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* FD-376 (Rev, 5-4-7 2} U TED STATES DEPARTMENT OF «JSTICE FEDERAL BUREAU OF INVESTIGATION - In Reply, Please Refer to WASHINCTON, D.C. 20535 File No. Cleveland, Ohio duly 10, 1972 Director United States Secret Service Department of the Treasury Washington, D.C. 20220 Dear Sir: (farestas? The information furnished herew! ividual or organization believed to be covered by the agreement between the FBI and Secret Service concerning protective responsibilities, and to fall within the category or categories checked. l. (7) Threats or actions against. persons protected by Secret Service. f") Attempts or threats to redress grievances. 2 3. [| Threatening or abusive statement about U. 8. or foreign official. 4 ( Participation in civil disturbances, anti-U. S. demonstrations or hostile incidents against foreign diplomatic establishments. 5. °& Megal bombing, bomb-making or other terrorist activity. 6. 2 Defector from U. §. or indicates desire to defect. —— . 7. (2 Potentially dangerous because of background, emotional instability or activity in groups engaged in activities inimical to U. S. Photograph [_] has been furnished on {_] is not available. L. Gan ch a A Acting Director 1} ~ Special Acent in Charge (Enctosure(s}) 2 . U. 3. Secret Service, Cleveland, Ohio Enclosurets) fUpon remocal of classified enclosures» if any, this transmittal form becomes UNCLASSIFIED.)