Transcript of 180-10068-10357.pdf
==================================================
Page 1
==================================================
Assassination Records Review Board
Final Determination Notification
AGENCY HSCA
RECORD NUMBER 180-10068-10357
RECORD SERIES STAFF PAYROLL RECORDS
AGENCY FILE NUMBER
December 8, 1995
Status of Document: Postponed in Part
Number of releases of previously postponed information: 9
Reason for Board Action: The Review Board's decision was premised on several factors
including: (a) the significant historical interest in the document in question; (b) the
absence of evidence that the release of the information would cause harm to the United
States or to any individual.
Number of Postponements: 8
Postponements: All the postponements in this document represent Social Security numbers.
Reason for Board Action: The text is redacted because the public disclosure of the redaction could
reasonably be expected to constitute an unwarranted invasion of personal privacy, and that invasion of
privacy would be so substantial that it outweighs the interest:
Substitute Language: SSN
Date of Next Review: 2017
Board Review Completed: 10/24/95
Releasedunder the JohnF Kennedy AssassinationRecords Colectionzct ot 1492
44uSC 21Z Note) Cae#tl 88326Date; 2026
NW 88326
Docld:32243323 Page 1
public
==================================================
Page 2
==================================================
Date: 08/20/93
Page : 1
JFK ASSASSINATION SYSTEM
IDENTIFICATION FORM
AGENCY INFORMATION
AGENCY HSCA
RECORD NUMBER 180-10068-10357
RECORDS SERIES
STAFF PAYROLL RECORDS
AGENCY FILE NUMBER
DOCUMENT INFORMATION
ORIGINATOR HSCA
FROM
TO
TITLE
DATE 12/30/76
PAGES 9
SUBJECTS
HSCA, ADMINISTRATION
GOFREY , JANE E
DOCUMENT TYPE PRINTED FORM
CLASSIFICATION U
RESTRICTIONS
CURRENT STATUS P
DATE OF LAST REVIEW 07/07/93
OPENING CRITERIA
COMMENTS
Box #:1.
[R] ITEM IS RESTRICTED
NW 88326
Docld:32243323 Page 2
==================================================
Page 3
==================================================
PAYROLL Authorization Foem:
(Please Use Typewriter US_ HOUSE' 0Fg REPRESENTATIVES
~(Any erasures; corrections Or: changes
or Ballpoint Pen) Washington, D.c: 20515 on; this form must- be initialed- by the
authorizing Official.)
To the Clerk of the House 0f Representatives:
hereby authorize the following payroll action:
Employee Name (First-Middle-Last) Effective 'Date
Jane E. Godfrey December 1, ` 1978
Employee Social Security Number = Type of Action
119-35-4041 Appointment
Salary Adjustment
Employing Ofice or Committee/Subcommittee Title Change
Termination (Af close of business on effective date)
Assass/2264on5
Leave without pay (Beginning with effective date above and ending
close of business
Specify Date
(If type of action is an Appointment, Salary Adjustment , or Title 'Change, complete appropriate information below:)
Position Title Gross Annual Salary
'23,400_
0
0D
If employee is a civil service annuitant (includes U.S. of Representatives); the gross annual salary shown" should include the annuity received by the employee
plus the salary received from the employing office:
(If Committee Employee, complete appropriate item below:)
1 Standing Committee: Staff_-O] Clerical or Professional:
2. Special (Investigative staff of Standing Committee) or Select Committee: Authority_H. ~Res?s6-_ofSth_Congress
3. Joint Committee:
(If Employee of an' Officer of the House, complete item below:)
Position Number_ Hf applicable, Level_
1
certify that this authorization" is not in violation of 5 U.S.C.-3110b) prohibiting the employment of
relatives.
