## Page 1

4-00000

104-10175-10179

2025 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF 1992

DISPATCH

Chief, Whi Division

GAISFCATION

SECRET

PROCESSINS

ACTION

ME MAGGING REQUIRED

xx 24

ANTO.

FROM

Chief of Station,: lexico City

SUBJECT

"LIHUFF/

AGTION REQUIRED - REFERENCES

REFERENCE: A. HMMW-11321, 13 Fes 1903

B. HMMA-20931, 22 Sar 1963

Transmitted under separase cover truename atrachments are the

following forms to complete Headquariers' records on subject:

a. Personal History Statement

b. Personal history Suitcai (ifpandir !)

c. Report of Medical History

2. Subject was originally recruited as a cutout for the LIHUF=/2

organization. However, his actual duzies for KUBARK entail far more than

contact and communication with LIHUiFF/2. He is an outside agent. 'It

addition to acting as the contact between the Mexico Station and the LIHUFF/2

Institute, LIHUFF/l is responsible for organizing and directing the KUWOLF

student groups in the LIHUFF/? project; printing and distributing of fiopaganda;

planning and initiating student harrassnent activities. Since LiÜFE, l's

duties are those of an outside agent, is salary was established to reir burse

him for the amount of tinie it is necessary for him to spend on LIHUFF

activities. In this regard, it is felt left the sum of $500. monthly is got an

exges sive amount.

Headquarters is requested to process a contract los

subject in this amount.

08

3. Subject's social security number 18)255-58-5834.

Strand Gertis

Enclosures:

as stated above (UNDER SEPARATF. COVER)

•23

201-E: 797}

sistribution

- WH, w/ench

"CHOOSREFE

aid.

= 191

CS COPY

-LASSIFICATION

SECRET

DATE TIFET

29 Арг. 03

DISPATON SIRLEOE ANTO ALLANTET

HMMA-211c0

MCADQUAATCAS ARE AVARICA

201-50999 3 234

30 Apx 63

z/Rs

---

## Page 2

4-00000

SECRET

PART 1II

NOTE: DETACH THIS PORTION OF FORM AND DISTRIBUTE SEPARATELY

{235-38-386457 no.

"APPLICATION

SECURITY

PROVIDED IN DETAILED PROCEDURES.

21. MoGREss or REcipanen U.S.)

DISTATE-TION- SIGNED ORIG. AND COPY •

TO FINANCE: COPT - TO CENTPAL COVER:

B-6O 3I3A DOSOLETe ARCHIOUS EDITIONS.

SECRET

6741

20. c6S2*9410

---

## Page 3

14-00000

.

DO NOT USE THIS SPACE

ISSUED BY

THIS CATE (PIlIN)

PERSONAL HISTORY STATEMENT

INSTRUCTIONS

1. Answer all questions complerely or check appropriate bax.

If question is nor applicable, write "NA".

Write "Un-

known' only if you do nor inow the answer and it cannot be obtained from personal records. Use blank space at

end of forn for extra details on any quesusa for which you have insufficient space.

2. Type, print or write carefully; illegible or sacomplete forms will not receive consideration

3. Consider your answers carefully. Your signature at the end of this for will certify to their correctness.

Careful

completica of all applicable questions *. U permit review of your qualiti: ations to the best advantage.

SECTION I

GENERAL PERSONAL AND PHYSICAL DATA

1. FULL NAME 'LOor-Floor, Noddle,

Z. AGE

wichtrich, Altonso Ridolph

03

3. SEX

6. COLOR OF EYES

17. COLOR OF HAIR

1063*

Brown

A. TYPE COMPLEXION

Lighi

FEMALE

8. TYPE BUILD

Med.

SCARS (Type end Location)

None

11. OTHER DISTINGUSHING PHYSICÃL FEATURES

None

12. CURRENT ADDRESS /NO., Sirene. CHry, ZOne. Siase and Countey)

3. PERMANENT ADRESS (VO., Stront, City, Zono, State MI

Toluca Highway - Kim 19-1/2

OUnITY) AND PHONE NC

10

LEl Magueyito, Cuajimalpa

Same :'s (12)-

ACURIC PHONE. MExiCo

Phone 20-77-17

5. OFFICE PHOSE NO. A EXT.

76. LEGAL RESICENCE (Sta:o. Terrajory or Country)

20-77-477 08 1835-96-537 08

Mexico

17. NICKNAMES

IB. OTHER NAMES YOU MAVE USED

Pancho - A1]

08

None

19. INDICATE CIRCUMSTANCES includine Length of TEna) UNDER WHICH YOU HAVE EVER USED THESE NAMES.

Pancha - through college - Willcor & Tucson ariz

F LEGAL CHANGE. GIVE PARTICULARS NIeM End DY HISAR Aulhority

_Ai) - Used to date,

8

SECTION HI

POSITION DATA

1. INDICATE THE TYPE OF WORK OR POSITION FOP MNICH YOU ARE APPLYING

THE HONEST. MORE TRANCE SADA BAYOU TELL LA DATE AVAILABLE FOR EMPLOMMEN

Jit not do coretcen

lance dange

A. INDICATE YOUR MILLINGNESS TO TRAVEL

OCCASIONALLY

IAREQUENTLY

'IGNITANTLY

OTHER:

INDICATE YOUR WILLIMGNESS TO ACCEPT ASSIGNMENT IN TME FOLLOWING LOCATIONS (ChoCk'I) auch ilem appircables:

¡ANTAMERE IN U.S.'

CERTAIN LOCATIONS ONLY (SpACITI

OUTADE COTTINENTALUS

6. INDICATE AHAT RESERVATIONS YOU MOULD PLACE ON ASSIGNMENTS OUTSIDE THE MASHINGTON. D.C. AREA.

ADAM A44 USE PREVIOUS EDITIOM.

.

8/ps

---

## Page 4

09,10

SECTION IlL

CITIZENSHIP

1: DATE OF BIATM

1ª PLACE OF DiRTICir, Scare, Counteri

Oci. 30, 1915; Chibalua, Chiho, Mexico.

A, CITIZENSHIF AEQUIRED BY

S INES NATURALE

BIRTH T MARRIAGE

N.1.

3. HAVE YOU MELO PREVISUS MATIOMALTE TO. I VES OVE MANE OF CENTRE

11. GIVE PAOTACULARS CONCERNNE PREVIOUS NATIONALITY.

N.A.

3. PRESENT LITIIENSHIP (COnCry)

U.S.A.

16, NATURALIZATION CERTIPICATE NO.

12.

VE

AXEN

STEPS TO CHANGE

PRESENT

IvEs

13. GIVE PARTICULARS

N.A.

14. IT YOU NAVE APPLIED FOR U.S. CITIZENSHIP, UMAT IS PRESENT STATUS OF YOUR APPLICATION (Fira! PADATA, EDEJ"

NA

1S. DATE OF ARRIVAL IN US.

1916

16, PORT ON ENTRY

El Paso, Texas

16. LAST U.S. VISA (No, Typa Place of lagua)

NA

17. ON PASSPORT OF WHAT COUNTRY

Unknown

19. DATE VISA ISSUED

NA.

SECTION IV

LESS THAA HIEH SCHOOL GRAJUATE

¡MIEH SENOOL CRAGUATE

EDUCATION

1. CHECK (X) HIGHEST LEVEL OF EDUCATION ATTAINED

OVER TAS YEARS OF COLLESE-NO DEGDEE

Xi

DACHELCI'S DEGREE

PRACUATE STUDY LEADIMP TO HIGHER DIAGE

/.t,.0 144146/ 001405

MALAME C' ELEMENTARY SENSOL

Willcox Grammar Se'z00l}

1922-1930

2. ELEMENTARY SEHOOL

2. ADDRESS iCity, Sealo, Country)

SWillcox, Arizona

A. GRADUATE

INO

1. MAME OF MIGH SCHOOL

Willcox Union High School

S, DATES AITERDED (FramOnaTO)

1930-1934

I. NAME OF HIGH SCHOOL

08

3. HIGH SCHOOL

2. ADORESS i Crry, Stato, Country)

Willcox, Arizona J

10

X YES

2. ADORESS. Cry, Stale, Countrys

¡NO

S. DATES ATTENDED (FROMANATO)

A- GRADUATE

MAME AND LOCATION OF COLLEGE OR UNIVERSITY

Untversty of Arizona"

08

Tucson Arizona

YES

A COLLEGE OR

UNiVERSITY STUDY

SUBJECT

1216421121929

MAJORI MINOR

Kange

+53M

TO

Antma!

