[1]i
[5]| NW 88326
[7]Assassination Records Review Board |
[8]Final Determination Notification
[10]AGENCY : HSCA ;
[11]RECORD NUMBER : 180-10068-10357
[12]RECORD SERIES : STAFF PAYROLL RECORDS
[14]AGENCY FILE NUMBER :
[16]December 8, 1995
[17]Status of Document: —_ Postponed in Part
[19]Number of releases of previously postponed information: 9
[21]Reason for Board Action: The Review Board's decision was premised on several factors
[22]including: (a) the significant historical interest in the document in question; (b) the
[23]absence of evidence that the release of the information would cause harm to the United
[24]States or to any individual.
[26]Number of Postponemenis: 8
[28]' Postponements: All the postponements in this document represent Social Security numbers.
[30]Reason for Board Action: The text is redacted because the public disclosure of the redaction could
[32]‘reasonably be expected to constitute an unwarranted invasion of personal privacy, and that invasion of
[34]privacy would be so substantial that it outweighs the public interest.
[35]Substitute Language: SSN
[37]Date of Next Review: 2017
[39]Board Review Completed: 10/24/95
[41]Dochd:37243323 Page 1
[44]| Page:1
[45]JFK ASSASSINATION SYSTEM
[47]IDENTIFICATION FORM
[49]AGENCY INFORMATION |
[51]HSCA
[53]AGENCY 7
[54]180-10068-10357
[56]RECORD NUMBER
[58]RECORDS SERIES :
[59]STAFF PAYROLL RECORDS
[61]AGENCY FILE NUMBER :
[63]ORIGINATOR :
[64]FROM :
[65]TO ¢
[67]TITLE :
[69]DATE
[70]PAGES
[72]12/30/76
[73]9 .
[75]_ SUBJECTS :
[76]HSCA, ADMINISTRATION
[77]GOFREY, JANE E.
[79]DOCUMENT TYPE PRINTED FORM
[81]CLASSIFICATION : U
[82]_ RESTRICTIONS : 3
[83]CURRENT STATUS : P
[85]DATE OF LAST REVIEW : 07/07/93
[87]OPENING CRITERIA
[89]COMMENTS
[90]Box. #:1.
[92][R] - ITEM IS RESTRICTED
[94]| ‘NW 88326
[95]Dechd:37243323 Page 2
[97]“PAYROLL AUTHORIZATION Foy | | —
[99]or
[102](Please Use Typewriter - “»=—“ UU. S$. “HOUSE OFS REPRESENTATIVES (Any erasures, corrections, or changes .
[103]’- or Ballpoint Pen) -_ os Washington, D.C. 20515 : . on. this form must-be initialed: by tne
[105]authorizing official.) -
[106]To the Clerk of the House of Representatives:
[108]| hereby authorize the following payroll action:
[110]“Employee Name (First-Middle-Last) oa so 7 } Effective Date
[114]wane £. Godfrey . Daceaber 1, 1978
[115]Employee Social Security Number’ = - sd _ ‘Type of Action.
[117]C) Appointment
[119]4) Salary Adjustment .
[121]C] Title Change
[123]O Termination (At close of business on effective date}
[125]C Leave without pay (Beginning with effective date above and ending |
[126]close of business :
[128]Specify Date
[130](If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate-information below.)
[132]___Gross Annual Salary* 4
[133]fo | | $23,400.00 ao
[134]i. . * if employee i is a civil service annuitant (includes U.S. House of Representatives); the gross annual salary shown’ should include the 2 annvity received by the employee %
[135]plus the salary received from the employing office. |
[137](If Committee Employee, complete appropriate item below.) 4 r
[139]1.0 — Sten Committee: Staff—O] Clerical or (1 Professional. | = \
[141]3. 0) Joint. Committee.
[143](If Employee of an Officer of the House, complete item below.)
[145]Position Number___ es If applicable, Level________ Step__-
[147]| certify. that this authorization is not. in: violation of ‘S ULS.C.°3110(b), prohibiting ‘the employment of: ~
[148]relatives. . wey te
[150]te oacemer lio 78
[152](Signature of Authorizing Official)
[154]a LOUIS STOKES
[156]All appointments and ‘salary adjustments. for: ‘employees under the House Classification Act-dnd for Committee em: a :
[158]ployees,. except those-of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, ‘Must ©
[159]be approved by the Committee on House Administration. 7
[161]APPROVED:.____. _
[162]Chairman, Committee on House Administration .
