stated in Section D and remedial actions
taken or recommended should be described
Performance is satisfactory Desired results are being produced in the manner expected.
Performance is characterised by exceptional proficiency.
Performance is so exceptional in relation to requirements of the work and in comparison to the performance of others doing similar
work as to warrant special recognition
SPECIFIC DUTIES
List up to six of the most important specific duties performed during the rating period. Insert rating better which best describes the manner in which employes
performs EACH specific duty. Consider ONLY effectiveness in performance of that duty. All employees with supervisory responsibilities MUST be rated on
their ability to supervise (indicate number of amplayees supervised).
SPECIFIC DUTY NO. 1
Plans, organizes and implements the programs of the Operations
Directorate in the Western Hemisphere area.
SPECIFIC DUTY NO,
Supervises approximately 255 staff employees in Headquarters and
310 in 26 Stations and Bases abroad.
SPECIFIC DUTY NO. 3
Represents the Agency in contacts with senior representatives of
liaison services.
SPECIFIC DUTY NO. 4
Represents the Directorate and/or the Agency in official contacts
with other components of our government.
SPECIFIC DUTY NO. S
Implements the EEO policy of the Agency.
RATING
LETTER
S
RATING
LETTEN
S
RATING
LETTER
0
RATING
LETTER
S
RATING
LETTER
S
SPECIFIC DUTY NO. 0
RATING
LETTER
OVERALL PERFORMANCE IN CURRENT POSITION
ず
Insa into account everything about the employee which lifluences nas effectiveness in his current position such as performance of specific dunes,
productivity, caduct on job, cooperativeness, pertinent personal main or kabis and porticular limitations or talents. Based on your krovinige
of employer overall performance during the roning period, place the latter is the rating box corresponding to the statement which meal acte
rately reflects his level of performones
CLASSIFICATION
JUL 1971
054581
E2. IMPORT CL BY
RATING
LETTIN
S
9.21
45
“་་..་་

14-00000
SECTION D
CLASSIFICATION
NARRATIVE COMMENTS
Indicate significant shengths or weaknesses, demonstrated in current position keeping in proper perspective their relationship to overall performance. State
suggestions made for improvement of work performance. Give recommendations for training. Comment on foreign language competence, if required for
current position. Amplify or explain ratings given in Section C to provide best boss for dining future personnel action, Manner of performance of
་་
mancyerial or supervisory" duties and cost consciousness in the use of personnel, space, equipment and funds, muit be commented on, it appicable. 18
eatru, pore is needed to complete Section D. offach a separate sheet of paper.
This report covers Mr. Phillips' initial period as a Division
Chief. It coincided with a period of unusually high stress and
strain in the Western Hemisphere Division, particularly in relation-
ships with the State Department and in the problems left over from
our drastic measures designed to protect ourselves against a
potential counterintelligence disaster. The most important fact to
be recorded about Mr. Phillips' direction of his Division during
this period is that he kept operations at the top of his priority
list, and that as a result our operational achievements in the area
during the past year have been on the whole better than in the year
before.
. Mr. Phillips is developing into a very competent manager, and
has handled well the problems involved in adjusting to decreasing
manpower ceilings. He is prudent in the use of official funds. He
is a good supervisor and is providing excellent leadership to his
subordinates, who have responded with a clear improvement in morale
during the period since Mr. Phillips assumed charge.
SECTION E
MONTHS EMPLOYEE HAS BEEN
UNDER MY SUPERVISION
CERTIFICATION AND COMMENTS
1. BY SUPERVISOR
(continued next page)
IF THIS REPORT HAS NOT BEEN SHOWN TO EMPLOYEE, GIVE LAPLANATION
9
TYPED OR PRINTED NAME AND SIGNATUR
David L. Bled
Bl
DATK
22 April 1974
OFFICIAL TITLE OF SUPERVISOR
Associate Deputy Director
for Operations
2. BY EMPLOYEE
STATEMENT CONCERNING THIS EVALUATION
OF MY PERFORMANCE
HAVE ATTACHED
HAVE NOT ATTACHED
DATE
23 APRIL 1974
3. BY REVIEWING OFFICIAL
SIGNATURE OF EMPLOYEE
//
COMMENTS OF REVIEWING OFFICIAL
Concur. An excellent operational leader who is learning rapidly the
nuances of a Division Chief's job in Washington. He is an inspirational leader
whose management techniques and abilities are still developing. All in all
a first rate performance.
DATE
CFFICIAL TITLE OF REVIEWING OFFICIAL
11 June 1974
Deputy Director for
Operations
4. BY EMPLOYEE
I CERTIFY THAT I HAVE SEEN THE ENTRIES IN
ALL SECTIONS OF THIS REPORT
$1,1974
CLASSIFICATION
TYPED OR PRINTED NAME AND SIGNATURE
William Velan
William E. Nelson
SIGNATURE
EMPLOYE
14-00000
2.
Fitness Report David A. Phillips
-
Section D., Continued:
The most dramatic challenge to the capabilities of the
WH Division in the past year flowed from the overthrow of
the Allende government in Chile. Overall, the intelligence
reporting was timely and accurate, the adjustments to our
political action programs skillfully made, and the responses
to Congressional inquiry well handled.
It is as a senior operations officer that Mr. Phillips
has had the greatest experience, and it is not surprising
that he has made an excellent input into the improvement of
operational matters throughout the many areas of this
hemisphere for which he is responsible. He has also consistently
handled the many and important senior liaison contacts which he
has made during this year, both at Headquarters and during field
visits, with great effectiveness.
.
agua
:
14-00000
SECTION A
1. EMPLOYEE NUMBER
024345
7. OFFICIAL POSITION TITLE
NAME ( first, middle).
CLASSIFICATION.
FITNESS REPORT
GENERAL INFORMATION
Phillips, David
Chief of Station.
☐
X CARLER
RESERVE
11. TYPE OF APPOINTMENT
•
B. DATE OF BIRTH 4. DEX GRADE O. OD
B. OFF/DIY/BR OF ASSIGNMENT D. CURRENT STATION
☐ OTHER (Spes.)
CONTRACT
31 Oct 22 M GS-17 D
Во, но со
3
DDP/WH/3-Caracas Venezuela
TEMPORARY X ANNUAL
12. TYPE OF REPORT
REASSION.
MENT
SPECIAL
13. REPORTING PERIOD (from-10-)
14. DATE REPORT DUE IN O.P.
1 February 1972
SECTION B
-
31 March 1973
31 May 1973
QUALIFICATIONS UPDATE
"
QUALIFICATIONS UPDATE FORM IS BEING SUBMITTED WITH CHANGES, AND IS ATTACHED TO THIS REPORT, PLACE THE
WORD TEST IN THE BOX TO THE RIGHT. IF NO CHANGES ARE REQUIRED, PLACE THE WORD "NO" IN THE BOX AT RIGHT.
SECTION C
U-Unsatisfactory
M-Marginal
P-Proficions
O-Outstanding
PERFORMANCE EVALUATION
Performance is unacceptable. A rating in this category requires inmediate and positive remedial action The acture of the action
could range from counseling, to further training, to placing on probation, to reassignment or to separation. Describe action token
or proposed in Section D.
Performance is deficient in some aspects. The reasons for assigning this rating should be stated in Section D and remedial octions
laben of recommended thould be described.
Performance is satisfactory Desired results are being produced in the manner expected.
Performance is characterized by exceptional proficiency.
Performance is so exceptional in relation to requirements of the work and in comparison to the performance of others doing similar
work as to warrant special recognition.
SPECIFIC DUTIES
List up la alt of the most important specific duties performed during the rating period. Insert rating latter which best describes the manner in which employee
performs EACH specific duty. Consider ONLY effectiveness in performance of that duty. All employees with supervisory responsibilities MUST be rated on
their ability to supervise (indicate number of employees supervised).
SPECIFIC DUTY NO. 1
SPECIFIC DUTY NO. 2
SPECIFIC DUTY NO. a
SPECIFIC DUTY NO. 4
SPECIFIC DUITY NO. 0
SPECIFIC DUTY NC. O
RATING
LETTER
HATING
LETTER
RATING
LETTER
RATING
LETTER
RATING
LETTER
RATING
LETTER
OVERALL PERFORMANCE IN CURRENT POSITION
Take into account everything about the employee which influences his effectiveness in his current position such as performance of specific duties,
productivity, conduct on pb, cooperativeness, pertinent personal traits or habits, and particular limitations or talents. Based on your knowledge
of employee's rall performance during the rating period, ploce the letter in the rating box corresponding to the statement which most acco-
rately reflechis level of performance.
RATING
LETTER
Form
8-72
45
OBSOLETE PREVIOUS
EDITIONS
CLASSIFICATION
SECRET
E2, IMPDET CL BY 061991
22167
53/41
14-00000
SECRET
CLASSIFICATION.
SECTION D
NARRATIVE COMMENTS
ladicate significant strengths or weaknesses demonstrated in current position, keeping in proper perspective their relationship to overall performance. State
suggestions made for improvement of work performance Give recommendations for training. Comment on foreign langbage competence, if required for
current poutun. Amplify or explain ratings given in Section Cito provide best bosks for determining future personnel action, Manner of performance of
managerial or supervisorý duties and cost consciousness in the use of personnel, space; equipment and funds, must be commented-on, if applicable. H
extra space is needed to complate Section D, oftach a separate sheet of paper,
SEE ATTACHED
SECTION E
1.
DATK
2.
CERTIFICATION AND COMMENTS
BY EMPLOYEE
I CERTIFY THAT I HAVE SEEN SECTIONS A, B, C AND D OF THIS REPORT
SIGNATURE OF EMPLOYEE
MONTHS EMPLOYEE HAS BEEN
UNDER MY SUPERVISION
BY SUPERVISOR
IF This REPORT HAS NOT BEEN SHOWN TO EMPLOYEE. GIVE EXPLANATION
DATE
OFFICIAL TITLE OF SUPERVISOR
3.
7 Curry 1974 4/24
COMMENTS OF REVIEWING OFFICIAL
BY REVIEWING OFFICIAL
TYPER ON PRINTED NAME AND SIGNATURE
Theodore G. Shackley
Mr. Phillips is a highly experienced senior operations officer with
outstanding leadership ability. In both the Chief of Station positions
covered by this report his performance was superior in every important
respect.
DATE
OFFICIAL TITLE OF REVIEWING OFFICIAL
8 Jan 1974
And/O
TYPED OR PRINTED NAME AND SIGNATURE
Did H. Blee
CLASSIFICATION
SECRET
14-00000
SECTION D
SECRET
NARRATIVE COMMENTS
1. In the period covered by this report Mr. Phillips was the Chief of
Station Brazilia during the time frame February to August 1972. After that
Mr. Phillips became the Chief of Station, Caracas and served in Venezuela
during the period August 1972 to April 1973. At both of these posts Mr.
Phillips was responsible for managing an average of 44 Agency employees.
Additionally, Mr. Phillips supervised in this period an average FY budget of
1. 8 million which was spent on FI, CA, CI, anti-narcotics and protected
economic intelligence operations. American policy interests in Brazil and
Venezuela are high in terms of the United States scale of values for Latin
America. This means that Mr. Phillips was assigned to two prestige posts
during a fifteen month time span.
2. As a manager Mr. Phillips is operations oriented. In view of this he
places his time, attention and command emphasis on programs that are de-
signed to acquire intelligence and agents. This approach has consistently
produced results in terms of FI and CA operations which are targeted against
the host country.
3. Mr. Phillips was also active at both posts as an operations manager
- who focused Station resources on the Soviet target, protected economic in-
telligence and the anti-narcotics effort. Unfortunately, as these programs
moved into gear Mr. Phillips was also in motion between Stations, or had
just been in place at his second Station for less than a year. As a result one
can only say that Mr. Phillips made all the right moves in his managerial
duties against these priority targets. The brevity of his program imple-
mentation at each of the two posts did not provide a solid basis, however, for
measuring tangible succesa. In short Mr. Phillips deserves high marks for
initiative, drive and imagination on programs that were receiving increased
attention at Headquarters.
4. The myriad problems that are faced when a Station moves its location.
from one city to another were still challenging Mr. Phillips when he left
Brasilia. In overview terms, however, the move from Rio de Janerio to
Brasilia was well done. This does not mean that Mr. Phillips' successor at
Brasilia did not have some gaps to fill or adjustments to make in the admini-
strative field. The scope of these actions, however, was in the realm of the
reasonable and attests to the fact that while his basic interests are in
SECRET
:
14-00000
SECRET
:
operations, administration per se is not a totally alien field to Mr. Phillips.
5. In representational terms Mr. Phillips did a sound job in winning
and maintaining the respect of the American Ambassadors in Brazil and
Venezuela. This is due in large measure to Mr. Phillips' native charm,
area knowledge, and language skills in Spanish and Portuguese. In addition,
Mr. Phillips is people oriented, and this makes it possible for him to sell
himself and CIA to senior American officials at the Ambassador level.
6. In personal terms Mr. Phillips is a hard-working, dedicated officer
who is a good team player. This officer has the intent, capability and desire
to fulfill the needs of the Organization. He is particularly well versed in CA
skills and is politically oriented. As a result he likes the challenge of election
operations and is well qualified in this area.
7. Mr. Phillips' total performance during the period covered by this
report merits an evaluation of Strong.
8. In terms of future assignments Mr. Phillips is likely to be at his pro-
fessional best in field activities. This officer is highly specialized in Latin
American affairs, but he is perfectly capable of being a Station Chief at most
Agency posts in Europe or Asia.
9. Mr. Phillips' activities come to the attention of the Rating Officer
on a daily basis.
SECRET
"
14-00000
SECRET
(When Pilled In)
FITNESS REPORT
EMPLOYEE SERIAL NUMBER
024345
SECTION A
1. NAME
(Last)
(Firol)
Phillips, David A.
6. OFFICIAL POSITION TITLE
Chief of Station
9. CHECK (X) TYPE OF APPOINTMENT
X CAREER
RESERVE
GENERAL
(Middle)
2. DATE OF BIRTH 3. SEX
31 Oct 1922 "M.
4. GRADE
3. S0
GS-17
D
TEMPORARY
CAREER-PROVISIONAL. (See Instructions - Section C)
SPECIAL (Specify);"
11. DATE REPORT DUE IN O.P.
SECTION B
U-Ussfactory
M-Marginal
P-Proficient
S-Strong
O-Outs seding
7. OFF/DIV/ER OF ASSIGNMENT,8. CURRENT STATION
DDP/WH/5
10. CHECK (X) TYPE OF REPORT
INITIAL
☑
ANNUAL
SPECIAL (Specify):
Brasilia
✗ REASSIGNMENT SUPERVISOR
REASSIGNMENT EMPLOYEE
12. REPORTING PERIOD (From- to-)
1 July 1971
-
31 January 1972
PERFORMANCE EVALUATION
Performance is unacceptable. A rating in this category requires immediate and positive remedial action. The nature of the action
could range from counseling, to further training, to placing on probation, to reassignment or to separation. Describe action taken
or proposed in Section C
Performance is deficient in some aspects. The reasons for assigning this rating should be stated in Section C and remedial actions
taken or recommended should be described.
Performance is satisfactory. Desired results are being produced in the manner expected.
Performance is characterized by exceptional proficiency.
Performance is so exceptional in relation to requirements of the work and in comparison to the performance of others doing similar
work as to warrant special recognition.
SPECIFIC DUTIES
List up to six of the most important specific duties performed during the rating period. Insert rating letter which best describes the
manner in which employee performs EACH specific duty. Consider ONLY effectiveness in performance of that duty. All employees
with supervisory responsibilities MUST be rated on their ability to supervise (Indicate number of employees supervised).
SPECIFIC OUTY NO. 1
RATING
LETTER
SPECIFIC DUTY NO. 2
SPECIFIC DUTY NO. 3
SPECIFIC DUTY NO. 4
SPECIFIC DUTY NO. S
SPECIFIC DUTY NO. 6
20 YAN
OVERALL PERFORMANCE IN CURRENT POSITION
Take into account everything about the employee which influences his effectiveness in his current position such as per-
formance of specific duties, productivity, conduct on job, cooperativeness, pertinent personal traits or habits, and
particular limitations or talents. Based on your knowledge of employee's overall performance during the rating period,
place the letter in the rating box corresponding to the statement which most accurately reflects his level of performance.
FORM
7.60
45
OBSOLETE PREVIOUS EDITIONS
SECRET
Grove
RATING
LETTER
RATING
LETTER
RATING
LETTER
RATING
LETTER
RATING
LETTER
RATING
LETTER
S
14-00000
SECTION C
SECRET
then Filled In)
NARRATIVE COMMENTS
Indicate significant strengths of weaknesses demonstrated in current position keeping in proper perspective their relationship ta
overall performance Store suggestions made for improvement of work performance. Give recommendations for training. Comment
on foreign languese competence, if required for current position. Amplify or explain ratings given in Section B to provide best
basis for determining future personnel action. Monner of performance of managerial or supervisory duties and cost consciousness
in the use of sornel space, equipment and funds, MNA! be commented on if applicable. If extra space is needed to complete
Section Certoch a separate sheet of paper.
Please see attached MEMORANDUM IN LIEU OF FITNESS REPORT.
SECTION D
1.
DATE
2.
27 January 1972
MONTHS EMPLOYEE HAS BEEN
UNDER MY SUPERVISION
CERTIFICATION AND COMMENTS
BY EMPLOYEE
I CERTIFY THAT I HAVE SEEN SECTIONS A, B, AND C OF THIS REPORT
SIGNATURE OF EMPLOYEE
/s/ David A. Phillips
BY SUPERVISOR
IF THIS REPORT HAS NOT BEEN SHOWN TO EMPLOYEE, GIVE EXPLANATION
DATE
10 January 1972
3.
COMMENTS OF REVIEWING OFFICIAL
OFFICIAL TITLE OF SUPERVISOR
TYPED OR PRINTED NAME AND SIGNATURE
Chief, WH Division
William V. Broe
BY REVIEWING OFFICIAL
Please see attached.
DATE
OFFICIAL TITLE OF REVIEWING OFFICIAL
TYPED OR PRINTED NAME AND SIGNATURE
ΑΓΡ
1
SECRET
Cord eyer, Jr.
14-00000
:
☐
Mr. Phillips continues to show excellent growth
potential and his breath of capabilities qualifies him for
advancement to senior echelons.
I rate Mr. Phillips as very Strong as Chief of
Station, Brasilia.
I certify that I have seen
this memorandum:
/s/ David A. Phillips
David A. Phillips
Killiane V. Bre
William V. Broe
Chief
Western Hemisphere Division
This fitness report is being sent
to David A. Phillips in Brasilia
for his signature and to be re-
turned to Headquarters for file.
27 January 1972
Date
Comments of Reviewing Official:
I completely agree with this high rating
and showed add that subject has hanbled
Continuing Congressional interest in Bragil with
a care combination of diplomatic tact 
and 
sound
findgment.
15 Jan 72
Cord Meyer Jr.
Assistant Deputy Director for Plans
Date
14-00000
A
10 January 1972
MEMORANDUM IN LIEU OF FITNESS REPORT.
SUBJECT:
David A. Phillips
1 July
-
31 December 1971
This memorandum is in lieu of a fitness report to
cover Mr. Phillips' performance during the period 1 July
to 31 December 1971. This rating is being prepared in
view of the rater's imminent departure from the Division.
Last month Mr. Phillips was promoted from GS-16
to GS-17. There is no better evidence of the high esteem
in which he is held by his superiors in the Agency.
During this rating period Mr. Phillips transferred
the station from Rio de Janeiro to Brasilia. This move,
however, divorces the Chief of Station from the main area
of operations, Rio de Janeiro. In spite of this Mr. Phillips,
through much extra effort and time on his part, has been
able to maintain a high operational tempo in the station.
Station relations with key people in the Brazilian
government, especially the security agencies, have been
highly productive but through recent efforts, these relations
have been placed on a much higher plane with the decision
of General Fontoura, chief of the SNI, to give the station
copies of the briefings especially prepared for President
Medici.

14-00000
SECTION A
1. NAME
(Lost)
SECRET.
(When Fitted in)
FITNESS REPORT
(First)
Phillips, David A.
6. OFFICIAL POSITION TITLE
Chief of Station
9. CHECK (X) TYPE OF APPOINTMENT
EMPLOYEE SERIAL NUMBER
024345
GENERAL
(Middle)
2. DATE OF BIRTH
31 Oct 1922
3. SEX
M
14. GRADE
8. 30
GS-16 D
7. OFF DIV BR OF ASSIGNMENTS. CURRENT STATION
DDP/WH/5
10. CHECK (X) TYPE OF REPORT
Rio de Janeiro
xxx
CAREER
RESERVE
TEMPORARY
CAREER-PROVISIONAL (See Instructions Section C)
SPECIAL (Specify):
If. DATE REPORT DUE IN O.P.
SECTION B
W-Weak
A- Adequate
P-Proficient
S-Strong
O Outstanding
30 April 1971
INITIAL
XXX ANNUAL
SPECIAL (Specify):
12. REPORTING PERIOD (From- to-)
TREASSIGNMENT SUPERVISOR
REASSIGNMENT EMPLOYEE
1 April 1970 30 June 1971
PERFORMANCE EVALUATION
-
Performance ranges from wholly inadequate to slightly less than satisfactory. A rating in this category requires
positive remedial action. The nature of the action could range from counseling, to further training, to plocing on
probation, to reassignment or to separation. Describe action taken or proposed in Section C.
Performance meets all requirements. It is entirely satisfactory and is characterized neither by deficiency nor
oxcollonco.
Performance is more than satisfactory. Desired results are being produced in a proficient manner.
Performance is characterized by exceptional proficiency.
Performance is so exceptional in relation to requirements of the work and in comparison to the performance of
others doing similar work as to warrant special recognition.
SPECIFIC DUTIES
List up to six of the most important specific duties performed during the rating period. Insert rating latter which best describes the
manner in which employee performs EACH specific duty. Consider ONLY effectiveness in performance of that duty. All employees.
with supervisory responsibilities MUST be rated on their ability to supervise (indicate number of employees-supervised).
SPECIFIC DUTY NO. I
RATING
LETTER
See attached memorandum.
SPECIFIC OUTY NO. 2
SPECIFIC DUTY NO.
SPECIFIC DUTY NO. 4
SPECIFIC DUTY NO. 5
SPECIFIC DUTY NO. 6
OVERALL PERFORMANCE IN CURRENT POSITION
.11
RATING
LETTER
RATING
LETTER
RATING
LETTER
RATING
LETTER
RATING
LETTER
RATING
Take into account everything about the employee which influences his effectiveness in his current position such as per-
formance of specific duties, productivity, conduct on job, cooperativeness, pertinent personal traits or habits, and
particular limitations or calents. Based on your knowledge of employee's overall performance during the voting period,
place the letter in the rating box corresponding to the statement which most accurately reflects his level of performance.
LETTER
S
FORM 45 USE PREVIOUS EDITIONS
4-85
SECRET
and
1
1
14-00000
SECTION C
SECRET
Fittext.In)
NARRATIVE COMMENTS
Indicate significant strengths wecke apatition keeping in proper perspective their relationship to
overall performance, State suggestions made for improvement of work performance. Give recommendations fairing. Comment
ön foreign language.competence, if required for current position. Amplify or explain ratings given in Section 8 to provide best
basis for determining future personnel action Monner of performance of monagerial or supervisory duties and cost consciousness
in the use of personnel space, equipment and funds, must be commented on, it applicable. If extra space is needed to complete
Section C, oftach a separate sheet of paper.
☐
Auc 5
Auc 5 11 gs 71
See attached memorandum.
MAL636M
SECTION D
1.
DATE
2.
<=
11 August 1971
MONTHS EMPLOYEE HAS BEEN
UNDER MY SUPERVISION
DATE
30 June 1971
CERTIFICATION AND COMMENTS
BY EMPLOYEE
1 CERTIFY THAT I HAVE SEEN SECTIONS A, B, AND C OF THIS REPORT
SIGNATURE OF EMPLOYEE
3.
COMMENTS OF REVIEWING OFFICIAL
David A. Phillips
BY SUPERVISOR
IF THIS REPORT HAS NOT BEEN SHOWN TO EMPLOYEE, GIVE EXPLANATION
tory of raport nu been sent to Hr. Phillice for acknovisigh-
OFFICIAL TITLE OF SUPERVISOR
Chief, WH Division
BY REVIEWING OFFICIAL
TYPED OR PRINTED NAME AND SIGNATURE
/signed/
William V. Broe
See attached.
DATE
OFFICIAL TITLE OF REVIEWING OFFICIAL
Assistant Deputy Director
for Plans
SECRET
TYPED OR PRINTED NAME AND SIGNATURE
/signed/
Cord Meyer, Jr.
14-00000
SECRET
30 June 1971
MEMORANDUM IN LIEU OF FITNESS REPORT
SUBJECT: Mr. David A. Phillips
1 April 1970
"
30 June 1971
This memorandum is in lieu of the fitness report on Mr.
Phillips as Chief of Station, Rio de Janeiro, during the period
1 April 1970 to 30 June 1971.
Mr. Phillips is a highly capable, versatile and imaginative
Operations Officer and manager who makes a substantial contri-
bution to the Clandestine Service.
The above statement is borne out by the fact that faced with
a highly difficult, sensitive operational problem of the utmost
priority in the fall of 1970, the Rater immediately thought of
Mr. Phillips as the man to head the Task Force and received
immediate and enthusiastic endorsement from the Deputy Director
for Plans and the Director for Mr. Phillips' assignment. He
was recalled from Brazil, took over the Task Force, and handled
it in an outstanding manner.
My first statement is further borne out by the fact that
Ambassador Rountree, on a recent visit to Washington, made
a special effort to express to the Rater his appreciation for
Mr. Phillips' support to him and the Embassy and to express
further his appreciation to the Agency for furnishing him a man
of Mr. Phillips' caliber.
SECRET
14-00000
SEGRET
Mr. Phillips has a large, widely spread operation with
Bases in Brasilia, Recife and Sao Faulo. However, he has
succeeded in keeping them well coordinated and dead on the
target.
I rate Mr. Phillips as Strong as Chief of Station, Rio de
Janeiro.
I certify that I have seen
this memorandum:
.
William V. Broe
Chief
Western Hemisphere Division
David A. Phillips
Date
Comments of Reviewing Official:
performance
us
I would have rated this
"very strong". Excellent political judgement
and the ability to male the most delicada situation.
with tact and dexterity charmatige this perforancence.
22 July
July 
7
Cord meet.
Cord Meyer! Jr.
Assistant Deputy Director for Plans
Date
SECRET
14-00000
Course # 3/71
Date: 2-5 February 1971
S-E-C-R-E-T
TRAINING REPORT
Specialized Training in Weapons for
Self-Defense and Countermeasures Against
Vehicular Kidnapping
Trainee: FHILLIPS, David A.
Office: WH
Purpose and Scope of the Course:
The course provides basic proficiency training in the use of weapons
for self-defense and in the techniques of evasive driving to counter
vehicular kidnapping for Agency officers being assigned to hostile or
unstable political and operational environments abroad.
Achievement Record:
This is to certify that Mr.
Phillips
completed the prescribed course of instruction.
FOR THE DIRECTOR OF TRAINING:
has satisfactorily
OHIEF, SPECIAL ACTIVITIES BRANCH
10 February 1971
DATE
S-E-C-R-E-T
14-00000
FITNESS REPORT
SECRET
en Filled in),
EMPLOYEE.SERIAL NUMBER
024345
SECTION A
1. NAME
(Lost)
GENERAL
(First)
(Middle)
12. DATE OF BIRTH
Phillips, David A
J. 38 X'
M
4. GRADE
5. So
16
D
6. OFFICIAL POSITION TITLE
COS
9. CHECK (X) TYPE OF APPOINTMENT
CAREER
RESERVE
.
TEMPORARY
CAREER-PROVISIONAL (See Instructions Section C).
SPECIAL (Specify):
11. DATE REPORT DUE IN O.P.
SECTION B
U-Unsatisfactory
M-Marginal
P-Proficient
-Strong
O-Outstanding
10/31/22
7. OFF/DIV/BR OF ASSIGNMENTS. CURRENT STATION
DDP/WH/Br.5
10. CHECK (X) TYPE OF REPORT
INITIAL
✗
ANNUAL
SPECIAL (Specify):
Rio de Janeiro
12. REPORTING PERIOD (From- to-)
1 April 1969
PERFORMANCE EVALUATION
REASSIGNMENT SUPERVISOR
✗ REASSIGNMENT EMPLOYER
31 March 70
Performance is unacceptable. A rating in this category requires immediate and positive remedial action. The nature of the action
could range from counseling, to further training, to placing on probation, to reassignment or to separation. Describe action taken
or proposed in Section C.
Performance is deficient in some aspects. The reasons for assigning this rating should be stated in Section C and remedial actions
taken or recommended should be described.
Performance is satisfactory. Desired results are being produced in the manner expected.
Performance is characterized by exceptional proficiency.
Performance is so exceptional in relation to requirements of the work and in comparison to the performance of others doing similar
work as to warrant special recognition.
SPECIFIC DUTIES
List up to six of the most important specific duties performed during the rating period. Insert rating letter which best describes the
manner in which employee performs EACH specific duty. Consider ONLY effectiveness in performance of that duty. All employees
with supervisory responsibilities MUST be rated on their ability to supervise (indicate number of employees supervised).
SPECIFIC DUTY NO. 1
RATING
LETTER
See attached memorandum.
SPECIFIC OUTY NO. 2
SPECIFIC DUTY NO.
SPECIFIC DUTY NO. 4
SPECIFIC DUTY NO. 5
SPECIFIC DUTY NO. 6
S
RATING
LETTER
RATING
LETTER
RATING
LETTER
RATING
LETTER
OVERALL PERFORMANCE IN CURRENT POSITION
5 AUG 1970
Take into account everything about the employee which influences his effectiveness in his current position such as per-
formance of specific duties, productivity, conduct on job, cooperativeness, pertinent personal traits or habits, and
particular limitations or talents. Based on your knowledge of employee's overall performance during the rating period,
ploce the latter in the rating box corresponding to the statement which most accurately reflects his level of performance.
FORM
7.49
45
OBSOLETE PREVIOUS EDITION
SECRET
RATING
LETTER
RATING
LETTER
S
14-00000
SECTION C
SECRET
New Entred let
NARRATIVE COMMENTS
Indicate significant strength's or weaknesses demonstrated in current position keeping in proper perspective their relationship to
overall performance. State suggestion's made for inner lement of work performance. Give recommendations for training. Comment
on foreign language competence, if required for current position. Amplity or explain ratings given in action in provide bašt
basis for deferring future personnel action. Monner of performance of managerial or supervisory duties, and cost consciousness
in the use of personnel "space, equipment and funds, must be commented on if applicable. If extra space is needed to complete
Section Coroch a separate sheet of paper.
Aug 4 34 F 70
SECTION D
1.
DATE
See Attached Memorandum in Lieu of Fitness Report.
CERTIFICATION AND COMMENTS
BY EMPLOYEE
I CERTIFY THAT I HAVE SEEN SECTIONS A, B, AND C OF THIS REPORT
SIGNATURE OF EMPLOYEE
2.
MONTHS EMPLOYEE HAS BEEN
UNDER MY SUPERVISION
BY SUPERVISOR
IF THIS REPORT HAS NOT BEEN SHOWN TO EMPLOYEE, GIVE EXPLANATION
CATE
* 15 July 1970
3.
COMMENTS OF REVIEWING OFFICIAL
OFFICIAL TITLE OF SUPERVISOR
Chief, WH Division
BY REVIEWING OFFICIAL
Сисил
CATE
OFFICIAL TITLE OF REVIEWING OFFICIAL
21 JUL 1970
Assistant Deputy Director
for Plans
SECRET
TYPED OR PRINTED NAME AND SIGNATURE
of signed/
William V. Broe
TYPED OR PRINTED NAME AND SIGNATURE
Cord Meyer, J
འ།་
14-00000
SECRET
15 July 1970
MEMORANDUM IN LIEU OF FITNESS REPORT
SUBJECT: Mr. David A. Phillips
1 April 1969 - 31 March 1970
This memorandum is in lieu of the fitness report on
Mr. David A. Phillips as Chief of Station, Rio de Janeiro,
during the period 1 April 1969 to 31 March 1970.
During this period Mr. Phillips took over command of
the Rio Station. It is typical of Mr. Phillips that he made
excellent preparation for this assignment, including a full-
time course in the Portuguese language.
Mr. Phillips has brought to his new position the opera-
tional zeal and enthusiasm that has characterized all of his
previous positions. Brazil, by the very nature of its size but,
more importantly, the type of "strait jacket" government in
power, is à difficult place to operate on a broad plain. Mr.
Phillips has the station moving and real effort and progress is
seen on the more difficult targets, such as the Soviets.
i
He has excellent relations within the embassy and is
recognized for his contribution to the Country Team. He, of
course, handles his liaison contacts with mature style and is
very actively developing a number of contacts in the local
community.
14-00000
Mr. Phillips is a good supervisor of men and the
present high morale of the Rio de Janeiro Station and its
· Bases is a living proof of this. He furnishes good opera-
tional planning and guidance and exhibits a high degree of
cost consciousness.
I rate Mr. Phillips as Strong as Chief of Station,
Rio de Janeiro.
I certify that I have seen
this memorandum:
William V. Broe
Chief
Western Hemisphere Division
David A. Phillips
26 Sest 1970
Date
14-00000
Date of Report
15 January 1970
Student Names
PHILLIPS, DAVID A.
Courses
PORTUGUESE FULL-TIME
LANGUAGE TRAINING REPORT
WH
Inclusive Dates
11/03/69-12/18/69
Proficiency.Level
defore and After Training'
Before After
Speaking
Aural Com
Read Comp
--
310
3 °
* Instructors Estimate vice
Official Test
Mours of Instruction
Scheduled 244 Actual 108
Absences 28
LANGUAGER DEZYNING INS 2ND EVALUATION CRITERIA
Speaking,
Fluency
The general aim of this course of study was to provide the student with a command of
a foreign language in a skill and at the level set by the sponsoring office.
aural comprehension and reading comprehension, as required, were emphasized.
and accuracy were given equal importance in training and in evaluation of the student.
Cultural matters were covered only incidentally.
- This student evaluation is based on (1) Instructor and Linguist observations;
(2) regularly administered oral and written achievement tests; (3) a final comprehen-
sive achievement examination. The achievement rating reflects only performance and
achievement in the course and is conditioned by the length of time the student spent
in training, achievement potential based upon his or her aptitude for language study
and upon motivation. This rating should not be confused with the Proficiency Rating
which is submitted separately on Form 1273, Certification of Language Proficiency.
PROGRESS IN ACHIEVING COURSE AIMS
(Overall progress in the crurse is shown as unsatisfactory, marginal, satisfactory,
above average, superior when compared against established standards for such training).
Speaking
Sural Comprehension
Reading Comprehension
SUPERIOR
SUPERIOR
PERFORMANCE EVALUATION
F.A.
In six weeks the student covered the entire DLI course of 75 lessons which
usually takes 4 to 6 months to complete. His study habits and approach to language
learning were excellent and he made maximum use of the time available.
The joint decision by instructor and student to rush through 75 lessons was
based on:
(1) the student's determination to make as much of a conversion from
Spanish to Portuguese as possible and
(2) on the instructor's faith and confidence in the student's ability to
do so.
In cases where the principal objective is to convert a student's command of
Spanish to an equivalent level in Portuguese, the point is often reached where the
student is able to understand and make himself understood most adequately without,
See reverse side for additional comment
For the Director of Trainings
RW thams
FRY
Deductment Chief
Language School/CR

14-00000
however, his having achieved a corresponding tested level because of the
remining influence of Spanish.
In the case of this student, I judge his command of the language to be
already adequate for all situations he may encounter in the field. So that
while he may not test quite elementary, in reality, and as far as ability to
communicate effectively is concerned, he would have to be rated intermediate.
14-00000
TECHNICAL SIRVIONS DIVISION
SHORT RANGE AGUNT CONTACT SURVEY
Training Report
Name
:
PHILLIPS David A.
Office:
WH/COG
Date :
6 June 1969
TUCINICAL SCHOOL
(A-106)
17 SENTIVES:
To provide a general knowledge in:
b.
selected gear used for clandestine short
Pange agent contacts. Included are representa-
tive samples of:
Ono way HP radio devices; two way RP radio
devices; way order current devices;
opical coms; and special telephone
devices used for establishing agent contact.
༤: ོར..
losophy, purpose, considerations and
0 Change agent contact
uding message security link
sucurity, reliability And Feasibility of agent
contact systems.
1.3
Geurence Hasin
INSTRUCTOR
SO/TECHNICAL SCHOOL
14-00000
SECTION A
1. NAME
(Last)
SECRET
then Filled In)
FITNESS REPORT
(First)
Phillips, Dâvid A,
6. OFFICIAL POSITION TITLE
Ops Officer
F. CHECK (X) TYPE OF APPOINTMENT
Χ
EMPLOYEE SERIAL NUMBER.
024345
GENERAL
(Middle)
12. DATE OF BIRTH
3. SEX
4. GRADE B. SD
M
10/31/22
GS-16
7. OPF/DIY/BR OF ASSIGNMENT (8. CURRENT STATION
DDP/WH/COG
10. CHECK (*) TYPE OF REPORT
Has.
CANCER
RESERVE
TEMPORARY
INITIAL
CAREER-PROVISIONAL (See instructions Section C)
SPECIAL (Specify):
X
ANNUAL
SPECIAL (Specify):
REASSIGNMENT SUPERVISOR
REASSIGNMENT EMPLOYEE
11. DATE REPORT DUE IN O.P.
SECTION B
W. Weak
A.
Adequate
P. Proficient
5. Strong
04/69
12. REPORTING PERIO0 (From- to-)
1 April 68 - 31 March 68
PERFORMANCE EVALUATION
Performance ranges from wholly inadequate to slightly less than satisfactory. A rating in this category requires
positive remedial action. The nature of the action could range from counseling, to further training, to placing on
probation, to reassignment or to separation. Describe action taken ur proposed in Section C.
Performance meets all requirements. It is entirely satisfuctory and is characterized neither by deficiency nut
excellence.
Performance is more than satisfactory. Desired results are being produced in a proficient manner.
Performance is characterized by exceptional proficiency.
0 Outstanding Performance is so exceptional in relation to requirements of the work and in comparison to the performance of
others doing similar work as to warrant special recognition.
SPECIFIC CUTIES
List up to six of the most important specific duties parformed during the rating period. Insert rating letter which best describes the
manner in which employee performs EACH specific duty. Consider ONLY effectiveness in performance of that duty. All employees
with supervisory responsibilities MUST be rated on their ability to supervise (Indicate number of employees supervised).
SPECIFIC DUTY NO. 1
RATING
LETTER
SPECIFIC DUTY NO. 2
SPECIFIC DUTY NO. S
SPECIFIC DUTY NO. 4
SPECIFIC DUTY NO. 5
SPECIFIC DUTY NO. 0
RATING
LETTER
RATING
LETTER
RATING
LETTER
RATING
LETTER
7 JUN 196
OVERALL PERFORMANCE IN CURRENT POSITION
Take into account everything about the employee which influences his affectiveness in his current position such as per-
formance of specific duties, productivity, conduct on job, cooperativeness, pertinent personal traits of habits, and
particular limitations or talents. Based on your knowledge of employee's overall performance during the rating period.
place the letter in the rating box corresponding to the statement which most accurately reflects his level of performance.
RATING
LETTER
RATING
LETTER
S
FORM
4-05
45 USE PREVIOUS EDITIONS
SECRET
Exuded
ting and
14-00000
SECTION C
SECRET
(When Filled in)
NARRATIVE COMMENTS
Indicate significant strengths or weaknesses demonstrated in current position keeping in proper perspective their relationship to
overall performance. State suggestions made for improvement of work performance. Give recommendations for training. Comment
on foreign language competence, if required for current position. Amplify or explain ratings given in Section B to provide best
bosis for determining future personnel action. Manner of performance of managerial or supervisory duties and cost consciousness
in the use of personnel space, equipment and funds, must be commented on, if applicable. If extra space is needed to complete
Section C, attach a separate sheet of paper.
See attached Memorandum in Lieu of Fitness Report.
Jul 2 11 17 AM '69
OFFICE OF
SECTION D
1.
DATE
9 June 1969
2.
MONTHS EMPLOYEE HAS BEEN
UNDER MY SUPERVISION
CERTIFICATION AND COMMENTS
BY EMPLOYEE
I CERTIFY THAT I HAVE SEEN SECTIONS A, B, AND COF THIS REPORT
SIGNATURE OF EMPLOYEE
/signed/ David A. Phillips
BY SUPERVISOR
IF THIS REPORT HAS NOT BEEN SHOWN TO EMPLOYEE, GIVE EXPLANATION
OATE
6 June 1969
OFFICIAL TITLE OF SUPERVISOR
Deputy Chief, WH Division
TYPED OR PRINTED NAME AND SIGNATURE
/signed/ John R. Horton
3.
COMMENTS OF REVIEWING OFFICIAL
See attached.
BY REVIEWING OFFICIAL
DATE
OFFICIAL TITLE OF REVIEWING OFFICIAL
TYPED OR PRINTED NAME AND SIGNATURE
27 June 1969
Chief, WH Division
/signed William V. Broe
SECRET
14-00000
6 June 1969
MEMORANDUM IN LIEU OF FITNESS REPORT
SUBJECT:
Mr. David A. Phillips
1 April 1968 to 31 March 1969
Mr. Phillips continues to head the Division's program
against the high-priority Cuban target, although he has also been
selected to fill an unusually responsible job overseas in the
coming year, both of which jobs testify to the high regard in which
he is held by his superiors in the Agency. Mr. Phillips has had
the difficult task of presiding over a show which is being cut back,
in terms of money and people, and in which task he has played a
✓ major role. At the same time as doing a pruning job, he has had
to try to maintain a vigorous program and to keep up enthusiasm.
His own qualities of personal leadership and of magnetism have
done a great deal to keep up enthusiasm among his people. He has
a positive attitude toward operations and is determined; his day-
to-day concern is for developing new operations, and he has put
all of his own notable vigor and drive into operational directions.
Mr. Phillips knows his target and knows Latin America
well and he brings a good feel and insight into his work, which is
never pedestrian or unimaginative. He speaks well and convinc-
ingly and makes a very good impression both within the Agency and
outside, where he serves the Agency well in his relations with
other government elements. He also writes notably well.
His task this year has not been easy for he has had to deal
with an experimental situation, to a considerable extent, with the
new Miami station which he is responsible for supporting and
guiding. He has had to exercise a good deal of tact and diplomacy
in the doing of it and he has done a good job of reconciling often
conflicting views. He has shown a good head for costs in all of
this.
་
SUST
:
14-00000
-2-
Mr. Phillips is a notably good supervisor, especially
with younger officers, for whom he is an object of admiration
and emulation. Mr. Phillips is a fast-moving, energetic person
and he has some of the faults that often go with this virtue: he is
impatient with details and "paper" with the consequence that if
someone else does not do it for him, his work is sometimes
marred by inaccuracies and imprecisions.
Without going into it, it should be noted that Mr. Phillips
_has had a very trying year personally and it is a proof of his
strength of character that he has not only come through it but has
hardly broken his stride in carrying out a demanding job, or being
any less than his usual cheerful and charming self.
His performance has been very Strong.
John R. Horton
Deputy Chief
Western Hemisphere Division
I certify that I have seen
this memorandum:
Weekl
David A. Phillips
1 Голь 1969
Comments of Reviewing Official:
Date
I concur in the above rating of Mr. Phillips. Dave Phillips
is an operator in the solid professional sense of the word. I have
great hopes for the Rio Station which he takes over early in 1970.
27 June 1969
Date
i
J
witanis beat
Willia
Chief
Western Hemisphere Division
14-00000
SECRET
VINCIALE en Completed)
.
CHIEF OF MISSION'S EVALUATION OF PERFORMANCE
(Mission submits original and one copy directly to appropriate agency, retains one copy.)
OFFICER BEING RATED
DAVID A
CHIEF, CAS .
POST
American Embassy, Caracas.
POSITION
CHIEF, CAS
GRADE
AGENCY
.CAS.
RATING PERIOD
DATE OF REPORT
1.
August 13, 17772 - Dctober 31, 1972
December 8, 1972
TITLE
11.
SIGNATURE OF REPORTING OFFICER
R
SIGNATURE OF REVIEWING OFFICER
AWLASGADOR
TITLE
XX Outstanding
EVALUATION OF PERFORMANCE
☐ Satisfactory
☐ Unsatisfactory
Does this officer properly understand and perform his role and his functions as a member of your staff under existing Presiden-
tial directives? X Yes ☐ No If no, explain in detail below.)
Has he seen this report?
XX Yes
☐ No
NARRATIVE COMMENTS
(Attach additional sheets, if necessary for this section or for reviewing officer's comments.)
The CAS Station Chief has been at the post only since August 13, 1972.
Although this period may seem unusually short for the preparation of a
performance evaluation, I would like to say that I have been enormously
and favorably impressed by his performance during this initial period.
The CAS Station Chief comes to Venezuela from a series of highly
responsible positions in which, I understand, he performed outstandingly
He has taken hold of his new position in a commanding manner and gives
every indication of being thoroughly on top of his job. He is under-
standing of the Embassy's needs. professionally competent in his
approach to his work, and highly articulate in explaining those facts
and factors which are of importance to me and to other officers or
the Embassy.
I am very favorably impressed by the initial performance of the CAS
Station Chief and I consider myself fortunate to have him with me at
this post.
FORM
4-65 FS-572
XEMATE
OFFICIAL USE
When Completed)
14-00000
ROGER. CHANNEL
OFFICER BEING RATED
Chief
Lahen Completed)
SECRET
CHIEF OF MISSION'S EVALUATION OF PERFORMANCE ·
(Mission submits original and one copy directly to appropriate agency, retains one copy.)
CAS
POST
American Embassy - BRASILIA ·
AGENCY
DIA
POSITION
GRADE
Chief of Station
FSR-2
RATING PERIOD
DATE OF REPORT
1.
11/1/71 - 6/29/72
October 16, 1972
SIGNATURE OF OF PORTING OF MEER
William M. Rountree
TITLE
Ambassador
SIGNATURE OF REVIEWING OFFICER
TITLE
11.
EVALUATION OF PERFORMANCE
✓ Outstanding
☐☐☐ Satisfactory
☐ Unsatisfactory
Does this officer properly understand and perform his role and his furctions as a member of your staff under existing Presidens
tial directives? ☑YON ☐☐☐ No Alf no, explain in detail below.)
Has he seen this report? ☐☐ Yea
☑%
NARRATIVE COMMENTS
(Attach additional sheets, if necessary for this section or for reviewing officer's comments.).
The previous incumbent completed his assignment at this post and
departed on June 29, 1972. During the period under review he continued
to perform in a highly creditable manner, working well with other
members of the Embassy staff and handling the affairs of his agency
in a most professional, efficient and effective manner.
In my last evaluation I stated that both the Agency, and the Embassy
were fortunate to have a man of the rated officer's abilities and
qualities as CAS Chief at this important post. I am happy to say
that his performance throughout his assignment here reinforced that
view.
FORM
4-65 F5-572
das (When Completed)
SECRET
;
1
14-00000
SECRET en Completed) (ROGER CHANNEL)
CHIEF OF MISSION'S EVALUATION
PERFORMANCE
(Mission submits original and one copy directly to appropriate agency, retains one copy.)
OFFICER BEING RATED
Chief CAS
POSITION
Chief of Station
RATING PERIOD
11/1/79 - 10/31/71
SIGNATURE OF REFERTING OFFICER'
Aliser Re
.......
William M. Rountree
SIGNATURE OF REVIEWING OFFICER
POST
American Embassy BRASILIA
GRADE
AGENCY
FSR-2
DIA
DATE OF REPORT
November 1, 1971
TITLE
Ambassador
TITLE
EVALUATION OF PERFORMANCE
✓ Outstanding
☐ Satisfactory
☐ Unsatisfactory
Ill.
111.
Does this officer properly understand and perform his tole and his functions as a member of your staff under existing Presiden-
tial directives? ☑☑Yo, ☐☐☐ No (If no, explain in detail below.)
Has he seen this report? ☐ Yes ✓ So
NARRATIVE COMMENTS.
(Attach additional sheets, if necessary for this section or for reviewing officer's commruts.)
Mr. Phillips is an able officer and a highly cooperative member
of the Country Team. I have been impressed and pleased with the
degree of cooperation which exists between him and other members of
the Embassy staff. He has, to the extent that is possible considering
the nature of his work, cooperated in our efforts to bring about
maximum coordination of reporting. With rare exceptions he has, I
believe, kept me appropriately advised on all matters relating to his
functions, and the material which he provides on a regular basis has
been extremely useful in the discharge of my mission.
Mr. Phillips works quietly and discreetly and is alert to any
situation which might create problems for the Embassy and the United
States. I fully share the view of the DCM, expressed in a previous
evaluation, that both Mr. Phillips and his wife conduct themselves in
a quiet, friendly and wholly creditable manner.
I feel that both the Agency and the Embassy are fortunate in
having a man of Mr. Phillips' abilities and qualities as CAS Chief
at this important post.
FORM
4-65 FS-572
SECRET
XNXXXXXXXNSE (When Completed}
14-00000
II.
FORM
OFFICER BEING RATED
LIMITED OFFICIAL USE (When Completed),
CHIEF OF MISSION'S EVALUATION OF PERFORMANCE
(Mission submits original and one copy directly to appropriate agency; retains one copy.)'
David A. PHILLIPS
POSITION
Chief CAS, Chief of Station
RATING PERIOD
7/1/70
-
10/31/70
SIGNATURE OF REPORTU
OFFICER
Boonstra
SIGNATURE OF REVIEWING OFFICER
POST
American Embassy, Rio de Janeiro
GRADE
AGENCY
FSR-02-
DIA
DATE OF REPORT
November 1, 1970
TITLE
Chargé d'Affaires a.i.
TITLE
EVALUATION OF PERFORMANCE
☐ Outstanding
✓ Satisfactory
☐☐ Ensatisfactory
Does this officer properly understand and perform his role and his functions as a member of your staff under existing Presiden
tal directives?
☐ No (If no, explain in detail below.)
Has he seen this report
☐
No
NARRATIVE COMMENTS
(Attach additional sheets, if necessary for this section or for reviewing officer's comments.)
Mr. Phillips' performance during the four months covered by this
evaluation has been highly satisfactory. For some years previous to
my arrival here, in June 1970, I had been acquainted with him, and
from this I already had a favorable impression of his qualities. This
impression has continued and has improved further. He has worked
quietly and discreetly, has kept me informed of all important deve-
lopments, and has coordinated as necessary with other offices in the
Embassy. His interest in his work, and his dedication to the job,
have been outstanding. His relations with others are very good.
Because of wide previous experience in this hemisphere, he frequently
is helpful to Embassy officers in areas outside his own specialization.
He appears to manage his personnel well. In functions outside the
Embassy, both he and his wife conduct themselves in a quiet, friendly,
and wholly creditable manner.
4-65 FS-572
LIMITED OFFICIAL USE when Completed)

