[1]Assassination Records Review Board
[2]Final Determination Notification
[4]AGENCY : HSCA
[5]RECORD NUMBER : 180-10060-10477
[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: 11.
[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: 5
[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
[25]| reasonably be expected to constitute an unwarranted invasion of personal privacy, and that invasion of
[26]privacy would be so substantial that it outweighs the public interest.
[28]Substitute Language: SSN
[30]Date of Next Review: 2017
[32]Board Review Completed: 10/24/95
[34]N
[36]ennedy Assassination
[37]ecords Collection Act of
[39]992 [44 USC 2107 Note.
[40]aset-Nw 68326 Date:
[42]| NW 88326
[43]| Docld:327239485 Page 1
[46]Date:08/20/93
[47]Page:1
[48]JFK ASSASSINATION SYSTEM
[50]IDENTIFICATION FORM
[52]AGENCY INFORMATION
[54]AGENCY : HSCA .
[55]RECORD NUMBER : 180-10060-10477
[57]RECORDS SERIES :
[58]STAFF PAYROLL RECORDS
[60]ORIGINATOR :
[61]FROM :
[62]TO 3:
[64]TITLE :
[66]DATE
[67]PAGES
[69]08/03/77
[70]10
[72]SUBJECTS :
[73]HSCA, ADMINISTRATION
[74]MATHEWS, I. CHARLES
[76]DOCUMENT TYPE PRINTED FORM
[78]CLASSIFICATION : U
[79]RESTRICTIONS : 3
[80]CURRENT STATUS : P
[82]DATE OF LAST REVIEW : 06/04/93
[84]OPENING CRITERIA 3;
[87]Box .2.
[89]([R] - ITEM IS RESTRICTED
[91]| ‘NW 88326
[92]) Deecid:32239405 Page 2
[94]“NW 1 88326.
[96]FHA FORM NO. 2004-G Rev: 5/75 VETERANS ADMINISTRATION FORM APPROVED}.
[97]A FORM NO. 26-8497 Rev. s/78 ‘. OMB NO. 63-R1288). - S
[99]nd
[100]U.S, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
[101]‘FEDERAL HOUSING ADMINISTRATION ee
[103]REQUEST FOR VERIFICATION OF EMPLOYMENT a
[107]i.
[108]|
[109]. 7 hire R Wr TIO NS: Ab ender — Complete Items 1 through 6. Have applicant complete ltems 7 ‘and 8. Forw ‘ard the completed
[110]form directly to the employer named in Item 1. ~
[111]Em plo er ~~ Com; plete Items 9A through 15 and return form directly to lender named i in Item 2.
[113]| | PARTI REQUEST
[114]Rh. TO: (Name and Address of Employer):
[116]2. FROM: (Name and Address of. Lender): ~
[117]Society for Savings et
[119]31 Pratt St. oy
[121]- Hartford, Connecticut _
[123]Select Committee on Assassinations
[124]| U. S. House of Representatives
[125]Washington, D. C. 20515
[127]06101
[129]3. Signature .
[132]4. Title of
[134]. 3. Date: .
[137]16. HUD-FHA.or VA Number
[139] Tgertity th ne employer and bas bee paent, I have applied for a mortgage. loan and stated that I am employed by you. My
[140]throu. the hands of the applicant or any signature below authorizes verification of this information.
[141]otaer interested party; .
[143]. Name and Address of Applicant: |
[145]8. Employee" ‘s Identification ‘Number: ;
[147]a
[149]a)
[151]Isiah C. Mathews -
[153]Signature of applicant
[155]. ‘PART II VERIFICATION
[156]9A. Is applicant now employed by you? HOA. Position-or Job Title:
[158]Dyes GINo Term.12/31/78]
[159]9B. Present Base Pay is $ 30 000 00
[161]_ This amount is paid:
[163]: annually Coury
[164]CimMonthly. Clother (Specify)
[165]LlWeekty .
[167]11. TO BE COMPLETED BY MILITARY
[168]PERSONNEL ONLY.