[164]Office of Finance use only: 2
[165]od
[166]_ Office Code S
[167]Monthly Annuity. $. a 4
[168]’ _ (Revised: A August 1 1977) “ E
[169]- Copy: for Initiating Office: or: ‘Committee ~ nC re: :
[170]dee nee Bee a IEEE:
[172]W 88326 : Fn ee
[173]1d:32243323 Page 3 i aor 7
[175]PAYROLL AUTHORIZATION FORM .
[177](Please Use Typewriter U. S. HOUSE OF REPRESENTATIVES ( . (Any erasures, corrections, or changes
[179]or Ballpoint Pen) aan Washington, D.C. 20515 . > On this form must " initialed by the
[181]To the Clerk of the House of Representatives:
[183]| hereby authorize the following payroll action:
[185]_ Employee Name (First-Middle-Last) - |
[186]Jane E. Godfrey
[188]. __ Employee Social Security Number
[190]Effective Date
[192]12/31/78
[193]Type of Action
[195]O Appointment
[196]C) Salary Adjustment
[197]O Title Change
[199]we:
[200]4] Termination (At close of business on effective date)
[202]Employing Office: or’ Committee/Subcommittee
[204]C) Leave without pay (Beginning with effective date above and ending
[206]Assassinations close of business_. )
[208]Specify Date
[210](If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)
[212]Position Title Gross Annual Salary*
[214]* 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
[215]plus the salary received ‘from the ‘employing office.
[217](If Committee Employee, complete appropriate item below.)
[219]i. 1 Standing Committee: Staff—C] Clerical or 0 Professional. .
[221]2. Al Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res22¢ of 2k Congress.
[225]-3. O Joint Committee:
[227](If Employee of an Officer of the House, complete item below.)
[229]Position Number If applicable, Level_
[231]“| certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of
[233]relatives.
[234]January z 73
[235]Date.__-_ and woe a
[236], ignore of Authorizing Official) ,
[237]LOUIS STORE
[238]‘(if appropriate, signature of Subcommittee Chairman or Ranking Minority Member). = “(Type or print nome of Authorizing Oficial) |
[241]es "(Type of print name and title of above official. ===. ~=~=SSS=Ss*S*«C*é<“<~S~S*é“‘“=;s:*:*S”SS AI Member District and State)
[245]_ All appointments and salary adjustments for employees under the House Classification Act and for Committee em-. -
[246]ployees, except those of the Committee on. Appropriations, the Committee on the Budget, and the Joint Committees, ‘must.
[247]be approved by the Committee on House Administration. . : :
[249]APPROVED:
[251]Office of Finance use only: . ; ID.
[252]| _ Office Code. Benefits.....__.............
[253]| _ Monthly Annuity $.--<-.----9 -asofoo Payroll... |
[255]Mitte
[257]a
[259]te he _ . woo Pol Se tone eg aa
[260]LES athe at Daath ey
[263](Revised: August 1, 1977) oS
[265]NW 88326 FO nn ae
[266]ocld:32243323 Page 4 : Bets ;
[268]mieten ae i
[270]oe eh pe
[271]hake Ea Me Bde Ee
[273]4 |
[274]a
[275]4 co
[276]at
[277]sO \
[279]A
[281]4
[285](Any erasures, ‘corrections; ‘or-changes. :
[287]: : ‘Washington, D. c: 20515" “authorizing official.)
[289]-Fo-the: Clerk: of the: House: of Representatives: Oc
[291]mye thereby authorize the following payroll action:::: CREME ya Pian
[293]we Employee Name (First: -Middle- -Last):
[294]_ dane E. Godfrey
[296]Employee. Social: Security Number.»
[298]19-36-4081
[300]7 “Employing. Office: or Committee.
[301]~" Assassinations.
