FORM:PERSONAL HISTORY STATEMENT---APPENDIX I SIGNED BY CONEIN
Agency: CIA
Originator: CIA
To: CONEIN, LUCIEN E.
Document date: 09/24/1961
Document type: PAPER - TEXTUAL DOCUMENT

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JEK ASSASSINATION SYSTEM

IDENTIFICATION FORM

AGENCY INFORMATION

AGENCY : CIA

RECORD NUMBER

:104-10112-10099

RECORD SERIES

: JEK

AGENCY FILE NUMBER : 80T01357A

DOCUMENT

INFORMATION

Released under the John

F. Kennedy

assassination Records

Collection Act of 1992

144 USC 2107 Notel .

Case#:NW 53294 Date:

D6-14-2017

AGENCY ORIGINATOR

CIA

FROM

: CONEIN, LUCIEN E.

TO

TITLE : FORM: PERSONAL HISTORY STATEMENT---APPENDIX I SIGNED BY

CONEIN

DATE

PAGES

09/24/1961

4

SUBJECTS

: CONEIN, LUCIEN

DOCUMENT TYPE

CLASSIFICATION

UACLASSIFIED

RESTRICTIONS : 1A

RELEASED IN PART PUBLIC - RELEASED WITH DELETIONS

DATE OF LAST REVIEW

COMMENTS

: 07/22/93

• F2: 1993.07.22.18:51:56:430390 : RELEASED

ARLIER INCORRECTLY AS 104-10112-10093.

IR! - ITEM IS RESTRICTED 104-10112-10099

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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, rascist, Communist, or subversive,

or as having adopted or having shown a policy of advocating or approving the commission of acts of forçe 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 certiication

purposes, and sign on the last page.

Abraham Lincoln Brigade

Abraham Lincoln School, Chicago, Illinols

Action Committee to Free Spain Now

Alabama People's Educational Association (see Communist Politi-

cal Association

American Assoclation for Reconstruction in Yugoslavia, Inc.

American Branch of the Federatlon of Greek Maritime Unlons

American Christian Nationalist Party

American Committee for Huropean

Workers' Rellet (60e socialist

Workers Party)

American Committee for Protection of Foreign Born

American Committee for Spanish Freedom

American Committee for the Settlement of Jews In Birobidjan, Inc.

American Committes for Yugoslav Rellet, Inc.

American Committee to Burvey Labor Conditions in Europe

American Council for & Democratic Greece, formerly known as the

Greek American Council; Greek American

tonal Unity

American Council on Sovlet Relatlong

American Croatian Congress

American Jewish Labor Councll

American Lesgue Against War and Fascisma

American League for Peace and Democracy

American Nattonal Labor Party

American National Sociallst League

American National Socialist Party

American Nationalist Party

American Patriots, Inc.

American Peace Crusade

American Peace Mobilization

American Poles for Peace

American Polish Labor Councll

American Polish League

American Rescue Sbip Mission (& project of the United American

Spanish Ald Committee)

American-Russian Fraternal Soclety

American Russlan Institute, Philadelphia

American Russian Institute of San Francisco

American Russian Institute of Southern Callfornia, Los Angeles

American Blar Congress

American Women for Peace

American Youth Congress

American Jouth for Democracy

Armenian Progressive League of America

Associated Klans of America

Assoclation of Georgla Blans

Association of German Natlonals (Reichsdeutsche Vereinigung)

Ausland-Organization der NSDAP, Overseas Branch Of Nard Party

Baltimore Forum

Benjamin Davis Freedom Committee

Black Dragon Soclety

10TN 444d

USE PREVIOUS EDITIONS

Boston School for Marxist Studles, Boston, Massachusetts

Bridges-Robertson-Schmidt Defense Committes

Bulgarlan American People's League of the Unitod States af

America

Callfornia Emergency Defense Committee

Callíornla Labor School, InC., 321 Divisadero Street, San Frencisco.

