Originator: HSCA
Document date: 1977-09-06 00:00:00
Document type: PRINTED FORM

# DOCID-32239443

## Page 1

Date: 08/20/93

Page: 1

JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

AGENCY INFORMATION

AGENCY : HSCA

RECORD NUMBER: 180-10060-10435

RECORDS SERIES :

STAFF PAYROLL RECORDS

AGENCY FILE NUMBER :

DOCUMENT INFORMATION

ORIGINATOR : HSCA

FROM :

TO :

TITLE :

Released under the John F. Kennedy

Assassination Records Collection Act ol

11992 (44 USC 2107 Note). Case#:NW

56000 Date: 11-04-2021

DATE: 09/06/77

PAGES : 5

SUBJECTS :

HSCA, ADMINISTRATION

HACK, ALFRED

DOCUMENT TYPE : PRINTED FORM

CLASSIFICATION

RESTRICTIONS : 3

CURRENT STATUS : P

DATE OF LAST REVIEW : 06/04/93

OPENING CRITERIA :

COMMENTS :

Box 2.

[R] - ITEM IS RESTRICTED

NW 66000 Docld:32239443 Page 1

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## Page 2

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-Middie-Last)

Alfred S. Hack

Employee Social Security Number

579-22-9353

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

IL Termination (At close of business on effective date)

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

close of business_

Specify Dare

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. El Special (Investigative staff of Standing Committee) or Select Committee: Authority-H. Res. 956 85th

---Congress.

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.C. 3110(b), prohibiting the employment of

relatives.

January 2

Date_

79

19

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

- .

(Type or print name and title of above official)

(Signature of Authorizing Official)

LOUIS &TOKES

(Type or print name of Authorizing Official)

Chairman

(Tille- if Member, District and Stare)

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 66000 Docld:32239443 Page 2

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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:

Alfred S. Hack

Employee Name (First-Middle-Last)

Employee Social Security Number

Effective Date

October 1, 1978

Type of Action

579-22-9353

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

*E Salary Adjustment

• Title Change

0. Termination (Ar 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*

$25,700.00

* If embloyee 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.

2.6

956

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

95th

of

-Congress.

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.C. 3110(b), prohibiting the employment of

relatives.

Date_-

October 10,

78

missis.

19

Ilf 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 name of Authorizing Official)

Chairnan

(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 66000 Docld:32239443 Page 3

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## Page 4

PAYROLL AUTHORIZATION FORM

(Please Use Typewriter

or Ballpoint Pen)

US HOUSE OF REPRESENTATIVES

• Washington, D C 20515

(Any erasures, corrections, or changes

authorzing oficial be intialed by ine

To the Clerk of the House of Representatives

I hereby authorize the following payroll action

Alfred S. Hack

579 22 9353

Employee Name (First-Middle-Last)

Employee Social Security Number

Effective Date

9/6/77

Type of Action

Employing Office or Committee

Assassinations

I Appointment

• Salary Adjustment

I 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

$24,000

Staff Investigator

(If Committee Employee, complete appropriate item below)

1 / Standing Committee Staff- Clerical or Professional

2 * Special or Select Committee Authority-H Res.

465

095th _ 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

1s not

in violation of 5 USC 3110(b), prohibiting the employment of

relatives

Date_.

September 15

-_, 19

77

-------

Loits Stokes

(Signature of Authorizing Official)

(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-

the Committee on the Budget, and the Joint Committees, must

APPROVED

Chairman Committee on House Administration

Office of Finance use only

Office Code

Monthly Annuity S_

00

Copy for Initiating Office or Committee

a shere stee

NW 66000 Docld:32239443 Page 4

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## Page 5

579.22,9353

MEMORANDUM

TO:

FROM:

DATE:

SUBJECT:

Mr. Blakey

Edward M. Evans Gur

September 6, 1977

Alfred

S.

Hack

56.09

Mr. Hack has agreed to take a position with us as

Staff Investigator assigned to the Martin Luther King, JI.

Task Force.

He will start September 6, 1977 at $24,000

EME: ek

NW 66000 Docld:32239443 Page 5

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## Page 6

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 payrolT 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 in 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

If this status changes, you must notify the Conmittee's Budget

Office immediately of the change.

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

17

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

(Please specify.)

Ahed stack

9/6/77

NW 66000 Docld:32239443 Page 6

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