Ecology Husb. 3+

39

\NO

DEGREE

REC'O

CATE

Mãy

Bachelor

1939

M0041

15росиви)

10

Sem-

SECTION IN CUNTILTD TO PIGFI

6/Rs

---

## Page 5

14-00000

SECTION IN CONTINUED FROM PAGE 2

3 OF THE TRESTS NO BEETES DESCRIBE EPS CONTENT "ICA REQUIRED SUBMISSION OF A MRITTEN THESIS, iNDICA

E THE TITLE

N.A.

NAME AMD ADDRESS OF SCHOOL

6. TRADE, CONMERCIAL AND SPECIALIZED SCHOOLS

STUDY GA SPECIALIZATICO

FAOM

та

MONTHS

N. A.

N.A.

NA,

%. MILITARY TRAINING (FULL TIME DUTY IN SPECIALIZED SCHOOLS SUCH AS ORDNANCE, INTELLIGENCE, COMMUNICATIONS, ETC)

HAME AND ADDRESS OF SCHOOL

STUDY CR SPECIALIZATION

FROM

MONTHS

Cav. School - Basic

Troop Duty

El. Riley, Kansas

Horse & Mucnanized.

Cav.

1941

3

School - Advanced

Er. Riley. Kansas

3

_eavenworth, Kar

8. OTHER EDUCATIONAL TRAINING MOT INDICATED ABOVE.

G-2 - C&GS

1942

1943

3

War Dept.

Mis-X - Intelligence

Fort Hunt, Washington, D.C.

1943 - 6 months

SECTION V

FOREIGN LANGUAGE ABILITIES

COMPETENCE - IM ORDER LISTED

1. LANGUAGE

(Lies selon each lenquajo in

R-Rood,

w.Veite.

S-Speck

ahich you pontess my defres

EQUIY.

ol comporence.

Indicate tot

prolictories 10 Read. Hirese or

FLUENT

BUT

FOREIGN

ADEZUATE ADEQUATE

639

RESEARCH

FOR

TRAVEL

Spect by floceE a chack (X)

in the appesperate Daries).

tRiais

нов асосчаєо:

LIMITED

LEDGE

SATIVE

COUNTRY

LON

IDENCE

lematas

wis

•not.

Spanish

X IX

¡P YOU HAVE CHECKED ""ACADEMIC STUDY" UNDER "NON ACQUIRED", INDICATE LENGTH ANO INTENSIVENESS OF STUOY.

4 years high school

SEE POUS CORE CAVIERE COR A LANQUAGE NAVIN SIONICANT DIRTERENCES N SPOKEN ANO BRITEM PORA, EXE

N.A.

0.d.

TELECOURTENTIONS, MANGUAGE

SO OTHER LEECRORED LATES ANO TERRINOLOGY IN THE SCIEN.

Business terminology - write.

- speak - read & translate.

Socio-Economics -

write - speak - read & transiate.

YOU MONT BE SELECTEDO

A PROFICIENGY IN LANQUAGE, ¡DULO YOU DE MILLIME TO USE THIS ABILITY IN ANY POSITION POR UMICH

---

## Page 6

14-00000

SECTION VI

LIST

ROADS.

GEOGRAPHIC AREA KNOWLEDGE AND FOREIGN TRAVEL

NAME

REGION OR COUNTAY

FECIALIZED KAONLEO!

Incustrial - Bus.

Maxien .

Panamal

China

Socio-Economia

Parties

Business

Terrain - R.R.

Terrain

Local Conditions.

Terrain

Central Amer. Local Conditions

DATESOP

RESIDENCE

DA TRAVEL

19÷9=

Present

prict or stuor

KACHLEDGE ACQUIRED BY

WORK

RES:-

DEX-CE

TRAVEL'STUDY|ASSIGN

i N. 4.

11945-1949

• N. A.

1943-1945 : N.A.

1946-Present N,A.

X

x

X

X

X

2 INDICÁTE THE RUEPOSE DE VISIT. RESIDENCE OR TRAVEL IN EACH OF THE REGIONS OR COUNTRIES LISTED ABOVE.

Mexico - Business - Work Assignment

[Panamay - Business - Work Assigament

China

S. CHiRa - AEMPASSPCAT NUMBER ANO EXPIRATION GATE IF ISSUED:

#118056 - Expired August 20, 1962

SECTION VIT

TYPING AND STENOGRAPHIC SKILLS

1. TYPING(MPOU, 2. SHORTMANO (Mper)

J. SHORTHAND SYSTEM USED -CHECK IXI APPROPRIATE ITEN

* Unknown i

No

¡SPEEDIRITING I ISTENOTYPE I

'OTHER IS=ECIlT):

X INDIGATE CRE PBUS NEE MACHINES DITH MMICH YOU MAVE HAD OPERATING EXPERIENCE OR TRAINING (COpIORo

None.

1.

• 19 e.

SECTION VIlI

SPECIAL QUALIFICATIONS

I. LIST ALL MOBBIES AMD SPEATS IN UM:CH YOU ARF ACT VE NO MAVE ACTIVEL! CARTICIDATEN. INDICATE YOUR PROMICIINEY

Major Athletics - Good

Riding Horseback - Good

Horse shoes

- Good

Gardening - Fair

Bruge - Fair

2. PADFICUEAR POSTION OR WIPE

'CATIONS RESULTING FROM EXPERIENCE OR TRAINING WHICH MIGHT FIT YOU FOR A

..

EXCLUDING

POSSES

ANY SPECIAL

A TINGTO

3/RS

---

## Page 7

14-00000

ECTION VII CONTINUED FRUV PAUF 1

PEDIER FERRERA TENDE OR PROFESSION, SUCH AS PILOT,

DrES

x.Nю

5' NUDOU, MANE ANSMERED "YES" TO ABOVE, INDICATE KINO OR LICENSE AND STATE ISSUING LICENSE (Provida LaCondo ReSis

N. A.

6. FIRST LICENSE OR CERTIFICATE (YCOE CA LARIO)

N.A.

¡ LATEST LICENSE OR CERTIFICATE (Year al leeue)

IN. A.

N.A.

D. INDICATE ANY DEVICES MMICH YOU MAVE INVENTED AND STATE WHETHER OR NOT THEY ARE PATENTEO.

N.A.

Thraughout College and business career.

"- L'SEMBER LOST SCOLENIC HONORS TOL TONE RECEIVEO. ATIONS OR SOCIETIES IN MHICH YOU ARE NOM OR MERE FORMERL

Alpha Zeta - Honorary

Bob Cats

University of Arizona

Scabbard & Blade

08.

08

SECTION IX

EMPLOYMENT HISTORY

Lust all civilian ensloyment by a foreign Govemmens, repardless of dales.

In completu sect 9, "De-

«criplion of Dulses" consider your expensence carefully and provide meatiaflul, objecline atalements.

1. INCLUSIVE DATES (From and To -By le end Ye.)

2 NAME OF EM=-OTING FIRM OR AGENCY

1/1/63 - Present

American Chamber of Commerce 29

3. ADDRESS (iio., Sireer, Crey, Scato, Countrys

Lucerna 78 - Mexico D. F.

8. KIND OF DUSINESS

NAME OF SUPERVISOR

Promote trade & good will

Executive Committee

C. TITLE OF JOB

?, SALART OR EARNINGS

;8. CLASS, GRADER Fedoral Sorrice

(Executive Vice President}

D. DESCRIATION OF DUTIES

9600

••" annum

"27.

Management & direction of Chamber.

\ P. R.< Defend free enterprise system.'

108

Coordinate committee work. Promote trade develop good willy o8 ;

1O. REASONS FOR LEAVINO

N.A.

