[4]| NW 88326
[6]Assassination Records Review Board
[7]Final Determination Notification |
[9]AGENCY : HSCA
[10]RECORD NUMBER : 180-10070-10148
[11]RECORD SERIES : STAFF PAYROLL RECORDS
[12]AGENCY FILE NUMBER :
[14]December 8, 1995
[15]Status of Document: Postponed in Part
[17]Number of releases of previously postponed information: 15
[19]Reason for Board Action: The Review Board's decision was premised on several factors
[20]including: (a) the significant historical interest in the document in question; (b) the
[21]absence of evidence that the release of the information would cause harm to the United
[22]States or to any individual.
[24]Number of Postponements: 7
[26]Postponements: All the postponements in this document represent Social Security numbers.
[28]Reason for Board Action: The text is redacted because the public disclosure of the redaction could
[30]- reasonably be expected to constitute an unwarranted invasion of personal privacy, and that invasion of
[32]privacy would be so substantial that it outweighs the public interest.
[33]Substitute Language: SSN
[35]Date of Next Review: 2017
[37]Board Review Completed: 10/24/95
[39]| Docld:32244090 Page 1
[41], _ Date:08/20/93
[42]Page:1
[43]JFK ASSASSINATION SYSTEM
[45]IDENTIFICATION FORM
[47]AGENCY INFORMATION
[49]AGENCY : HSCA
[50]RECORD NUMBER : 180-10070-10148
[52]RECORDS SERIES :
[53]STAFF PAYROLL RECORDS
[55]ORIGINATOR :
[56]FROM :
[57]TO :
[61]DATE
[62]PAGES
[64]01/01/77
[65]16
[68]HSCA; ADMINISTRATION
[69]ROSEN, MERETE MUFF
[71]DOCUMENT TYPE PRINTED FORM
[73]CLASSIFICATION : U
[74]RESTRICTIONS : 3
[75]CURRENT STATUS : P
[77]DATE OF LAST REVIEW : 07/16/93
[79]OPENING CRITERIA
[81]- COMMENTS :
[82]Box 3 e
[84][R] - ITEM IS RESTRICTED
[86]| NW 88326
[91]; : a oo Oe oe a . ce me
[92]aI am not related of i ey ne 1 oe 7 . |
[94]NW 88326 ae
[96]MEMORANDUM
[98]TO: ©. All Staff Employees ee ee nae a ee
[99]FROM: Budget Officer. | | we
[100]DATE: «January 3, 1977
[102]RE: Payroll certification |
[104]Starting with the January, 1977 payroll, the: certification
[105]“to the House Finance Office requires, among other things, the
[106]--yelationship, if any, of each staff employee to any current
[107]oo Member of Congress (those taking office January 3, 1977). .
[109]The following are the relationships to be included in
[110]“the certification: . 2 ;
[112]father tt os nephew ‘brother-in-law
[113]mother isi . niece - sister-in-law
[114]son > husband / stepfather .
[115]daughter wife. oe _°.. stepmother...”
[116]“, brother | oe ‘father-in-law . :.° ...- stepbrother. |
[117]» sister 0 : mother-in-law stepsister .
[118]uncle a son-in-law == =.  ~——-——shhalf-brother
[119]aunt — oo daughter-in-law _ os half-sister |
[121]first cousin 7 an a oo, De
[123]All staff employees are “yequested to complete this
[124]form and return it to the Budget officer. a
[127]-Richard A. Sprague
[129]OL am “related by the following relationship
[131]“Signature of EMployee
[133]ii:37244090 Page 3
[135]" PAYROLL AUTHORIZATION FORM
[137]‘a
[139]1+ © --=(Please Use Typewriter
[140]eo Or Ballpoint Pen)
[142]-U. S. HOUSE OF.
[144]-To the Clerk of the House of Representatives: ;
[146]| hereby authorize the following payroll action:
[148]‘Employee Name (First-Middle-Last)
[151]a _ Employee Social Security Number
[153]c
[155]are
[156]Hae
[158]33 4452
[160]* Employing Office or Committee
[162]Balock Conmbebes < on he
[164]Position Title
[166]Researcher
[168]_ Washington; D.C. 20515
[170]‘(Any erasures, corrections, or changes
[171]this-form-must-be: ‘initialed by the ~
[172]- authorizing Official.) ~
[174]REPRESENTATIVES |.
[176]Effective Date ~~
[178]January L, 2Dy? a
[180]Type of Action ;
[182]&)] Appointment Lo
[183]Oo Salary Adjustment
[185](_] Termination (At close of business on effective date)
[187]~ j
[189]: (If Committee Employee, complete appropriate item below.)