[303]ou lPtype of actions an Appointment.or Salary Adjustment;;complete the following information?) :
[305]Position. Title ~-Gross’ Annual. Salary
[307]office Nanager 3Y7. 106
[309]ostc(l& Comm i teem ployeé,:complete appropriate:item-below.) ::
[311]‘Standi ng:Committee: Staff+[-"]:Cléricak or f] Professional:
[313]24 cc Special. or. Select.Committee: AuthoritycH: Res.
[315](IE Employee'of an-Officer:of. the-House;*complete:iten-below,)>:
[317]| vw
[319]ae Position . Number lf applicable, Level_.
[321]i (Type or print name of Authorizing Official).
[323]_ Shairman -
[325](Title —IF Member, District and State}
[327]. All-appointments .and -salary.. -adjustments-for employees:under :the:-House. Glassification:Act. and for-Committeevem-
[328]“ployees;: except:those of the-Committee:on. Appropriations,’ the. -Gommittee -on. the “Budget, and the: Joint’ Committees;, must’
[330]-be approved -by.:the Committee on-House Administration: :
[332]APPROVED:
[334]‘Chairman, Committee ori House Administration .
[336]_ Office of Finance use e only: Zo
[337]Office Code
[339]Sones Copy for initiating. Office or Committee-.~
[341]- ~ oe tee a ete eo nee
[343]son. this form must be. initialed, by. the. s
[345]o “Termination (At close.of business on effective.date):. 2s. -= [38 ~
[347]88326 Sm
[348]1d:32243323 Page 5
[350]PAYROLL AUTHORIZATION -FORM. Be
[352]- ees 1  (Please-Use“Typewriter, - 4. S. “HOUSE: OF REPRESENTATIVES on Any. erasures; corrections,-or:changes =
[354]ans Darl ee i een on-this form must be initialed 1 by: the
[355]| or: Ballpoint Pen)°) > Washington, D.C. 20515 ~ authorizing official.) ws
[357]To the Clerk of the House of Representatives:., 2-0 eo
[359]_. thereby authorize the following payroll actions: +
[361]i = Employee Name. (First -Middle- -Last). - ee eee Effective Date mes
[362]| Jane E. Sodfrey 8/1477
[364]a _ Employee-Social Security. Number. ee fe te Type of Action oe hares
[365]fo Tid 36-4041
[367](_] Appointment
[369]| Employing Office or Committee -- = = ae Salary Adjustment Po:
[373]| : . Assassinations . 7 + (J Termination (At close of business on effective date) -
[375]- . ¥ bag
[377]. . . .
[379]| (If type of action is an Appointment or Salary Adjustment, complete the following information.) #5 oy
[380]| , .
[382]Position Title a . Gross Annual Salary
[384]Secy retary
[386]- (If Committee Employee, complete appropriate item below.): 20 sv.
[388]1. im Standing Committee: Staff—[-] Clerical-ort_}: Professional.
[389]465. of - 5th,
[391]2. a Special or Select Committee: Authority = H.. Res. 7 of .-Congress.
[393]3. 7 Joint Committee.
[395]~ (If Employee of.an Officer. of the House, complete item below.) ::: Beg tia a Sie tte
[397]_ Position Number ee | applicable, Level_
[399]“Gignanure of Authorizing Official) -.
[401]ae Louts STORES
[403]ra a (ype o or printname of Authorizing Official). 2
[404]a CHATRHA y :
[406] All-appointments,:and. salary.adjustments.for. employees: under. the House. Classification: Act-and:.for. Committee em-:
[407]. " ployees, -except those of the :Committee-on Appropriations,.t the ‘Committee: on-the: Budgeti< cand, the: Joint: Committees, must: ae
[408]~ be approved: by the-Gommittee.on ‘House: Administration: wok Tg REDE MEEPRIE A ge Set oe A Tee ten a aries
[410]_ APPROVED:
[412][a
[413]a
[414]as Chairman, Committee on House Administration ee a re |
[415]3
[417]Office of Finance use onlyzs poe a Sun ge og ge at ee ve bo
[418]Office Code
[422]- Copy for Initiating Office. or Committee. 6 0»
[423]| NW 88326 | | On a .