14-00000
1.
SECRET
XXXXX77XXXXXXXXX (When Completed
SECRET
CHIEF OF MISSION'S EVALUATION OF PERFORMANCE
(Mission submits original and one copy directly to appropriate agency, retains one copy.)
OFFICER BEING RATED
POSITION
David A. PHI LLI PS
Chief CAS, Chief of Station
RATING PERIOD
January 30 June 30, 1970
SIGNATURE OF REPORTING OFFICER
Will hall
William Belton
SIGNATURE OF REVIEWING OFFICER
Ca Boniten
POST
American Embassy Rio de Janeiro
GRADE
FSR-03
DATE OF REPORT
April 24, 1970.
TITLE
AGENCY
DIA
Deputy Chief of Mission
TITLE
C. A. Boonstra
CM, Chargé d'Affaires, a.i.
EVALUATION OF PERFORMANCE
Outstanding
☐ Satisfactory
☐ Unsatisfactory
III.
III.
Does this officer properly understand and perform his role and his functions as a member of your staff under existing Presiden-
tial directives? ☑ You ☐ No If no, explain in detail below.)
☐ Mo
Has he seen this repon?
☑) Yew
NARRATIVE COMMENTS
(Attach additional sheets, if necessary for this section or for reviewing officer's comments.)
Phillips has been here too short a time and there has been too little
opportunity for us to work together for me to be able to discuss his
performance in detail. I am able to say, however, that he has
impressed me and other Embassy officers with whom he works, including
Ambassador Elbrick, very favorably, indeed. He is a cool-headed,
straight forward, intelligent man who seems professionally very
capable. He has a clear understanding of the appropriate role for
himself and his organization within the Embassy and is working to
achieve a genuinely low profile. He has already demonstrated his
interest in the best possible relations with the rest of the U.S.
Government organization and he knows how to act in order to achieve
such a relationship. He has come to me a number of times to volunteer
detailed information which he did not feel important enough to bother
the Ambassador about, but he has kept the Ambassador fully informed
about all those subjects which were of sufficient interest to him.
I see every reason to assume that he will be a positive, constructive
and very dependable and reliable factor in the Embassy.
Mrs. Phillips is an attractive and personable young lady who has
particularly impressed my wife and me with her attitude and intellect.
1
SECRET
FORM
4-65
FS-572
BAXXXXXXXXXXXXXXX (when Completed)
14-00000
XXXXXXXXXXXXXXX(When Completed)
SECRET
CHIEF OF MISSION'S EVALUATION OF PERFORMANCE
(Mission-submits original and one copy directly to appropriate agency, retains one copy.)
OFFICER BEING RATED
POST
Chief CAS
Daya A. Philips
Santo Domingo
POSITION
GRADE
AGENCY'
Station Chief
RATING PERIOD
1.
January 1966 to July 1967
SIGNAT OF PORTING OFICER
John Hugh Crimmins
SIGNATURE OF REVIEWING OFFICER
DATE OF REPORT
July 15, 1967
TITLE
Ambassador
TITLE
EVALUATION OF PERFORMANCE
☑) Outstanding
☐☐ Satisfactory
☐ Unsatisfactory
Does this officer properly understand and perform his role and his functions as a member of your staff under existing Presiden-
tal directives' (☑) Yes ☐☐ No (If no, explain in detail below.)
Has he seen this report?
☑*
☐ No
NARRATIVE COMMENTS
FRE
FORM
Attach additional sheets, if necessary for this section or for reviewing officer's comments.)
I have been associated with the CAS Station Chief since my arrival
at this post on January 11, 1966, Inasmuch as I have kept in very close
daily touch with him, I believe that I am in position to evaluate his
performance.
Let me say at the outset that the Rated Officer has had to work
under the most varied and difficult circumstances. His service at
this post began, for example, in a revolutionary situation marked by
great and continuing violence. The attention of a good part of the
world was focused upon this situation, and some of the highest national
interests of the United States were involved. The presence of the
Inter-American Peace Force, of its major U.S. component, and of
Ambassador Ellsworth Bunker in his unusual and unprecedented role
added greatly to the dimensions of the work done by the Rated Officer.
In the aftermath of revolution, he had unusual, delicate and complicated
tasks to perform in connection with the establishment and maintenance
in power of a most fragile Provisional Government. As the latter
carried the nation toward the all-important election scheduled for
June 1, 1966, the CAS Station Chief faced a changing and constantly
challenging set of requirements. Finally, his tour of duty at this
post has encompassed the transition from the Provisional Government
to a constitutional government emerging from those elections and the
gradual firming up of the position and institutions of the present
democratically elected administration.
To this intricate complex of circumstances, the CAS Station Chief
has brought a background knowledge of the Latin American area and its
4-65 FS-572
SECRET
XXXXXXXXXXXXXXXXX(When Completed)
14-00000
SECRET
people as well as a proficiency in Spanish which has enabled him
to deal readily and effectively with a heterogeneous range of
contacts.
His performance can only be described as outstanding. He
has provided a completely professional response to a most diffi-
cult and varied challenge. He has mounted an organization and
provided a mechanism fully up to the tasks confronting it and
the high-level requirements levied upon it. With the advantages
afforded by hindsight, I suggest that the success which has been
achieved speaks for itself.
It is pertinent to mention that the Rated Officer invariably
places business ahead of pleasure and personal interests. He
works long and irregular hours and is continuously available in
time of need. He has evidenced the highest degree of cooperation
with representatives of State, DOD, Legal Attaché, AID (in the
Public Safety sector) and all other members of the Country Team.
His quiet and professional approach inspires their confidence,
and on innumerable occasions he has proven that he is an excellent
team player who genuinely wants to be of assistance to all members
of the official community. The harmonious, close relations among
all the intelligence components of the Country Team are due in
great part to the tactful, skillful and thoughtful leadership of
the Station Chief.
There is probably little need for me to comment upon the '
Rated Officer's technical achievements at this post. Under his
guidance, specialized security agencies of the Dominican
Government have been brought to a state of high readiness.
Penetration of subversive groups has reached impressive propor-
tions. Subversive document seizures have been abundant. Counter-
espionage work has been impressively successful.
no
The CAS Station Chief is in/sense a narrow technician or
specialist. He keeps his eye on the broad picture, understands
what he sees there and intelligently relates it to his own work.
He is imaginative in his approach and does not hesitate to
suggest innovations of various kinds. To mention only one of
these, it was as a result of his initiative that "electoral
police" appeared upon the scene during the Presidential election
campaign in mid-1966 with a salutary calming effect upon the
potential for political violence at the moment.
SECRET
14-00000
SECRET
I wish to make special mention of, first, the scrupulous-
ness with which the Rated Officer has consulted me and kept me
informed about his activities, and, second, his strict adherence
to the guidance I have given him. At no time have I had any
doubts concerning the care and fidelity with which he has
followed my instructions.
I have developed the highest personal and professional
regard for the Rated Officer. I have valued greatly his advice
and his support not only upon matters within his own special
field of competence, but also over a considerably broader
spectrum of U.S. Mission activities. I could not have asked
for a better Chief of Station than the one whom I have had at
this post.
very much regret his departure but am comforted
by the knowledge that his successor, as his deputy, has been
trained by him.
11
I earnestly hope that these comments of mine based on
a very close and continuous working relationship will be
given full consideration and will contribute significantly to
his career advancement.
SECRET
14-00000
SECTION A
1. NAME
(Lest)
SECRET
(When Filled in
FITNESS REPORT
(First)
Phillips, David
6. OFFICIAL POSITION TITLE
Ops Officer Ch
9. CHECK (X) TYPE OF APPOINTMENT
EMPLOYEE SERIAL NUMBER
024345
GENERAL
(Middle)
2. DATE CEBIRTH
A.
10/31/22
¡3. SEX
M
4. GRACE
15
15. so
D
7. OFF/DIN BR OF ASSIGNMENT 8. CURRENT STATION
WH/COG
Hats.
10. CHECK (TYPE OF REPORT
;
✗CAREER
RESERVE
TEMPORARY
CAREER-PROVISIONAL (See Instructions Section C)
SPECIAL (Specify):"
11. DATE REPORT DUE IN O.P.
04/68
SECTION B
W-Weak
A-Adequate
P. Proficient
S-Strong
INITIAL
IS
ANNLAL
SPECIAL (Specify):
12. REPORTING PERIOD (From fo-)
REASSIGNMENT SUPERVISOR
REASSIGNMENT EMPLOYEE
1 April 1967
-
31 March 1968
PERFORMANCE EVALUATION
Performance ranges from wholly inadequate to slightly less than satisfactory. A rating in this category requires
positive remedial action. The nature of the action could range from counseling, to further training, to placing on
probation, to reassignment or to separation. Describe action taken or proposed in Section C.
Performance meets all requirements. It is entirely satisfactory and is characterized neither by deficiency nor
excellence.
Performance is more than satisfactory. Desired results are being produced in a proficient manner.
Performance is characterized by exceptional proficiency.
0 Outstanding "Performance is so exceptional in relation to requirements of the work and in comparison to the performance of
others doing similar work as to warrant special recognition.
SPECIFIC DUTIES
List up to six of the most important specific duties performed during the rating period. Insert rotir, latter which best describes the
manner in which employee performs EACH specific duty. Consider ONLY effectiveness in performance of that duty. All employees
with supervisory responsibilities MUST be rated on their ability to supervise (mdicate number of employees supervised).
SPECIFIC DUTY NO. 1
Responsibility for overall management of Headquarters
Branch activities.
SPECIFIC DUTY NO. 2
j. Support and guidance of field operations.
RATING
LETTER
S
RATING
LETTER
S
SPECIFIC DUTY NO. 3
RATING
LETTER
Reporting to higher authority; implementing of policy level decisions.
SPECIFIC DUTY NO. 4
RATING
LETTER
Supervision and management of personnel.
SPECIFIC DUTY NO. 5
Liaison with State Department and other agencies.
SPECIFIC DUTY NO. 8
RATING
LETTER
RATING
LETTER
OVERALL PERFORMANCE IN CURRENT POSITION
Take into account everything about the employee which influences his effectiveness in his current position such as per-
formance of specific duties, productivity, conduct on job, cooperativeness, pertinent personal traits of habits, and
particular limitations or talents. Based on your knowledge of employee's overall performance during the rating period,
place the letter in the rating box corresponding to the statement which most accurately reflects his lover of performance.
Reviewed by OP/PD/EAB
RATING
LETTER
FORM
4-63
45 USE PREVIOUS EDITIONS
SECRET
wing and
14-00000
SECTION C
SECRET
(When Filled in)
NARRATIVE COMMENTS
Indicate significant strengths of weaknesses demonstrated in curren in keeping in proper perspective their relationship to
overall performance. State suggestions made for improvement of work perforce, Give recommendations for training. Comment.
on foreign language competence, if required for current position. Amplify or explain pas given in Section B to provide best
bosis for determining future personnel action. Manner of performance of managerial or supeory duties and cost consciousness
in the use of personnel, space, equipment and funds, must be commented on if applicable. If Sutro space is needed to complete
Section C, attach a separate sheet of paper.
:
NNT
8 53 AM. '68
Hon Mr. Phillips dealt
The Rating Officer's last fitness rep
with his terminating an outstandingly successful and very complicated
assignment as Chief of Station, Dominican Republic. This report deals
with a completely different situation, i. e. coming into Headquarters as
Chief, Cuban Operations Group at the time that drastic reduction had
just become the order of the day. The same energy, imagination and
zeal which has characterized Mr. Phillips over the years has
characterized his performance in this difficult task since his
assumption of the new responsibility. He has been a prime mover in
reducing the Headquarters WH/COG component to realistic and
managable proportions. By the same token he has been a prime mover,
guider, cajoler and sometimes "patron saint" to JMWAVE management
in its massive job of bringing JMWAVE down from its ponderous
proportions to a viable Clandestine Services "instrument" compatible
and consistent with the present day needs of Cuban operations. In this
endeavor Mr. Phillips' accomplishments have been of the first order.
(See attached sheet)
SECTION D
1.
DATE
13 MAY 13
CERTIFICATION AND COMMENTS
BY EMPLOYEE
I CERTIFY THAT I HAVE SEEN SECTIONS A, B, AND C OF THIS REPORT
SIGNATURE OF EMPLOYEE
2
2.
MONTHS EMPLOYEE HAS BEEN
UNDER MY SUPERVISION
BY SUPERVISOR
IF THIS REPORT HAS NOT BEEN SHOWN TO EMPLOYEE, GIVE EXPLANATION
32
CATE
10 May 1968
3
COMMENTS OF REVIEWING OFFICIAL
OFFICIAL TITLE OF SUPERVISOR
Deputy Chief, WHD
EY REVIEWING OFFICIAL
TYPEO CAPRINTED NAME AND SIGNATURE
14.
Esterline
This is a very fine officer with one of the best potentials in WH Division. I
believe the rater is somewhat carried away in his views. Mr. Phillips'
career advancement has been closely observed in this Division and I do not
believe he is falling behind in the promotion timetable. It is definitely
expected he will be recommended next year (which is within the proper time
frame,) if his current excellent performance continues.
DATE
OFFICIAL TITLE OF REVIEWING OFFICIAL
20 May 1968
Chief, WH Division.
SECRET
AND SIGNATURE
William V. Broe
14-00000
SECRET
Fitness Report
-
David A. Phillips
SECTION C (Continued)
Most important however, and this is one of Mr. Phillips
unique qualities, he has been able to bring about this drastic
reduction and at the same time instill enthusiasm in his staff for
new approaches to the ever more difficult Cuban target. His own
infectious enthusiasm and his fine manner with co-workers and
subordinates has made this possible. In short the Rating Officer
believes he is the right man at the right time for the job he is in.
Mr. Phillips' relations with the Department of State and
other agencies where it really counts are outstandingly good. He
has in his short time back re-established his fine relationship with
the manager of the Voice of America. This relationship will
undoubtedly be of inestimable value in getting WH Division's new
radio effort through the 303 Committee and into operation.
It is probably obvious to one reading this fitness report that
the Rating Officer is well disposed towards Mr. Phillips. This is
quite true. It in no way, however, affects the Rating Officer's
opinion that Mr. Phillips is a man of considerable talent who for
one reason or another has fallen at least one grade behind in the
promotion timetable. The Rating Officer, therefore, trusts that
this will be corrected in the near future. Mr. Phillips is a gentleman
of breadth, drive, imagination and dedication. The Rating Officer
considers Mr. Phillips to be one of the very best of the many fine
officers he has known in his career in the Clandestine Services. In
some ways he is unique in that he knows the business from the ground
up, having started in unofficial cover (several assignments) and now
having moved into the managerial area were he can speak with
authority based on valid experience.
SECRET
Reviewed by OP/PD; EAB
14-00000
S-E-C-R-E-T
TRAINING REPORT
Chiefs of Station Seminar No. 1-70
80 hours, full time 6 - 17 October 1969
Participant
Phillips, David A.
Year of Birth: 1922.
Grade
: 16
Office
را سیر
: WH
Service Designation: D
No. of Students : 8
EOD Date : Apr '55
COURSE OBJECTIVES, CONTENT AND METHODS
The COS Seminar is aimed to prepare prospective Chiefs and
Deputy Chiefs of Station and Chiefs of Base for field assignments.
Emphasis was upon the difficulties confronting Chiefs of small or
medium-sized installations, since they must handle a peculiarly
wide range of problems. Included were case studies serving to
remind outgoing chiefs of various operational approaches and
techniques, but more time was devoted to policy, coordination,
management, reporting, and administrative responsibilities of
the Chief of Station, both within CIA and in the government at large,
at home and abroad,
The bulk of the course is given in lectures and question periods
conducted by officials responsible for the missions, functions, pro-
grains, and services discussed. A few key iterns of suggested read-
ing are included, and bibliographies of suggested reading tailored to
the individual's assignment are offered for those who want them,
ACHIEVEMENT RECORD
This is a certificate of attendance. No further assessment of
individual capacity or performance is made in this course.
FOR THE DIRECTOR OF TRAINING:
2
Anthony D. Holland
S-E-C-R-E-T
20 OCT RAS
Date
14-00000
SECTION A
SECRET
(Ohen Filled in)
FITNESS REPORT
GENERAL
EMPLOYEE SERIAL NUMBER
024345
-
1. NAME
(Lost)
(Middle)
2. DATE OF BIRTH
David
A.
10/31/22
r
Phillips
6. OFFICIAL POSITION TITLE
Chief of Station
9. CHECK (X) TYPE OF APPOINTMENT
50%
CAREER
RESERVE
TEMPORARY
CAREER-PROVISIONAL (See marine-Section C)
SPECIAL (Specify):
11. DATE REPORT DUE IN O.P.
"
May 1967
SECTION B
W. Week
A. Adequate
P - Proficient
S- Strong
J. SEX
4. GRADE 's. 30
M
GS-15
D
7. OFF DIVOR OF ASSIGNMENT (8. CURRENT STATION
DDP/WH/7
10. CHECK (X) TYPE OF REPORT
INITIAL
XX ANNUAL
SPECIAL (Specify);
12. REPORTING PERIOD (From- to-)
Santo Domingo
REASSIGNMENT SUPERVISOR
REASSIGNMENT AMPLOYEE
1 April 1966 to 31 March 1967
PERFORMANCE EVALUATION
Performance ranges from wholly inadequate to slightly less than satisfactory. A rating in this category requires
positive remedial action. The nature of the action could range from counseling, to further training, to placing on
probation, to reassignment or to separation. Describe action taken or proposed in Section C.
Performance mers all requirements. It is entirely satisfactory and is characterized neither by deficiency nor
excellence.
Performance is more than satisfactory. Desired results are being produced in a proficient manner.
Porformance is characterized by exceptional proficiency.
0 Outstanding Performance is so exceptional in relation to requirements of the work and in comparison to the performance of
others doing similar word as to warrant special recognition.
SPECIFIC DUTIES
List up to six of the most important specific duties performed during the rating period. Insert rating latter which best describes the
manner in which employee performs EACH specific duty. Consider ONLY effectiveness in performance of that duty. All employees
with supervisory responsibilities MUST be red on their ability to supervise (indicate number of employees supervised).
SPECIFIC DUTY NO. 1
Station management.
RATING
LETTER
S
SPECIFIC OUTY NO. 2
Direction of the operational program.
SPECIFIC DUTY NO. J
Liaison with other C. S. agencies.
SPECIFIC DUTY NO. 4
SPECIFIC DUTY NO. 3
SPECIFIC DUTY NO. 6
RATING
LETTER
RATING
LETTER
S
RATING
LETTER
RATING
LETTER
MAY 1967
OVERALL PERFORMANCE IN CURRENT POSITION
Take into account everything about the amelisea which influences his affectiveness in his current position such as per-
formance of specific duties, prof.stovy cotton job, cooperativeness, pertinent personal traits or habits, and
particular limitations or talents. Based on what knowledge of employee's overall performance during the rating period.
place the letter in the rating box comesponding to the statement which most occurately reflects his level of performance.
CAM
+-19
45 USE PREVIOUS EDITIONS
SECRET
RATING
LETTER
RATING
LETTER
14-00000
SECTION C
SECRET
(The File In)
NARRATIVE COMMENTS
Indicate significant strengths or weaknesses demonstrated in current position keeping in proper perspective their relationship to
overall performance. State suggestions made for improvement of work performance. Give recommendations for training Comment
on foreign language competence, it required for current position. Amplify or explain ratings given in Section 8 to provide best
basis for determining future personnel action Marineral serformance of managerial or supervisory duties and cost consciousness
in the we al pecennal, Poace, equipment and funds must be comments if applicable. If extra space is needed to complete
Section C, attach a separate sheet of poper.
MAY 8 339 PH 267
Mr. Phillips is nearing completion of his tour of duty as Chief
of Station, Santo Domingo.. During the past several months he has haď
the difficult task of reorganizing his Station and redirecting its manpower
following a major election operation. His task has been made more
difficult by a series of almost weekly political or security crises which
not only required intensive intelligence coverage but also frequently
involved Station assets.
3 Mr. Phillips has done remarkably well in this difficult regearing
process. It has in no way affected the volume or quality of Station
* reporting which remains very high. His critical analysis and in-depth
interpretation of the rapidly changing political scene have been timely
and useful.
The Station under his direction has aggressively undertaken the
development of new FI and CI assets without losing momentum in existing
operations. Also in a relatively short period of time effective security
and countersubversion units within the host government internal security
apparatus have been established,
(Cont'd)
SECTION D
1.
CERTIFICATION AND COMMENTS
BY EMPLOYEE
DATE
I CERTIFY THAT I HAVE SEEN SECTIONS A, B, AND C OF THIS REPORT
SIGNATURE OF EMPLOYEE
2.
MONTHS EMPLOYEE HAS BEEN
UNDER MY SUPERVISION
- 20
DATE
5 April 1967
3.
COMMENTS OF REVIEWING OFFICIAL
BY SUPERVISOR
IF THIS REPORT HAS NOT BEEN SHOWN TO EMPLOYER, GIVE EXPLANATION
Subject in the field.
OFFICIAL TITLE OF SUPERVISOR
Deputy Chief, WHD
BY REVIEWING OFFICIAL
TYPED ON PRINTED NAME AND SIGNATURE
Jacob D. Esterline
I concur with the rating and statements made concerning
Mr. Phillips. He is one of the best. He will take over as
Chief, Cuban Operations Group this summer and we can expect
new impetus in this difficult denied area program. We are carefully
observing his promotional progress and are making every effort that
he advances in accordance with his excellent capabilities and potential.
DATE
OFFICIAL TITLE OF REVIEWING OFFICIAL
TYPED OR
28 April 1967
Chief, WHD
SECRET
GAME AND SIGNATURE
William V. Brde

14-00000
Fitness Report
-->
David A. Phillips
SECTION C
-
(Cont'd)
His relationships with the Ambassador and with representatives
of other agencies are excellent and the high regard they accord him
are reflected in the great confidence placed in him and his staff.
The overall management of the Station reflects careful consider-
ation of manpower and money commitments. Mr. Phillips has taken
the initiative in effecting savings wherever possible. In short he has
turned in an aggressively outstanding performance under the most
difficult imaginable conditions during the period under review.
$_
1.
14-00000
SECRET
(When Filled in)
FITNESS REPORT
EMPLOYEE SERIAL NUMBER.
024345
SECTION A
1. NAME
(Loot)
PHILLIPS,
6. OFFICIAL POSITION TITLE
(First)
David A.
GENERAL
(Middle)
2. DATE OF BIRTH
3. SEX
4. GRADE
31 Oct 22
M
GS-15
5. SD
D
Opa Officer/Chief of Station
9. CHECK (X) TYPE OF APPOINTMENT
✗ CAREER
RESERVE
TEMPORARY
7. OFF/DIV/BR OF ASSIGNMENT
DDP/WH/DR
10. CHECK (X) TYPE OF REPORT
INITIAL
X
ANNUAL
SPLCIAL (Specify):
8. CURRENT STATION
Santo Domingo
REASSIGNMENT SUPERVISOR
REASSIGNMENT EMPLOYEE
CAREER PROVISIONAL (See Instructions Section C)
SPECIAL (Specify):
11. DATE REPORT DUE IN O.P.
SECTION B
W Weak
A Adequate
P. Proficient
S-Strong
12. REPORTING PERIOD (From- to-)
1 April 65 31 March 66
PERFORMANCE EVALUATION
Performance ranges from wholly inadequate to slightly less than satisfactory. A rating in this category requires
positive remedial action. The nature of the action could range from counseling, to further training, to placing on
probation, to reassignment or to separation. Describe action taken or proposed in Section C.
Performance meets all requirements. It is entirely satisfactory and is characterized neither by deficiency nor
excellence.
Performance is more than satisfactory. Desired results are being produced in a proficient manner.
Performance is characterized by exceptional proficiency.
O Outstanding Performance is so exceptional in relation to requirements of the work and in comparison to the performance of
others doing similar work as to warrant special recognition.
SPECIFIC DUTIES
List up to six of the most important specific duties performed during the rating period. Insert rating letter which best describes the
manner in which employee performs EACH specific duty. Consider ONLY effectiveness in performance of that duty. All employees
with supervisory responsibilities MUST be rated on their ability to supervise (indicate number of employees supervised).
SPECIFIC DUTY NO. 1
PATING
LETTER
1
Direction of Station CA program.
SPECIFIC DUTY NO. 2
Direction of Station FI/CI efforts.
RATING
LETTER
S
SPECIFIC DUTY NO. 3
RATING
LETTER
Liaison responsibilities with Embassy and other U.S.
Government representatives.
__
SPECIFIC DUTY NO. 4
Managerial responsibilities as Chief of Station.
SPECIFIC DUTY NO. S
Cost consciousness.
RATING
LETTER
S
RATING
LETTER
S
SPECIFIC DUTY NO. 6
OVERALL PERFORMANCE IN CURRENT POSITION
Take into account everything about the employee which influences his effectiveness in his current position such as por-
formance of specific duties, productivity, conduct on job, cooperativeness; pertinent personal traits or habits, and
particular limitations or talents. Based on your knowledge of employee's overall performance during the rating period,
place the letter in the roting box corresponding to the statement which most accurately reflects his level of performance.
16 JUN 1966
FORM
6-03
45
855)
T USE PREVIOUS EDITIONS.
SECRET
PATING
LETTER
RATING
LETTER
S
14-00000
SECTION C
SECRET
Fitted In)
NARRATIVE COMMENTS
Indicate significant strengths or weaknesses demonstrated in current position keeping in proper perspective their relationship to
overall performance. State suggestions made for improvement of work performance. Give recommendations for training. Comment
on foreign language competence, if required for current position. Amplify or explain ratings given in. Section B to provide best
basis for determining future personnel action. Manner of performance of manegerial or supervisory duties and cost consciousness
in the use of personnel, space, equipment and funds, must be commented on, if applicable. Ilyextro sppcejò needed to complete
Section C, attach a separate sheet of paper.
Mr. Phillips brings to this assignment (his first as Chief of Station)
a wealth of CA experience gained through many years of operating in the
Western Hemisphere and other areas. As a propagandist and general CA
operator he must rank high among all Agency personne. Consequently,
it was indeed fortunate that his assignment to the Dominican Republic came
at a time when a person of his talent was badly needed. Arriving shortly
after the American intervention he has had the difficult task of ferreting
out information in great detail about an entirely new government,
diplomatically handling the delicate coordinations with other U.S.
Government agencies in a crisis and highly emotional situation, while
administering a rapidly expanding station composed in large degree of
young men long on initiative and intelligence but somewhat lacking in depth
of experience. At present he is engaged in a fairly large and vastly
important election operation which is of concern to the highest authorities
of our government.
(Continued - See
attached sheet)
-
SECTION D
11.
:
DATE
2.
CERTIFICATION AND COMMENTS
BY EMPLOYEE
I CERTIFY THAT I HAVE SEEN SECTIONS A, B, AND C OF THIS REPORT
SIGNATURE OF EMPLOYEE
BY SUPERVISOR
MONTHS EMPLOYEE HAS BEEN
UNDER MY SUPERVISION
------
IF THIS REPORT HAS NOT BEEN SHOWN TO EMPLOYEE, GIVE EXPLANATION
9 months
DATE
Employee will see report upon his return to Headquarters
OFFICIAL TITLE OF SUPERVISOR
TYPED PRINTED NAME AND SUNATURE
Estale
Jacob D. Esterline
3 May 1966
Deputy Chief, WHD
3.
BY REVIEWING OFFICIAL
COMMENTS OF REVIEWING OFFICIAL
DATE
I heartily endorse the rater's comments. The Santo Domingo
Station, under the excellent leadership of Mr. Phillips, recently
completed a most successful and significantly important political action
operation. It was a well-done Station operation but great credit has to
go to Mr. Phillips personally.
:
OFFICIAL TITLE OF REVIEWING OFFICIAL
!TYPED OR
ED HAME
14 June 1966
Chief, WHD
SECRET
-
William V. Broe
T
14-00000
Fitness Report
SECTION C
-
-
David A. Phillips
Continued:
Perhaps the outstanding quality which Mr. Phillips has demon-
'strated is his ability to "fire up" his people to produce at their
maximum capacity. Another outstanding characteristic is his diplo-
matic manner of dealing with other officials. Of particular note is
the fact that Subject's relationship with Ambassador Bunker of the OAS
(who, in effect, has been the President's principal representative in
the Dominican Republic) are closer and more fruitful than the relation-
ship of the Embassy with Ambassador Bunker. This has in no way
damaged the close relationship Subject has with the Embassy and other
government officials.
Subject had little managerial experience of the scope required
by his present position prior to his arrival in the DR, nor had he had
much experience in FI matters. He has adapted readily however, and
he continued to broaden in these respects with the passage of time.
Cost consciousness is, of course, a relative thing. Mr. Phillips
as a CA operator "thinks big." However, it is clear that he weighs
heavily costs against anticipated results and expects to get a dollar
return for each one spent. Overall Subject can be described as a very
able person.
His ability to maintain Station morale at a high level while
producing at a very gruelling pace under difficult conditions is in itself
an outstandin accomplishment. Mr. Phillips has been recommended
for an Agency Award.
14-00000
SECRET
TRAINING REPORT
Chiefs of Station Seminar No. 3
19 April
-
7 May 1965
60 hours, half days
Participant
: PHILLIPS, David A.
Office
: WH
Year of Birth: 1922
Service Designation : ⚫D
Grade
: GS-15
No. of Students
: 15
EOD Date
April 1955
COURSE OBJECTIVES, CONTENT AND METHODS
The COS Seminar aimed to prepare prospective Chiefs and Deputy Chiefs of
Station, Chiefs of Base, and senior Chiefs of Support for field assignments.
Emphasis was upon the difficulties confronting Chiefs of small or medium-sized
installations, since they must handle a peculiarly wide range of problems.
Included were case studies serving to remind outgoing chiefs of various opera-
tional approaches and techniques, but more time was devoted to policy, coordi-
nation, management, reporting, and administrative responsibilities of the Chief
of Station, both within CIA and in the government at large, at home and abroad.
Special attention was given to counterinsurgency.
The bulk of the course is given in lectures and question periods conducted
_ by officials responsible for the missions, functions, programs, and services
discussed, most of them being from within the Agency but several also from out-
side. A few key items of suggested reading are included, and bibliographies of
suggested reading tailored to the individual's assignment are offered for those
who want them.
ACHIEVEMENT RECORD
This is a certificate of attendance.
Mr. Phillips attended the first half of the seminar being
withdrawn at that point due to an operational emergency.
No further assessment of individual capacity or performance is made in this
course.
FOR THE DIRECTOR OF TRAINING:
Rowland
William Rowland
Acting Chief Instructor
SECRET
5/13/65
Date
14-00000
SECRET
(when Filled Ini
FITNESS REPORT (Part 1) PERFORMANCE
INSTRUCTIONS
FOR THE TALUNISTRATIVE OFFICER: "Consult current instructions for completing this report.
FOR, DIË SIPERVISOR: This report is designed to help you express your evaluation of your subordinate and to transmit
this evaluation to your supervisor and senior officials. Organiration policy requizes that you inform the subordi.
nate where he stands with you. Completion of the report can help you prepere for discussion with him of his
strengths and weaknesses. It is also organisation policy that you show Part 1 of this report to the employee except
under conditions specified in Regulation 20- 370. It is recommended that you read the entire form before completing
any Tuestion. If this the initial report on the employee. It must be completed and forwarded to the Office of
Fersonnel on later than 30 days after the date indicated in ites A. of Section "A" below.
SECTION A. Phil Hond
"
WAVE
(First)
FIN ANAN NO ASSIGNMENT.
GENERAL
(Middle)
7. DATE OF BIRTH
'
SERVICE DESIGNATION
31 Oct. 1922
Vale
DP
(PP)
" GRADI
IN OP
GS-14
August 9, 1956
10
TYPE OP REPORT
(Chech one)
INITI81
ANNUAL
SECTION b.
FUN THE RATIH
NOT.
THIS
REPORT ✓✓ HAS
A. CHECK (X) APPROPRIATE STATEMENTS:
THIS REPORT DEFLECTS 1 x
x ..04.
6. OFFICIAL POSITION TITLE
Staff agent
PERIOD COVERED BY THIS REPORT (Inclusive dates)
9 February 1956 - 14 September 1956
91855168SMINT, SUPER,FICO
HEASSEMENT EMPLOYEE
CERTIFICATION
SOCIAL (Specify)
HAS NOT BEEN SHORN TO THE INDIVIDUAL RATED. " NOT SHOW
OPINIONS 07 THI
TW13 REPORT REFLECTS THE COMBIN
AND PREVIOUS SUPERVISORS.
OPINIONS D. MYSELF
EXPLAIN DHY
" INDIVIDUAL IS RATED "E" IN C1 OR D A DARKING LETH
TLO EAS EN TO HIM
TOP ATTACHED
CANNOT CENTIP THAT
ATE HIS 10
THIS DEPORT.
THE RATIV INDIVIDUAL INCOS NOW
PEOGAMANCE BECAUSE (Specify).
x
.
MAVE DISCUSSED
** 10
AND
B THIS DATE
19 Sept. 1956
Tats EMPLOYEE HIS STRENGTHS
HE Des ariat KL STANDS.
C. TYPED OR PRINTED NAME AND SIGNATURE OF SUPERVISOR D.
CALDWELL WILLIAM
SUPERVISOR'S OFFICIAL TITLE
Chief of Station.
FOR THE REVIERING OFFICIAL RECORD ANY SUBSTANTIAL DIFFERENCE OF OPINION WITH THE SUPERVISOR, On ANY OTHER IN-
FORMATION. BHICH WILL LEAD TO A BETTER UNDERSTANDING OF THIS REPORT.
[
POSTED ON
ajo 10/8/06
BY
DATE
Posted Pos Control_
Raviewed by PUD.
2/27/46
CONTINUED ON
I certify that any substantial difference of opinion with the supervisor is reflected in the above
4 THIS DATE
25 Sept 56
A. TYPED OR PRINTED Sande AND SIGNATURE OF REVIEWING C. OFFICIAL
OFFICIAL
jcking
JOB PERFORMANCE EVALUATION
SHEET
section.
TITLE OF REVIEWING OFFICIAL
c/unse
". RATING ON GENERAL PERFORMANCE OF NITIES
DIRECTIONS.
Consider (MY the productivity and effectiveness with which the individual being rated has performed
his duties during the rating period. Compare ham ONLY with others doing similar work at a similar level of respon
sability. Factors other than productivity will be taken into account later in Section D.
GARELY ADEQUATE IN PERFORMANCE. ALTHOUGH HE HAS HAD SPECIFIC QUIDANCE OR TRAINING. HE OFTEN FAILS TO
DOES NOT PERFORM DUTIES ADEQUATELY HE IS INCOMPETENT.
2.
S
CARRY OUT RESPONSIBILITIES.
..
INSERT
RATING
NUMBER
PERFORMS MOST OF HIS DUTIES ACCEPTABLY. OCCASIONALLY REVEALS SOME AREA OF BEAKNESS
PERFORMS DUTIES
A COMPETENT. EFFECTIVE JANNER.
A FINE PERFORMANCE CARRIES OUT MANY OF HIS RESPONS BILITIES EXCEPTIONALLY OF LL.
PERFORMS HIS DUTIES IN SUCH AN CUTSTANDING MANNER
THE SUPERVISOR
THAT HE " EQUALLED
10
COLIENTS:
FORM 4 45 (Part 1)
REP. 425 PREVIOUS
OF FORMS & AND
ARE COSULETE.
454
EDITIVES
BMILH
SECRET
Performance
143
14-00000
SECRET
ATINGS ON PERFORMANCE OF SPECIFIC-DUTIES
DIRECTIONS
"OFFICE:
State in the spaces below up to is of the more important Specific duties perforeeglada,
Place the most important first.
important duties.
b. Nate performance of CONT FERS OIV eness Un performance of this specific duty.
c. For supervisors, ability to supervise will always be rated as a spécifie Sep 27 not rate as supervisors those
who supervise secretary, only).
d. Compare in your
mind, when possible, the individual being eated with others på
similar level of responsibility. Scr. 12 10 partolling different duties,
e. Two individuals with the same
duties.
f. specific. Exemples of the kind of duties that might be rated are:
LORAL BRIEFING
GIVING LECTURESE
CONDUCTING SEMINARS
BRITING TECHNICAL REPORTS
CONDUCTING EXTERNAL LIAISON
TYPING
TAKING DICTATION
SUPERVISING
"WAS AND USES AREA KNOWLEDGE
DEVELOPS NEW.PROGRAMS
ANALYZES INDUSTRIAL REPORTS
MANAGES FILES
OPERATES RADIO
COORDINATES WITH OTHER OFFICES
BRITES REGULATIONS
·PREPARES CORRESPONDENCE
MAIL
56'
same duty at a
If so, rate them on different
CONER INTERROGATIONS
PREPARES SUMMARIES
TRANSLATES GERMAN
DE BRIEFING SOURCES
KEEPS BOOKS
DRIVES TRUCK
MAINTAINS AIR CONDITIONING
EVALUATES SIGNIFICANCE OF DATA
g: For some jobs, duties may be broken down even further if supervisor considers it advisable, e.g., combined key
and, phone operation, in the case of a radio operator.
DESCRIPTIVE
RATING
NUMBER
* INCOMPETENT IN THE PERFORMANCE OF THIS DUTY
GARELY ADEQUATE IN THE PERFORMANCE OF THIS
DUTY
". PERFORMS THIS DUTY ACCEPTABLY
.. PERFORMS THIS DUTY IN A COMPETENT MANNER
5. PERFORMS THIS DUTY 15 STICH A FINE MANNER
THAT HE IS A DISTINCT ASSET ON HIS JOB
1
PERFORMS THIS DUTY IN AN OUTSTANDING MANNER
FOUND IN VERY FEW INDIVIDUALS HOLDING SIMIN
LAR JOBS
.>FNCELS ANYONE ' KNOW IN THE PERFORMANCE OF
THIS DUTY
RATING SPECIFIC DUTY NO. •
NUMBER
RATING
NUMBER
SPECIFIC PUTY No.
Supervises KUCAGE projects
SPECIFIC DUTY NO. 2
Develops new KUCAGE programs
SPECIFIC DUTY NO. '
Has and uses Area Knowledge
Supervises staff agents
RATING SPECIFIC DUT▾ NO. °
NUMBER
RATING
NUMBER
Spots and develops contacts
RATING SPECIFIC DU'r •σ. .
NUMBER
RATING
NUMBER
5
Prepares progress reports
3. NARRATIVE DESCRIPTION OF MANNER OF JOB PERFORMANCE
DIRECTIONS:
Stress strengths and weaknesses, particularly those which affect development on present job,
This officer has ability, talent, area knowledge, understanding of the
people and experience in his field. In the initial six months covered by
this report he has adjusted remarkably well to a difficult cover situation
with a minimum of station support and guidance.
SECTION D.
SUITABILITY FOR CURRENT JOB IN ORGANIZATION
DIRECTIONS: "Take into account here everything you know about the individual....productivity, conduct in the job,
pertinent personal characteristics or habits, special defects or talents……….and how he fits in with your team. Com-
pare him with others doing similar work of about the same level.
DEFINITELY UNSUITABLE ME SHOULD BE SEPARATED
1.
2
6
RATING
NUMBER
OF DOUBTFUL SUITABILITY..HOULD NOT HAVE ACCEPTED HIM IF I PAD KNOON HAT I KNOW NOW -
A BARELY ACCEPTABLE EMPLOYEE. BELOW AVERAGE BUT WITH NO BEARNESSES SUFFICIENTLY OUTSTANDING TO WAR.
RANT HIS SEPARATION
4. OF THE SAME SUITABILITY AS MOST PEOPLE ་་འ་ ་་ THE ORGANIZATION
A FINE EMPLOYEE HAS SOME OUTSTANDING STRENGTHS
6. AN UNUSUALLY STRONG PERSON IN TERMS OF THE REQUIREMENTS OF THE ORGANIZATION
> EXCELLED BY ONLY & FED IN SUITABILITY FOR WORK IN THE ORGANIZATION
IS THIS INDIVIDUAL
BETTER SUITED FOR BORK IN SOME OTHER POSITION IN THE ORGANIZATION 7
29 No
IF YES.
EXPLAIN FULLY.
SECRET
14-00000
SECRET
Then Filled (In)
FITNESS REPORT (Part II) POTENTIAL
FOR THE ADMINISTRATIVE OFFICER:
INSTRUCTIONS"
Consult current instructions for completing this report.
FOR THỂ SUPERVISOR. This report is a privileged communication to your supervisor, and to appropriate career manage
ment, and personnel officials concerning the potential of the employee being rated.
rated employer.
It is
NOT to be shown to the
It is recommended that you read the entire report before completing any question. This report is
to be completed only after the employee has been under your supervision FUF AT LEAST 90 LAYS. If less than 90 days..
hold and complete after the 90 days has elapsed. If this is the INITIAL REPORT on the employee however, it MUST be
complété and forwarded to the (no later than 30 days after the due date indicated in item of Section "below.
SECTION C. The
GENERAL
2. DATE OF BIRTH
31 Oct. 1922
3.
Vale
SERVICE DESIGNATION
DP
OFFICE
GRAUE
"
GS-14
ANSIGNMENT
DATE REPORT DUE IN OP
9 August 1956
x INITIAL
ANNUAL
to TYPE OF REPORT
(Check one)
SECTION F.
.
A.
19 Sept. 1956
6. OFFICIAL PUSITION TITLE
Staff agent
T HIS REPORT (Inclusive datos)
9 February 1955) - 14 September 1956
SIGNMENT EMPLOYEE
CERTIFICATION
---
Op Y
SPECIAL (Specify)
FOR THE RATER. I CERTIFY THAT THIS REPORT REPRESENTS MY BEST JUDGEMENT OF THE INDIVIDUAL BEING RATED
THIS DATE
B. TYPED OR PRINTED NAME AND SIGNATURE OF SUPERVISOR C. SUPERVISOR'S OFFICIAL TITLE
Chief of Station
CALDWELL hissin
(ppl
FOR THE REVIEWING OFFICIAL. I HAVE REVIEWED THIS REPORT AND NOTED ANY DIFFERENCE OF OPINION IN ATTACHED MEMO.
THIS DATE
8. TYPED OR PRINTED NAME AND SIGNATURE OF REVIEWING C. OFFICIAL TITLE OF REVIEWING OFFICIAL
OFFICIAL
25 Sept 56
SECTION
King
ESTIMATE OF POTENTIAL
1 POTENTIAL TO ASSUME GREATER RESPONSIBILITIES
c/und
DIRECTIONS: Considering others of his grade and type of assigriment, rate the employee's potential to assume greater
responsibilities. Think in terms of the kind of responsibility encountered at the various levels in his kind of
work.
RATING
NUMBER
..
2.
4.
3.
..
ALREADY ABOVE THE LEVEL AT WHICH SATISFACTORY PERFORMANCE CAN BE EXPECTED
MAS REACHED THE HIGHEST LEVEL AT WHICH SATISFACTORY PERFORMANCE CAN BE EXPECTED
MAKING PROGRESS, BUT NEEDS MORE TIME BEFORE HE CAN BE TRAINED TO ASSUME GREATER RESPONSIBILITIES
READY FOR TRAINING IN ASSUMING GREATER RESPONSIBILITIES
WILL PROBABLY ADJUST QUICKLY TO MORE RESPONSIBLE DUTIES WITHOUT FURTHER TRAINING
ALREADY ASSUMING MORE RESPONSIBILITIES THAN EXPECTED AT HIS PRESENT LEVEL
7. AN EXCEPTIONAL PERSON WHO IS ONE OF THE FEW WHO SHOULD BE CONSIDERED FOR EARLY ASSUMPTION OF HIGHER
LEVEL RESPONSIBILITIES
2. SUPERVISORY POTENTIAL
DIRECTIONS: Answer this question: ilas this person the ability to be a supervisor? ☑ Yes ☐ No If your
Mnswer 13 YES, indicate below your opinion or guess of the level of supervisory ability this person will reach AFTER
SUITABLE TRAINING. Indicate your opinion by placing the number of the descriptive rating below which comes closest
to expressing your opinion in the appropriate column. If your rating is based on observing him supervise, note your
rating in the "actual" column. If based on opinion of his potential, note the rating in the "potential" column.
DESCRIPTIVE
RATING
NUMBER
ACTUAL
° - HAVE NO OPIN.ON ON HIS SUPERVISORY POTENTIAL IN THIS SITUATION
BELIEVE INDIVIDUAL WOULD SE A WEAK SUPERVISOR IN THIS KIND OF SITUATION
ALLIEVE INDIVIDUAL WOULD BE AN AVERAGE SUPERVISOR IN THIS KIND OF SITUATION
BLI IEVE INDIVIDUAL WOULD BE A STRONG SUPERVISOR IN THIS SITUATION
2.
.
POTENTIAL
2
3
DESCRIPTIVE SITUATION
. GROUP DOING THE BASIC to (truck drivers, stenographere. technicians or professional spe
cialists of various kinds) owcat
supervisor)
CONTACT
WITH IMMEDIATE SUBORDINATES "
" GROUP °F SUPERVISORS ONC D. DECT THE BASIC Joe (Second line supervisors)
FREQUENT (First line
.
Grove. NO MAY GR MAT NOT " SUPERVISORS, WHICH 13 BESPONSIBLE FC. MAJOR
AND POLICY (Executive level)
PLANS.
ORGANIZATION
OHEN CONTACT ITH INMEDIATE
SUBGEDINATES IS NOT FREQUENT
2
THEN IMMEDIATE SUBORDINATEST ACTIVITIES ARE OIVERSE AND Beco CAREFUL COORDINATIO
2
ONEN INMEDIATE SUBORDINATES -NCLUCE MEMBERS OF THE OPPOSITE SEL
3
OTHER (Specify)
FORM NO. 45 (Part II)
• You So
MEPLACES PREVIOUS EDITION45
OF FORMS 45 AND 454 WHICH
ARE OBSOLETE
SECRET
Potential
(4)
14-00000
SECRET
Cohen Filled In)
3. INDICATE THE APPROXIMATE NUMBER OF MONTHS THE RATED EMPLOYEE HAS BEEN UNDER-YOUR
Six months
. COMMENTS CONCERNING POTENTIAL
SUPERVISION
OFFICE OF PERSONNEL
This officer is a natura CONThis present assignment. He is qualified for
future unofficial or staff assignme
Dith pore responsibi√427 3 16 PH '56
OCT 2 10 31 AM ˚56
MAIL ROOM
FUTURE PLANS
SFCTION N.
1. TRAINING OR OTHER DEVELOPMENTÁL” EXPERIENCE PLANNED FOR THE INDIVIDUAL
None at present..
2. NOTE OTHER FACTORS, INCLUDING PERSONAL CIRCUMSTANCES. TO BE TAKEN INTO ACCOUNT IN INDIVIDUAL'S FUTURE ASSIGNMENTS
As senior KUCAGE officer, better knowledge of Station procedures and
practices would be helpful.
SECTION 1.
DESCRIPTION OF INDIVIDUAL
DIRECTIONS: This section is provided as an aid to describing the individual as you see him on the job. Interpret
the words literally. On the page below are a series of statements that apply in some degree to most people. Το
the left of each statement is a box under the heading "category." Read each statement and insert in the box the
category number which best tells how much the statement applies to the person. covered by this report.
CATEGORY NUMBER
x.
1.
HAVE NOT OBSERVED THIS: HENCE CAN GIVE NO OPINION AS TO HOW THE DESCRIPTION APPLIES TO THE
INDIVIDUAL.
APPLIES TO THE INDIVIDUAL TO THE LEAST POSSIBLE DEGREE
2. APPLIES TO INDIVIDUAL TO A LIMITED DEGREE
.. APPLIES TO INDIVIDUAL TO AN AVERAGE DEGREE
4- APPLIES TO INDIVIDUAL TO AN ABOVE AVERAGE DEGREE
$. APPLIES TO INDIVIDUAL TO AN OUTSTANDING DEGREE
CATEGORY
STATEMENT
4
t.
ABLE TO SEE
AND THER's
POINT OF VIEW
4
2. Cox MARE DECISIONS ON NIS
Cox #14 NEED APISES
5
12.
SHOWS ORIGINALITY
CATEGORY
STATEMENT
CATEGORY
11. HAS HIGH
ACCOMPLISHMENT
STANDARDS
05
5
:4
122.
2
STATEMENT
21. IS EFFECTIVE IN DISCUS.
SIGNS TH ASSOCIATES
IMPLEMENTS DECISIONS •-
GARDLESS or OWN FEELINGS
n
3. WAS INITIATIVE
4
13.
ACCEPTS
TIES
RESPONSIBILI
4
123.
+ THOUGHTFUL OF OTHERS
4
S
THING-
4. 13 ANALYTIC IN WIS
146
3. STRIVES CONSTANTLY FOR
NEO AMSLEDGE AND IDEAS
4
14
ADMITS HIS ERRORS
4
24. WORKS WELL UNDER PRESSURE
4
15.
RESPONDS WELL 13 SUPER-
VISION
5
25. DISPLAYS JUDGEMENT
4
⚫.
20 C TO
4
16
ASSISTANCE
༠་་ ་་་ JO● WITHOUT
THONG SUPPORT
4
26.
IS SECURITY CONSCIOUS
5
". CAN BET
ALONG WITH
PEOPLE
4
117.
COMES UP
TJ PROBLEMS
TH SOLUTIONS
5
27.
VERSATILE
4
9. BAS MEMORY FOR FACTS
ܢܹܐ
18.
COSERVANT
4
4
.. G675 THINGS DONE
և
01
CAN COPE
OF THEWEOGENCIES
4
20.
LIMITS
19. THINKS CLEABLY
COMPLETES ASSIGNMENTS
བ་་....་ ་་་
4
29.
30.
1
203
28. WIS CRITICISM IS CON
STRUCTIVE
FACILITATES SWO07m OPERA.
TION OF HIS OFFICE
DOES NOT REQUIRE STRONG
CONTINUOUS
SUPERVI
SICO
SECRET
J
14-00000
SECRET
(When Fal
FITNESS REPORT
The Fitness Report is an important factor in agency personnel management. It aka 'to provide:
1. The agency, selection board. with information of value when considering the application of
an individual for armbership in the career service; and
2. A periodic record of job performance as an aid to the effective utilization of personnel.
INSTRUCTIONS
TO THE ADMINISTRATIVE OR PERSONNEL OFFICER: .Consult current administrative instructions regarding the initiation
and transesttal of this report.
TO THE SUPERVISOR: Read the entire form before attempting to complete any item. As the supervisor, who as
-directs and reviews the work of the individual, you have primary responsibility for evaluating his strengths, weak •
neases, and on-the-job effectiveness as revealed by his day-to-day activities. If this individual, has been under
your supervision for less than 30 days, you will collaborate with his previous supervisors' to make sure the report
as accurate and complete. Primary responsibility rests with the current supervisor. It is assumed that, through-
out the period this individual has been under your supervision, you have discharged your supervisory respontibili-
ties by frequent discussions of his work, so that in a general way he knows where he stands.
Sex! due ciate Fo257 #
IT IS OPTIONAL WHETHER OR NOT THIS FITNESS REPORT IS SHOWN TO THE PERSON BEING RATED
SECTION 1 (To be filled in by Administrative Officer)
" NAME
(Last)
PHILLIPS,
5. DATE OF ENTRANCE ON DUTY
1 April 1955
9. NATURE OF ASSIGNMENT
☐
DEPARTMENTAL
(First)
David
6. OFFICE ASSIGNED TO
.PP
FIELD
12. DATE THAT THIS REPORT IS DUE
1 January 1956
1. CURRENT POSITION
3.
OPS. OFF
(Middle)
2. DATE OF BIRTH
Oct 22
☐
3. SEX
4. CAREER DESIGNATION
DP
3. BRANCH
7. DIVISION
Information Coordination
10. IF FIELD, SPECIFY STATION:
11. GRADE
13. PERIOD COVERED BY THIS REPORT (Inclusive dates)
1 April 1955 - 1 January 1956 (Initial)
SECTION 11 (To be filled in by Supervisor}
0136.31
Radio & Television Officer, PP/ICD
GS-14
2. DATE ASSUMED RESPONSIBILITY FOR POSITION
1 April 1955
WHAT SPECIFIC ASSIGNMENTS OR TASKS ARE TYPICAL OF THOSE GIVEN TO HIM DURING THE PAST THREE TO SIX MONTHS (List
win order of frequency):
Advising and assisting operating divisions in development, effective management
and supervision of radio broadcasting facilities.
Maintaining liaison with Department of State and USIA on radiơ matters.
Collaboration with the Office of Communications in development of unconventional
techniques for broadcasting and jamming evasion.
Preparation of staff study on proposed use of the television medi
Perted Por C. !.
by
READ THE ENTIRE PORN BEFORE ATTEMPTING TO COMPLETE ANY ITEM
SECTION 1
Hum.
20%
DATE
18
I certify that, during the latter half of the period covered by this report, I have discussed with the rated indi-
vidual the manner in which he has performed his job and provided suggestions and criticisms wherever aceded, I be.
save that his understanding of by evaluation of his performance is constetent with my evaluation of him an evi•
denced by this fitness report and I have Informed him of his strengths, weaknesses, and on-the-job effectiveness.
If performance during the report period has been unsatisfactory, there is attached a copy of the memorandum nots.
fying him of unsatsslactory performance.
has
This report
THIS DATE
6 January 1956
has not been shown to the individual” rated:
NAME AND SIGNATURE OF RATER (Employee's immediate supervizor
John G. Shaffer, Chief, PP/ICD pl
I HAVE REVIEWED THIS REPORT (Comments, if any age reflected by attached acsorandum)
THIS DATE
15 Jan 156
FORM NO. 45
1 JAN 35
REPLACES PREVIOUS EDITIONS 65'
THIS FORM WHICH MAY BE USED.
Sign OF REVIEWING OFFICIAL Collicial next higher in
SECRET
for
The of authority)
(41