[170]Special Counsel ; -
[171]. : _ Pay Grade:
[173]10B. Length of Applicant's employment:
[175]8/3/77 to 12/31/78
[177]SC. EARNINGS LAST 12 MONTHS © 10C. Probability of continued employment:
[179]oe er ere +0 we
[181]Araount 8 29,333.33, Committee terminated
[183]Normal Hours worked
[184]per Week: ; / 4 0
[186]{ 20D. Date Applicant left:
[188]Overtime Earnings 3
[190]<7 Cr- -, Har
[191]Liten.oorary
[193]10E. Reason for leaving:
[195]Committee terminated
[197]Other Income 6
[198]GRegular. |
[200]orc bat
[203]12. REMARKS:
[205]13. Signature of Employer: 14. Title of Employer: | 15. Date:
[207]Deputy Staff Director ee po
[208]and Budget Officer 9. 1/17/79
[210]749-159-000 - _ . RETURN DIRECTLY TO LENDER .
[212]Docld:32239485 Page 3
[214]Select Committee on Assassinations
[216]GD. House of Representatives
[217]WASHINGTON, D.C. 20515
[219]Tsiah C baeles (Ye aS
[221]O/2- 39-336/
[223]| Docld:32239485 Page 4
[226]PAYROLL AUTHORIZATION FORM , _ ;
[227](Please Use Typewriter © U.S. HOUSE OF REPRESENTATIVES) (Any erasures, corrections, or changes
[229]or Ballpoint Pen) authorizing official.)
[231]To the Clerk of the House of Representatives:
[233]| hereby authorize the following payroll action:
[235]Employee Name (First-Middle-Last) Effective Date
[237]L, Charies Mathews | «42/32/78
[239]Employee Social Security Number _ Type of Action
[241]” 2 O Appointment
[242]013-364-3361 .
[243]O) Salary Adjustment
[245]Employing Office or Committee/Subcommittee O Title Change
[246]' ; Termination (At close of business on effective date)
[247]: Assassiuationa 0 Leave without pay (Beginning with effective date above and ending
[249]close of business
[250]Specify Date
[252](If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)
[254]Position Title | Gross Annual Salary*
[256]plus the salary received from the employing office.
[258](If Committee Employee, complete appropriate item below.)
[260]1.0 Standing Committee: Staff—O) Clerical or 0 Professional.
[262]2. & Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res? _of planation =R congress.
[263]3. [J Joint Committee.
[265](If Employee of an Officer of the House, complete item below.)
[267]Position Number Step__
[269]If applicable, Level
[271]relatives.
[272]Jansary Zz 79
[273]Date. vee , 19 ae
[274](Signoture of Authorizing Official)
[275]LOUIS STOKES
[276](If appropriate, signature of Subcommittee Chairman or Ranking Minority Member) ee Type or print nome of Authorizing Official, ~=—SOSC*=~CS
[277]_o ___.___ Ghairran | ee
[279]All appointments and salary adjustments for employees under the House Classification Act and for Committee em- -
[280]- ployees, except those.of the Committee. on Appropriations, tre Committee on the Budget, and the Joint Committees, must
[281]7 be approved by the Committee on House Administration.
[283]APPROVED:
[285]Chairman, Committee on House Administration
[287]| Office of Finance use only:
[289]| Office Code
[291](Revised: August 1, 1977)
[293]Jou doe. eee ee ae Copy: for Initiating: Office-or Committee -
[295]| Docld:32239485 Page 5
[297]Washington, D.C. 20515 on. this form must be initialed by the -
[299]13 terete St et le dt lee |
[301]* 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 ,
[303]| certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of —-
[305]‘AW 88326 | ee oe
[307]ate ren i Biotin ech Seiten dbe Ba ce ba! eee 2
[309]|
[311]PDN My STs SO 7 SOON OT OOP A NUE CISNEROS ETSY REESE TOLLS BTID NEST ONE MDEPSES UOT
[313]we ee at late NM Negi! Shed nab Halen eat need ea hee hehe
[315]pee AoA
[317]PAYROLL AUTHORIZATION FORM oO
[318](Please Use Typewriter ~ - UU: S. HOUSE OF REPRESENTATIVES © - - (Any erasures, corrections, or changes ~~
[320]; : , ot -on this form must be initialed by the -
[321]or Ballpoint Pen) Washington, D.C. 20515: authorizing official.) ;
[323]To the Clerk of the House of. Representatives:
[325]| hereby authorize the following payroll action:
[327]Employee Name (First-Middle-Last) . Effective Date ’
[329]Warch 1,
[330]: Type of Action —
[332]OO Appointment
[334]Charles Mathews
[336]Employee Social Security: Number
[338]O*Salary Adjustment
[339]Employing Office or Committee/Subcommittee ~ -O Title Change
[341]. 0 Termination (At close of business on effective date) |
[342]- Asegarsi? $nSe Ss Sens 1) Leave without pay (Beginning with effective date above and ending
[343]; close of business
[345]Specify Date _
[347](If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate. information below.)
