## Page 1

Assassination Records Review Board

Final Determination Notification

AGENCY : HSCA

RECORD

NUMBER: 180-10068-10334

RECORD SERIES: STAFF PAYROLL RECORDS

AGENCY FILE NUMBER

December 8, 1995

Status of Document:

Postponed in Part

Number of releases of previously postponed information: 13

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: 9

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

Released under the John F. Kennedy Assassination Records Collection Act of 1942 144 U50

2107 Nate. Caset NW 88326 Date: 2025

NW 88326

Docld:32243300 Page 1

---

## Page 2

Date: 08/20/93

Page: 1

JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

AGENCY INFORMATION

AGENCY : HSCA

RECORD NUMBER: 180-10068-10334

RECORDS SERIES :

STAFF PAYROLL RECORDS

AGENCY FILE NUMBER :

DOCUMENT INFORMATION

ORIGINATOR : HSCA

FROM

TO

TITLE:

DATE: 05/16/77

PAGES: 16

SUBJECTS :

HSCA, ADMINISTRATION

DINNEEN, EILEEN G.

DOCUMENT TYPE : PRINTED FORM

CLASSIFICATION :

RESTRICTIONS : 3

CURRENT STATUS :

DATE OF LAST REVIEW : 07/07/93

OPENING CRITERIA :

COMMENTS :

Box #:1.

[R] - ITEM IS RESTRICTED

NW 88326

Docld:32243300 Page 2

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## Page 3

RICHARDSON PREYER, N.C.

WALTER E. FAUNTROY, D.C.

YVONNE BRATHWAITE BURKE, CALIF.

CHRISTOPHER J. DODD, CONN.

HAROLD E. FORD, TENN.

FLOTDS PITHIAN, IND.

ROBERT W. EDGAR, PA.

LOUIS STOKES, OHIO, CHAIRMAN

SAMUEL L. DEVINE, OHIO

STEWART B. MC KINNEY, CONN.

HA1.197149r20211

HAROLD S. SAWYER, MICH.

(202) 225-4624

Select Committee on Assassinations

U.S. House of Representatives

3369 HOUSE OFFICE BUILDING, ANNEX 2

WASHINGTON, D.C. 20515

December 21, 1978

Hohorable. Frank Thompson, Jr.

Chairman

Committee on House Administration

U.S. House

of

Representatives

Washington,

Dear Mr.

Aman:

One of the Committee's employees, Eileen G. Dinneen, used her

annual and sick leave

in July, 1978 for maternity reasons.

Upon her retur

25% of her time at 25%

or previous setary?

, she elected to work

50%.

in Septe

then

assist the

1978, the amoun

lecember 1, 1978, she

mmittee on the final raport.

shred to

raised in both instances to

sell-time status to

Wh

approved, through

some

no pa

the Committee's budget officer was not informed. Consequently,

oll authorization form was processed

to increase her salary.

am now enclosin

error by increasing her

payroll aothorization form to correct this

lary to the di

oper amount of $16,100.00.

1 would

Mrs. Dinneen will

1978 supplemental

ciate your

this new authorization so that

the additional amount due her in the December,

payroll.

LOUIS STOKES

Chairman

LS: th

NW 88326

Docld:32243300 Page 3

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## Page 4

#: U.S. GOVERNMENT PRINTING OFFICE: 1977-0-93-027;

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:

Whereby authorize. the following payroll. action:

Employee Name (First-Middle-Last)

Eileen G. Dinneen

Effective Date

12-1-78

Employes Social Security Number

rype: of. Action

462-88-1832

Employing Office or

Committee/ Subcommittee

Assassinations

@i Appointment

X Salary, Adjustment

• Title Change

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

I Leave fiout pay (Beginning witi effective date above and ending

close of business.-

Specify Date:

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

Position Title

Gross Annual. Salary*

$16, 100.00

* If employee is a civil service annuitant (includes U.S. House of Representatives)

the gross annual salary shown should include the annuity received by the employee

plus: the salary: received from the employing office.

(If Committee: Employee; complete appropriate item bel

1.. • Standing Committee: Staff- Clerical or. / Professional...

2.. Xl Special (livestigative staff of Standing Committee): or Select Committee: Authority-H. Res: 956_of95th Congress:

3: •; Joint Committee.

