[1]Assassination Records Review Board
[2]Final Determination Notification
[4]AGENCY : HSCA
[5]RECORD NUMBER : 180-10060-10444
[6]RECORD SERIES : STAFF PAYROLL RECORDS
[7]AGENCY FILE NUMBER :
[9]December 8, 1995
[10]Status of Document: Postponed in Part
[12]Number of releases of previously postponed information: 5
[14]Reason for Board Action: The Review Board's decision was premised on several factors
[15]including: (a) the significant historical interest in the document in question; (b) the
[16]absence of evidence that the release of the information would cause harm to the United
[17]States or to any individual.
[19]Number of Postponements: 2
[21]Postponements: All the postponements in this document represent Social Security numbers.
[23]Reason for Board Action: The text is redacted because the public disclosure of the redaction could
[24]reasonably be expected to constitute an unwarranted invasion of personal privacy, and that invasion of
[25]privacy would be so substantial that it outweighs the public interest.
[27]Substitute Language: SSN
[29]Date of Next Review: 2017
[31]Board Review Completed: 10/24/95
[33]N
[35]NW 88326 Docid:32939452 Page 1
[37]2 Date:08/20/93
[39]JFK ASSASSINATION SYSTEM
[41]IDENTIFICATION FORM
[43]AGENCY INFORMATION
[45]AGENCY : HSCA
[46]RECORD NUMBER : 180-10060-10444
[48]RECORDS SERIES :;
[49]STAFF PAYROLL RECORDS
[51]AGENCY FILE NUMBER :
[53]ORIGINATOR :
[54]FROM ;
[55]TO :
[57]TITLE :
[59]DATE
[60]PAGES
[62]09/19/77
[63]5
[65]oo ee
[67]SUBJECTS :
[68]HSCA, ADMINISTRATION
[69]HORNBECK, JOHN
[71]DOCUMENT TYPE : PRINTED FORM
[72]CLASSIFICATION : U
[73]RESTRICTIONS : 3
[74]CURRENT STATUS : P
[76]DATE OF LAST REVIEW ; 06/04/93
[78]OPENING CRITERIA :
[80]COMMENTS
[82]Box 2.
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[166]NW 88326 Docid:32739452 Page 3
[168]PAYROLL AUTHORIZATION FORM
[170](Please Use Typewriter 4} U.S. HOUSE OF REPRESENTATIVES _ (Any erasures, corrections, or changes .
[172]. . . on this form must be initialed by the
[173]or Ballpoint Pen) Washington, D.C. 20515 authorizing official.)
[175]To the Clerk of the House of Representatives:
[177]| hereby authorize the following payroll action:
[179]Employee Name (First-Middle-Last) Effective Date
[181]dohn ¥. Hornbeck 77/78 3
[182]Employee Social Security Number Type of Action |
[183]194~. 490-5931 . QO) Appointment 4
[184]0 Salary Adjustment ;
[185]Employing Office or Committee/Subcommittee D1 Title Change |
[186]: [J Termination (At close of business on effective date) 4
[187]Assassinations 0 Leave without pay (Beginning with effective date above and ending 4
[188]close of business. |
[189]Specify Date 5
[190](If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.) j
[191]a
[192]Position Title Gross Annual Salary* ;
[193]j
[194]3
[195]* 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 4
[196]plus the salary received from the employing office. a
[197](If Committee Employee, complete appropriate item below.) i
[198]3
[199]1. 0 Standing Committee: Staff—O] Clerical or 0 Professional. — j
[200]2 Ss ial (I * q ff . . . . 956 S5th E
[201]. pecial (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res? °__ of 2=_~_Congress. 4
[202]i
[203]3. O Joint Committee. m3
[204]. > . 4
[206](If Employee of an Officer of the House, complete item below.) a ;
[207]we . a
[208]Position Number__..... If applicable, Level__ Step. 4
[209]q
[210]. ‘
[211]. a
[212]| certify that this’ authorization is not in violation of 5 U.S.C. 3110(b),- prohibiting the employment of 4
[213]relatives.. J
[214]7 78 4
[216]: (Signature of Authorizing Official) y
[217]ooo nnn nena LOUIS STOKES. CHAIRHAR
[218]{if appropriate, signature of Subcommittee Chairman.or Ranking Minority Member} . (Type or print nome of Authorizing Official) : 7
[219]4
[220]Type or print name and tile of above official), SSCS ee Title= If Member, District ond State) SSS v 3
[221]All.appointments and salary adjustments for employees under the House. Classification Act and for Committee em--.° - ot
[222]ployees, except those of the Committee on Appropriations, the. Committee on. the Budget; and the-Joint Committees, must. . - 4
[223]be approved by the Committee on House Administration. ; ; i
[224]APPROVED: nnn _ \
[225]Choirman, Committee on House Administration 3
[226]4
[227]Office of Finance use only: 4
[228]1
[229]Office Code 3
[230]_ 4
[231]: (Revised: August 1; 1977) i
[232]Copy for. Initiating Office or Committee: =. sts. oe j
[233]He 3
[235]NW 88326 Docid:32739452 Page 4 : : . _
[238]PAYROLL AUTHORIZATION FORM
[240]i
[241]"leo Use Typewnter “« *U.S. HOUSE OF REPRESENTATIVES (thy aaa, nvacons. cages -
[242]. - : n thi u
[244]or Ballpoint Pen) Washington, DC 20515 authorizing official ) |
[246]To the Clerk of the House of Representatives: 7 a
[247]| hereby authorize the following payroll action.
