[1]992 (44 USC 2107 Note). Caset: Mw
[2]9613 Date: (3-18-20
[4]© OD
[6]Date
[7]Page
[9]JFK ASSASSINATION SYSTEM
[10]IDENTIFICATION FORM
[12]01/14/98
[13]1
[15]AGENCY
[17]RECORD NUMBER
[18]RECORDS SERIES
[19]AGENCY FILE. NUMBER
[21]AGENCY INFORMATION
[23]INSCOM/CSF
[25]194-10003-10336
[26]INTELLIGENCE/COUNTERINTELLIGENCE SOURCES
[27]PAGES 4-5
[29]ORIGINATOR
[30]FROM
[32]TO
[34]‘TITLE
[35]DATE
[37]PAGES
[38]SUBJECTS
[40]DOCUMENT TYPE
[41]CLASSIFICATION
[43]- RESTRICTIONS
[44]CURRENT STATUS
[46]DATE OF LAST REVIEW
[47]OPENING CRITERIA
[48]COMMENTS
[50]DOCUMENT INFORMATION
[52]:, USA
[54]59TH ORD GP
[56]USA ADVANCED WEAPONS SUPPORT COMD
[57][ RESTRICTED ]
[59]11/17/71
[61]3 .
[63]KACZMARCYYK, GEORGE .,
[65]RESULTS OF NATIONAL AGENCY CHECK
[67]PAPER, TEXTUAL DOCUMENT
[68]UNCLASSIFIED
[70]3
[72]RELEASED WITH DELETIONS
[73]03/09/95
[75]NW 88613 Docid:34529119 Page 1
[77]ay
[81]a _ 7 | | oY “ imcduan a -_ os aa
[83][Naec Use Only ™ i DEPARTMENT Qf DEFENSE [REQUEST | eA
[85]"NATIONAL AGENCY CHECK REQUEST~~ wane | 16
[87]1. LAST NAME - FIRST NAME - MIDDLE NAME
[88]KACZMARCZYK, Edward NMN ‘ a :
[89]3, ALIAS(ES) AND ALL FORMER NAME(S) ; 4 SOCIAR SECURITY NUMBER
[91]NONE § Heh Qh 1685
[94]C) eivitan
[96]RETURN Commanding. Officer (CJ INDUSTRIAL
[98]RESULTS ec
[99]TO: d Weapons Suppert Command b
[101](Include ZIP ATEN: tri ence Eranch . [oy LOCAL FILEs CHECKED
[102]Code) ety MEY OuIoo | WITH FAVORABLE RESULTS
[104]c INITIATOR OF REQUEST
[106]ACCT 6124 fOOmmanding Officer
[107]HC , ar Ord Gp
[109]> re a
[110]@ FATHER TZ wLOTE
[112]KACZMARCZYK, Josef npol, i 1g a Polish
[114]iy MOTHER (Full Maiden Name) 19 Mar we sf Cass :
[116]TWANOWA, ri Alexand Qsi _ Polish
[118]¢. EMPLOYER
[119]Unemployed
[121]ce NAME
[123]Wilson Jr HS #12
[127]ix || 6, Has the subject any foreign connections, employmentg
[130][x |_| ¢__Has the subject travelled or resided abroad other th
[132]PRE-COMMISSION
[134]rx {| e. Is the subject now or has he ever been in the Federal’€
[136]mE £ Has the subject qualified DD Form 398, 98, 48-1, or similar security form? see
[137]ESI & Has the subject ever been addicted to drugs? eae, esa
[139]18. REMARKS uf additional space is needed, continue on plain paper.)
[140]ITEM #13. . sep 71 — present, OPR, Pirmasens, ermany
[141]fou
[143]fe}
[145]a
[147]pT EGF | L
[149]Wie er had
[150]rome
[152]ITEM #8a. & 8b. “ 4
[153]Josef Kaczmarczyk, DPOE: 2 Nov 6¢, NYC, NY, Alien reg. #A79064415
[154]Dorota’ iWanowa Kacemarczyk, DPOE: 2 Nov 64, NYC, NY, Alien reg # A796L416
[155]continued
[157]: — es - - vee
[158]DD 4 Dao ae 1584 . REPLACES DA FORM 3027, 1 AUG 65, WHICH IS OBSOLETE ¥ GPO: 1967 0 279-094 1
[160]| :
[162]NW 88613 Docid:345291189 Page 2
[166]we ; y
[167]DD FORM 15é) - continu{ KACZMARCEYK, Edward MMN, DPC \ Aug 06, 47, Bomblitz,
[168]West Germany, SSAN: 143740 ‘4685 ‘
[170]ry
[171]cITEM #15a. Subject was naturalized on 2h Oct 69 in US District Court, Honolulu,
[172]Hawai. Naburalization No: 9271178
[174]TTEM 15b. , .
[175]Uncle, Stanley Kaczmarezyk, age 66, Sluchowo, Poland
[176]Aunt, Ann Artabolowska , age 67, Charkow, USSR
[178]Aunt, Eshenia Hitriowa , age unk, Charkow, USSR
[180]Stepbrother Wladimir Twanow » age unk, Charkov, USSR
[182]TPEM 15c.
[184]Subject imsigrated to United States with parents on 25 Nov 50, From 19 Dee 55
[185]until 2 Nov 60 traveled through USSR and Poland visiting family. Detained
[187]in USSR for 9 months before exit was permitted, Subject left Foland with family
[188]on 16 Apr 57 to return to United States, Femily (including subject) was held ~
[189]over in Hamburg, West Germany, awaiting sponsorship to return to United States,
[191]While in Germany, subject visited Luton, Bedfordshire, Englarid, fron 17 Deo 58 |
[192]until 12 Mar 59, o
[194]bets
[196]Subject re-entered the United States on 2 Nov 60, Nyc, WY, for purpose of
[198]legal residence.
[202]Subject also visited Ganade from 6 Aug 63 - 12 Aug 63.
[204]{TEM 15e. i
[205]Active duty, US Army, £5, Dec 64 - Mar 70, Aug 70 to present.
[207]an
[209]Ree
[211]NW 88613 Docid:3452971189 Page 3