SECTION IX CONTINUED TU PAGE 6

•S.

EIRS

---

## Page 8

14-00000

ECTUSE ECSTALED EROW PAGE S

1 INCLUSIVE LATESIFI MeRATE BIXO aNd YI,

I NAME CH EMPLOYING FOM OR AGENCY

Sepo: S919 - 0, co. Sue d

sh, 19b

ourasy?

R. C. Cola Company, 29

Columbus. Georgia

3. NAME OF SUPERVISOR

Soft Drink O&

TITL

I H. Stanley) 0b

Royal Crown, SAy 06

1, SALAOr OR EARMINOS 18. CLASS,GRADENI Fodoral Service)

512,002 PER year

Direction of manufacturing concentrates.

Marketing. Advertising.

Developmen of sales. Franchising. Mexico and C. America.

Supesvision of all tranchised bert linz plantsy 08

Transfer to States - Preffered Mexico.

8. INCLUSIVE DATES /From and Ta-By so and Ye)

Dec. 1946 - Sept.

1949

J. ADDRESSIa, Sertes, Cily, Slase, Coonory,

/Panama - Reo de Panama

MIND OF BUSINESS

Bottling & Sales Soft drinks 08

1&. NAME OF EMPLOYING FIRM OR AGEMEY

R. C. Bortling Co. of Panamal

27

Board of Direciors

7. SALARY CR EARNINGS

3. CLASS. GRADE(Il Fedoral Servico)

119. 000. IPER year i

7. DESCRIPTION OF CUTIES

Direction of Company.

1D. REASONS FOR LEAVING.

¡Unfavorable climatic conditions.

1. INCLUSIVE DA: ES IS raM And TO -Byllo. and Ye)

2 NAME CF EMPLOYING FIRM OR AGENCY

3. ADDRESS (Dia, SIraci, CHly, Sea:R, CEURETys

A. KIND OF BUSINESS

S. NAME OF SUPERVISOR

B- TITLE OF J09

?. SALARY OR EARNIAGS

18. CLASS, GRADE(11 Federal Sarnico)

PER

9. DESCRIPTION OF DUTIES

10. REASONS FOR LEAVING

1. INCLUSIVE DATES /Fronand TO-By lo end le)

S. 1ODRESS 150. Servor CHly. Slave, Countrys

& MIND OF BUSINESS

A. PITLE OF JOB

2. MAVE OF EMPLOYING FIRM OR AGENCY

3. HAVE OF SUPERVISOR

• SALAOTOR EARMINOS

SECTIOS IT CONTINCED TO PAGE 1

recent sure

8/Rs.

---

## Page 9

14-00000

SECTION IX CUNT: LED FROM PAGE 6

• GESCRIPTION OF DUTIES

LE REASONS FOR LEAVING

1. INCLUSIVE DATES (From And TO - BY NO and Ye.)

3. ADDRESS (NO, Sirvel CHey, S6810, Coumers)

4. KIND OF BUSINESS

& TITLEOFJOD

9. CESCRIPTION OF DUTIES

Z, NAME OF EMPLOYING FIRM CA RGENCY

S. MADE OF SUPERVISOR

T. SALARY OR EARNINGS

¡PER

10. REASONS FOR LEAVING

18. INCLUSIVE DATES Era and TO - Brisa and Ya,

5 ADORESS PÑO, Sireer, CalY, Stara, County)

6. KIND OF BUSINESS.

8. TITLE OF JOB

→. DESCRIPTION OF DUTIES

12 NAME OF EMDLOYMG FIGN OR AGENCY

IS. LANE OF SUPERVISOR

7. SALARY OR EARRINGS

"PER

". GLASS, GRAGE ILl' Faderal

баттье)

TO REASONS FOR LEAVING

• MUMBLE OF DECES CHECHE LEOF LOS UEECHEN SERVICE RETIREEEAT. CA KNOWN.

D. MAVE YOU EVER BEEN IISCHARGED OR ASKED TO RESIGN TRIM ANY POSITION

ICES

HAVE YOU LEFT A POSITION UNDER CIRCUNSTANCES WMICH YOU DESIRE TO EXPLAIN• [YES

Ено

Z5но

IF YOUR AMSTER SO EITHER OR BOTH QUESTIONS IS "YES", GIVE DETAILS

---

## Page 10

4-00000

SECTION X

MILITARY SERVICE

1. CURRENT DRAFT STATUS

I ARE WON TERE CREP TOY THE RAT UNDER"

VES 2 SETEGRIVE SERVICE CERISIRED. SELEETIVE SERVICE NO.

OF 1548 (An DrOndAL)

A. IF DEFERRED, GIVE REASON

S. LOCAL DRAFT BOARD NA. 2R DESIGMATIDN AND ADDRESS

2 MILITARY SERVICE RECORD

T. CURRENT AND/DA PAST ÖRSANIZATIONAL MEMSEOSHIP

CHECK (X) AS

MARINE

AEPROPRIATE

ARMY

MAVY

CORPS

FORCE

COAST

GUARD

MERCHAN: MATRRALAIR MAT"L SERVICE SPANIOR OL.

MARINE I GULAS

i GUARD

MAVESERVEDO

NEY SERVING A:

2. BRANCH OR CORPS OF ABOVE CHECKED ORGANIIATIONISI

Cavalry - MIS

3. DATE SEPARATED FPOM EXTENDED ACTIVE DUTY: PAG COPTICA, & TERGES PROTHE CIT EMPER ACTIVE DUTY IN U.S. ARERO

6-46

one sorrid years

S. ACTIVE DUFFO

O! PAST SERVICE

CURREMT SERVICE

& ISTALATEMGTM OR ACTIVE OUTY IN ASREIGN MILITARY CA

Jan. 1941

•AMA, GRADE OR PAST SERVICE

2II. COLL OF CURREMY SERVICE

Q-3.7220<

RECALLED DOCCURAT ON TITLE PAST SERVICE

•CURRENT SERVICE

MIS

"O SECTARY ON ON DO NOT ANO

, PAST SERVICE

,CURRENT SERVICE

5-2 Cir.

11- BRIEF DESCRIPTION OF MILITARY DUTIES (indicero ubether applicable so peal or curtess perrica, PaSt.

Troop duty - troop and squadron - horse and mechanized cavalry.

M'litary Intelligence - War Dept. Assigned CBI (MIS-X)

12. CHECK (X) TIRE OF SEPARATION FROM AGTIVE EUTY

I HONORABLE DISCHARGE

I RETIREMENT FOR SERVICE

UNDUE MA • 25H1PS

RELEASE TO INACTIVE DUTY IX ¡RETIRENENT FOR COMBAT D'SASILITY

STMER:

RETIREMENT FOR AGE

¡RETIREMENT FOR PHYSICAL DISABILITY

13. CHECK (X) COMPONENT IN MHICH YOU SERVES

REGULAR |XI RESERVE (Includma the fatsoval and 11r Marroral Griers

=-MER (Includina A=S) 'AUS

3. MILITARY RESERVE, NATIONAL GUARD AND ROTE STATUS

"FESTONEST ME TES

12A OUR 56 NEEROTIS

4. IF YOU HÄVE ANSWERED "YES" TO ITEMS 1, 2 OR 3 ABOYE, CHECK COMPCHENT MEMBERSHES BELOW

MARINE CORPS

NATIONALGUARO

NAVY

jAIR FORCE

'AIR NAT'L.GUARD

3 CURRENT RANK. GRADE OR

& DANE OF APPOIMTHENT IM CURRENT

". EXPARATION DATE OF CURGENT RESERVE OBLIGA

Li. Col,, 08

1944

B. CHECK IX+ CURRENT-HESERVE CATEGORY

READY RESERVE

STANDEYCAEITAS X STANDETINCTITO)

RETIRES

RAM ANO TITLERY OCCUPATIOMAL SPECIALTY, (Mod or Deals

1'O-SEN0E ARO TILTI"Y OCCUPATIONAL SPECIALTY DOe o Daa

Un'cown

11. BRIEF DESCRIPTION OF MILITARY RESERVE DUTIES

N.A.