California

Carpatho-Russian People's Boclety

Central Councll of American Women of Croatian, Descent, also

known as Central Councll of American Crostlan Women, Na-

tlonal Councll of Croatian Women

Central Japanese Association (Belkoku Chuo Nipponjin Kal)

Central Japanese Association of Southern Califorala

Central Organization of the German-American Natlonal Alllance

(Deutsche-Amerikanische Elnheitsfront)

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 Farl Browder

Citizens Emergency Defense Conference

Citizens Protective League

Civil Llbertles Sponsoring Committee of Pittsburgh

Civil Rights Congress and its affillated organtzations, Including:

Civll Rights Congress for Teras

Veterans Against Discrimination of Civil Rights Congress of

Civll Rights Congress for Texas (see Civil Rights Congress)

Columblans

Comite Coordinador Pro Republica Espanola

Comite Pro Derechos Civlles

(Bee Puerto Rican Comite PTo Libertades Civiles)

Committee for & Democratic Far Eastern Policy

Committee for Constitutional and Political Freedom

Committee for Nationalist Action

Committee for Peace and Brotherhood Festival In Phlladelphia

Committee for the Defense of the Pittsburgh Bis

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 Abollsb Discrimination in Maryland

(See Congress Against Discriminatlon; Maryland Congress

Agalast

Discrimination: Provisional Committee to Abolish

Discilmination la the State of Maryland)

Committee to Aid the Fightlag South

Committee to Defend Marie Richardson

Committee to Defend the Rights and Freedom of Pittsburgh'8

Political Prisoners

Committee to Uphold the Bill of Rights

Commonwealth College, Mena,

Arkansas

Communist Party, U. B. A., Its subdivisions, subaidiarles, and

atallates

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APPROVED FOR RELEASE 1993

CIA NISTORICAL REVIEW PROGRAM

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Communist Political Association, 1ts subdivisions, subsidiarles,

and afiliates, including:

Alabama People's Educational Association

Florida Press and Educational League

Oklahoma League for Political Education

People's Educational and Press Association Of Texas

Virginia League for People's Education

Congress Agalnst Discrimination

(See Committee to Abolish Discrimination in Maryland)

Congress of American Revolutionary Writers

Congress Of American Women

Congress of the Unemployed

Connecticut Committee to Ald Victims of the Bmith Act

Connecticut Btate Youth Conference

Counell for Jobs, Bellet and Housing

Council for Pan-American Democracy

Council of Greek Americans

Council on Atrican Affairs

Croatian Benevolent Fraternity

Dal Nippon Butoku Kal (Military Virtue Soclety of Japan or Mill-

tary Art Society of Japan)

Dally Worker Press Club

Daniels Defense Committee

Dante Allghierl Society (between 1935 and 1940)

Dennis Defense Committee

Detroit Youth Assembly

Bast Bay Peace Committee

Elsinore Progressive League

Emergency Conference to Save Spanish Refugees (founding body

of the North American Spanish Ald Committee)

Everybody's Committee to Outlaw War

Families of the Baltimore Smith Act Victims

Families of the Smith Act Victims

Federation of Italian War Veterans In the U. 8. A., Inc. (Associa-

zione Nazionale Combattentl Itallant, Federazione degll Stati

Unitt d'America)

Finnish-American Mutual Ald Soclety

Florida Press and Educational League (see Communist Political

Association)

Frederick Douglass Educatlonal Center

Freedom Stage, Inc.

Ftlends of the New Germany (Freunde des Neuen Deutschlands)

Flends of the Soviet Union

Garlbaldi American Fraternal Soclety

George Washtagton Carver School, New York City

German-American Bund (Amerikadeutscher Volksbund)

German-American Republican League

German-American

Vocational League (Deutsche-Amerikanische

Berufsgemeinschaft)

Guardian Club

Harlem Trade Union Council

anese Residing in America Military Conseripts Association)

Hellenic-American Brotherhood

Einode Kal (Imperial Japanese Reservists)

war vera Flaing Sun Tas. Boclety — a 8roup or Japaneso

Hokubel Zaigo Shoke Dan (North American Reserve Ofcers AssO-

ciation)