[426]PAYROLL: AUTHORIZATION FORM
[428]:(Please-Use: Typewriter oa cu S: HOUSE: OF. REPRESENTATIVES “soos: vs (Any erasures,.corrections; or changes’:
[430]oe oo a, ". on. this form must be. initialed by the. —
[431]7 or. ‘Ballpoint Pen). - Jo. . Washington, D. C: 20515: © - . authorizing official.) | :
[433]- To the Clerk of the House of Representatives: .. ~:~.
[435]- |:hereby authorize the following payroll action:
[437]_ Employee Name (First-Middle- Last) oe : Effective Date
[439]sane 2 E. Godfrey
[440]ae _Employee Social. Security Number
[442]= 36 4041
[444]Type: of Action Cotes
[445](J Appointment
[447]Employing Office or Committee -—- [Slory Adjustment Bo AB eee |
[448]_ ASSaSsinatiges |
[450]oO Termination (at close of business on n effective date)
[452]ALE type « of action is-an. Appointment, or-Salary. Adjustment; -complete:the following information).. -
[454]Position Tile ee Gross Annual Salary
[456](If Committee Employee, complete appropriate item below.) -..
[458]- Oo Standing Committee: Staff—[_] Clerical or {J Professional: ~.”
[460]2 Special or Select Committee: Authority=H. Res. S60 of #3EA Congress. -
[462]. 30 Joint Committee. -
[464]cea vt
[467]: (If Employee -of.an Officer of the House; complete'item. below,). a
[469]‘Step. tae
[471]: Position Number || applicable; Level_
[473]ns certify. that. this -.authorization.. is -not..in «violation »of. 5. US.C: 31108, prohibiting «the: employment. ‘of.
[474]relatives. connate :
[476]Bast
[479]"(Signature of Authorizing Official):
[481]a Lowis SEGKES
[483]“(Type or print name of Authorizing Official)
[485]Chat HAR
[487]; “All appointments and: salary: adjustments. for employees. .under:the: House ‘Classification. Act.and for. Committee ems
[488]“ployees,, exceph:, those-of: the-Committee on. Appropriationsi the. Gommittee-‘on. the. Budget;:-and.- the Joint. Committees;- musty +.
[489]-. be approved by the Committee-on. House: Administration. 291) oc.) cl be a ee ee ee
[491]_ APPROVED: sone nnn ee ee ee _
[493]Poy on : a See = . » Chairman, Committee-on House Administration -. 5. 0) les
[495]| Office ‘of Finance use only:
[497]Offe Code
[499]ON me eke a ewe eee a ns 6 ne
[502]SSS SS ee eT a eee —————e————eEeEEeeeeeeee—— = "= ee ee ere retro
[505]PAYROLL AUTHORIZATION FORM
[507].. (Please Use Typewriter => ~~ UL S: HOUSE OF REPRESENTATIVES “oo “(Any erasures; corrections, or changes:
[509]7 aD Loe. an -on this form must be initialed by the
[510]or Ballpoint Pen) Washington, D.C. 20515 authorizing official.)
[512]To the Clerk of the House of Representatives:
[514]‘| hereby authorize the following payroll action:
[516]Employee Name (First-Middle-Last) ef Effective Date
[518]dane E, Godfrey. ao | IT
[519]os Employee Social Security Number or Bae Type of Action
[521]179 36 464] . OT Appointment
[523]Employing Office or Committee: | & Salary Adjustment
[525]L] Termination (At close of business on-effective date]
[527]” Assassinations
[529](If type of action is an Appointment or Salary Adjustment, complete the following information,): .*
[531]Position Title ; a ° Gross Annual Salary
[537](If Committee Employee, complete appropriate item below.)
[539]7 O Standing Committee: Staff—[_] Clerical or [[] Professional.
[541]2. [Al Special or Select Committee: Authority—H. Res.. 465__. of . 85&8Congress.
[543]et
[545]3. 0 Joint Committee.