Deccaber 11 78
Date_ 19_
(Signature of Authorizing Officiol)
LOUIS STOKES
(If appropriate, signature of Subcommittee 'Chairman Or
Ranking Minority Member) (Type or prini nome of Authorizing Official)
Cha drman
Ype Or print name and title of above official) (Title - If Member, District and State)
All appointments and salary adjustments for employees under the House Classification and for Committee 'em
ployees, except those- of the Committee on Appropriations, the: Committee on the Budget, and the Joint Committees, 'must
be approved by the Committee on House Administration;
APPROVED:_
Chairman, Committee on House Administration
Office of Finance use only:
D
Office Code.
Benefits
Monthly Annuity $_ 00
as of Payroll_
(Revised: August
for Initiating Office or Committee
NW 88326
pocld:32243323 Page 3
House
Step_
Act
1977)
Copy
==================================================
Page 4
==================================================
PAYRoll AuthorizaTion FORM
(Please Use Typewriter U.S. HOUSE 0F REPRESENTATIVES (Any erasures, corrections; or changes
Or Ballpoint Pen} Washington, D.C. 20515
on this form must be initialed by ihe
authorizing Official.)
To the Clerk @f dhe House of Representatives:
hereby authorize the following poyroll action:
Employee_Name (First-Middle-Last) Effective Date
Jane Ea Godfrey 12/31/78
Employee Social Security Mumber Type 0f Action
119-36-6041 Appointment
Salary Adjustment
Employimg )fice; or ` Committee/Subcommittee Title Change
Termination (At close of business on effective date)
Leave without pay (Beginning with effective date above and ending
Asgassinatlonc close of business_
Specify Date
(If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)
Position Title Gross Annual Salary
If employee is 9 civil service annuitant (includes U.S. House of Representatives), the gross annual salary shown should include the annuity received by the employee
plus the salary received from the employing office:
(If Committee Employee, complete appropriate item below)
1 Standing Committee: Staff_ [ Clerical or Professional:
2_ Special (Investigative staff of Standing Committee) or Select Committee: Authority_H. Res956_
Congress.
3_ Joint Committee:
(If Employee of an Officer of the House, complete item below:)
Position Number If applicable, Level_
certify that this authorization is not in violation of 5 U.S.C. 3110b), prohibiting the employment .of
relatives:
January 2 79
19
(Signature of Authorizing Official)
LOUIS STORES
(If appropriate, signature of Subcommittee Chairman or Ranking Minority Member)
or prinf name of Authorizing Official) CHA TRAxee
Ype Or name and title,of above official) (Title If Member, District and State)
All appointments and salary adjustments for employees under :the House Classification Act and for Committee em-
ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, 'must
be approved by the Committee on House Administration
APPROVED:_
Choirman, Committee on House Administration
Office of Finance use only:
ID
Office Code_
Benefits
Monthly Annuity $__-~- .00
as of Payroll _
(Revised: August 1, 19771
for:Initiating: Office or-Committee:
NW 88326
pocld:32243323 Page 4
~of95ck
Step_
Date
print
Copy
==================================================
Page 5
==================================================
PAYROLL : AUTHORIZATION: FORM
(Please Use: Typewriter: U;S: HOUSE 0 F REPRESENTATIVES: (Any erasures; corrections_or:changes
'or Ballpoint Pen) Washington; D.C;: 20515 on. this form` must be.initialed_.by' the
authorizing Official.)
To:the: Clerk of:the:House:of Representatives:
1 hereby authorize the following payroll action:
Employee Name (First-Middle-Last) Effective Date:
Jane E: 'Godfrey December 0
$
1977
Employee Social Security Number: Type of Action:
119-36-4041
Appointment
44 3 Employing: Office O Committee ]Salary Adjustment
Assassigatrons Termination (At close of business on effective date)
(If .type of action.is an Appointment:or Salary-Adjustment; complete the following information:)
Position: Title Gross Annual Salary
Office Manager 17
9
100
(f Committee Employee; complete appropriate item:below:)
Standing Committee: Staff; Clerical;or E] Professional:
2: Special or; Select Committee: Authority-H: Resz:
465 9Eth_Congress::
3. Joint Committee:
(IF Employee of an Officer-of the House;complete item below:)
Position Number_ If "applicable; Level_ Step_
kcertify that_this authorization is :not in. violation: -of:5-U.S:C;:; 3110b); ` prohibiting the+ employmentrof
relatives.