[191]1.) Standing Committee: Staff—[_] Clerical or [] Professional. . °
[194]--2. ££] Special or Select Committee: Authority —H. Res.:
[196]3. | Joint Committée. L
[198]Position Number.
[200]relatives.
[202]Tek
[203]Lege
[205]cae Hae 3 ;
[207]be approved by the Committee on House Administration.
[209]Z
[211]| Office of Finance use only: - .
[215]_(If Employee of an Officer of the House, complete item below.)
[217]If opplico ble, Level
[219]|. certify <that.. this authorization ‘is not in violation of .5»U.S.€. 3110(b),; prohibiting, the: "employment of:
[221]oa —— as ‘(Signature of Authoring Offa OO
[222]Noe, SS Moewniine:, Chedem
[223]— 7 in sr sy
[224]ed, ect. Coasktioo mi Assassinations
[225]a Title =F ois Sica SO
[227]APPROVED:
[229]U540 - of Oe
[231](
[233]~All appointments and : salary adjustments\for employees under the House Classification Act and-for. Committeesem- + ~~" >
[234]; - ployees, except:those.of the-Committee.on Appropriations, the Committee-on the: Budget, and the-Joint: ‘Committees, emust?
[236]Chairman, Committee on House Administration:
[237]; po. ;
[239]ere
[241]NW 88326
[242]ochd:37244090 Page 4
[244]C) GPO: 1975 O- 57-255 C)
[246]; PAYROLL™AUTHORIZATION FORM
[248]authorizing official.)
[250]To the Clerk of the House of Representatives:
[252]| hereby authorize the following payroll action:
[254], Employee Name (First-Middle-Last) a Effective Date
[255]Merete Muff Rosen — 143/77
[256]Employee Social Security Number , Type of Action
[257]. O48 58 4432 : [C) Appointment
[258]| Employing Office or Committee =. [4 Salary Adjustment
[260]im Termination (At close of business on effective date}
[262](If Committee Employee, complete appropriate item below.)
[263]1. [J Standing Committee: Staff—[J Clerical or 2 Professional.
[265]2. | Special or Select Committee: Authority—H. Res. 44_____of_gg _ Congress.
[267]| 3. [| Joint Committee.
[268](If Employee of an Officer of the House, complete item below.)
[270]Position NUmbers. If F applicable, Level. Step_______.
[272]| certify that’ this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of
[273]| ‘relatives.
[274]|
[275]Date. Fae
[277]; (Signature of Authorizing Official)
[278]_Henry 8, Gonzalez =
[280](Type or print name of Authorizing Official) .
[282]i : (Title-If Member, District ond State)
[283]i I me ~
[285]All appointments and salary adjustments for employees under the House Classification Act and for Committee em-
[286]ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must
[287]be approved by the Committee on House Administration.
[288]APPROVED:._--. _
[290]: Chairman, Committee on House Administration
[292]Office of Finance use only:
[294]Office Code
[295]| NW 88326
[297]| Docld:32244090 Page 5 oo... Copy for Initiating Office or Committee
[301](Please Use Typewriter U.S. HOUSE OF REPRESENTATIVES (Any erasures, corrections, or changes .
[302]or Ballpoint Pen) Washington, D.C. 20515 on this form must be initialed’ by the
[304]iogbityiaghtstidebeeu Betuas net iene thee tua a
[306]thn ids whens sig
[308]art ee
[310]They
[312]PAYROLL -AUTHORIZATION FORM- .~. Los : an ae
[313]on (Please -Use Typewriter = U. S. ‘HOUSE: OF. REPRESENTATIVES © “(Any erasurés, corrections, or changes»
[315]a Be Ral Rat De . — -> “on this form must. be. initialed. by the :
[316]or Ballpoint Pen) Washington, D.C. 20515 authorizing official.)
[318]- To.the Clerk of the House of Representatives: - -
[320]| hereby.authorize the following payroll action: -:
[322]_Employee Name (First- -Middle- -Last).. 2 eae : ; 7 | wee a ~ Effective Date 7
[324]‘Herete Hutt Rosen afei7 | |
[325]i "Employee Social Security Number. SS [2s Type of Action
[326]048 58 4432
[328](-] Appointment
[330]Employing Office or Committee oe BX Solary Adjustment -
[332]Assassinations 1 Termination (At close of business on effective date) -
[334].-(If type of action is an Appointment or Salary Adjustment, complete the following information.)
[336]Position Title ; | _ Gross Annual Salary
[340]- (If Committee Employee, complete appropriate item below.)
[342]1. [-] Standing Committee: Staff—[_] Clerical or [-] Professional..