1212 KE ENEMY UGH DARE ACHE

1A. MANE, YOU A MILITARY MOBILIZATION ASSIGN-

MONTHS

Unknown

YES

" IMT NEGATES ANSMERED "YES" TO ITEM 12 GIVE UNIT ON AGENCY

' IDOL SAYS ANSMERCO YES" TO ITEM LA GIVE UNIT ON AGRACY

17, UMIRE ARE YOUR SERVICE RECOROS KEPTE

Unknown

-3/RS

---

## Page 11

SECTION XI

FIMANCIAL STATUS

1. ARE YOY ENTIRELY DEFENDEN! DU VOLR SALARYI

Z. IF YOUR ANSDER IS "NO' TO IME ASOVE, STATE SOUSCES OR OF MEO TOE, "ES

Investments.

3 BANKING INSTITUTIONS MITH MMIEH YEU HAVE ACCOURIS

Falls Church Bank

Bance Nacional de Mexico

ADDRESS CITY, STAle. COUTERT)

Falls Church, Virginia

Mexico, D.F.

6. HAVE YOU EVER BEEN IN. OR PETE IONED FOR. BANKRUPTCY.

S. IF YOUR ANSWER -VS- DO PRESIDE FINE PARTICULARS, INCLUDES COURT AND DATES."°

6. GIVE THREE CRECIT REFERENCES IA THE UNITED STATES

ADDRESS"SO, Seroes, City, Scara)

Fails Church Bank

Faris Church, kurginia

R.C. Bottling of Baltimcre] 24

JOL Eas: 30ch S}"

Baltimore Md

Popular Dept, Siore

El Paso, Texas.

7. DO YOU RECEIVE AN ANNUITY FROM THE UNITED STATES OR DISTRICT CF COLUMBIA GOVERNMENT UNDER ANY RETIREMENT

AET, PENSION. OR COMPENSATION =JA MILITARY OR NAVAL SERVICE•

B. IF YOUR ANSMER IS "YES"" TO THE ABOVE GUESTION, GIVE COMPLETE SETAILS

10

" DO YOU MAY CONDO TANSAS OR ENESSES DRONE SUES CONNECT FOREIGN MEREST SECAPORATIONS OR BUSINESSES; OR IM

Д мо

¡ll mores "YES, furtial detaila on nope

KITES

SECTION XII

MARITAL STATUS

1- PRESEST STATUS (STEla, Rared, Midored, Separated, Divorced, de Anoullal, SPECIFY:

Married

2. STATE DATE, PLACE, AND REASO, FOR ALL SEPARATIONS, DIVORCES SA ANNULMENTS

N. A.

WIFE, HUSBAND Il you hate been married zore than osce - includiaz amulmenis - use a separate stees for former vile oe

OR FIANCE:

husband giris; data required beion for all previces marriages. I carriage conterplaled, fill in appropriate

information for (lAnce.

J. NAME

First)

(Veddle)

(leacon)

(Lass)

A. DATE OF MARRIAGE

Rachel

Esther

Williams

•FORCE OF MARRIAGE (CHrY, SLARa. COCEETA)

Wichtrich

06

Dec. 23, 1930

DAS. 23, 1938 BEFoRE TuSSOE. Arizona - Pina County USA

3500 Fa horne Sia, Ticson, Arizy, U.S. A. CAUSE OF DEATH

19 SATE OF CEATA

XXl VES

NO

IQ CURRENT ADIRESS (GIro last asters,-Il deeperad)

Toluca Highway, KIm, 19 2, El Magucyiro, Qualimalpa, Mexico, DE, Mexico

2/13/1917 09 i Avoca, Texas, U.S.A.

U.S. A.

8RS

---

## Page 12

14-00000

• 10 .

TE TE SORN OUTSIDE US. DATE EX ENTRECTIONS PLACE OF ENTRP " PAGE Y

"IS. PLACE ÓF ENTEN

N.A.

N.A

16. HOMERICH ZENSHIPISI

17.

IS. OCCUPATION

N.A.

N.A.

Housewhe

•EMPLOYER'S OR BUSINESS ADDRESS "NO, SIren CAy. Stalo. Counsy)

NATES OR MILITARY SEAVICE From and 1o - 3, o and Y0)

IN SPANCH OF SERVICE

IS. DETAILS OF OTHER GOVERNMERT SERVICE, U.S. CA FOREIGN

24. COUNTAY WITH WHICH MILITARY SERVICE AFFILIATED

Nade

B N.A.

SECTION XIII

CHILDREN AND OTHER DEPENDENTS

PROVIDE THE FOLLOMING INFOGMATION FOR ALL CHILDREN AND DEPEMDENTS

NAME

¡ PELATIONSMIP! DATE ANO PLICE OF BIRTH

EITIZENSHIP

3-14-10 09,00

(John Allen Wichtrich Of Son

Tucson, Arizona

U.S.A.

Janet Rae Wichtrich 6 Daughter

53-5-19137

09

6-28-19÷8

Ellen Anne] 0 6

Daughter

8:251 ReLia U.S.A

Villiam Gus, 06

i Son

U.S.A.

Patricia Jean] UG

Daughter

Mexico, D.F.

U.S.A.

ADDRESS

Navy OCS

Nexpo of Tex.

В Lugue, і. її.

Mexico, D. F.

Mexico, D.F.

Mexico, D. Fe

- NUMBER OF CHILDREN Pincludie

• NUMBER O UTHER DEPENDEMTS (Includina spor

WHO DEPEND

and adopeed children) unS

THEIR SUPPORT.

L'UMARRIED. UNDER 21 YRS.

OF

: жно

ARE NOT

AND MOT SELF-SUPPORTING.

I SECTION XIY

FATHER /GIve same intomation, tor Semptreher and ei Guardian Sa a separale siveli

2. LIVING

1J. DATE OF DEATH

1A. CAUSE OF DEATH

Michirich, Gustaf

106

• 7 Feb. 1959?

Pneumonia

3. CURREST ADDRESS - Gera ladl afdead, if doccadocilia, Strool, Cly, State, Countrys

Willcox, Arizona} (•

E. DATE OF BIRTH

1864

P. IF BORN OUTSIDE US. - DATE OF ENTRY

Unknown

- FORMER CITIZENSMIPIST

Coundryltan)

German

17. PLACE OF B:RTH (Cily, Sente, Couriery)

Germany

10. PLACE OF ENTRY

Unknowa

2. DATE U.S. CITIZENSHIF

9-15-

B. CITIZENSMIP

U.S.

13. WHERÉ ACQUIRED (Cily, Scara, Country)

Ie. OCCUPATION

Sheermetal Shor

N. A.

6 EURLeYES BUSINESS ADDRESS OR FATHER'S BUSESS ADDRESS IF SELF-EMPLOYED

Willcox Arizona (L

•ORTES OF MILITARY SERVICE (FromandTo) |1D. BRANCHOR SERVIC

N.A.

N.A.

20. DETAILS OF OTHER GOVERMMENT SERVICE, U.S. OR FOREION

N.A

19. COLATAT

Nah.

5

14/P5.

---

## Page 13

14-00000

SECTION XY

- FULL

RAME (LOut FIrar-Medalo)

3 EATE OF DEATH

Esparza Fermina?

ties хімо

. Feb. 1951

_Preumunia

CURRENT ADCRESS - GIVELLAST ADORESS, IF DECEASES PVO., Serene, Cely, Seaso, Country)

Willcox Arizona

lo

7. PLACE OF BIRTH TRY, SEARa, COUmEnT)

Chihuahua) Mexico, D. F.

1B. CITIZEMIMIO

IU.S.A.

S. IN BORN OUTSIDE U.S.

Unknown

DATÉ OTENTRY 1O

11D, FLACE OF ENTRY

El Paso, Texa.

