## Page 1

Date

Page

:

01/13/98

1

AGENCY

RECORD NUMBER

RECORDS SERIES

AGENCY FILE. NUMBER

JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

AGENCY INFORMATION

: INSCOM/CSF

: 194-10004-10138

DOD-AFFILIATED PERSONNEL INCIDENT INVESTIGATIONS

PAGES

27-27A

---

DOCUMENT INFORMATION

ORIGINATOR:

USA

FROM : DIETRICH, DAN H. JR

TO : USA PERSONNEL SECURITY GROUP

TITLE : [ RESTRICTED ]

DATE: 06/13/67

PAGES : 2

SUBJECTS : FROMER, DAVID REED ..

LOCAL FBI (S) FILE CHECK

REQUEST FOR AND RESULTS OF PERSONNEL SECURITY ACTION

RESULTS OF PERSONNEL SECURITY ACTION

DOCUMENT TYPE : PAPER, TEXTUAL DOCUMENT

CLASSIFICATION : CONFIDENTIAL

RESTRICTIONS : 3

CURRENT STATUS : RELEASED WITH DELETIONS

DATE OF LAST REVIEW : 03/07/95

OPENING CRITERIA :

COMMENTS : INCLOSURES NOT INCLUDED. RECORD REGRADED UNCLASSIFIED

ON .2 SEP 94

leased under the John F

cords Collection Act of 1952 (44 USt 21U/ Note). CaselFW BUET

NW 88613 Docld:34528551 Page 1

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## Page 2

SECTION Ill - REQUE.

17. REBORT OF AFTION

JINFORMATION NOTED

¡R TO CONTROL OFFICE

SUBJECT WAS TRANSFERRED

_LOUDJEGT REASIGNED TO NON-

SENSITIVE DUTIES, INYESTIGATION

MAY DE GANGELED,

HEADQUARTERS

10. REMARKS (Il retuming corrected forms, state here)

PER

J INFORMATION CONSIDERED NO BAR TO

CLEARANCE. REQUEST COMPLETION

OF INVESTIGATION.

DATED

INCLS.

TYPED NAME AND TITLE

SIGNATURE

SECTION IV - CONTROL OFFICE TO ACTION AGENCY

DATE

20. RESULTS OF PERSONNEL SECURITY ACTION

14 JUN 195/

→ NO RECORD

7 FAVORABLE

_ MINOR UNFAVORABLE INFORMATION RECORDED IN ITEM 21

_ PRIOR INVESTIGATION INSUFFICIENT FOR ACTION CONTEMPLATED

XX FORWARDED FOR SECURITY DETER-

IF NEEDED, INITIATE REQUEST FOR INVESTIGATION.

MINATION BY CLEARING AUTHORITY

TYPE OF INVESTIGATION

COMPLETED BY

DATE

DOSSIER NUMBER

_NAC

ENACI

BI

XXOTHER

USAINTC

13 J: n 67

5 518 58 81 37

21. REMARKS

a. THIS FORM, TOGETHER WITH ANY INCLOSURES, REPORT OF ACTION TAKEN AND USACRE COPY OF DA FORM 873

(Il appropriate) WILL BE RETURNED TO THE CONTROL OFFICE WITHIN

DAYS AFTER RECEIPT.

b. IN THE EVENT SUBJECT HAS BEEN TRANSFERRED FROM YOUR COMMAND. THIS FORM AND INCLOSURES WILL BE

RETURNED IMMEDIATELY WITH ITEM 23 COMPLETED.

G. ATTENTION IS INVITED TO: PARAGRAPHS

AR 604-5; PARAGRAPH_ AR 601-11;: PARAGRAPH-

AR 640-98; AND PARAGRAPH_AR 381-130, AS ADPLICABLE.

INCLS

TYPED NAME AND TITLE

SIGNATURE

n/c

1 DAN H. DIFTRICH, IR.

ITC, AIS, CHIEF, TCOP-IIT

SECTION V - ACTION AGENCY TO CONTROL OFFICE

DATE

22. REPORT OF ACTION

I FAVORABLE DETERMINATION, USACRE!

COPY DA FORM B73 ATTACHED

UNFAVORABLE DE TERMINATION.