14-00000
SFCRET
then filled in).
SECTION IV
This section 14 provided as an aid in describing the individual. Your description is not STINK***
it but acquirit aning in relation to "a particular 
job or assignarnt. 
The descriptive words de
interpreted literally.
below are
CIENTE".
On the left hand side of the page
a cories of statements that apply in sonlume to most people. Ca
the right hand side of the page are four major categories of descriptions. The scale di
vided into three small blocks; this as to allow you to make finer distinctions of you so desire.
ment on the left' then check the category on the right which best tells how much the statement applies to the pers
Son you are rating. Placing an "X" in the "Not Observed column weans you have no opinion on whether a phrase
applies to an individual. Placing an **X* in the "Does Not Apple" column deans that you 'haj
that the description se-not at all suited to the individual.
he delinate opinion
ALROOM
STATEMENTS
A.
ABLE TO SEE ANOTHER'S
POINT OF VIEW.
8. PRACTICAL.
A GOOD REPORTER OF EVENTS.
SAMPLES
2. CAN MAKE DECISIONS ON HIS OWN
WHEN NEED ARISES.
3. CAUTIOUS IN ACTION.
NATIVE.
4. HAS INITIATIVE.
S. UNEMOTIONAL.
6: ANALYTIC IN HIS THINKING.
7.
CONSTANTLY STRIVING FOR NEW
KNOWLEDGE AND IDEAS. .
8. GETS ALONG WITH PEOPLE AT ALL
SOCIAL LEVELS.
9. HAS SENSE OF HUMOR.
10.
KNOWS WHEN TO SEEK ASSISTANCE.
11. CALM.
12. CAN GET ALONG WITH PEOPLE.
13. MEMORY FOR FACTS.
14
GETS THINGS DONE.
15. KEEPS ORIENTED TOWARD LONG
TERM GOALS.
16. CAN COPE WITH EMERGENCIES.
17. HAS HIGH STANDARDS OF
ACCOMPLISHMENT.
18. HAS STAMINA. CAN KEEP GOING
A LONG TIME.
19. HAS WIDE RANGE OF INFORMATION
20 SHOWS ORIGINALITY.
21. ACCEPTS RESPONSIBILITIES.
NOT
08.
SERVED
DOES
NOT
APPLY
APPLIES TO A
LIMITED
DEGREE
22. ADMITS HIS ERACHS.
✗
23
RESPONDS WELL
TO SUPERVISION
24
EVEN DISPOSITION.
25
ABLE TO DO HIS JOB ITHOUT
STRONG SUPPORT.
x
SECRET
CATEGORIES
APPLIES TO A
REASONABLE
DEGREE
APPLIES TO AN APPLIES TO AN
ABOVE AVERAGE OUTSTANDING
DEGREE
DEGREE
x
x
x
x
x
1
14-00000
26. CAN THINK ON HIS FEET.
27.
COMES UP WITH SOLUTION'S TO
PROBLEMS.
28. STIMULATING TO ASSOCIATES, A
"SPARK PLUG".
29. TOUGH MINDED:
30. OBSERVANT.
SECRET
then Filled in)
x
x
31. CAPABLE.
32. CLEAR THINKING.
33. COMPLETES ASSIGNMENTS WITHIN
ALLOWABLE TIME LIMITS.
34. EVALUATES SELF REALISTICALLY.
33. WELL INFORMED ABOUT CURRENT
Events,
36. DELIBERATE.
37 EFFECTIVE IN DISCUSSIONS WITH
ASSOCIATES.
38. IMPLEMENTS DECISIONS REGARD-
LESS OF OWN FEELINGS.
I
x
x
39.
THOUGHTFUL OF OTHERS.
40.
WORKS WELL UNDER PRESSURE.
41. DISPLAYS JUDGEMENT.
42.
GIVES CREDIT WHERE CREDIT IS
QUE.
43. HAS DRIVE.
44. 15 SECURITY CONSCIOUS.
43. VERSATILE.
46. HIS CRITICISM IS CONSTRUCTIVE.
47. ABLE TO INFLUENCE OTHERS.
48. FACILITATES SMOOTH OPERATION
CF HIS OFFICE.
49. DOES NOT REQUIRE STRONG AND
CONTINUOUS SUPERVISION.
30. A GOOD SUPERVISOR.
A.
WHAT ARE HIS OUTSTANDING STRENGTH ST
SECTION Y
x
x
x
Professional experience in several media plus field experience with CIA equip him
to undertake a variety of assignments with excellent proppects of success; ability
to outline own job, and then do it.
b. WHAT ARE HIS OUTSTANDING WEAKNESSEST
none apparent to me
SECRET
14-00000
SECRET
(When Filled In)
INDICATE IF YOU THINK THAT ANY SINGLE STRENGTH OR EARNESS OUTBEIGHS ALL OTHER CONSIDERATIONS:
Strengths indicated above easily outweigh the few characters of the
subject is average.
10.
DO YOU FEEL THAT HE REQUIRES CLOSE SUPERVISION?
E. WHAT TRAINING DO YOU RECOMMEND FOR THIS INDIVIDUALD
Operations Familiarization course.
IF YES,
JAN 16 3 47 PH '56
MAIL ROOM
.. OTHER COMMENTS (Indicate here general trasta, specific habits or charact fatica not covered elsewhere in the
report but which have a bearing on effective útilitation of this person);
None
SECTION VI
Read all descriptione before rating. Place "X" in the most appropriate box under subsections A.B.C.&D
A. DIRECTIONS: Consider only the shit with which the
person has performed the duties of his job and rate
haw accordingly,
0000
1. DOES NOT PERFORM DUTIES ADEQUATELY, HE IS
INCOMPETENT.
2.
BARELY ADEQUATE IN PERFORMANCE ALTHOUGH HE
HAS HAD SPECIFIC GUIDANCE OR TRAINING. HE
OFTEN FAILS TO CARRY OUT RESPONSIBILITIES
COMPETENTLY.
J. PERFORMS MOST OF HIS DUTIES ACCEPTABLY,
SIONALLY REVEALS SOME AREA OF WEAKNESS.
PERFORMS OUTIES IN A TYPICALLY COMPETENT.
EFFECTIVE MANNER.
OCCA.
3. A FINE PERFORMANCE, CARRIES OUT MANY OF HIS
RESPONSIBILITIES EXCEPTIONALLY WELL.
PERFORMS HIS DUTIES IN SUCN AN OUTSTANDING
MANNER THAT HE IS EQUALLED SY FEW OTHER PER-
SONS KNOWN TO THE RATER.
..
IS THIS INDIVIDUAL BETTER QUALIFIED FOR WORK IN SUME
OTHER AREAS. ☐ n° ☑YO IF YES, NAT
Better qualified for field assignment in Wa
area only because such assignment can utilise
his language and area experience in addition
to utilizing the characteristics that have
made him a successful staff officer.
C. DIRECTIONS: Based upon what he has said, his actiona,
and any other indications, give your opinion of this
person's attitude toward the agency.
1. HAS AN ANTAGONISTIC ATTITUDE TOWARD THE AGENCY
.. WILL DEFINITELY LEAVE THE AGENCY AT THE FIRST
OPPORTUNITY.
2. HAS STRONG NEGATIVE ATTITUDE TOWARD AGENCY...
ERKED BY RESTRICTIONS...REGARDS AGENCY AS A
TEMPORARY STOP UNTIL HE CAN GET SOMETHING
DETTER.
TENDS TO HAVE AN UNFAVORABLE ATTITUDE TOWARD
THE AGENCY..BOTHERED BY MINOR FRUSTRATIONS..
WILL QUIT IF THESE CONTINUE.
4. HIS ATTITUDE TOWARD THE AGENCY IS INDIFFERENT
... HAS "WAIT AND SEE ATTITUDE.. WOULD LEAVE IF
SOMEONE OFFERED NEM SOMETHING BETTER.
TENDS TO HAVE FAVORABLE ATTITUDE TOWARD AGENCY
..MAKES ALLOWANCES FOR RESTRICTIONS IMPOSED BY
WORKING FOR AGENCY..THINKS IN TERMS OF A CA.
ALLA IN THE AGENCY.
5.
6.
DEFINITELY HAS FAVORABLE ATTITUDE TOWARD THE
AGENCY..BARRING AN UNEXPECTED OUTSIDE OPPOR.
TUNITY. WILL PROBABLY ENDEAVOR TO MAKE A
CAREER IN THE ACENCY.
7. HAS AN ENTHUSIASTIC ATTITUDE TOBARD THE AGENCY
.. WILL PROBABLY NEVER CONSIDER OURKING ANY
PLACE BUT IN THE AGENCY.
person
3. DIRECTIONS. Considering others of this person's grade D. DIRECTIONS: Consider everything you know about this
and type of assignment, how would you rate him on
potentiality for assumption of greater responsibili
ties normally indicated by promotion.
00 0 200
1. HAS REACHED THE HIGHEST GRADE LEVEL AT WHICH
SATISFACTORY PERFORMANCE CAN BE EXPECTED.
2. IS MAKING PROGRESS. BUT NEEDS MORE TIME IN
PRESENT GRADE BEFORE PROVSTION to A HIGHER
GRADE CAN BE RECOMMENDED.
3. IS READY TO TAKE ON RESPONSIBILITIES OF THE
NEXT HIGHER GRADE, BUT MAY NEED TRAINING IN
SOME AREAS.
4. ILL PROBABLY ADJUST QUICKLY TO THE MORE
RESPONSIBLE DUTIES OF THE NEXT HIGHER GRADE.
IS ALREADY PERFORMING AT THE LEVEL OF THE NEXT
HIGHER GRADE.
..
AN EXCEPTIONAL PERSON WHO IS ONE OF THE FEW
WHO SHOULD BE CONSIDERED FOR RAPED ADVANCE.
MENT.
to making your rating.. skill in job duites,
conduct on the job, personal characteristics or
habits, and special defects or talents,
090 0000
1.
DEFINITELY UNSUITABLY - ME SHOULD BE SEPARATED.
2. OF DOUBTFUL SUITABILITY. WOULD NOT HAVE AC⚫
CEPTED HIM IF I HAD KNCON BAY I KNOW NOW.
3.
..
5.
A BARFLY ACCEPTABLE EMPLOYEE….DEFINITELY BELOW
AVERAGE BUT WITH NO WEAKNESSES SUFFICIENTLY
OUTSTANDING TO WARRANT (HIS SEPARATION.
A TYPICAL EMPLOYEE..HE DISPLAYS THE SAME SUITA-
BILITY AS MOST OF THE PEOPLE I AND IN THE
AGENCY.
A FINE EMPLOYEE . HAS SOME OUTSTANDING
STRENGTHS.
6. AN UNUSUALLY STRONG PERSON IN
REQUIREMENTS OF THE AGENCY.
TERMS OF THE
7. EXCELLED BY ONLY A FEN IN SUITABILITY FOR WORK
IN THE AGENCY.
SECRET
14-00000
A
chick.
MEMORANDUM FOR
PP/C/100
ATTENTION
t Training Officer.
SUBJECT
REFERENCE
attendance at PPS In-Service-Training Series
10 January to 20 March 1956
Nemandi for Chiefs, Santor Staffs and Arua -
Divisions, and Chief, 10 Division from CPP,
subject: Diminar on Preparation and Processing;
of PPM Projecta" dated 19 December 1955.
tele sh
1.
tarlon wh
David Phillips .
17
attendai tha lestures in the saprot
February
aris: udp uniction in "Preparation and
Q/PN Project" why givit an follesaat
1756
A
21.
!..
FRONT JOMENTARI:
Stavosbymuto; unpluation of itans in project outline foruts
REV DONATIN
Stany case offieur, whould take in stormining exist of
coursination of projects. Importance of disenanfon 4th
nior Staff in draft stake.
BET ANAL SYSTEM
ANTING
ANTON
pind on ntury the following referemony
stu
NMLSION
MALE COMMITTED, 1 April 1953
14-00000
:
(3) C81236-72
...
C
(1) 230-
2)
26-131
13, N
THE CLAN DAVICES REPRTIM
SYSTEM-ANA DAVISONS CHAPTER 11.
REPORT,
Ma
THWEST LIMI
1 Maps 74
M
CO2-1
2 sprij
(5, 123-J.
SAL
PLANIVE
10
Informati
calva y the
NTRATION AND
At De
provided to it; iterater
yaw names, in
419
"
14-00000
:
SECRET
TRAINING EVALUATION
READING IMPROVEMENT COURSE
SECTION I:
IDNTIFYING INFORMATION
Numo
Phillips, David A.
# 26
Date of birth | 5OD Dr. to
31 October 1972 2 April 1935
Projected assignment or Present Position
Sex Dates of Course
No. of Studnats
tobar-9 December 1955 23.
Grado or Rank Offico
1
09-14
IW/FR.
PP Officer
SECTION II: OBJECTIVES OF THE COURSE
The Bonding Improvement Course is dosigned to increase the rording
officiency of agoncy employces by developing their speed and level of
comprehension through (1) expending the rango of roding techniques,
(2) adjusting rate of runding to comprohonsion requirements and (3)
improving porcentual habits.
SECTION ITI: SPECIFIC CH. R. CRISTICS OF TH : COURSI
The course consists of 30 class hours, one hour a day, 5 days
a wosk. 9 hours are devoted to lectures and priction excrciso9,
12 hours to pacod roding pratice and 9 hours to specific perception
tochniques
Lach student's reading skills are onlyzed at the beginning of
the course and the student then concentrates on the development of
those skills in which he is deficient or those which pro most fro-
quently dum nied by the nature of his office ronding.
SECTION IV: ALTHOD OF EVALUATION
Student achivement is measured by an initial and final test
battery and cl sa exorcisus. Two sets of norms hivo been developed
on the test brttory. Groun I represents the scores of 400 agency
Comployees, 84% of whom had four or more yo rs of college. Group II
represents the scores of 94 Agency employees with two years or less
of college training. Section contains description of the tests
and exercis.s. Section VI indicates the student's skill lovel rnd
Suction VII includes the student's ever-all schievoment and the
instructor's comments.
SECRET
14-00000
SECRET
SECTION Y: TEST DESCRIPTION
--
Hillips
1. READING COMPREHENSION TESTS: Measure speed and accuracy
of basic comprehension skills. Complete and objective understanding,
analysis, and interpretation are required in these tests.
2.
EXTRISIVE (informational) RADING TISTS: Peasure the
degree of proficiency in the alication of extensive reading skills
to acquire brooder frames of reference.
3. LTASIVE (technical) R&DIGTSTS: Nonsure the ability
to acquire the basic knowledge of a new subject.
4. SCANNING TESTS: Hessure officiency in the aplication
of scanning kills for the selection of information, for identifi-
cation of the main idea, and for organization.
SECTION VI: REPORT OF SKILL LOV.L
This studentis being compared with the following norr group:
Group I - Four or more yours of college
Group II - Two or less years of collogo
Fail Poor
Sat.
Exc.
Sup.
Basic Comprehension Skills
Extensive Techniques
Intensive Techniques
Scanning Techniques
SECTION VII: OVER-ALL ACHIWEZENT
In consideration of all factors observed during the course and
taking into account this student's crerience, prefossion, ngo and
education, an "X" in one of the boxes shows the student's over-all
achimont in the course.
FAIL
POOR
MINUS
SATISFACTORY
PLUS
EXCELLENT SUPRIOR
000000GPUODC0000 762 0
Inado-Buruly
quato adequr to
in mr-in er-
form formance,
Enco Doron-
strated
ability
only in
a limited
Performed
necontably
but barely
adequate in
some skills
A typically
offective
student who
Derformed in
a cornetent
minner..
Performed
at a high
level of
comptonce
Performed
Et an ox-
tr.-.17
high level
that only
c. for
students
b.vo
surx.ssed.
range of
Bill3
COLMHTS:
Inesuglate ❤ 5 heure Overness sasignment
FOR THE DIRECTOR OF TRAINING:
Chief Instructor
SECRET
14-00000
Standard Form No. 54
January 196
U.S. Civil Service Commission
FPM Supplement 990 1
154-106
DESIGNATION OF BENEFICIARY
FEDERAL EMPLOYEES GROUP LIFE
INSURANCE PROGRAM
INFORMATION CONCERNING THE INSURED:
NAME
(Last)
Phillips,
(First)
David
IMPORTANT
Read instructions
on back of duplicate
before filling in this form
(Male)
DATE OF BIRTH (Month, day, year)
A.
PLACE AN “X” IN THE APPROPRIATE BOX BELOW TO SHOW WHETHER YOU ARE.
AN EMPLOYEE'
RFTIRED OR AN
APPLICANT FOR ☐-
"RETIREMENT
RECEIVING FEDERAL EMPLOYEES'
COMPENSATION BENEFITS OR AN
APPLICANT FOR SUCH BENEFITS
IF YOU ARE RETIRED OR RECEIVING
FEDERAL EMPLOYEES' COMPENSA-
TION GIVE YOUR "CSA." "CSL"
"A" or "X" NUMBER
DEPARTMENT OR AGENCY IN WHICH PRESENTLY EMPLOYED (If retired former department or agency):
(CSA. CSL A. or X number)
-
Central Intelligence Agency
(Department or agency)
(Bureau)
(Division
Langley, Va.
(Location-City, State, and ZIP Code)
I, the individual identified above, canceling any and all previous Designations of Beneficiary under the Federal Employees
Group Life Insurance Program heretofore made by me, do now designate the beneficiary or beneficiaries named below to receive
any amount of LIFE INSURANCE and ACCIDENTAL DEATH INSURANCE due and payable at my death. I understand
that this Designation of Beneficiary will remain in full force and effect, with respect to any amount payable, unless or until
canceled by me in writing, or until such time as it is automatically canceled (see reguiation "f" on reverse side of duplicate copy).
INFORMATION CONCERNING THE BENEFICIARY OR BENEFICIARIES (SEE EXAMPLES OF DESIGNATIONS):
Type or print first name, middle initial, and last name
of each beneficiary
VIRGINIA S. PHILLIPS
FOR DISTRIBUTION ACCORDING
TO MY WILL.
Type or print address (including ZIP Code)
of each beneficiary
Relationship
8124 St Thic Dr.
BETHESDA, MD 20034.
WIFE
Share to be paid to
each beneficiary
For each type of insurance (regular and optional): (1) I hereby direct, unless otherwise indicated above, that if more than
one beneficiary is named, the share of any beneficiary who may predecease me shall be distributed equally among the surviving
beneficiaries, or entirely to the survivor. (2) I understand that this Designation of Beneficiary shall be void if none of the designated
beneficiaries is living at the time of my death.
I hereby specifically reserve the right to cancel or change this Designation of Beneficiary at any time without knowledge
or consent of the beneficiary.
(Date of execution-month, day, rear)
1Signature of insured)
WITNESSES TO SIGNATURE (A witness is ineligible to receive payment as a beneficiary):
Blakip
(Signature of witness)
Signature of witness
1218 One St. Alex. Tia. 22314
(Number and street)
нели
Number and st
PRINT OR TYP& NAME AND ADDRESS (including ZIP Code) OF INSURED
(City, State, and ZIP Code)
Vinna
22180
City, State, and ZIP Code)
THIS SRAFN BISERYED FOR RECEIVING AGENCY
୮
L
71
SL. 829 AVH
MONYE
SEIJAY TVN
(Indicate date and by whom received)
BEK BEVERSE SIDE OF DUPLICATE COPY FOR INSTRUCTIONS ON WHERE TO FILE THESE FORMS.
DO NOT FILE WITH THE OFFICE OF FEDERAL EMPLOYEES GROUP LIFE INSURANCE.
14-00000
TO:
ADMINISTRATIVE
Internal Use Only.
REPORT OF SERVICE ABROAD
FILE
S/E
PUNCHED
BY
Office of Personnel, Control Division, Statistical Recorting Branch
SERIAL NO.
LAST
024345
PHILLIPS
NAVE
FIRST
"SAVID
MIDDLE
A
INSTRUCTIONS
USE APPROPRIATE SPACE BELOW TO REPORT DATA FOR EITHER PCS OR TOY. INSERT APPROPRIATE CODE NUMBER IN "CODE" COLUMN
TO DESIGNATE WHETHER SUBMISSION IS OF BASIC DATA. CORRECTION, OR CANCELLATION (one only). REPORT DATES BY USING
THE NUMBER FOR THE MONTH. AND LAST TWO DIGITS ONLY FOR YEAR. REFER TO OF NO. 58. REVISED
PCS DATES OF SERVICE
0/P
ARRIVAL O/S
DEPARTURE O'S
TYPE OF DATA
MONTH
DAY
25.26
YEAR
27-28 29-30
MONTH
31-32
D&Y
33-34 35.35
YEAR
CODE
1 PCS (Basic)
3. CORRECTION
SCANCELLATION
37
USE
ONLY
36 39
TDY DATES OF SERVICE
TYPE OF DATA
ARRIVAL O/S
DEPARTURE O'S
MONTH
DAY
YEAR
MONTH
25-26
27-28
29-30 31-32
DAY
YEAR
33-34 35-36
2 . TDY (Basic)
.
110374111574
6 •
CORRECTION
CANCELLATION
✓ TRAVEL
TRAVEL VOUCHER
CABLE
OTHER (Specify)
DOCUMENT IDENTIFICATION NO.
REMARKS
PREPARED BY
DCO
-
C
L'DIVISION. CTS.
DATE
c
OEVISION
FORM
28741451a:is
PREVIOUS
COUNTRY
CODE
40-42
CODE
0/P
USE
ONLY
AREA(S)
37
35 39
GODE
40-42
2
EUR 801
OFFICE OF PERSONNEL USE ONLY - PUNCH AREA
SOURCE DOCUMENT AND CERTIFICATION
DISPATCH
DUTY STATUS OR TIME AND ATTENDANCE REPORT
DOCUMENT DATE/PERIOD
✓
REPORT ANNOTATED ON
CONTROL DOCUMENT-
ABOVE DATA CERTIFIED CORRECT. BASED UPON SOURCE
TE 2/14/75
SIGNATURE
DOCUMENT CITED
Donald & Black
THIS REPORT WILL BE FILED IN THE OFFICE OF PERSONNEL
IN THE INDIVIDUAL'S OFFICIAL PERSONNEL FOLDER
ADMINISTRATIVE-Internal Use Only
(4-10)
14-00000
TO:
ADMINISTRATIVE
Internal Use Only
REPORT OF SERVICE ABROAD
Office of Personnel, Control Division, Statistical Reporting
SERIAL NO.
LAST.
024345
(Print)
NAVE
FIRST
FILE
PUNCHED
WIZGLE
مار مار BY
7-24
Davio
INSTRUCTIONS
USE APPROPRIATE SPACE BELOW TO REPORT CATA FOR EITHER PCS OR TOY. INSERT APP
OGE NUMBER IN "CODE" COLUMNI
TO DESIGNATE WHETHER SUBMISSION IS OF BASIC DATA. CORRECTION. OF CANCELLATION (Za zmluv REPORT DATES BY USING
THE NUMBER FOR THE MONTH, AND LAST TWO DIGITS ONLY FOR YEAR. REFER TO OF NO. 58
SED.
PCS DATES OF SERVICE
ARRIVAL 0/5
DEPARTURE O'S
TYPE OF DATA
I
MONTH
25.23
TAY
27-28 29.30
YEAR
MONTH
31-32
Dav
YEAR
PCS (Rose)
33-34 33-36
3.
CORRECTION
CANCELLATION
CODE
37
TOY DATES OF SERVICE
COUNTRY
CODE
40-42
ARRIVAL 0/5
DEPARTURE O'S
TYPE OF DATA
1:53
MONTH
DAY
YEAR
MONTH
DAY
TELO
CODE
25-26
27-28
29-30 31-32
33-34
35-36
2 TOY (Basic)
CORRECTION
121374121574
6. CANCELLATION
OFFICE OF PERSONNEL USE ONLY - PUNCH AREA
29 ARRA 311
37
AREA(S)
CODE
40-42
2
☑
TRAVEL VOUCHER
CABLE
OTHER (Specify)
DOCUMENT
REMARKS
SOURCE DOCUMENT AND CERTIFICATION
DISPATCH
DUTY STATUS OR TIME AND ATTENDANCE REPORT
IDENTIFICATION NO.
DOCUMENT DATE/PERIOD
13-15 Bed of
PREPARED BY
DCO
REPORT ANNOTATED ON
CONTROL DECUMENT
✓ C
DIVISION. CTOR:
DATE
c
DIVISION
FORM
2-741451aSE PREVIOUS
EDITIONS
(FEQ15
ABOVE DATA CERTIFIED BASED UPON SOURCE
ཝསྶསྶ?
DOCUMENT
SIGNATURE
THIS REPORT WILL BE FILED IN THE OFFICE OF PERSONNEL
IN THE INDIVIDUAL'S OFFICIAL PERSONNEL FOLDER
ADMINISTRATIVE-Internal Use Only
(4-10)

14-00000
FILE COPY OF STANDARD FORM 56
"AGENCY CERTIFICATION OF INSURANCE STATUS—
FEDERAL EMPLOYEES GROUP LIFE INSURANCE PROGRAM"
1
:
on file with the Retirement Operations Branch,
Office of Personnel (x3257).
14-00000
ELECTIC
DECLINATION, OR WAIVER
OF LIFE INSURANCE COVERAGE
IMPORTANT-
AGENCY INSTRUCTIONS
CN BACK OF ORIGINAL I
TO COMPLETE THIS FORM-
FOLLOW THESE GENERAL INSTRUCTIONS:
• Read the back of the "Duplicate" carefully before you fill in the form.
• Fill in BOTH COPIES of the form. Type or use´ink,
• Do not detach.
2
FILL IN THE IDENTIFYING INFORMATION BELOW (please print or type):
↑ DATE OF BIRTH (month, day, year) SOCIAL SECURITY NUMBER
NAME (fast)
(first)
(e)
Phillips'
David
atice
EMPLOYING DEPARTMENT OR AGENCY
Octoler 31 1922
LOCATION (C by. State. ZIP Code)
1250
28 3930
3
Department of State
American Embassy, Rio de Janerio
HAVE YOU EVER BEFORE FILED AN "ELECTION, DEILING ON OR GANER OF LIFE INSURANCE COVERAGES I ES NO
If "YES" your last such form remains in effect and sou should not ide this pen form unless you want to change the old one. (See Instructions for
Employees on pare 4)
Not to be best of a story, but I cannos reserver positively.
MARK AN "X" IN ONE OF THE BOXES BELOW (do NOT mark more than one):
Mark here
if you
WANT BOTH
optional and
regular
insurance
Mark here
if you
DO NOT WANT
OPTIONAL but
do want
x
(A)
(B).
ELECTION OF OPTIONAL (IN ADDITION TO REGULAR) INSURANCE
Ielect the $10,000 additional ectional insurance and authorize the required deductions
from me salary, compensation, or annuity to pay the full cast of the optional insurance.
This optional insurance is in addition to my regular insurance.
DECLINATION OF OPTIONAL (BUT NOT REGULAR) INSURANCE
1 decline the $10.000 additional extional insurance. I understand that I cannot elect on-
tional insurance until at least 1 year after the effective date of this declination and unless 1
at the time I apply for it I am under age 50 and present satisfactory medical evidence !
of insurabs by. tunderstand also that my regular insurance is not affected by this declinar
tion of additional optional insurance.
Sregular
insurance
Mark here
if you
WANT NEITHER
regular nor
optional
insurance
(C)
WAIVER OF LIFE INSURANCE COVERAGE
I desire not to be insured and I wave coverage under the Federal Employees Group Life
Insurance Program. I understand that I cannot cancel this waner and obtain regular in-
surance unta at least 1 year after the effective date of this wawer and unless at the tima
I apply for insumere I am under one 50 and present satisfactory medical evidence of
surably. I understand also that I cannot now or later have the $10,000 additional
optional insurance uniess I have the regular insurance.
4
DATE AND SIGN. RETURN THE ENTIRE FORM TO
YOUR EMPLOYING OFFICE.
SIGNATURE (do not print)
DATE
Ch
20 March 1970
Ayon
ORIGINAL COPY-Retain in Official Personnel Folder
FOR EMPLOYING OFFICE USE ONLY
(official receiving date stamp)
Received March 20, 1970
&
Mars Murphy
Mary E. Murphy
Personnel Officer
Amembassy Rio de Janeiro
See Table of Effective Cates on back of Original
STANGARO FORM No. 176
Lend
FP Supplement 870-1
170-102
:
14-00000
SECRET
ELECTION, DECLINATION, OR WAIVER
OF LIFE INSURANCE COVERAGE
FEDERAL EMPLOYEES GROUP LIFE INSURANCE PROGRAM
IMPORTANT
AGENCY INSTRUCTIONS
ON BACK OF ORIGINAL
TO COMPLETE THIS FORM
FOLLOW THESE GENERAL INSTRUCTIONS:
•
Read the back of the "Duplicate" carefully before you fill in the form.
• Fill in BOTH COPIES of the form. Type or use ink.
• Do not detach any part.
1
2
NAME (last)
(first)
(middle)
024345
Phillips. David
Atlee
EMPLOYING DEPARTMENT OR AGENCY
FILL IN THE IDENTIFYING INFORMATION BELOW (please print or type):
CATE OF BIRTH (month, day, year) ! SOCIAL SECURITY NUMBER
31 Oct 1922
LOCATION (City, State, ZIP Code)
460
9 28 3
3930
3
MARK AN "X" IN ONE OF THE BOXES BELOW (do NOT mark more than one):
Mark here
if you
WANT BOTH
ELECTION OF OPTIONAL (IN ADDITION TO REGULAR) INSURANCE
I elect the $10,000 additional optional insurance and authorize the required deductions
from my salary, compensation, or annuity to pay the full cost of the optional insurance
This optional insurance is in addition to my regular insurance.
optional and
regular
insurance
Mark here
if you
DO NOT WANT
OPTIONAL but
do want
regular
insurance
Mark here
WANT NEITHER
if you
regular nor
optional
insurance
(A)
X
(B)
(C)
DECLINATION OF OPTIONAL (BUT NOT REGULAR) INSURANCE
I decline the $10,000 additional optional insurance. I understand that I cannot elect on
tional insurance until at least 1 year after the effective date of this declination and unfess
at the time I apply for it I am under age 50 and present satisfactory medical evorce
of insurability I understand also that my regular insurance is not affected by this deci
tion of additional optional insurance.
WAIVER OF LIFE INSURANCE COVERAGE
I desire not to be insured and I waive coverage under the Federal Employees Group Leb
Insurance Program. I understand that I cannot cancel this waiver and obtain regular in
surance until at least 1 year after the effective date of this waiver and unless at the time
I apply for insurance I am under age 50 and present satisfactory medical evidence of in
surability understand also that I cannot now or later have the $10,000 additional
optional insurance unless I have the regular insurance.
4
SIGN AND DATE. IF YOU MARKED BOX "A" OR "C".
COMPLETE THE "STATISTICAL STUB." THEN RETURN
THE ENTIRE FORM TO YOUR EMPLOYING OFFICE.
SIGNATURE (do not print)
DATE
Dan
13 February 1968
ORIGINAL COPY-Retain in Official Personnel Folder
SECRET
FOR EMPLOYING OFFICE USE ONLY
(official receiving date stamp)
QNIPEN
3838
1:330
89. Hd261
See Table of Effective Dates on back of Original
STAND AND FORM Re. 176-
ALARY 196
(for use my until April 14 1968
176-101
14-00000
REPORT OF HONO ND NERIT AWARDS BOARD
-5400
DATE
11 March 1975
The Honor and Nerit Awards Board having considered a recommendation that:
SERIAL ORD NO. NAME (7171-13216)
024345
OFFICE OF ASSIGNMENT
DDO/LA
BIRTHYEAR
1922
PHILLIPS, David A.
30
SCHEDULE GRADE
.D
GS 18-
SER TYPE EMPLOYER
Staff
M.
STATION
'BE AWARDED
☐ FOR HERDIC ACTION ON
Distinguished Intelligence Medal
☐ FOR MERITORIOUS SERVICE OR ACHIEVEMENT. SURING THE PERIOD. 1953
Present
☑ RECOMMENDS APPROVAL
DOES NOT RECOMMEND APPROVAL
☐ RECOMMENDS AND OF
UNCLASSIFIED CITATION
Mr. David A. Phillips is hereby awarded the Distinguished
Intelligence Medal in recognition of his outstanding service to
the Central Intelligence Agency for more than 22 years.. Through-
out his career Mr. Phillips has held a series of highly important
positions in Headquarters and overseas, including four assignments
as Chief of Station. In each instance his superior accomplish-
ments were marked by his broad area knowledge, initiative, drive
and imagination. His most recent assignment as Chief of a major
division is further evidence of his exceptional capability.
Mr. Phillips' efforts during his career constitute a major con-
tribution to the mission of the Agency, reflecting great credit
on him and the Federal service.
REMARKS
'
(Recommendation approved by DD/O on 5 March 1975)
APPROVED
Version A Waltors
DEPUTY DIRECTO OF CENTRAL INTELLIGENCE
21 AN 1975
SIGNATURE
TYPED NAME OF CHAIRMAN. HONOR AND MERIT AWARDS BOARD
SIGNATURE
F. W. M. Janney
DATE
FORM
382 PREVIOUS EDITIONS
-73
TYPED NAME OF RECORDER
R. L. Austin, Jr.
(4)
14-00000
SECTION A
SECRET
CLASSIFICATION
RECOMMENDATION FOR HONOR OR MERIT AWARD
(Submit in triplicaté · + HR 20.37)
OPF
-
EMPLOYEE NO.
2. NAME OF PERSON RECOMMENDED (Lost, First, Middle)
024345
Phillips, David A.
4. GRADE.
32
6. OFFICE OF ASSIGNMENT
GS-18
C
DDO/LA
B. INCLUSIVE DATES FOR WHICH RECOMMENDED
11.
1953-
HOME ADDRESS.
May 1975
8224 Stone Trail Drive
Bethesda, Maryland
SECTION B
3. POSITION TITLE
Division Chief
7. RECOMMENDED ABAND
Distinguished Intelligence Medal
POSTHUMOUS
9. IF RETIRING, DATE OF RETIREMENT 10.
9 May 1975
YES
NO
XX
12. HOME PHONE
365-0527
LIST ANY PERSONNEL GIVEN AN AWARD OR RECOMMENDED FOR AWARD WHO ASSISTED IN THE ACT OR PARTICIPATED IN THE
PERFORMANCE.
13. FULL NAME
14. TYPE OF ASARO
SECTION-C
ATTACH NARRATIVE DESCRIPTION OF PERFORMANCE OR SERVICE WARRANTING AWAPO. ANY SUPPORTING DOCUMENTS AND A
PROPOSED, UNCLASSIFIED CITATION.
SECTION O
13. TITLE AND SIGNATURE OF EMPLOYEE MAKING RECOMMENDATION
William E. Nelson
Deputy Director for Operations
CATE
16.
TITLE AND SIGNATURE
DATE
HEAD OF
D
CAREER SERVICE
(Carcer service of nominee)
See Item #18
TITLE AND SIGNATURE
DATE
DEPUTY DIRECTOR OF CAREER SERVICE
10.
See Item #18
✓ EPUTY DIRECTOR OF OPERATING COMPONENT
TITLE AND SIGNATURE
FOR T 600 E PREVIOUS
56-79
EDITIONS
DATE
Deputy Director for Operations
CLASSIFICATION
SECRET
(4)
E-2. MPDET CL. PT.
14-00000
SECRET
OPF
Mr.
David A. Phillips is retiring after a
distinguished career with the Agency. He has been
an employee of the Agency since 1951 when he initially
joined as a Contract employee. He served with dis-
tinction in Santiago, Guatamala City, Havana, Beirut,
Mexico City, Rio de Janeiro, Brasilia, and Caracas.
His excellent command of both Spanish and Portuguese
has enhanced each of his assignments in Latin América.
A true DDOer, fifteen years of this glorious and
active career were spent overseas. His outstanding
dedication and devotion to the cause of freedom won
for him in 1956, the Intelligence Medal of Merit.
His file is replete with letters of commendation
and appreciation from the DCI, DDCI, the former
President of the Dominican Republic, Ambassadors,
and military commanders, all of whom recognized the
uniqueness of his outstanding service. Mr. Phillips
has been highly effective as a senior member of the
Latin American Division which has been under his
immediate command since 1973. An excerpt from a
late fitness report nicely characterizes the caliber
of his work. "It is as a senior operations officer
that Mr. Phillips has had the greatest experience,
and it is not surprising that he has made an excel-
lent input into the improvement of operational
matters throughout the many areas of this hemisphere
for which he is responsible." Mr. Phillips will be
remembered for his initiative, drive and imagination,
and for the excellence of his representational
responsibilities which in large part is attributable
to his native charm, area knowledgeability and
superb language skills. He will be remembered for
his intent capability and desire to fulfill the
needs of the Organization. It is fitting and proper
that upon his retirement, Mr. Phillips be recognized
with the award of the Distinguished Intelligence Medal.
GECHET
14-00000
CONFIDENTIAL
Da A. Phillips
5 JUN 1974
Dear Dave,
You have just finished an important albeit
grueling GS-16 Evaluation Exercise at my direction.
The recommendations for promotion and executive
development. you gave me were a major factor in my
recommendations to the Director for the upward
movement of officers who will be the top management
cadre of the Directorate in the near future.
I believe you will find that the last several
weeks will have sharpened your focus on one of our
most important management responsibilities, our
personnel. Many thanks for a job well done.
Bili
William E. Nelson
Deputy Director for Operations
CONFIDENTIAL
E2 IMPDET CL BY 056788
14-00000
SECRET
(When-Filled Ta)
REPORT OF SERVICE ABROAD
TO:
Office of Personnel, Transactions and Records Branch, Status
SERIAL NO.
LAST
024345
(Print)
J.Phillips
NAME
FIRST
7-24
DAVID
INSTRUCTIONS
MIDDLE
SELE
PUNCHED
BY
USE APPROPRIATE SPACE BELOW TO REPORT DATA FOR EITHER PCS OR TOY. INSERT APPROPRIATE CODE NUMBER IN "CODE" COLUMN
TO DESIGNATE WHETHER SUBMISSION IS OF BASIC DATA, CORRECTION. OR CANCELLATION (One only). REPORT DATES BY USING
THE NUMBER FOR THE MONTH, AND LAST TWO DIGITS ONLY FOR YEAR. REFER TO OFF NO. 58. REVISED.
PCS DATES OF SERVICE
ARRIVAL 0/S
DEPARTURE 0/5
TYPE OF DATA
0/P
MONTH
DAT
YEA
25-26 27-28 29-30
MONTH
31-32
DAY
YEAR
33-34 35-36
1
PCS (Basic)
. .
CORRECTION
5. CANCELLATION
CODE
37
USE
ONLY
38 39
TOY DATES OF SERVICE
ARRIVAL 0/$
DEPARTURE 0/$
MONTH
D&T
YEAR
CUTH
DAY
YEAR
25-26
27-29 29-30 31-32
33-34 35-36
2
4.
COUNTRY
CODE
40-42
TYPE OF DATA
0/P
USE
AREA(S)
CODE
ONLY
TOY (Basic)
CORRECTION
CANCELLATION
37
38 39
WESTERN
Hemisphere
Cook
40-42
111173112673
OFFICE OF PERSONNEL USE ONLY
✓ IMPORT
CL
TRAVEL VOUCHER
CABLE
OTHER (Specify)
DOCUMENT IDENTIFICATION NO.
2
-
PUNCH AREA
SOURCE DOCUMENT AND CERTIFICATION
LUN 370
1/74
REMARKS
ОСО
PREPARED BY
с .. DIVISION. CTOR.
с
T DIVISION
DISPATCH
DUTY STATUS OR TIME AND ATTENDANCE REPORT
DOCUMENT DATE/PERIOD
11/11-12/4/73
REPORT ANNOTATED ON
CONTROL DOCUMENT
DATE
1/23/74
ABOVE DATA CERTIFIED CORRECT. BASED UPON SOURCE
SIGNATURE
E
DOCUMENT CITED
THIS REPORT WILL BE FILED IN THE OFFICE OF PERSONNEL
´IN THE INDIVIDUAL'S OFFICIAL PERSONNEL FOLDER
FORM
3.67
1451a
09SOLETE PREVIOUS
EDITIONS
SECRET
(4-10)
ORCTY
Mac
14-00000
TO:
SECRET
(When Filled in)
REPORT OF SERVICE ABROAD:
Office of Personnel, Transactions and Records Branch, Status
SERIAL NO.
LAST
(Print)
024345 Phillips
NAME
FIRST
7-24
Dirivial
INSTRUCTIONS
rfÉon
PUNCHED
BY
YOBLE
USE APPROPRIATE SPACE BELOW TO REPORT DATA FOR EITHER PCS OR TOY. INSERT APPROPRIATE CODE NUMBER IN "CODE" COLUMN
TO DESIGNATE WHETHER SUBMISSION IS OF BASIC DATA, CORRECTION, OR CANCELLATION (One only): REPORT DATES BY USING
THE NUMBER FOR THE MONTH. AND LAST TWO DIGITS ONLY FOR YEAR. REFER TO OF NO. 58. REVISED.
PCS DATES OF SERVICE
ARRIVAL O/S
DEPARTURE O/S
MONTH
25.26
DAY
YEAR
27-28 29-30
MONTH
31-32
DAY
YEAR
33-34 35.36
.
CORRECTION
CANCELLATION
0/P
TYPE OF DATA
COUNTRY
PCS (Basic)
CODE
37
USE
ONLY
38 39
CODE
40-42
TOY DATES OF SERVICE
ARRIVAL 0/5
DEPARTURE 0/5
TYPE OF DATA
MONTH
DAY
YEAR
MONTH
DAY
25-26 27-28 29-30
31-32
YEAR
33.34 33-36
CODE
Q/P
USE
ONLY
2 . TDY (Sasic)
4
37
38 39
• CORRECTION
6
- CANCELLATION
112973120473
OFFICE OF PERSONNEL USE ONLY - PUNCH AREA
CT 4
TRAVEL VOUCHER
CABLE
SOURCE DOCUMENT AND CERTIFICATION
DISPATCH
AREA(S)
CODE
40-42
WESTERN
Hemisphere
DUTY STATUS OR TIME AND ATTENDANCE REPORT
OTHER (Specify)
DOCUMENT IDENTIFICATION AU.
WH BTO #1/74
DOCUMENT DATE/PERIOD.
1/12/4/73
REMARKS
PREPARED BY
REPORT ANNOTATED ON
CONTROL DOCUMENT
DCO
C
& L DIVISION. стве.
C&T DIVISION
DATE
ABOVE DATA CERTIFIED CORRECT. BASED UPON SOURCE
SIGNATURE
DOCUMENT CITED
1/23/74
THIS REPORT WILL BE FILED IN THE OFFICE OF PERSONNEL
IN THE INDIVIDUAL'S OFFICIAL PERSONNEL FOLDER
FORM
3.67
1451a
OBSOLETE PREVIOUS
EDITIONS
SECRET
OBOCP 1
(4-10)
THE FROM AUTO
NATION
14-00000
SECRET
(When Filled (m)
TO:
REPORT OF SERVICE ABROAD
Office of Personnel, Control Division, Statistical Reporting Bang
SERIAL NO.
LAST
1-6
(Print)
034345 PHILLIPS
NAME
FIRST
7.24
DAVID.
INSTRUCTIONS
MIDDLE
A.
FILE
SHED,
USE APPROPRIATE, SPACE BELOW TO REPORT DATA FOR EITHER PCS OR TOY. INSERT APPROPRIATE CODE NUMBER IN CON COLUMN
TO DESIGNATE WHETHER SUBMISSION IS OF BASIC DATA. CORNECTION. OR CANCELLATION (One only). REPORT DATES DY USING
THE NUMBER FOR THE MONTH. AND LAST TWO DIGITS ONLY FOR YEAR. REFER TO OF NO. 58. REVISED.
PCS DATES OF SERVICE
0/
ARRIVAL 0/$
DEPARTURE 0/$
TYPE OF DATA
MONTH
25.26
DAY
TLAR
27-28 29.30
MONTH
31-32
DAY
YEAD
33-34 35-36
3.
PCS (Basic)
CORRECTION
CANCELLATION
CODE
37
USE
ONLY
38 39
FILE
PUNCHED
BY A
INTRY
40-42
TOY JATES OF SERVICE
ARRIVAL 0/$
DEPARTURE 0/5
TYPE OF
DATA
O/P
USE
MONTH
DAY
YEAR
MONTH
DAV
25-26
27-28
29 30
31.32
YEAR
33-34 35.36
CODE
ONLY
6.
2. TOY (Basic)
4 . CORRECTION
CANCELLATION
37
38 39
0 2 1 1 1 4 0 3 0 9214
2
OFFICE OF PERSONNEL USE ONLY - PUNCH AREA
E✓ IMPOET CL BY
TRAVEL VOUCHER
CABLE
OTHER (Specify)
DOCUMENT IDENTIFICATION NO.
REMARKS
WH 1-74
SOURCE DOCUMENT AND CERTIFICATION
DISPATCH
South
AREA(S)
CODE
40-42
america 81
DUTY STATUS OR TIME AND ATTENDANCE REPORT
DOCUMENT DATE PERIOD
"
"4" cl
-
9 March 74
FORM
PREPARED BY
ОСО
REPORT
CONTROL
a
་
DIVISION. CTOR.
DIVISION
DATE
ANNOTATED ON
DOCUMENT
May 74
ABOVE DATA CERTIFIED CORPECT. BASED UPON SOURCE
SIGNATURE
DOCUMENT CITED
Zachen
THIS REPORT WILL BE FILED IN THE OFFICE OF PERSONNEL,
4.71 1451 BSOLETE PREVIOUS
COLTSONS
IN THE INDIVIDUAL'S OFFICIAL PERSONNEL FOLDER
SECRET
C
(4-10)
PATE
ST

14-00000
TO:
·SECRET
(When Filled In)
REPORT OF SERVICE ABROAD
PULCHED
Office of Personnel, Control Division, Statistical Reporting branch
SERIAL NO.
LAST
D2/345 PHILLIPS
t
NAME
FIRST
DAVID
MIDDLE
A
INSTRUCTIONS
USE APPROPRIATE SPACE BELOW TO REPORT DATA FOR EITHER PCS OR TOY. INSERT APPROPRIATE CODE NUMBER IN "CODE" COLUMN.
TO DESIGNATE WHETHER SUBMISSION IS OF BASIC DATA. CORRECTION, OR CANCELLATION (One only). REPORT DATES BY USING
THE NUMBER FOR THE MONTH. AND LAST TWO DIGITS ONLY FOR YEAR. REFER TO OF NO. 38. REVISED.
PCS DATES OF SERVICE
OP
ARRIVAL 0/$
DEPARTURE O/S
TYPE OF DATA
NONTH
28-26
DAY
Tten
27-28 29-30
NORTH
Dav
YEAR
1 • PCS (Basic)
31-32 33.34 35-36
963972
3. CORRECTION
CODE
37
USE
ONLY
• CANCELLATION
i
TOY DATES OF SERVICE
COUNTRY
CODE
38 39
Exten
40-42
BRAZIL OYC
040
ARRIVAL 0/5
DEPARTURE O/S
TYPE OF DATA
MONTH
DAY
YEAR
MONTH
DAY
come
USE
ONLY
23-26
27.20 29.30
31.32
33-34 35-36
.
2 TDY (Basic)
CORRECTION
CANCELLATION
37
38 39
TRAVEL VOUCHER
CABLE
OTHER (Specify)
DOCUMENT IDENTIFICATION NO.
REMARKS
OFFICE OF PERSONNEL USE ONLY - PUNCH AREA
SOURCE DOCUMENT AND CERTIFICATION
DISPATCH
AREA(S)
DUTY STATUS OR TIME AND ATTENDANCE REPORT
646685
DOCUMENT DATE/PERIOO
PREPARED BY
ОСОВ
BEPORT ANNOTATED ON
CONTROL DOCUMENT
с
с # DIVISION. CTUR.
DIVISION
DATE
27 June 1972.
ABOVE DATA CERTIFIED CORRECT. BASED UPON SOURCE
DOCUMENT CITED
$5 SEPTI
SIGNATURE
THIS REPORT WILL BE FILED IN THE OFFICE OF PERSONNEL
IN THE INDIVIDUAL'S OFFICIAL PERSONNEL FOLDER
FORM
4-71
1451a
OBSOLETE PREVIOUS
EDITIONS
SECRET
CODE
40-42
JMKP
(4-10)
14-00000
SECRET
(when Filled in)
SERVICE ABROAD AGREEMENT
1. GENERAL
IT IS UNDERSTOOD THAT YOU AGREE TO SERVE THE PERIOD OF SERVICE ABROAD PRESCRIBED
IN SECTION BELOW AND THAT THE GOVERNMENT IS OBLIGATED TO RETURN YOU. YOUR DEPENDENTS
AND YOUR HOUSEHOLD AND PERSONAL EFFECTS UPON THE SATISFACTORY COMPLETION OF THIS PERIOD.
YOUR ALLOWABLE EXPENSES WILL BE DETERMINED IN ACCORDANCE WITH AGENCY REGULATIONS.
IF YOU TERMINATE YOUR PERMANENT ASSIGNMENT OUTSIDE. THE CONTINENTAL UNITED STATES
BEFORE YOU COMPLETE 12 MONTHS OF CREDITABLE SERVICE FOLLOWING. THE DATE OF YOUR ARRIVAL
ABROAD. YOU WILL BE REQUIRED TO REIMBURSE THE GOVERNMENT FOR ALL EXPENSES IT INCURS IN
THE TRAVEL AND TRANSPORTATION OF YOU. YOUR DEPENDENTS, YOUR HOUSEHOLD AND PERSONAL EF-
FECTS TO YOUR POST. IF YOU FAIL TO COMPLETE YOUR PRESCRIBED TOUR OF DUTY-ABROAD YOU
WILL NOT BE ENTITLED TO THE RETURN TRAVEL AND TRANSPORTATION OF YOURSELF, YOUR DEPEND-
ENTS AND YOUR HOUSEHOLD AND PERSONAL EFFECTS TO THE UNITED STATES. IF, HOWEVER, AGENCY
OFFICIALS DETERMINE THAT YOUR EARLY DEPARTURE IS NECESSARY FOR OFFICIAL REASONS, OR FOR
PERSONAL REASONS OF SIGNIFICANT INTEREST TO THE GOVERNMENT, THEY MAY WAIVE THE REIMBURSE
MENT OF EXPENSES ALREADY INCURRED, OR AUTHORIZE YOUR RETURN TRAVEL AND TRANSPORTATION,
WHICHEVER IS APPLICABLE.
IF ELIGIBLE UNDER THE TERMS OF HR 20-30. YOU WILL BE GRANTED HOME LEAVE AS SOON
AS IT CAN BE ARRANGED AT GOVERNMENT CONVENIENCE AFTER COMPLETION OF YOUR PRESCRIBED
TOUR OF DUTY, PROVIDED YOU HAVE SERVED AT LEAST 18 MONTHS OF CONTINUOUS CREDITABLE
SERVICE OUTSIDE THE UNITED STATES.. HOME LEAVE AND HOME LEAVE TRAVEL ARE CONTINGENT
UPON YOUR WILLINGNESS TO RETURN, AND CONTEMPLATION BY AGENCY OFFICIALS THAT YOU WILL
RETURN TO SERVICE OUTSIDE THE UNITED STATES IMMEDIATELY AFTER HOME LEAVE OR UPON
COMPLETION OF AN ASSIGNMENT, IN THE UNITED STATES.
YOU ARE ADVISED THAT ANY MONIES DUE YOU FROM THE GOVERNMENT MAY BE APPLIED IN
LIQUIDATION OF ANY INDEBTEDNESS ARISING FROM VIOLATION OF THIS AGREEMENT.
AFFORDED ALL NORMAL RECOURSE IN APPEALING DECISIONS MADE PURSUANT TO THIS
YOU WILL BE
AGREEEMENT.
NAME OF EMPLOYEE
David A. Phillips
11. TOUR OF DUTY ABROAD
1. NAME OF POST OF ASSIGNMENT
Caracas, Venezuela
2
PERIOD OF SERVICE ABROAD AS PRESCRIBED IN A. B. OR C BELOW
A.
STANDARD TOUR OF DUTY OF
24 MONTHS
X
C. NONSTANDARD TOUR OF DUTY OF
S0
D
MONTHS FOR
THIS TOUR ONLY FOR THE EMPLOYEE SIGNING THIS AGREEMENT.
(See HR 20-18)
REQUESTED (Nemo attached)
OPERATING OFFICIAL
8.
NONSTANDARD TOUR OF OUTY OF
PREVIOUSLY APPROVED PER HR 20.18.
OPERATING OFFICIAL
The Berthole.
Henr
MONTHS
CAREER SERVICE
Berthold. C/WH/Pers
CONCUR
DEPUTY 01PECTOR
APPROVED
DIRECTOR OF PERSONNEL
III. PERMANENT PLACE OF RESIDENCE
3. YOUN "PERMANENT PLACE OF RESIDENCE" IS A PLACE
BE AUTHORIZED IN CERTAIN CIRCUMSTANCES
PERSONNEL FOLDER.
PURSUANT TO
4. IN REQUESTING YOUR PERMANENT PLACE 05 RESIDENCE
in HR 22-3) NORMALLY INDICATE THE PLACE WHERE YOU
OR THE COMMONSEALTH OF PUERTO RICO AT
TO WHICH ALLOWABLE TRAVEL AND TRANSPORTATION EXPENSES MAY
HR 22. ITS DESIGNATION WILL BE KEPT IN YOUR OFFICIAL
CLASSIFIED IT
IN ITEM 5 ON THE REXEA
**{{q_\\ _X_P³ PROTI DE
PHYSICALLY DELLE IN THE UNITED STATES, LIS POSSESSIONS
THE TIME OF YOUR PCS TRANSFER TO A POST ABROAD. YOU MAY NEES N
ITEM 6 THE DESIGNATION OF ANOTHER PLACE AS YOUR PERMANENT PLACE OF RES YOU CAN ESTABS THIN
YOUR PHYSICAL DWELLING PLACE IS (or was) TRANSITORY AND THAT SUCH OTHER PLACE: IS YOUR GOMIELLE OF HAS
PREVIOUSLY BEEN USED BY YOU AS A PHYSICAL DWELLING. INFORMATION THAT CAN BE PRESENTED IN AN ATTACHED
STATEMENT AS EVIDENCE INCLUDES BUT IS NOT LIMITED TO, STATE VOTING REGISTRATION
PLACE WHERE INCOME OR PERSONAL PROPERTY JANES HAVE BEEN PAID.
WARMING NOTICE
SOPERTY DANERSHIP AND
e, insert date wheat)
FORM
6.70
3154
REPLACES .COM 31.
UNICH IS OBSOLETE
03-56) AND METHODS AN
SECRET
(12-21-27)
GROUP I
EXCEEDED FROM AUTOMATIC
INDING AND
DRI LASSATION
CONTINUED
ON THE REVERSE
14-00000
SECRET
(ahen Fillet In)
B. PHYSICAL THING PLACE ¿Premament Place of Residence
unless dress in stem & 18 approved in fieu thereof)
FULL ADDRESS
..
OTHER PLACE REQUESTED (Requested permanent Place of
Residence it different *frow stem 5)
FULL PRESS
8204 Stone Tan Dave
Rises my wo
CONCUR
DEPUTY DIRECTOR
DATE
APPROVED
DATE
DIRECTOR
Kiernan
7 Ang 1974
APPROVED
DIRECTOR OF PERSONNEL
DATE
IV. HOME LEAVE POINT
7. AMONG THE PLACES YOU MAY REQUEST AS A HOME LEAVE POINT ARE YOUR PERMANENT PLACE OF
RESIDENCE SHOWN ABOVE, HEADQUARTERS AREA, AND WHERE YOUR CHILDREN, PARENTS, PARENTS-
IN-LAW, BROTHERS, SISTERS. BROTHERS-IN-LAW, OR SISTERS-IN-LAW RESIDE.
8. YOU MAY REQUEST FOR APPROVAL SOME OTHER POINT SUBJECT TO THE PROVISIONS OF
HR 20-309(3)(C). THE REQUEST MUST BE ACCOMPANIED BY A MEMORANDUM EXPLAINING THE
CIRCUMSTANCES.
9. DESIGNATION PER ITEM 7 ABOVE
FULL ADDRESS
10. DESIGNATION PER ITEM 6 ABOVE.
FULL ADDRESS
Same As
5
ABOVE.
CONCUR
DEPUTY DIRECTOR
DATE
RELATIONSHIP OF RELATIVE AT HOME LEAVE POINT
DEPUTY DIRECTOR
Fer
APPROVED
DATE
APPROVED
DIRECTOR OF PERSONNEL
DATE
1972-1
EMPLOYEE CERTIFICATION
I have read and understand my service obligations and travel entitlements
as described in this agreement.
SIGNATURE OF EMPLOYEE
ست
SECRET
DATE
7/28/72
14-00000
-TO:
SECRET
(When Filled in)
REPORT OF SERVICE ABROAD
FILE
Office of Personnel, Transactions and Records Branch, Status SeeUNCHED
SERIAL NO.
LAST
1-0
(Print)
Phillips
024345
NAME
FIRST
2.241) Avid
MIDDLE
A
BY
INSTRUCTIONS
USE APPROPRIATE SPACE BELOW TO REPORT DATA FOR EITHER PCS OR TOY. INSERT APPROPRIATE CODE NUMBER IN "CODE" COLUMN
TO DESIGNATE WHETHER SUBMISSION IS OF BASIC DATA, CORRECTION. FOR CANCELLATION (One only). REPORT DATES BY USING.
THE NUMBER FOR THE MONTH, AND LAST TWO DIGITS ONLY FOR YEAR. REFER TO OF NO. 580.-REVISED.
PCS DATES OF SERVICE
ARRIVAL 0/8
DEPARTURE O/S
TYPE OF DATA
O/P
COUNTRY
MOUTH
25-20
DAY
27-20 29-30
YEAR
NORTH
31-32
DAY
YEAR
13.34 35.36
cool
USE
ONLY
".
PCS (Basic)
CORRECTION
CANCLILATION
17
38 39
3
Projil.
cops
40-42
020
TOY DATES OF SERVICE
ARRIVAL 0/5
DEPARTURE 0/$
TYPE OF DATA
0/P
USE
DAY
23-20
27-28
YEAR
29.30
MONTH
31-32
DAY
YEAR
CODE
ONLY
2. TOY (Basic)
33.34 35-36
37
.
• CORRECTION
CANCELLATION
38 39
TRAVEL VOUCHER
✗CABLE
OTHER (Specify)
DOCUMENT IDENTIFICATION NU.
OFFICE OF PERSONNEL USE ONLY - PUNCH AREA
SOURCE DOCUMENT AND CERTIFICATION
DISPATCH
AREA(S)
CODE
40-42
DUTY STATUS OR TIME AND ATTENDANCE REPORT
REMARKS
FORM
3-87
1417%
Correction
BRASILIA
PPEPARED BY
oco
c
" DIVISION.
°
" DIVISION
DOCUMENT DATE/PERIOD-
73
LATRAAL
SEPORT ANNOTATED ON
CONTROL DOCOMENY
DATE
7/19/71
July 1971
ABOVE DATA CERTIFIED CORRECT. BASED UPON SOURCE
SIGNATURE
Marylin
DOCUMENT CITED
Burlivor
THIS REPORT WILL BE FILED IN THE OFFICE OF PERSONNEL
1451aLETE PREVIDES
EDITIONS
IN THE INDIVIDUAL'S OFFICIAL PERSONNEL FOLDER
SECRET
GROTE
(4-10)
14-00000
:
TO:
SECRET
(When Filled In)
REPORT OF SERVICE ABROAD
FILE
PUNCHED
Office of Personnel, Transactions and Records Branch Statu B Section
NAME
SERIAL NO.
LAST
1-$
134345 Phillips
FIRST
7-24
MIDDLE
"Land
A
INSTRUCTIONS
1
USE APPROPRIATE SPACE BELOW TO REPORT DATA FOR EITHER PCS OR TOY. INSERT APPROPRIATE CODE NUMBER IN "CODE COLUM
"TO DESIGNATE WHETHER SUBMISSION IS OF BASIC DATA, CORRECTION. OR CANCELLATION (One only). REPORT DATES BY USING
THE NUMBER FOR THE MONTH. AND LAST TWO DIGITS ONLY FOR YEAR. REFER TO OF NO. Se. REVISED.
PCS DATES OF SERVICE
ARRIVAL O'S
DEPARTURE 0/8
TYPE OF DATA
MONTH
DAY
YEAR
25-26 27-20 29-30
NONTH
31-32
..་
33-34 35.36
VE&O
". PCS (Basic)
..
CORRECTION
8 CANCELLATION
*011170070971
МОНТИ
ARRIVAL O'S
DAY
TOY DATES OF SERVICE
0/P
COUNTRY
37
USE
ONLY
30 30
CODE
43-42
DEPARTURE O/S
TYPE OF DATA
YEAR
MONTH
31-32
DAY
33-34 35-34
YEAR
2 TDY (Basic)
4
CODE
"
0/P
USE
ONLY
AREA(S)
38 39
CODE
40-42
CORRECTION
6. CANCELLATION
25.26 27-29 29-30
TRAVEL YOUCHER
CABLE
OFFICE OF PERSONNEL USE ONLY - PUNCH AREA
SOURCE DOCUMENT AND CERTIFICATION
DISPATCH
DUTY STATUS OR TIME AND ATTENDANCE REPORT
OTHER (Specify)
DOCUMENT IDENTIFICATION RU.
REMARKS
13872
Rio de Janare
No Record -
oco
C ..
PREPARED BY
dut claimed
"
DIVISION. CTOR.
DATE
c & DIVI
REPORT ANNOTATED
CONTROL
DOCUMENT
7/15/71
DOCUMENT DATE/PERIOD
I July 1971
Kateral
-
ABOVE DATA CERTIFIED CORRECT. BASED UPON SOURCE
SIGNATURE
DOCUMENT CITED
M Burlwor
THIS REPORT WILL BE FILED IN THE OFFICE OF PERSONNEL
IN THE INDIVIDUAL'S OFFICIAL PERSONNEL FOLDER
FORM
3.67
1451a
OBSOLETE PREVIOUS
EDITIONS
SECRET
-
(4-10)
14-00000
MOW
Chof, WED
Chief of Station. Santo Domingo
GORGET
Spacitie
ACTION REGUILD-110216
-
Administrative
Performance of TDY Personnel During Recent DR Crisis
1. As Headquarters is well aware, a constant flow of
TDY persoanel was provided the Station by Headquarters during
Obviously, the
the crisis period. of the recent revolution.
Station ould have found it most difficult, if not impossible,
to perform in the fashion it did without this assistance.
What deserves special comment, however, is the generally high
quality of their performance under quite demanding, fluid
,
With few exceptions,
and, often, dangerous conditions.
already known to Headquarters, the TDY personnel did a
Consid-
magnificent job both collectively and as individuals.
cring the grade and experience of most of these officers, it
But,
can probably be assumed that this was to be expected.
what clearly was not predictable was their willingness to
accept any type of assignment regardless of grade or circum-
stances, their quick adaptability and initiative in an
unfamiliar and confused situation, and their stamina under
the stress of long and irregular work days seven days a week.
Furthermore, in spite of the close working quarters. constant
association, and strain inherent in this type of situation,
"personality clashes" or other signs of incompatability were
very few indeed.
2. Undoubtedly, Headquarters has sensed the foregoing
from returnees. The purpose of sending this dispatch is to
make it a matter of record and to suggest to Headquarters
that their standard of performance under these conditions
may erit consideration of some special recognition in the
personnel files of the personnel concerned.
Distribution:
3 - WHD
Attachment:
As stated -h/w
CROSS REFERENCE TO
Continued...
DISPATCH SYATOL AND NUMBER
DATE
HDCT-1221
CLASSIFICATION
S-E-C-R-E-T
17 July 1965
HQS FILE NUMER
14-00000
DISPATCH
S-1-C-R-E-T
HDCT-3721
3,
Without detracting one whit from the performance of
any of the other officers on TDY assignment, the present COS
would like to single out Makond to quen der and can
as deserving special commenti Their performance has been
exceptional. A special note is attached for
Therefore, it is recommened that the attached memoranda be
inserted into each of their personneť files.
ticket
4. Also, the COS would like to register the fact that
the foregoing not only speaks highly of the TDY personnel
assigned, but Headquarters as well in providing this type of
support.
5. As a final comment, Headquarters may care to check
this memorandum with Edw
the COS for a good
part of this period, to obtain any special comments he
might wish to make in this regard -- either with respect to
content or individuals whom he considered exceptional and who
are not known to the present COS.
Damil Phillips
14-00000
MEMORANDUM FOR THE RECORD
SUBJECT:
S-E-C-R-E-T
17 July 1965
Richard W. Rastetter
TDY in Santo Domingo
1. "Bastal
was assigned to Station Santo¨
Domingo on a TDY basis for the period 2 June to 16 July
1965. During this assignment, Rudy was placed in charge
of the Station CA program with special emphasis on
exploiting targets of opportunity in the very fluid crisis
situation then prevalent and, simultaneously, generating
new assets and new approaches to lay the groundwork for the
altered situation which would be confronting the Station in
the post-crisis era. In addition to supervising the 2.A
program, he handled a number of existing agents, developed
some new assets, and conducted numerous special Q
operations, including some quite effective black activities.
On this assignment, worked some fourteen to sixteen
hours a day throughout the entire period.
2. The undersigned is aware that CIA would expect
a quite professional and dedicated performance from an
officer of 's seniority, experience, and caliber;
however, even taking this into consideration, his performance
in every respect was exceptional, and should merit special
recognition.
3. It is recommended that a copy of this memorandum
be placed in 's personnel folder.
S-E-C-R-E-T
14-00000
SECRET
co. 24209
6 AUG 1969
MEMORANDUM FOR: Director of Central Intelligence
THROUGH
SUBJECT
: Deputy Director for Plans
: Appointment of Mr. David A. Phillips as
Chief of Station, Rio de Janeiro, Brazil
1. The appointment of Mr. David A. Phillips, GS-16,
as Chief of Station, Rio de Janeiro, effective on or about
15 January 1970 is recommended. Mr. Phillips would replace
Mr. Robert D. Gahagen.
2. Mr. Phillips has been an employee of the Agency
since 1951 initially in a contract capacity. He has served in
Santiago, Guatemala City, Havana, Beirut, Mexico City and
most recently as Chief, Cuban Operations Group. Mr. Phillips
is fluent in the Spanish language and is scheduled for two months
of full-time Portuguese training immediately prior to his depar-
ture. A biographic profile including information regarding his
Agency experience and training is attached.
Attachment
illiam V.
William V. Broe
Chief
Western Hemisphere Division
Biographic Profile (Parts 1 and 2)
SECRET
14-00000
SUBJECT: Appointment of Mr. David A. Phillips as Chief of
Station, Rio de Janeiro, Brazil
APPROVAL RECOMMENDED:
Deputy Director for Plans
20 булья
Date
The recommendation in paragraph one is APPROVED:
سیمینار
Director of Central Intelligence
Date
1
1
SECRET