11. FORMER CITIZENSHIPISI

LCounterial Mexican

12. DADERED ITIZENSHIP

11 OMERE ACQUIRED (CrY. State, Cost)

11-24-19473

09

1A. OCCUPATION

Bisbee, Arizona

15 PRESENT EVELGYER (GIve lues employer, il Mocher le doconend de undordoçod)

HaNSe BUSINESS ALSTESS OR MONA BUSINESS ADDRESS IF SELF EMPLOYED

N. A.

17. DATES OF MILITARY SERVICE (FroGmend TO)

, TB. FRANCH OF SERVICE

189. COLNTRY

20. DETAIES OF OTMER COVERNMENT SERVICE, U.S. OR CREAN

N.A.

BROTHERS AND SISTERS Incidind, Hall, Step dud Adopted Brothers and Sisters)

1P. FULL MAME (LART-FIrer-NIckle)

2. RELATIONSHIP

Mrs. Margaret Anderson 06

Sister

U.S.

A. CURRENT ADDRESS (NO, SIrRAI, CIT, ZOnE, Seate Couery)

3. LIVInG

[1037 Olson St.,

El Paso, TexasT (0

54

FORULE NAME CLARI, irRAMIddiEs

2. RELATIONSHIP

• 3. CITIZENSMIP (CoURery)

2 Mrs. Charlette Edelman 06

A. CURFENT ADDRESS (Na, StrAl, CtrY, Zono, Siale Country)

Sister

U.S.

S. LIVING

SAGE

N.A.

"YES STRO

18. FULL RMS (2958-Firhs-Meddles

2. RELATIOUSHIP

3. CITIZENSMID (COURITyS

Sister

S228 Nogales.

Santa Barbara, California

• Mxs Sherman De, One, Sace, Cane)

iS CUARENT ADDRESS (NO.

3228 East Almeria Rd.. Pioanix. Arizona

Nd ME lidar-Firer-Middiel

Frank Wichtrich

06

F. CURRENT ADDRESS (To, Sireel, City, Zone, State, Country )

Los Angeles Area (Address Unknon)

Sister

2. RELATIONSHIP

Brother

2. RELATIONSMIP

Brother.

XIVEST NO 1 52

I3. CITIZENSHIP (COUnTry)

U.S.

S. LIViOrG TE, AGE

X'YEST ' NO 1 SL

CITIZENSMID (CONnEry)

U.S.

S. LiviNG

IG. AGE

TYES" Two

50

J. CITIZENSMIP (Country)

U.S.

5. LIVING

IS, AGE

2. RELATIONSHIP

1. FULL NAME (LONE-FIrer-Meddles

6. CUARENT ADDRESS (Na, Serari, Cily, Zano, Stara, Country)

1. PULL MANE (LAAr-Firer-daddle)

A. CURRENT ADOGESS (Na, Strayl, (1l%, Zomo, Slara, Country)

FULL NAME (LOor-fIral-Meddles

A. CURMENT ADORESS (NO, SiMAl, CllY, LOno, Stora Country)

2. RELATIONSMIP

2. RELATIONSHIP

3. LIVING

B. AGE

4о

D. CITIZENSMIS (Country)

8. L1014G

TrEST

D. CATIIEMSMLA (CORASY)

6. AGE

3. L1V:90

VES!

A.:AGE

• 18.

13/Rs

---

## Page 14

14-00000

.

• 12.

FATHER-IN-LAN

SECTION XVII

No

J3. IATE OF DEATH

1944

A, FAUSE OF DEATH

Stroke

GURBENT

BORN OUTSIDE U.S. - DATE OF ENTRY

Rome, Georgia

1O. PLACE OF ENTRY

B. CiTIZENSHIP

U.S.

12. DATE US. CITIZENÖMIR ACQUIRED

OS. WHERE ACQUIRED (CHY, Stalo, CouMedy)

cotton ginner

SECTION XVII!

1. EULL MAME (LAN:-FIrss-Middle)

MOTHER-IN.LAU

2. Liaias

Williams, Lucy

NO

SLOURRENT OR LAST ADDRESSINO, SETeOR, Cry, Store. Coumeryl

Lenage atten

DATE DF BIRT

17. PLACE OF GIATH/Cily, Stale, Courarpy

8. In nOSESE US. - DATE Or ENT irginia

1O. PLACE OF ENTRY

N.A.

18. FORMER CITIZENSMIP(S)

[couriery (ian?

N

1A OCCUPATION

House wife

SECTION XIX

3. DATE DF DEATH

1918

3. CAUSE OF DEATH

Flu

B. CITIZENSHIP

U.S.

12. DATE US CITIZENSMIP ACOCARED 13. WHEPE ACOUIRED (CAY, 51010, COURIEN)

TS PRESEN EMPLOYER in La emplora: i alro miza a deces or unemployed)

1. FULL NAVE (LAST-F 1168-Middlo)

RELATIVES BY BLOOD. MARRIAGE OR ADOPTION WHO EITHER (1) LIVE ABROAD

(2) ARE NOT U.S. CITIZENS OR (3) MORE FOR A FOREIGN GOVERNMENT

2. RELATICNSMIP

3. 20E

8. ADDRESS OR COUNTRY IN BHICH RELATIVE RESIDES

5. EMPLOYEDBY

6. CITIZENSHIP (COLETY)

7. FREQUENCY OF CONTACT

18. DATE OF LAST CONTACT

1. FULL NAME (Last-FIrs Medalo)

TE. RELATIONSMIP

3. АБЕ

4. ADDRESS OR COUNTRY IN THIEH RELATIVE RESIDES

5. EMPLOYED EY

@ CITIZENSHIE (COUMerY)

1. FREQUENCE DE COMTACT

1. FULL MAME (ROAR-FIrer-MIddle)

2. RELATIONSHIP

3. AGE

A. ADDRESS OR COUNTRY IN UNICH RELATIVE RESIDES

3. EMPLOYED BY

6. CITIZENSHID (COURtey)

7. FREQUENIY OF CONTACT

18. DATE OF LAST CONTACT

1. FULL NAME (LARS-FUEL-MiCItIO)

2. RELATIONSMIP

J. AGE

A. ADDRESS OR COUNTRY IN UMICH RELATIVE RESIDES

S. EMPLOYEDDY

B. CITULENSMIR:CORINN)

7. FREQUENCY OF CONTACT

B. DATE OF LAST CONTACT

2. RELATIONSHIP

J. AGE

2. ADDRESS OR COUNTRY IN UNIEH RELATIVE RESIDES

B. EMPLOYED BY

6. CITIZENSMIR (CORnery)

7. FREQUENCY DF CONTACT

D. DATE OF LAST CONTAGT

SECTION TIT CONTLILED TO PAGE 13

---

## Page 15

14-00000

SECTION IS CUNTIALED FROM PAGE 12,

S. SPECIAL REMARKS, IF ANY, COMCERNING RELAT VES MOTED IN SECTION XIX ABOVE

Any relatives I might have in Mexico or Germany are unknown._

SECTION XX

1. NAME (LOORPIOr-PICIO)

"IS. ADDRESS 180., Seradl, Crer, Scaro, Country)

RELATIVES BY BLOCO, MSERVICE OR THE UNTEO SO ARE IN THE MILITARY OR CITA

12. RELATIONSMIR

J. AGE

a. CITIZENSHIP

& TYPE AND LOCATION OF SERVICE (ll IRON)

1. MAME (Lane-pear-Middlo)

33. ADDRESS iMa, Scrani, Cry, Scala, Country')

2. RELATIONSMIP

TO. AGE 2 CITIZENSMIP

& TYPE AND LOCATION OF SERVICE (1I known)

l. NAME (LARS-FirarMldele)

"IS: ADDRESS (NO, STraOr, Cly, Searo, Courter)

2 RELATIONSHIP

D. AGE

VA. CITIZENSHIP

& TYPE AND LOCATION OF SERVICE (11 trona)

SECTION XXI

REFERENCES. ACQUAINTANCES, AND NEIGHBORS

1-2468 FIVE CHARACTER REFERINIES. NOT

RELATIVES. IN THE U.S., ONC KNON YOU INTIMATELY

NAME

BUSINESS ADDRESS

FESIDENCE ADDRESS

(1008+781209-1960096)

(.50., Strede, Cres and Skast)

Sanley T. Hirams 06

301 Look-Out Drive Lo

Columbus, Leorsia

(Franklin, William CC

401 East 30th St. 1 o

baltimore, Ma

(Teeter, CarL 06

2T West Lewis 10

Piloenix, Arizona

Carvil Richard 06

[Pres. Univ. of Arizona

Tucso:. Arizona

08

10

Univ.