[343]2. L4| Special or Select Committee: Authority —H. Res. _ 469 of - 95 thcongress
[345]3. [| Joint Committee.
[347]_ (If Employee. of an Officer-of the House,-complete item below:)
[349]Position Number_..- sk If applicable, Level -
[351]certify: that. this. authorization .is .not-in violation:. of 5. U.S.C- 3110(b), prohibiting ‘the employment of: vod
[352]relatives. wet ey - :
[354]na en ne ee ae ee er ae er me eee ee eee FF
[356]Lee “if Signature of Authorizing Official)
[358]Be . “Louis Stokes
[360]ec - (Type or print name of Authorizing Official}
[362]Chai ran
[364]‘All appointments-and salary adjustments for employees: under the House Classification’ Act.and for Committee: em-%
[365]. ployees, -except those:-of..the Committeé-on. Appropriations; the- Committee: on the Budget, and the: Joint Committees, ‘must o*
[366]‘-be approved by. the ‘Committee 6n House Administration: ee hone Bp age :
[368]APPROVED:
[370]Chairman; Committee on House Administration’ :
[372]Office of Finance use only: ©
[374]Office Code
[376]. Copy for Initiating Office or Committee
[380]88326 ia ae po eee
[381]1d:32244090 Page 6 : Oo
[383]1
[386]PAYROLL AUTHORIZATION FORM - a a | F
[387](Please Use Typewriter U.S. HOUSE OF REPRESENTATIVES Many erasures, co he nt ages “
[389]on this form mus initia y “s
[391]or Ballpoint Pen) Washington, D.C. 20515 authorizing official.) =
[393]JI o the Clerk of the House of Representatives: 4
[395]| hereby authorize the following payroll action: - “4
[396]_Employee Name (First- -Middle- -Last) en . — Effective Date — oa
[398]Merete Nuff Rosen | B/S/T? | | 38
[400]___ Employee Social. Security Number oe ms Type of Action - oo . =
[402]043 58 4432 (_] Appointment , q
[404]| Employing Office or Committee | [xSalary Adjustment a
[405]| ‘ . [| Termination (At close of business on effective date} ;
[406]i: ___Assassinations | | j
[407]| (If type of action is an Appointment or Salary Adjustment, complete the following information.) 7 |
[408]_
[410]Position Title Gross Annual Salary a4
[412]7 -
[414](If Committee Employee, complete appropriate item below.) - :
[416]1. (-] Standing Committee: Staff—[_] Clerical or{_] Professional.: 4
[418]2. [x Lx] Special or Select Committee: Authority —H. Res. 46%. of _95th Congress.
[422]3. [J Joint Committee.
[424]) (If Employee of an Officer of the House, complete item below.)
[426]Position Number If applicable, Level.
[428]hay!
[430]SEAR WE SUT GCE Tm EO at UST ET Re SSOP OT
[432]1 certify: that . this: authorization .is not in. violation .of 5. U:s.C. SNe), ‘prohibiting. the employment of
[434]relatives. cnn te
[435]ye 7 cee. ad ee eae oe a
[437]Gignolure of Authorizing Official)
[439]. Lewis Stokes
[441]te. . . . . af. BOUTS QbOKeS
[443](Type or print name of Authorizing Official)
[445]he tee ar eo eee
[446]tarts we he nt A daha Se, catia
[448]| .- . «+ Allappointments. and salary adjustments for employees under: the House: Classification Act and. for Committee. em-
[449]. ployees, except those.of: the. Committee on:Appropriations, ithe Committee: on the Budget,-and the Joint Committees, must -* =
[450]be approved by the Committee.on House. Administration. ... +--+. - :
[452]_ APPROVED: :.
[454]re a 7 . ceo . “Chairman, Committee on House Administration. .
[456]Office Code
[459]| Office of Finance use only: : -
[460]|
[462]Ince,
[464]BibT Selle Chew Se hc asa batted a TY
[466]Copy for initiating Office or Committee
[468]NW 88326 PO we
[469]is 1d:32244090 Page 7 5 vo : :
[471]PAYROLL. AUTHORIZATION FORM
[473](Please Use Typewriter. U. Ss. House ¢ OF REPRESENTATIVES: (Any erasures, corrections, or changes :--°
[475]a pa | es . . . on this form must be initialed by the
[476]or Ballpoint Pen) ‘Washington, D:C.-20515 | . authorizing official.)
[478]~ To the Clerk of the House of Representatives: .