14-00000
CONFIDENTIAL
Ghen Filled in)
Complete in original. The data recorded on this form is essential in determining traver exalci in con-
nection with leave at government expense, oversens duty, return to residence upon separation, and for providing
current residence and dependency information required in the event of an employee emergency. This form will be
filed in the employee's official personnel folder..
NAME OF EMPLOYEE
(Middle) SOCIAL SECURITY NUMBER
(Laal)
Phittips
(First)
Dovid
460-28-3930
t.
RESIDENCE DAYA
2.
SINGLE
PLACE OF RESIDENCE WHEN INITIALLY EMPLOYED BY AGENCY
PLACE ON Filld. DESIGNATED AS PERMANENT RESI
DENCE
Fort Worth, Texas
"HOME LEAVE HER
LAST PLACE OF RESIDENCE IN CONTINENTAL U.S. (If appointed
shroad)
Washington D.C.-
Rethesda, Mdr
MARITAL STATUS (Check wil
MARNIED
SEPARATED
DIVORCED
WIDOWED
IF MARRIED, PLACE OF MARRIAGE
IF DIVERSARE DECREE
IF WIDOWED. PLACE SPOUSE DIED
IF PREVIOUSLY MARRIED, INDICATE NAME(S) OF SPOUSE, REASON(S) FOR TERMINATION, AND DATE(S)
Joan Hildebrant, incompatibility, cerca September 1941
Helen Haasch, incompatibility, XR 22 November 1967.
DATE SPOUSE DIED
(Please note this is a change;
INNULLED
DATE OF MARRIAGE
28, March 1969-
DATE
3.
NAME OF SPOUSE
MEMBERS OF FAMILY
ADDRESS (No Street,City, State, Zip Co.'s
20034
TELEPHONE NO.
Virginia S.-Phillips
NAMES OF CHILDREN
Maria
David Jr
Christopher
(See Continuation).
NAME OF YOUR FATHER (Or male guardian)
_ Deceased
NAME OF YOUR MOTHER (Or female guardian)
Recessed
8224 Stone-Trail Drive, -Bethesda Md
ADDRESS
Sasa as above
ADDRESS
ADDRESS
469-6753
DATE OF BIRTH
SEX
1949
M
1951
M
1956
TELEPHONE NO.
TELEPHONE NO.
WHAT MEMBERS OF YOUR FAMILY IF ANY, HAS BEEN TOLD OF YOUR AFFILIATION WITH THE ORGANIZATION IF CONTACT IS RE-
QUIRED IN AN EMERGENCY.
..
My brooper, Edvin I. Phillipe TO BE NOTIFIED IN CASE OF EMERGENCY
NAME (Mr., Mrs., Miya)
PERSON
(Last-Firat-Middle)
Phillips, Edwin Thomas.
Fort Worth National Bank, Bldg., Fort Worth, Tereg,
HOME ADDRESS (Yo.. Street, City, State Zip Corel
BUSINESS ADDRESS (No Street City,
Same ase above..
RELATIONSHIP
HOME DRONE
ONE NUMBER
Unknown.
Unknown
IF APPLICABLE: BUSINESS TELEPHONE & EXTENSION
IS THE INDIVIDUAL NAMED ABOVE WITTING OF YOUR AGENCY AFFILIATION (IE "No" give naine and address of organiza-
tion he believes you work for.)
YES x
NO
-Yes-
IS THIS INDIVIDUAL AUTHORIZED TO MAKE DECISIONS ON YOUR BEHALF IN THE EVENT YOU ARE INCAPABLE! (Il "No"
give name and address of person, if any, who can make such decisions in case of emergency.)
YES
NO
甲
DOES
MOBIL KNOW
BEEN DESIGNATED AS YOUR EMERGENCY ADDRESSEE' (if answer is "No"
YES
explam ayinizem 6.)
-x-
NO
The persons named in item 3 above may also be notified in case of emergency. IF SUCH NOTIFICATION IS NOT DESIRABLE BE-
CAUSE OF HEALTH OR OTHER REASONS, PLEASE SO STATE IN ITEM 6 ON THE REVERSE SIDE OF THIS FORM.
CONTINUED ON REVERSE SIDE
CURRENT RESIDENCE AND DEPENDENCY REPORT
61
USE PREVIOUS
3-67
EUITIONS.
CONFIDENTIAL
(4)
14-00000
B.
CONFIDENTIAL
(When Filled In)
VOLUNTARY ENTRIES
Experience in the handling of employee emergencies has shown that the absence of certain personal data often delays and comple
cates the settlement of estate and financial matters. 
The information requested in this section may prove very useful to your family
or attorney in the event of your disability or death and will be disclosed only 
when circumstances warrant.
Checking andSaving.
INDICATE NAME AND ADDRESS OF ANY BANKING INSTITUTIONS WITH WHICH YOU HAVE ACCOUNTS AND THE NAMES IN WHICH THE AC
COUNTS ARE CARRIED.
Fort Worth National Bank, Fort Worth, Texas.
Potomac National Bank, Potomac, Md. Checking.
Columbia Federal (House mortgage).
All in name David A. Phillips
ARE YOU A MEMBER OF THE NORTHWEST FEDERAL CREDIT UNION
IF YES, DO YOU HAVE A JOINT ACCOUNT?
TES
NO
YES
40
HAVE YOU COMPLETED A LAST WILL AND TESTAMENT?
☑ YES
NO. (Yes" where is document located?)
In possession of my brother and attorney, Edwin T. Phillips, Jr. (See above).
HAVE YOU PREPLANNED AN ARRANGED GUARDIANSHIP OF YOUR CHILDREN IN CASE OF COMMON DISASTER TO BOTH PARENTS'
YES
(☑) No. (If "Yes" give name(s) and address)
But, My. children would go their mother; my step-children to their father._
NO. (with press the power of allomey')
HAVE YOU EXECUTED A POWER OF ATTORNEY) (☑)
YES
My brother, win T. Phillips, Mr.
6.
ADDITIONAL DATA AND/OR CONTINUATION OF PRECEDING ITEMS.
Continuation of chilren:
19
The following are my step children, who live with/andx receive more
than half their support from me: (All have common address 
of 8224 
Stone
Trail Drive):
Deborah Anne Ahern (r) 12-25-59
Bryan Moss Ahern (m) 12-31-60
Wynne Augherton Ahern (f) 9-12-64
SIGNED AT
DATE
SIGNATURE
Washington Dc
1 November 1969
CONFIDENTIAL
14-00000
TO:
SECRET
(When Filled In)
REPORT OF SERVICE ABROAD
PUNARED
Liet
Office of Personnel, Transactions and Records Branch, Status Section.
SERIAL NO.
LAST
1-6
(Print)
024345
.NAME
FIRST
7.24
MIDDLE
Phillips, David A.
INSTRUCTIONS
USE APPROPRIATE SPACE BELOW TO REPORT DATA FOR EITHER PCS OR TOY. INSERT APPROPRIATE CODE NUMBER IN "CODE" COLUMN
TO DESIGNATE WHETHER SUBMISSION IS OF BASIC DATA. CORRECTION, OR CANCELLATION (One only). REPORT DATES BY USING
THE NUMBER FOR THE MONTH, AND LAST TWO DIGITS ONLY FOR YEAR. REFER TO OF 1 NO. 38. REVISED.
PCS DATES OF SERVICE
ARRIVAL 0/3
DEPARTURE 0/$
TYPE OF DATA
O/P
WOUTH
25-20
DAY
va
27.20 29.30
MONTH
31-32
DAY
33-34 35-36
YEAR
PCS (Basic)
•
CORRECTION
CANCELLATION
CODE
37
USE
ONLY
38 39
TOY DATES OF SERVICE
COUNTRY
CODE
40-42
ARRIVAL 0/3
DEPARTURE O/S
TYPE OF DATA
OP
USC
AREAIS)
104
DAY
TEAD
MONTH
DAY
25-29
27-20 20-30 31-32
YEAR
33-34 35-36
CODE
ONLY
CODE
TBY (Basic)
"
30 39
40.42
4.
CORRECTION
6. CANCELLATION
080569080669
2
OFFICE OF PERSONNEL USE ONLY PUNCH AREA
TRAVEL VOUCHER
CABLE
OTHER (Specify)
COCUMENT IDENTIFICATION NU.
Wb 71-70
REMARKS
SOURCE DOCUMENT AND CERTIFICATION
DISPATCH
WH
811
DUTY STATUS OR TIME AND ATTENDANCE REPORT
DOCUMENT DATE PERIOO
5-8 Aug 69
PREPARED BY
BEPORT ANNOTATED
CONTROL DOCUMENT
on
ABOVE DATA CERTIFIED CORRECT. BASED UPON SOURCE
DOCUMENT CITED
. L DIVISION. CTOR.
DATE
SIGNATURE
..
.
DIVISION
1451a
OBSOLETE
LEITIONS
21 Nov 69
THIS REPORT WILL BE FILED IN THE OFFICE OF PERSONNEL
IN THE INDIVIDUAL'S OFFICIAL PERSONNEL FOLDER
PREVIOUS
SECRET
(4-10)
14-00000
TO:
SECRET
(When Filled In)
REPORT OF SERVICE ABROAD
Office of Personnel, Transactions and Records Branch, Status Section
PUNCHED
CYRT
SERIAL NO.
LAST
(Print).
024345
NAME
FIRST
7.24
Docto
INSTRUCTIONS
MIDDLE
USE APPROPRIATE SPACE DELOW TO REPORT DATA FOR EITHER PCS OR TOY. INSERT APPROPRIATE CODE NUMBER IN "CODE" COLUMN
TO DESIGNATE WHETHER SUBMISSION 13 OF BASIC DATA. CORRECTION. OR CANCELLATion (One only). REPORT DATES BY USING
THE NUMBER FOR THE MONTH. AND LAST TWO DIGITS ONLY FOR YEAR. REFER TO OF NO. 30. REVISED.
PCS DATES OF SERVICE
ARRIVAL 0/8
DEPARTURE O'S
TYPE OF DATA
NONTH
DAY
TEAS
25-26 27-20 20.30.
NORTH
31-32
YEAR
33-34 35-36
1 PCS (Basic)
3. CORRECTION
S CANCELLATION
OP
37
USE
ONLY
38 39
TOY DATES OF SERVICE
ARRIVAL O'S
DEPARTURE O'S
TYPE OF DATA
MONTH
23-26
DAY
27.28
YEAR MONTH
29-30 31-32
YEAD
0226
07P
USE
ONLY
33.34 35-36
0718170y1269
OFFICE OF PERSONNEL USE ONLY - PUNCH AREA
TOY (Basic)
CORRECTION
CANCELLATION
37
38 39
༢
„PRAVEL VOUCHER
CABLE
OTHER (Specify)
DOCUMENT
REMARKS
IDENTIFICATION Nug
Ден 48-70
ВСО
COUNTRY
CODE
40-42
AREA(S)
CODE
40-42
Sou Tit
ADISRICE. 66
SOURCE DOCUMENT AND CERTIFICATION
DISPATCH
DUTY STATUS OR TIME AND ATTENDANCE REPORT
PREPARED BY
REPORT ANNOTATED ON
CONTROL DOCUMENT
DIVISION. CTAR.
DATE
T DIVISION
DOCUMENT DATE/PERICO
ABOVE DATA CERTIFIED CORRECT. BASED UPON SOURCE
DOCUMENT CITED
3/10/62
SIGNATURE
THIS REPORT WILL BE FILED IN THE OFFICE OF PERSONNEL
IN THE INDIVIDUAL'S OFFICIAL PERSONNEL FOLDER
FORM
9-67
1451a
OBSOLETE PREVIOUS
KOITIONS
SECRET
(6-10)
14-00000
TO:
SECRET
(When Filled In)
REPORT OF SERVICE ABROAD
FILE
PUNCHED
Office of Personnel, Transactions and Records Branch, Status Section
BYRT
SERIAL NO.
LAST
1.6
(Print)
024345
PHILLIPS
NAME
FIRST
7.24
DAVID
INSTRUCTIONS
"
MIDDLE
A
USE APPROPRIATE SPACE BELOW TO REPORT DATA FOR EITHER PCS OR TOY. 'NSERT APPROPRIATE CODE NUMBER IN "CODE' COLUMN
TO DESIGNATE WHETHER. SUBMISSION IS OF BASIC DATA, CORRECTION, OR CANCELLATION (One only). REPORT DATES BY USING
THE NUMBER-FOR THE MONTH. AND LAST TWO DIGITS ONLY FOR YEAR. REFER TO OF1 NO. 58. REVISED..
PCS DATES OF SERVICE
0/P
ARRIVAL 0/1
DEPARTURE 0/5
TYPE OF DATA
NORTH
25-20
DAY
27-28 20-30
YEAR
MONTH
31-32
DAY
YEAR
33-34 35.36
• PCS (Basic)
3.
CORPECTION
8. CANCELLATION
СООБ
37
USE
ONLY
30 39
TOY DATES OF SERVICE
ARRIVAL 0/5
DEPARTURE O/S
TYPE OF DATA
MONTH
DAY
23.20. 27-20
YEAR
29.30
MONTH
DAY
YEAR
31-32
33-34 35-36
2. TOY (Basic)
4. CORRECTION
CODE
37
0/P
USE
ONLY
38 39
6. CANCELLATION
WH
051969052169
TRAVEL VOUCHER
CABLE
OTHER (Specify)
DOCUMENT IDENTIFICATION NU.
REMARKS
PREPARED BY
2
OFFICE OF PERSONNEL USE ONLY - PUNCH AREA
SOURCE DOCUMENT AND CERTIFICATION
DISPATCH
COUNTRY
CODE
40-42
AREA(S)
DUTY STATUS OR TIME AND ATTENDANCE REPORT
DOCUMENT DATE/PERIOD
5 thru 21 May 1969
DCO
• L DIVISION. COR.
car DIVISION
DATE
REPORT
CONTROL
282
ANNOTATED
DOCUMENT
125764 1969
ABOVE DATA CERTIFIED CORRECT. BASED UPON SOURCE
DOCUMENT CITED
SIGNATURE
THIS REPORT WILL BE FILED IN THE OFFICE OF PERSONNEL
FORM 145 LETE PREVIOUS
3-07
EDITIONS
IN THE INDIVIDUAL'S OFFICIAL PERSONNEL FOLDER
SECRET
ОВОСТІ
BIG P
Fra
CODE
40-42
120
(4.10)
14-00000
TO:
SECRET
(When Fitted in)
VERIFIED RECORD OF OVERSEAS SERVICE
Office of Personnel, Statistical Reporting Branch, ROƠ: 5 E 2506 Headquarters
EMPLOYEE SERIAL NO.
LAST
1.6
(Print)
NAVE OF EMPLOYEE
FIRST
7.24
OFFICE 'COMPONENT
MIDDLE
25-26
024345
Phillips
David
WH Division
INSTRUCTIONS
USE APPROPRIATE SPACE BELOW TO REPORT DATA FOR EITHER PCS OR TOY. INSERT APPROPRIATE CODE NUMBER IN "CODE" COLUMN
TO DESIGNATE WHETHER SUBMISSION IS OF BASIC DATA. CORRECTION, OR CANCELLATION (One only). REPORT DATES BY USING THE
NUMBER FOR THE MONTH, AND LAST TWO DIGITS ONLY FOR YEAR.
PCS DATES OF SERVICE
TYPE OF CATE
ARRIVAL
DEPARTURE
COUNTRY
OMIT
CADE
1
.
PCS (Basic)
27
MONTH
28-29
DAY
30-31
YEAS
MONTH
DAY
YEAD
40-42
32 33 34-35 36-37 38-39
3.
CORRECTION
5 CANCELLATIO
TYPE OF DATE
TDY DATES OF SERVICE
DEPARTURE
RETURN
AREA(5)
OMIT
CODE
27
MONTH
DAY
28-29
30-31
YEAR
32.33
MONTH
34-35
DAT
36-37
YEAR
40-42
35-39
2.
TOY (Basic)
CORRECTION
CANCELLATION
2
5
22
68
5
25 68
Mexico
450
TRAVEL VOUCHER
CABLE
OTHER (Specify)
DOCUMENT IDENTIFICATION NO.
REMARKS
WH-703-65
PREPARED BY
051
x
Cal DIVISION
Ca
FORM
4-86
1451a EDITION.
DIVISION
USE PREVIOUS
SOURCE OF RECORD DOCLAMENT
REPORT ANNOTATED ON
SOURCE DOCUMENT
CATE
5 August 1968
DISPATCH
DUTY STATUS OR TIME AND ATTENDANCE REPORT
DOCUMENT DATE/PERIO0
22-25 Mar 1968
SIGNATURE
ABOVE DATA VERIFIED CORRECT, BASED UPON SOURCE
DOCUMENT CITED
SECRET
350
Exc
gong and deca.featon
--————--------་
(4-10)
14-00000
Creditable
Service
Military
32
45-10-31.
43-02-13
02-08-19
Contract
Employee
54-03-04
To
ss. 03-
31
Con-
Staff Employee
STAFF AGENT
55-04-01
To
Τίμνους
56-
-03-06
SERVICE
56-02-07
INDIFENDERT
CONTRACTOR
то
58.-08.
13.
58.08.19
70
60-03 13 - FRED.iNALE.
STAFF
EMPLOYEE
03-14-60.
To
Présent
02-08-19 MILITARY.
-
.04 C5. 10
06-13-29
07-01-29
SERVICE
58-08.13
54-03-04
C4-05-10
-214
60 03.
07-01-29
S. C. D. 53-01-15
L.C.D. 55-10-04
2.m. 7.01.66
14-00000
Standart Form No. 1152
4610 AV
INFORMATION CONCERNING THE EMPLOYEE:
DESIGNATION OF BENEFICIARY
UNPAID COMPENSATION OF
DECEASED CIVILIAN EMPLOYEE
IMPORTANT
Read, instructions
on back of duplicate
before filling in this form
NAME
(Last)
Phillips
DEPARTMENT OR AGENCY IN WHLH EMPLOYED
(First)
David
(Middle)
Atlee
DATE or Biarn (Month, day, year)
October 31, 1922
(Department or agencel
(Burvau)
(Division)
1. the employce identified aòèvė, canceling any and all previous Designations of Beneficiary heretofore made by me, do now desig.
nate the beneficiary or benefits named beiose to receive any UNPAID COMPENSATION due and payable under existing law after
my death. I understand that this Designation of Beneficiary relates solely to Unpaid Compensation as defined in section 2 of the
act of August 5, 1950, Public Lev 526, and in nowise will affect the disposition of any benefit which may become payable under the
Retirement Act applicable to my Government service. I further understand that this Designation of Beneficiary will remain in full
- force and effect, unless or until led by me in writing, so long as I am continuously employed in the above department or agency.
INFORMATION CONCERNING THE FANEFICIARY OR BENEFICIARIES:
Type or print drst name, middle inital, ami last name
of each beneficiars
Maria L. Phillips
David A. Phillips, Jr.
Atlee Y. Phillips
Christopher C. Phillips
Type or print address of each beneficiary
8224 Stone Trail Drive
Bethesda, Maryland 20034
8224 Stone Trail Drive
Bethesda, Maryland 20034.
8224 Stone Trail Drive
Bethesda, Maryland 20034
8224 Stone Trail Drive
Bethesda, Maryland 20034.
Relationship
Share to be paid to
ench beneficiary
daughter one-fourth
son
one-fourth
daughter one-fourth
one-fourth
son
I hereby direct, unless otherwise indicated above, that, if more than one beneficiary is named, the share of any deceased benefit-
ciary who may predecease me shal na distributed equally among the surviving beneficiaries, or entirely to the survivor. I understand
that this Designation of Beneficiary snalt be void if none of the designated beneficiaries is living at the time of my death.
"I hereby specifically reserve the right to cancel or change any designation of beneficiary at any time in the manner and form
prescribed by the Comptroller Graaral of the United States, and without knowledge or consent of the beneficiary.
1 December 1967
(Date of execution-month, the, oar)
WITNESSES TO SIGNATURE:
-
(Signature of employee)
(Signature of volten
Elizabeth Ann Reilly
an
Signature of withmon
PRINT OR TYPE NAME AND ADDRESS OF EMPLOYEE
୮
David A. Phillips
8224 Stone Trail Drive
Bethesda, Maryland 20034
2400 So. Glebe Rd
(Number and street)
8137 Prescott Dr.
(Number and street)
7
Arlington, Va 22206
(City, sone number, and State)
Vienna, Va 22180
(City one number, and State)
THIS SPACE RESERVED FOR RECEIVING DATA
OF EMPLOYING AGENCY
05 DEC 1967
rica c/P
(Indicate date and by whom received)
느
୮
DELIVER BOTH COPIES TO THE PROPER OFFICER OF YOUR AGENCY-DUPLICATE WILL BE NOTED AND RETURNED
Jive
14-00000
TO:
SECRET
(When Filled in)
REPORT OF SERVICE ABROAD
Office of Personnel, Transactions and Records Branch, Status Section
SERIAL NO.
LAST
1-6
(Print)
024345
Phi
NAME
FIRST
7.24
INSTRUCTIONS
MIDDLE
a.
USE APPROPRIATE SPACE BELOW TO REPORT DATA FOR EITHER PCS OR TDY. INSERT APPROPRIATE CODE NUMBER IN "Coot" coOLUMN
TO DESIGNATE WHETHER SUBMISSION IS OF BASIC DATA, CORRECTION, OR CANCELLATION (One only). REPORT DATES BY USING
THE NUMBER FOR THE MONTH. AND LAST TWO DIGITS ONLY FOR YEAR. REFER TO SOFI NO. 58. REVISED.
PCS DATES OF SERVICE
ARRIVAL 0/$
DEPARTURE O/S
TYPE OF
DATA
0/P
ust
COUNTRY
MONTH
26-26
DAV
YEAR
27-20 29-30
MONTH
DAY
YEAR
CODE
ONLY
CODE
1 PCS (Basic)
31-32
33-34 35-36
,
$.
CORRECTION
CANCELLATION
37
30 39
ཉྭ ་S、 A6 ད? 69
40-42
080867
1
TOY DATES OF SERVICE
ARRIVAL 0/9
DEPARTURE O/S
TYPE OF DATA
MONTH
25-26
DAY
YEAR
MONTH
DAY
YEAR
CODE
0/P
USE
ONLY
AREA(S)
27-28
20-30
31-32
33-34 35-35
4,
2. TDY (Basic)
CORRECTION
CANCELLATION
37
38 39
TRAVEL VOUCHER
✓ CABLE
OTHER (Specify)
DOCUMENT
ག་
2
REMARKS
OFFICE OF PERSONNEL USE ONLY - PUNCH AREA
SOURCE DOCUMENT AND CERTIFICATION
DISPATCH
DUTY STATUS OR TIME AND ATTENDANCE REPORT
IDENTIFICATION NU.
DOCUMENT DATE PERIOD
་ད་དང་བཅ
2
">
PREPARED BY
DCO
REPORT ANNOTATED 086
CONTROL DOCUMENT
ABOVE DATA CERTIFIED CORRECT. BASED UPON SOURCE
DOCUMENT CITED
C&L DIVISION.
CTSD.
DATE
SIGNATURE
T DIVISION
THIS REPORT WILL BE FILED IN THE OFFICE OF PERSONNEL
IN THE INDIVIDUAL'S OFFICIAL PERSONNEL FOLDER
SECRET
FORM
3.67
1451a
CBSOLETE PREVIOUS
EDITIONS
CODE
40-42
X
(4-10)
14-00000
DISPATCH
CLASSIFICATION
SECRET
ΤΟ
Chief, Western Hemisphere Division
INFO.
FROM
PROCESSING ACTION
MARKED FOR INDEXING
NO INDEXING REQUIRED
ONLY QUALIFIED DESK
CAN JUDGE INDEXING
SUBJECT
MICROFILM
Chief of Station, Santo Domingo
Letter of Appreciation from General Bruce Palmer, Jr.
ACTION REQUIRED - REFERENCES
Action:
See para two
1. Attached find an original and two copies of a
letter of appreciation from Gen. Bruce Palmer, until
18 January, Commander of USFORDOMREP.
2. It is requested that the original be placed in
the personnel file of Michael C. CHOADEN. The first
copy, marked "A" should be placed in the personnel file
of Stewart R. PATAKER. The second copy, marked "B",
should be passed; to Franklyn D. MALLEK for his information
and disposition.
Alazarry
Che
Attachment: Letter
Distribution:
3 - Chief, WHD w/att h/w
Michael C. CHOADEN
CROSS REFERENCE TO
DISPATCH SYMBOL AND NUMBER
DATE
HDCT 1359
18 January 1966
CLASSIFICATION
SECRET
HQS FILE NUMBER

14-00000
(Cool)
HEADQUARTERS
this city typical of
UNITED STATES FORCES DOMINICAN REPUBLIC Young
APO New York 09478
USFDR-CG
SUBJECT: Letter of Appreciation
THRU:
The Honorable W. Tapley Bennett
American Ambassador
TO:
Santo Domingo, Dominican Republic
American Embassy
DAVID
A PHILLIPS
Santo Domingo, Dominican Republic
Me formain
17 January 1966
1. I wish to express my sincere appreciation for the outstanding contributions
you and your staff have made in the accomplishment of USFORDOMREP Intelligence
missions from 1 May 1965 through 17 January 1966. The first intelligence contact
upon our arrival at San Isidro Air Base on 1 May was a representative from your
office. From that day on a mutual respect, cordial relationship and a unity of
effort prevailed throughout the many trying days in the Dominican Republic crisis.
Without your assistance we would have realized a serious gap in the intelligence
picture, a gap which would have made intelligence evaluations and the development
of tactical estimates most difficult.
2. My J2 has frequently mentioned the close association and coordination he
has had with you and the members of your organization and repeatedly expressed
the high esteem and respect he has for the professionalism and competence
displayed by you and your subordinates.
3. The intelligence unity of effort in the Dominican Republic has been exemplary
and a prototype for future operations. This cohesive atmosphere is directly
attributable to your efforts.
14-00000
nit.
USFDR-CG
SUBJECT: Letter of Appreciation
17 January 1966
4. ´ Again I wish to express my appreciation and congratulations on a job well
done.
Minefly
BRUCE PALMER, JR.
Lieutenant General, USA
Commander
B
YEN 1451
RECORD OF OVERSEAS SERVICE (4.
14-00000
NAME OF EMPLOYTE
PHILLIPS, DAVID A.
INSTRUCTIONS
THIS FORM MUST BE RETURNED
WHETHER YOU HAVE HAD OVER.
BEAS SERVICE OR NOT.
PLEASE READ CAREFULLY IN-
STRUCTIONS ON ACCOMPANYING
CARD THEN FILL OUT THIS FORM
AS ACCURATELY AS POSSIBLE
EMPLOYES SERIAL NO.
*24345
BO NOT
WRITE IN
COLUMN
E00
COMPLETED B*
¡YES
PLOYEE
TELEPHONE EXT.
NO
SECRET
WHERE SERVICE
BAS PERFORMED
PC's-1
TUY
DATES
ENTER
TO
' NO YA
MO YR
1537:40
10%
157
I
+WHEN FILLED IN
DO NOT FOLD, STAPLE, SPINDLE, OR MUTRATE
BERVICE AS
CIVILIANT
MILITARY -8.
ENTER NO]
RESPONSRI DO NOT
UB COUT
DIT
OR AGENCY
W
WHITE IN
COLUMN
100
CiA
C%
157 158
.
CiA
0%
143 AFA 45 2
USARF
1970 HAVANA,
HOUBEIRUT, LEEANEN /
AFRICA, STALT
1861.
17 ADDITIONAL SPACE IS NEEDED, CHLOR IRE
AND ASK YOUR ADMINISTRATIVE OFFICER FOR SUPPLEMENTAL CARDS
SECRET
14-00000
CONFIDENTIAL
(When Filled In)
MEMORANDUM OF UNDERSTANDING
I hereby acknowledge that I have read and understand the contents
of Handbock 20-4, Employee Conduct, dated 29 August 1961.
Signature
DAVID A. PHILLIPS
CONFIDENTIAL
2 Octooth, 1913
Date
14-00000
REPORT OF H
AWARDS BOARD
(CONVENED PURSUANT TO REGULATIONS R. 20-635 AND AFR 20-635)
The Honor Awards Board having considered a recommendation that:
NAME:
Last)
BLAIN
PRESENT GRADE
7200.00 2.a.
BE AWARDED:
(First)
Cavid
(Middle)
Atlee
OFFICE ASSIGNED TO
K
ivision
TE
3 DLC
POSITION TITLE
Levert Associate
STATION
PROLET
istinguished intelligence Medal
FOR HEROIC ACTION, ON
FOR MERITORIOUS ACHIEVEMENT OR SERVICE DURING THE PERIOD
January
-
July 1954
APPROVES THE RECOMMENDATION
DISAPPROVES THE RECOMMENDATION
✓ APPROVES. BUT IN LIEU THEREOF, RECOMMENDS THE AWARD OF: Intelligence Medal of Herit
CITATION
DAVID ATLSE (Hill is hereby awarded the intelligence Medal of iorit
for his outstanding usdicstion and devotion to the cause of freesom.
anile assigned a sceition of responsibility in creating a psychological
mulum to further the efforte of removing a serious threat to the security and
welfare of his overnment, he, personally, with superior talent and concen-
tration of energy processed to develop a proers which greatly contributed
to the ultimate ellainstion of the threst which concurrently brought historical
relief to the oppresss) people of an entire population.
The paychological and develope) and sustained by Kr. PRL was
directed and operated with such ingenuity, resourcefulness and forceful
Lascination that he was aule to create and maintain a com lately notional
situation for an extended period thereby making it ossible to achieve the
cojectives of his government. This achievement nas no parallel in the
history of psychological warfare.
REASONS FOR DISAPPROVAL OF RECOMMENDED AWARD
APPROVED
Clearing
SIGNED
DIRECTOR OF CENTRAL INTELLIGENCE
8 SUD 1356
DAY F
SIGNATURE
SIGHED
TYPED NAME OF CHAIRMAN.
MOCOR AWARDS SCARD
SIGNATURE
TYPED PAYEE RECORDER ;
FORM NO.
OCT 1953
37-176
(4)
14-00000
TO:
("")
SECRET
(When Filled in)
VERIFIED RECORD OF OVERSEAS SERVICE
Office of Personnel, Statistical Reporting Branch, ROOM 192 Curie Hall
NAVE OF EMPLOYEE
OFFICE/COMPONENT
EXPLOYEE SERIAL NO.
LAST
(Print)
24345
Phillips
FIRST
7-24
David
INSTRUCTIONS
MIDDLE
25-26
35
A
bif
USE APPROPRIATE SPACE BELOW TO REPORT DATA FOR EITHER PCS OR
TOY.
INSERT APPROPRIATE CODE NUMBER IN "CODE" COLUMN
7 DESIGNATE WHETHER SUBMISSION IS OF BASIC DATA. CORRECTION, OR CANCELLATION (One only). REPORT DATES BY USING THE
BLUSER FOR THE MONTH. AND LAST TWO DIGITS ONLY FOR YEAR.
COUNTRY
OM:T
PCS DATES OF SERVICE
TYPE OF DATA
ARRIVAL
DEPARTURE
cort
PCS (Basic)
27
MONTH
25-29
Day
YEAN
MONTH
SAF
TILO
30-31
32-33
34-35 36-37
38.39
CORRECTION
$ .
CANCELLATION
/ 109
Mexic
25 61.
2.
TYPE OF DATA
tov (Basic).
CORRECTION
CANCELLATION
TRAVEL
VOUCHER
CABLE
OTHER (Specify)
TOY DATES OF SERVICE
40-42
450
AREA(S)
OMIT
DEPARTURE
RETURN
CODE
MONTH
DAY
VEAD
27
29-29
30-31
32-33
34.35
36.37
39.39
WH
DOCUMENT IDENTIFICATION NO.
HMMT-2316
REMARKS
SOLACE OF RECORD DOCUMENT
PREPARED BY
FISCAL DIVISION
URINANCE DIVISION
ས
1451a
$-38
OBSOLETE PREVIOUS
EDITIONS.
REPORT ANNOTATED 0%
SOURCE DOCUMENT
DATE
11/20/61
DISPATCH
DUTY STATUS OR TIME AND ATTENDANCE REPORT
DOCUMENT DATE PERIOD
13 October 1961
SIGNATURE
SECRET
ABOVE DATA VERIFIED CORRECT. BASED UPON SOURCE
DOCUMENT CITED
مسالة
40-42
(4-10)
14-00000
SECRET
21:3443
MEMORANDUM FOR THE RECORD
SUBJECT: David A. Phillips
29 June 1961
On 14 June 1961 the undersigned reviewed with Mr. David
A. Phillips his career development prospects for the next five year
period. We agreed that the following represented a destrable and
fairly firm goal in this respect:
a. In general his future training and held experience
should place sufficient stress on the CI and FI fields to avoid the
career confinement of strict CA specialization.
b. His next assignment would be a normal held tour in
Mexico City. Upon return from that assignment, he would receive
up to six months training to be followed by an assignment to the CA
Staff (or the organizational successor thereof). One of his primary
undertakings in the CA Staff would be to develop what might best be
termed "ideological warfare" (e.g., a search for basic ideas and
concepts with wide appeal) as opposed to the normai propaganda
approach (e.g., a running debate on current everas),
The band M. Bissell
RICHARD M. BISSELL,
Deputy Director
(Plans)
J
cc: 'ASJA (Pers)
Attn Panel A
Mr. Fillips
Thru C/WHE
OP/RSD
SECRET
14-00000
CONFIDENTIAL
(When Filled in)
TR
Complète in duplicate. The data recorded on this form is essential in determining travel expenses allowable in connection with legye
at government expense, overseas duty, return to residence upon separation, and for providing current residence and dependency infor-
mation required in the event of an employee emergency. The original of this form will be filed in the employee's official personnel folder
(Middle) SOCIAL SECURITY NUMBER
NAME OF EMPLOYEE
רייד
(Fire)
".
PRINCE
PLACE OF RESIDENCE WHEN INITIALLY APPOINTED
-
AUD
RESIDENCE DATA
LAST PLACE OF RESIDENCE IN CONTINENTAL U.S. (If appointed
abrusil
PLACE IN CONTINENTAL U.S. DESIGNATED AS PERMANENT RESI- HOME LEAVE RESIDENCE
DENCE
SINGLE
MARRIED
IF MARRIED, PLACE OF MARRIAGE
-
IT WORIN. TE\WS.
IP DIVORCED, PLACE OF DIVORCE DECREE
IF WIDOWED, PLACE SPOUSE DIED
Fair
MARITAL STATUS (Check one)
WEAR
BEPARATED
DIVORCED
WIDOWED
ANNULLED
DATE OF MARRIAGE
DATE OF DECREE
OATE SPOUSE DIEO
IF PREVIOUSLY MARRIED, INDICATE NAME(S) OF SPOUSE, REASON(5) FOR TERMINATION, AND DATE(S)
JOAN NIAX Tincips
INPATIBILny
Sem 1941
3.
MEMBERS OF FAMILY
NAME OF SPOUSE
HELEN N FILLIps
NAMES OF CHILOREN
MARIA
DAVID;
ፓሪ
ATAC
CHRUŠTAVE?
NAME OF FATHER (Or male an
CERSED.
NAME OF MOTHER (Or lemale quartion)
EDECEASED
ADDRESS (No., Street, City, Zone, State)
TELEPHONE NO.
WAGE 16, D6 01-2-818
ADDRESS
sex
DATE OF BIRTH
"
21 FOR F
M
143
F
(1951.
4
- 195
TELEPHONE NO.
ADDRESS
ADDRESS
TELEPHONE NO.
WHAT MEMBER(S) OF YOUR FAMILY IF ANY, HAS BEEN TOLD OF YOUR AFFILIATION WITH THE ORGANIZATION IF CONTACT IS RE-
QUIRED IN AN EMERGENCY.
4.
NAME (Mr., Mrs., Misa)
WIR
PERSON TO BE NOTIFIED IN CASE OF EMERGENCY
Last First Middle)
I.
HOME ADDRESS (No., Street, C. Zune. State)
4408
WASHBURN ST. FORT WORTH. TEM
BUSINESS ADDRESS (No., Street, City, Cone, State) AND NAME OF EMPLOYER, IF APPLICABLE
TEST WHAT BNK MADE.
RELATIONSHIP
BROTHER
HOME TELEPHONE NUMBER
BUSINESS TELEPHONE & EXTENSION
IS THE INDIVIDUAL NAMED ABOVE WITTING OF YOUR AGENCY AFFILIATION' (!! "No° give name and address of organiza-
tion he believes you work toto
YES
NO
IS THIS INDIVIDUAL AUTHORIZED TO MAKE DECISIONS ON YOUR BEHALF' (If "No" give name and address of person, if
any, who can make such decisions in case of emergency.)
YES
NO
DOES THIS INDIVIDUAL KNOW THAT HE HAS BEEN DESIGNATED AS YOUR EMERGENCY ADDRESSEE' (If answer is "No*
explain why in item 6.)
YES
NO
The persons named in item 3 above may also be notified in case of emergency. If such notification is not desirable because of
health or other reasons, please so state in item 6 on the reverse side of this form.
CONTINUED ON REVERSE SIDE
CURRENT RESIDENCE AND DEPENDENCY REPORT
4-60
FORM 61 USE PREVIOUS
EDITIONS.
CONFIDENTIAL
(4)
14-00000
SECRET
Supplement to Staff Employee Personnel
Action for Integration of David A. Phillipa
Effective 23 August 1961
The purpose of this memorandum is to call your attention to existing
policies which are particularly material to you while you are integrated
and to set forth certain rights and obligations which are incident to your
status as an appointed employee. It is hereby agreed and understood that:
1.
As an employee of this organization, at the present grade and
salary of 2-14 $12.730 per annum, you will accept cover employ-
ment with another instrumentality of the Government (hereinafter referred
to as "your cover facility") effective as of 23 August 1961
You will, insofar as consistent with your basic responsibility to this
organization, abide by all the rules, regulations, practices and policies
of your cover facility, in order to appear as a conventional member of
that establishment. Your appointment to your cover facility is being
effected at FSR-3
and salary of $12,535 per annum.
You are prohibited, except as specifically authorized herein, from retain-
ing emoluments paid by your cover facility.
2. It is understood and agreed that the minimum period of your
overseas tour of duty is governed by and coincident with the prescribed
tour of duty of your cover organization. Currently, your prescribed tour
⠀ consists of a period of twenty-four months from the date of your arrival
at your overseas post of duty. Your assignment may be terminated earlier
for the convenience of this organization and the length of your tour of
duty, as currently specified, may be unilaterally changed by this organi-
zation in order to conform with subsequent changes in the prescribed tour
of your cover facility. If you request termination of your overseas
assignment solely for your own convenience, unless it is for circum-
stances that are considered by this organization to be beyond your control
or if you are terminated for cause under the regulations of this organiza-
tion before you have completed the minimum period of service prescribed
above from the date of arrival at your overseas post of duty, you will
not be entitled to return travel or transportation for yourself or your
dependents to the United States at Government expense. If you request
termination of your overseas assignment solely for your own convenience,
unless it is for circumstances that are considered by this organization
to be beyond your control or if you are terminated for cause under the
regulations of this organization before you have completed one (1) year
of service from the date of your arrival at your overseas post of duty,
you will be required to reimburse the Government for all of its expenses
for your travel and transportation, and that of your dependents, from
the continental United States to such overseas post of duty.
Form
9-60
Obsolete Previous
1535
Edition
SECRET
-(4-12)
14-00000
SECRET
3. Travel to your post of duty overseas and your return travel to
the United States, as well as travel performed overseas which is consis-
tent with your cover designation, will normally be at the direction of
your cover facility. Such travel will be accomplished in conformance
with applicable regulations of your cover facility except when you are
directed for operational reasons to perform travel in accordance with the
regulations of this organization.
4. Salary and (except as provided in paragraph three (3) abova)
allowances paid by your cover facility shall be retained by you to the
extent that they are less than or equal to the salary and allowance
payments due on the basis of your grade level with this organization.
If such cover payments are less than the amount due, the difference will
be credited to your payroll account with this organization. If such cover
payments exceed the amount due, the overage will be remitted to this
organization at designated intervals, presently_
Computations hereunder will be made on the basis of the aggregate gross
due and received provided, however, that in computing remittances for
overage Federal and, if applicable, District of Columbia income taxes
withheld by your cover facility against the overage may be deducted. То
assure timely accuracy in your payroll account with this organization you
are expected to immediately report cover facility payroll changes.
5. Your status as an employee of this organization will continue
in full force and effect during your period of duty with your cover facility
and you will continue to be entitled to all rights, benefits and emoluments
of such status. Certain variations in procedure will be required, however,
to preserve the security of your cover position.
a. Upon integration into your cover facility, you will continue
to be covered by the provisions of the Civil Service Retirement Act,
as amended, and at your personal expense you will be subject to pay-
roll deductions for retirement purposes (now six and one-half per cent)
on the basis of your cover salary or your salary from this organization,
whichever is the greater.
b. If you receive taxable income from both your cover facility
and this organization, necessary adjustments for Federal, and if
applicable, District of Columbia income tax purposes will be made in
conformance with instructions received from this organization.
C.
Consistent with your cover activity, you will continue to be
responsible for compliance with the rules and regulations of this
organization.
d. You are not assured upon the completion of your period of
duty with your cover facility of any status with your cover based
on your services performed with that organization at the request of
this organization.
2
SECRET

