## Page 1

AGENCY

RECORD

NUMBER

RECORD

SERIES

AGENCY FILE

NUMBER

Assassination Records Review Board

Final Determination Notification

.....

: HSCA

180-10068-10306

: STAFF

PAYROLL RECORDS

December 8, 1995

Status of Document:

Postponed in Part

Number of releases of previously postponed information: 4

Reason for Board Action: The Review Board's decision was premised on several factors

including: (a) the significant historical interest in the document in question; (b) the

absence of evidence that the release of the information would cause harm to the United

States or to any individual.

Number of Postponements: 2

Postponements: All the postponements in this document represent Social Security numbers.

Reason for Board Action: The text is redacted because the public disclosure of the redaction could

reasonably be expected to constitute an unwarranted invasion of personal privacy, and that invasion of

privacy would be so substantial that it outweighs the public interest.

Substitute Language: SSN

Date of Next Review: 2017

Board Review Completed: 10/24/95

Heleased under the John F.

sennedy assassination

Records Collection Act of

1992 (44 USC 2107 Note].

Case#:NW 88326 Date:

2025

NW 88326

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## Page 2

Date: 08/20/93

Page: 1

JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

AGENCY INFORMATION

AGENCY :

HSCA

RECORD NUMBER

180-10068-10306

RECORDS SERIES :

STAFF PAYROLL RECORDS

AGENCY FILE NUMBER :

DOCUMENT INFORMATION

ORIGINATOR : HSCA

FROM :

TO :

TITLE :

DATE: 03/15/78

PAGES : 4

SUBJECTS:

HSCA, ADMINISTRATION

BERK, CHARLES M.

DOCUMENT TYPE: PRINTED FORM

CLASSIFICATION : U

RESTRICTIONS: 3

CURRENT STATUS: P

DATE OF LAST REVIEW : 07/07/93

OPENING CRITERIA :

COMMENTS :

Box #:1.

[R] - ITEM IS RESTRICTED

NW 88326

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## Page 3

PAYROLL AUTHORIZATION FORM

(Please Use Typewriter

or Ballpoint Pen)

U.S. HOUSE OF REPRESENTATIVES

Washington, D.C. 20515

(Any erasures, corrections, or changes

on this form must be initialed by the

authorizing official.)

To the Clerk of the House of Representatives:

I hereby authorize the following payroll action:

Employee Name (First-Middle-Last)

Effective Date

Charlas

Michael Rork

Employee Social Security Number

12/31/78

Type of Action

290-504529

Employing Office or Committee/Subcommittee

Assassinationa

(If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)

Position Title

• Appointment

• Salary Adjustment

• Title Change

*I Termination (At close of business on effective date)

I Leave without pay (Beginning with effective date above and ending

close

of business_-

Specify Date

Gross Annual Salary*

* If emoloyee is a civil service annuitant (includes U.S. House of Representatives), the gross annual salary shown should include the annuity received by the employee

plus the salary received from the employing office.

(If Committee Employee, complete appropriate item below.)

1. Standing Committee: Staff—• Clerical or • Professional.

2,x Special (Investigative staff of Standing Committee) or Select Committee: Authority-H. Res.56

-_of 5th Congress.

3. • Joint Committee.

(If Employee of an Officer of the House, complete item below.)

Position Number_.

If applicable, Level.

Step

I certify that this authorization is

not in violation of 5 U.S.C. 3110(b), prohibiting the employment of

relatives.

Date__.

January

1979

(Signature of Authorizing Official)

LOUIS STOKES

Ilf appropriate, signature of Subcommittee Chairman or Ranking Minority Member)

(Type or print nome of Authorizing Official)

CHAIRMAN

(Type or print name and title of above official

(Title - If Member, District and State)

All appointments and salary adjustments for employees under the House Classification Act and for Committee em-

ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must

be approved by the Committee on House Administration.

APPROVED:

Chairman, Committee on House Administration

Office of Finance use only:

Office Code.