[480]| hereby authorize the following payroll'action: = - >
[482]. . Employee Name (First- -Middle- -Last) | : are : - ~ o = = vos Effective Date
[483]Merete Muff Rosen _ BA 1f77
[485]Employee Social Security Number a ~ ~ 7 a > Type of Action
[487]048- 58-4832 . (_} Appointment
[489]Employing Office or Committee == ==. — {0 Salary Adjustment -_
[491]aol ate aed int
[493]Assassinations ; [-] Termination (At close of business on effective date)
[495](If type of action is an Appointment or Sclary Adjustment, complete the following information.) °
[497]7 Position Title ; : a | — | 7 _ Gross Annual Salary |
[499]Researcher
[501](If Committee Employee, complete appropriate item below.) ©
[503]- 1. [J Standing Committee: Staff—[[].Clerical or [[] Professional: -
[504]2..[F] Special or Select Committee: Authority—H. Res._ 485 of 95th Congress.
[506]3. [_] Joint Committee.
[508]{If Employee of an Officer of the House, complete item below.).--> =
[510]Position Number Z If applicable, Level
[512]~ 1 certify. that this authorization is: not in’ violation. “of ss U:S.C- “311 0(b), Prohibiting: the: employment of «~~~
[513]relatives. rs
[515]Date____+ August 200 WF wg fs oe
[516]Loe aaa calle \Signoture of Authorizing Official)
[517]AOUIS STOKES So
[518]rn nt woe print name of Authorizing Official) SS
[519]a CHAIRMAN
[520]ee lei Member, Disrict ord Stole) rn ~
[522]» All.appointments. and-salary adjustments for employee's: under. the House. Classification Act :and-for Committee em-
[523]* sployees,; except those..of the:Committee.on Appropriations, the: ‘Committee on: the: Budget, and’ the-Joint. ‘Committees, ‘must ©.
[524]. . be approved by:the Committee:on- House: Administration: te Tm wd te We tes fers so
[526]_ APPROVED:
[528]Chairman, Committee on House Administration.
[530]| Office of Finance use only: —
[532]Office Code.:
[534]Copy for Initiating Office.or Committee
[536]|
[537]|
[539]| NW 88326 ie pe
[541]id:32244090 Page 8 : vos :
[543]whe NR ciel dae te AT EE talent tas hetdilelet oa of aK ea beat Nab
[545]pith ath Balen MLA toe athe Sel ia CM ie ted a Mal ald a eile
[547]1
[548]|
[549]i}
[551]W 88326
[552]Mi:32244090
[554]Page 9
[556]To: Thomas Howarth, Budget Officer
[557]From:
[559]G. Robert Blakey, Chief Counsel and Staff Director A
[560]Date: November 7, 1977
[562]-?
[563]Re: Salary Adjustment - M. Muff Rosen i!
[564]Adjust the salary of M. Muff Rosen November 1, 1977, from
[565]$15,000 to $18,000.
[567]As indicated earlier, Ms.. Rosen will be leaving the
[568]Committee which is now set for November 30, 1977.
[570]a)
[573]PAYROLL AUTHORIZATION FORM 7 |
[574](Please Use Typewriter’. - - U.S. HOUSE OF REPRESENTATIVES © (Any erasures; corrections, -or-changes
[576]oI at oo , on this form must be initialed by the
[577]or Ballpoint Pen) Washington, D. C. 20515 - authorizing official.)
[579]To the Clerk of the House of Representatives:
[581]| hereby authorize the following payroll action:
[583]Employee Name (First-Middle-Last) | ~——~—S=Ss~—=«ééfective Date ~~
[584]Herete Muff Rosen 7 | AATE
[585]- Employee Social Security Number _ ep _ Type of Action ~
[586]048-538-8452 (] Appointment
[587]Employing Office or Committee - — Bisclary Adjustment
[588]Assassinations gO Termination (At close of business on effective date}
[590](If type of action is an Appointment or Salary Adjustment, complete the following information.)
[592]Position Title . _ a ) Gross Annual Salary ~ |
[594]Researcher . $18,006
[596](If Committee Employee, complete appropriate item below.)
[598]1. [-] Standing Committee: Staff—[_] Clerical or [_] Professional.
[599]2.45%] Special or Select Committee: Authority —H. Res 465 of 95th Congress.
[601]3. [_] Joint Committee..
[603]- (If Employee of an Officer of the House, complete item below.) - -
[605]Position Number___--_ If applicable, Level_ Step__
[607]relatives.
[609]a (Type or print name of Authorizing Official)
[610]a g -
[611]/ Chairmen
[614]tab | wo. ; . ° i Tile“ ember District nd Store) a on
[616]“All. appointments and ‘salary adjustments for-employees Under the-House Classification Act: arid’ for Corimittee em-.