14-00000
SECRET
All annual and sick leave which is accrued to your credit
at the time of integration will be transferred to your cover facility.
While integrated you will be permitted anmal leave, sick leave,
home leave, and leave without pay in accordance with the regulations
of your cover facility in lieu of the leave benefits of this organi-
zation. Upon completion of your integration your accrued anmal and
sick leave will be transferred to your credit with this organization.
If security conditions require that your cover facility make a lump-
sum payment for accrued animal leave, you will be required to pay the
grose amount thereof to this organization including any income tams
withheld by your cover facility.
..6.. You will be required to keep forever secret this agreement and
all other information which you may obtain by reason hereof, unless you
are released in writing by this organization from this obligation.
Violation of such secrecy may subject you to criminal prosecution under
the Espionage Laws, dated 25 June 1948, as amended, and other applicable
laws art regulations. The termination of your employment with this
organization will not release you from the obligation of any security
cath you may be required to take.
ACCEPTED:
Dan Ste
UNITED STATES GOVERNMENT
BY
3
i
Personnel Office
Form
9-60
Obsolete Previous
15350
Edition
SECRET
(4-12)
14-00000
S & CRET
TO
: Director of Personnel
PROI
:
Chief, HD
11 January 1961
SUBJECT: AMitional Conrensstion in Lieu of Overtine hyment
REF:
Femo dated 11 January 19/1 from SSA/DDS to DD/S,
approved by /S, Subject: "Employee Benefits for
JATA Personnel"; and leo dated 22 December 1960
from DD() to Deputy Director (Plans), Subject:
"Eurloyee benefits for Personnel Assine to ".
In accordance with referenced mero-anda, it is requested that the
rersonnel listed below be authorized to receive additional compensation
effective 8 January 1961, at the rate of 15% of their respective rates
of basic annual compensation (but not to exceed the
rate for a Minunuar
CS-9) in lieu of rayment of the regular overtime rates for irregular,
unscheduled and frequent overtime.
MALE
EMPIOYEE
Serial No.
TITUS
SALARY
56733-
OPS Officer
$14,055
MHSB, Robert A.
509360
Or Office:
12,990
DOUGLAS, Jesse. S.
229350
UPS officer
14.055
MILLIES, David A.
654500
OPS Officer
12,720
MA.CLI, Louis F.
012515
GS Officer
12,210
YUZIJZ, Malter P.
054733
OPS Officer
12,730
PET, John J.
55093
OPS Officer
11,575
WAR, Thomas J.
59794
Instructor (CPS)
99.955
HICKS, alvin W.
56361
Guerill: Warfare Officer
9.475
RILEY, Janes
50471
OPS Officer
5.850
IL50, Anthony L.
559127
CPS officer
7.820
BIAIR, William E.
60218
Instructor (OPS)
8.955
VENDALL, Sidney S.
059517
OPS Officer
11.155
REYNOLDS, Robert
55407
CFS Officer
12,470
PAS, Ernest W.
62285
Instructor (OES)
12,470
BC, Pravel S.
61901
OP. Officer
C,475
CARTWRIGHT, Cecil J.
57840
OFS Officer
9.215
CHELLING, Samuel J.
55622
AD Office™
7.820
NORALSS, David S.
53385
UPS Officer
12,210
KENT, William F.
559199
CrS Officer
9,215
All the above employees are on Allotment #535-5000-3021.
geking
APPROVED
Eiels
AETT J. SCHOLS
SCRET
ief, WHD
14-00000
STANDARD FORM 61
REVISED JUNE 1957
U. S. CIVIL SERVICE COMMISSION
F. P. M. CHAPTER AS
APPOINTMENT AFFIDAVITS
IMPORTANT:- Before swearing to these appointment affidavits, you should read and understand
the attached information for appointee
WASHINGTON, D.C.
CENTRAL INTELLIGENCE AGENCY
(Department or agency)
(Bureau or division)
DAVID ATLEE PHILLIPS
(Place of employment)
I,
A. OATH OF OFFICE
do solemnly swear (or affirm) that
I will support and defend the Constitution of the United States against all enemies, foreign and
domestic; that I will bear true faith and allegiance to the same; that I take this obligation freely
without any mental reservation or purpose of evasion; that I will well and faithfully discharge the
duties of the office on which I am about to enter, SO HELP ME GOD.
"
B. AFFIDAVIT AS TO SUBVERSIVE ACTIVITY AND AFFILIATION
I am not a Communist or Fascist. I do not advocate nor am I knowingly a member of any
organization that advocates the overthrow of the constitutional form of the Government of the
United States, or which seeks by force or violence to deny other persons their rights under the
Constitution of the United States. I do further swear (or affirm) that I will not so advocate,
nor will I knowingly become a member of such organization during the period that I am an em-
ployee of the Federal Government or any agency thereof.
C. AFFIDAVIT AS TO STRIKING AGAINST THE FEDERAL GOVERNMENT
I am not participating in any strike against the Government of the United States or any
agency thereof, and I will not so participate while an employee of the Government of the United
States or any agency thereof. I do not and will not assert the right to strike against the Govern-
ment of the United States or any agency thereof while an employee of the Government of the
United States or any agency thereof. I do further swear (or affirm) that I am not knowingly a
member of an organization of Government employees that asserts the right to strike against the
Government of the United States or any agency thereof and I will not, while an employee of the
Government of the United States or any agency thereof, knowingly become a member of such an
organization.
D. AFFIDAVIT AS TO PURCHASE AND SALE OF OFFICE
I have not, nor has anyone acting in my behalf, given, transferred, promised or paid any con-
sideration for or in expectation or hope of receiving assistance in securing such appointment.
E. AFFIDAVIT AS TO DECLARATION OF APPOINTEE
The answers given in the Declaration of Appointee on the reverse of this form are true and
correct.
14 more 1960
(Date of entrance on duty)
1
(Signature of appointee)
Subscribed and sworn before me this
11.th
March
day of
at
WASHINGTON, D.C.
(City)
(State)
{SEAL]
Caprith
(Signature of other)
Signature
PERSONNEL CLERK
60
A. D. 19.
(Title)
NOTE.-The oath of office must be administered by a person specified in 5 U. S. C. 18, or by a person designated to
administer oaths under Section 206, Act of June 26, 1943, 5 7. S. C. 16a. If by a Notary Public, the date of
expiration of his commission should be shown
1244
:
1
14-00000
DECLARATION OF APPOINTEE
This form is to be completed before entrance on duty. Answer all questions. Admitted unfavorable
information about such matters as arrests or discharges will be considered together with the favorable information
in your record in determining your present fitness for Federal employment. However, a false statement or
dishonest answer to any question may be grounds for dismissal after appointment and is punishable by law.
1. PRESENT ADDRESS (afreet and number, city and State)
- ALBAN TOWERS - 3500 MASS. AVE. WASHINGTON, D.C
& (A) DATE OF BIRTH
OCTOBER 31, 1922
& (A) IN CASE OF EMERGENCY, PLEASE NOTIFY
HELEN N. PHILLIPS
(B) PLACE OF BIRTH (city and State or city and foreign country)
FORT WORTH,
(B) RELATIONSHIP
Wife
TEXAS
|(C) STREET AND NUMBER CITY AND STATE
ALSAN TOWERS
(D) TELEPHONE NO.
3560. MASS, AVE., Wathic wo6-6400
& DOES THE UNITED STATES GOVERNMENT EMPLOY, IN A CIVILIAN CAPACITY, ANY RELATIVE OF YOURS (EITHER BY BLOOD OR MARRIAGE) WITH WHOM YOU LIVE OR HAVE LIVED WITHIN
THE PAST 24 MONTHS? ☐ YES ☑Th
If so, for each such relative hill in the blank below
NAME
If additional space is necessary, complete under Item 12.
(1) POSITION (2) TEMPORARY OR NOT
POST OFFICE ADDRESS
(Give street number, if any)
EMPLOYED
MAR SIN
RELATIONSHIP RIFO
GLE
(Check one)
2
1
1.
2.
1.
INDICATE ANSWER BY PLACING "X" IN PROPER COLUMN
5. (A) ARE YOU A CITIZEN OF THE UNITED STATES OF AMERICA, OR (B) AS A
NATIVE OF AMERICAN SAMOA DO YOU OWL ALLEGIANCE TO THE UNITED
STATES OF AMERICA?
6 ARE YOU AN OFFICIAL OR EMPLOYEE OF ANY STATE, TERRITORY, COUNTY, OR
MUNICIPALITY?
II your answer is "Yes," give detailo in Item 17.
7. DO YOU RECEIVE OR HAVE YOU APPLIED FOR AN ANNUITY FROM THE UNITED
STATES OR DISTRICT OF COLUMBIA GOVERNMENT UNDER ANY RETIREMENT
ACT OR ANY PENSION OR OTHER COMPENSATION FOR MILITARY OR NAVAL
SERVICET
If your answer is "Yes," give details in Item 12
& SINCE YOU FILED APPLICATION RESULTING IN THIS APPOINTMENT HAVE YOU
BEEN ARRESTED CHARGED OR HELD BY FEDERAL, STATE OR OTHER LAW
ENFORCEMENT AUTHORITIES FOR ANY VIOLATKIN OF ANY FEDERAL LAW,
STATE LAW, COUNTY OR MUNICIPAL LAW, REGULATION OR ORDINANCE? DO
NOT INCLUDE TRAFFIC VIOLATKINS FOR WHICH A FINE OF 125 OR LESS WAS
IMPOSED ALL OTHER CHARGES MUST BE INCLUDED EVEN IF THEY WERE
DISMISSED
If your answer is "Yes," give in Item 12 for each case:
(1) approximate date, (2) charge, (3) place, (4) action taken.
S SINCE YOU FILED APPLICATION RESULTING IN THIS APPOINTMENT, HAVE
YOU BEEN BARRED BY THE US. CIVIL SERVICE COMMISSKIN FROM TAKING
EXAMINATIONS OR ACCEPTING CIVIL SERVICE APPOINTMENTS?
If your answer is "Yes." give dates of and reasons for
such debarment in Item 11.
YES NO INDICATE ANSWER BY PLACING "X" IN PROPER COLUMN YES NO
10 (A) HAVE YOU EVER FILED A WAIVER OF LIFE INSURANCE COVERAGE
UNDER THE FEDERAL EMPLOYEES GROUP LIFE INSURANCE ACT1
(D) IF YOU HAVE FILED SUCH A WAIVER, HAS IT BEEN CANCELED OR
REVOKED?
11 SINCE YOU FILED APPLICATION RESULTING IN THIS APPOINTMENT·
A. HAVE YOU BEEN DISCHARGED FROM EMPLOYMENT BECAUSE
(1) YOUR CONDUCT WAS NOT SATISFACTORY?
(2) YOUR WORK WAS NOT SATISFACTORY?
B. HAVE YOU RESIGNED AFTER OFFICIAL NOTIFICATION THAT:
(1) YOUR CONDUCT WAS NOT SATISFACTORY?
(2) YOUR WORK WAS NOT SATISFACTORY?
C. HAVE YOU BEEN DISCHARGED FROM THE ARMED SERVICES UNDER
OTHER THAN HONORABLE CONDITIONS?
If your answer to A, B, or C is "Yes," give details in
Item 12 as early as you can remember, including the
name and addreas of employer, approximato date, and
reasons in each case
12. SPACE FOR DETAILED ANSWERS TO OTHER QUESTIONS (Indicate item numbers to which answers apply).
ITEM NO.
FTER NO
INSTRUCTIONS TO APPOINTING OFFICER.-You must determine that this appointment would be in conformance
with the Civil Service Act, applicable Civil Service Rules and Regulations, and acts of Congress pertaining to appointment.
This form should be checked for holding of office, pension, any record of recent discharge or arrest, age, citizenship, and mem-
bers of family. Also, to establish the identity of the appointee, you should particularly check (1) his signature and handwriting
against the application and for other pertinent papers and (2) his physical appearance against the medical certificate.
CPU : 04568
10-831053
14-00000
STANDARD FORM 144
REVISED SETEMBER 194
USE COMMISSION
FPM CHAPTERS LI. RL, AND 32
STATEMENT OF PRIOR FEDERAL CAN AND MILITARY SERVICE
AND DETERMINATION OF COMPETITIVE STATUS
IMPORTANT: The information on this form will be used (1) in determining creditable service for leave purposes and retention
credits for reduction in force, and (2) arding agency determination of competitive status.. The employee
should complete Part 1 and the Personnel Office should complete Parts II through V.
PART 1.—EMPLOYEE'S STATEMENT
1. NAME (Lost, first, middle initial)
2. DATE OF BIRTH
PHILLIPS, DAVID ATLEE
October 31, 197
3 LIST THE FOLLOWING INFORMATION CONCERNING ALL FEDERAL, AND DISTRICT OF COLUMBIA SERVICE YOU HAVE HAD
PRIOR TO YOUR PRESENT APPOINTMENT (Do not include marge service
PART 11-THIS COLUMN IS
FOR PERSONNEL OFFICE USE
& RETENTION GROUP
10. A. CSC STATUS ☐ vis
B. TYPE OF PRESENT
APPOINTMENT
ON
Cia
NAME AND LOCATION OF AGENCY
TO-
tt་ ་ ཡ་་ MAY YEAR
MITY DAY
א.
113.
TWTH &
APPOINTMENT
#AMAN
6.5
4. LIST FESIONS OF ACTIVE SERVICE IN ANY BRANCH OF THE ARMED FORCES OF THE UNITED STATES IF YOU HAD NO ACTIVE
MILITARY SERVICE, WRITE NONE.
DRANCH
ARGY AIR
Force
54
TO-
YEAR MONTH DAY 7234 MAIN DAY
DISCHARGE
(Hon. or diabon.")
-
Bitl
vistic
HOL.
13
31
11. SERVICE
YEAR
MONTH
(0
MAY
13
- 2
19
YES
5. DURING PERIODS OF EMPLOYMENT SHOWN IN ITEM & DID YOU HAVE A TOTAL OF MORE THAN 6 MONTHS ABSENCE
WITHOUT PAY, INCLUDING PERIODS OF MERCHANT MARINE SERVICE, DURING ANY ONE CALENDAR YEAR?
IF ANSWER IS "YES" LIST FOLLOWING INFORMATION.
12 TOTAL SERVICE
13. NONCREDITABLE SERVICE
(Leave purposes only):
FRA-
TO-
TYPE IF KNOWN
(LWOP. Furl, Susp. AWOL, Mer Mar)
ทษ HOXTY
DAY 1147
KORATH Mar
YEARS
TOTAL
SHENCH
DAYS
14. NONCREDITABLE SERVICE
(RIF purposes only):
5. DURING THE FEDERAL SERVICE LISTED IN ITEM 3, DID YOU ACQUIRE A PERMANENT COMPETITIVE CIVIL SERVICE STATUS?
YES ☑ NO
(I anewer is "Yes," in what agency were you employed at the time aratus was acquired?)
'S REEMPLOYMENT RIGHTS
☐ " YES ☐ 10
16. RETENTION RIGHTS
7. ARE YOU:
☐ YES
40
& THE WIFE OF A DISABLED VETERAN? ☐ YES ☑w
B. THE MOTHER OF A DECEASED ON DISABLED VETERANT ☐ YTS
C. THE UNREMARRIED WIDOW OF A VETERAN?
YES
& TO BE EXECUTED BEFORE A NOTARY PUBLIC OR OTHER PERSONS AUTHORIZED TO ADMINISTER OATHS.
I swear (or affirm) that the above statements are true to the best of my knowledge and belief.
14 MARCH 1940
(DATE)
Subscribed and sworn to before me on this
SEAL
_ day of.
(MONTH)
2
I h
(SIGNATURE)
17. EXPIRATION DATE OF RETEN-
TION RIGHTS
1960 at WASHINGTON, D.C.
(CITY)
Capriatti
¡STATE)
NOTE: If oath is taken before a Notary Pulse, the date of expiration of his Commission should be shown.
INSTRUCTIONS: File this form on the permanent side of the employee's official personnel folder immediately before or after the personnel
action Involved.
(OVER)
18-64459-3
14-00000
Part 111.-DETERMINATION OF COMPETITIVE STATUS.
quired by instructions in FPM Chapter 52.)
evidence:
(Complete for noncompetitive hires based on competitive status as re-
Employee has a competitive status. This determination is based upon the following
NAME OF AGENCY
SIGNATURE AND OFFICIAL TITLE
DATE
PART IV.-DETERMINATION OF CREDITABLE SERVICE AND SERVICE COMPUTATION DATE FOR LEAVE PURPOSES
TOTAL SERVICE
(Item 12)
NONCREDITABLE
SERVICE
(11em 13)
CREDITABLE
SERVICE
(Leave Purposes)
ENTRANCE ON
DUTY DATE
(Prevent Agency)
LESS CREDITABLE
SERVICE
(Leave Purposes)
SERVICE COM-
PUTATION DATE
(Leave Purposes)
Years.
Months
1960
5
03
✓
14
نمار
2.
る
Days
7
PART V-DETERMINATION OF CREDITABLE SERVICE AND SERVICE COMPUTATION DATE FOR REDUCTION IN FORCE PURPOSES. (Completo only in
those cases when the amount of creditable service for reduction in force purposes differs from the amount creditable for
leave purposos.)
Years
TOTAL SERVICE
NONCREDITABLE
SERVICE
CREDITABLE
SERVICE
(Item 12)
(Item 14)
(RIF Purposes)
ENTRANCE ON
DUTY DATE
(Present Agency)
LESS CREDITABLE
SERVICE
(RIF Purposes)
SERVICE COM-
PUTATION DATE*
(RIF Purpos08)
Months
Days
Bater as the "Service Computation Date" on the employee's "Service Record Card," SF 7
REMARKS:
ISSENT PRINTING OFFICEO 33457
14-00000
CONFIDENTIAL
When Filled By
INSTRUCTIONS. COMPLETE IN DUPLICATE. THE DATA RECORDED ON THIS FORM IS ESSENTIAL IN DETERMINING TRAVEL EXPENSES
ALLOWABLE IN CONNECTION WITH LEAVE AT GOVERNMENT EXPENSE, OVERSEAS DUTY, RETURN TO RESIDENCE UPON SEPARATION. AND
FOR PROVIDING CURRENT RESIDENCE AND DEPENDENCY INFORMATION REQUIRED IN THE EVENT OF AN EMPLOYED EMERGENCY. THE
ORIGINAL OF THIS FORMIDE FITO N THE EMPLOYEE'S OFFICIAL PERSONNEL FOLDER.
NAME OF EMPLOYEE
(Last)
(Firit)
(Middle)
AILEE
PHILLIPS
PLACE OF RESIDENCE WHEN APPOINTED
HAVANA, CUBA
DAVIR
RESIDENCE DATA
LAST PLACE OF RESIDENCE IN CONTINENTAL U.S. (If appointed abroad)
476 ROSE LANE, ANNALE
PLACE IN CONTINENTAL U.S. DESIGNATED AS PERMANENT RESIDENCE
2
4504 WASHOWAN, FORT
CHECK (*) ONE:
SINGLE
WORTH, TEXAS
✓
MARRIED
IF MARRIED, INDICATE PLACE OF MARRIAGE
FORT WORTH, TEXAS
IF DIVORCED, PLACE OF DIVORCE DECREE
MARITAL STATUS
SEPARATED
DIVORCED
*I DO WŁO
ANNULLED
DATE OF MARRIAGE
15. JUUE 1948
DATE OF DECREE
IF WIDOWED. INDICATE PLACE SPOUSE DIED
DATE SPOUSE' DIED
IF PREVIOUSLY MARRIED, INDICATE NAME(S) OF SPOUSE, REASON(S) FOR TERMINATION, AND DATE(S)
JORN HILDEBRANDT, DIVORCE DEGREE FOR
INCOMPATIBILITY)
3.
FORT WORTH, TEXAS,
MEMBERS OF FAMILY
---
--
1943
NAME OF SPOUSE
HELEN N. PHILLIPS
NAMES OF CHILDREN
MARIA LOUISE PHILLIES
DAVID A. CHILL.
ATLEE YOUNG SHILLipt
CHRISTENGER W
NAME OF FATHER=(Or male guardian)
EDIT. PHILLIP (DeceaceD)
NAME OF MOTHER (Ortegale guardian)
MARY LOUISE (FEASED
ADDRESS (No.. Street, City, Zone, State)
TELEPHONE NUMBER
ALBAN Tewers, 3500 MACERIE, DA, Dir WONLY totes
ADDRESS
ADDRESS
-
Nx.
NX
ADDRESS
SEX
E
AGE
10
3
F
"
M
TELEPHONE NUMBER
Na
TELEPHONE NUMBER
LA
WHAT MEMBER(S) OF YOUR FAMILY HAS BEEN TOLD OF YOUR AFFILIATION WITH THE AGENCY FOR EMERGENCY PURPOSES
WNIES, AND BROTHER (EINT PHILLIPS WASHBURN FORT WORTH, TX
4.
NAME (M
PHILELLE HELEN
PERSON TO BE NOTIFIED IN CASE OF EMERGENCY
(Last-Parut-Middle)
FLORENCE
ALBAN TOWERS)
HOME ADDRESS (No., Street, City, Zone, State)
3500 MASS, HUE
BUSINESS ADDRESS (No. Street, City, Zone, State) AND NAME OF EMPLOYER, IF APPLICABLE
NOVE
IS THE INDIVIDUAL NAMED ABOVE WITTING OF YOUR AGENCY AFFILIATION?
RELATIONSHIP
HOME ELEPHONE NUMBER
ww 6-6400
BUSINESS TELEPHONE & EXTENSION
Nove
་་་
no
IS THIS INDIVIDUAL AUTHORIZED TO MAKE DECISIONS ON YOUR SEMALEY
☑
▼
"
DOES THIS INDIVIDUAL AND THAT HE HAS BEEN DESIGNATED AS YOUR EMERGENCY ADDRESSEET
TES
NO
THE PERSONS NAMED IN ITEM 3 ABOVE MAY ALSO BE NOTIFIED IN CASE OF EMERGENCY. IF SUCH NOTIFICATION IS NOT DESIRABLE.
BECAUSE OF HEALTH OR OTHER REASONS. PLEASE SO STATE IN ITEM & ON THE REVERSE SIDE OF THIS FORM.
5.
VOLUNTARY ENTRIES
INDICATE ANY BANKING INSTITUTIONS WITH WHICH YOU HAVE ACCOUNTS
FORT WORTH NATIONAL BANK FORT WORTH, TEXN
CONTINUED ON REVERSE SIDE
CURRENT RESIDENCE AND DEPENDENCY REPORT
FORM NO.
USE PREVIOUS
1 JAN 37
61
DITIONS.
CONFIDENTIAL
(4)
14-00000
5. (CONTINUED).
IN WHOSE NAME
THE ACCOUNTS LISTEDT
CONFIDENTIAL
(Thin Filled in)
DAVID A. PHILLIPS
SPECIAL ACCOUNT.
HAVE YOU COMPLETED A LAST BILL AND TESTAMENTS ”.
IF YES, WE'RE IS DOCUMENT LOCATED?
LAW OFFICES OF EDUSIN TAHILLIPS, TR, FURT WORTH NATIONAL
BALL BUILDING, FORT WORTH, TEXASAUTERAN 
EMERY
HAVE YOU EXECUTED A POWER OF ATTORNE
EDWIN T. PHILJ
O. IF YES, WHO POSSIBES THE POWER OF ATTORNEY!
FORT WORTH NATIONAL BANK BUILDING
6. ADDITIONAL DATA AND/OR CONTINUATION OF PRECEDING ITEMS
FGWORTH, TEK.
SIGNED AT
CATE
SIGNATURE
CONFIDENTIAL
14-00000
MEMORANDEN FOR:
SUBJECT
8 Credit Rofranco
You are advicod that the position for which you 1470 beer;
hired is of a sensitive tax that 10 ARE NOW TO IDENTIFY
YOURSELF WITH THIS AGENCY FIt_candit_190venen er for any other
xpose
You are to dforegist that portion of the lorday norriding
Pursonnal EOD Orientation at the Monday morning Security Intro
duction (which you will rodbine during your second or third wek
with the Agency) which author fortain wol to identify
buchselvan with this agency, when toes, for ercit, rental opresioni,
and like purposes.
3. To will be ordeal by Han ɖ6 to the
In or need adfintion. If ai.
ang Muda pavar dilicalion, the uncatat ni young orrengo un
aupydamont through your
to see the Sect
Offieur responsible Dep you? cuivity,
have read the above and understar
with a Centra instance Age
far ay other purpose.
14 1960
Data
G. A super
Director of Personnel.
that I am not to associa to
for edit reference (r
Sigante of Explores
14-00000
SECRET
STAFF AGENT LETTER OF APPOINTMENT
Mr.
Dear Mr. Phillipic
1. Pursuant to the authority vested in me by section 5.2 of the
Confidential Fund Regulations, you are hereby appointed a Staff Agent of the
Government at an initial salary of $10, 320, grade GS-14, effective as of
FEB
1956
2. As a Staff Agent of the Government, you are an appointed employee
of the Government and as such are entitled to all the emoluments of, and
subject to the restrictions of, that status. As a Staff Agent, you will under-
take certain cover employment or activities as directed by the Government.
Your Federal income taxes will be reported and paid in conformance with
AFN 20-660-4, dated 26 November 1954, and/or any subsequent Government
issuances promulgated on this matter.
3. As an appointed employee of the Government, you are required to
make certain contributions to the Civil Service Retirement Fund. "In the event
that you are paid through a cover facility, you will be required to return to
the Government at such times and in such manner as it shall direct the
required contributions (presently six per cent (6%) of your gross salary). If
the conditions of your cover require that you make contributions to the Social
Security Fund, such contributions will be at your expense.
4. (a) In addition to your basic salary, you will be entitled to any
post differential, living-quarters allowances, cost-of-living allowances
(except post allowance), or other allowances that are granted Government
employees stationed at the same permanent post of duty abroad. You will
account for such allowances in compliance with applicable Government
regulations.
(b) In addition to the above payments, effective upon the arrival
of you and your dependents at your initial permanent post of duty overseas
you will be entitled to an equalization allowance calculated at the rate of
$3, 670 per annum. This allowance is in lieu of any present or future
standardized post allowance established for your initial permanent post of
duty overseas, but is subject to the entitlement provisions applicable to
standardised post allowances. It is understood and agreed that this allowance
is predicated upon the comparative cost of living between Washington, D. C.,
and your overseas post, your unofficial cover, family status and basic
compensation. Consequently, this allowance may be unilaterally adjusted
or discontinued by the Government whenever warranted by a change in any of
these factors. No accounting will be required for this allowance.
SECRET
:
1

14-00000
5. You will be advanced or reimbursed funds for necessary expenses
including travel and operational expenses which are authorized by the Govern
ment or your cover. Accountings for such expenses will be in compliance
with applicable Government regulations unless such accounting is inconsistent
with the practices of your cover facility. If the policies of your cover facility
relating to payment of travel and transportation expenses differ from those of
the Government, and if you are paid through your cover facility, you will
receive and retain the amount paid by your cover without regard to Govern-
ment regulations.
744
6. (a) It is specifically understood and agreed that as an appointed
employee of the Government you are entitled to receive and retain only the
salary, allowances, and other benefits which are commensurate with your
appointed position and salary grade except as provided in paragraph.five (5)
above and paragraphs six (6), (b) and (c), below. Any compensation that you
may receive from your cover facility will be offset against your salary from.
the Government, and you will return to the Government any salary, allowances
and other pecuniary benefits which in the aggregate exceed your Government
salary allowances and other pecuniary benefits. You will report to the
Government not less than semi
ss than, semi
-annually any sums received from your cover
facility.
(b) It is understood and agreed that any fees derived from the
remaining three (3) lectures on your current lecture tour will not be subject
to the offset provisions of this agreement. It is further understood and agreed,
however, that said lectures will be made by you while on annual leave and that
you will be solely responsible for all expenses incidental thereto. Subsequent
to the completion of said three (3) lectures, the income derived from any
additional lectures will be presumed to be income derived from cover
activities and will, therefore, be subject to offset unless specifically excluded
by an amendment hereto.
(c) It is understood and agreed that should a specific manuscript.
the title to which is set forth in your operational letter of instructions, be
published during your tour of duty hereunder, the income derived therefrom
will not be subject to offset as said manuscript was completed in its entirety
prior to your appointment as a Staff Agent.
7. It is understood and agreed that your overseas assignment is to be
for a minimum of two (2) years from the date of your arrival at your overseas
post of duty unless such assignment shall be sconer terminated by the Govern-
ment for its convenience. If, in violation of this letter, you terminate your
overseas assignment for your convenience at any time prior to the expiration
of two (2) years from the date of your arrival at your overseas post of duty,
you shall not be entitled to return travel or transportation for yourself or your
dependents from such post of duty to the United States; and, further, if, in
violation of this letter. you terminate your overseas aassignment for your
convenience prior to the expiration of one (1) year from the date of your arrival
at your overseas post of duty, you shall reimburse the Government for all its
expenses for your travel and transportation, and that of your dependents, from
the continental United States to such overseas post of duty.
8. It is expressly understood and agreed that any and all documents which
you may execute in the course of such cover employment are subordinate to
this letter and any contradiction in terms which .nay in any way appear to
amplify, extend or restrict your rights and/or obligations hereunder shall be
resolved by this letter which shall always be dominant.
14-00000
:
SECTE
9. Upon termination of your cover employment or activity; you will
revert to normal staff employee status, unless for good and sufficient cause,
such as misconduct or demonstrated incompetence, chat would Sa
opposed to the best interest of the Government.
10. If in the performance of your cover service, you assume the
custody of Government funds or take title of record to, property of any nature
whatsoever situate which property has in fact been purchased with monies
of the U. S. Government, you hereby recognize and acknowledge the existence
of a trust relationship, either express or constructive, and you agree to
execute whatever documents may be required by the Government to evidence
this relationship.
11. Instructions received by you from the Government in briefing or
training are a part of this letter and are incorporated herein. provided that
such instructions are not inconsistent with the terms hereof.
12. You will be required to keep forever secret this letter and all
information which you may obtain by reason hereof (unless released in
writing by the Government from such obligation), with full knowledge that
violation of such secrecy may subject you to criminal prosecution under the
Espionage Laws, dated 25 June 1948, as amended, and other applicable laws i
and regulations.
ACCEPTED:
Hadial Phillips
UNITED STATES GOVERNMENT
BY
Office of Personnel
14-00000
CONTRACT INFORMATION AND CHECK LIST
25
SECRET
"Complete #iltzen kuinserting W♥** when itpes
not applicable. Forward original and one cops for prop
nation of contract.
ECTION F
AME
2. PROJECT
CASE OFFICER
GENERAL
DIVISION
Hoy Malcolm
WH
TELEPHONE EXTENSION
DATE
2056
17 January 1956
' ALLOTMENT NO.
6. SLOT NO.
6-3545-55-055
BAF-125
PREVIOUS CIA PSEUDONYM ORALASES
Paul D. Langevin
L
SECURITY CLEARANCE (pe and date)..
Top Secret
6. INDIVIDUAL IS PRESENTLY ENGAGED ON HAS BEEN ENGAGED BY CIA OR ITS ALLIED
ACTIVITIES IN SOME CAPACITY
☐ NO
(If yo.. describe and
include salary)
Contract Agent, 1952 1954
Staff Employee as of 1 May 1955 - $10,320
.. CONTRACT IS TO BE WRITTEN IN STERILL FORM F.E... "U.S.
GOVERNMENT
☑
☐ no
10. PROPOSED CATEGORY (Contract agent.
contract employee, etc.)
Staff Agent
INDIVIDUAL WILL WORK UNDER "CONTROLLED CONDITIONS" I. REGULAR OFFICE
HOURS AWAY FROM SUBJECT'S HOME AND PERFORMED UNDER THE SUPERVISION OF
. STAFF EMPLOYEE OR STAFF AGENT
☐ TO
SECTION 11
PERSONAL DATA
11. CITIZENSHIP.
U.S.
120 IF NOT U.S. CITIZEN, INDIVIDUAL, IS A PERMANENT
RESIDENT ALTEN
13. AGE
☐
14. DATE OF BIRTH (Month, day,´year)”
31 October 1922.
16. CURRENT RESIDENCE (City and state of country)
949 Hose Lane, Falls Church, Va.
WIDOWED
0.
ANNULLED ☐ SEPARATED
15. LEGAL RESIDENCE (City and state or country)
4804 Washburn, Fort Worth, Texas, USA¨
17. MARITAL STATUS (Check as appropriate)
☐ HIABLE ☐ MARRIED
18 NUMBER OF DEPENDENTS (Not including individual)
RELATIONSHIP:
i
Wife
Daughter :
Son
Daughter :
Helen H. Phillips
Maria Louise Phillips
David A. Phillips, Jr.
Atlee Ioung Phillips
☑. DIVORCED
19. INDIVIDUAL IS RELATED TO A STAFF EMPLOYEE, STAFF AGENT OR
AN INDIVIDUAL CURRENTLY WORKING FOR THE AGENCY IN SOME
CAPACITY ☐ ts
RELATIONSHIP:
NO
IF RETIRED. INDICATE CATEGORY (Longevity, combat disablisty.
service disability non-combat)
SECTION 11
U.S. MILITARY STATUS
10. RESERVE
21. VETERAN
22.
No
Yes
13. BRANCH OF SERVICE
24. RANK OR GRADE
SECTION IV
27. BASIC SALARY
$10,320
-
123.
DRAFT ELIGIBLE
20.
VES
☑no
COMPENSATION
28. POST DIFFERENTIAL 29. COVER. (Breakdown, if any)
Yes
No
DRAFT DEFERMENT OBTAINED
BY CIA
☐
VES
☑
NO
30. TAXES TO BE WITHHELD BY
COVER
ALLOWANCES (NORMALLY GRANTED ONLY TO RESIDENTS OF THE UNITED STATES)
32. POST
33. OTHER
SECTION V
31. QUARTERS
34.
Yes
COVER (Breakdown, if any)
SECTION VI
35. TYPES
☑ CS
Newspaperman
DOMESTIC OPERATIONAL
TRAVEL
☐ YCE
NO
36. WITH DEPENDENTS
FOREIGN OPERATIONAL
☑
39. TRANSPORTED VEHICLE TO BE USED FOR
OPERATIONAL TRAVEL
☐ ..
37. HOUSEHOLD EFFECTS TO BE SHIPPED 38. PERSONAL VEHICLE TO BE SHIPPED
40.
☐ YES ☐ -.
☑ YO CI..
IF WITH DEPENDENTS STATE RELATIONSHIP, CITIZENSHIP, AGE AND DATE OF BIRTH
Helen H. Phillips, Wife, U.S. 36, March 29, 1919
Maria Louise Phillips, Daughter, U.S. 6, August 9, 1949
David A. Phillips, Jr., Son, U.S. 4, January 14, 1952
Atlee Young Phillips, Daughter, U.S. 2, February 18, 1953
47. PATMENT
AND ACCOUNTABILITY WILL BE IN CONFORMANCE BETW
SECTION 61
42. PURCHASE OF INFORMATION
46866671865
☐ POLICIES AND PROCEDUR
OPENATION A EXPENSES
47. ENTERTAIN
4. OTHER
49
PATHER? AND ACCOUNTY
WILL "1
WAN
14-00000
DA
SECRET
CONTRACT INFORMATION AND CHECK LIST
(CONTINUED)
SEE INSTRUCTIONS ON FIRST SHEET.
ACTION VITE
.
ASE OFFICE
Kay Malcolm
EPHONE
EXTENSION
DATE
2056
OTHER BENEFITS
WH
17 January 1956
BENEFITS (See Part XIV of Confidential Fund Regulations successor regulations for benefits applicable to various
categories of contract personnel.' If medical sectite are requested. are R 15:235 or becéensor regulatio48.)
SECTION 1X
.7.
STATUS
Staff Agent benefits
PROPOSED
COVER ACTIVITY
48.
TYPE
(Check)
POPSTARD
0128
CULTURAL.
EDUCATIONAL
cocAL
DANT
THEY WILL
SE EFFECTED ON. REIMBURSABLE BASIS
COMPLETE
PARTIAL
(Check) ☑ TBLISHED
18. IF COVER PAYMENTS ARE CONTEMPLATED.
TOURIST-
OTHER
NA
SECTION X
.O. OFFSET OF INCOME AND OTHER, EMOLUMENTS DERIVED FROM COVER ACTIVITIES°°(If lešá than total, justify in separate mome
attached hereto.)
SECTION XI
".
DURATION
DAYS
MONTHS- 2
OFFSET OF INCOME
་་་་་
PARTIAL
TERM
$2. EFFECTIVE DATE
YEARS
Upon Departure
mont
83. RENEGABLE
YEL
NO
54. TERMINATION NOTICE (Number of days)
SECTION XII
!
6. PRIMARY FUNCTION (FI, PP, other)
SECTION XII
PP
SS. FORFEITURE OF RETURN TRAVEL FOR RESIGNATION PRIOR TO CONTRACT TERMINATION
☑ yrs
☐ ..
.7. GENERAL DESCRIPTION OF DUTIES TO BE PERFORMED
SECTION XIV
PP Officer, Cuba
58. EXPERIENCE
FUNCTION
DUTIES
QUALIFICATIONS
Contract Agent 1952-1954 in Chile
Contract Agent 1954 (PBSUCCESS & PEHISTORY)
Covert Associate 1954-1955
59. EDUCATION
GRADE SCHOOL
05-204
ADUATE
TOADE SCHOOL
GRADUATE
Check Highest
Loval Attained
60. LANGUAGE COMPETENCY
BUSINE35 SCHOOL GRADUSTE
COLLEGE (No degree)
COMMERCIAL SCHODK SADUATE
GRADUATE
LANGUAGE
LAD
61.
(Check Appropriate
Degree Competency
SPEAK
WRITE
LDER
PascoTAVERAGE POONFLUENT
Spanish
Branch
✗
✗
x
12.
AREA KNOWLEDGE
Latin America, Europe
SECTION XV
PRIOR EMPLOYMENT
13. JOB AND SALARY PRIOR TO SERVICE FOR CIA
Y
Self employed: Newspaper editor and publisher; lecturer.
SECTION AVI
4. ADDITIONAL OR UNUSUAL REQUIREMENTS
ADDITIONAL INFORMATION
JUSTIFICATIONS 20 EXPLANATIONS ( other side if nocorracy)
2976
INDIVIDUAL'S
COUNTRY OF ORIGIN
U.S.
at 30
428 00
14-00000
CONET VENTURE
You will utilise your established cover as a newspaper publisher
and lecturer on Latin American affairs resident in Santiago, Chile.
You have chosen to live temporarily in Cuba because of unfulfilled
lecture contracts in the United States. You have not returned to your
business in Santiago because of the great expense of traveling between
Chile and the United States. You will, in fact, roturn to the United
States on two occasions to deliver lectures contracted before your
employment as a Staff Employee of this Agency. (February 14 and 15
in Sioux Falls, South Dakata, and Wichita, Kansas; and March 13 in
Palm Beach, Florida). You are strictly enjoined against using any
material relating to intelligence or other covert activities. You are
advised that the income received from the three scheduled lectures
shall not be subject to the offeet provisions of midi digika
(this letter of instruction). It is understood that the lectures will
be made while on annual leave and that all expenses incidental thereto
will be met by you. At some future date, should it be decided that you
should renew your lecture activities, the decision as to whether or not
the income will be subject to offset provisions will be made at
Headquarters.
are
You also informed that should the manuscript entitled "Popcorn
nov
in the Andes", in the hands of your literary agent, be published
during your tour of duty the income therefrom will not be subject to
the offect provisions of this contract.
14-00000
CONTRACT INFORMATION AND CHECK LIST
SECRET
CAST COPICER
Robert S. Goralski
TELEPHINE EXTENSION
DID Mul argiscable
retin of conton. I
SECT, I
Feirard original and one copy far steg.
GENERAL
3548
VISION
NEA
DATE
9 May 1957
3.
ALLOTMENT NO.
.. SLOT 60.
NAME
2. PROJECT
PECTATE
3. PREVIOUS CIA
O ALIASES
INDIVIDUAL IS PRESENTLY INGAGED
ACTIVITIES ON SOME CAPACITY
include salary)
*
HAS
Staff Agent, H
BEEN ENGAGED BY LIA OR ITS ALLER
☐ ☐ (If you doncride and
$10,535.00
.7. SECURITY CLEARANCE" (Type and date)
Top Secret, 1 April 1955
CONTRACT IS TO BE DRITTEN IN STERILE FORM 1.L.. "W. S.
GOVERNMENT
INDIVIDUAL BILL WORK UNDER "CONTROLLED-CONDITIONS E REGULAR OFFICE
HOURS AWAY FROM SUBJECT'S HOME AND PERFORMED UNDER THE SUPERVISION OF
A STAP EMPLOYEE OR STAFF AGENT
SECTION IT
11. CITIZENSHIP
U.3.A
"
10. PROPOSED CATEGORY (Contract agent.
contract employee, etc.)
Staff Agent
* རྩྭ ཁ
PERSONAL DATA
" IF NOT U.S. CITIE
RESIDENT ALTEN
INDIVIDUAL ISTENT
"
AGE
34
14. DATE OF BIRTH (North, day, year)
31 Oct. 1922
is. LEGAL RESIDENCE (City and state or country)
4804 Washburn, Fort Worth, Texas
17. MARITAL STATUS (Check NO appropriate)
☐ SINGLE
16. CURRENT RESIDENCE (City and state or country)
MARRIED ☐ GIOCOLD
ANNULLED
18.
18. NUMBER OF DEPENDENTS (Not including individual)
RELATIONSHIP:
Fives Wife and four children
SEPARATE
DIVORCED
INDIVIDUAL IS RELATED TO A STAFF EMPLOYEE. STAFF AGENT OR
AN INDIVIDUAL CURRENTLY WORKING FOR THE AGENCY IN SOME
CAPACITY
RELATIONSHIPI
VES
SECTION 11
20. RESERVE
123.
N.A.
BRANCH OF SERVICE
N.A.
21. VETERAN
World War II
24. RANA OR GRADE
N.A.
U.S. MILITARY STATUS
12 2. IF RETIRED. INDICATE CATEGORY (Longevity, combat disabitaty,
service disability non-combat)
23. DRAFT ELIGIBLE
NO
N.A.
YES ☑ NO
26 DRAFT DEFERMENT OBTAInto
BY CIA
SECTION IV
27.
BASIC SALARY
535 C3-142.
$10,320.00
COMPENSATION
28. POST DIFFERENTIAL 29. COVER (Break down.
$585.00
if any)
30. TAXES TO BE WITHHELD BY
COVER
ALLORANCES (NORMALLY GRANTED ONLY TO RESIDENTS OF THE UNITED STATES)
32. POST
33. OTHER
☐ VES
SECTION V
31. QUARTERS
$3,000.00
34 COVER (Breakdown, if any)
SECTION VI
35. TYPES
☑ .cs
137.
$585.00
TRAVEL
36. WITH DEPENDENTS
COMESTIC OPERATIONAL
OPERATIONAL
FOTO
☑ VIS
38.
PERSONAL VEHICLE TO BE SHIPPED
☐ No
☑ YIS ☐ -O
30. TRANSPORTED VEHICLE TO BE USED FOR
OPERATIONAL TRAVEL
☐ ..
☑ yes 口
HOUSEHOLD EFFECTS TO BE SHIPP
☑::
40. IP WITH DEPENDENTS STATE RELATIONSHIP, CITIZENSHIP. AGE AND DATE OF BIRTH
Wife: Helen H. Phillips, U.S.. 38, 29 March 1919
Daughter:
Daughter:
Son:
Maria Louise Phillips, U.S., 7, 9 Aug. 1949
Atless Young Phillips, U.S., 4, 18 Feb. 1953
David A. Phillips, Jr., U.S. 5, 14 Jan. 1952
Child approx. 5 mos., U.S.
Prient luiter OK.
каш
Kaw - 37
41. PAIMENT AND ACCOUNTABILITY WILL BE IN CONFORMANCE BỊ TH
REGULATION
].. པད་ ང་་་
AND Pocibu
SECTION-YEE
OPERATIONAL EXPENSES
MAS of infoATION
43. ENTER:
$4. OTALE
H.A.
N.A.
H.A.
PONENT AND
acuta INCANTA
14-00000
WITK
CONTRACT INFORMATION AND CHECK LIST
(CONTINUED)
SEF INSTRUCTIONS ON FIRST SHEET
SECTION VIS
SECRET
ASE OFFICE
}
Robert S. Goralski
TELEPHONE EXTENS/54
3548
OTHER BENEFITS
DATE
NEA
9 May 1957
BENEFITS (See Part XIV of Confidonisal Pund Regulations or UCC regulations for benelite applicable to vertoue
categories of contract personnel. If ordical benefits are requented, sea #15-710 or ANCO régulations.)
Usual staff employee benefits
COVER ACTIVITY
PROPRIETARY
SUBSIDIZ10
CULTURAL
tourarsoUAL
SECTION 1X
47.
40.
STATUS
(Check)
PROPOSED
TYPE
(Chock)
43. IF COVER PAYMENTS ARE CONTEMPLATED; THEY WILL
☐
SE EFFECTED ON REIMBURSABLE BASIS
COMPLET
☑ COUNSOCIAL
TOU ST
WILITA
OTHER
PARTIAL
SECTION X
OFFSET OF INCOME.
SO. OFFSET OF INCOME AND OTHER EMOLUMENTS. DERIVED FROM COVER ACTIVITIES (If less than totál, justify in separate memo
attached 'hereto.)
☑ TOTAL
PARTIAL
1007
SECTION XI
St.
DURATION
DAYS
MONTHS
.2
se. TERMINATION NOTICE (Number of days)
SECTION XH
56. PRIMARY FUNCTION (PT. PP, other)
PP
TERM
$7.
EFFECTIVE DATE_
Upon departure
$3. RENEWABLE
☐ No
$5. FORFEITURE OF RETURN TRAVEL FOR RESIGNATION PRIOR TO CONTRACT TERMINATION
FUNCTION
☑es
☐ ..
SECTION XIII
37.
GENERAL DESCRIPTION OF DUTIES TO BE PERFORMED
DUTIES
Ostensible Assistant to the Director of a Lebanese radio and television center, perform
Liaison functions between the Chief of Station, Beirut, and the Center; provide thematic
guidance to the Center in its output in accordance with Agency needs in support of
HEMANTLED projects.
SECTION XIV
50.
EXPERIENCE
QUALIFICATIONS
PP operations officer in the development, management and supervision of radio broadcasting
facilities; professional experience in several media, particularly newspapers and radio.
SO. EDUCATION
1 Check Highest
2)
Level Attained
60. LANGUAGE COMPETENCY
Check Appropriate
Degree Competency
2.
ARE A KNOWLEDGE
GRADE
SCHOOL
HIGH SCHOOL GRADUSTE
TOGGL SCHOOL GRADUATE
SPEAK
COLLEGE DEGREE
WRITE
NOCOCIAL SCHOOL GRADUATE
POST GRADUATE
DEAD
BUSINESS . CHOCL SNOGUATE
X COLLEGE (No degree)
LANGUAGE
Spanish
French
German
PALENT AVence Poo FLUENT AVERAGE POOR FLUENT ALCHASPOON
x
I
✗
Central and South America; North Africa; Italy
SECTION *V
PRIOR EMPLOYMENT
Χ
3. 236 AND SALARY PRIOR TO SERVICE FOR CIA
Editor and publisher, lecturer, actor and free-lance writer.
×
✗
SECTION XVI
..
ADDITIONAL INFORMATION
ADDITIONAL OR UNUSUAL REQUIREMENTS. JUSTIFICATIONS OR EXPLANATIONS (the other side it necessory)
Assignment to Project PECTATE should be effective 30 April 1957
DATE
TUPER
NA PHO
61. INDIVIDUAL'S
COUNTRY OF ORIGIN
U.S.A.
☐ ....
APPROVAL
OFFICER
TYPED NAME
1.Ayet of SENIOR STAFF OFFICE
14-00000
TR
1. NAME (Loot)
3.
Chatim
CONFIDENTIAL
When Filled To).
(First),'
ddle
THE FOLLOWING AGENCY SPONSORED INSURANCE PROGRAMS HAVE BEEN EXPLAINED TO ME
AGENCIES EMPLOYEES PROTECTIVE ASSOCIATION (HAEPA)
☑
&&0
GROUP HOSPITALIZATION INCORPORATED (GNZ)
MUTUAL BENEFIT OF OMANA. HOSPITALIZATION
UNITED LIFE INSURANCE (UBLIC)
AND TRIP INSURANCE
☐ LED DISEASES *.
2 THIS DATE
ގގ
2055
✓ INCUNT
REPLACEMENT
* CASH PAYMENT OF PREMIUMS AT THE
EMPLOVEL APPLIES FOR INSURANCE MUST
LOVED THE PERIOD O. TIME HE BILL OF
ADAY
HEADQUARTERS,
TIME
ITINERARY (To be completed only for individuals making application for Air Trip Insurance)
M1 •OW PARTICIPATING, OR WOULD LIKE TO
PARTICIPATE
M THE INSURANCE PROGRAMS LISTED OFLOW.
SIGNATURE OF EMPLOYEE
Али с Вял
CASH PA13
DEDUCTIONS AUTHORIZED
DESIRED
NO HAVI
POLICY NUMBER
EACH PAY PERIOD
TYPE OF POLICY
Emptife
Thit of firsth
50
I DO NOT ELECT TO PARTICIPATE IN
ANY OF THE STATED INSURANCE PROGRAMS
EMPLOYEE
INTERVILNED BY
CPB (Signature)
CT Churman
SIGNATURE OF EMPLOYEE
1CD (Signature)
8
REMARKS
then completed, the original of this form should be forwarded to ThaB for Incorporation sn the employee's official
Personnel folder, The copy should be forwarded to CPB for retention in CPB fazer.
FORM NO. 797 REPLACES FORM 27-190
1 SEP
WHICH S OBSOLETE.
INSURANCE QUESTIONNAIRE
CONFIDENTIAL
(4)
14-00000
2.
TR
CONFIDENTIAL
•(when Filled in)
RESIDENCE AND DEPENDENCY REPORT
INSTRUCTIONS: Submii in duplicate when ordered overavas or Whenever designated place of residence, marital or
dependency status changes. This information is important in determining travel expenses allowable in connec
tion with leave at Government expense, overseas duty, return to residence upon séparation, and in determining
transportation expenses allowable in connection with shipment of remains of employer or member of family.
NAME OF EMPLOYEE
(Lost)
Phillips
(Farat)
David
(Middle)
Atlem
RESIDENCE DATA
PLACE OF RESIDENCE WHEN APPOINTED
919-Rose Lane, Falls Church, Va.
LAST PLACE OF RESIDENCE IN CONTINENTAL U.S. (if appointed abroad)
PLACE IN CONTINENTAL U.S. DESIGNATED PERMANENT OR LEGAL RESIDENCE
1804 Washburn, Fort Worth, Texas.
3. MARITAL STATUS
SINGLE
MARRIED
☐ DIVORCED
PLACE OF MARRIAGE.
Fort Worth, Texas
PLACE OF DIVORCE DECARE
DATE OF MARRIAGE
5. June 1948
DATE OF DIVORCE DECREE
☐ 100WED
PLACE
SPOUSE DIED
ADDRESS
(Number)
ADDRESS
242
(Number)
"
(Street)
DATE SPOUSE DIED
(City)
(State) TELEPHONE
Rose Lane Falls Church Va. JE-3-9579
(Street) (City) (State) SEX
AGE
"
"
"
Female
"
H
"
"
"
"
Nale
Female
ADDRESS (Number)
(Street) (City)
(State) TELEPHONE
ADDRESS (Number)
(Street) (City)
(State) TELEPHONE
4. MEMBERS OF FAMILY
NAME OF SPOUSE
Helen Haasch Phillips
NAMES OF CHILDREN
Maria Louise Phillips
David Atlee Phillips, Jr.
Atlee Young Phillips
NAME
OF FATHER (or male guardian)
Deceased
NAME OF MOTHER (or female guardian)
Deceased
5. PERSON TO BE NOTIFIED IN CASE OF EMERGENCY
MAME
Edrin T. Phillips,. Jr..
ADDRESS
(Number)
(Street)
4804 Washburn
(City)
Fort Worth
(State)
Texas
RELATIONSHIP
Brother
TELEPHONE
632
THE PERSONS NAMED IN ITEM 4 ABOVE WILL ALSO BE NOTIFIED IN CASE OF EMERGENCY. IF SUCH NOTIFICA-
TION IS NOT DESIRABLE, DUE TO HEALTH OR OTHER PERTINENT REASONS, PLEASE SO STATE UNDER "REMARKS. "
VOLUNTARY ENTRIES
THE FOLLOWING AGENCY ENDORSED LIFE AND HOSPITALIZATION INSURANCE POLICIES ARE IN PORCE IN MY NAME: THE "POLICY
NO." SHOULD BE ENTERED IF POSSIBLE. SINCE THIS INFORMATION WILL ASSIST IN EXPEDITING ACTION BY THE INSURANCE
COMPANY SHOULD A CLAIM BECOME PAYABLE.
FULL NAME OF COMPANY
POLICY NO.
6.
U.S. Government Employee
Mutual of Omaha Hospitalization
ADDRESS OF HOME OFFICE
Washington, n.c.
Omaha, Neb.
I
GIF 1514
7. 1 HAVE COMPLETED THE FOLLOWING:
8. REMARKS:
Power of Attorney to:
SIGNED AT
Washington, D.C.
10R4 40.. 61 REPLACES FORM 37.79
' JUL 54
WHICH MAY BE USED.
WILL ☐
NO
POWER OF ATTORNEY ☑
YES
"O
Edwin P. Phillies,
r
4804 Washburn, Fort Worth, Texas.
Edmond K. Rannon
Casilla 1250, Santiago, Chile
DATE
27 December 1955
CONFIDENTIAL
SIGNATURE
C.Phas
(4)
14-00000
CERTIFICATE OF ATTENDANCE
I have attended
Note:
I certify that on
MAY 1: 1955
(DATE)
the Induction Course specified by Regulation 25-110.
молини с
Displayed
alerturn at the
Introduction 
Program
:
0
May 12
M.
PLACES FOR $1-121
CH WAY BE USED.
DAVID A. PHILLIPS
CLERICAL
OFFICE
(NAME) Please print
ЗТЕНОВНАРИЯС
/P/PP/130
GS.
14
(Grade)
☑
OTHER
(6)

