Agency: FBI
Originator: FBI
From: DIRECTOR, FBI
To: COFFIN, DONALD L.
Document date: 08/25/1966
Document type: PAPER, TEXTUAL DOCUMENT

## Page 1

JFK Assassination System

Identification Form

Agency Information

Date:

6/8/2015

AGENCY :

RECORD NUMBER:

FBI

RECORD SERIES: HQ

AGENCY FILE NUMBER:

124-10225-10310

100-385216-12

Released under the John

F. Kennedy

Assassination Records

Collection Act of 1992

144 USC 2107 Notel.

Cased:NU 53130 Date:

05-30-2017

Document Information

ORIGINATOR: FBI

FROM: COFFIN, DONALD L.

TO:

DIRECTOR, FBI

TITLE :

DATE:

PAGES:

SUBJECTS :

08/25/1966

11

JDP, RES, EMP, REL, MED/PERS HIST

DOCUMENT TYPE:

PAPER, TEXTUAL DOCUMENT

CLASSIFICATION:

Unclassified

RESTRICTIONS :

4

CURRENT STATUS :

Redact

DATE OF LAST REVIEW :

06/26/1998

OPENING CRITERIA: INDEFINITE

COMMENTS :

y9.1

HHT 53130

DocId: 32299530

Page

3

---

## Page 2

FD-263 (Rev. 9-17-65)

FEDERAL BUREAU OF INVESTIGATION

REPORTING OFFICE

OFFICE OF ORIGIN

SAN FRANCISCO

TITLE OF CASE

SAN FRANCISCO

INVESTIGATIVE PERIOD

6/7 - 8/10/66

REPORT MADE BY

TYPED BY

JAMES DUDLEY PARKER

DONALD L. COFFIN

CHARACTER OF CASE

svb

ALL INFOR

WTON CONTAINED

HERRIN IS U

ASSIFIED EXCEP

YERE SHOWN OTHERWISE.

IS - R

1121/95

CLASSIFIED BY 56666 SEnde

DECLASSIFYION: 25X

REFERENCE:

Report of SA JOHN P. McHUGH, 8/4/65, at

San Francisco.

-C-

ALL INAOBMAZION CONTAINED

HEROIN IS

ICLASSIRIED

ADMINISTRATIVE

DATE 11/20/25 5Y5668-540/md

577K,

Records of the Alameda,

California, Police Depart-

ment were checked by IC JOHN

D. DYER, JR.

INFORMANTS

DECLASSTTIED 585668-SLW/nde

115127

JF

SF T-1 is SF. 2640-S, contacted 8/3/66;

(TFE)

SF T-2 is SF 1986-S; contacted 8/5/66;

SF T-3 is SE 2128-S, contacted 8/8/66;

SE T-4 is SF 1933-s, contacted 8/10/66.

COME 3/14/97

RELEASE OF CIA LAFORMATION

DECLASSIFICATION

CIA HAS NO

AND/OR,

OBJECTION TO

Case has been: Pending over

APPROVED

COPIES MADE:

Bureau (100-385216) (RM)

Yes

@ No; Pending prosecution over six months

→ Yes INo

SPECIAL AGENT

IN CHARGE

DO NOT WRITE IN SPACES BELOW

100-

385216-1

12

ДEC-10

1 - Secret Service,

San

Francisco (Class e) (RM)

EX•113

P AUG 30 1966

3

-San Francisco (105-1325)

Dissemination Record of Attached Report pEt

RAO

USSS

CIA

Agency

Request Recd.

Date Fwd.

How Fwd.

By

9-266

ste.

9-2-166

9 Pd/da

912/20

* SEP 6

' 1500

9-266

itd oli

NR-AC

NW 53130 DooId: 32299530

Page 2

sotato sele

• DIA

ACRET

SOVIET SECTION

COVER

PAC

---

## Page 3

FD-263 (Rev. 9-17-65)

FEDERAL BUREAU OF INVESTIGATION

REPORTING OFFICE

SAN FRANCISCO

TITLE OF CASE

OFFICE OF ORIGIN

SAN FRANCISCO

DATE

8/25/66

REPORT MADE BY

INVESTIGATIVE PERIOD

6/7 - 8/10/66

JAMES DUDLEY PARKER

DONALD L. COFFIN

CHARACTER OF CASE

TYPED BY

svb

ALL INFORMATION CONTAINED

HEREIN IS UNCIASSIFIED EXCEPT

VILERE SECHN DUHERWISE.

REFERENCE:

IS - R

21X0

LASSIEED BY 5668-S4D/md

DECLASSIFY ON/25X

(0)

Report of SA JOHN P. McHUGH, 8/4/65,

at

San Francisco.

JEA

-C-

ALL ANEARMATION CONTAINED

HENEIN IS

ADMINISTRATIVE

DATE 11/2

95015608520 rude

Records of the Alameda, Califomnia, Police Depart-

ment were checked by IC JOHN D. DYER, JR.

INFORMANTS

SF T-1 is SF 2640-S, contacted 8/3/66;

SF T-2 is SF 1986-S, contacted 8/5/66;

SF T-3 is SF 2128-S, contacted 8/8/66;

SF T-4 is SF 1933-s, contacted 8/10/66.

Case has been: Pending over one year D Yes

[J.No; Pending prosecution over six months (Yes ENo

APPROVED

PECIAL AGEN

N CHARG

DO NOT WRITE IN SPACES BELOW

COPIES MADER

Bureau (100-385216) (RM)

- Secret Service, San

Francisco (Class e )(RM)

3 - San Francisco (105-1325)

(JFK)

Dissemination Record of Attached Report

Agency

Request Recd.

Date Fwd.

How Fwd.

By

NW 53130 DooId: 32299530 Page 3

Notations

SECREE

- AS

COVER PAGE

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