[349]Position Title Gross Annual Salary*.
[351]Special Counsel
[353]830,800 _
[355]* 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
[356]plus the salary received from the employing office.
[358](If Committee Employee, complete appropriate item below.)
[360]1.0 — Stendins Committee: Staff—O] Clerical or 1 Professional. -
[362]3. OF Joint Committee.
[364](If Employee of an Officer of the House, complete item below.)
[366]Position Number___._ If applicable, Level_ Step.
[368]| :certify. that this authorization is~ not. in.-violation of 3 USC, 3110(b),_ Prohibiting | the employment of
[369]relatives. . :
[371]“Tyoe or print name of Authorizing Official)
[373]ween, a “Chad Leman
[375]Title=If Member, Districtand Sot) ==SSsSt=SC*=CS~S ~
[377]All appointments and salary adjustments for employees: under the House Classification Act and for Committee em:
[379]_ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committeés, must >
[380]be approved by the Committee on House Administration.
[382]APPROVED: a
[384]Chairman, Committee on House Administration
[386]Office of Finance use only:
[388]Office Code
[390]4
[391]2
[392]4
[394]a’
[396]Revised: ugust t 1977)
[398]‘Copy for Initiating Office or Committee =. Se RIMES Not
[400]NW 88326 : ot pee
[401]1d:32239485 Page 6 / . ; ;
[404]LAY tna ae |
[406]ta ee tee
[408]PAYROLL AUTHORIZATION FORM |
[410](Please Use Typewriter "US HOUSE OF REPRESENTATIVES © - (Any erasures; corrections, or-changes
[412]- } ae Loe ; F : on this form must be initialed by the.
[413]or Ballpoint Pen) ~ Washington, D.C. 20515 authorizing official.)
[415]To the Clerk of the House of Representatives:
[417]Date__.___ Gcteber 14 NEF as
[419]Aue
[421]| NW
[423]Assassinations {_] Termination (At close of business on effective date}
[424]Special Counsel
[426]| hereby authorize the following payroll.action: -
[428]Employee Name (First-Middle-Last) ~ Effective Date
[430]I, Charles Mathews ;
[431], Employee Social Security Number -
[433]01 3-34-3361
[435]4 2
[437]— PONT
[438]oe Type o
[440]f Action
[442][_] Appointment
[444]Employing Office or Committee wi Sclary Adjustment
[446](If type of action is an Appointment or Salary:Adjustment, complete the following information;)
[447]Position Title 7 Gross Annual Salary
[449](If Committee Employee, complete appropriate item below.)
[451]1. (J Standing Committee: Staff-[[] Clerical or [_} Professional.
[452]2. 3] Special or Select Committee: Authority—H. Res. 465 _of _38tACongress:.
[454]3. [_] Joint Committee.
[456](If Employee of an Officer of the House, complete item below.)
[458]Position Number If applicable, Level__
[460]| certify that this authorization is not in. violation. of -5.
[461]relatives.
[463](Type or print name of Authorizing Official)
[465]vy Chairman
[469]£ ; (Title~!f Member, District and State)
[470]All appointments and salary adjustments for-employees under the: House:Classification Act. and: for-Committee em-
[471]ployees,.except those of. the Committee on Appropriations, the Committee .on the Budget,and the Joint: Committees,-must
[472]be approved by the Committee on House: Administration: : ve ae : 7
[474]APPROVED:
[476]Office of Finance use only:
[478]Office Code
[480]Monthly Annuity $ oot
[482]88326 | ee
[484]| Docid:32239485 Page 7
[488]p
[490]ae aS rare 4
[492]Tanabe dntallbanle abate abiast bt de lens tead a ise
[494]toe . . cee Gg fee an . : _ wees veel eet etcbeotdc trades Heats thst coed fe ectatte ener dai ea au iatinta tt tSeutnste tance adled toca’ a RSet eal ee efeus ated Mintte
[495]Bade uy ot eden Hiatt eal al ead A etc dalton eed a lite aati bth bea alata etal ata le dbiete acakeeel Abe A Mallee bint balinetaistanledies ete tt, Soe ao oateel rade inant ts is Riamataraeed tae babaste nee ote ad! wealth sadist,
[498]- PAYROLL AUTHORIZATION FORM.
[499](Please Use Typewriter in _ U. S. HOUSE OF REPRESENTATIVES - > (Any erasures, corrections, or changes.