14-00000
STANDARD FORM 61 (REVISED AUGUST 1909)
PROMULGATED BY CIVIL SERVICE COMMISSION
FEDERAL PERSONNEL MANUAL
APPOINTMENT AFFIDAVITS
IMPORTANT. Before swearing to these appointment affidavits, you should read and understand the
attached information for appointee
I,
CENTRAL INTELLIGENCE AGENCY
(Department or agency)
(Burrey or division)
DAVID A. PHILLIPS
WASHINGTON, D. C.
(Pime of employment)
do solemnly swear (or affirm) that-
A. OATH OF OFFICE
I will support and defend the Constitution of the United States against all enemies, foreign and
domestic; that I will bear true faith and allegiance to the same; that I take this obligation freely
without any mental reservation or purpose of evasion; that I will well and faithfully discharge the
duties of the office on which I am about to enter, SO HELP ME GOD.
B. AFFIDAVIT AS TO SUBVERSIVE ACTIVITY AND AFFILIATION
I am not a Communist or Fascist. I do not advocate nor am I a member of any organization
that advocates the overthrow of the Government of the United States by force or violence or other
unconstitutional means or seeking by force or violence to deny other persons their rights under the
Constitution of the United States. I do further swear (or affirm) I will not so advocate, nor will
I become a member of such organization during the period that I am an employee of the Federal
Government.
C. AFFIDAVIT AS TO STRIKING AGAINST THE FEDERAL GOVERNMENT
I am not engaged in any strike against the Government of the United States and that I will not,
so engage while an employee of the Government of the United States; that I am not a member of
an organization of Government employees that asserts the right to strike against the Government
of the United States, and that I will not, while a Government employee, become a member of such
an organization.
(D. AFFIDAVIT AS TO PURCHASE AND SALE OF OFFICE
I have not paid, or offered or promised to pay, any money or other thing of value to any person,
firm or corporation for the use of influence to procure my appointment.
E. AFFIDAVIT AS TO DECLARATION OF APPOINTEE
The answers given in the Declaration of Appointee on the reverse of this form are true and
correct.
1 April 1955
(Date of entrance on duty)
Subscribed and sworn before me this 23
day of
April
(Signature of appointee)
A. D. 19..55
at..
Washington,
(City)
[SEAL]
C
D. C....
(State)
adget
ature of off)
& DSC 16 & 16
(Titic)
NOTE.—If the oath is taken before a Notary Public the date of expiration of his commission should
be shown.
10-160-8
14-00000
DECLARATION OF APPOINTEE
This form is to be completed before entrance on duty. Answer all questions. Any false statement in this
declaration will be grounds for cancellation of application or dismissal after appointment. Impersonation is a
criminal offense and will be prosecuted accordingly.
JAKROON
1. PRESENT ADDRESS (arreet and number, city and State)
(A) DATE OF BIRTH
(B) PLACE OF DIRTH (city or town and State or country)
1952
3086727
3. (A) IN CASE OF EMERGENCY PLEASE NOTIFY
(B) RELATIONSHIP
(C) STREET AND NUMBER, CITY AND STATE
NELOW
STEN PAIph
WIFE
Re
(D) TELEPHONE NO.
& DOES THE UNITED STATES GOVERNMENT ÉMPLOY, IN A CIVILIAN CAPACITY, ANY RELATIVE OF YOURS (LITHER BY BLOOD OR MARRIAGE WITH WHOM YOU LIVE OR HAVE LIVED WITHIN
THE FAST SE MONTAS ☐ YES ☐ NO
If so, for each such relative hill in the blanks below
If additional space is necessary, complete under Item 10
POST OFFICE ADDRESS
MAKE
(Qive street number, if any)
(1) PLATION () TEMPORARY OR NOT
(3) DEPARTMENT OR AGENCY IN WHICH
MAR.
RELATION
RIFD
SHIP
EMPLOYED
SINGLE
(Check one)
1.
2
INDICATE "YES" OR "NO" ANSWER BY PLACING "X"
IN PROPER COLUMN
YES NO ITEM
NO
& ARE YOU A CITIZEN OF OR DO YOU OWE ALLEGIANCE TO THE UNITED STATES?.. ✗
& ARE YOU AN OFFICIAL OR EMPLOYEE OF ANY STATE, TERRITORY, COUNTY, OR.
MUNICIPALITY).
..If your answer is "Yes", give details in Item 10.
2. DO YOU RECEIVE ANY ANNITY FROM THE UNITED STATES OR DISTRICT OF
COLUMBIA GOVERNMENT UNDER ANY RETIREMENT ACT OR ANY PENLIGN OR
OTHER COMPENSATION FOR MILITARY OR NAVAL SERVICE?....
If your answ or is "Yes", are in Item 10 reason for retirement,
that is, age, optional disability, or by reason of voluntary
or involuntary separation after 5 years' service, aninunt of
retirement par, and under what retirement act; and rating.
if retired from matary or naval service
SINCE YOU FILED ADDERATION RESULTING IN THIS APPOINTMENT HAVE YOU!
BEEN DISCHARGED FORCED TO RESIGN, FOR MISCONDUCT OR UNSATIS
FACTORY SERVICE FROM ANY POSITION.
It your answer "You", give in Item 10 the name and address
of employer, date and reason in each case
R. HAVE YOU BEEN ARRESTED (NOT INCLUDING TRAFFIC VIOLATIONS FOR
WHICH YOU WERE FINED 15 OR LESS OR FORFEITED COLLATERAL OF 12% OR
LESS) SINCE YOU FRÅS AFPLICATION RESULTING IN THIS APPOINTMENT?..
If your answer is "Yes", 1st all such cases under Item 10
Give in each case. (1) The date, (2) the nature of the offense
or violation (3) the name and location of the court, (4) the
penalty imposed, # ary, or other disposition of the case
It appointed, your ingerprints will be taken
Х
*
× ☑
☑
X
1.
2
10. SPACE FOR DETAILED ANSWERS TO OTHER QUESTIONS
WRITE IN LOFT COLUMN NUMBERS OF ITEMS TO WHICH DETAILED ANSWERS APPLY
INSTRUCTIONS TO APPOINTING OFFICER
The appointing above before whom the foregoing certificate is made shall
determine to his own sat als tion that this appontinent would be in conformance
with the Civil Service Act, applicable Civil Service Rules and Regulations and
ts of Congress pertaining to appointment,
This form should be checked for holding of office, pension, suitability in con-
pection with any record of recent discharge or arrest, and particularly for the
following:
(1) Identity of appointed -It is the duty of the appointing offer to
guard against impersets and to determine beyond reasonable doubt that the
appointee 19 the SATG person whose appointment was authed. The
appy.anter's signature and handwriting are to be compared with the application
and or other aertinent papers. If the appointee qualified in a written enu-
nation, the signature on this form should be compared with the signature on
the declarations are which was signed in the examination room. is physica
parate may in and against the medical certis ate. The arpantre
may also be questioned on his personal history for agreement with us previous
statements
(3) 44-If definite age lirults have been established for the position, it should
be determined thất applicant is not outside the age range for appointment.
Until such determination is made, the appointment may not be conțiamated.
(3) Citizenship -The appunting officer is responsible for observe the
eitzenship provisions of (1) the Civil Service Rules and (2) appropriation acts,
Form 61 constitutes an affidavit for both purposes and is acceptable proof of
citizenship status in the absence of cutiating evide the co In doubtful as the
appantment should not be consummated until clea.ance has beca secured from
the certifying other of the Civil Service Communion.
(4) Mainbers of Family.--Section of the Civil Service Act provides that
whenever there are already two or more members of a family serving under
probational or permanent appointment in the competitive service, no other
member of such family is eligible for probational or permanent appointinent is
the competitive wave. The appointments of persons entitled to veteran
perf.reme are not subiect to this requirement. The members of family provision
docent apply to tempweary appointments Doubtful cases may be referred to
the appropriate offse of the Civil Service Commission for decision,
U. . T PANTING OFFICE
16-35100-
'
14-00000
NAME lait, Fire. MRACY
SECRET
And in)
REQUEST FOR MEDICAL EVALUATION
Phillips,
David A.
5 OFFICE. DIVISION BRANCH
DDO/LA
PRE-EMPLOYMENT
ENTRANCE ON DUTY
TRY STANDBY
7. PURPOSE OF EVALUATION.
LIL OF NIQUEST
29 Jan 75
3. POSITION TITLE
C/LAD
4 GRADE
GS-18
16 EMPLOYEE'S EXT.
5103
HDQS/TOY
OVERSEAS ASSIGNMENT
CTD
STATION
TOY OR PCS
TYPE OF COVER
SPECIAL TRAINING
ANNUAL
NO. OF DEPENDENTS TO ACCOMPANY
NO OF DEPENDENTS REPORTS OF MEDICAL
HISTORY ATTACHED
RETURN TO DUTY
FITNESS FOR OUTY
MEDICAL RETIREMENT
RETURN FROM OVERSEAS
8 OVERSEAS PLANNING EVALUATION (One block must be checked)
SIGNATURE
YES
NO
0 COMMENTS
ETA
STATION
NO. OF DEP.'S
9. REQUESTING OFFICER
Roky Ky
Kathy Hill, LA/TIAS EXT
A/Trag
ROOM NO. a BUILDING
305317 Hgs.
Subject has completed his Executive Annual.
11. REPORT OF EVALUATION
Qualified for IYBXXIFYX TDY Standby until 1 October 1975.
7431
SIGNATURE FOR CHIEF OF MEDICAL STAFF
William T. Golder, OMS/Registrar
DATE
4 February 1975
FORM
2.62
USE PREVIOUS
259
SECRET
EDITIONS.
128'
14-00000
SECRET
(When led in
REQUEST FOR MEDICAL EVALUATION
NAME
Frost, Xuda.# Į
POSITION TITLE
Phillips, David A.
(Dependents Of)
COS
5 OFFICE DIVISION BRANCH
Brasilia, Brazil
PRE-EMPLOYMENT
ENTRANCE ON DUTY..
TOY STANDBY
SPECIAL TRAINING
ANNUAL
7. PURPOSE OF EVALUATION
☐
HDQS/TOY
XX OVERSEAS ASSIGNMENT
TO
1. DATE OF REQUEST
10 May 1972
4 GRADE
GS-17
6. EMPLOYEE & EXT.
7431
STATION
August 1972
Caracas, Venezuela
TOY OR PCS
PCS
TYPE OF COVER
State (Integrated)
NO OF DEPENDENTS TO ACCOMPANY
five
NO OF DEPENDENTS REPORTS OF MEDICAL
HISTORY ATTACHED
RETURN TO DUTY
FITNESS FOR DUTY
MEDICAL RETIREMENT
29. Jul
28:54l
0900
1300
ko July
1300
2800
20 Jul1900
OVERSEAS PLANNING EVALUATION (One black must be checked)
YES
☐ NO
MAY
SIGNATURE
RETURN FROM OVERSEAS
STA
STATION
NO OF DEP S
REQUESTING OFFICER
Gear Perguson
ROOM NO. & BUILDING
8
10 COMMENTS
DEPENDENT
EXT
3D 5309 Has
7431
Please schedule appointments for the week of 10 July.
Virginia S. wife 26 Feb 43
Deborah Anne Adau
MiRN
25 Dec 59
Wynne Augherton
Todd
Kanit si
Bryan Moss 31 Dec 60.
11 REPORT OF EVALUATION
QUALIFIED FOR PCS
dan
12 Sep 64
son
3 Aug 70
28.56
$7 31 72.Jan 52
DATE
SPERRY PRESTON
FORM
2.Cu
259
USE PREVIOUS
EDITIONS
SECRET
NATURE FOR CHIEF OF MEDICAL STAFF
,
15 MAY
120,
14-00000
SECRET
(when it
REQUEST FOR MEDICAL EVALUATION
2. NAME (Low! First, Middle).
Phillips, David A.
3. OFFICE, DIVISION, BRANCH
DUP/H/COG
(dependents)
PRE-EMPLOYMENT
ENTRANCE ON DUTY
TOY STANDBY
SPECIAL TRAINING
ANNUAL
RETURN TO OUTY
FITNESS FOR DUTY
MEDICAL RETIREMENT
POSITION TITLE
Branch Chief
7. PURPOSE OF EVALUATION
MOOS/TOY
OVERSEAS ASSIGNMENT
B. OVERSEAS PLANNING EVALUATION (One black must be checked)
Y25
NO
TU
DATE OF BI QUEST
17. October 1969
4. GRADE
S-16
6. EMPLOYER'S EAT.
7451
o/a 28 December 1969
STATION
Rio de Janeiro
TOY OR PCS
PCS
TYPE OF COVER
State
NO. OF DEPENDENTS TO ACCOMPANY
7
I NO. OF DEPENDENTS' REPORTS OF MEDICAL
HISTORT (87) ATTACHED
"To be forwarded
RETURN FROM OVERSEAS
FTA
STATION
NO. OF DEP.'S
9. REQUESTING OFFICER
SIGNATURE-
and
Ruth A. Sanford
ROOM NO. BUILDING
3D5309 g
Wil Personnel
EXT.
6815
COMMENTS
Virginia S.
-
wife
- 26 Feb 43
Christopher Clark - son - 28 Dec 56
De SERAPHS
14. REPORT OF EVALUATION
25 Dec 59
QUALIFIED OS PCS
sperm laten),
231 69
Bryan Moss - son - 31 Dec 60
Wynn Ausherton
- son
-
12 Setp 64.
42 31 63
DATE
FORM
USE PREVIOUS
10 259. UDITIONS.
SPERRY PRESTON
SIGNATURE FOR CHIEF OF MEDICAL STAFF
SECRET
14-00000
SECRET
3. NAME East, First, Middle)
..
J
Phillips, David A.
OFFICE. DIVISION BRANCH (or overseas station and
existing cover if lateral assignment)
DOP/R/COG
7. PROPOSED STATION
Rio de Janeiro
9. TYPE OF COVER AT NEW STATION
DATE OF BIRTH
2.
GRADE
09-16
10/31/22
3. PRESENT POSITION,
Branch Chief
16. EMPLOYEE EXTENSION
7431
8. PROPOSED POSITION (Title, Number, Grade)
COS. # 0186, GS-00
10. ESTIMATED DATE OF
DEPARTURE
28 Dec. '69.
11. NO. OF DEPENDENTS TO
ACCOMPANY
7
State
12. COMMENTS
Vico Róbert D. Gahagon
State Integree
Form DS-1688 to be forwarded
13. DATE OF REQUEST
14. SIGNATURE OF REQUESTING OFFICIAL
Ruth A. Sanford
15. ROOM NUMBER AND BUILDING 16. EXTENSION
30 3309
6813
17. OFFICE OF MEDICAL SERVICES DISPOSITION
"
MEDICALLY QUALIFIED FOR.
PROPOSED OS PCS.
18.
19.
OFFICE OF SECURITY DISPOSITION
112 24 69
DONALD FARLSY
ERSEAS CANDIDATE REVIEW PANEL DISPOSITIO%
FOR 259**
1.00
COITTAN
REQUEST FOR PCS OVERSEAS EVALUATION
SECRET
(a)
14-00000
SECRET
(When Fill I b)
REQUEST FOR MEDICAL EVALUATION
2. NAME (Last First, Middle)
PHILLIPS David A.-
8. OFFICE, DIVISION, BRANCH
DDP/WH/COG
PRE-EMPLOYMENT
1. POSITION TITLE
Ops Officer.
1. PURPOSE OF EVALUATION
NDOS/TOY
OVERSEAS ASSIGNMENT
1. DATE OF RI,QUEST
4. GRADE
6. EMPLOYEE'S EXT.
B
ENTRANCE ON OUT Y
TOT STANDDY
SPECIAL TRAINING
ETO
22 May - 5 June 1968
STATION
Mexico City
TOY OR PES
TDY
TYPE OF COVER
Tourist
NO. OF DEPENDENTS TO ACCOMPANY
ANNUAL
NO. OF DEPENDENTS' REPORTS OF MEDICAL
HISTORY SE S ATTACHED
RETURN TO DUTY"
RETURN FROM OVERSEAS
FITNESS FOR OUTY
MEDICAL RETIREMENT
8. OVERSEAS PLANNING EVALUATION (One block must be checked
YES
NO
10.
COMMENTS
ETA
STATION
NO. OF DE P.'S
SIGNATURE
The
5. REQUESTING OFFICER
Mary C. Mernig)
ROOM NO. & BUILDING
305309
QUALIFIED FOR PRO
11. REPORT OF EVALUATION
TOY
REX HART
FURM
10:59 259 521-88
SIGNATURE FOR CHIEF OF MEDICAL STAFF
SECRET
EXT.
1:516
05-15
1203
14-00000
SECRET
(When Filled In)
REQUEST FOR MEDICAL EVALUATION
2. NAME (Last, First, Middle)
Phillips, David.
5. OFFICE, DIVISION, BRANCH
PRE-EMPLOYMENT
ENTRANCE ON DUTY
TOT STANDBY
SPECIAL TRAINING
ANNUAL -
Executive
RETURN TO DUTY
FITNESS FOR DUTY
MEDICAL RETIREMENT
3. POSITION TITLE
7. PURPOSE OF EVALUATION
☐ ☐
HDOS/TOY
OVERSEAS ASSIGNMENT
TD
STATION
TOY OR PCS
DATE OF REQUEST
6 September 1967
4. GRACE
GS-15
6. EMPLOYEE'S EXT.
TYPE OF COVER
I NO. OF DEPENDENTS TO ACCOMPANY
NO. OF DEPENDENTS' REPORTS OF MEDICAL
HISTORY (SF 49) ATTACHED
RETURN FROM OVERSEAS
ETA
STATION
NO. OF DEP.'S
8. OVERSEAS PLANNING EVALUATION (One block must be chicke
9. REQUESTING OFFICER
SIGNATURE
☐ ☐
YES
NO
10. COMMENTS
11. REPORT OF EVALUATION
DATE
FORM
10-30
ROOM NO. & BUILDING
DUTILS
PEX HART
SIGNATURE FOR CHIEF OF MEDICAL STAFF
259
USE PREVI04.07
SDITION 3.
SECRET
EXT.
(20)
14-00000
SECRET
(When Fi
REQUEST FOR MEDICAL EVALUATION
2. NAME (Leal, First, Middle)
PHILLIPS, David A.
_ (Deps of )
5. OFFICE, DIVISION, BRANCH
DDP/WH/3
PRE-EMPLOYMENT
ENTRANCE ON DUTY
TOY STANDBY
11.DATE OF REQUEST
3. POSITION TITLE
Ops Off
4. GRADE
GS-15
62 EMPLOYEE'S EXT.
5909
7. PURPOSE OF EVALUATION
☐ HDOS/TOY
☐☐
OVERSEAS ASSIGNMENT
FTD
STATION
IDY OR PC3
TYPE OF COVER
SPECIAL TRAINING
NO. OF DEPENDENTS TO ACCOMPANY
ANNUAL
RETURN TO DUTY
FITNESS FOR DUTY
MEDICAL RETIREMENT
MUSICA
RCTURNLE
WACK HARK
NO. OF OF PENDIENTS' REPORTS OF MEDICAL
HISTORY (
SF 4) ATTACHED
PETURN FROM OVERSEAS
ETA
STATION
Y QUALIFIESanto Domingo
NO. OF DI. P.'S
S. OVERSEAS PLAYING EVALUATION (One block must be checked)
57 25
YES
NO.
10. COMMENTS
Wife: Helen F.
Dau: Maria L.
Son:
David A
DOB
DOB
Aug 49
14 Jan 52
Son:
Atlee I DOB 18 Feb 53
Son:
Christopher
DOB 28 Dec 56
11. REPORT OF EVALUATION
DATE
FORM
USE PREVIOUS
10-30 259 EDITIONS.
Five
9. REQUESTING OFFICER
SIGNATURE
ROOM NO. BUILDING
SIGNATURE FOR CHIEF OF MEDICAL STAFE
SECRET
EXT.
(20)
14-00000
SECRET
(When Filled in)
REQUEST FOR MEDICAL EVALUATION
2. NAME (Last, First, Middle)
Phillips, David A.
3. OFFICE, DIVISION, BRANCH -
COB (1)
PRE-EMPLOYMENT
1. DATE OF REQUEST
31 October 1966
3. POSITION TITLE
4. GRADE
03-
6. EMPLOYEE'S EXT.
5903
7. PURPOSE OF EVALUATION
☐ ☐
HDQS/TOY
OVERSEAS ASSIGNMENT
ENTRANCE ON DUTY
TOY STANDBY
SPECIAL TRAINING
RTU
STATION.
TOY OR PCS
TYPE OF COVER
ANNUAL - • Executive
NO. OF DEPENDENTS TO ACCOMPANY
NO. OF DEPENDENTS' REPORTS OF MEDICAL
HISTORY (SF 89) ATTACHED
RETURN TO OUTY
FITNESS FOR DUTY
=
MEDICAL RETIREMENT
RETURN FROM OVERSEAS
ETA
STATION
NO. OF DEP.'S
8. OVERSEAS PLANNING EVALUATION (One black must be checked)
°
9. REQUESTING OFFICER
SIGNATURE
YES
NO
10. COMMENTS
ROOM NO. & BUILDING
QUALITY PUR CURRENT
DUTIES
11. REPORT OF EVALUATION
REX HART
DATE
PORN 259 PREVIOUS
10-30
EDITIONS.
SIGNATURE FOR CHIEF OF MEDICAL STAFF
j
SECRET
EXT.
(26)

14-00000
SECRET
(When Filled In) :
REQUEST FOR MEDICAL EVALUATION.
2. NAME (Last, First, Middle),
PHILLIPS, David A.
5. OFFICE, DIVISION, BRANCH
DDP/WH/3
PRE-EMPLOYMENT
3. POSITION TITLE
1. DATE OF REQUEST
June 64
4. GRADE
Ops Ofer
15
C. EMPLOYEE'S EXT.
x5909
7. PURPOSE OF EVALUATION
☐ ☑
HOQS/TOY
OVERSEAS ASSIGNMENT
ENTRANCE ON DUTY
TOY STANDBY
SPECIAL TRAINING
ANNUAL
RETURN. TO DUTY
ETO
3 July 64
STATION
Return to Mexico City
TOY OR PCS
PCS
TYPE OF COVER.
State Integree
NO. OF DEPENDENTS TO ACCOMPANY
5
NO. OF DEPENDENTS' REPORTS OF MEDICAL
HISTORY (SF 69) ATTACHED
-0
RETURN FROM OVERSEAS
FITNESS FOR DUTY
MEDICAL RETIREMENT
B. OVERSEAS PLANNING EVALUATION (One block must be checked)
YES
NO
10. COMMENTS
ETA
30 June 64
STATION
Mexico City, Nexico
NO. OF DEP.'S
5
SIGNATURE
9. REQUESTING OFFICER
Munay Berthall
Murray Renthall WH/Pera Ofer
ROOM NO. BUILDING
GH 4407 Ħgs.
EXT.
x5909
Will be in Aqs beginning 30 June until 3 July for TUY.
!
لمان
ن.
QUALIFIED FOR PROPOSED
11. REPORT OF EVALUATION
DATE
FORM
10-59
PCS
JOE W. CLINE
SIGNATURE FOR CHIEF OF MEDICAL STAFF
USE PREVIOUS
259
SECRET
EDITIONS.
July
(26)
14-00000
SECRET
(When Filled
REQUEST FOR MEDICAL EVALUATION
2. NAME (Lost, First, Midte)
PHILLIPS, DAVID A.
3. OFFICE, DIVISION, BRANCH
DDP:/WH/BRANCH 2
3. POSITION TITLE
COS
1. DATE OF REQUEST
27 JULY 1965
4. GRADE
15
6. EMPLOYEE'S EXT.
6576
PRE-EMPLOYMENT
7. PURPOSE OF EVALUATION
☐☐
NOQS/TOY
OVERSEAS ASSIGNMENT
ETO
ENTRANCE ON DUTY
TOY STANDBY
SPECIAL TRAINING
LATERAL TRANSFER
STATION
SANTO DOMINGO, D.R.
TOY OR PCS
PCS
TYPE OF COVER
DEPARTMENT OF STATE
NO. OF DE PENDENTS TO ACCOMPANY
ANNUAL
NO. OF DEPENDENTS' REPORTS OF MEDICAL
HISTORY (SF 89) ATTACHED
RETURN TO OUTY
RETURN FROM OVERSEAS
FITNESS FOR DUTY
MEDICAL RETIREMENT
B. OVERSEAS PLANNING EVALUATION (One block must be checked)
YES.
SIGN STURE
ETA
LATERAL TRANSFER
STATION
MEXICO CITY, MRXICO
NO. OF DEP.'S
9.-REQUESTING OFFICER
NO
10. COMMENTS
FRANK LANE.
WII PERSONNEL
ROOM. SOILDING
MR. PHILLIPS IS A DIRECT DRANSFER.
GR 56
11. REPORT OF EVALUATION
DATE
EXT.
6576
QUALIFIED FOR PROPOSED
S
JOB CLING
SIGNATURE FOR CHIEF OF MEDICAL STAFF"
3
57 30 65
USE PREVIOUS
SECRET
FORM
10-39 259 EDITIONS.
i
(26)
14-00000
SECRET
(When Filled in)
REQUEST FOR MEDICAL EVALUATION
2. NAME (Last, First, Middle)
PHILLIPS, David A.
5. OFFICE, DIVISION. BRANCH
DDP/WHO
PRE-EMPLOYMENT
ENTRANCE ON DUTY
TOY STANDBY
SPECIAL TRAINING
ANNUAL
RETURN TO DUTY
FITNESS FOR DUTY
MEDICAL RETIREMENT
3. POSITION TITLE
Ops Officer
7. PURPOSE OF EVALUATION
1025/107
OVERSEAS ASSIGNMENT
8. OVERSEAS PLANNING EVALUATION (One block must be checked)
YES
NO
10. REPARTOF
COMUNES
11. REPORT OF EVALUATION
DATE
FORM
USE PREVIOUS
10:30 259 EDITIONS.
1. DATE OF REQUEST
22 June 1961
4. GRADE
GS-14
6. EMPLOYEE'S EXT.
824,2
ETD
16 August 1961
STATION
Maxico City
TOY CR PCS
PCS
TYPE OF COVER
Dept of State
NO. OF DEPENDENTS TO ACCOMPANY
five
NO. OF DEPENDENTS' REPORTS OF MEDICAL
HISTORY (SF 89) ATTACHED
Form 89 a thanke (
☐ RETURN FROM OVERSEAS
EZA
STATION
KO OF CEPS
Subject's last physical exam was more than
a year ago.
SIGNATURE
9. REQUESTING OFFICER
Henry Costhook, Jr.
ROOM NO. & BUILDING
14:04 Barton Hall
10 AUG 196
SIGNATURE FOR CHIEF OF MEDICAL STAFF
SECRET
i
EXT.
8242
(26)
14-00000
SECRET
REQUEST FOR MEDICAL EVALUATION
2. NAME (Last, First, Middle)
PHILLIPS, David Atlea
3. OFFICE, DIVISION, BRANCH
Washington, D. C.
PRE-EMPLOYMENT
ENTRANCE ON DUTY
OVERSEAS RETURN
TOY STANDBY
3. POSITION TITLE
7. PURPOSE OF EVALUATION
OVERSEAS ASSIGNMENT
ETD
1. DATE OF REQUEST
12 April 1960
4. GRADE
CS-14
6. EMPLOYEE'S EXT.
STATION
15 April 1960
WH Area
TOY OR PCS
TOY
TYPE OF COVER
3960
SPECIAL TRAINING
NO. OF DEPENDENTS TO ACCOMPANY
Mona
NO. OF DEPENDENTS' REPORTS OF MEDICAL
HISTORY (SF 82) ATTACHED
ANNUAL
RETURN TO DUTY
FITNESS FOR DUTY
MEDICAL RETIREMENT
8. OVERSEAS PLANNING EVALUATION (One block must be checked)
9. REQUESTING OFFICER
SIGNATURE
YES
10. REPORT OF EVALUATION
DATE
N
8. 1. CHELLING.
ROOM NO. BUILDING
1016 Barton
SIGNATURE,
CHIEF OF MEDI
81 APR 1960
FORM
10-59 259 EDITIONS.
USE PREVIOUS
SECRET
EXT.
2277
ན
(28)
14-00000
"
*SECRET
い
(When Filled in)
REQUEST FOR MEDICAL EVALUATION.
2. NAME (Lost, First; MISKIN
FAVID A.
S. OFFICE, DIVISION, BRANCH
IPAR (5/6) Dovolɔ num. Cos Imant
PRE-EMPLOYMENT
ENTRANCE ON DUTY
OVERSEAS RETURN
TOY STANDBY
3. POSITION TITLE
7. PURPOSE OF EVALUATION
OVERSEAS ASSIGNMENT
ETO
STATION
TOY OR PCS
TYPE OF COVER
es/
1.DATE OF REQUEST
4. GRADE
་ ་ ་
22-14
6. EMPLOYEE'S EXT.
NO. OF DEPENDENTS TO ACCOMPANY
SPECIAL TRAINING
NO. OF DEPENDENTS' REPORTS OF MEDICAL
HISTORY (SF 89) ATTACHED
ANNUAL
RETURN TO OUTY
FITNESS FOR DUTY
MEDICAL RETIREMENT
B. OVERSEAS PLANNING EVALUATION (One bleck must be checked)
YES
NO
10. REPORT OF EVALUATION
DAYE
PLEASE AF DE
my jam. from 20
ED
9. REQUESTING OFFICER
SIGNATURE
ROOM NO. & BUILDING
1501
Curia
EXT.
430
secalified Cows from SAPSE
FORM
10-53 259 EDITIONS
USE PREVIOUS
SECRET
FOR CHIEF OF ME
126)
14-00000
$
SECRET
(When Filled in)
REQUEST FOR MEDICAL EVALUATION
3. POSITION TITLE
OPS 0
2. NAME (Leet, First, Middle)
PHILLIEN DAVID A..
8. OFFICE, DIVISION, BRANCH
DUPER CE/C Divelo mint Comlement
7. PURPOSE OF EVALUATION
☐ ☐ ☐ ☐
PRE-EMPLOYMENT
ENTRANCE ON DUTY
OVERSEAS RETURN
TOY STANDBY
OVERSCAS ASSIGNMENT
ETO
STATION
TOY OR PC3
.
TYPE OF COVER
1. DATE OF REQUEST
4. GRADE
6. EMPLOYEE'S EXT.
NO. OF DEPENDENTS TO ACCOMPANY
SPECIAL TRAINING
NO. OF DEPENDENTS' REPORTS OF MEDICAL
HISTORY (SP 82) ATTACHED
ANNUAL
RETURN TO OUTY
FITNESS FOR DUTY
MEDICAL RETIREMENT
8. OVERSEAS PLANNING EVALUATION (One block must be checked)
YES
NO
10. REPORT OF EVALUATION
DATE
9. REQUESTING OFFICER
SIGNATURE
ROOM NO. AUIL
EXT.
6397
FLACK ITE
DEPARTMENTAL DUTIES.
Sota lified Conversion from
from St.ASE
24 AR 1960
FORM
10-59 259 EDITIONS.
USE PREVIOUS
SECRET
ORY FOR CHIEF OF MEDIC
(26)
14-00000
SECRET
(When Filled in)
REQUEST FOR MEDICAL EVALUATION
2. NAME (Laez, First, Middle)
PHILLES, DAVID A..
5. OFFICE, DIVISION, BRANCH
3. POSITION TITLE
PPR CS/CL Develoment Complement.
7. PURPOSE OF EVALUATION
PRE-EMPLOYMENT
ENTRANCE ON DUTY
OVERSE AS RETURN
TOY STANDBY
OVERSEAS ASSIGNMENT
ETD
STATION
TOY OR PCS
TYPE OF COVER
1. DATE OF REQUEST
4. GRADE
CS-14
3. EMPLOYEE'S EXT.
NO. OF DEPENDENTS TO ACCOMPANY
SPECIAL TRAINING
NO. OF DEPENDENTS' REPORTS OF MEDICAL
HISTORY (SF 39) ATTACHED
ANNUAL
RETURN TO DUTY
FITNESS FOR DUTY
MEDICAL RETIREMENT
8. OVERSEAS PLANNING EVALUATION (One block must be checked)
YES
NO
10. REPORT OF EVALUATION
DATE
PLEASE EXPLOITE
9. REQUESTING OFFICER
SIGNATURE
ROOM NO. a
1506 Curio
SIGNATURE FOR CHIEF OF MEDICAL STAFF
FORM
10-39 259 COIT..
USE PREVICUS
SECRET
EXT.
8371
(26)
14-00000
SECRET
(When Filled br)
•REQUEST FOR MEDICAL EVALUATION
2. NAME (Last, First, Middie)
PHILLIPS, ATID A.
S. OFFICE, DIVISION, BRANCH
(DEPENDENTS)
IDP/H
11. DATE OF REQUEST
3. POSITION TITLE
OS OFFER
4. GRADE
14
6: EMPLOYEE'S EXT.
CS/13 Development Complement
7. PURPOSE OF EVALUATION.
PRE-EMPLOYMENT
ENTRANCE ON DUTY
OVERSEAS RETURN
TOY STANDBY
OVERSEAS ASSIGNMENT
ETO
STATION
TOY OR PCS
TYPE OF COVER
NO. OF DEPENDENTS TO ACCOMPANY
SPECIAL TRAINING
NO. OF DEPENDENTS' REPORTS OF MEDICAL
HISTORY (SP 89) ATTACHED
ANNUAL
RETURN TO DUTY
FITNESS FOR DUTY
MEDICAL RETIREMENT
6. OVERSEAS PLANNING EVALUATION (One block must be checked
SIGNATURE
YES
NO
10. REPORT OF EVALUATION
DATE
PLEASE EXPHITE
(DEPENDENTS)
9. REQUESTING OFFICER
POD H. Capriotti
ROOM NO. & BUILDING
1504 Curie
SIGNATURE FOR CHIEF OF MEDICAL STAFF
FORM
1989 259 EDITIONS.
USE PREVIOUS
SECRET
8371
(28)
14-00000
SECRET
(When Filled in)
MEDICAL ACTION REQUEST AND REPORT
1 REQUEST FOR PHYSICAL EXAMINATION BY
I. NAME (Lost)
PHILLIPS, DAVID A.
3. TO POSITION
Operations Officer (PP)
6. TYPE OF POSITION
] Pepartmental
JU.S. Field
Joversie's
{Firsts
".
OFFICE. DIVISION, SAUCH
DDP/4
7. EVALUATE FOR
EOO
Overseas
Returnee
Ralph 5. Pollock, C/CPD
(middle)
2. DATE
20 Jan 56
CS-14
5 GRADE
|Pre-Employment
Annual
Special (Specify)
Please notify Ken Wambold only, 2508 Curie Hall, x3585
11 REPORT OF MEDICAL EVALUATION
☐ Qualified for Full Duty (General)
☐ Qualified for Departmental-Duty Only
Remarke:
!
☐ Qualified, for Full Duty (Special)
☐ Disqualified
Subject is qualified for proposed PCS O/S assignment. (1-16-56)
LED IT
C.O
MEDICAL OFFICE
SECRET
(When Filled In)
MEDICAL ACTION REQUEST AND REPORT
1 REQUEST FOR PHYSICAL EXAMINATION BY
NAME
(Lastj
Phillips,
3. TO POSITION
(First)
David
4. OFFICE, DIVISION, BRANCH
NH
7. EVALUATE FOR
(Middlej
6. TYPE OF POSITION
Departmental
U.S. Field
Overseas
☐ EOD
Overseas
Returnee
2. DATE
12 Dec., 1955
5. GRADE
08-12
Pre-Employment
Annual
Special (Specify)
11 REPORT OF MEDICAL EVALUATION
☐
Qualified for Full Duty (General)
☐ Qualified for Departmental Outy Only
Remarks:
☐ Qualified for Full Duty (Special)
☐ Disqualified
Subject is qualified for proposed 7 days TDY assignment. (12/12/55)
Must have a physical examination on return form trip.
This memo supersedes previous qualification.
cal
MEDICAL OFFICE
14-00000
REQUEST
1. N'AME'
SECRET
(When Falled In)
MEDICAL ACTION REQUEST AND REPORT
HYSICAL EXAMINATION BY
PHILLIPS
3. TO POSIT
6. TYPE OF POSITION
Departmental
]U.S. Field
] Oversess
7161956
D'HUID
". OFFICE, DIVISION.
ATLEE
"N":""
7. EVALUATE FOR
EOD
Overseas
Returnee
2.
$30 955
AND 45-14
5. GRADE
Pre-Employment
Annual
Speciale (Specify)
11 REPORT OF MEDICAL EVALUATION
☐ Qualified for Full outy túeneral} *
☐ Qualified for Departmental Duty Only...
Remarks:
☐ Qualified for Full Duty (Special)
☐ Disqualified
Subject is qualified for proposed PCS 0/S assignment. (1/16/56)
MEDICAL OFFICE
C
MEDICAL ACTION REQUEST AND REPORT
(at)
1 REQUEST FOR PHYSICAL EXAMINATION SY
1. NAME
First;
PHILLIPS, DAVID A.
XXXKIERY
13. TO POSITION
10.
TYPE OF POSITION
] Departmental
U.S. Field
Xxxxxverseas
Guatamala
11 REPORT OF MEDICAL EVALUATION
☑ Qualified for Full Duty (General)
OFFICE, DIVISION, BRANCH
WH
7. EVALUATE FOR
Qualified for Departmental Duty Only
EOD
Overseas
Returnee
Remarks:
Qwissle!
2. DATE.
2 August 1954
5. GRADE
GS 12
Pre-Employment
Annual
Special (Specify)
☐ Nalified for Full Duty Specials
☐ Disqualified
WH #I
Full duty/General's-9-54).
Mr. GAHAGAN
* 3995
Спасі
Joapir J. Macie

14-00000
SECRET
(WHEN FILLED IN)
QUALIFICATIONS SYSTEM RECORD CHANGE
APPLICANT CODING DATA
1. 10
2. APPL. NO.
2 NAME
$1151879
MUST CONTAIN 20-DIGITS
• 2
•
1°
4 DATE OF BIRTH
мо
DA
15. DATE CODED
YR
MO
DA
YR
THE DATA ABOVE (ITEMS 2 THRU 5) WILL BE FILLED IN
WHEN CODING AN APPLICANT FOR THE FIRST TIME. THIS
°
FORM IS THEN ATTACHED TO FORM 1962. MASTER QUALIFICA
TIONS CODING RECORD.
1. 10 [2 EMPLOYEE NO. 3. NAME
<3
• 3
5. DATE SUBMITTED
MO
DA
3-LETTERS
LANGUAGE CODING DATA - FORM
14 LANGUAGE DATA CODE.
b. DATE OF BIRTH
YR
Мо
DA
YR
BASE CODE
R
P
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YR
WHEN FORM 444C DENOTES NO LANGUAGE
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1. 10
2. EMPLOYEE NO 3. NAME
3-LETTERS
<5 #24345 PHi
O. LANGUAGE DATA AFTER TEST-
BASE CODE
R
LANGUAGE PROFICIENCY TEST DATA
4. CCOE
C-A-D
W
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YR
A:
15. LANGUAGE DATA BEFORE TEST
BASE CODE
BL31
7. DATE OF TEST
°
MO
DA
++++++++++++ 12/18
1. 10 12. EMP/APPL NO.
NAME
3-LETTERS
YR
12/18/69
QUALIFICATIONS RECORD CHANGE
ENTER UNDER "TYPE" .
- ADDITION TO RECORD
A
с
D
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TYPE
CODE # 1
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1
2
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DATA FOR ITEM 2 THRU 7 'S
EXTRACTED FROM FORM 1273 PLW
LANGUAGE PROFICIENCY AND
AWARDS DATA.
-CHANGE TO EXISTING RECORD
DELETION OF DATA FROM EXISTING RECORD
YR
BASE
°°
CODE # 2
2
3
YR
FORM
10-64
•
•
1962a
SECRET
GROUP 1
(4-51)
EXCL MOLD HOW CONS
40 DECLASS
14-00000
CERTIFICATION OF LANGUAGE PROFICIENCY
RCPY NO
NAYE (LASTO}
TYPE Canar
ANG AG
JAA
LAN.
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PHILLIPS, DAVID
CHANGE
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TEST
DATE TEST
DATE
FACE
SFFICE OF
P 3. U TEAR
12/15/60
10/31/22
16
WS
NOTICE
10. ON THE DATE SHOWN IN ITEM 6 ABOVE, YOU WERE VESTED IN
AND YOUR TEST SCORES ARE AS FOLLOWS:
READING
WRITING.
PRONUNCIATION
I
+
+
SPEASING
UNDERSTANDING
TEST
RATINGS
+
11. REMARKS
PERSON TESTED
PORTUGUESE (BRAZILIAN) BL31
Ткаче ог LANGUAGE)
= 200 = INTERMEDIATE
§ a sight 、པ་:ན
E ELEMENTARY N NATIVE
12. SIGNATURE
13. LO NUMBER
17803
FORM
11-64
1273
OBSOLETE PREVIOUS
EDITIONS
(10-45) SECRET
GROUP 1
EXCLUDES ***TATIC DOWNGRADING
CLASSICATION
1 - OP/CAS
SKINIT
Cacatua Philli, David
QUALIFICATIONS SYSTEM RECORD CHANGE
APPLICANT CODING DATA
MUST CONTAIN 20-DIGITS
1. 0
12. APPL. NO.
D-DIGITS
NAME
• 2
OATE OF DIRTH
MO
DA
15 DATE CODCO
YA
мо
DA
YR
THE DATA ADOVE (ITEMS 2 THRU 5) WILL DE FILLED IN
WHEN CODING AN APPLICANT FOR THE FIRST TIME. THIS
FORM IS THEN ATTACHED TO FORM 1962. MASTER QUALIFICA-
TIONS CODING RECORD.
11. 10 12 EMPLOYEE NO. 12 NAME
3-LETTERS
LANGUAGE CODING DATA - FORM 411
14 LANGUAGE DATA 'COOt
15 DATE SUBMITTED
MO
DA
YR
6. DATE OF BIRTH
Мо
DA
YA
BASE CODE
•
R
✓
P
S
U
YR
WHEN romm 4440 DENOTES NO LANGUAGE
COMPETENCE, ENTER THE FOLLOWING IN
ITEM 4: ""NO++LANGUAGE" (12-DIGITS)
10 12_EMPLOYEE NO 13. NAME
3-LETTERS
<•5 024345 PHi
10. LANGUAGE DATA AFTER. TEST
BASC CODE
R
W
LANGUAGE PROFICIENCY TEST DATA
14. cost
C-A-D
C
15. LANGUAGE CATA BEFORE TEST
BASE COCK
BK5
17. DATE OF TEST
P S
U
T
YR
MO
DA
• BK5¢
410
.
3
BK 5¢ FT $ d
та
2511147
DATA FOR ITEM 2 THAY 7 is
EXTRACTED FROM FORM 1273.
LANGUAGE PROFICIENCY AND
AWARDS DATA.
304
1900
The authorization to process this employee's disclaim of
proficiency in the language factors indicated on this form is
contained in a memorandum on file and designated "Languag
Proficiency Disclaim File", located in the Qualifications
Analysis Branch, Office of Personnel.
14-0000
POSITION DAT
PERSONAL HISTORY STATEMENT
INSTRUCTIONS
- DO NOT ATTEMPT TO COMPLETE THIS FORM UNTIL YOU HAVE READ THE FOLLOWING INSTRUCTIONS—
1. Answer all questions completely or check (X) the box which applies. If the question is not applicable, write "NA".
If you do not know the answer and it cannot be obtained from personal records, write "Unknown". Use the blank
space on pages 15 and 16 for extra details on any question for which you do not have enough space.
2. Type or pånt carefully-USE BLACK TYPEWRITER RIBBON ÖR BLACK INK.
3. Leave blank any, boxes or columns which are marked "FOR OFFICE USE ONLY”,
4. Consider each of your answers carefully, accurate completion of the form will permit review of your qualifications to
the best advantage. Your signature at the end of the form will certify to its correctness.
5. Page 17 entitled "Personal History Summary" must be completed. It is a brief abstract of information from other parts
of the form and will help to speed the processing of your application.
SECTION 1
GENERAL PERSONAL AND PHYSICAL DATA
1 - Full Name (Lost Bust-middle)
Ahern, Virginia, Simmons
2 AND
20
3 Son
Male ☐ Female
3. Nicknames
6. Other nomes you have used
Gina
7. Indicate circumstances (including length of hime) under which you have used the names noted in item 6 above
N/A
If legal change of name, give particular (Where and by what authority)
9. Hought
5 3
10 Weight
105
11. Color of eyes
reen
12. Color of bair
blond
| 15. Scars (Type and location)
appendi, stonach
17 Current address (No, Street, City, State & ZIP code-country if not U.S.)
9741 Corral Dr., Potorac, Maryland
20 Permanent address (No. Sheet, City, State & ZIP code - country of not U.S)
9741 Corral Dr., Potomac, Heyland
21 Office phone number
332-2730
24. Office extension
N/A
SECTION 11
t. Indicate the type of work or peshon for which you are applying
12 indicate the lead annual entrance salary you will accept
4 ledicate your willingness to travel
Ocres-enally
Other (Specify)
4. Social security number
579-54-5233
H/A
13. Type of completion
14. Build
16. Other distinguishing physical features
slight
20354
20854
N/A
18 Current phone number
280-5362
21 Permanent phone number
299-5862
25 Legal readence (State, fritory or country}
Maryland
19. Long distance
area code
301
22 Long distance
orea code
301
POSITION DATA
3 Dates available for employment
fori.est
Latest
3. Indicate your willing now to accept agement in the following locations – check
☑each Hom applicable
Wongton, DC.
Anywhere in US
: Overdose US
Cortona becomes only (Specify)
Frequently
Constantly
Indicate any redictions you would place on assignments stude the Washington, DC ares
(For Office Use Only)
444
3-00
USE PREVIOUS
EDITIONS
1-
THIS SHEET MUST BE COMPLETED
Date of this application
14-00000
CITIZENSHIP
2. Place of birth Country)
Philadelphia, Pennsylvania
SECTION 111
1. Date of birth
.
2-26-43
CiNionship
இ
acquired by ☐ er (Specify)
7 Court issuing naturalisation conficere
CITIZENSHIP
9. If clies, give atten registration number
N/A
N/A
11. Have you hold previeve it?
☐ Yeo ☐ No
13. Give particular concerning previous stealin
14. Lost U.$ viso (Number, type, place of inve)
SECTION IV
1. Name of elementory school.
1. Name of high school
2 Name of high school
N/A
3. (Country)
"U.S.
a Naturationmber
N/A
3 Datentralized
N/A
18 have of (City. State Cocalry)
N/A
10 Date and place of artral in US
N/A
12 If you give some of country
N/A
N/A
EDUCATION
ELEMENTARY SCHOOL
Address (City, State. Country)
13. Date o inve
Years offended (Free-to-
HIGH SCHOOLS
Address (City, State, Country)
Years ofended (Rica -
Address (City, State, Country)
COLLEGE OR UNIVERSITY STUDY
Years offended (from
n/a
Subject
Nome and location of college or univerenty
Major
Manos
Year offended
from-
to-
Degree
Received
Year
Received
Grode
Poral
Average
4. if a graduate degree has been used above which required sebou of write then, undicate the nie of the thous and briefly describe in content
TRAPE. COMMERCIAL AND SPECIALIZED SCHOOLS
Name and address of school
Study oralizatos
From
ta
"
1.
1800
Graduate
You
No
00% 00%
Graduate
Too
No
Graduate
Yes
No
Number of
Som/Qw.
Hown (Specify).
14-00000
EDUCATION
EDUCATION (Continued)
MILITARY TRAINING IN SPECIALIZED SCHOOLS SUCH AS ORDNANCE, COMMUNICATIONS, ITC.
Name and address of school
1.
Other education or training not indicated above
Study specialisation
FOREIGN LANGUAGE ABIUTIES
from
SECTION V
List below the foreign language or languages in
which you possess any degree of competence. Indi.
cate your proficiency in each of the five skill factors
shown (rouding comprehension, writing ability, etc.)
by noting the number most indicative of your level of
skill under the factor being considered.
If your proficiency relates to a particular dialect of a
major language, identify this dialect by noting it in
parentheses after the language on the same line.
If you have no proficiency in any foreign
language, check (X) box at right and
leave other items blank.
(Slight)
'
2
Level of Still
3
0 No proficiency in a
SKILL FACTORS
obility
Promunciatio
blood
Convers
-specific skill factor
comprehension
IGN LANGUAGE ABIUTY**
2. If you have had experience as a translator, Interpreter or instructor-explain and specify in which language(s) you have had such experience.
petrayed
to
No of menthe
(Native)
HOW ACQUIRED
(Check (X) Boxtes)
which
apply)
residence
Connect (th
porque, ok.)
3 Describe your ability to do specialized language work skvalving vocabularies and terminology in the scientific, engineering, telecommunications, military and other specialized folds
4 If you have noted a proficiency in language, would you he willing to use this ability
in any position for which you might be selected?
(For Office Use Only)
3 —
Yes
☐ No
THIS SHEET MUST BE COMPLETED
14-00000
.......
SECTION XI
Present status (Sing
MARITAL STATUS
avved, inserted dated annulled, remerned) specify
2 State date, place, and reason for all repornia dienos or annulment
2-10-69, Juarez, Mexico, incompatibility
Wife, husband
or face()
1 Nome of spouse
Divorced
If you have been married more than once (Including annulments) use separate shoot for former wife or husband giving date required
below for all previous marriages. If marriage contemplated. All in appropriate information for Rancolch
(Lost)
Phillips
(Pat)
David
(Midale)
Atlee
(Maiden)
4. State any other homes over used by spouse
N/A
Indicate sircumstances (including tongth¨of time) ünder which' any names noted in item 4 above were used. If legal change, give particulars (where
´ and by what outhority). Use extra space provided on pages 13 and 16 of this form to record this information.
3 Date of birth
10-31-22
6. Place of birth (City State. Country)
Fort Worth, Texas
& Place of marriage (City, Store. Country)
7. Date of marriage
:
Living
Yes ☐ No
10 Citizenship
U.S.
13 Date US citizenship acquired
N/A
17 Date of death
N/A
11. Former citizenship(s) [country(:00)]
N/A
14. Where acquired
N/A
18 Cause of death
19 Curram address (Give lad address, if deceased)
N/A
12. Halonge alión registration number
13 Date and place of arrival in U S.
16. Naturohitohon certificate number
N/A
N/A
N/A
20. Address of spouse before marriage
21. Occupation
Foreign Service
Reserve Officer
22. Present employer (Also give former employer, or if spouse deceased or unemployed, give last two employers)
U.S. Dept of State
23 Employer's or business address (Number, Street, City, State, Country)
U.S. Dept. of State, Washington
24 Dates of military sce
(from - to - by month & year)
23 Brunch of military service
26 Country with which molitory service affiliated
U.S
27. Details of other government service US or foreign
SECTION XII
CHILDREN AND OTHER DEPENDENTS
Pronde the following formation for all children and dependenta
Name
Relationship
Dare & Place of Birth
Citizenship
Address
2 No of children (despre draw & edupted ) who are
unmerned, under 21 peon of age and are NOT
ting
3 No of other dependents (eg, spessa perens
of)
who depend on you for at least 30% of their wapen or children over
21 NOT supporting
14-00000
LAW
SECTION XVII
1
Pull name (Lost-First-Middle - Mardon)
2. other names the has used
3 Date of birth
MOTHER-IN-LAW (If marriage contemplated, fill in information for future mother in low)
(indicato circumstances (including longth of time) undór which any numus noted in item 3 obave were used. If legal change, give particulars (where and
"by what outhority). Use extra space provided on pages 13 and 16 of this form to record this information.
* Date of death
* 9. Förmar citizenship(1) {country{kos)}
12 Naturalisation certificate number
13 Occupation
4. Place of birth
7. Cause of death
17. Current address (Gire los address, if deceased)
3. Living
☐ Too ☐ No
8. Cinemhip (Country)
10 Doto US combip acquired
11. Where acquired (City, Store, Country)
13. if alien, give alien registration number
14 Date and place of arrival in U.S.
16 Present employer (Give last employer if mother-in low deceased or unemployed)
SECTION XVIII -
RELATIVES BY BLOOD, MARRIAGE OR ADOPTION WHO EITHER (1) LIVE ABROAD,
(2) ARE NOT U.S. CITIZENS OR (3) WORK FOR A FOREIGN GOVERNMENT
2. Relationship
3 Date of birth
4. Place of birth (City, State, Country)
1, Nome (Low-first- Middie)
Simmons, George Stuart
3. Citizenship (Country)
U.S.
7. Employed by
N/A
1. Name (Lost-First-Middle)
Grandfather 3-17-84 San Francisco, Calif
& Address or country in which relative resides
4143 Unterer Zielweg 111,
1 Frequency of contact
none
2. Relanceship
Dornach,
3. Date of birth
Switzerland
9. Date of last contact
1961
4. Place of birth (City, State, Country)
RELATIVES WITH FOREIGN
MAIN CONNECTIONS
3 Citizenship (Country)
(2)
1 Employed by
1. Name (Last Fira - Middle)
Address or country on which relate resides
• Frequency of contact
2 Relationship
3 Citizenship (Country) .
6 Address or country in which relative resides.
(3)
7 Employed by
Frequency of contact
SECTION XIX
Nome (Lost-first-Middle)
RELATIVES IN THE SERVICE
NOTEAD OF THE UNITED STATES
9. Dute of lost contact
3. Date of birth
4 Place of birth (City, State. Country)
9 Date of last contact
RELATIVES BY BLOOD. MARRIAGE OR ADOPTION WHO ARE IN THE MILITARY OR CIVIL
SERVICE OF THE UNITED STATES
2 Rehash.n
3 Date of birth 4. Place of birth /City, State, Country)
(1) Citizenship (Country)
4. Address (Member, Street, City, State, Country)
7 Type and location of service (if known)
1 Name (Lost - First – Muddle)
(2), Cinsonship (Country)
1 Nome (LostFirst-Middle)
2 eignup.
3 Date of birth 4 Place of birth (City, State. Country)
6 Address (Number, Street, City, State, Country):
7 Type and location of service (if knowR)
1 Belong
3 Date of birth • Place of birth (City. State Country)
(3) Consenship (Country)
6. Address (Number Street City. Shoe Country)
7 Type and locotes of service (if known)
(For Office Use Only)
— 11-
THIS SHEET MUST BE COMPLETED
14-00000
Use the following space for estic details. Reference each continued item by the section and item number to which it relates and sign your name
at the end of the material. Il additional space is required beyond page 16, use 
extra pages the same size as this page and sign each such page.
SECTION XI
MARITAL STATUS
FORMER HUSBAND
3. Ahorn, Thomas Joseph
21.
Foreign Service Reserve
Officer
4.
N/A
5.
4-12-40
23.
6.
Washington, D.C.
22. U.S. Dept. of State
U.S. Dept. of State, Santo
Domingo, Washington, D.C.
24.
N/A
7.
4-6-59
25.
8.
Hyattsvillo, Maryland
N/A
26.
N/A
9. yes
27. N/A
10.
U.S.
11. N/A
12.
N/A
13. N/A
14. N/A
15.
N/A
16. N/A
17.
N/A
18.
N/A
19.
20.
U.S. Embassy, Santo Domingo, Dominican Republic
4622 Hunt Avenue, Chevy Chase, Maryland
Space for extra details continued on page 16
-
15
-
THIS SHEET MUST BE COMPLETED
(Signature)
14-00000
PERSONAL HISTORY STATEMENT (Appendix I)
Listed below are names of organizations identified by the Attorney General, under his responsibility pursuant to
Executive Order 10450, dated 27 April 1953, to list the names of each foreign or domestic organization, association,
movement, group or combination of persons which he designates as Totalitarian, Fascist, Communist, or subversive,
or as having adopted or having shown a policy of advocating or approving the commission of acts of force or vio-
lence to deny others their rights under the Constitution of the United States, or as seeking to alter the form of
government of the United States by unconstitutional means.
Each applicant or employee and spouse (if any) must review the following list of organizations for certification
purposes, and sign on the last page.
Abraham Lincoln Brigade
Abraham Lincoln School, Chicago, Illinois
Action Committee to Free Spain Now
Alabama People's Educational Association (see Communist Politi-
cal Association)
American Association for Reconstruction in Yugoslavia, Inc.
American Branch of the Federation of Greek Maritime Unions
American Christian Nationalist Party
American Committee for European Workers' Relief (see Socialist.
Workers Party)
American Committee for Protection of Foreign Born
American Committee for Spanish Preedom
American Committee for the Bettlement of Jews in Birobidjan, Inë
American Committee for Yugoslav Relief, Inc.
American Committed to Burvey Labor Conditions in Europe
American Council for a Democratio Greece, formerly known as the
Greek American Council; Greek American Committee for Na-
tional Unity
American Council on Boviet Relations
American Croatian Congresa
American Jewish Labor Counell
American League Against War and Fasciam
American League for Peace and Democracy
American National Labor Party
American National Socialist League
American National Socialist Party
American Nationalist Party
American Patriota, Inc.
American Peace. Crusade
American Peace Mobilization
American Poles for Peaco
American Pollah Labor Council
American Polish League
American Rescue Ship Mission (a project of the United American
3panish Aid Committee)
American-Russian Fraternal Bociety
American Russian Institute, New York, also known as the Ameri-
can Russian Institute for Cultural Relations with the Soviet
Union
American Russian Institute, Philadelphia
American Russian Institute of Ban Francisco
American Russian Institute of Southern California, Los Angeles
American Slav Congress
American Women for Peaco
American Youth Congress
American Youth for Democracy
Associated Klans of America
Armenian Progressive League of America
Association of Georgia Klans
Association of German-Nationals (Reichsdeutsche Vereinigung)
Ausland-Organization der NBDAP. Overseas Branch of Nart Party
Baltimore Forum
Benjamin Davia Freedom Committee
Boston School for Marxist Studies, Boston, Massachusetts
Bridges-Robertson-Schmidt Defense Committee
Bulgarian American People's League of the United States of
America
California Emergency Defense Committee
California Labor School, Inc., 321 Divisadero Street, San Francisco,
California
Carpatho-Russian People's Society
Central Council of American Women of Croatian Descent, also
known as Central Council of American Croatian Women, Na-
tional Council of Croatian Women
Central Japanese Association (Belkoau Chuo Nipponjin Kal)
Central Japanese Association of Southern California
Central Organization of the German-American National Alliance
☐ (Deutsche-Amerikanische Einheitsfront)
Cervantes Fraternal Society
China Welfare Appeal, Inc.
Chopin Cultural Center
Citizens Committee for Harry Bridges
Citizens Committee of the Upper West Side (New York City)
Citizens Committee to Free Earl Browder
Citizens Emergency Defense Conference
Citizens Protective League
Civil Liberties Sponsoring Committee of Pittsburgh
Civil Rights Congress and its amilated organizations, including:
Civil Rights Congress for Texas
Veterans Against Discrimination of Civil Rights Congress of
New York
Civil Rights Congress for Texas (see Civil Rights Congress)
Columbians
Comite Coordinador Pro Republica Espanola
Comite Pro Derechos Civiles
(Bee Puerto Rican Comite. Pro Libertades Civiles)
Committee for a Democratic Far Eastern Policy
Committee for Constitutional and Political Freedom
Committee for Nationalist Action
Committee for Peace and Brotherhood Festival in Philadelphia
Committee for the Defense of the Pittsburgh Six
Committee for the Negro in the Arts
Committee for the Protection of the Bill of Rights
Committee for World Youth Friendship and Cultural Exchange
Committee to Abolish Discrimination in Maryland
(Gee Congress Against Discrimination; Maryland Congress
Against Discrimination: Provisional Committee to Abolish
Discrimination in the State of Maryland)
Committee to Ald the Fighting South
Committee to Defend Marte Richardson
Committee to Defend the Rights and Freedom of Pittsburgh's
Political Prisoners
Committee to Uphold the Bill of Rights
Commonwealth College, Mena, Arkansas
Communist Party, U. B. A.. Its subdivisions, subsidiaries, and
Black Dragon Society
FORM 444d
UBE PREVIOUS EDITIONS
-1-
11-58
معاملهم
(4)
i
14-00000
CERTIFICATION
I certify that I have read the names of the above listed organizations.
To the best of my knowledge and bellèf, I am not, nor have. I been a member of, contributed to, received liter-
ature from, signed petitions of or in behalf of, or attended meetings of any organization listed above, or any
organization outside the United States espousing Communist, Fascist, Totalitarian or Nazi causes, except as noted
below.
To the best of my knowledge and belief, none of my close relatives are, nor have ever been members of, con-
tributed to, received literature from, signed petitions of or in behalf of, or attended meetings of any such organiza-
tions, except as noted below.
3
INSTRUCTIONS
For the purpose of this certification, if an applicant or employee is completing this form, the term "close rela-
fire" will include spouse, children, parents, brothers, sisters, uncles, and aunts. "Close relatives" of the spouse, for
this purpose, will include children, parents, brothers, sisters, uncles, and aunts.
If there are exceptions to this certification, set forth below under Remarks all pertinent information concern-
ing the nature and extent of your activities or those of your close relatives in such organizations, including the
names of the organizations, dates of membership, meetings attended, titles of positions held, amounts and dates
of contributions, nature of petitions signed falling within the meaning of the above certification and circumstances
thereof, tities and authors of literature received, and dates on which received.
In exceptions concerning relatives, include only such information presently known to you or available from
your own records.
If necessary, use additional sheets and sign each sheet. Write none if there are no exceptions.
REMARKS: To be completed by Spouse
REMARKS: To be completed by Applicant or Employee
Date
Signature of Spouse
Address City and State
Witness
Date
Tlarch
12, 1969
Signature of Applicant or Employee
S. Chern
Virginia
Address City and State
tornac, fand
Witness
Address City and State
.4-
Address City and State