Idaho Pension Unlon

Independent Party (Seattle, Washlagton)

(See Independent People's Party)

Independent People's Party

(See Independent Party)

Industrial

Workers af the World

International Labor Defense

International Workers Order, Its subdivisions, subsidiaries and

amliates

Japanese Assoclation of America

JapBnese Overseas Central Society (Kalgal Dóbo Chuo Kal)

Japanese Overseas Convention, Tokyo, Japan, 1940

Japanese Protective Assoclation (Recruiting Organization)

Jefferson School of Soclal Sclence, New York City

Jewish Culture Boclety

Jewlsh People's Committee

Jewlsh People's Fraternal Order

Jlkyoku Ilnkal (The Committee for the Crisis)

Johnson-Forest Group

(Bee johnsonites)

Johnsonites

(See Johnson-Forest Group)

Joint Antl-Fascist Refugee Committee

Jolat Councll of Progressive Italian-Americans, Inc.

Joseph Wedemeyer School of Bocial Sclence, St. Louls, Missourl

Eibel Seinen Kal (Association of U. S. Citirens Of Japanese AD-

cestry who have returned to America after studying in Japan)

Knights of the White Camellia

Ku Klux Klan

Kylhaeuser, also known as Kylhaeuser Leaguo. (Kythseuser

Bund), Kyilhaeuser Fellowsbip (Kylhseuser Kamersdschatt)

Kyflhaeuser War Rellef (Kythaeuser Krlegshilfswers)

Labor Council for Negro Rights

Labor Research Associatlon, Inc. " "

Labor Youth League

League for Common Sense

League of American Witters

Lictor Society (Itallan Black Shirts)

Macedonian-American People's League

Marlo Morgantini Circle

Maritime Labor Committee to Defend Al Lannon

Maryland Congress Against Discrimination

(See Committee to Abolish Discrimination In Maryland)

Massachusetts Committee for the Bill of Rights

Massachusetts Minute Women for Peace (not connected with the

Minute Women of the J. S. A., Inc.)

Maurice Braverman Defense Committee

Michigan Civll Rights Federation

Michigan Council for Peace

Michigan School of Social Sclence

Nanka Telkoku Gunyudan (Imperial Military Friends Group or

Southern California War Veterans)

National Association of Mexican Americans (also knowa as Asocia-

clon Nacional Mexico-Americana)

rational Blue Star Mothers of America (not to be confused wi

e Blue Star Mothers of America organized In February 194

National Committee Ior Freedom of the Press

National Committee for the Defense of Political Prisoners

National Committee to Win Amnesty for Smith Act Victims

Natlonal Committee to Win the Peace

National Conference on American Policy in China and the Far East

(& Conference called by the Committee for & Democratie Far

Eastern Policy)

National Council of Americans of Croatian Descent

Natlonal Council of American-Sorlet Friendship

National Federation for Constitutional Libertles

National Labor Conterence for Peace

National Negro Congress

National Negro Labor Council

Natlonalist Action League

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Nationalist Party of Puerto Rico

Nature Friends of America (since 1935)

Negro Labor Victory Committee

New Committee for Publications

Nichibet Kogyo 'Kalsha (The Great Fujil Theatre)

North American Committee to Ald Spanish Democracy

North American Spanish Aid Committee

North Philadelphia Forum

Northwest Japanese Associatlon

Oblo School of Social Sciences

Oklahoma Committee to Defend Political Prisoners

Oklahoma League for Political Education (see Comminist Politi-

cal Association)

Original Southern Klans, Incorporated

Pacific Northwest Labor School, Seattle, Washington

Palo Alto Peace Club

Partido del Pueblo of Panama (operating in the Canal Zone) .

Peace Information Center

Peace Movement of Ethiopia

People's Drama, Inc.