Tr
Date_
December 19_77
(Signature of Authorizing Official)
Louis Stokes
(Type or print name of Authorizing Official)
Chadran
(Title If Member, District and State)
Allappointments and salary adjustments for employees-under;the: House: Classification Act and for-Committee: em-
ployees;except those of the Committee on.Appropriations; the' Committee on the-Budget; andxthe:Joint Committees, must
be approved by the Committee on House Administration::
APPROVED:_
Chairman, Committee on House Administration_
Office of Finance use only:
Office Code_
Monthly Annuity $ 00
fog Initiating: Office or' Committee
NW 88326
pocld:32243323 Page 5
siof
7oiRCA
Copy:
==================================================
Page 6
==================================================
PAYROLL_AUTHORIZATION_.FORM
(Please: Use: Typewriter. U. HOUSE OF: REPRESENTATIVES- (Any:erasures; corrections or changes.
or; Ballpoint Pen) Washington, D.C. 20515 on , this form must be initialed,by the
authorizing official.)
To the Clerk of the House of Representatives:_
Ihereby authorize the following payroll action?
Employee_Name: (First-Middle-Last) Effective Date
Jane E Codfrey 351 /77
Employee Social Security Number Type of Action
119-36-4041
Appointment
Employing Office or Committee Salary Adjustment
Termination (At close of business on effective date): Assass inatlons
(If type of action is an Appointment or Salary Adjustment, complete the following information:)
Position Title Gross Annual Salary
Secretary
16,00q
(If Committee Employee, complete appropriate item below:):
1 Standing Committee: Staff_ Clerical or [] Professional:
2. Special or Select Committee: Authority-H. Res:_
1
455 of_?Sth_Congress
3 Joint Committee.
(If Employee of an Officer of the House, complete item below:)
Position Number_ If applicable, Level_
certify_ that this : authorization is not in' :violation of 5: US:C"-3110b}; 'prohibiting ~the employment: of
relatives. -
Date_
August
19
77
(Signature of Authorizing Official)
LQUIS StorES
or name of Authorizing Official) CHAIRMAxpe
(Title ~ If Member, District and State)
Alkappointments;and: salary_adjustments-for employees: under the House Classification: Act-and for Committee em-
ployees; except those: of the. Committee on Appropriations; the 'Committee:.on the Budget; and:the:Joint: Committees,-must
be approved:by the Committee on House Administration :
APPROVED:_
Chairman, Committee on House Administration
Office of Finance use only:=
Office Code_
~5Z
Monthly Annuity S_--- 00_
for Initiating Office or Committee
NW 88326
pocld:32243323 Page 6
Step__
print'
Copy
==================================================
Page 7
==================================================
PAYROLL AUTHORIZATION : FORM
(Please Use: Typewriter U.S: HOUSE 0F: REPRESENTATIVES (Any erasures;-corrections; or: changes-
or Ballpoint Pen): Washington; D.C. 20515: on , this form must be: initialed by the
authorizing officiai.)
To the Clerk of the House of Representatives:
hereby authorize the following payroll action:
Employee Name (First-Middle-Last) Effective Date
Jane € Godfrey 5/1/77
Employee Social Security Number Type: 0f Action
119 36 4041
Appointment
Employing Office or Committee Salary Adjustment
Assass[nat @3S
Termination (At close of business, on effective date)
(If type of action is an Appointment or;Salary Adjustment; complete:the following information:)
Position Title Gross Annual Salary
$14,0do
(If Committee Employee, complete appropriate item below:)
1
Standing Committee: Staff Clerical or Professional:
2 JSpecial or Select Committee: Authority H: Res_:
465
of
g5th_Congress
3. Joint Committee.
(If Employee of;,an Officer the House; complete' item below:)
Position Number If applicable; Level _ Step_
certify: : that this - authorization;. is notr in ;vjolation vof 5 U:S.C: . 3110b), prohibiting the: employment .of::
relatives.