14-00000
PHILLIPS DAVID A
PB
PP a
1065 W
(2) 008
(a)
SUBJECT: NOTIFICATION OF GRANTING OR OF REVOCATION OF CRYPTOGRAPHIC CLEARANCE
11
THE ABOVE NAMES INDIVIDUAL (ITEM 1) HAS BEEN GRÁNTED & CRYPTOGRAPHIC CLEARANCE FOR THE CRYPTOGRAPHIC
CLEARANCE HELD BY T IS INDIVIDUAL HAS BEEN REVOKED UNDER THE PROVISIONS OF HR 90-4. THE CLEARANCE (ITEM 23
OR REVOCATION LITEM 4). IS EFFECTIVE AS OF THE MONTH AND YEAR SHOWN ABOVE. SUBJECT HAS BEEN BRIEFCO OR
⚫ DEBRIEFE AS APPROPRIATE CONCERNING CRYPTOGRAPHIC AND RELATED COMMUNICATIONS SECURITY MATTERS AND HAS
SIGNED A BRIEFING DEBRIEFING STATEMENT. AS APPROPRIATED ACKNOWLEDGING "ESPONSIBILITY FOR THE PROTECTION OF
CRY OGRAPHIC INFORMATION. UPON REVOCATION OF CRYPTOGRAPHIC CLEARANCE SUBJECT IS NOT AUTHORIZED TO HAVE
CONTINUED CUSTODY OF. ACCESS TO, OR OTHERWISE GAIN FURTHER ENCOLEDGE OF STAFF CRYPTOGRAPHIC MATERIAL OR IN
"FORMATION.
WHEN EMPLOYEE NO LONGER REQUIRES THE CLEARANCE IN ORDER TO PERFORM HIS/HER ASSIGNED DUTIES. IT IS
REQUESTED THAT THE COMMUNICATIONS SECURITY STAFF. OC. BE NOTIFIED THAT THE CLEARANCE MAY BE REVOKED.
_ DISTRIBITION:
1. EMPLOYEE'S COMPONENT (ITEM 3)
° 1. OFFICE OF PERSONNEL
FORM
12.6.597b
US" PREVIOUS
FinsCTOR OF COMMUNICATIONS.
CHIEFS BRANCH. OC-S
CONFIDENTIAL
DOCTRINE
Chuded from
Ce sa mga pada se v
14-00000
1. PERSONNEL SERIAL NO (1-6)
3. NAME (7-24) LAST
FIRST
SECRET
(When Filled In)
LANGUAGE PROFICIENCY AND AWARDS DATA
MIDDLE
4. OFFICE OR DIVISION
5. LANGUAGE
2. LD NO.
THEO
6. LANG. CODE (25-27)
380
7 DATE OF TEST 746-51
June 10, 11
8 ANNIVERSARY DATE
9 GRADE
Jan. 1. 1952
11. REASON FOR TAKING TEST
APPLY FOR AWARD
12
READING (34)
ESTABLISH SKILL LEVEL
WRITING (35)
3
10 DATE OF BIRTH
1909
TEST SCORES
PRONUNCIATION (36)
SPEAKING (37)
UNDERSTANDING (38)
13. ELIGIBILITY (39)
14.
A
M
ACHIEVEMENT
MAINTENANCE
ELEMENTARY
(A)
INTERMEDIATE
(M) HIGH
74)
;!)
(M)
TYPE OF AWARD
READING (R) SPEAKING (5)
COMPREHENSIVE (C)
BASED ON TRAINING THAT WAS
DIRECTED (D) OR VOLUNTARY (V)
=
NA
15. INELIGIBLE (REASON)
Level of proficiency not mintained
REMARKS
16 I CERTIFY THIS EMPLOYEE FOR A PROFICIENCY AWARD OF $
SIGNATURE
DATE
17 I CERTIFY THAT FUNDS ARE AVAILABLE
OBUGATION REF. NO.
CHARGE ALLOTMENT NO.
SIGNATURE
FORM 1273
OBSOLETE PREVIOUS
5-60
EDITIONS
SECRET
(40-45)
(10-45)
MRD COPY
14-00000
1. PERSONNEL SERIAL NO (16)
3 NAME (7-24) LAST
Bullips, Did A.
7 DATE OF TEST 46-51
FIRST
SECRET
(When Filled in)
LANGUAGE PROFICIENCY AND AWARDS DATA-
MIDDLE
4. OFFICE OR DIVISION
$ LANGUAGE
Ponch
2. LD NO.
6 LANG. CODE (25-27)
6 ANNIVERSARY DATE
9. GRADE
10 DATE OF BIRTH
!!
11. REASON FOR TAKING TEST
12.
APPLY FOR AWARD
READING (34)
WRITING (35)
TEST SCORES
PRONUNCIATION (36)
SPEAKING (37)
UNDERSTANDING (38)
ESTABLISH SKILL LEVEL
13. ELIGIBILITY (39)
14.
A
M
ACHIEVEMENT (A)
MAINTENANCE (M) HIGH
ELEMENTARY
¡E)
INTERMEDIATE
(1)
(H)
TYPE OF AWARD
READING (R) SPEAKING [S]
COMPREHENSIVE (C)
BASED ON TRAINING THAT WAS
DIRECTED (D) OR VOLUNTARY (V)
"
NA
25 INELIGIBLE (REASON)
did not senere an arduble lol.
REMARKS
FORMA 1273
5-60
16 I CERTIFY THIS EMPLOYEE FOR A PROFICIENCY AWARD OF $
SIGNATURE
DATE
17 1 CERTIFY THAT FUNDS ARE AVAILABLE
OBLIGATION REF. NO.
CHARGE ALLOTMENT NO.
SIGNATURE
OBSOLETE PREVAJUS
EDITIONS
SECRET
(40-45)
(1045)
MRD COPY
14-00000
11-81
574345
SECRET
When Filled ing
LANGUAGE DATA RECORD
2. DATE OF DIDTH
MONTE
1.
NAME (Last-First-Widdle)
PHILLIPS, DHVID A.
3.
LANGUAGE
FRENCH
(31-331
265
(7-24)
PART 1-GENERAL
4. TODAY'S DATE
March
DAT
134-391
S.
14
.60
PART H-LANGUAGE ELEMENTS
LAT
(75-3.31
057081
31 1972
I HAVE NO PROFICIENCY
IN ANY FOREIGN LANGUAGE
SECTION A.
Rending (40)
1.
I CAN BLAD TEXTS OF ANY DIFFICULTY. UF A GENERAL NATURE UR IN FIELDS 1 AM FAMILIAR WITH. DOING THE DICTIONARY
ONLY RARELY.
2.
I CAN READ TEXTS OF MOST GRADES OF DIFFICULTY OF A GENERAL MATURI ON IN HIELOS '
DICTIONARY OCCASIONALLY.
AM FAMILIAR WITH, USING
THE
4.
5.
1 CAN READ TEXTS OF AVERAGE DIFFICULTY (newspapers, reference materials, etc.). USING THE DICTIONARY
FREQUENTLY.
1 CAN READ SIMPLE TEXTS, SUCH AS STREET SIGNS. NEWSPAPER HEADLINES. ETC. USING THE DICTIONARY FREQUENTLY.
I HAVE NO READING ABILITY IN THE LANGUAGE.
SECTION B.
Writing (41)
2
1.
I CAN
CAN WRITE PERSONAL LETTERS AND SIMILAR MATERIAL WITH COMPLETE SUCCESS WITHOUT USING THE DICTIONARY.
WRITE ACTUAL NARRATIVE AND EXPOSITORY MATERIAL WITH REASONABLY CLARITY, WITH VERY FF# GRAMMATICAL ERRORS. ་་
NATIVE STYLE, USING THE DICTIONARY ONLY RARELY.
2.
I CAN WRITE PERSONAL LETTERS AND SIMILAR SIMPLE MATERIAL WITH COMPLETE SUCCESS. USING THE DICTIONARY ONLY
RARELY. 1 CAN WRITE FACTUAL NARRATIVE AND EXPOSITORY MATERIAL WITH REASONABLE CLARITY, WITH FEW GRAMMATICAL
ERRORS. BUT IN STYLE WHICH MAY NOT HE NATIVE. USING THE DICTIONARY OCCASIONALLY.
3.
I CAN WRITE PERSONAL LETTERS AND SIMILAR SIMPLE MATERIAL, WITH REASONABLE SUCCESS IN CONVEYING MY MEANING.
BUT WITH OCCASIONAL MINOR GRAMMATICAL ERRORS AND IN OBVIOUSLY FOREIGN, ABKWARD STYLE. USING THE DICTIONARY
OCCASIONALLY.
1 CAN
4.
WRITE PERSONAL LETTERS AND SIMILAR SIMPLE MATERIAL, WITH REASONABLE SUCCESS IN CONVEYING MY MEANING.
BUT WITH MANY GRAMMATICAL ERRORS AND IN A VERY FOREIGN AWKWARD STYLE, USING THE DICTIONARY FREQUENTLY.
1 CANNOT WRITE IN THE LANGUAGE.
SECTION C.
1.
MY PRONUNCIATION IS NATIVE.
Pronunciation (42)
2. WHILE NATIVES CAN DETECT AN ACCENT IN MY PRONUNCIATION THEY HAVE NO DIFFICULTY UNDERSTANDING NE.
3.
MY PRONUNCIATION IS OBVIOUSLY FOREIGN. BUT ONLY RARELY CAUSES DIFFICULTY FOR NATIVES TO UNDERSTAND.
MY PRONUNCIATION IS OCCASIONALLY DIFFICULT FOR NATIVES TO UNDERSTAND.
5.
I HAVE NO SKILL IN PRONUNCIATION
FORM NO. 4440
I FEB 57
CONTINUE ON REVERSE SIDE
SECRET
(4-45)
14-00000
TINUATION OF PART 11-LANGUAGE ELEMENTS
Speaking (43)
IN ALL PRACTICAL AND SOCIAL SITUATIONS A CONVERSE FREELY AND IDIOMATICALLY
SECTION D.
I SPEAK FLUENTLY AND ACC
1.
IN ALL FIELDS WIth AMICH ' AM FAMILI40.
2.
3.
i SPEAK FLUENTLY AND ACCURATELY IN NEARLY ALL PRACTICAL AND SOCIAL SITUATIONS 1 CAN CONVERSE IN MOST FIELDS
WITH WHICH I AM FAMILIAR AND SOME POPULAR SAVINGS. LITERARY STATIONS, AND COMMON PROVEROS.
I GET ALONG QUITE WELL IN SETUATIONS OF DAILY LIFE AND TRAVEL´AND CAN CONDUCT ROUTINE BUSINESS IN PARTICULAR FIELDS,
1 MANAGE TO GET ALONG IN THE MOST COMMON SITUATIONS OF DAILY LIFE AND TRAVEL.
5. I HAVE NO ABILITY TO USE THE LAND, AGE IN ANY OF THE ABOVE RESPECTS.
SECTION E.
Understanding (14)
1.
I UNDERSTAND NON-TECHNICAL CONVERSATION ON ALL SUBJECTS, BOTH FACE TO FAZE AND ON THE TELEPHONE, I UNDERSTAND
NEARLY EVERYTHING I HEAR ON THE RADIO AND AT THE MOVIES, PLAYS, AND LECTURES,
2.
3.
UNDERSTAND NON- TECHNICAL CONVERSATION ON NEARLY ALL SUBJECTS. BOTH FACE-TO-FACE AND ON THE TELEPHONE. I
UNDERSTAND MOST OF WHAT I NEAR ON THE RADIO AND AT THE MOVIES, PLAYS, AND LECTORES. INCLUDING MOST JOKES AND
PUNS.
I UNDERSTAND NEARLY ALL CONVERSATION ON TOPICS OF DAILY LIFE AND TRAVEL. BOTH FACES TORFACE AND ON THE TELE.
PHONE UNDERSTAND MUCH OF WAY UNEAR ON THE RADIO, AND AT THE MOVIES, PLAYS, AND LECTURES.
5.
1 UNDERSTAND THE SIMPLEST CONVERSATION. 90TH FACE TO FACE AND ON THE TELEPHONES I UNDERSTAND SOME OF WHAT
I HEAR ON THE RADIO AND AT THE WES. PLAYS, AND LECTURES.
AM NOT ABLE TO UNDERSTAND THE SPOKEN LANGUAGE..
BEFORE CONTINUING - CHECK PART IN TO ENSURE THAT YOU HAVE CIRCLED ONE NUMBER PER SECTION.
PART 111-EXPERIENCE AS TRANSLATOR OR INTERPRETER (85)
1.
I HAVE
HAD EXPERIENCE AS A TRANSLATON.
2.
1 HAVE HAD EXPERTENCE AS AN INTERPRETER.
3
BOTH OF THE ABOVE STATEMENTS APPLY
NONE OF THE ABOVE STATEMENTS APPLY
PART IV-CERTIFICATION
1 CERTIFY THAT THE INFORMATION GIVEN ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY NOBLEDGE AND BELIEF.
THIS CERTIFICATION CONSTITUTES Y APPLICATION FOR A MAINTENANCE AWARD PROVIDED I AM ELIGIBLE UNDER THE TERMS OF
REGULATION NO. 25. 175. PAR. 1613). UNDERSTAND THAT MUST PAS, AN OBJECTIVE LANGUAGE PROFICIENCY TEST BEFORE I
BECOME ELIGIBLE FOR AN AWARD. AND THAT IRRESPECTIVE OF THE DATE OF TESTING, ANNUAL MAINTENANCE AWARDS WILL DE
CUMULATIVE AS OF The ANNIVERSARY DATE OF COMPLETING THIS FORM.
CATE
SIGNED
14 MARCH 1900
(46)
S
SHENATURE
Dan
147)
Olisin
F
14-00000
(16)
524345
NAMI (Last-Perot Middle),
SECRET
When Filled in)
LANGUAGE DATA RECORD
PART 1-GENERAL
(7-24)
2. LATE or BIATH
MONTH
(25-30)
PHILLIPS, DAVID ATLES
3. LANGUAGE
(31-33)
SPANICA B
SECTION A.
JOCTOBER
.
TODAY'S DATE
(34-39)
5.
MONTH
DAY
MARCH
14 1960
PART 11-LANGUAGE ELEMENTS
Rending (40)
Si
19922
I HAVE NO PROFICIENCY
IN ANY FOREIGN LANGUAGE
I CAN READ TEXTS OF ANY DIFFICULTY OF A GENERAL NATURE OR IN FIELDS AM FAMILIAR WITH, USING THE DICTIONARY-
ONLY NARELY.
2.
I CAN REAC TEXTS OF MOST GRADES
DICTIONARY OCCASIONALLY.
A GENERAL NATURE OR IN FIELDS 1
OF DIFFICULTY. OF
AM FAMILIAN WITH. USING
THE
3.
1 CAN READ TEXTS OF
FREQUENTLY.
AVERAGE DIFFICULTY (newspapers, reference Taterials, etc.). USING THE DICTIONARY
4
' CAN READ SIMPLE TEXTS, SUCH AS STREET SIGNS, NEBSPAPER HEADLINES, ETC., USING THE DICTIONAR, FREQUENTLY.
5.
I HAVE NO READING ABILITY IN THE LANGUAGE.
Writing (41)
SECTION B.
1
1 CAN WRITE PERSONAL LETTERS AND SIMILAR MATERIAL WITH COMPLETE SUCCESS WITHOUT USING THE DICTIONARY. F CAN
BRITE FACTUAL NARRATIVE AND EXPOSITORY MATERIAL WITH REASONABLE CLARITY, WITH VERY FEW GRAMMATICAL ERRORS, IN
NATIVE STYLE, USING THE DICTIONARY ONLY DARLLY.
2.
1 CAN WRITE PERSONAL LETTERS AND SIMILAR SIMPLE MATERIAL WITH COMPLETE SUCCESS. USING THE DICTIONARY ONLY
RAKELY.
I CAN WRITE FACTUAL NARRATIVE AND EXPOSITORY MATERIAL WITH REASONABLE CLARITY, BITH FLO GRAMMATICAL
ERRORS, BUT IN A STYLE WHICH MAY NOT BE NATIVE. USING THE DICTIONARY OCCASIONALLY.
CAN WRITE PERSONAL LETTERS AND SIMILAR SIMPLE MATERIAL, WITH REASONABLE SUCCESS IN CONVEYING MY MEANING,
BUT WITH OCCASIONAL MINOR GRAMMATICAL FARCAS AND IN OBVIOUSLY FOREIGN, AUFWARD STYLE, USING THE DICTIONARY:
OCCASIONALLY,
4.
' CAN ARITE PERSONAL LETTERS AND SIMILAR SIMPLE MATERIAL, WITH REASONABLE SUCCESS IN CONVEY IN MY MEANING,
BUT WITH MANY GRAMMATICAL ERRORS AND IN A VERY FOREIGN. AKBARD STYLE, USING THE DICTIONARY FREQUENTLY.
g. $ CANNOT WRITE IN THE LANGUAGE.
SECTION C.
1.
PRONUNCIATION IS NATIVE.
Pronunciation (42)
2. WHILE NATIVES CAN DETECT AN ACCENT IN MY PRONUNCIATION THEY HAVE NO DIFFICULTY UNDERSTANDING ME.
MY PRONUNCIATION is obviouUSLY FOREIGN BUT ONLY RARELY CAUSES DIFFICULTY FOR NATIVES TO UNDERSTAND.
+
MY PRONUNCIATION IS OCCASIONALLY DIFFICULT FOR NATIVES TO UNDERSTAND
5
I HAVE NO SKILL IN PRONUNCIATION.
DE N
444C
1518 57
CONTINUE ON REVERSE SIDE
SECRET
(4-45)
14-00000
SECTION D.
1 SPEAK FLUENTLY AND ACCURATELY
11.
NTINUATION OF PART 11-LANGUAGE ELEMENTS
Speaking (43)
IN ALL PRACTICAL AND SOCIAL SITUATIONS I CONVERSE FRÈLLY AND IDIOMATICALLY
IN ALL FIELDS GITH MICHI AM FAMILIAR.
3.
I SPEAK FLUENTLY AND ACCURATELY IN NEARLY ALL PRACTICAL AND SOCIAL SITUATIONS! F CAN CONVERSE IN MOST FIELDS
TH WHICH I AM FAMILIAR AND EMPLOY SOME POPULAR SAVINGS, LITERARY QUOTATIONS, AND COMMON PROVERBS.
I GET ALONG QUITE HELL IN SITUATIONS OF DAILY LIFE AND TRAVEL AND CAN CONDUCT ROUTINE BUSINESS IN PARTICULAR FIELDS.
4.
I MANAGE TO GET ALONG IN THE MOST COMMON SITUATIONS OF DAILY LIFE AND TRAVEL.
5. I HAVE NO ABILITY TO USE THE LANGUAGE IN ANY OF THE ABOVE RESPECTS.
SECTION E.
thderstanding (H)
I UNDERSTAND NON-TECHNICAL CONVERSATION ON ALL SUBJECTS. BOTH FACE-TO-FACE AND ON THE TELEPHONE: I UNDERSTAND
NEARLY EVERYTHING 1 HEAR ON THL RADIO AND AT THE MOVIES, PLAYS, AND LECTURES.
2
I UNDERSTAND NON- TECHNICAL CONVERSATION ON NEARLY ALL SUBJECTS. BOTH PACK FO-FACE AND ON THE TELEPHONE. 1
UNDERSTAND MOST OF WHAT I HEAR ON THE RADIO AND AT THE MOVIES, PLAIS. AND LECTURES, INCLUDING MOST JOKES AND
PUNS.
3.
I UNDERSTAND NEARLY ALL CONVERSATION ON TOPICS OF DAILY LIFE AND TRAVEL. BOTH FACE-TO-FACE AND ON
PHONE ' UNDERSTAND MUCH OF WHAT I HEAR ON THE RADIO, AND AT THE MOVIES, PLAYS. AND LECTURES.
THE TELE
4.
I UNDERSTAND THE SIMPLEST CONVERSATION, BOTH FACE-TO-FACE AND ON
HEAR ON THE RADIO AND AT THE MOVIES, PLAYS, AND LECTURES.
THE
TELEPHONE I UNDERSTAND SOME OF WHAT
#.
1.
AM NOT ANLF TO UNDERSTAND THE SPOKEN LANGUAGE.
BEFORE CONTINUING - CHECK PART 11 TO ENSURE THAT YOU HAVE CIRCLED ONE NUMBER PER SECTION.
PART 111-EXPERIENCE AS TRANSLATOR OR INTERPRETER (45)
I HAVE HAD EXPERIENCE AS A TRANSLATOR.
2.
I HAVE HAD EXPERIENCE AS AN INTERPRETER.
BUTH OF THE ABOVE STATEMENTS APPLY.
.1.
NONE OF THE ABOVE STATEMENTS APPLY.
PART IV-CERTIFICATION
1 CERTIFY THAT THE INFORMATION GIVEN ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE AND BELIEF.
THIS CERTIFICATION CONSTITUTES MY APPLICATION FOR A MRISTENANZE AGAND PROVIDED AM ELIGIBLE UNDER THE TERMS OF
REGULATION NO. 25-115. PAR. IC (4)
1 UNTERSTAND THAT I MUST PASS AN OBJECTIVE LANGUAGE PROFICIENCY TEST BEFORE '
BECOME ELIGIBLE FOR AN AWARD. AND THAT RESPECTIVE OF THE DATE OF TESTING, ANNUAL MAINTENANCE AWARDS WILL BL
CUMULATIVE AS OF THE ANNIVERSARY DATE OF COMPLETING THIS FORM.
I
DATE SIGNED
14 MARCH 1950.
(46)
ت
SIGNATURE
Дня орижий
(47)
14-00000
"
NAMS
11-6)
963003
(Loor-First-Middle)
DAVID Phillips
131-33
FRENCH 265
(7-24)
SECRET
Fed in)
LANGUAGE DATA RECORD
PART I-GENERAL
'S DATE
MONTH
OCTOBER
DAY
134-393
22/1957
PART 11-LANGUAGE ELEMENTS
2. DATE OF
BIRTH
MONTH'
OCTOBER
DAY
31
(25-30)
"2
198T
I HAVE NO PROFICIENCY
IN ANY FOREIGN LANGUAGE
SECTION A.
Rending (40)
1.
1 CAN READ TEXTS OF ANY DIFFICULTY. or A GENERAL NATURE OR IN FIEL
ONLY RARELY.
AM FAMILIAR WITH USING THE DICTIONARY
2
I CAN READ TEXTS OF MOST GRADES OF DIFFICULTY OF A GENERAL NATURE 20
DICTIONARY OCCASIONALLY.
IN FIELDS 1 AM FAMILIAR WITH. USING THE
I CAN READ TEXTS OF AVERAGE DIFFICULTY (newspapers, reference materials,
SPEQUENTLY.
etc.). USING THE DICTIONARY
4.
I CAN READ SIMPLE TEXTS, SUCH AS STREET SIGNS, NEWSPAPER HEADLINES, ETC.. USING THE DICTIONARY FREQUENTLY.
5.
I HAVE NO READING ABILITY IN THE LANGUAGE.
SECTION B.
Writing (41)
CAN
RITE PERSONAL LETTERS AND SIMILAR MATERIAL WITH COMPLETE SUCCESS WITHOUT USING THE DICTIONARY. I CAN
BRITE FACTUAL NARRATIVE AND EXPOSITORY MATERIAL WITH REASONABLE CLARITY, WITH VERY FEW GRAMMATICAL ERRORS. IN
NATIVE STYLE, USING THE DICTIONARY ONLY PARLLY.
2.
1 CAN WRITE PERSONAL LETTERS AND SIMILAR SIMPLE MATERIAL WITH COMPLETE SUCCESS, USING THE DICTIONARY ONLY
RAPELY.
I CAN WRITE FACTUAL NARRATIVE AND EXPOSITORY MATERIAL WITH REASONABLE CLARITY, WITH FEW GRAMMATICAL
ERRORS. BUT IN A STYLE WHICH WAY NOT BE NATIVE, USING THE DICTIONARY OCCASIONALLY.
IN CONVEYING MY MEANING.
1 CAN WRITE PERSONAL LETTERS AND SIMILAR SIMPLE MATERIAL, WITH REASONABLE SUCCESS
BUT WITH OCCASIONAL MINOR GRAMMATICAL ERRORS AND 19 OBVIOUSLY FOREIGN. AWKWARD STYLE. USING THE DICTIONARY
OCCASIONALLY.
4.
I CAN WRITE PERSONAL LETTERS AND SIMILAR SIMPLE MATERIAL, WITH REASONABLE SUCCESS IN CONVEYING MY MEANING.
BUT WITH MANY GRAMMATICAL ERROWS AND IN A VERY FOREIGN, AWAWARD STYLE. USING THE DICTIONARY FREQUENTLY.
CANNOT RITE IN THE LANGAGE
SECTION C.
1. MT PRONUNCIATION IS NATIVE.
Promaciation (42)
2.
SHILE NATIVES CAN DETECT A ACCENT IN MY PRONUNCIATION THEY wart NO DIFFICULTY UNDERSTANDING ME.
MY PRONUNCIATION IS OBVIOUSLY FOREIGN, BUT ONLY RARELY CAUSES DIFFICULTY FOR NATIVES TO UNDERSTAND
4. MY PRONUNCIATION IS OCCASIONALLY DIFFICULT FOR NATIVES TO UNDERSTAND.
I HAVE ND SKILL IN PRONUNCIATION%.
FORM TO
444c-1
1 MAR 5?
CONTIME ON REVERSE SIDE
SECRET
13
86-631
14-00000
SECTION 3.
CONTINUATION OF PART 11-LANGUAGE ELEMENTS
Speaking (43)
KPLA FLUENTLY AND ACCURATELY IN ALL PRACTICAL AND SOCIAL SITUATIONS) 1. CÖNVERSE FÅELLY AND IDIOMATICALLY
ALL FIELDS WITH SICH IN FAMILIAR
J'SPEAK FLUENTLY AND ACCURATE
2.
ITH HIM AM FAMILIAR AND a
3.
5.
IN NEARLY ALL PRACTICAL AND SOCIAL SITUATIONS: 1 CAN CONVERSE IN MOST FIELDS
{MPLET SOME POPULAR SAYINGS, LITERARY OUGTATICES. AND COMMON PROVERBS.
1 CET ALONG JUITE WELL IN SETUATIONS OF DAILY LIFE AND TRAVEL AND CAN CONDUCT ROUTINE BUSINESS IN PARTICULAR FIELDS.
1 MANAGE TO GET ALONG IN THE MOST COMMON SETUATIONS OF DAILY LIFE AND TRAVEL.
I HAVE NO ABILITY TO USE THE LANGAGE IN ANY OF THE ABOVE RESPECTS..
SECTION E.
Understanding (44)
9.
I UNDERSTAND NON-TECHNICAL CONVERSATION ON ALL SUBJECTS. BOTH FACE-TO-FACE AND ON THE TELEPHONE. 1 UNDERSTAND
NEARLY EVERYTHING I HEAR ON THE RADIO AND AT THE MOVIES, PLAYS. AND LECTURES.
2.
I UNDERSTAND NON-TECHNICAL CONVERSATION ON NEARLY ALL SUBJECTS. BOTH FACE-TO-FACE AND ON THE TELEPHONE: '
UNDERSTAND MOST OF WHAT I HEAR ON THE RADIO AND AT THE MOVIES, PLAYS, AND LECTURES. INCLUDING MOST JOKES AND
PUNS.
I UNDERSTAND NEARLY ALL CONVERSATION ON TOPICS OF DAILY LIFE AND TRAVEL. 90TH FACE-TO-FACE AND ON THE TELE
PHONE: 1 UNDERSTAND MUCH OF MAY I HEAR ON THE RADIO, AND AT THE MOVIES. PLAYS. NO LECTURES.
4.
I UNDERSTAND THE SIMPLEST CONVERSATION, BOTH FACE TO FACE AND ON THE TELEPHONE: I UNDERSTAND SOME OF WHAT
I HEAR ON THE RADIO AND AT THE MOVIES. PLAYS, AND LECTURES.
1.
AM NOT ABLE TO UNDERSTAND THE SPOKEN LANGUAGE.
BEFORE CONTINUING - CHECK PART 11 TO ENSURE THAT YOU HAVE CIRCLED ONE NUMBER PER SECTION.
PART 111-EXPERIENCE AS TRANSLATOR OR INTERPRETER (45)
I HAVE HAD EXPERIENCE AS A TRANSLATOR.
2. HAVE HAD EXPERIENCE AS AN INTERPRETER.
3.
BOTH OF THE ABOVE STATEMENTS APPLY.
NONE OF THE ABOVE STATEMENTS APPLY.
PART IV-CERTIFICATION
I CERTIFY THAT THE INFORMATION GIVEN ABOVE IS TRUE AND ACCURATE TO THE BEST OF MT KNOWLEDGE AND BELIEF.
THIS CERTIFICATION CONSTITUTES APPLICATION FOR A MAINTENANCE AGARD PROVIDED 1 AM ELIGIBLE UNDER THE TERMS OF
REGULATION NO. 25-115. PAR. IC(4). I UNDERSTAND THAT I MUST PASS AN OBJECTIVE LANGUAGE PROFICIENCY TEST BEFORE
BECOME ELIGIBLE FOR AN AWARD. AND THAT RESPECTIVE OF THE DATE OF TESTING ANNUAL MAINTENANCE AWARDS WILL BE
CUMULATIVE AS OF THE ANNIVERSARY DATE OF COMPLETING THIS FORM.
DATE SIGNED
(46)
SIGNAL.
-
E
14-00000
"
(1:0)
413003
NAME (Lan-Picot-Middle)
DAVID A
Philli
(7-24)
SECRET
(When Filled inv
LANGUAGE DATA RECORD
56
Liik
PART 1-GENERAL
2. DATE OF BIRTH
NONTH
OCTOBER
106-621
E**
31
1922
LANGUAGE
SPANISH
SECTION A.
2
3.
4.
5.
(31-33)
720
TODAY'S LATE
NONTH
(34-39)
3.
CAT
+144
1957
October 22
PART 11-LANGUAGE ELEMERTS
Reading (40)
I HAVE NO PROFICIENCY
IN ANY FOREIGN LANGUAGE
CAN READ TEXTS OF ANY DIFFICULTY, OF A GENERAL NATURE CR IN FIELDS 1 AM FAMILIAR WITH, USING THE DICTIONARY
ONLY RARELY.
1 CAN READ TEXTS OF MOST GRADES OF DIFFICULTY OF A GENERAL NATURE 2 IN FIELDS ! AM FAMILIAR WITH. USING THI
DICTIONARY OCCASIONALLY.
I CAN READ TEXTS OF AVERAGE DIFFICULTY (newspapers, reference waterials, etc.). USING THE DICTIONARY
FREQUENTLY.
I CAN READ SIMPLE TEXTS. SUCH AS STREET SIGNS, NEWSPAPER HEADLINES. ETC.. USING THE DICTIONARY FREQUENTLY,
I HAVE NO READING ABILITY IN THE LANGUAGE.
SECTION 9.
".
Writing (41)
1 CAN WRITE PERSONAL LETTERS AND SIMILAR MATERIAL WITH COMPLETE SUCCESS WITHOUT USING THE DICTIONARY. 1 CAN
WRITE FACTUAL NARRATIVE AND EXPOSITORY MATERIAL WITH REASONABLE CLARITY. WITH VERY FEW GRAMMATICAL ROS. 15
NATIVE STYLE. USING THE DICTIONARY ONLY RARELY.
I CAN WRITE PERSONAL LETTERS AND SIMILAR SIMPLE MATERIAL WITH COMPLETE SUCCESS. USING THE DICTIONARY ONLY
BARELY. I CAN WRITE FACTUAL NARRATIVE AND EXPOSITORY MATERIAL WITH REASONABLE CLARITY, WITH FEW GRAMMATICAL
ERRORS. BUT IN A STYLE WHICH MAY NOT BE NATIVE, USING THE DICTIONARY OCCASIONALLY.
3.
1 CAN WRITE PERSONAL LETTERS AND SIMILAR SIMPLE MATERIAL, WITH REASONABLE SUCCESS IN CONVEYING MY MEANING,
BUT WITH OCCATION-L MINOR GRAMMATICAL ERRORS AND IN OBVIOUSLY FOREIGN, AWKWARD STYLE. USING THE DICTIONARY
OCCASIONALLY.
4.
1 CAN GRITE PERSONAL LETTERS AND SIMILAR SIMPLE MATERIAL, WITH REASONABLE SUCCESS IN CONVEYING MY MEANING
BUT WITH MANY GRAMMATICAL ERRORS AND IN A VERY FOREIGN, ABOARD STYLE. USING THE DICTIONARY FREQUENTLY.
5. I CANNOT CRITE IN THE LANGUAGE.
SECTION C.
" MY PRONUNCIATION IS NATIVE.
Pronunciation (42)
SHILTATIVES CAN DETECT AN ACCENT IN MY PRONUNCIATION THEY HAVE 10 DIFFICULTY UNDERSTANDING ME.
3.
MY PRONUNCIATION IS OBVIOUSLY FOREIGN. BUT ONLY RARELY CAUSES DIFFICUL
FOR NATIVES TO UNDERSTAND.
4. MY PRONUNCIATION IS OCCASIONALLY DIFFICULT FOR NATIVES TO UNDERSTAND.
5
I HAVE
saith
IN PRONLNCIATION.
FORM 80 444c-1
CONTINUE ON REVERSE SIDE
SECRET
13
4151

14-00000
CONTINUATION OF PART 11-LANGUAGE ELEMENTS
SECTION 3.
0
J.
3.
Speaking (43)
' SPEAN FLUENTLY AND ACCURATELY IN ALL PRACTICAL AND SOCIAL SITUATIONS I CONVERSE FREELY AND IDIOMATICALLY
14 ALL FIELDS WITH ICH 1 AM FAMILIAR.
SPEAK FLUENTLY AND ACCURATELY IN NEARLY ALL PRACTICAL AND SOCIAL SITUATIONS . CAN CONVERSE IN MOST FIELDS
WITH WHICH I AM FAMILIAR AND ' EMPLOY SOME POPULAR SAYINGS, LITERARY JUOTATIONS. AND COMMON PROVIARS.
I GET ALONG WORTE BELL IN SITUATIONS OF DAILY LIFT AND TRAVEL AND CAN CONDUCT ROUTINE BUSINESS IN PARTICULAR FIELDS
1 MANAGE TO LET ALONG IN THE MOST Common SITUATIONS OF DAILY LIFE AND TRAVEL.
I HAVE NO ABILITY TO USE THE LANGUAGE IN ANY OF THE ABOVE RESPECTS.
SECTION E.
Understanding (44)
I UNDERSTAND NON TECHNICAL CONVERSATION ON ALL SUBJECTS. BOTH FACE-TO-FACE AND ON THE TELEPHONE I UNDERSTAND
NEARLY EVERYTHING I HEAR ON THE RADIO AND AT THE MOVIES. PLAYS, AND LECTURES.
2.
3.
I UNDERSTAND NON TECHNICAL CONVERSATION ON NEARLY ALL SUBJECTS, BOTH FACE-TO-FACE AND ON THE TELEPHONE. I
UNDERSTAND MOST OF WHAT I HEAR ON THE RADIO AND AT THE MOVIES, PLAYS, AND LECTURES. INCLUDING MOST JORES AND
PUNS.
UNDERSTAND NEARLY ALL CONVERSATION ON TOPICS OF DAILY LIFE AND TRAVEL, BOTH FACE-TO-FACE AND ON THE TELE
PHONE. I UNDERSTAND MUCH OF WHAT I HEAR ON THE RADIO, AND AT THE MOVIES, PLAYS, AND LECTURES.
4.
I UNDERSTAND THE SIMPLEST CONVERSATION, DOTH FACE-TO-FACE AND ON
I HEAR ON THE RADIO AND AT THE MOVIES, PLAYS. AND LECTURES..
THE
I UNDERSTAND SOME OF
TELEPHONE!
NAT
5.
} AM NOT ABLE TO UNDERSTAND THE SPOKEN LANGUAGE.
1.
BEFORE CONTINUING - CHECK PART 11 TO ENSURE THAT YOU HAVE CIRCLED ONE NUMBER PER SECTION.
PART 111-EXPERIENCE AS TRANSLATOR OR INTERPRETER (45)
I HAVE HAD EXPERIENCE AS A TRANSLATOR.
2. I HAVE HAD EXPERIENCE AS AN INTERPRETER.
BOTH OF THE ABOVE STATEMENTS APPLY.
J.
NONE
OF THE ABOVE STATEMENTS APPLY.
PART IV-CERTIFICATION
1 CERTIFY THAT THE INFORMATION GIVEN ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE AND BELIEF.
THIS CERTIFICATION CONSTITUTES MY APPLICATION FOR A MAINTENANCE AGARD PROVIDED I AM ELIGIBLE UNDER THE TERMS OF
REGULATION NO. 25-119. PAR. 1C(4). I UNDERSTAND THAT I MUST PASS AN OBJECTIVE LANGUAGE PROFICIENCY TEST DEFORE
BECOME ELIGIBLE FOR AN AWARD. AND THAT IRRESPECTIVE OF THE DATE OF TESTING. ANNUAL MAINTENANCE AWARDS WILL 06
CUMULATIVE AS OF THE ANNIVERSARY DATE OF COMPLETING THIS FORM.
DATE SIGNED
(40)
SIGNATURE
G
+41
Sam
A
14-00000
CONFIDENTIAL
(WHEN FILLED ING
SECURITY APPROVAL
03
19
DATE
19 February 1960
YOUR
REFERENCE: -8573 CS/CS Pov. Comp.
CASE NO.: 40696
TO
Director of Personnel
FROM
Director of Security'
SUBJECT
* PHILLIPS, David Atlee
lal
1.
2.
3.
This is to inform you of security approval of the subject person
as follows:
Subject has been approved for the appointment specified-in
your request under the provisions of Regulations 10-210 and
20-730 including access to classified information through
Top Secret as required in the performance of his duties.
☐ Subject has been approved for appointment under the authority
of Paragraph 4(4) of Regulation 10-210, and under Regulation
20-730 including access to classified information through
Top Secret as required in the performance of his duties.
Unless arrangements are made within 60 days for entrance on duty within
180 days, this approval becomes invalid.
As part of the entrance on duty processing:
A personal interview in the Office of Security must be arranged.
A personal interview is not necessary.
FOR THE DIRECTOR OF SECURITY:
(WH.)
Nachines and
2-10-60
ше
FORM NO. 1173 PEPLACES FOR 2010
WHICH IS OBSOLETE
Wat skome
W. A. Osborne
Acting Chief. Personnel Security Division
-2-24-60
CONFIDENTIAL
(5)
14-00000
CONFIDENTIAL
SECURITY INFORMATION
SECURITY APPROVAL
TO: Chief, Processing & Records Division
Personnel Office
FROM: Chier./Security Division
Personnel
SUBJECT: PHILLIPS, David Atlee
Date: 26 April 1955
SR-6038-PP
Your Reference:
Case Number:
40696
1. This is to advise you of security action in the subject case as indicated
below:
Security approval is granted the subject person for access to classified
information.
Provisional clearance for full duty with CIA is granted under the provisions
of Faragraph D of Regulation 10-9 which provides for a temporary appoint-
ment pending completion of full security investigation.
The Director of Central Intelligence has granted a provisional clearance
for full duty with CIA under the provisions of paragraph H of Regulation
10-9.
Unless the subject person enters on duty within 60 days from the above
date, this approval becomes invalid.
2.
3.
Subject is to be polygraphed as part of EOD procedures.
4. This clinomen is se
Tractor to 1 april 1955
Вы тут
Voly
دار نے بھی
FORM NO. 38-101
FEB 1959
Elmal
CONFIDENTIAL -
(81
14-00000
PERSONAL HISTORY STAY
:
14-00000
PERSONAL HISTORY STA
14-00000
14-00000
1
1
14-00000
茶
વાપીમાં

14-00000
DR CASUAL
ADDRES
14-00000
:
:
14-00000
..
:
14-00000
:
:
14-00000
---
00000-1
14-00000
14-00000
MATERIAL REVIEWED AT CIA HEADQUARTERS BY
HOUSE SELECT HITLE ON ASSASSINATIONS STAFI
SECRET
FILE TITLE/NUMBER/VOLUME: Phillips, DAVID A.
INCLUSIVE DATES: 25-MARCH 1955-2 Feb 1976.
CUSTODIAL UNIT/LOCATION:
OP
Files
ROOM:
5E13
DELETIONS, IF ANY:
DATE
RECEIVED
DATE
RETURNED-
REVIEWED BY
(PRINT NAME)
SIGNATURE OF
REVIEWING OFFICIAL
2/12/78/2/10/78 DAN Hardway Dan Hardway
17-726-78 4/17/78
DAN HARDWAY Da
NO DOCUMENTS MAY BE COPIED OR REMOVED FROM THIS FILE
2863
USE
BOX
SECRET

14-00000
Date
Contract Service
Action
Michael M. CHCADE N (P.)
65
Compensation Exervicect
$600 par no
600 "
12
1 Fob 51
28 Feb 51
Independent contractor
25 Jan 52
31 Aug 53
4 Mar 54
31 Jul 54
1 Aug 54
contract terminated
Independent contractor
Contract terminated-
Contract Employee
Contract terminated
Contract Employee
$6,000 p.a.
6,000.
$7,200
7,200
8,360
7
8,360
31 Mar 55.
Contract terminated
1 Apr 55'
13 Aug 58
Agency Staff Agent service
19 Aug 58
Independent contractor (Note: the base rate of pay of
$7,200 is subject to increase on occasions wherein
subject performs specialised assignments)
$1,200
$7,200
13 Mar 60
14 Mar 60
Contract torminated
Entered on duty as an Agency Staff Employee at
the rate of GS-14/3 ($11,835).
7,200
14-00000
{ORDAN-MEGAL USE ONLY
13 May 1975
MEMORANDUM FOR: Chief, Contract Personnel. Division
SUBJECT
: Earnings of David A. Phillips
In accordance with your telephone request, the following
is a record of income earned by Mr. Phillips during the period
19 August 1958 through 13 March 1960. Mr. Phillips was paid
at $7,200 P/A, with the exception of those periods of service
performed outside of his country of permanent assignment and
then he was paid at $13,000 P/A.
1800.00
600.00
600.00
-DATES
19-31 Aug 58
Sept 58
Nov 58-Jan 59
Oct 58
Feb 59
March 59
PAID AT
$7200 P/A
$ 240.00
600.00
600.00
DUE DIFFERENCE
BETWEEN $7200
P/A & $13000 P/A
-0-
$ 32.22
434.97
-0-
88.60
TOTAL
$ 240.00
632.22
1034.97
1800.00
688.60
-0-
600.00
April 59
600.00
157.07
757.07
May 59
600.00
128.88
728.88
June-July 59
1200.00
-0-
1200.00
Aug 59
600.00
80.55
680.55
Sept 59-Feb 60
3600.00
-0-
3600.00
1-13 March 60
260.00
-0-
260.00
1. Totals
$11,300.00
$922.29
$12,222.29
Asstechsm
JOSEPH H. HUDSON
Deputy Chief
Compensation and Tax Division
AÙMINISTRATIVE-INTERNAL USE ONLY
14-00000
Out of Conting 6 termas
For Junkteson
David Phillips
19 Aug 58
$7200
19-31 Aug 58
€260
Sep 58
Oct 58.
600 + 32.22
600+289.98
$632.22
Now 58
The Jon 59
600
889.98
$1800.00
Feb 59
Mar 59
Cips 59
May 59.
Jun. 59
Jul 59
Trey 59
Sept 59
-
600488.60
688.60
600.00
600+157.07
757.07
600+128.88
728.88
600.
600.00
600
600.00
600 80.55.
680.55
600
600..00
Oct 59
600
600.00
Now 59
600
600.00
Dee 59
600
600.00
Drew 60.
600
600.00
FeB 60
600
600.00
1.13 kr 60
260
260.00
14-00000
11,320 paid is $1200
of
estio
#777.30
-Told Pail $12,097.30
14-00000
4 March 1975
BACKGROUND ON REQUEST FOR CREDITABLE SERVICE:
August 1950 Until 3 March
1954
Parish
1.
.A basic document in consideration of this request is HCSA-825,
dated 4 February 1954.
;
2. I was running an English-language newspaper in Santiago, Chile
when asked to work with our Station there. My first pay was $50.00 per
month. The file contains a project approval dated 31 May 1950; TCS-A-
1064 asks that the first payment be made to the U.S. bank on 1 August
1950.
3. During this period I recall a number of activities undertaken
for the Station, and I travelled to New York for clandestine training.
The file indicates "He was originally approved operationally to handle
pros the complex Soviet espionage case of FULMINATER-2. His conduct of this
case was considered excellent...." Also, "It will be recalled that
Headquarters was very pleased with the printing job...which he had done."
The latter was indicative of a number of such chores, when I stayed be-
hind in my plant after the employees had left for the night, printing
leaflets, booklets, etc. I also handled agents and did a number of
spotting and assessing jobs for the Station.
4. I signed a new contract on 25 January 1952 for $500.00 per month
which ran until the termination date of 31 August 1953. (Actually this
was in the form of a loan which was paid off at the rate of $500.00. The
advance was used to purchase printing equipment which allowed me to do
certain work for the Station, but which I retained.)”
5. After termination of the contract on 31 August I remained in Chile
until 4 March 1954. During this period I recruited a CP agent who still
works for the Station--and was a cabinet member under Allende. On 3 Febru-
ary 1954 Headquarters asked that I be made available for another assignment.
The Station pointed out that I was working on the recruitment, and that I
and my family were planning on a European vacation. Headquarters again
requested my assignment. Thus I departed for the Guatemala project in
early March, abandoning my free family trip to Europe (tickets paid for
by advertising in my paper) and leaving my family behind to pack up. I
accepted this assignment without knowing where it was, or for how long it
would last. Indeed I did not even have a contract.
E2 IMPOET
CL BY 024345
14-00000
.6. I worked for the Agency in Santiago, then, between 1 August.
1950 until departure for PBSUCCESS on 4 March 1954. I was always avail-
able and when I finally did leave it was for Agency business rather than
my own. Thus I request that all or part of this time be approved as
creditable toward retirement."
David A. Phillips
14-00000
Mr. DeFelice:
Information from Adele regarding
Dave Phillip's creditable service:
As of 31 December 1974:
18 years, 11 months, 27 days
(Agency civilian service)
2 years, 8 months, 11 days
(military service)
Total creditable service:
21 years, 8 months, 8 days.
Sick leave will be added to that.
For your information, Paul Seidel has
an appointment with Mr. Phillips on
Wednesday afternoon. He is in the
CIARDS system and with his birth date
in 1922, he is eligible for voluntary
retirement.
Bonni
14-00000
18
Ma, 54-
3M -
4 moż
1. Dy 54 - 31Waist
Дуби
masou
5- is vilas sci
-
Emos
Led-F56-13
58
Raz
Comfor deter
Control Sigline
Sal
37
-
1 Fele 51-28 file
25 52-31 by 53
Nr Wanch 5V - 31 Won 15
SS-
6 Fel 26
06 -6 - 13 by
ベプ
8
13 wton '60
607
14-00000
David A. Phillips
Exeoplet Apperislumat Stiff Supleyse 1 apr 55
Resignation Staff Employer to F. 56
Expepled Copponition Staff Gent 7 Full 56
Resignation Staff Agent 13 Aug
58
Contract Agent 19 any 58
Terminatel
13 Mar 60
Exppled Opt Stuff for 14 Mor 60
Stoff Employee
sence 14 Noel 1960
14-00000
SECRET
21 May 1975
MEMORANDUM FOR: Office of Finance/C&TD
SUBJECT
REFERENCE
1.
Verification of Contract Employee Service of
David A. Phillips, current staff employee for
period 19 August 1958 through 13 March 1960.
: Memorandum from Deputy Chief Comp & Tax
Division subject earnings of David A. Phillips
dated 13 May 1975
Based upon new information it has now been determined that subject
served as an Agency contract employee during period 19 August 1958 through
13 March 1960;- and that this period is creditable for both retirement and leave
account category purposes. Civil Service Retirement deductions were not
withheld during the period. Records of this office reflect subject was autho
rized compensation during referenced period at the rate of $7,200 per annum,
except that when he was outside of the United States he was paid at the rate of
$13,000 per annum. For times and amounts involved in change of rate see
reference.
2. Action required:
(a) Office of Finance: Please post the above information to subjects
retirement records.
(b) DDO/LA/Pers: Please advise subject of the contents of this
memorandum.
(c) RAD/ROB: For your information and assistance in retirement
processing.
Rogers C. Brooks
Deputy Chief
Braises
Contract Personnel Division
Distribution:
Orig Addressee
-
1 - DDO/LA/Pers
1
-
RAD/ROB
OGC Concurrence:
SECRET
E2IMPDET
CL by: 063837