RECOMMENDED ACTION IN ITEM 24

23.

SUBJECT WAS TRANSFERRED

TO

HEADQUARTERS

PER

5B. Buthe

RESCINDED PERTEPAAMESJAGE

DA 76575, SMATED UMAY ES

DATED

24. REMARKS

REGS:

-HED

INCLS

Regraded Unclassified Than Separated

From Classifiod Inclosures

and worked

FOR OFFICIAL USE ONLY - This Protectiva

Marking is Excluded From Automatio

TYRED NAME AND TITLE VerminatiOn"

SIGNATURE

27

BY CL?

AUTH Pala 1-cio DoD 5200.1R

NW 88613 Docld:34528551 Page 2

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## Page 3

n.

DATE

REQUEST FOR AND RESULTS OF PERSONNEL SECURITY ACTION

(AR 381= 130)

5 May 196

TO! (Contral Offica)

THRU,

FROM: (Requentine ARoncy)

DCS -OPS

USAINTG

3.

USAPSE

ATTN: OPS III (Mr. Burwasser

Fort Holabird, Md.

renter name and address of the ACTION AGENCY. 10 which cosulls ale lo bo sont, il tour-by.;

requester

CONTROL OFFICE USE ONLY

REQUIREMENT

REQUEST NO.

7

U.S. Army Personnel Security Group

Fort Holabird, Maryland 21219

ATTN: Adjudications Division

DOSSIER.NO.

OPENING DATE

REMARKS

L

RECO Y 12 9 ICOP IIS

SECTION I - REQUESTER TO CONTROL OFFICE

2. ALIAS(ES), MAIDEN NAME

I. SUBJECT (Lago nam on, capitals, liter and

FROMER, David Reed

None

"(Day, Month, You

5. PLACE OF BIRTH (City, State and country)

(ear)

21 July 1942

T. REQUESTED ACTION

Chicago, Illinois

XINVESTIGATION

VALIDATION

8. TYPE OF INVESTIGATION:

9.

I NACI

BI EXOTHER(Explain in Item 15)

10. TO DETERMINE SUITABILITY FOR:

3. SERVICE/SOCIAL SECURITY NO.

564-58-8137

6, GRADE AND POSITION

Registrant

RECORDS CHECK

$. FOR CLEARANCE AND/OR ACCESS TO:

I TOP SECRET

_ SECRET [CONFIDENTIAL

b. La FOR LIMITED ACCESS AUTHORIZATION

11. JUSTIFICATION

c.

INTERIM CLEARANCE DESIRED

d. X OTHER (Explain iri Item 15)

12. REVIEW OF FILES REQUIRED BY PARAGRAPH

_NO UNFAVORABLE INFORMATION

AR 6045, COMPLETED ON

REVEALED:

LEONA ORATE INFORMATION DETERMINED NOT TO BE A BAR TO ACTIN

• INFORMATION SUMMARIZED IN ITEM 15

13. LATEST INVESTIGATION/ CLEARANCE (Type, when, by whom)

14. NO BREAK IN FEDERAL SERVICE

EXCEEDING SIX MONTHS SINCE

15. REMARKS (If unfavorable information entered, transmit in sealed envelope thru intelligence channels.)

Request that Headquarters and Local FBI (S) file checks be conducted on SUBJECT's

parents.

"Request this investigation be expedited as determination under AR 604-10 is

being delayed at Department of the Army pending results".

FEGS.A

AIMED

¡ ГОТ/РО

AUTH Pa:a 1-610 BUD 5200.1R

INCLS

TYPED NAME AND TITLE

Dossier 564588137

J B FINNEGAN

SIGNATURE

re SUBJECT

COL AIS

SECTION II - CONTROL OFFICE TO REQUESTER

[ NEW FINGERPRINT CARD REQUIRED

Лити

7 ITEMS

ON SPH (PSO) REQUIRE CORRECTION AND/OR COMPLETION.

J INTERIM REPORT FORWARDED, REQUEST REPORT OF ACTION TAKEN AND RETURN OF INCLOSURES UPON COMPLETION.

INCLS

TYPED NAME AND TITLE

272

whon separail

Sid

ossifical

FORM

DA, FORM 2784

NW 88613 Docld:34528551 Page 3

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