Pistor, William 66

Animal Science

2. LIST FIVE PERSONS IN THE U.S. UMO AMIN YOU SOCIALLY - NOT DELATIVES, SUPERVISOGE ON EMPLOYERS

NAME

(L00s-Feral-Hradle)

Fio, Streat, Cary and Scate)

[Bechtold, Edward J06

RESIDENCE ADDRESE

1N'a

Street, City and Srare)

[517 Conrad Sauer 16

Caven, William 306

(P.A.AJ - Miami; Florida

[Scort, BilJ 06

(Pearson, George) 06

Alt, EdJ 06

(Roar-Emer-Middle)

[Pawley. Tedj06

(Aurand, Peter, 06

Hamit sid. Florida

16 SEN. WI

albuguerque, manferio

8524 Carlsbad Way

Kiverside,

Calitornia

al Silver Ridze Rufco

Nest Caanan.Conn.

3. LIST THREE NEIGHBORS AT YOUR MOST RECENT NORMAL

RESIDENCE IN THE Ü.S-

BUSINESS ADDRESS

RESIDENCE ADDRESS

(No., Senter, Cery and Stare)

(ia. Street. (lly and Stare)

23168 Gunston RaJ 10

Alexandria, Ya.

219 Orchard Drivg ro

Fairfax. Ya.

• 1J .

.

24/RS

---

## Page 16

SECTION XXII

CLUBS, SOCIETIES, AND OTHER ORGANIZATIGNS

NOTE: LI8l ranco and addresses of all clubs, sorrelles, professional socielles, employee groupe or organizalions of any kira

(Include meriterahip in, or support of, any orennisation having treadquarters un brasch in a foresen couru: y) la mhich yes

belong or have belonged.

NAMERND CHAPTER

1. Number, Sireer, City.

• DOP. Sare. Countess

DATES OF MEMBERSHIR

FROU

TO

Univ of A.. Tucson, Ariz?

1935

• 14

1939

Sigma Chi

Alpha Zeta

Bos Cars

"a": Club

American Club

American Club

''*,

Mexico, D.E. :

1950

1963

American Chamber of Commerce

Knights: of Calumbus

SI. Pai's Council

1950

1958

SECTION XXIII

"a"""

•'"i

1955

1963

1963

RESIDENCES FOR THE PAST 15 YEARS

Country)

Mexico, D. Mexico Mexico Sierra Sierra Leona

10

Mexico, D. F., Mexico - Toluca Highway,

1949

1952

• Panama Rd. P. Golf Heights

10

1952

1946

1963

1949

---

## Page 17

4-00000

SECTION XXIY

ADDITIONAL INFORMATION

2. IF YOU MAVE ANSMERED "YES" TO THE ABOVE CUESTION EXPLAIN

XIvEs

8. .F SO. TO MHAT EXTENTI

Moderate

16 IF SO. TO WHAT EXTENTI

YES

Xi vo

T. MAXFION DEYES PETIN AESUBER OF. OR SUPPORTED. OR MAD ANY CONNECTIONS RIN A FOREICH INTELLIGENCE ORGAN.

LVES

Дно

IF ANSWER IS "VES", GIVE COMPLETE DETAILS.

• LEO MELOSINCE MANES OF GOVERNMENT DEPARTMENTS, AGENCIES OR OFFICES TO MHICH YOU MAVE APPLIED FOR EV

None.

•"GENCY UND TRE APROXINAPE DATE OROYME AVESTIGATIOND AM INVESTIGATION OF YOU, INDICATE THE NAME OF THE

YES

I RECORDANCE MET THE SPECIE INSTRUCTOR TE DATE. MATURE OF OFFENSE AMD DISPOSITION OF CASE

" COXE NICE EVER SEABIANCHO COVO BE SAPES OF SECURE DESERTE SHEE PREE

YES

Xino

TES

1.0

SECTION XXV

PERSON TO BE NOTIFIED IN CASE OF EMERGENCY

12. RELATIONSMIP

Mrs. Rackel Esther Wichtrich GG

Wife

J. MOME ADORESS .VO.. SOrRel. CITY ZOne. Stato. COURIeN

- HOME PHONE N

Toluca Hlghway, Kim 19 1/2 Cua jimalpa Mexico D. Fl 1Q

10-77-47 08

SIMAL, CITY, Lono, Staio, Caniry) - INDICATE NAME OF FIRM ORIG.

BUSINESS PHONE MO. A EXT.

American Chamber of Commerce n Mexico

Lucerna #78, Mexico, D.F.

29,10

35-96-537 08.

ALSO BE NOTIFIED. IF SUCH NOTIFICATION

Mr or Mrs Ellen Clarldge - 619-16th St..

Albuquerque, New Mexico • (Olster In Law)

i. W.

psit 6, 10

- 18.

6/es

---

## Page 18

SECTION YYVI

CERTIFICATION

YOS ARE INFORMED THAT THE COHRECTNESS OF SHY STATEMENT MADE IN THIS AFPLICATION

MILL BE INGESTIGATEO.

I hove read and undersrand the instructions. I Certily shar the loregoing onsmers ore true and carrect to she best ol m

l agree that any misstotement or amen as to material feet mill construle grounds for immedios,

dis nuts code file i. Joction 1001).

application. I alto understand ince any false statement mode heren may be punishable by

8. DATE GE SIGNATURES

3. SIGNED AT (City end Seaca)

8 may 1963.

Meyes City, Magic

NATURE OF AMRICANT

Mattin

8. de

$252 ) sur name al lbe esd of the added material. Il audrinnal space is required uselextra pures lbe same size as thus

page aid sign each such page.

Section XI - (9) - Shares in Ron Castillo S.A. - Mexico, D. R.

Shares in Telefonos de Mexico, S. A.

Section XXI (3) Oaly neighbors - remaining in area.

inDiates the. 190336

1 RS

---

## Page 19

4-00000

PERSONAI HISTORY STATEMENT - (Appendix I)

ted beis are names of erganizations identified by the Altoney General, under his responsibility pursuant

cutive Orber 10150, dated 27 April 1953, to list the names ot each foreign or domestic organization, associatl

movement, Earp or combination of persons walch he desigrates as Totalitarian, Fascist, Communist, or subrersive,

I as ha! ' 28 adopted or having showa a policy of advocatir.? us approving the commission of acis of force or tia

ence to dent ethers their rigt's under the Constitution of the Unlted States, or as seeking to alter the form o

government al the Unlted Sistes by unconstitutional meare.

Each appseant or employee and spouse (11 any) must retex the following list of organizations for certifeation

purposes, and sign on the last gage.

Abrahem Linoris Brizado

AbTANADA LIDCAZ SCHOOL, ChICATO, LitacLe

MADAMA POOPiNY IAUCATIONAl ANSOCIITION (scO Coumurist PalltI-

AMATICAN ASTUCILLION POT RECONSTrICST In TugaRaTis, InC

AmerICaA BraDs al the Federallos ol Grock Marithmo Daloo

ADITICRN ChrIMETE NARLORAlLIE PArTY

AMENISA COMTITOS tOT

European Workers Ballet (D00 Boctallst

AJIATICAR COMETLES LUP Spadlsb Prescom

AMETICAn COmERs fOT the BeTtitIeSt of jens ta BirÖbidjan, Ine.

AmerICAL COLICIES lOS YUgOSiaT Pellel. IDC

AMELICAO CULLITER tO BUITRY LAbor Conditions la Lurope

ATeTICAn COUDrI fOr & DEMOCTALle GIDECE, IOTISETIY LAOGI DE IDO

Greet

indian.

mortals trade

1=E5I677 COMTAlIZEE SOF MA

Amertern COULDNI Ca BoTlet Belatioas

AJENCAn CrOnIAI CORETeSA

AMErICAD JeTIRE LebOr COUnCh

AMETICAS ICAFUE LOT PERCE ANd DESORTACT

PErTY

amiiican tattoos: sociallst Party

Amerian flattonzist Party

AJATICAn PASTIONE Ine.