5ic? 37n4f7; A4ttt_
Date_
10 19772
"5n
(Signature of Authorizing Official)
Leuts_Stokes_
(Type or print name of Authorizing Official)
Chalean
(Title ~ If Member , District and State)
All appointments and:salary adjustments; for employees under-the:House Classification Act and for:Committee: em-:
ployees, except those-of:the Committee on Appropriations;the.Committee *on-the: Budget,and the Joint Committees;must
be approved by the Committee on House Administration
APPROVED:_
Chairman, Committee-on House Administration:
Office of Finance use only:
Office Code_
5
Monthly Annuity $__-_ 00
for Initicting Office or Committee:
NW 88326
pocld:32243323 Page 7
of;
7
Maz
Copy
==================================================
Page 8
==================================================
PAYROLL AUTHORIZATION FORM
(Please Use:Typewriter U.S: HOUSE 0F' REPRESENTATIVES (Any erasures;-corrections;' or changes
or
Ballpoint Pen) Washington, D.C. 20515
0n' this form must be initialed by the
authorizing Official.)
To the Clerk of the House of Representatives:
hereby authorize the following payroll action:
Employee_Name (First-Middle-Last) Effective Date
4 "Jane E Godfrey 4/1/77
Employee Social Security Number: Type of Action
119 36 4041 Appointment
Employing Office or Committee Salary Adjustment
Termination (At close of business on effective date)
Assassinations
(If type of action is an Appointment or Salary Adjustment, complete the following information:) -
Position Title Gross Annual Salary
826 , Oo0
(If Committee Employee, complete appropriate item below:)
1
Standing Committee: Staff-[ Clerical or Professional:
2 Special or Select Committee: Authority-H. Res _465____of_ %StbCongress
3 Joint Committee.
(If Employee of an 'Officer of the House, complete item below:)
Position Number_ If applicable, Level_ Step_
certify that, this authorization is not in violation of 5 U.S.C-31]0b)" prohibiting .the ' employment of
relatives.
Date_ Apri 29-_
S_
19_11
(Signature of Authorizing Official)
Leris_Stokes_
(Type or print name of Authorizing Official)
Chaira
(Title - If Member, District and State)
All: appointments and salary adjustments for employees' under-the House Classification Act 'and' for Committee em-
ployeesiexcept those of the Committee on Appropriations;the' Committee on the Budget;and the Joint: Committees; must
be approved by the Committee on House Administration:
APPROVED:_
Chairman, Committee on House Administration
Office of Finance use only:
Office Code
Monthly Annuity $_ 00
for Initiating Office or Committee
NW 88326
pocld:32243323 Page 8
Copy
==================================================
Page 9
==================================================
PAYROLL AUTHORIZATION FORM
(Please Use_Typewriter U.S. HOUSE 0F- REPRESENTATIVES (Any erasures, corrections, or. changes
or Balipoint Pen): Washington, D.C. 20515' . on ` this form must be:initialed by the
authorizing Official.)
To the_Clerk. of the House of Representatives:
hereby authorize the following payroll action:
Employee Name (First-Middle-Last) Effective Date
Jane Elizabeth Godfrey: 1/3/77
Employee Social Security Number Type of Action
119 36 4041
Appointment
Employing Office or Committee_ 4 Salary Adjustment
Select Committee On ' Assassinetions Termination (At close of business on effective date)
(IF type of action is an Appointment or Salary Adjustment, complete the following information:)
Position Title Gross Annual Salary
670,D00
(If Committee Employee, complete appropriate item below:)
I;: Standing Committee: Staff- Clerical or [ Professional:
2: Special or Select Committee: Authority H. Res _- ~ll___of9Gth_Congress.