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

Position: Number._

applicable, Level

• Ste

li certify that this authorization: is not. in violation of 5 U:S:C.

10(b), prohibiting: the employment of:

relatives:

December 21

Date:

78

.,19

• (If. appropriate, signature:of Subcommittee Chairm

man or. Ranking: Minority, Member)

(Type or print name.and ti

of above official)

Signature of Aurk

arizing Officiall

LOUIS STO

To chairman huhon

g Official):

Title- If Member, District and Stat

All.appointments. ang

salary adjustments for employees under the House Classification Act and fo

Committee em-

ployees, except: those.of the Committee on Appropriations, the Committee: on the Budget, and the Joint Con mittees, must

be approved by the Committee on. House Administration.

APPROVED:.

Chairman, Committee on House Administration

Office.of.Finance.use.only::

Office Code.

ID

Benefits -

Monthlu. Annuity S

00 as of

Payroll_

NW-86326-

Docld:32243300 Page bIcINA

To Lisanon Affics. (Ene efficial notorical. Colden

(Revised: August 1, 1977)

---

## Page 5

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)

Baleen G.

Dinnesn

Employee Social Security Number

Effective Date

Deceaber 1, 1979

Type of Action

462-85-1832

Employing Office or Committee/Subcommittee

Assasainatious

• Appointment

2. 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

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

Position Title

Gross Annual Salary*

$16,100.00

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

plus the salary received from the employing office.

(If Committee Employee, complete appropriate item below.)

1. 0 Standing Committee: Staff- Clerical or : Professional.

2. 11 Special (Investigative staff of Standing: Committee) or Select Committee: Authority-H. Res: 226 - of 25 tbCongress.

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.

December 21

Date --

78

19

(if appropriate, signature of Subcommittee Chairman or Ranking Minority Member):

(Type or print name and title of above official

(Signature of Authorizing Official)

LOUIS STOKES

(Type or print.rome of Authorizing Official)

Chairman

(Title - If Member, District and State)

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

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

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

Docld:32243300 Page 5

---

## Page 6

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)

Elleen G. Dinneen

Employee Social Security Number

462-88-1832

Employing Office or Committee/Subcommittee

Assassinations

Effective Date

12/31/78

Type of Action

(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*

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

plus the salary received from the employing office.

(If Committee Employee, complete appropriate item below.)

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

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

956

or 25€2 Congress.

3. D 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 2

79

19.

LOUIS STOKES

gnature of Authorizing Officio

RAIRMA

(if appropriate; signature of Subcommittee Chairman or Ranking Minority Member).

(Type or print name of Authorizing Official)

(Type or print name and title of above official)

(Title - If Member, District and State)

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

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

be approved by the Committee on House Administration.

APPROVED:

Chairman, Committee on House Administration

Office of Finance use only:

Office Code.

Monthly Annuity. S_

Benefits -

Payroll _-

00 as of

Copy for Initiating Office or Committee

(Revised: August 1, 197.7)

NW 88326

Docld:32243300 Page 6

---

## Page 7

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)

Elleen

Go Dinneen

Effective Date

9/1/78

Employee Social Security Number

Type of Action

462-88-1832

Employing Office or Committee/Subcommittee

Assassinations

• Appointment

E 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_

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

Position Title

Specify Date

Gross Annual Salary*

$8,000.00

* 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.)

1.0

Standing Committee: Staff—• Clerical or [ Professional.

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

-_of 25 € Congress.

3. D 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.

Deptember 15

Date_.

78

, 19

'If appropriate, signature of Subcommittee Chairman or Ranking Minority Member)

LOUIS STOKES, MATRI

ature of Authorizing Official

(Type or print name of Authorizing Official)

(Type or print name and title of above official)

(Title - If Member, District and State)

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

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

be approved by the Committee on House Administration.

APPROVED:

Chairman, Committee on House Administration

Office of Finance use only:

Office Code..

Monthly Annuity $

Benefits -

Payroll

•00 as of

Copy for Initiating Office or Committee.

(Revised: August 1, 1977)

NW 88326

Docld:32243300 Page 7

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## Page 8

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

Elleen

Go

Dinneen

Employee Social Security Number

8/1/78

• Type of Action.