[547](If Employee of an Officer of the House, complete item below.}
[549]Ht applicable, Level Step_oo2-
[551]Position Number
[553]a
[554]|
[555]F
[557]3
[558]wad
[559]-
[561]a certify that. this: authorization .is not- in violation of 5. US.C..:3110(b), prohibiting the: employment’ of"
[563]relatives,
[564]Date. ---_ Apeil 29.0019 07 ¢ ew é
[565], ™ a . (Signature of Authorizing Official)
[566]. a
[567]_._. Lowis Stokes
[568]fo (Type or print name of Authorizing Official) a
[569]“ 4
[570]en Chairman 0 _
[571]¥ . (Title—!f Member, District and Sot
[573]All appointments and ‘salary:adjustments for-employees ‘under-the ‘House Classification:Act and for: Committee em- *
[574]= ployees;vexcept those. of the Committee on Appropriations;.the: Committee on the. Budget." “and ‘thes Joint Committees; ‘must |
[575]I's be approved by, the Committee on House Administration: ee . :
[579]Chairman, Committee on House Administration
[581]Office of Finance use only:
[583]Office Code
[585]| NW 88326 Fn a
[586]Nocid:32243323 Page § f Pgecty : :
[589]J SN co? Co |
[590]: ~ PAYROLL AUTHORIZATION wi) ~ ao v
[591]f
[592](Please Use Typewriters \_ % ‘U. Ss. ‘HOUSE Q OF: REPRESENTATIVES \__; 3 (any erasures, corrections, or changes. ~:
[593]| ee 8 cif aint Be yo a Washin ton, D.C. 90515. n this form: must be. initialed by the - .
[594]i oo -or Ba Point ben ashing mo "authorizing official.) -
[595]an .
[596]| To the Clerk of the House of Representatives: | om a
[597]|. hereby authorize the, following payroll action: » 9, . we -
[598]. “ . —_ | 7 .
[599]: to. a “Employee Name (First-Middle-Last) pa Effective Date
[600]| _ - 7 — —— a -
[601]| Jane Elizabeth Godfrey. o~ _ Ls S S97 oe oe
[602]1s os . Type of Action , .
[603]ot : ag 36 4047 . = 7 : a 0 Appointment ~ an _
[604]Noo de -_ Employing Office or. ‘Committee _ a a0. Salary Adjustment t ~
[605]! o
[606]| - Select Conmmtttes on Agsasst nati fans” , oO Termination (At close of business on effective date)
[607]~ _ 7 a _ 5
[608]| (If type of action is an Appointment or Salary Adjustment, complete the following information.), ie
[609]: Position Title = oo, ; Gross Annual Salary
[610]. . J - a Ooo. 7 .
[611](If Committee Employee, complete appropriate item below.) > ~~: or a oF
[612]. + - . : Jy . Ly : ° ; “ , 7 aad -
[613]! a 1. [T Standing Committee: Staff} Clerical or] Professional. ae ay |
[614]J Vy ‘ ae = 7
[615]| - 2:4) Special or Select Committée: Authority ~H. Res ___-LE-_ of ABRs. Congress, “
[616]pS * 3. [-] Joint Committee. — - ‘ os - - 7
[617]a oy oo 5 &
[618]| (If Employee of an Officer of the House; complete.item below.) _ . C-
[619]Position Number___-__ If opplicable, level... Step.
[620]certity ' at ¢ Is “aut orization is not in vio ation -.0 ronibitin t e employment .of :
[621]me 6 h i h | F5, U.S.C” ST10(b). prohibiting th loy. f
[622]“relatives. - , - . _
[623]Date. pgtt en nee.
[624]. ; ’ WGignature of Authorizing Official) : Lf
[625]> Henry B. Gengatez
[626]/ r : ; a (Type or print name of Authorizing Officio _ ~
[627]- Pa 2A -
[628]4 ; — (Title If Member, District and Stare) :
[630]_> All-appointments and:-salary adjustments for employees: under the House Classification Act and for Committee em=
[632]- “ployees, except -those of the Committee-on Appropriations, the Committee on-the Budget, and the Joint Committees, § must: 7
[633]--be approved by the Committee on House Administration. ‘ oe mo, 7 : a
[635]~ APPROVED: a a _
[636]Ns
[638]- Chairman, Committee‘on House Administration .
[642], Office of Finance use only:
[644]- Office Code
[646]| NW 88326 | | FO poe
[647]iocld:32243323 Page 9 i es :
[650]‘ PAYROLL AUTHORIZATION. FORM.