People's Educational and Press Assoclation of Texas (see Commu-

nist Political Association)

People'& Educational Association (Incorporated' under name Los

Angeles Educational Association,

Inc.), also known es People's

Educational Center, People's University, People's School

-People's Institute of Applied Religion

Peoples Programs (Seattle, Washington)

People's Radio Foundation, Inc.

People's Rights Party

Philadelphis Labor Committee for Negro Rights

Philadelphia School of Social Science and Art

Photo League (New York City)

Pittsburgh Arts Club

Political Prisoners' Welfare Committee

Polonia Soclety of the IWO

Progressive German-Americans, also known as Progressive Ger-

man-Americans of Chicago

Proletarlan Party of America

Protestant War Veterans of the United States, Inc.

Provistonal Committee of Citizens for Peace,

Southwest Area

Provistonal Committee on Latin American Aftairs

Provisional Committee to Abolish Discrimination In the State of

Maryland

(See Committee to Abolish Discrimination in Maryland)

Puerto Rican Comite Pro Libertades Civiles (CLC)

(See Comite Pro Derechos Civiles)

Puertorriquenos Unidos (Puerto Ricans United)

Quad City Committee for Peace

Queensbridge Tenants League

Revolutionary Workers League

Romanian-American Fraternal Society

Russian American Society, Inc.

Satura Kal (Patriotic Society, or Cherry Assoclation - composed

of veterans of Russo-Japanese War)

Samuel Adams School, Boston, Massachusetts

Santa Barbara Peace Forum

Schappes Defense Committee

Bchneiderman-Darcy Defense Committee

School of Jewish Studles,

New York City

Seattle Labor School, Seattle, Washington

Serblan-American Fraternal Soclety

Serbian Vidovdan Council

Shinto Temples (limited to State Shinto abollahed la 1915)

Bulver Shirt Leglon of America

Slavic Council of Southern Callfornia

Slovak Workers Society

Slovenian-American National Counchl

Socialist Workers Party, Including American Committee for Euro-

pean Workers' Reller

Sokoku Kat (Fatherland Society)

Southera Negro Youth Congress

Bulko Sb& (Reserve Officers Association, Los Angeles)

Byracuse Women for Feace

Tom Paine School of Social Science, Philadelphia, Pennsylvanis

Tom Paine School of Westchester, New York

Trade Union Committee for Pesce

-

(See Trade Unlonists for Peace)

Trade Untonists for Pesce

(See Trade Unioniste for Peace)

III-State Negro Trade Unlon Council

Ukraintan-American Fraternal Union

Union of American Croatlang

Union of New York Veterans

United American Spanish Ald Committee

United Committee of Jewlsh Socletles and Landsmanschaft Fed-

. erations, also known

88

Coordination

Committee af Jewish

Landsmanschaften and Fraternal Organizatlons

United Committee. of South Slavic Americans

United Defense Council of Southern Callfornia

United Harlem Tenants and Consumers Organization

United May Day Committee

United Negro and Allled Veterans of America

Veterans Against Discrimination of Civil Rights Congress of New

Veterans of the Abraham Llncoln Brigade

Virginia League for People's Education (see Communist Political

Voice of Freedom Committee

Walt Whitman School of Social Science, Newark, New Jersey

Washington Bookshop Association

Washington Committee for Democratie Action

Washington Committee to Defend the Bill of Rights

Washington Commonwealth Federation

Washington Pension Union

isconsin Conference on Social Legisisti

orkers Alliance (since April 193

Yugosiav-American Cooperative Home, Inc.

Yugoslat Seamen's Club, Inc.

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CERTIFICATION

" I certify that I have read the names of the above listed organizations.

To the best of my knowledge and belief, 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 bellef, 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.

INSTRUCTIONS

For the purpose of this certification, if an applicant or employee is completing this form, the term "close rela-

live" 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, titles 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.

It 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

NONE

Date

Signature of Spouse

Address - City and State

Witness

24 Sentinies: 1961

Signature of Applicant or Employee

Lucindeni

Address - City and State

Address - City and State

Address - City ánd State

5011 HANES ST. MCLEAN, VA

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