462-38-1832

Employing Office or Committee/Subcommittee

Assassinations

• Appointment

üf 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..

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

Position Title

Specify Date

Gross Annual Salary*

$4,000.00

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

plus the salary received from the employing office.

(If Committee Employee, complete appropriate item below.)

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

Special Investigative staff of Standing Committee) or Select Committee: Authority-H. Res. 256 of 95€Congress.

3. D Joint Committee.

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

Position Number_

•If applicable; Level.

Step_

certity that this authorization: is

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

relatives.

Date _

August 10

19.

, 78

(if appropriate, signature, of Subcommittee Chairman or Ranking Minority Member)

(Signature of Authorizing Official).

LOUIS STOKES. CHAIRMAN

(Type" or print name of Authorizing Official)

(Type or print name and title of above official)

(Title.- If Member, District and State)

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

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

be approved by.the .Committee on House Administration:

APPROVED:

Office of Finance use only:

Office Code.

Monthly Annuity $

Chairman, Committee on House Administration

ID

Benefits -

Payroll _-

.00

as of

Copy-for Initiating Office.or Committee

(Revised: August 1, 1977)

NW 88326

Docld:32243300 Page 8

Don's

---

## Page 9

PAYROLL AUTHORIZATION FORM

. (Please Use Typewriter

or Ballpoint Pen)

U.S: HOUSE OF REPRESENTATIVE.

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

ExTeen G.. Dinneen

Employee Social Security Number

6/1/78

Type of Action

462-88-1832

Employing Office or Committee/Subcommittee

Assassinations

• 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_

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

Position Title

Specify Date

Gross Annual Salary*

$16,100

* If emoloyee is a civil service annuitant (includes U.S. House of Representatives), the gross annival 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. D Standing Committee: Staff—E Clerical or • Professional.

2. EE: Special (Investigative staff of Standing Committee) or Select Committee: Authority-H. Res. 956

-of _95 _ 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.

June

7

Date..

78

, 19

If appropriate; signature of Subcommittee Chairman or Ranking Minority Member)

(Type or print name of Authorizing Official)

(Type or print name and title of above official)

(Title - If Member, District and State)

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

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

be approved by the Committee on House Administration.

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)

Frid too 153.

NW 88326

Docld:32243300 Page 9

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## Page 10

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)

Elleen

Copeland

Employee Social Security Number

462 38 1832

Effective Date

9/1/77

Type of Action

Employing Office or Committee

Assassinations

• Appointment

Ỗ Salary Adjustment

• Termination (At close of business on effective date)

(If type of action is an Appointment or Salary Adjustment, complete the following information:) =

Position Title

Gross Annual Salary

Researcher

$15,000

(If Committee Employee, complete appropriate item below.)

1. Standing Committee: Staff. - Clerical or El Professional.

465

2. @ Special or Select Committee: Authority-H. Res.

scot 25th. Congress:

3. L Joint Committee:

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

Position Number_.

If applicable, Level _-

Step-

relatives.

I certify that this authorization. is not in violation of 5 U:S.C. 3110(b); prohibiting the employment of:

Date-

September 15

.,192

(Signature of Authorizing Official

Louis Stokes

(Type or print name of Authorizing Official)

Chairman

(Title - If Member, District and State)

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

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

be approved by the Committee: on House Administration.

APPROVED:.

Chairman; Committee on House Administration

Office of Finance use only:

Office Code:

Monthly Annuity S

.00

Copy for Initiating Office or Committee

NW 88326

Docld:32243300 Page 10

---

## Page 11

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

Efleen Copeland

Employee Social Security Numbere

462-88-1832

8/1/77

Type of Action

Employing Office or Committee

Assassinations

• Appointment

i Salary, Adjustment

• Termination (At close of business on effective date)

(If type of action is an Appointment or Salary Adjustment; complete the following information.)::

Position Title

Gross Annual Salary

Secretary

13,500

(If Committee Employee, complete appropriate item below.)

1.1

:2.

Standing Committee: Staff - Clerical or I Professional:

Special or Select Committee: Authority-H. Res._465

of_95th Congress.

3.

_•Joint Committee.

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

Position Number:

If applicable; Level _

Step_

certify that this authorization is not. in violation of 5 U.S.C. 3110(b), prohibiting the employment of

relatives.