3 Joint Committee:
(If Employee of an Officer of the House; complete_item below:)
Position Number_ If applicable, Level____:_-_ Step_
certify that this . authorization is not in violation of 5, U.S.C: 3110b}; prohibiting' the employment of
relatives.
Date_
1972_
(Signature of Authorizing Official)
Wenry Gonza] 2
(Type or name of Authorizing Official)
Chademzn
(Title ~ If Member, District and State)
All appointments and salary adjustments for employees under the House Classification Act and for Committee"em-
'ployees; except-those 'of the Committee on Appropridtions, the Committee on the Budget, and the Joint Committees, must
be approved by the Committee on House Administration
APPROVED:_
Chairman, Committee on House Administration
Office of Finance use only:
Office Code_
Monthly Annuity $_
~
00
Copy for Initiating Office
or Committee
NW 88326
pocld:32243323 Page 9
prinf
==================================================
Page 10
==================================================
PAYROLL AUTHORIZATION, FORM
(Please Use .Typewriter : U.S: HOUSE 0F REPRESENTATIVES. (Any-erasures, corrections; Or-changes
or Ballpoint Pen): Washington; D.C.20515
on this form;must: be: initialed-:by -the
authorizing Official.)
To the Clerk of the House '0f Representatives:
hereby authorize the following payroll action:
Employee_Name_(First-Middle-Last) Effective Date
Jane_Elizabeth Godfrey
December 30, 4976
Employee Social Security Number Type of Action
119 36 434]
Appointment
Employing Office or Committee 'Salary Adjustment_
Termination (Af close of business on effective date)
Select Ccunittee on Assassinations
(If type of action is an Appointment or Salary Adjustment, complete the following information )
Position Title Gross:Annual; Salary
Secretary 314,00).UJ
(If Committee-Employee, complete appropriate item below:)
Standing Committee: Staff-[J Clerical or Professional:
2
Special;or Select Committee: Authority-H: Res-2540_ of84th_Congress '
3: Joint Committee.
(If Employee of.an Officer of the House, complete item below:)
Position Number_ If applicable, Level
certify" that this authorization: is not, in' violation " of 5 . U.S.C : 31.106);* prohibiting the employment: of
relatives:
Date_
Decerber 19/
(Signature of Authorizing Official)
Thomas N; Jown
5
Chairuan
(Type or print name of Authorizing Official)
Select_Consittee on Assassinations
{(Title-If Member, District and State)
#All appointments and salary adjustments foremployees-under:the:House: Classification Act:and :for"Committee em-
ployees; except-those .of: the-Committee on-Appropriations;the Committee on the Budget;tand-the Joint: Committees; must
be approved by the Committee-on House Administration:
PPROVED:_
Chairman, Committee on House Administration
Office of Finance use only:
Office Code_
Monthly Annuity $_
for Initiating Office or: Committee
NW 88326
pocld:32243323 Page 10
Step_
1n2
Copy
==================================================
Page 11
==================================================
M E M 0 R A N D U M
TO: All Staff Employees
FROM: Budget Officer
DATE : January 3 , 1977
RE Payroll Certification
Starting with the January 1977 payroll the certification
to the House Finance Office requires among other things , the
relationship, if any , Of each staff employee to current
Member of Congress (those taking_ office January 3 , 1977)
The
following
are the relationships to be included in
the certification
father brother-in-lew
mother niece sister-in-law
son
husband stepfather
daughter wife stepmother
brother fether-in-lew stepbrother
sister mother-in-law stepsister
uncle son-in-law half-brother
daughter-in-law half-sister
first cousin
All staff employees are requested to complete this
forn and return it to the Budget officer
Approved
Richard A Sprague
I am not related
I am related by the following relationship
Gzx
2I77
Signature Of Ezployze Date
NW 88326
pocld:32243323 Page 11
any
nephew
aunt
0uaLz