[617]. ployees;-except those of: the Committee on Appropriations; the-Committee’on the Budget; and ‘the: Joint’ Committees, ‘must
[618]be approved by the Committee .on House Administration. “ ce
[620]- APPROVED:
[622]Choikman, Committee on House Administration
[624]Office of Finance use only:
[626]Office Code
[628]| NW 88326 ee a
[629]id:32244090 Page 10 : Co ;
[631]| certify that. this authorization is not -in..violation of 5: UsS.C. 3110(b), prohibiting the employment of =~
[633]old Laat DR aS cet a iE A rt ala er ae
[635]. er . : : . : : : me eet he let ete peat et oo eee ba et Mee Eh a oe ce teh a Nibet ct letbets
[636]Peers) Pray a WE ESO CL RESPECT MINS OO TCLNWSPE SCS TLT CT OeP EN EL: UL NOT UAL TST AD Det? BOS rele Oy OER TE SOTO RETTANONT: TO TS SOPRA EE TUOOET, SIDOMTE TEN BECO RE PLORTRRUENOTOT: C10 MIOVC LOG TURE SOON ESICTOR MO PE TTITEIEET EL RO TOCIE CML POT SW E_RSTON ELTON PLAT COTO REET OE RCOO AE DONT ARC IE ADELINE ETE EO
[637]N
[642]1 Dochd:32244090 Page 11 : . ,
[644]68326
[646]MEMORANDUM
[648]TO: Thomas Howarth, Budget Officer
[650]FROM: G. Robert Blakey, Chief Counsel and birector NS
[652]jor W~7 ?
[654]DATE: October 14, 1977
[656]SUBJECT: Resignations
[657]ct
[658]FO
[660]This memorandum is to inform you that matt /Rosen is
[661]on administrative leave from now until November’+4, 1977.
[662]She should continue on the payroll for that period of 7
[663]time plus any additional vacation that she has not yet /f 3/7
[665]taken. a)
[667]This memorandum is also to inform you that Alice
[668]Hamlin is on administrative leave between now and Novem-
[669]ber 14. It is my understanding that she does not have any
[670]additional vacation time. Consequently, she should re-
[671]main on the payroll through November 14. on
[672]aL
[675]~It
[678]Tone = poe Lad tet nae ee!
[680]oo Apr. oT
[681]_ May |
[682]“June
[684]” Aug. ,
[685]caf “7.
[686]Oct. FETE
[687]pr |_|
[689]7 Nov, Es nm
[691]Rosen, 4. ”. OFFICE OF THE CLERK
[692]—_— Naine ot ‘Employee oe _— ean wea 7 . U.S. HOUSE OF REPRESENTATIVES - ; ; ee 7 BALANCE BRouctiT
[693]<i an | _ . a - PERSONAL LEAVE RECORD _ _ - _— _ PRECEDING } YEAR
[694]a W777 : _ ae ; ~ YEAR oO Se hs mo,
[696]Addrass
[698]ANNUAL LEAVE
[699]CATEGORY ‘
[701]| Log
[702]Pesition Title - ae oak :
[703]Oe en OTS nah PRIOR FEDERAL SERVICE 15 0 a sat
[704]peter tegen MeeeesSieeiedes | Py ee . AVAL -usen BALANCE
[706]— Re : go}. 20 0): ACCRUED AVAILABLE used
[708]Husition Number eee _ bevel Veare THIS MONTH THIS MONTH THIS MONTH At mont
[710]Sick Annual Sick Annual
[711]Leave Leave Leave Leave
[713]5 sae ae cence eee DATE OF APPOINTMENT.
[714]; Fone lumber _ . we : mo, . :
[715]ce (-f-7
[717]- Annual
[719]“EMPLOYEE
[720]INETIALS
[722]DAY oe MONTH
[724]10131 EE [is 1471s] 16] 177 is
[726]is ao] 21] 22 33]!
[730]NS
[731]Ainleis/h sie oi
[733]= 0.5 day annual leave
[735]1.0 day annual leave
[737]It
[739]s= 0.5 day sick leave -
[741]= 1.0 day sick leave 6" Employee's Signature -. Pate ss Chief's Signature 2 “Date
[742]; ; aot reer ._ (if employee refuses to sign, state reason below.) coe ; us : a . .
[743]0.5 day administrative leave re . : / 4
[745]Clerk of the House : _ Date
[747]= 1.0 day administrative leave a = ‘ an — ae oo , te Approved: -
[749]=: 0.5 day unauthorized absence
[750]; This record wilt be forwarded to the Clerk of the House at the end of each calendar year, or in case of termination, along
[751]‘with the request for ‘termination. Upon approval, the record will be filed in the employee’ s official personnel folder.