14-00000
COMENISTRATIVE-INTERNAL USE ONLY
13 May 1975
MEMORANDUM FOR: Chief, Contract Personnel Division
SUBJECT
:
Earnings of David A. Phillips
In accordance with your telephone request, the following
is a record of income earned by Mr. 
Phillips during the period
Mr. Phillips was paid
19 August 1958 through 13 March 
1960.
at $7,200 P/A, with the exception 
of 
those periods of service
performed outside of his country 
of permanent assignment and
then he was paid at $13,000 
P/A.
DATES
PAID AT
$7200 P/A
19-31 Aug 58
$ 240.00
Sept 58
600.00
Oct 58
Feb 59
March 59
600.00
Nov. 58-Jan 59
1800.00
600.00
DUE DIFFERENCE
BETWEEN $7200
P/A & $13000 P/A
-0-
$ 32.22
434.97
-0-
88.60
TOTAL
$ 240.00
632.22
1034.97
1800.00
688.60
600.00
-0-
600.00
April 59
600.00
157.07
757.07
May 59
600.00
128.88
728.88
June-July 59
1200.00
-0-
1200.00
Aug 59
600.00
80.55
680.55
Sept 59-Feb 60
3600.00
-0-
3600.00
1-13 March 60
260.00
-0-
260.00
Totals
$11,300.00
3922.29
$12,222.29
SAN
JOSEPH H. HUDSON
Deputy Chief
Compensation and Tax Division
ADRIENSTRATIVE-INTERNAL USE ONLY
14-00000
SECRET
21 May 1975
MEMORANDUM-FOR: Offices of Finance/C&TD
SUBJECT
REFERENCE
Verification of Contract Employee Service of
David A. Phillips, current staff employee for
period 19 August 1958 through 13 March 1960.
: Memorandum from Deputy Chief Comp & Tax
Division subject earnings of David A. Phillips
dated 13 May 1975
1. Based upon new information it has now been determined that subject
served as an Agency contract employee during period 19 August 1958 through
13 March 1960, and that this period is creditable for both retirement and leave
account category purposes. Civil Service Retirement deductions were not
withheld during the period. Records of this office reflect subject was autho
rized compensation during referenced period at the rate of $7, 200 per annum,
except that when he was outside of the United States he was paid at the rate of
$13,000 per annum. For times and amounts involved in change of rate see
reference.
2. Action required:
(a) Office of Finance: Please post the above information to subjects
retirement records.
(b) DDO/LA/Pers: Please advise subject of the contents of this
memorandum.
(c) RAD/ROB. For your information and assistance in retirement
processing.
78/ Regers C. Brooks
Rogers C. Brooks
Deputy Chief
Contract Personnel Division
Distributions
Orig Addressee
-
1
1
-
1
.
DDO/LA/Pers
RAD/ROB
Subjects CPD file
1 CPD Chrom file
DDA/OP/CPD: RCB; sp (21 May 1975)
SEGRET
EUMPDEr
CL by: 063837
14-00000
SECRET
10 MAR 1975
MEMORANDUM FOR: Chief, TRB
SUBJECT
:
REFERENCE
Verification of Contract Employee Service for
Michael H. CHOADEN (P) Current Staff Employee
: CPD Nemorandum of 30 June 1966 to Chief, TRB,
Subject "Record of Contract Service for CHOADEN,
Michael N.
1. Referent memorandum is revised in its entirety to reflect the
following periods of full time contract employee service as being
creditable service for both leave, and Civil Service Retirement purposes.
DATE
--
4 March 1954
31 July 1954
1 August 1954
31 March 1955
ACTION
Contract employee
Contract terminated
Contract employee
Contract terminated
PER ANNUM
COMPENSATION
$7,200
7,200
8,360
8,360
2. Period of service 4 March 1954 through 31 December 1954 had
in previous memorandum been declared creditable service for both leave
and retirement purposes. It dented creditable retirement service for
the period 1 January 1955 through 31 March 1955 because of a Federal
statutory provision relating to periods covered by Social Security.
The foregoing position was removed by P. L. 91-630 of 31 December
1970. thereby having the effect of rendering seld service as credit-
able.
3. Action required:
8.
Office of Personnel/TRB: Please file this
memorandum in subject's official personnel
file folder.
b. Office of Personnel/ROB: For your hformation.
t
0622/1
14-00000
SESTET
c. Office of Finance/C&TD: Please post the above
Information to subject's retirement records.
d. DDO/LA/Personnel: Please advise subject of the
contents of this memorandum.
Distribution:
Orig Addressee
-
1 » G/ROB
->>
1 - OF/C&TD
1 - DDO/LA/Personnel
-
1 ->
CPD Subject file
CPD Chrono
OP/CPD/R.C.Brooks: jc (10 March 1975)
Rogers C. Brooks
Deputy Chief
Contract Personnel Division
SEVER
14-00000
XOXO POR:
The File
SECRET
SUINJECT :
19 Oct 70
Michael M. CHOADIN (P), Verification of Contract Service
Subject, now a Staff love, asked Ben Dovelice to see if any of his old contract
tine is creditade towards CIALES retirement. Currently, subject is assigned PCS in
VH field, but is currently in Hatrs on TDI.,
21 Oct 70:
Not with subject an discussed all aspects of his questions and his prior con-
tractual servies. Provided him with Information concerning hip service,jana:
that criteria CPD used in determinin; independent contractor service va contract
ploce service, applicability of the "social Securite malo" precluding the use
of die contrat on loyee time under social security being creditable retirement
tine, etc." Also, provided subject with a sample of a memo which could be written
to SPD requesting old independent contractor ti be recatorised as continet cnployec
tive. Also indicated to subject we would help hin draft an appropriate cono if he
(subject) folt he had a good case. In general, information provided by Subject,
it seemed that subject's old independent contr ctor time was not of a type that night
lend itself to conversion to contract of employed time.
3 Dec 70: As of this date, OPD had heard nothing more from subject and it was
Werefore assumed that subject had, for at least for the imediate moment,
decided not to pursue the matter further.
Paul Hilson
3 Dec 1970
14-00000
Michael M. CH CADEN
0/Personnel/Contract Personnel Div
5-69 litro.
(Paul R. Wilson)
23 April 1970
-
OP/RAD 205 Magazine Bldg.
Attn: Adelo J.Sukowion
1. Adoles Hope the following with
holp yous
(a) Attached is our CPD file on-
loan. In it find a chrono of
all of subject's contract
Barvico.
(b) Information in our CPD momo of
This
30 June 66 is reaffirmed. low-
over, note it did not cite sub-
Ject's 1951/52/53 service, which
service is cited in the 0/Finance
momo of 16 June 1966.
1951/52/53 Bervice is independent
contractor service and not
creditable for purposes of
Civil Service Retirement.
(c) Our CPD momo of 30 Jun 66 indi-
catos subject had a social
security obligation for period
1 Jan 55 thru 31 Mar 55. Since
this obligation came about
retroactively in lild 1955, possi-
bility exists that noither sub-
ject or the Agency mado contri-
butions to the Social Security
Systom. If they were not made,
it is possible for much to bo
made at this late date and if
subject or WH Division is in-
terested in looking into this,
they should contact Rod Brooks
of CPD.
Paul R. Wilson
14-00000
FERNAL
UNCLASSIFIED
USE ONLY
SUBJECT: Ophonol)
FROM:
☐ CONFIDENTIAL
SECRET
ROUTING AND RECORD SHEET
CHCADEN
WH Personnel
3D3102.
TO: (0%
building)
designation, room number, and
DATE
1.
CP/RAD 205 Magazine
ATTN: Adele J. Sukowicz
2.
3.
5.
RECEIVED
EXTENSION
NO
FORWARDED
B
16S15
OFFICERS
INITIALS
DATE
6 April 1970
COMMENTS (Number each common
to whom Draw o'tine across colum
to show from whom
her each comment.)
CHOSTUS
Attached is Mr.
official
file and a dispatch from him in
which he requests a computation
of his time with the Agency
for retirement purposes.
a very complicated case.
luck!
It is
Good
Ruthle
Ruth Sanford
WH Personnel
6.
7.
8.
9.
10.
11.
12.
13.
Chief, Contract Personnel Div
5E 69 S
1 to 6:
On the basis of CP's memo
dated 30 June 1966 (spy attached)
ruling on the creditability of
Subject's contract service, 103
can reply to the attoned cispatch.
however, it is requested that CFL
review HERT for its actual content
and advise ROS if the
Jun 66 is reaffirmed.
30
Your attention is invited to
a discrepancy in identifying 1951
contract service. In the dispatch
(para 5) Subject refers to himself
as a "covert associate; the Office
of Finance (see remo dtd 16 Jun 66)
copy atteened) lists the time as
"contract agent" service; and your
jo o 30 Jun to lists the time
as "contract employee* service.
14.
15.
FORM. 610 renous
SECRET
CONFIDENTIAL
INTERNAL
USE ONLY
UNCLASSIFIED
14-00000
TO
INFO.
DISPATCH
CLASSIFICATION
SECRET
Chief, Western Hemisphere Division
Chief, Operational Services
WH
PROCESSING ACTION
MARKED FOR INDEXING
NO INDEXING REQUIRED
ONLY QUALIFIED DESK
CAN JUDGE INDEXING
FROM
SUBJECT
Chief of Station, Rimeiro.
་
MICROFILM
Request for Review of Retirement Status---Michael C. CHOADEN
ACTION REQUIRED - REFERENCES
Action Required: See Paragraph 9 et all
☐ 1. During his RVROCK career Michael C. CHOADEN has served
as Contract Agent, Covert Associate, Staff Agent and Contract
Employee. On one occasion CHOADEN resigned from RVROCK, became
a Contract Agent, then returned as a Staff Employee. The purpose
of this dispatch is to request a review of exactly what CHOADEN's
status has been over the years, what must be done to repay retire-
`ment funds for any periods of creditable service not now covered,
and to study the possibility that some periods of tenure might be
converted from uncreditable to creditable status.
2. CHOADEN served in the Air Force from February 1943
through October 1945, with total service of two years, eight
months and 19 days...
3. The dates of CHOADEN's first RVROCK service in Santiago,
Chile, are very hazy to CHOADEN. He does recall that he was first
recruited by the COS, but cannot recall if this was on a formal,
salaried basis. At some time during 1950 or 1951, probably the
latter, CHOADEN signed an RVROCK contract, for at least two years,
possibly longer. The salary is remembered as US$500 per month,
and on one occasion this salary was paid in advance to allow
CHOADEN to purchase printing equipment. Please check the contract
covering this period and advise Rio (a) the duration of the con-
tract and (b) if any provision for deductions (or future payment
of) was made. If, as CHOADEN suspects, there were no deductions,
even for Social Security, CHOADEN would appreciate Headquarters
comment on the possibility that this period might be retroactively
converted to creditable service status (after payments into
retirement system, of course). In this connection it is suggested
Distribution:
*FERENCE TO
-
Chief, WHD
Chief, OPSER
DISPATCH SYMBOL AND NUMBER
HBRT-7797
DATE
25 March 1970
CLASSIFICATION
HOS FILE NUMBER
SECRET
14-00000
CONTINUATION OF.
DISPATCH
CLASSICATION
DISPATCH SIMBOL SAD NUMBA
SECRET
HBRT-7797
"
that a discussion might be held with James G. COLLETT, who was COS
CHOADEN 
believes that
in Santiago during most of that time.
COLLETT will confirm that CROADEN demonstrated his intense interest
in his RVROCK work by performing not only the work called for in
his contract (mostly clandestine printing) but other chores 
as
well. Example: during this period, or perhaps just after the
expiration of CHOADEN's contract, CHOADEN, under Station guidance
and instruction, approached and recruited a Communist Party agent.
Another
(It is understood that the agent is still reporting.)
example: In March 1954, COS COLLETT approached CHOADEN and asked
him if he would accept the Headquarters' request that he leave
Chile, board an airplane for the U.S. and assist in an unidentified
operation which would last "some months." That was the extent 
of
the offer. CHOADEN accepted. This was despite the fact that he
had no contract, and that he had to leave his family behind and to
It is
abandon a trip which had been planned through Europe.
believed that this indicates that CHOADEN was pretty much "under
RVROCK control" during this period. (Perhaps training records
can assist in finding information on this Chilean period, as
CHOADEN went to New York on one occasion for a six-week training
course).
The
4. The next period of contract employment is also hazy.
operation in which CHOADEN was asked to participate turned out to
be PBSUCCESS. Some sort of contract was drawn up, but CHOADEN
does not recall if any deduction for retirement was made, nor of
the terms of the contract. It is requested that this contract be
reviewed and, should there have been no retirement credit, 
that
it too be reviewed for possible conversion to creditable service.
There is no question of CHOADEN "responding to RVROCK 
control"
during this period. It was full time work, and most of it per-
About 
sixty
formed away from family---some of it in the jungle.
CHOADEN recalls, was spent
, in Project
days,
PбHISTORY. CHOADEN was awarded an RVROCK \decoration for his work
ABROAD.
during this period.
CHOADEN
a
5. As the result of his participation in PBSUCCESS,
was contracted as a Covert Associate from (about; this is a guess)
October, 1954 until April of 1955. CHOADEN distinctly recalls
that this contract called for retirement credit if 
chosen as
future option. (It is not impossible that this contract was made
retroactive to cover CHOADEN's departure from Chile in March
, 
1954.)
It would be appreciated if Rio would be advised of 
the exact dura-
tion and terms of this contract.
6. CHOADEN was-a-Staff Employee from 1 April 1955 until
13 July of 1958, when he resigned. Retirement payments 
for 
this
period were returned to CHOADEN, and he understands that 
they 
must
be repaid sometime before retirement to make the period 
creditable
.
7. After resigning in 1953 CHOADEN went to Cuba and within a
week signed a contract---as an independent operator and, to the
best of CHOADEN's recollection, without any retirement 
benefits
.
Again, it is requested that this contract be reviewed 
with the
view of possible conversion to creditable status.
8. On March 14, 1960 CHOADEN again became a Staff Employee,
and has remained in that status.
9. Despite a rather long tenure with RVROCK CHOADEN now finds
that mich of his service is either not creditable, 
or is creditable
and not paid. CHOADEN would like to set this house in 
order, and
to begin having regular deductions from his salary begin 
building
'
Headquarters'
up his paid-up creditable retirement equities
.
assistance in arriving at this happy state would be appreciated.
CHQADEN is especially interested in obtaining 
approval for con-
It seems apparent
version of the early contract days in 
Chilo.
that if repayment into the retirement 
system 
is to be initiated,
CLASSIFATION
FOR
530
USE PREVIOUS EDITION.
SECRET
☑
CONTINUED
PAGE NO.
14-00000
CONTINUATION OF
DISPATCH
CLASSIFICATION
SECRET
STAND NUMBER
HERT-7797
.
it would be wiser to repay the early years first (so as to add more
timo more quickly with less payment). In any event, 
a Headquarters
'
review of the case would be appreciated.
FOAM
53 a
انه
USE PREVIOUS EDITION
CLASSIFICATION
SECRET
Uncle
Michael C. CHOADEŃ
3

14-00000
MEMORANDUM FOR : Chief, TRB
30 June 1966.
SUBJECT
Record of Contract Service for
"HOADEN, MICHAEL
1. Per your request we are forwarding record of Subject's contract
service:
M.
Date
4 March 1954
31 July 1954
1 August 1954
31 March 1955
19 August 1958
13 March 1960
Action
Hired as Contract Employee
Terminated
Hired as Contract Employee
Terminated
Hired as Contract Agent
Terminated
2. Subject was employed on a full time basis with leave benefits
from 4 March 1954 through 31 March 1955. Accordingly, this entire period
is treditaMe" for establishing his annual leave category. However, the
period from 19. August 1958 through 13 March 1960, as an independent contractor,
is not creditable for this purpose. Only the period from 4 March 1954
through 31 December 1954 is "creditable for Civil Service Fetirement,
since Contract Employee's were mandatorily covered by Social Security
as of 1 January 1955.
3. Attached is OF record of Agency service with salary breakdown.
Distribution:
Crig Addressee
-
2. CPD
Rogers C. Brooks
Acting Chief, Contract Personnel Division
14-00000
1
ATTH
Chief, Contract Permommal Division
1 May Day Spiak
Compensation and The Divisica
Office of Finance
Agency Serviss of
16 June 1966
The romnyde of the office of Finance show the following Agency
servies for Subjects
Contract Agents
209 1 Pabreary 1900 8600.00 P/M
Torn 29 February 1911 9 0600.00 P/M
EB N. Amary 1952.0 $5000.00 P/B
Term 11 August 1953 0 $6000.00 P/B
800 & March 1971 @ 07200.00 P/A
Pay Inc. 1 August 195 $8360.60 P/A
Toma. Arch 1955 © 01060,00 P/A
Staff Replayed i
Eur. Appl. 1 April 1955 0 8x600.00 9/A
Res. 6 February 1936 9 $10,320.00 P/A
Staff Agesti
Br. Appt. 7 February 1956 8 £10,320,00 P/
81 7 Other 1996 € £10, 535.00 P/B
Pay Raise 12 Joumery 1939 9 $11,595.00 P/A
PSI 6 April 1938 £11,0.0 P/A
Res. 19 August 1983 0 $11,895.00 P/A
Contract Agents
HOD 19 August 1938 0 $7,200.00 P/A
Torn. 19 Brah 1960 e 67,200.00 P/B
Staff Malayers
Ez. Appt. 14 Pbrch 1960 € 11,635.00 P/A
Subject has bou a Staff Aployes sines 14 Enruð 1960.
JOSEFI L. EA
Chie!
Avent, Parroll Branch
14-00000
:
STANDARD FORM 144
REVISED SE4
VCE COMMI
FPM CHAPTER'S LI, RE, AND SJ
STATEMENT OF PRIOR FEDERAL C IAN AND MILITARY SERVICE
AND DETERMINATION OF COMPETITIVE STATUS
The employee
IMPORTANT: The information on this form will be used (1) in determining creditable service for leave purposes and retention
credits for reduction in force, and (2) in recording agency determination of competitive status.
should complete Part I and the Personnel Office should complete Parts 11 through V.
PART LEMPLOYEE'S STATEMENT
1. NAME (Last, Met, riddle initial)
2. DATE OF BIRTH
Octen 31, kin
PART 11-THIS COLUMN IS
FOR PERSONNEL OFFICE USE
9. RETENTION GROUP
NO
PHILLIPS, DAVID ATLER
3 LIST THE FOLLOWING INFORMATION CONCERNING ALL FEDERAL AND DISTRICT OF COLUMBIA SERVICE YOU HAVE HAD
PRIOR TO YOUN PRESENT APPOINTMENT (Do not include military service)
cia
SE AND LOCATION OF AGENCY
FROM-
TO-
YEAR MONTH DAY YEAR MONTH DAY
TYPE OF
APPOINTMENT
✓ KNOW
6:9-14
52. ACC STATUS ☐ YES
□ TYPE OF PRESENT
APPOINTMENT
11. SERVICE
TLAR
3
MONTH
DAY
4
13
13
& LIST PERIODS OF ACTIVE SERVICE IN ANY BRANCH OF THE ARMED FORCES OF THE UNITED STATES IF YOU HAD NO ACTIVE
MILITARY SERVICE, WHITE "NONE"
ARMY AIR
BRANCH
Force
FROM-
TO-
YEAR MONTH DAY YEAR
MONTH DAY
DISCHARGE
(Hon, or dishon.
17.4.2
"
1945
TE
Hon.
131
- 2
8.19
NOTE:
This SF-144 was completed by sub-
ject on 14 March 1960 on occasion of
entering on duty as an Agency Staff
Employee.
Note that he did not claim any of
his prior contract service.
Original of this SF-14 on file in
subject's Staff Employee file.
TAL OF MORE THAN 6 MONTHS ABGENCE
Y ONE CALENDAR YEAR? YES ☐ NO
TO-
TOTAL
MONTH DAT
TEARS
MONTHS DAYS
NT COMPETITIVE CIVIL SERVICE STATUS?
no status was acquired?)
12, TOTAL
AL SERVICE
'
12 NONCREDITABLE SERVICE
-
(Laare purpose only):
ANONCREDITABLE SERVICE
(RIF purposes only):
5. PEEMPLOYMENT RIGHTS
rts ☐ NO.
RETENTION RIGHTS
☐ YES
NO
17. EXPIRATION DATE OF RETEN-
TION RIGHTS
_ VINER PERSONS AUTHORIZED TO ADMINISTER OATHS.
I swear (or affum) that the above statements are true to the best of my knowledge and belief.
141912
D
(SIGNATURE)
(DATE)
Subscribed and sworn to before me on this _ day of.
(MONTH)
SEAL
_ 1960 at _ MASHINGTON, D.C.
(CITY)
2 p
(STATE
NOTE: If oath is taken before a Notary Public, the date of expiration of his Commission should be shown.
INSTRUCTIONS: File this form on the permanent side of the employee's official personnel folder immediately before or after the personnel
ochon involved.
(OVER)
:
14-00000
3
SECRET
14 March 1960
MEHORANDUM FOR: Chief, Contract Personnel Division
SUBJECT
Termination of Michael CHOADEM Contract
It is requested that the contrect of Michael M. Choadan ba
terminated as of close of business 13 March 1960 in view of his
appointment to staff employee status offective 1, March 1960
J. C. King
Chief, Western Hemisphere Division
Stem (
;
14-00000
.
Mr. Michael M. Choaden
Dear Mr. Choaden:
Reference is made to your contract with the United States Government,
as represented by the Contracting Officer, effective 19 August 1958, as
amended.
Effective 16 February 1960, said contract, as amended, is further
amended by adding after paragraph seven (7), entitled "Travel and Operational
Expenses," the following paragraph:
"8. Return Travel. Upon the successful completion of your
services under this agreement you will be advanced or reimbursed
funds for authorised travel and transportation expenses for you,
your dependents and your household effects from Havana, Cuba to
the Washington, D.C. area, including per diem in lieu of subsistence
in the course of such travel. Such funds will be subject to payment
and accounting in conformance with applicable Government regulations;
All other terms and conditions of the contract, as amended, remain in
full force and effect.
"
UNITED STATES GOVERNMENT
BY
Contracting Officer
-
"
fit 60
WH/PP Amouriltex
"Robert Reynecker
C.A.
14-00000
SECRET
10 February 1960
MEMORANDUM FOR: Chief, Contract Fersonnel Division
SUBJECT:
Amendment to Contract - Michael M. CHOADEN
It is requested that Subject's contract dated 19 August 1958, as
amended, be further amended to authorize return travel from Havana, Cuba,
to Washington, D. C., for Subject and his dependents at Government expense.
It is also requested that the amendment authorize shipment of Mr. CHOADEN's
household effects from Havana, Cuba, to Washington, D. C., at Government
expense.
SECRET
KING
Chief, MHD
14-00000
S-B-C-R-F-T
(When Filled In)
MECRAIDU FOR: CHIFF, Finance Division
FRC
Contract Personnel Division
SUBJECT:
Contract Extension for
1. Effective
19429157
for the subject individual, effective
учаль
extended for a saint of nes tilheng,
the contract (as amended)
19 ALY/58
is
2. All other terms and conditions of the contract (as amended)
remmin in full force and effect.
UNITED STATES OF AFRICA
BL
CORCING OFFICIA
S-B-C-R-F-T
14-00000
SECRET
MEMORANDUM FOR: Chief, Contract Personnel Division
Attention: Mr. D. H.. Letcher
Acting Chief, WHD
FROM
SUBJECT
Renewal of Contract of Michael M. CHOADEN
18 August 1959
It is hereby requested that the contract of Michael M. CHCADEN, effective
19 August 1958 and amended, be renewed for one (1) year effective 19 August
1959.
for.
Ellison
E. GOMEZ
Acting Chief, Western Hemisphere Division
SECRET
14-00000
SECRET
!!
Mr. Michael M. Choadon
* Dear Mr. Choaden:
Reference is made to your contract with the United States Government,
´as represented by the Contracting Officer, effective 19 August 1958.
Effective 19 August 1958, said contract is amended in the following
manner:
(a) The first sentence of paragraph one (1), entitled "Compensation, " is
· deleted and in lieu thereof the following sentence is substituted:
"In full consideration for the purchase of such information and
services you will be compensated in an amount calculated at the
rate of $7200 per annum except that for those periods of time
during which you are performing services necessitating certain
specialized professional skills on a full time basis outside of
the country of your present permanent assigninent, you will be
compensated at the rate of $13,000 per annum.
"
(b) The following paragraph is added after paragraph six (6), entitled
"Term":
"7. Travel and Operational Expenses. While performing
those tasks for which you will be compensated at the rate of
$13,000 per annum, as set forth in paragraph one (1) above,
you will be advanced or reimbursed funds for necessary expenses
incurred in connection with such operational travel as may be
directed or authorized by the Government, This may include
per diem in lieu of subsistence in the course of such travel
and while on temporary duty away from your permanent post
of assignment overseas. In addition, you will be advanced
or reimbursed funds for necessary operational expenses as
specifically approved by the Government. Payment and
accounting for the items set forth herein will be in conformance
with applicable Government regulations."
All other terms and conditions of the contract remain in full force and
effect.
You will please indicate your approval by signing in the space provided
below.
ACCEPTED:
Michael M. Choaden
WITNESS:
APPROVED:
UNITED STATES GOVERNMENT
BY
Contracting Officer
14-00000
MEÑORANDUM FOR
FROM.
SUBJECT
SECRET
17 September 1958
: Chief, Contract Personnel Division
Attention: Mr. D.H. Letcher
: Chief, Western Hemisphere Division
Amendment To Contract of Michael M. CHOADEN
1. It is hereby requested that the contract of Michael
M. CHOADEN be amended to provide that he be compensated in an amount
calculated at the rate of $13,000. per annum while travelling out-
side Cuba at the request of the United States Government and en-
gaged full time in the work of the United States Government. It
is further requested that while so travalling outside. Cuba, CHOADEN
be paid per diem at the standard United States Government rate for
the area of travel or temporary residence.
2. CHOADEN possesses certain specialized professional
skills which are in temporary, but urgent demand in a country
(other than Cuba) within the jurisdiction of the Western Hemisphere
Division. The contract amendment outlined in paragraph 1. (above)
is being requested so as to provide a means by which CHOADEN's
skills might be made available to meet this current need for them.
diveson
fr. C. KING
Chief, Western Hemisphere Division
SECRET
_

14-00000
حين
R.
Mr. Michael M. Choaden
Dear Mr. Choaden:
The United States Government, as represented by the Contracting Officer,
hereby contracts with you as an independent contractor for the purchase of
certain information and related services of a confidential nature under the
following terms and conditions:
1. Compensation. In full consideration for the purchase of such infor
ination and services, you will be compensated in an a nount calculated at the
rate of $7200 per annum. Payments will be made as directed by you in
writing in a manner acceptable to the Government. No taxes will be withheld
therefrom but it will be your responsibility to report such income under
existing Federal income tax laws and regulations. A Form No. 1099 pre-
pared in a manner to conceal the true source of such income will be furnished
you by the Government in order that said responsibility may be properly ful-
filled. Income received pursuant to this contract is not subject to relief from
Foderal income taxes on the basis of foreign residence.
Z. Status. You are not an employee of the United States Coverament
under this agreement and are not entitled to any heure normally incident
to an employee status.
3. Secrecy. You will be required to keep forever secret this contract
and all information which you may obtain by reason hereef (unless released in
writing by the Government from such obligation), with full knowledge that
violation of such secrecy may subject you to erikainat prosecution under the
Espionage Laws, dated 25 June 1913, as amended, and other applicable laws
and regulations.
4. Instructions.
Instructions received by you from the Government in
briefing, training or otherwise are a part of this contract and are incorporated
herein, provided that such instructions are not inconsistent with the terms
hereof.
5. Unauthorized Commitments. No premises or commitments pertaining
to rights, privileges or benefits other than those expressly stipulated in
writing in this agreement or any amendment there to shall be binding on the
Government.
6. Term.
This contract is effective as of 19 August 1953, and shall-
-continus thereafter for a period of one (1) year unless sooner terminated
either:
(a) By fiftown (15) days' actual notice by either party hereto, or
14-00000
"
(b) without prior notice by the Governinent in the event of a breach
of this contract by your violation of the security provisions, hereof
or by your otherwise renḍering yourself unavailable for acceptable
service.
Subject to the availability of appropriations, this agreement may be extended
upon notice from the Covernment. Termination of this agreement will not
reluase you from the obligations of any security oath you may be required to
take.
ACCEPTED:
Michael M. Chorden
WITNESS:
APPROVED:
22 M/12/11 Sept '58:
UNITED STATES GOVERNMENT
BY
Contracting Officer
14-00000
SECRET
CONTRACT INFORMATION AND CHECK LIST
INSTRUCTIONS Complete all sters, inserting 、,
are
Rotort Heynolds
hetene TELEPHONE EXTENSION
not applicable Forward original and one Cop lut "Prep-
caration ut contract.
SECTION '
5. NAMI
2. PROJECT
2055
[DTVESTO
WHD
DATI
13 August 1958
3.
ALLOTMENT NO.
.. SLOT NO.
Amourette 7 (DITO)
R. PERMANEN
INDIVIDUAL 13 PRESFATLE ENGAGED.
ACTIVITIES IN. SOME CAPACITY
'clude votary)
8-3545-01-500
OR HAS REEN ENGAGEO BY CIA OR Its ALLIED
(If yes, describe and in-
Michael M. Choaden
Habana
".
PREVIOUS CIA PSEUDONYM OR ALIAST
6
Contact Agent, 1952-1954
Staff Agent, 1957-1958'
Paul D. Langevin
7. SECURITY CLEARANCE (Type and date)
..
State Smployee. 1955-1957 ($10,320) GS-14
Tor Secret Clearance EQD/CIA 1 April 1955
8 CONTACT IS TO BE SITTEN IN STERILE FORM F.E.. "U.S.
ENT"
INDIVIDUAL WILL WORK UNDER CONTROLLED CONDITIONS" 1.f.. "REGULAR OFFICE
HOURS AWAY FROM SUBJECT'S HOME AND PERFORMED UNDER THE SUPERVISION OF A
STAFF EMPLOYEE OR STAFF AGENT
SECTION 1
11. CITIZENSHIP
U. S.
•
☐ H
☐
NO
10. PROPOSED CATEGORY (Contract agent.
contract employee, etc.)
Contract Agent
vis
PERSONAL DATA:
12. IF NOT U.S. CITIZEN. INDIVIDUAL 13 A PERMANENT13.
RESIDENT ALIEN
AGE
14.
35
DATE OF BIRTH (Month, day, year).
31 October 1922
15. LEGAL RESIDENCE (City and state or country)
4804 Washburn, Fort Worth, Texas
17. MARITAL STATUS (Check as appropriate)
☐
SINGLE
☑ MANNICO
18. NUMBER OF DEPENDENTS (Not Including individual)
RELATIONSHIP AND AGE:
Five: Wife and four children.
15
NENT RESIDENCE (City and state or country)
Fabana, Cuba
ROLLED
SEPARATED
19
AN INDIVIDUAL
CAPACITY
RELATIONSHIP I
…
☐ OFVORCED
INDIVIDUAL IS RELATED TO A STAFF EMPLOYER. STAFF AGENT OR
CURRENTLY WORKING FOR THE AGENCY IN SOME
NO
SECTION FEE
20. RESERVE
23.
N.A.
Air Force
SECTION IV
U.S.
MILITARY STATUS
21. VETERAN
22. OF RETIRED. INDICATE CATEGORY (Longevity, combat
Assobility, service disability non-combat)
World War II
BRANCH OF SERVICE
24. RANK OR GRADE
25
GRAFT ELIGIBLE.
120.
DRAFT DEFERMENT OBTAINED
BY CIA
s/set.
по
☑ No
COMPENSAT 10%
27.
BASIC SALARY
28. FOST DIFFERENTIAL
29. COVER (Breakdown.
if any)
30.
$7200 p. a.
SECTION V
31. QUARTERS
N: A.
N. A.
M. A.
ALLOWANCES (NORVALLY GRANTED ONLY TO RESIDENTS OF THE UNITED STATES)
32.
POST
N. A.
34. COVER (Breakdown, if any)
N. A.
33.
OTHER
N. A.
TAXES TO BE WITHHELD S
[cove Issue 1099 in
Aname of notional
WITHHELD payor.
NOT
FABERGH OPERATIONAL N. A.
36.
YES
WITH DEPENDENTS N.A.
☐
NO
39. TRANSPORTED VEHICLE TO BE USED FOR
OPERATIONAL TRAVEL
TRAVEL
SECTION VI
25.
TYPES
☐ DOMESTIC OPERATIONAL
☐.
37. HOUSEHOLD EFFECTS TO BE SHIPPED
38. PERSONAL VEHICLE TO BE Shipped
☑ TO
☐ no
40. IF WITH DEPENDENTS STATE RELATIONSHIP, CITIZENSHIP. AGE AND GATE OF BIRTH
41. PAYMENT AND ACCOUNTABILITY WILL BE IN CONFORMANCE WITH
SECTION VIL
42 PURCHASE OF INFORMATION
PESULATIONS
COVER POLICY
OPERATIONAL EXPENSES
ENTERTAINMENT
14. OTHER
14-00000
SECRET
CONTRACT INFORMATION AND CHECK LIST
(CONTINUED)
NOTE: SEF INSTRUCTions of FreST SHEET
Winth
Robert Reynolds
TELEPHONE ENTINGI
2056
OTHER PENEFITS
WHD
13 August 1958
46. BENEFITS (See Part WV of Confidential Fund Regulations oz succesat regulations for benefits applicable to VAFLOU
categorias of contract personnel.
If medicat benefity are requested her K 19-230
succesgot regulations, I
N. A.
SECTION IX
47
40.
STATUS
(Check)
☑
ESTABLISHED
TYPE
(Check)
COVER ACTIVITY
PROPRIETARY
SUBSID1810
CULTURAL
toucaTIONAL
49. IF LOVER PAYMENTS ARE CONTEMPLATED: THEY WILL
HE EFFECTED ON REIMBURSABLE HASIS
☑.
COMPLETE
SECTION X
OFFSET OF INCOME
☑ COMMERCIAL
MILITARY
PARTIAL
TOURIST
OTHES
50. OFFSET OF INCOME AND OTHER EMOLUMENTS DERIVED FROM COVER ACTIVITIES (If less than total, justify in separate mono
attached hereto. )
TOTAL
PARTIAL ☑ MONE
TERM
>2.
EFFECTIVE DATE
YEARS
15 August 1958.
SECTION XI
51.
DURATION
MONTHS
Tov/12
54. TERMINATION NOTICE (Number of days)
15
SECTION XII
53. RENEWABLE
YES
40
55 FORFEITURE OF RETURN TRAVEL FOR RESIGNATION PRIOR TO CONTRACT TERMINATIO
N. A.
☐ .
56. PRIMARY FUNCTION (FL. PP. other)
SECTION XILE
PP
57. GENERAL DESCRIPTION OF DUTIES TO BE PERFORMED
FUNCTION
DUTIES
To be assigned by CCS, Habana, according to Station requirements.
SECTION XIV
58. EXPERIENCE
Contract Agent in Chile, 1952-1954
QUALIFICATIONS
Contract Agent, PBSUCCESS and PIHISTORY, 1954
Covert Associate, 1954-1955
Staff Agent, Ouha, 1956-1957
Staff Agent. Pofrut. Lab
Labanon, 1057-1958.
59. EDUCATION
60.
Check Highest
Level Attained
.)
LANGUAGE COMPETENCY
SCHOOL
BUSINESS SCHOOL GRADUATE
COLLEGE (No degree)
Check Appropriate
Degree Competency
62.
AREA KNOWLEDGE
LANGUAGE
Spanish
French
Chilc, Cuba, Lebanon
SECTION XV
69.JOB AND SALARY PRIOR TO SERVICE FOR CIA
HIGH SCHOOL GRADUATE
TRADE SCHOOL GRADUATE
COMMERCIAL SCHOOL GRADUATE
[COLLEGE DEGREE
POST GRADUATE
SPEAK
WRITE
READ
61.
AUTRAGE FOOD FLUENT AVERAGE PUOD
FLUENT AVERAGE P05
x
x
I
叉
Χ
PRIOR EMPLOYMENT
Editor and publisher, actor, lecturer, free-lance writer.
SECTION XVI
64.
ADDITIONAL INFORMATION
ADDITIONAL no NUSUAL REQUIREMENTS. JUSTIFICATIONS OR EXPLANATIONS (Use other side if nece.eary)
DATE
PHO
INDIVIDUAL'S
COUNTRY OF ORIGIN
U.S.A.
TREFFICA
APPROVAL
ON
TEATE
TYPES NAME "
3163
UF SENTOR STAFF OFFICER
14-00000
MEMORANDUM FOR: CHIEF, SCAPS
7 February 1955.
VIA
: Contract Approving Officer, PP Staff
SUBJECT
: Termination of Contract.
:
It is requested that the contract on Paul E. LANGEVIH
be terminated effective 1 April 1955.
NETECTED
PP/CONTRACT APTRICHING OFICER
SIGNED
JEANNE K. LETELLIER
Chief of Administration
Psychological and Paramilitary
Operations Staff
14-00000
SAT
19 October 1954
MEMORANDUM FOR: Chief, Psychological and Paramilitary
SUBJECT:
REFERENCE:
Operations Staff
Paul D. Langevin (P) - Covert Associate
Memo to Special Contracting Officer, CIA,
dated 12 October 1954, Same Subject
Pending publication of a rogulation on Employee Services,
the Office of Personnel issued N 20-660-19, dated 29 July 1954
to be effective 1 August 1954. This Notice announced the availa-
bility of two life insurance and two health insurance programs
sponsored by the Agency under the name of "Government
Employees Health Association, Inc." Eligibility for these life
and health insurance programs has been limited to those categor-
les of personnel expressly stipulated in the Notice. Nowhere are
Covert Associates listed as an eligible group, although in fact
a Covert Associate may be an employee of the U.S. Government.
Until the notice or the proposed regulation is changed, this Staff
is precluded from inserting in contracts similar to that of sub-
jact individual's any reference to health and life insurance
programs normally available to staff employees.
DHL/pr
Orig & Addressee
JOHN L. BISCHOFF
Special Contracting Officer
1 cc Employee Services Div. (attn. Joe Evans)
1 cc subject file
1 cc chrono
1 cc corres w/PPStaff file
:
14-00000
12.10
SECRET
12.0071554
120st
12 Oct 1st
1954
MEMORANDUM FOR:
SPECIAL CONTRACTING OFFICES, CIA
GUBJECT
: Faul D. Langerin (P)--Jovers Associate
It is requested that dis auteur's contract effective
1 August 155h be emented to permit the subject to apply for
Hospitalization and Lite Insurance with the Agency.
GRADER
да
forc
Chief
Psychological and Phrenilitary Operations start
14-00000
MEMORANDUM FOR: Mr. Kermit Roosevelt
ATTENTION
SUBJECT
: Mr. John Baker
: Mr. Paul D. Langevin; Employment as CIA
Staff Officer
1. To those of us at Headquarters who have followed closely the
work of Mr. Langevin in connection with PBSUCCESS, it is completely
evident that he made one of the major and most outstanding contributions
to this Operation and that he has demonstrated himself to be exceptionally'
qualified in the field of political and psychological operations (covert).
I have just been informad by Messrs. Barnes and Langevin that the latter
who has heretofore been employed in the capacity of a Contract Agent,
desires to become more closely associated with the Agency and would
like to be employed as a regular staff officer. I am very much in favor of
following up on this opportunity, and I have good reason to believe that
the Director likewise is specifically interested.
--
2. There are certain aspects of this case which appear to require
special handling and tailoring none of which presents any difficulties as
I see it but, on the contrary, would tie in very neatly with both the
near term and longer range aspects of the employment of Mr. Langevin.
These aspects are as follows:
..
(a) Mr. Langevin desires to begin his term of employment by
the Agency with a period of service at Headquarters. (He has spent
many years in Latin America, principally in Chile where he has
owned and still owns a newspaper, and, in my judgment, it would be mutually
advantageous to the Agency and to Mr. Langevin for him to spend
not less than a year as a member of the Headquarters organization. )
(b) Mr. Langevin has for some years in the past been giving an annual
series of lectures in various Latin American capitals. These lectures
have been arranged by an agent of his in New York and his audiences
have consisted of business and professional groups and women's organ-
izations. The general subject matter of his lectures has included talks
on the threat of international Communism to Latin America. Mr. Langevin
would desire, if it can be worked out, to be permitted to continue to
deliver lectures of this kind in the future and is at the present time
SECRET
14-00000
contemplating a series of lectures on Latin America to be given in various
cities within the United States.
(c) Mr. Langevin would be ready and able to accept a field assignment
in South America following the conclusion of the period of Headquarters'
duty referred to.
--
3. As already indicated, it seems to me that there are no sérious
problems involved in any of the foregoing and that the material can be
readily cut to fit the pattern. It is the recommendation of Mr. Barnes in
which I concur, that Mr. Langevin be assigned to the PP Staff during his
tour of duty here. He could in this capacity work very closely with WH
Division, but it seems to Tracy and myself that he can contribute importantly
to the work of the PP Staff and in the process broaden himself. As regards
the matter of the lectures, I would recommend that arrangements be made
to permit and even encourage him to continue these since it seems to me
that they would fit in very well with his general PP assignment • assuming, of
course, that his Headquarters, and field cover are properly designed and main-
tained. The Headquarters cover problem is not a substantial one and as far
as the field is concerned if Mr. Langevin were to go under non-official cover
of the right kind this also should present no problem. There is a ready-
made cover in the field and in a critically important country by virtue of
his ownership for some six years -- of a newspaper in Santiago. It
would not be incompatible with his resumption of his position as owner and
editor of the Santiago newspapaer to work in an annual series of lectures
either in Latin America or in the United States. There is only one further
point involved in connection with the lectures: Because of Mr. Langevin's
intimate association with many of the details of PBSUCCESS and also in
light of the standing rules of the Agency, it would be desirable for him to
submit at least in general outlines, and preferably textually to the extent
feasible, the substance of his proposed lectures. He is anxious to do this
in connection with the forthcoming lectures for his own piece of mind
since he would like to be double-checked on the things which he should say-
and those which he should not say with respect to the Guatemalan development.
He could and in the material to Mr. Holcomb or myself
or to you -- and
after it has been checked over by one of us, we could arrange to submit it
to the Office of Security for such further checking as may be desirable.
--
--
--
4. Mr. Langevin proposes to take a leave of absence of a month or
six weeks, starting within the next few days. I believe it would be
desirable for Mr. Baker, to start the necessary personnel and other admin-
istrative actions, including any additional security clearances which may
14-00000
which may be necessary, etc., looking toward having everything in line.
for Mr. Langevin to come aboard officially at the conclusion of this
leave.
5. His home address is: 811 Hollywood Blvd.
Hollywood, Florida
Ct"
COPS
DD/P
CWH
FRANK G. WISNER
Deputy Director (PLANS)

14-00000
SAST
Date:
Mr. Paul D.. Langevin
Dear Mr. Langevin:
Reference is made to your contract effective 4 March 1954 with the United
States Government, as represented by the Central Intelligence Agency, for the
submission of certain information and related services of a confidential nature.
31 qily
Effective 14 September 1954, said contract is terminated and in lieu
there of the following contract is substituted:
The United States Government, as represented by the Central Intelligence
Agency, hereby contracts with you as a Covert Associate for the submission of
certain information and related services of a confidential nature under the
following terms and conditions:
1. Compensation. In full consideration for the submission of certain
information and related services of a confidential nature, you will be compen-
sated at the rate of $8360 per annum. In addition, you will be entitled to
authorized overtime in excess of 40 working hours per week at the rate of $1,51
per hour. Payments will be made as directed by you in writing in a manner
acceptable to CIA. No taxes will be withheld from any sums paid to you here.
Funder directly by CIA, but it will be your responsibility to report such suma in
accordance with applicable Federal income tax laws and regulations.
2. Travel. You will be advanced or reimbursed funds for necessary
expenses incurred in connection with such travel as may be directed or author-
ized by CIA. This will include per diem in lieu of subsistence in the course of
such travel while away from Washington, D. C., and while on temporary duty
overseas. You will be required to account for such expenses in accordance with
applicable CIA regulations or those of your cover facility, whichever is directed
by CLA.
3. Operational Expenses. You will be advanced or reimbursed funds for
necessary operational expenses including, but not limited to, entertainment and
the purchase of information as specifically approved by CLA. Such funds will be
subject to accounting in compliance with CIA regulations,
{
4. Benefits. (a) You will be entitled to death and disability benefits
equal to those authorized under the Federal Employees' Compensation Act, as
amended. Claims by you, your heirs, or legal representatives under this para-
“graph will be processed by CIA in accordance with its procedures in such manner
as not to impair security.
(b) You will be entitled to sick and annual leave equal to and
subject to the same rules and regulations applicable to CLA employees. Such
leave may only be taken at times and places approved in advance by appropriate;
representatives of CIA.
(c) Civil Service Retirement deductions will not be made
from your wages since your employment hereunder is not a covered employment
under the Civil Service Retirement Act. However, your status is that of an
14-00000
employee of the United States Government paid from Government funds.
Therefore, if in the future you are employed by the United States Government
in a status covered by the Civil Service Retirement Act, periods of service
under this contract will be available as creditable service for retirement
purposes in conformance with Civil Service Regulations.
5. Cover. It is anticipated that you will undertake certain cover
empl yment in the course of your performance under this agreement. It is
expressly understood and agreed that any and all documents which you may
execute in the course of such cover employment are subordinate to this
reement and any contradiction in terms which may in any way amplify, extend
or restrict your rights and/or obligations hereunder shall be resolved by
this agreement which shall always be dominant.
6. Leave Without Pay. During the term of this contract it is antici-
pated that you will undertake contracted speaking engagements. For such
periods of time necessary to fulfill these commitments you will be considered
on leave without pay status under the terms of this agreement.
7. Execution of Documents. If, in the performance of your cover
service, you assume the custody of government funds or take title of record
to property of any nature whatsoever and wherever situate, which property
has in fact been purchased with monies of the U. S. Government, you hereby
recognize and acknowledge the existence of a trust relationship, either express
or constructive, and you agree to execute whatever documents may be
required by CIA to evidence this relationship.
8. Secrecy. You will be required to keep forever secret this contract
and all information which you may obtain-by reason hereof (unless released
in writing by CIA from such obligation), with full knowledge that violation of
such secrecy may subject you to criminal prosecution under the Espionage
Laws, dated 25 June 1948, as amended, and other applicable laws and
regulations.
9. Instructions. Instructions received by you from CIA in briefing,
training or otherwise are a part of this contract and are incorporated herein,
provided that such instructions are not inconsistent with the terms hereof.
10. Unauthorised Commitments. No premises or commitments pertain.
ing to rights, privileges or benefits other than those expressly stipulated in
writing in this agreement or any amendment thereto shall be binding on the
Government.
11. Term. This contract is effective as of 1 August 1954, and shall
continue thereafter for a period of one (1) year unless sooner terminated by
CIA either:
(a) By fifteen (15) days' actual notice to you from CIA, or
(b) Without prior notice, in the event of a breach of this contract
by your violation of the security provisions hereof or by your
otherwise rendering yourself unavailable for acceptable service.
:
}
Permit of 2d page
(Asp Amps)
SECRET
14-00000
employee of the United States Government paid from Government funds. There-
fore, if in the future you are
by the United States Government in
status covered by the Civil Sorment Act, periods of service'
this contract will be available
Comformance with Civil s
lations.
under
service for retireinent purposes in
5. Cover Its anticipated that you will undertako certain cover employ-
ment in the course of your performance under this agreement. It is expressly
understood and agreed that any and all documents which you may execute in the
course of such cover employment are subordinate to this agreeinent and any
contradiction in terms which-may in any wayamplify, extend or restrict your ·
rights and/or obligations hereunder shall be resolved by this agreement which
shall always be dommant.
6. Offset. Any sums or substantially similar benefits or allowances
received from your cover facility will be used to offset those due under this -
contract by CIA. Sums, similar benefits or allowances thus received through
your cover facility are acknowledged and agreed to be payment by CIA within
the provisions of this contract. You will report all sums or substantially
similar benefits received from your cover facility at least every four (4) months
during the term of this contract.
7. Execution of Documents. If, in the performance of your cover serv-
ice, you assume the custody of government funds or take title of record to
property of any nature whatsoever and wherever situate, which property has in
fact been purchased with monies of the U. S. Government, you hereby recog-
niza and acknowledge the existence of a trust relationship, either express or
constructive, and you agree to execute whatever documents may be required by
CIA to evidence this relationship.
8. Secrecy. You will be required to keep forever secret this contract
and all information which you may obtam by reason hereof (unless reloased in
writing by CIA from such obligation), with full knowledge that viclation of such
secrecy may subject you to criminal prosecution under the Espionage Laws,
dated 25 June 1948, as amended, and other applicable laws and regulations.
9. Instructions. Instructions received by you from CLA in briefing,
training or otherwise are a part of this contract and are incorporated herein,
provided that such instructions are not inconsistent with the terms hereof.
10.
Unauthorized Commitments. No promises or commitments pertaining
to rights, privileges or benefits other than those expressly stipulated in writing.
in this agreement or any amendment thereto shall be binding on the Government.
11. form. This contract is effective as of 15 September 1954, and shall
continue thereafter for a period of one (1) year unless sooner terminated by
CLA either!
(a) By 'fifteen (15) days' actual notice to you from CIA, or
(b) without prior notice, in the event of a breach of this contract by your
violation of the security provisions hereof or by your otherwise rendering
yourself unavailable for acceptable service..
14-00000
Subject to the availability of a
SEGRET
Termination of this agropriations, this agreement may be renewed
for successive periods of
year each upon notice from CIA accepted by you.
will not release you from the obligations of any
security oath you may be required to take.
ACCEPTED:
Paul D. Langevin
WITNESS:
APPROVED:
SEGRET
UNITED STATES OF AMERICA
BY
Special Contracting Officer
14-00000
:
Mr. Paul D. Langevin
Dear Mr. Langevin:
The United States Government, as represented by the Central Intelligence
Agency, hereby contracts with you for the submission of certain information
and related services of a confidential nature under the following terms and
conditions:
1. Compensation. In full consideration for the submission of such
information and services, you will be paid an amount calculated at the rate
of $7200.00 per annum. Payments will be made as directed by you in writing
in a manner acceptable to CIA. No taxes will be withheld from this amount,
and it will be your responsibility to report such income under existing Federal
income tax laws and regulations.
2. Travel. (a) You will be advanced or reimbursed funds for necessary
expenses incurred in connection with such travel as is directed or authorized
by CIA. This will include per diem in lieu of subsistence in the course of
such travel and while on a temporary duty status away from your permanent.
station. All travel, transportation and per diem provided for under this
paragraph must be properly authorized, and expenses incurred hereunder
are subject to payment and accounting in compliance with CIA regulations.
(b) Upon the successful completion of your services under
this contract or any renewal thereof, you will be advanced or reimbursed funds
for return travel and transportation expenses to your permanent residence in
Santiago, Chile
3. Operational Expenses. You will be advanced or reimbursed funds for
necessary operational expenses including, but not limited to entertainment
and the purchase of information as specifically approved by CIA. Such
funds will be subject to accounting in compliance with CIA regulations.
4. Benefits. (a) You will be entitled to death and disability benefita
equal to those authorized under the Federal Employees' Compensation Act,
as amended. Claims by you, your heirs, or legal representatives under this
paragraph will be processed by CIA.in accordance with its procedures in such
manner as not to impair security.
(b) You will be entitled to continuance of pay and allowances
in a manner similar to that set forth in the Missing Parsons Act (5) U. S. C. A¡,
App. 1001-1015).
(c). You will be entitled to fourteen (14) calendar days'
leave per contract year. Such leave may be accrued during the term of this
contract or any renewal hereof except that payment in lieu of unused leave
will not de authorised. Such leave may only be taken at times and places
approved in advance by appropriate representatives of CIA.
5.
Execution of Documents. If, in the performance of your cover ser-
vice, you assume the custody of government funds or take title of record to
property of any nature whatsoever and wherever situtate, which property
has in fact been purchased with monies of the U.S. Government, you hereby
recognize and acknowledge the existence of a trust relationship, either
!
14-00000
express or constructive, and you agree to execute whatever documents may be
required by CIA to evidence this relationship.
6. Statue. You are not an employee of the United States Government
under this agreement and are not entitled to any benefits normally incident
to an employee status, except as specifically enumerated herein.
7. Instructions. Instructions received by you from CIA in briefing, training
or otherwise are a part of this contract and are incorporated herein, provided
that such instructions are not inconsistent with the terms hereof.
8. Unauthorized Commitments. No promises or commitments pertaining
to-rigata, “privileges or benefits other than those expressly stipulated in
writing in this agreement or any amendment thereto shall be binding on the
Government.
9. Secrecy. You will be required to keep forever secret this contract
and all information which you may obtain by reason hereof (unless released
in writing by CIA from such obligation), with full knowledge that violation of
such secrecy may subject you to criminal prosecution under the espionage lawa
dated 25 June 1948, as amended, and other applicable laws and regulations.
10. Term. This contract is effective as of 4 March 1954, and shall
continue thereafter for a period of two (2) years, unless sooner terminated
by CIA either:
(a) By thirty (30) days' actual notice to you from CIA, or
(b) Without prior notice, in the event of a breach of this contract by
your violation of the security provisions hereof or by your other-
wise rendering yourself unavailable for acceptable service.
Subject to the availability of appropriations, this agreement may be renewed for
successive periods of one year each upon notice from CIA accepted by you.
In the event of voluntary termination on your part or termination for cause by
CIA prior to the expiration of this agreement or any renewal thereof, you will
not be entitled to return travel and transportation expenses to Santiago, Chile,
Termination of this agreement will not release you from the obligations of any
security oath you may be required to take.
JWIPN 4 Maysy
ACCEPTED:
Paul D. Langevin
APPROVED:
UNITED STATES OF AMERICA
BY
Contracting Officer
14-00000
SECRET
Security Information
MEMORANDUM FOR: Record
SUBJECT:
PBGR VEL Amendment $1
13 June 1952
1. This date copy number four of subject project has been forward-
ed to Mr. William Rowland for approval in view of the fact that the
original and confes number two and three have been temporarily a splaced.--
2. As amendment number one to BGROVEL covers no substantive opera-
tions it has not been coordinated with Security and Cover.
3. It is requested that approval of subject project amendment be
Fiven as soon as possible in view of the urgency of action as stated in
the project itself.
HOMER RHETT, Jr.
WH/Project Coordinator
WID/HB/Jo
Distribution
Crig: (0/00
cc: Secial Contracting officer (Mr. J.L. Bischoff)
CM (Mr. Ernest W. Pittman)
Chief, Branch I
Project File SPROVEL PD/P10
Chrono F&O
S
322
1
14-00000
MEMORANDITH FOR: AD CO
ATTENTI NI
STJECT:
Mr. Wil iam Rowland
Project PROROVAL, Amendment No. 1
28 May 1952
1. Forwarded herewith are the original and two copies of subject
amendment plus an extra crpy of UPC Form Löka.
2. It is respectfully re dested that approval of Bibject amend-
ment to expedited as the Project Fina cial Data, Form La, indicates
that payment of eight thousand (58,000. 0) dollars to PA L D. LANGEVIN
mist be made or about 20 Jane 19 2.
3.
Subproach six of the Proposal indicates Dat as a prereq :1–
site to issuance of a loan to LANGEVIN the latter will be required to
submit a complete nancolate inventory of all machinery and equipment in-
volved in the loan transaction, its physical existenes in his custody,
Pia title to the or perty, and an a proximate evaluation of its worth
(as determined WD station personnel). HE will be prepared to do
this shortly after Amendment No. 1 is approved and the necessary funds
are available for mayment.
4. Subparagraph five of the froncsal invicates tha details of the
loon contract and selection of the appropriate legal instrument to secure
a lien on the machinery and equipment will be arrived at through joint
apreement of JM, CLC and the Legal Division. These financial details
will be arraged bae uent to a mroval of the amendment in question and
will comprise the financial plan governing the expenditure of the funds
requested.
J. C. ING
VHD/JCK/RM/VLC/B/Je
Distribution
Crigi Co
co: Enectal Contricting of icer (Mr. J... schoff)
CM (Hr. irment W. Pitman) ✔
Chief, Branch I
Project File VEL SHD/
Chrono 14 1/240