[1]d92 [44 USC 21
[2]= (13:
[4]JFK ASSASSINATION SYSTEM
[6]IDENTIFICATION FORM
[8]Date
[9]Page
[11]01/20/98
[12]2021
[14]AGENCY
[16]RECORD NUMBER
[17]RECORDS SERIES
[18]AGENCY FILE NUMBER
[20]AGENCY INFORMATION
[22]INSCOM/CSF
[23]194-10004-10142.
[25]PAGES 382-383 ;
[27]DOD-AFFILIATED PERSONNEL INCIDENT INVESTIGATIONS
[29]ORIGINATOR
[30]FROM
[32]TO
[34]TITLE
[36]DATE
[38]PAGES
[39]SUBJECTS
[41]DOCUMENT TYPE
[42]CLASSIFICATION
[43]RESTRICTIONS
[44]CURRENT STATUS
[46]DATE. OF LAST REVIEW
[47]OPENING CRITERIA
[48]COMMENTS
[50]NW 80613 Docld:34528583 Page 1
[52]DOCUMENT INFORMATION
[54]USA
[55]HAYASHIDA, MYRON K.
[57]: USA INTELLIGENCE COMMAND
[59]{ RESTRICTED ]
[60]02/21/67
[62]2
[64]FROMER, DAVID R.
[66]LEGAL ADVICE
[68]PAPER, TEXTUAL DOCUMENT
[69]UNCLASSIFIED
[71]3
[73]RELEASED WITH DELETIONS
[77]Sie Bese ween
[79]Os 1012 2 mn a PN RE
[81]Z "Poms.
[82]SUAREY EE 35 |
[83]hs iy” A8 REQUEST. t as
[85]Tie FBI= S|
[87]Day, MONTH, VE YEAR OF wate 8. PLAGE rat BIRTH se. 7. SERVICS HUMBER
[88]as: daly. aha Chicago, Cook, Illinois 4 ¢
[90]* By REQATIVE'S ‘NAMES 9. DATE AND PLACE OF BIRTH
[93]atuen na Su 193
[96]ee MotHin (mbidax nome). - 31 Dee 2909
[97]_Katherin oy Ehotea Lsthgrville, Towa
[99]Pr : “n “ee — 32. RESIDENCES [ ist all from 16th birthdoy or during last 15 years, whichaver is shorter)
[100]ai 1932 ‘Cabrilio St. San Francisco
[101]2450 Bencroft Way Berkeley
[103]881 Clayton Stypoyast COPY OF RESULTS BEn! cisco
[104]m9 N. Basset Pe
[106]> 2. OR
[107]@. STATE: PVE se
[109]_ investigative | Tye
[110]San Francisco counet Comp: Gite Girls ‘sai’ 26 CB.
[111].|\Palriont Hotel . FBI Identifiqa Sem breasted .
[112], (Foster's. Restaurant ints: are n¢cSenr Prien reel Cty,
[113]ee Madiscn Board of is Madison, Wisconsin -
[115]prep sta (Op hing oe TF
[116]pe okiass aren POH ey 2
[117]aN S =
[118]FoR BOS NNS gh ee
[119]ea et aes
[120]A ie
[122]x * @., FORMER UB GOVERNMENT EMPLOYMENT OR | MILITARY ee
[124]a ANY QUALIFICATION OF OD FORM 398 OR OD FORM oe .
[126]ne Rana (tf —— space is needed: continue on plain paper) — j : L
[127]ae eueuer > So WHE LIAS OAITIO DD # HE:
[128]MR) Esa a” VAC. NO ADDITIONAL DATA Psi FILES :
[130]ON. PERTINENT TO YOUR ISQUERY.
[131]re ‘ Y(- 23B-6E,*
[134]Faw, loll Fhe se
[135]| reeaiené el? woe 09 1967
[136]at
[138]tad
[140]18. FROM: DcofS ,Operations
[141]Headquarters , USAINTC
[142]ATIN: TCOP Tit :
[144]FINGERPRINT CARD FD 258 MUST BE ATTACHED
[146]7 [aSOa7 b6353- Gok DEC 58. WHICH IS ORGOLETE. w OLD3/ 57
[148]per OE nc hr
[150]NW 60613 Docid:34528583 Page 2
[154](6353-6004) 18 a °
[156]FROMER, David Reed
[157]DPOB: 21 Jul 42; Chicago, D.linois
[159]Con't - Item 16 (Remarks)
[161]Item 15 - SUBJECT explained in the "Remarks" section as follows: "I have not
[162]done anything that I am not proud of) - I have been advised by my attorneys that
[163]I cannot sign this form without placting myself in jeapardy: Peter Franck -
[164]personal attorney, Vincent Hallinan - family attorney."
[166]FBI reports, San Francisco, California, titled: David Reed FROMER, with
[167]Bureau File #: 100-433071, dating from 3 May 1960 e latest dated 23
[168]equest any additional
[170]November 1966, are in the possession of this offic
[171]and/or subsequent information.
[173]Dat
[175]SN ON ag mE eB Ee ee te . - a ec le RR er ete
[177]' NW 88613 Docid:34528523 Page 3