[501].. Lor:Ballpoint Pen). . =... oe so... «Washington, D. C. 20515 . ~ eater ye initialed bythe 2
[503]To the Clerk of the House of Representatives: ~ rs
[505]_ thereby authorize the following payroll action:
[507]Employee Name (First-Middle-Last) pa, - Effective Date
[508]EZ. Cnarvries Mathews B/3/? - .
[509]Employee Social Securit Number “ a . _Type of Action -
[510]013 BA. 364 . #C Appointment ;
[511]Employing Office or Committee __| GSelary Adjustment ~ -
[512]Assagsiy 1h ions = . . CJ Termination (At close of business on effective date] ‘
[513](If type of action is an. Appointment or Salary Adjustment, complete the following information.)
[514]. ve '
[515]Position Title Gross Annual Salary
[516]" . . “ f i, . . ° . : :
[517](If Committee Employee, complete appropriate:item-below.)) = . a 1 _
[518]1. [_] Standing Committee: Staff—[_] Clerical orf] Professional. . — ;
[519]- 2. &] Special o or Select Committee: Authority—H. Res. 222 of? 38. Congress.
[520]3. ] Joint Committee:
[521](If Employee of an Officer. of the House , complete item below,)
[522]Position Number. If ‘applicable, level ‘ ‘Step__—___. -
[523]| certify that this authorization is: not in violation of S US:C. 3110(b), prohibiting the employment of.
[524]relatives. oo ; ee ; ~
[525]Date. = BUGRst 3 __, 1972) a
[526]ae ; ~ 7 7 Gignature of Authorizing Official) "TTT
[527]im Fouls SEOKRAS
[528]r (Type or print name of Authorizing Official) =—SSSs~=~CS la
[529]nf - Craix San
[530]eee Title= If Member, Districtand State) SSCS
[531]WX ee a ~
[532]ten, - All-appointments and‘salary adjustments for. employees under: the House. Classification Act and for Committee ‘em-
[534]. -ployees, except-those of the Committee: on Appropriations, the Committee on. the:Budget, and the Joint Committees, must
[535]_~ be approved by the Committee on House Administration. — ° :
[537]5
[539]APPROVED:
[541]Chairman, Committee on House Administration
[543]Office of Finance use only:
[545]Office Code
[548]-snnaenannnenametenins atten meen onenstrenrimainantnten atin noe ences ee on ese nies an eet nt neon te .
[554]Pi So
[556]nee,
[557]wea le
[559]i
[561]. y : .
[565]| NW 88326 | Fe ——
[566]| Docid:32239485 Page 8 : vo ;
[568]49. School St.
[570]Mortgage Guaranty insurance Corporation
[572]a subsidiary of MGIC. Investment Corporation
[574]Telephone 414/347-6500
[576]Request for Verification of Employment
[578]. LENDER — Complete Items.1 thru 7. Have. applicant complete Item 8. Forward directly to employer named in item 1.
[579]' EMPLOYER — Please complete Items 9 thru 16 and return directly to lender named in Item 2.
[581]PART I— REQUEST
[583]1. To (Name and address of employer) 2. From (Name and address of lender)
[585]Select House Committee On Assassinations
[586]3369 House Annex. #2
[587]| *ashington, D.C. 20515
[589]ist American Bank for Savings ;
[590]'572 Columbia Read 7
[591]Dorchester, Mass. . 02125
[593]“3 Signature ¢ 4. Title 6. Lender’s LD. Number
[595]oo _. (Optional)
[596], Mortgage Officer :
[598]PRs e-applie@ior a mortgage loan and stated that | am now or was formerly employed by you. My signature below authorizes verification of this information
[600]7. Name a and Address of Applicant ot.
[601]Isiah C. Mathews 4827 S, 8th Rd. Arlington, Va.
[603]‘PART 11—VERIFICATION an
[605]i — EMPLOYMENT DATA
[606]Posse “9A. IS Applicant Now Employed By You?
[607]% YES [J] NO Uf “No,” complete Items 9c and 19d.)
[609]PAY DATA
[611]‘12C. To Be Completed for Military
[612]Personnel Only
[614]12A. Base Pay (Enter amount and Oo
[616]check period) # Bo 066 —
[617]DT ANNUAL OO HOURLY —
[618]: oO MONTHLY... 0. (OTHER.