[652]or Ballpoint Pen). '
[653]* To the Clerk’of the House of Representatives:
[654]| hereby authorize the following payroll action:
[656]Employee Name (First-Middle-Last).-
[658]boat rey
[660](If Committee-Employee, complete appropriate item below.)
[662]‘(Please Use Typewriter. - th U: Ss. HOUSE OF. REPRESENTATIVES G (Any erasures, corrections, or-changes ...
[663]oo Washington? D.0.:20515 = 9°
[665]n this form; must. be: initialed: by ‘the
[666]+ authorizing official.) ~~~ =
[668]. Ok a
[669]“ Effective Date ,
[670]December 30, 1976 | |
[671]... | 414] Appointment : ;
[672]: D Solary Adjustment : ee , |
[673]a
[675]i
[676]|
[677]|
[678]|
[679]|
[680]|
[681]i
[683]Cc . . .
[684]1. [] Standing Committee: Staff— — | Clerical or[_] Professional. - te, Lee SL, oo 4 \
[685]- 28) Special-or Select Committee: Authority~ Hy Res.. AAO ~_of SEEN Congress ; a | \
[686]3. OO Joint Committee. : 7 ;
[687]. : . . . ~ i
[688](If Employee of.an Officer of the House, complete item below.) roe _ Foe RD nt She
[689]. foo one .
[690]Position Number_¢ lf applicable, Level. - Step_ a2. Be pe
[691]|- certify” that. this authorization. ig not. in violation: “of 5. U. S.C. -31.10(b):* prohibiting : the employment of -
[692]relatives. ’ - ,
[693]apt cae aie ay ~~ 7& 2 4 / _
[694]Date EUS ey a3 .19 fae a , __ 4
[695]ra ee Te “(Signature of Authoruing Officio) 7 oo so Sd
[696]i _ - ‘Thomas 8. gewaing, Chairman . © -
[697]OF : Type or print nome of Authorizing Official.) oo ~ |
[698]; “Sélect Cémmittes on Assassinations .
[699]; oo _ Title “If Member, District and State) Cee ~
[700]oA appointments and salary adjustments for employees: under: the: House: Classification-Act.and ‘for: Committee emai 8 - | o!
[701]ployees;. except -those-.of. thesGommittee’ on:Aippropriations; “thes ‘Committee. -on-the Budget;and=the:Joint. Committees; must:
[702]be approved. ‘by. the Committee -on House Administration: : ey Meh ns Dhow \
[703]‘ — . , - ” ~ . i
[704]ooo oo , oe, APPROVED: _ te oe So |
[706]Office of Finance use only:
[708]Office Code
[711]“MEMORANDUM
[713]yor ALL Staff Employees _
[714]"PROM: Budget Officer
[715]|) DATE: January 3, 1977.
[717]“ORE Payroll Certification _
[719]. Starting with the January, 1977 payroll, the ‘certification
[720]to ‘the House Finance Office requires, among other things, the . 7
[721]=. “xelationship, if.any, of each staff employee to any current.
[722]_ Member of Congress (those taking office January 3, (1977).
[724]: 2 the ‘following are the relationships to be included in
[725]_ the certification: |. . oO : ae
[727]father os Bee oe nephew ee brother-in-law. Lo
[728]mother mice sister-in-law
[729]Pe gon husband oS stepfather 0 0
[730]Po daughter. Co wife 0 stepmother 9%
[731]“!\, brother =, father-in-law “.-. < stepbrother -
[732]. sister 0. 0). mother-in-law > stepsister
[733]~yunele son-in-law = “half-brother —
[734]aunt ©. ! daughter-inlaw. © =, half-sister ©
[736]_ first cousin a Soe, 7 oo ; Ce tee : a coe
[738]ln nn Ft woe .
[740]oe ALL ‘staff employees are “requested to. complete this
[741]“form and YFeturn it to the Budget officer.— . oo
[743]- Approved es
[744]Richard A. Sprague
[746]oT am. not related’ - Vaan
[748]aT am “related by the. following relationship.
[750]|
[752]4
[754]—— oe | | we ee
[755]| NW 88326 | FO nn fe
[756]| — 32243323 Page 11 ‘ Shao! 7