Monthly Annuity S_

ID

Benefits

Payroll _

.00 as of

Copy for Initiating Office or Committee:

(Revised: August 1, 1977)

NW 88326

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## Page 4

PAYROLL AUTHORIZATION FORM

(Please Use Typewriter

or Ballpoint Pen)

U.S. HOUSE OF REPRESENTATIVES

Washington, D.C. 20515

(Any erasures, corrections, or changes

on this form must be initialed by the

authorizing official.)

To the Clerk of the House of Representatives:

I hereby authorize the following payroll action:

Employee Name (First-Middle-Last)

Effective Date

Charles Michael Berk

Employee Social Security Number

Karen

15, 1978

Type of Action

290-50-4529

Employing Office or Committee/Subcommittee

Assassinations

(If type of action is an Appointment, Salary Adjustment, or Title. Change, complete appropriate information below.) :

Position Title

Appointment

• Salary Adjustment

• Title Change

• Termination (At close of business on effective date)

• Leave without pay (Beginning with effective date above and ending

close of business_

Specify Date

Gross Annual Salary*

Senion Researcher

$18.000.00

* If emoloyee is a civil service annuitant (includes U.S. House of Representatives); the gross annual salary shown should include the annuity received by the employee.

plus the salary received from the employing office.

(If Committee Employee, complete appropriate item below.)

1. • Standing Committee: Staff— Clerical or • Professional.

2. DJ Special (Investigative staff of Standing Committee) or Select Committee: Authority-H. Res. 256

_of 25 tCongress.

3. I Joint Committee.

(If Employee of an Officer of the House, complete item below.)

Position Number_.

If applicable, Level.

Step-

I certify that this authorization. is

not in. violation of 5 U.S.E. 3110(b), prohibiting the employment of

relatives.

Date__

March 15a

78

19.

(Signature of Authorizing Official)

LOUIS STOKES

Ilf appropriate, signature of Subcommittee Chairman or Ranking Minority Member)

(Type or print name of Authorizing Official)

CHAIRMAN

(Type or print name and title of above official)

(Title - If Member, District and State)

All appointments and salary adjustments for employees under the House Classification Act and for Committee em-

ployees, except. those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must

be approved by the Committee on House Administration.

APPROVED:

Office of Finance use only:

Office Code.

Monthly Annuity S_

Chairman, Committee on House Administration

ID

Benefits

Payroll.

•00 as of

•Copy for Initiating Office or Committee

• (Revised: August 1, 1977)

NW 88326

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## Page 5

MEMORANDUM

TO:

Thomas Howarth, Budget Officer

Elizabeth

Berning, Chief Clerk

FROM: G. Robert Blakey

DATE: 15 March 1978

3-15.78

RE: Mr. Charles M. Berk

Please be advised that effective Tuesday, March 14, 1978,

Mr. Charles M. Berk has accepted the position of Research

Attorney with the Select Committee on Assassinations.

His effective starting salary will be $18,000.00.

If you have any questions concerning this matter,

please contact me at your convenience.

GRB: j

NW 88326

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## Page 6

Certificate of Relationship/Nonrelationship to

Any Current Member of Congress

Do. 03/14/78

To: Select Committee on Assassinations

(Employing Authority)

X I certify that I do not have any of the following relationships to any

current Member of Congress.

father

nephew

mother

son

niece

husband

daughter

wife

rother

father-in-law

sister

mother-in-law

uncle

son-in-law

aunt

daughter-in-law

first cousin

brother-in-law

sister-in-law

stepfather

stepmother

stepson

stepdaughter

stepbrother

stepsister

half-brother

half-sister

• I certify that I am the -

of the

(Relationship.)

Honorable

(Name of Member to whom related)

GPO

ChalsM. Bek

(Employee)

3: 15 78 PM 4: 33

16-78695-3

Hor R. FINANCE OFFICE

---=+.

NW 88326

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