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SESRET CLASSIFIED 3V: NSICG J76J18780 REASON: 1.4 (C) DECLASSIFY CI 12-31-2041 DATE: 11-30-2016 #58 ALL INFCRATION CONTAINED HEREIN IS UNCLASSITIEL EXCEPT WHERE SHOWN OTHERWISE FD-340 Rev. 4-l) b3 b7E Fite Number. CL Serial # of Originating Document 4 /2/2016 Date Received From (Name of Contributor/Intcrviewee) (Address) (City and State) b6 SA b7C By To Be Returned Yes 0N Yes No Receipt Given Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e) Federal Rules of Criminal Procedure No Yes Federal Taxpayer Information (FTI) No Yes b1 b3 b7E MIstAN DLING- OF cLAssCFtc Reference: (Conmunication Enctosing Material) CDrcinal ye interview of b6 Description: b7C HRC-1750 SECRET