[753]=: 1.0 day unauthorized absence
[755]a iS <I
[757]=..0.5 day leave without pay _ . 7 ; . S 3 : ° a ~ ae a
[759]= ‘1.0 day leave without pay
[761]EXHIBIT I
[763]ip Seanre arent, .
[764]cgay tare te 8 ‘area, Satan urenatesemeresiinnst “—
[766]dine
[769]NW 88326 . ae
[771]_ relatives.
[773]PAYROLL AUTHORIZATION FORM
[775]i ee (Please Use Typewriter: a UU. S. HOUSE OF. REPRESENTATIVES: (Any erasures, corrections, or changes’ ~-
[777]on this form must be initialed. by the
[779]or Ballpoint Pen) Washington, D.C. 20515 authorizing official.) -
[781]To the Clerk of the House of Representatives:
[783]| hereby authorize the following payroll action: -
[785]‘Effective Date
[787]loverber 30, 1977 ae
[788]Se ped ie |
[790]O Appointment
[791]O Salary Adjustment
[792]O Title Change
[794]EE] Termination (At close of business on effective date)
[796]Employee Name (First-Middle-Last)
[798]Merete Muff Resen oo
[799]Employee Social Security Number —
[803]Employing Office or Committee/Subcommittee
[805]fsa ASSIMA TIONS
[807]0 Leave without pay (Beginning with effective date above and ending
[809]close of business )
[811]Specify Dote
[813](If type of. action: is-an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)
[815]Position Title ;
[817]* 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:
[818]plus the salary received from the employing office.
[820]Gross Annual Salary *
[822](If Committee Employee, complete appropriate item below.)
[824]1. oO Standing Committee: Staff-—-L] Clerical or LJ Professional. -
[826]2. :E); Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res 46s of 25 22 Congress.
[827]3. O Joint Committee.
[829](If Employee of an Officer of the House, complete item below.)
[831]Position Number __ if applicable, Level Step_______.
[833]bu certify that this: authorization is‘ not in violation of 5 U.S.C. SMO) Prohibiting the employment: of
[835]All-appointments and salary adjustments for employees under the House Classification Act and for Committee em- :
[837]ployees, except those of the Committee on Appropriations, the Gommittee'on the Budget, and the Joint Committees, must:
[838]be approved by the Committee on House Administration.
[840]APPROVED:
[842]Chairman, Committee on House Administration
[844]Office of Finance use only:
[845]Office Code
[847]- Copy for Initiating Office or Committee -
[849]ii:37244090 Page 13
[851]. ; co . var
[852]celina ye ka aby ty
[854]ee ae le di ee eke
[856]Unehbhy wwe tabes
[860]Mei e baie
[862]Plait t
[864]oe + m
[866]3.. (A) DO YOU HAVE ANY REASON TO QUESTION THIS PERSON'S LOYALTY TO THE UNITED STATES?
[868]~ (_] ves k] NO .
[870]If your answer is “YES,” please give full details under ITEM 6.
[872]4. fe) YOUR KNOWLEDGE, IS THIS PERSON RELIABLE, HONEST, TRUSTWORTHY, AND OF GOOD CHARACTER?
[874]: re re [34 ves (no
[875]Uf your answer is “NO,” please explain fully: . a oe
[877]: 5. TO YOUR KNOWLEDGE, HAS THIS PERSON EVER BEEN FIRED FROM ANY JOB FOR ANY REASON, O28 QUIT A JOB AFTER BEING NOTIFIED THAT
[878]- -. HE/SHE WOULD BE FIRED? ._.. 7
[880]ecg epaulets cee bees teteeteete eter eves vv olvtitttittittttttttvtrureecet fJvs [Jno |
[881]- Se See 6. Below _ .
[882]~ Uf your answer is "YES," pleases give: -_ Oo ; ; oe
[884]_ (Ay NAME AND ADDRESS OF EMPLOYER (Including ZIP Code if known):
[886]_ (8) REASON THIS PERSON QUIT OR WAS FIREO:
[888]_ 6, PLEASE FURNISH ANY OTHER | INFORMATION You MAY WISH TO OFFER CONCERNING THIS PERSON'S QUALIFICATIONS, CHARACTER, CONDUCT, AND GENERAL FITNESS.
[889]FOR THIS POSITION. : : :
[891]a
[893]Merete Muff Rosen was a very competent, faithful and loyal worker. Because of
[896]her foreign birth and parentage, we could not secure security. clearance for her —- |
[897]from the FBI and CIA which was a prerequisite for working: with the. Committee.
[899]No inference as to her character or loyalty should be. drawn from this.
