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employn ch reguested the clearance G re name os names under which ADDRESS REASON FOR LEAVING TYPE OF WORK (Whereamployed) NANE OFEMPLOYER (COMPANY OR ORGANIZATION) Secretary Washington, D. C. Death of Senato 4/1921 OPfico, Sen. E. I. Ladd 7/1925 Hashington, D. C. Washingten, D. C.. 9/,1925 Sanata Offics Building - Sutway 11/1928 Federal Burean of Investigation, Asst. to Dir., Washington, D. c. - Retired Washington, D. c! 1956 Geo. Washington University Conaultant Washington, D. C. memberahp and ol p 16 ORGANIZATION WEMBERSH1P (Includ aZL pres OFFICE HELD FROM--- TO ADDRESS TYPE NAME 3926 Date Waabington, D. C.. Hanonie Lodge S56t Sanf ord, Fls. Rotary Ciub 1956 Date Sanford, Fla. Hka Club 1955 Winter Park, Fla.. Univarsity Club or"No N 18 are you now. Or have you ever been. A member of any communist organization?. Answer ysor No 19 Are you now, Or have you ever been. A memBer Of A fascist organizatIon?. 20. are you now, or have you ever been. A member of any organization, Association, movement, group. Or combination tof persons which Advocates the overthrow of the constitutional form of government of the united states, or of Any organization. Association, movement, group. Orcombination of persons wrich has Adopted A Policy of advocating No Or approving the commission of acts of Force or violence to deny other personstheir rights under the constitution BY UNCONSTITUTIONAL MEANS? Page 2