ASCATIORA PeRCE GrENAdO

AneTIAn POLeS SI PeRCO

AneTIan Pollst ilota Couscl

'AMATICAN POLIS LEAGUA

ATAILORa RESCUR SLID MlestOn (1 projocI of lLa Untrod American

Spanish Ald DaM-HItoe)

AMENKAR-RUSsiAS FrAteraRl Bociety

AmErICRO RussiaI Institute. New Iort, dies thora as lue dIer-

CAn RUSSIAN INKITare lOT CUlTUral Printlone Mies the 80T1-4

American RussinI Institato, Palladelpses

AmerICan RuslAs JastItute of Sen Irascieco

ATACTICAS RUSTiCS IIOTITUTO Ol BOULDErS CAlLIOTAle, LOS ARGelES

AMATIERA TOTACO DOX PORCO

SITATIORA TOUTA DOESTORS

ACETICAR TOULD SIE DELDOCTRCY

ATHERLAO PrOFTENITA LERgUE O$ AssETICS

Astoclated Elans I AmerIca

ASTOCIAlIOn OI ORIXIA MIADO

AMoclALIOn ol GETTeR Marlonela (Rettaleutache VereialsunE)

AmiRad-OrganisaTEn deT NEDAP. OrCTERs BrANCA Of MAN PArIT

Влют PanIm.

BACk DIAGON BOCHET

444d

TSE PREVIOUS KOITIONS

Выхатяд Атстіло

Poopie's leNTue of tha Introd Buster of

AMATITA

ClIentais Imergency Defease Commilite

CRULOTALA LADOr SCHOOl, IDC I21 DITIEACETO BUTTER, BAS FrAnCIaca

carsonals

CArpALLO-BURn POODlE'S BoctaTT

FORES Ol CrOStiRS DesCeRE RisO

MACAO dO CEDITAl COLDET OS ASSETICRO CrOAlLA WOmEs se.

CItrAl JapAIRSe ASSOCiATIOa (BelkokU CAUO Nipporfin fal)

CECITAL JAPRDESO ASSOCIAEICS Ol SOLShETE CAlLIOTALE

Casual GryRaization of lue Germar-Americes NatlouM Allesce

(Interbe-Amerittlache tambestatone)

CETIRDIER YTALeTON TOCIETY

Cates Trilate Appeal, Ine

Скоза Guitural Сепієт

ClatteRs Cot-mItle Of the [DI West Side (Ned TOTE CISY)

CISSERTA PrOLECEITE IEATSe

Cira Ripare COngress And 18 ATlaid Or RaIZatiOns, IaciadiaE:

CITL PISSIA COLETESE SOF TELRE

VORETROS ABALA DUCTITIRALIOR Ol CITI RIESTS COMETeRS DE

Кок

Jock

CITE RiTALA CODETECE IDS TOCKRS (DRE CITY: INJULA EURETEEO)

Calamkians

COxICA COUTOLANÃOS PTO SEpEDilCR EsparOlo

DOTIZA PTO DeTAChoR Cirlies

(8CA PLATIO MICRO COLLIDE PTO LIDeTESdeR (ITDOS)

DORAMIIrCO 10% A DITTOCALS FRI BATIETA POlLEY

COMMITION 10T COLSUTLODNI Ґ РОІНІ ҐТРЕДОШ

Corazalties for PeRce AnI Brotheracod Pestinal la Palladelphia

Comerliton :0T the Defense El EDE PitlEbursh Bit

Ooca11l00 107 the Negro in ise ars

Coramition 107 World Touth Mealthlp and Gutural Exchange

Commister so Abolies DiscHaination la SlArTians

1500

CORETESA. ATAlDs D'ACMElBAliCE:

Marylaad Congress

D'ACTIMIDALION: PTOTIMIONAI CCEIMITIOO tO ADOLLAD

D'actimlaation la the StRie of slarTiana?

Commelties lo Defead Marlo Bichardeon

Comica la Defend the Bish's and Frentora at pillabarets.

Pallisa trooner

OORATISHLOR 10 IpbOid IDA BIlI of Flebts

COCONUALE PATTY, U. B. l, 100 subalTiNada rabilalertee, end

852naвen

-1-

---

## Page 20

остіть

and sailares, lacluding:

ANiMA POODIÓS EdUCETCIAl AIDOCIATIONS

subditions, subsidiarses

POCÇLÁ's IdUCAIIONAl ADI STEXA ANSOCIALIOTI dE TEIRE

(Bue Cramilles to Abolim Sacrimination ta seastiand)

CORENSS CI ATETICAI ROTOLTSORATY WHILETS

CanEts of the Unemployos

Cocuetacut Committos t0 DE Trelims of the Built det

COLDDESIOUI SLATO YOUth OK'erence

COLDES fOr JODS, RElIES ROd ECUADE

COLaTE 107 PaD-AMETICAN INCOCTaCy

Cousco of Greek Americatos

Color du Mac Abalo

CrOstIsE Benevolent Prasecue,

Dal TETON BUTOKU KAL (ANTEATY VIITUA BOCIETY ER JADRI ON ATIL.

CATT A'T SOCIOLY of JApADI

Daisy Worker preas Club

Desteis Delense Committee

Danse filgalert Boclety (Derera 1935 And 1910)

Dençis Defense Commitroe

Detros Touth Assembly

Bat. EzT Pesco Comtalttee

lennone Progress te leare

INSTITECT CORIETENCE TO BITE SpRDiCT REfUTEEN (SONailoS body

in durns Albertia

Ererjordy's Committee to Ozian War

Parties of tLe Baltimore BoLID Act Victime

Parates of the Smith Act Tiesuns

PoGErSon of Ilallan WaS TrOTarA in the T. B. A. INC (Associe

JODe Maionale Combattera Isallant, Pederations Cegil Bistl

Cata d'America)

BrutUal Als SOclety

Associzalon)

PreSeTIx Dougisas Educationel Center

Freedse Siage, Inc.

Pricads of the New GeTINy /Prevade des Steril Deutschlards)

PHERDS Of SLE BOTies Unim

Gertonidt American Fraterna: Sochest

Goose washington Carves Ectool, Net Jork. Out

Orter-Averican Bund (AnerJadeutscher Volkarand)

OrmIE-ATericas Republier legue

Vocadana, League (Dentsase-Amerikenlecte

Berangeme nschafs)

Harem Trace Unton Counch

Havan Cirl Libertles Corpses

Helatita Kal, also knOWn as Jotubel Heleld Oluisha Ial, Zelsel

KIaojin. Heljatu Olmusca Xal, and Zalbel He usha Kal (Jap-

ases Residing In

JaIltary CoDAertptS AroOelAllOS)

Hellesk-American Brotherbroad

isode IN (Imperial Japasese ReserTists)

FLAGTORTE KAI (RIEiNE SUR FIRZ SOCIeTY - A ETOUD Ol JApADeSe

!4Ms.01.,)

Hottibe: Zaigo Bhoke Dan (NICA American BeRerve OTOSTS Asto

cialica)

Hollyrand Wilters Moblliratiza for Defenco

Hungaran-American Counch fer Democracy

Hungarten Brotherhood

Idabo Peason Union

Indepesient Party (Seattle, Trashlagion)

(Ece drapendent Peopie's Paty)

¡Independen: prople's Party

(sce Indepecies: Party)

DACIATIAl KUrTeTS Of lha Worid

InSATIALIONA LASCE DEÍERSO

JALETIALIONAI MUTLeTE OrdES, ILA RADCITiSaNE, rubelalaria REA

барапеж АІВИЗЇ 0f Атета.

JapAnese OrereAs CEntral SOeTy (ElifE! DODO CallO fEl

харацего Отетель СОДУРДЦІ, ТОКУ₴ ІАЗАд, ІДО

JAPANERE PrOCLETITE ASPOCIALION (BOCT-IL=& OrgADITATION)

JeSerson Schoel al Bocial BelEnCE, KieT ICK Cily

Jentah Cultur Society

jewish Propie's Commlitoe

Jerish Propit's Frateraal Ordet

броки INkN (ПрА СОТІЇ "от че (ту)

(8e0 johnsocices)

(See Jabrace-Furest Group!