[249]: Employee Name (First-Middle-Last) Effective Date - °
[251]John WH. Hornbeck — 9/19/77 |
[253]Employee Social Security Number: Type of Action 3
[255]194 30 5931 a Appointment
[257]Employing Office ar Committee D Sclary Adjustment (
[259]Assassinations CJ Termination (At close of business on effective date) 4
[261]- 4
[263]: 4
[265](If type of action 1s an Appointment or Salary Adjustment, complete the following: information ) |
[267]q
[269]Position Title
[271]Gross Annual Salary ~
[275]&,
[277]Staff Counsel
[279]2
[281](If Committee Employee, complete appropriate item below }
[283]1. [J Standing Committee: Staff—[] Clerical or [] Professional - .
[285]27 Special or Select Committee. Authority—H Res. 465 of 25th Congress.
[286]3 [] Joint Committee.
[288](If Employee of an Officer of the House, complete item below)
[290]Position Number Step____.__.
[292]| certify that this authorization is not in violation of 5 USC 3110(b), -prohibiting the employment of
[293]relatives. a _
[295]. eee
[296]aot ncn AEE ge aoe or re
[297]Date September 19 jo/7, _- aa renee
[298]es I (Signoture of Avihonaing Offeal)
[299] touis Stokes
[301]eo (Type or print name of Authorizing Official)
[302]“ Chat rman
[304]ee Title= IF Member, Distctand State). SSS ~
[305]All appointments and salary adjustments for employees under the House Classification Act and for Committee em-
[306]ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must
[307]be approved by the Committee on House Administration
[309]APPROVED.
[311]Chairman, Committee on House Administration
[313]Sea CTR Let OL ACSCE STOLE EEE, One ONL TOL SEO 5 oT OES ae PORES TE BORLA, SRE STSTOLTS FORT ERE ANT Oe OD
[317]_ lashes an,
[319]Office of Finance use only:
[320]i f2
[322]Q
[326]o
[332]a
[334]2
[336]1
[338]i
[344]1
[346]1
[349]S
[350]Maa
[352]Copy for initiating Office or Committee
[354]|
[356]i - ~ ~ ee wee ee me te
[358]lw 88326 Docld:32239452 Page 5
[360]i
[361]1
[362]1
[364]MEMORANDUM
[366]TO: ALL STAFF
[368]RE: Payroll Certification
[370]The Regulations and Accounting Procedures for Allowances and
[372]Expenses of Committees, Members rs and Employees of of the U.S. House “of,
[374]Representatives require that, among other things, the Committee's
[375]monthly payroll certification include the relationship, if any, of
[377]each employee to any current Member of Congress.
[379]is signed monthly by our Chairman.
[381]This certification
[383]The following are the relationships to be included in the
[385]certification:
[387]father nephew
[389]mother niece
[391]son husband
[392]daughter wife
[394]brother father-in-law
[395]sister ino ther-in-law
[396]uncle son-in-law
[398]aunt daughter-in-law
[400]first cousin
[402]brother-in-law
[403]Sister-in-law
[404]stepfather
[405]stepmother
[406]stepbrother
[407]stepsister
[409]hal f-brother
[410]half-sister
[412]Please complete the appropriate portion below, sign and date
[414]this form, which will tt
[416]yen become a part of your permanent personnel
[418]file. If this status changes, you must notify the Committee's Budget
[420]Office immediately of the change.
[422]LZET am not related to any current (95th Congress) Member of Congress.
[424][7 1 am related to a current (95th Congress) Member of Congress.
[426](Please specify.)
[428]Lt tilt
[429]Tgnaturé of Enployee
[431]7-20-22
[433]Date
[435]| _- a
[436]he 88326 Docld:32239452 Page 6
[439]MEMORANDUM
[441]TO: Thomas Howarth
[443]Budget Officer
[445]FROM: Charlie Mathews ft CW
[446]Special Counsel
[447]DATE: September 19, 1977
[449]4
[450]RE: John Hornbeck
[452][94-38 593]
[454]This is to advise you that John Hornbeck has ac-
[456]C
[457]cepted a position on the John F. Kennedy Task Force,
[461]effective September 19, 1977, at an annual salary of
[462]$34,000.
[463]oor Ne
[464]Please extend every possible assistance to Mr.
[465]Hornbeck.
[467]WM burl f be
[471]- - . !
[472][NW 88326 Docld:32239452 Page f 7