[900]* os ° : y
[901]: |
[902]7. ‘ay Please d do not disclose my identity to the person identified on the front of this form \
[903]If more space is needed for your answers, please continue ona ae sheet of paper. | . . \
[904]PLEASE SIG YOUR) NAME BELOW So oo
[906]Deputy Staff Director- Select
[908]: . i
[909]Committee on Assassinations. :
[911]2-6-79 I
[913](DATE) (SIGNATURE) ; _{OCCUPATION OR TITLE) oa
[915]Boo. : Lo oO Optional Form 49 Back (Rev. 11- 75) os
[917], i ae Cc . a ce ; oo ee GPO ©1976 OF— 240-487 144-1),
[919]pot Socata
[921]|
[925]OPTIONAL FORM 49> (Rev. 11-75)
[926]oe Prescribed by
[927]- US. Civil Service Commission
[928]_F.P.M. Chapter 736,
[929]5049-106 a
[931]NACL CENTER
[933]Pk Ba :
[934]Coen . seh re
[936]Personnel Office
[937]House Select Committee
[938]On Assassinations
[939]_. US House of Reps
[940]. Washington, D.C. 20515
[942]The person identified below has been appointed to or is an applicant for the
[943]person is loyal, trustworthy, and of good character, we ask that you answer a
[944]fully and specifically as
[945]fied below if he or she s d so request, unless you in
[946]. your identity to be disclosed. . ;
[948]B OTHER NAMES USED
[950]..Thomsen > NEE.
[952]2. ARMED SERVICES SERIAL
[954]3. SOCIAL SECURITY NO.
[956]| Office of Personnel Management
[958]_Boyers, PA 16019
[960]INQUIRY FOR UNITED STATES GOVERNMENT USE ONLY
[962]frosition shown. To help us determine whether this
[963]i
[965]you can. The information you provide, including. your identity, will be disclosed to the person identi-
[966]oul icate in item 7 on the reverse side of this form that you do not wish — -
[968]1. A. FULL NAME (LAST, FIRST, MIDDLE) ui 4/26/79 7 ™
[969]Rosen, Merete Muff nn cae,
[971]nae ‘ni 2888) fare
[973]‘n
[975]ee. 1
[977]questions on the front-and back of this form as -
[979]; : 4. DATE AND PLACE (CITY, STATE) OF BIKTH
[980]: _- NO., ANC DATES : . : : -
[981]Please use this form | searcncrsevce |048-58-4432 |Feb, 13, 1946 Copenhagen, DK
[982]when replying or N 15, POSTION = SS AGENCY NAME AND ADORESS
[983]show the case num: A. Llrector,Govern- Commodity Futures Trading |
[984]er if re t eee wee were ee tee ~$u.. > . + - eee ! a -- cme nee ee
[985]leer. A postage free [Me and Set adi OT TShations, Cenmissions Wash e Defer, —
[986]énvelope is enclosed Lo . . . . — -
[987]for your reply. TB ae eer rt Place, ‘NOW. Washington D.C. 20008 = w  L
[988]Please reply promptly. ; | Martha Custis Drive, Alexandria, Va.22302.
[989]. | 77. 1519 Kingman Place, NW, Washington, D.C. 20005
[990]——“Suivemimcwmene Hl2 3108 M St. NW, Washington D.c. 20007. .——s—<‘C«~C:t*s
[991]73 100 Waranoke Road, Manchester Conn. | .
[992]oo Shop of Elia Tabib, Shemlan, Lebanon’. a ne,
[993]2 Feit Resass, East Jerusalem, Israel © © ao
[994]DATES OF CLAIMED EmplovmeNT Beit LMS RR atTON eS C Jerusalem; 7hSEAR haw wwii Si ay, -
[995]oo / "9. (CHECK CNE} as ee See are came a fe eye cnn al “ a ven
[996]UPS RET nr age ieee’ RM ew FPA. TF os a ne ae oN a
[997]TO BE COMPLETED BY ADDRESSEE ON THIS INQUIRY _ _ : —
[998]2. IN WHAT CAPACITY WERE YOU ASSOCIATED WITH THIS PERSON ?: fl EMPLOYER © a
[999][_] supervisors [_] co-worker [J FRIEND [_] otner (Specify) _
[1000]_ YEARS MONTHS - . eT a _
[1002]oF you were the employer or supervisor, complete the following: {A, B, C, D, E, and F)
[1004](A) TITLE OF THIS PERSON'S POSITION (B} DATE EMPLOYED:
[1005]N
[1007]“Researcher January 1, 1977
[1009](C)-DATE SEPARATED: _
[1011]November 30, 1977
[1015]"(D) REASON FOR LEAVING:
[1017](E) IF DISCHARGED FOR CAUSE, WAS EMPLOYEE NOTIFIED OF REASON?