JOLTE ANTI-PRECITE RefUSEE C'amlizoe

JOLIE COUDCH CL PrOSTESAITO ILAlLAI-ACRISERIS, Ine.

Joseph Wedest; er BCDOOl ol BOCIAl BCeDSe, 81 LOVe, NOsocas

FIDel SeTDES EAl (ASSOCiAtIOn O8 U. B. CIITENS Ol JAPRONER ATi

cantry tho fate returned to Amenica dres studylag to seea)

Knishra of lse Walle Camelils

Ka hu kn

sio knoum as EJADlEaseS IcagUe: (8510035099

Labor Council lor segro Rights

LADOS BESORTES ASsOCIatIOn, InC

Labor Tourb League

LANGUe Of ANNESCAN WriterS

Lictos Society «Ilallan F'act Shirts)

Marlo MOTgRETZe CIrCle

Manute MODes Of the U. B. A. IaC)

Michigan CITI Bights Pederazion

Michigas Consell IcT Peace

Narta Telkara CunTUdas (IMDETiAl MUL'ANT FIleNCE GENIED de

Bouthern Crisornia War Feleransl

clon Nacires Mexico Americaas)

JAilonel BlUe S:aI MOtLETE d AJErioR (Dst lo be confused It?a

REe Blue St: MoThera of AbETICA ATALITed la FEDIURT, ¿AlI

Sational Conc-islee for Preedom di la

NaziOnAl COTI=::Lee 1OT LhO DESERO dl PCLICAl PALSONEra

KRIOORI COLTILIES 1O WID ADESTY STY BEiLA dEE METTIOS

TarODA! COLiCTEDCe On AmerICAn POiXY "I (CIDA NI1 EDO PAS DUEE

la COnfeTeD called by lia COLLILICA SOS A DeTOCTATIC TAS

Fatsonal Cous:!l of American-sories Tiesdebip

Karlonal Fedraiton 105 ConsilUlonal Libertles

Mallonial Labre Confereace for Peace

KARiONal NeSTO CODETess

Kallonal Nesto LaDor Council

Liattonailst Aniva League

-2 -

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## Page 21

14-00000

NELSODALES PEMY Of PIETLO RISO

ALTUTE FELICA I ALETICA (RIDOR 1S0S).

ditto labor Tierory commit's

NICHIDE KOSTO FAlACe (DAE GUBE PUJU TOCRITE)

TOTTA ARSESCAR COMMILIES LO ALI SORRIES DEMOCTATI

Mont ATeTRA Spanich Ald Cormiires

Morth Paliestizbia Forum

NOTTITIONI LAPARISA ALEOCLATIOS

Oblo Seboci el Social Bctences

BAziS BArDeSS FrACE POTUlI

Betual of Jetleb StudeR New Tart 0t5)

Berilie Labor SeSool, Sestile, Fast 50r

BEDLAD-AMESIERS, FIRIETON BOCLE:Y

BEsias Vidordes COLICU

ELTes Ebir Leftia al Americs

БАТІ СОУПЦ С! ЗОЧІДЕТІ САОГ

BLOMAX FiORKETE SOCIeTY

бістедія[-Алятка» ТаЦОПЛ СОЧІ

BOTTLE HOTRETA PATTY, LACIUNIDE AIDATICAN CORATTIRRO ICE DURA

jens Workers Belled

BOROKE FAl (PACIETIASA BOCIEST)

BOULIETO DEFTO FOULS COLETeES

CAL AR0C00Д)

PACIRE NOTIATESt LADOs SChoCi BeRElie, MashleFtos

PALO AILO PERCE ClUS

PArIOO del PUEDLO Di PARRIA (OpErAELOR. In EDE CASAl 2000)

PEACE INfOrTUATION GEateT

Peace Morezens o1 Elhiopia

Propit's DesTIR

Inc

PrODiÉS EACCANORAl ANd PICES ASSOCIAtIOR Ol TEXAS (Ne COCAILO-

DIS: POLICAI ABSOCIALLOSI

PRODiCA IEACAtIONAl ASSOCiZIATO (InCOrpOraled Under same LOs

ADPTiTS ETUCRIODAl ASSOCITOE IDC), ALEO KNOTS NE PRODiGE

РеОріҐʼЯ ІНТИТИТА ОЇ АДРІЄЇ Реїдіи

PrOpiES PTORIANS (StAlliC, FASTinGON)

Propies Padio Poundallas, Ise

Propie's Bighis Party

PriNCipIA LADOS COMMITCE ICE JESTO RISTES

PLACEDIS SChOOL Of SOCIA! ECCETCE AnG AL

Th0:0 lenTie (Sier JOrk GilT!

POlOZie gOCreTy Of tEE ITO

FTOSTESSITE GETTILI-AMETIIADI, DiSO KOOTTA AS PTOFTONEITA CET

•110 ChaTO

PrOlARADE WAS VeTeTRaS Ul ISE EZited States, InC

PIOTISORL: COMMITTER OS CITRES SOF PeRCe.

SouLtrati Area

PrOTISONRi COTTITSEE dO ASCISE DISCTIMinAÇION In LSe STACE Of

1St ConTitie to AbOido. DICTiMIDALIOn In SIATiRDE)

PURTLO BiCAL COMiE PTO ILSEIZECER CITiES (GLE)

(See OCTICe PrO DeTechos CTles)

Tos PAIDA Sebox ol SoCial SCleDoR, PallaCeiphil, FEANEYTROSA

TOEs PalDe Bitool Of Westchesies, 556 I0rX

Jade tatos Comitice tor lesse

(SEE TradO ULCaINS fOr PeRCE)

Trado tntonis'a:0s PeRco

ISCE TrACE DESCRITES 807 PEROR)

TE-STALE MeLTO TIACe Inion COLaCE

TATALIÍAR-ATICTIDO FrATeIJal LaSCA

Caion of Amerurs Croatlaca

ta'on 0f Ner Tet Teierans

Failed CamsalTiRe di JEWiSE BOCSeDEs and LAndsTansCher, ped-

erasians,

d'o

котА

CONTINECA

Cosmalites of Jewish

Landsmanscheten and Prate-al: 057301225003

sited Delease Couscll of Solves Chitora:

LIlied Slay Day Commlitee

Quad ChiT Commitzes for Prece

Queersbeige TenAnts LeRfUT

BATALIAS-ATETICAN STATETIN, Boctaty.

Russes American Soclery, Ia=

TELeTAIS Of ELA Abrabam Llarais Ersada

Assoclalios)

Posse of ProeSOCI CorCIaltiEs

Wastirgton Bookstop Assoclalios

Fashlazton Coomontedlsh Fede-siana.

WISTORIA COR'ETERCE ON SOCIN LATERICA

MOSKETS ALlALOR (RACe April 18036)

riddleber Kultur Pestend

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## Page 22

4-00000

CERTDFICATION

I certify that I have read the names of the abore listes organizz' ce

o the best of my onledge and bebel, cone of may close relatiter sre, nor hate ere: teen membera of, co!

¡buted to, received literature from, signed petitions, of or in behall of, or attended metrings of any such organiz

tions, except as noted belor.

INSTPACTIONS

thereol, lities and authors of llerature rectized, and deies on which rectred.

In exceptions concer.ing relatives, incide only such informatior presently knoux to you or aballable from

your own records.

I1 necessary, ase odditional sheets and sign each sheel. Write ture l; there are no esceptions.

REMARKS: To be completed by Spouse

I REMARKS: 70 te completed by Applicant or Employee

Dare 2 - 17-1.3

Signatare of spouse,,

Address - City and State

Linc

Witness

Adáress - City and Stase

06

Date

- 19-11

signature a Appicast or Epioge:

11C1h

initia hidi

Caress-Ca and State MINGUENT OK

Dredy I Hennick

Adúress -Caj and Etate

-4-

31RS

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