Date

August 2

19_77

(Signature of Authorizing Official)

LOUIS STOKES

(Type or print name of Authorizing Official):

CHAIRMAN

(Title - If Member, District and State)

All appointments and salary.adjustments. for. employees under the House Classification Act and för 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 $

.00

Copy for Initiating Office or Committee

NW 88326

Docld:32243300 Page 11

---

## Page 12

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)

Eileen Gall Copeland

Employee Social Security Number

-Effective Date

5/16/77

•Type of Action

462 88 1832

Employing Office or Committee

Assassinations

i Appointment

• Salary Adjustment

• Termination (At close of business on effective. date)

(If type of action is an Appointment or Salary Adjustment, complete the following information.)

Position Title

Gross Annual Salary

$11,000

Secretary

(If Committee Employee, complete appropriate item below.) =

1: Lu Standing Committee: Staff - Clerical or E Professional:

L Special or Select Committee: Authority-H. Res.

465

_.of_95th Congress:

3. El 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

May

16

(Signature of Authorizing Official)

Louts Stokes

(Type or print name of Authorizing Official)

Chairman

(Title - If. Member, District and.State)

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

is 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

5/110

.00

Copy for Initiating Office or Committee:

NW 88326

Docld:32243300 Page 12

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## Page 13

Copland

MEMORANDUM

AUGUST 23, 1977

TO:

FROM:

RE :

Tom Howarth

Donovan I. Ga

Eileen Copeland

Pleaes be advised that effective today's date, August

23, 1977, Eileen G. Copeland is transferred from the

clerical position she currently holds with the

Kennedy Task Force, to a research position with the

a Task Foxe

Kennedy Research/Document Unit.

Her salary is to be at $15,000 per annum.

Thank you.

September 1.197)

NW 88326

Docld:32243300 Page 13

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## Page 14

LOUIS STOKES, OHIO, CHAIRMAN

RICHARDSON PREYER, N.C.

SAMUEL L. DEVINE, OHIO

WALTER E. FAUNTROY, D.C.

JOHN B. ANDERSON, ILL.

YVONNE BRATHWAITE BURKE, CALIF.

STEWART B. MC KINNEY, CONN.

CHRISTOPHER J. DODD, CONN.

CHARLES THONE, NEBR.

HAROLD E. FORD, TENN.

FLOYD J. FITHIAN, IND.

ROBERT W. EDGAR, PA.

(202) 225-4624

Select Committee on Assassinations

U.S. House of Representatites

9342 HOUSE OFFICE BUILDING, ANNEX 2

WASHINGTON. D.C. 20515

MEMORANDUM

TO :

FROM:

DATE:

RE:

TOM LAMBETH

ROBERT K. TANENBAUM

May 27, 1977

SECRETARY FOR JEK TASK FORCE

On May 26, 1977, Ken Klein, Cliff Fenton

and I interviewed Ilene Copeland.

This memorandum is to formally request that

she be assigned

as a secretary to the Kennedy Task

Force as of Tuesday, May 31, 1977.

OKN

NW 88326

Docld:32243300 Page 14

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## Page 15

MEMORANDUM

TO: ALL STAFF

RE: Payroll Certification

The Regulations and Accounting Procedures for Allowances and

Expenses of Committees, Members and Employees of the U.S. House of

Representatives require that, among other things, the Committee's

monthly payroll certification include the relationship, if any, of

each employee to any current Member of Congress. This certification

is signed monthly by our Chairman.

The following are the relationships to be included ir the

certification:

father

mother

son

daughter

brother

sister

uncle

aunt

first cousin

nephew

niece

husband

wife

father-in-law

mother-in-law

son-in-law

daughter-in-law

brother-in-law

sister-in-law

stepfather

stepmother

stepbrother

stepsister

half-brother

half-sister

Please complete the appropriate portion below, sign and date

this form, which will then become a part of your permanent personnel

file. If this status changes, you must notify the Committee's Budget

Office immediately of the change.

I am not related to any current (95th Congress) Member of Congress.

I am related to a current (95th Congress) Member of Congress.

(Please specify.)

Sileen Copeland

Signature of Employee

5|26|77

Date

NW 88326

Docld:32243300 Page 15

---