[1019]. See remarks — No.6
[1021]Of UNO.” briefly, why not)
[1023]| Select Committee on Assassinations
[1025]no) [x] no
[1027]has
[1029]NW 88326 _
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[1037]fax par a price |
[1041]'| NW 88326 : OO a
[1042]ocld:32244090 Page 16 : vos ;
[1047]& Ni
[1048]4&
[1050]Select Committee on Assassinations
[1052]G.&. Bouse of Representatives
[1053]WASHINGTON, D.C, 20515
[1056]|
[1057]|
[1058]|
[1059]| NW 88326
[1060]|
[1062]rochd:32244090 Page if
[1065]' i
[1066]. | d
[1067]| oat! Dy
[1068](fy Uf
[1069]°F
[1070]|
[1071]|
[1073]|
[1074]|
[1075]i
[1076]i
[1077]a
[1078]| :
[1080]| ;
[1082]| NW 88326
[1084]| Docld:32244090 Page 18
[1086]Muff Rosen
[1087]1el9 Kingman ‘Place, N,W. . Kay © 2 NO childern
[1088]20005 ey
[1090]vd 433 ‘are b 7 30 C 6 oe" ow
[1092]Washington D.C,
[1093]Telephone:
[1095]Age: 30, Married :
[1097]At ‘BA, Coun Jaude) | Georgetown University
[1099]School of Foreign Service
[1100]Major: government and economics
[1101]Minor: Arabic
[1103]1972-73 American University of Peirut
[1104]Major: Middle Zast History
[1106]1971~72 American College in Jerusalem .
[1108]Majors history
[1110].1963- 65. "Interiorarki tektskolen* (Interior
[1112]“Desi¢e School) Cop penhacen,
[1113]Dennark,
[1115]Pent. in Danish, “Swedish, horwegian and
[1116]English, Good in German, Arabic and Hebrew.
[1118]1969-72 Hebrew Union College, Biblical and
[1119]Archacological ~ School, Jerusalem,
[1121]DUTIES _
[1122]Avohaw ology - Full time member of
[1123]publication Statf, During digging
[1124]season I worked as architect,surveyer
[1126]- ‘and draftsman at site “Tel Gezer",
[1127]fed
[1129]I also organized and trained many
[1130]volunteers to assist in the excavation
[1131]which gave them a clearer sense of
[1132]purpose and utilized their labour
[1133]economically efficient,
[1134]the off ‘Seasons Tr ‘edited supervisors!
[1135]reports, assisted in writing the of-
[1136]ficial excavation reports and put
[1137]together architectual plans for
[1138]“publica elon, After additional research
[1139]_[ also redrew objects and burials
[1140]for publication, cee
[1141]-1970- 71 Atserican School of Orient al Research
[1142]Jerusalen, Israel. ve
[1143]Translator ~ My duties were Similar.
[1145]to those described above, but in additio
[1147]I often.served aS.a translator between
[1149]a)
[1151]the local authorities and the excavation
[1152]staff at "Tel Hezi". I assisted and
[1153]- mediated in such difficulties as where
[1154]y.to dig so as not to interfere too much
[1155]‘with local daily life and to solve
[1156]. problems of getting water and staff
[1157]to opereate the camp.
[1158]7 . 1967-69 Architects Tngerslev & Nielsen,
[1159]Copenhagen, Denmark.
[1160]_ Designer - I drew ud plans and success-
[1161]; fully implemented the decoration of a
[1162]. 4 _ hospital and a old age home in Denmark,
[1163], was fully in charge of making sure
[1164]* - _ that all the proper transactions took .
[1165]i oe OS oe place for the work to be completed and
[1166]Se oO ee = coordinated the work of 50 workers and
[1167]professionals.
[1169]ne Fall 1976 Carter-Mondale Pres idential Campaien,
[1170]: . _ Mondale Office. Major responsibility:
[1171]wrote daily press summaries of nine.
[1172]_major newspapers for Mondale plane and
[1173]Atlanta office. (Reference attached).
[1175]| f TRAVELS: ft lived 5 years in Ttsrael and 1 year in Lebannon,
[1176]~ traveled frequently throughout the Middle East,
[1178]| . TNTERESTS : 1. International relations in the field of. _
[1179]fo, Middle East economics and politics, foreign
[1180]| . . Student community, inter-cultural -communicatior
[1181]| 2. Contemporary visual arts (design, textiles etc,
[1182]| . ae 3. House renovation, fine arts, reading .
[1186],
[1188]ea
[1190]‘| NW 86326
[1191]| Docid:327244090 Page 19
[1193]j . bone we sie wees oe ae spencer a ee ee - - “ye
[1194]4 :
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