[620]7 33. How tong Has Applicant Been Employed By, Yo a
[621]OF Military, enter total: service) . oe
[623]ol ‘Date A plicant Left
[624]on « CELE pa
[626]oD. Reason For Leaving
[628]» | Pay G rade
[630]“Monthly Amount = >
[632]. "Base Pay”
[634]Base Pay Rations |
[636]! _ — Flight or. :
[638]ee | Overtime —_ _
[639]a esent Position — Clothing . $
[640]eke Ze ‘| Commissions a Quarters sg
[641]oho Pr aba ity ot Continued Employment ~ : 7 ; -
[642]Pro Pay , $
[643]Bonus Ty
[644]a _ ‘Overseas. ee :
[645]_ ; Or Combat 1s
[646]23. Remarks o
[647]~~ The above inform tion is provided in strict confidence in response to your request.
[648]S$ ienature ot E; poveyer 15. Title — ”
[650]16. Date
[652]yo 3/- af
[654]brucget Offic
[656]ts
[658]PO a Het
[660]oo iniermation on this form is Confidential. It is to be transmitted directly to the le
[661]her party. .
[663]| nweesse.
[664]| Docld:32239485 Page 9
[666]Ker, without assing through the hands of the applicant or any
[669]1
[671]|
[672]|
[673]i
[675]1
[677]| NW 88326
[680]rochd:32239405 Page 10
[682]To:
[684]From:
[685]Date:
[687]Re:
[689]MEMORANDUM
[691]Thomas Howarth, Budget Officer
[693]G. Robert Blakey, Chief Counsel and Staff Director : co yet?
[694](o el
[695]October 14, 1977
[697]Salary Adjustments
[699]This is your authorization to increase the salaries of the
[701]below listed employees to the amounts indicated effective October 1, 1977:
[703]Michael C. Eberhardt $34,000
[704]Marjorie A. Eagle 14,500
[705]I. Charles Mathews ; 26 ,000
[707]pie os
[709]oO
[711]MEMORANDUM
[713]TO: ALL STAFF
[715]RE: “Payroll Certification
[717]. The R Regulations and Accounting Procedures for Allowances and and
[718]Expenses of Committees, Members and Employees of the U.S. House or
[720]Representatives require that, among other things, the Committee's
[721]montnily payroll certification include the relationship, if any, of
[722]eacn employee to any current Member of Congress. This certification
[723]is signed monthly by our Chairman. .
[725]~ The Following are the relationships: to. be included in ‘the
[727]certification:
[728]father _ nephew Ce brother-in-law
[729]mother — ae 7 ~ niece : : ' sister-in-law
[730]son . : husband stepfather
[731]daughter wife _ stepmother
[732]brother father-in-Taw stepbrother
[733]sister “mother-in-law | _ Stepsister
[734]uncle . . . son-in-law ~ half-brother ©
[735]- aunt . oe . daughter-in-iaw mo half-sister
[737]first cousin
[739]Please complete the appropriate portion below, Sign and date
[740]this form, which will then become a part of your permanent personnel
[742]file. If this status changes, you must notify the Committee's Pudget.
[743]Office immediately Gof the change.
[745]cely OF en _ _
[746](iP1 am not related to any current (95th Congress) Member of Congress.
[748]{7 1 am related to a current (95th Congress) Member of Congress.
[749](Please specify. ). 7
[751]Date
[753]e+ a
[755]NW 88326 ee
[756]1d:32239485 Page 11 roe
[758]June 29, 1977
[760]Mr. Isiah C. Mathews
[761]2l Pearl Street
[762]Danbury, Connecticut 06810
[764]Dear Mr. Mathews:
[766]. Mr. Blakey asked that I send you the
[767]enclosed forms te be completed by you prior to
[768]your employment with the Select Committee on
[769]Assassinations. Instructions have been attached
[770]to the forms, and if you have any questions |
[771]please do not hesitate to contact me.
[773]We look forward to meeting you.
[775]‘Very truly yours,
[777]Blizabeth Berning
[778]Administmative Assistant to
[779]G. Robert Blakey
[781]Enclosures
[783]| NW 88326 ote
[784]| Docld:32239485 Page 12 .
[787]Isiah C. Mathews
[789]21 Pearl Street ,
[790]Danbury, Connecticut 06810
[792]Will begin work around end of July or lst of August
[794]$19,500 subject | to. Subsequent judgment
[796]will be\ Special Assistant» to Blakey,
[798]si eb _.
[799]{ purneck p
[801]Please send all forms, etc. needed to begin employment
[803]and obtain security clearance.
[805]| nw sa3z6 I
[806]| Docld:32239485 Page 13