Regi istered No. To Be Completed ‘To Be Completed By Customer (Please Print) By Post Office All Entries Must Be In Balipoint or Typed 5 TAA ana rean.n9-00-3051 . Information on nee) Wane Cee RF106756626US 012 18 pene : |Retum Receipt (iecrone} $9.00 ‘ratai Poslage & Foss end Musi Declare pn ae al inched : aa air ee CHIC Ebr § | 25.52 Sic bai eAPE we “Sot legistered Mail Copy 1 - Customer (See “chr enheite at www.usps.com ®Send Result Report KYOCERA MEP Faeware ese 24) 2790 00 21.122, Complete Kevin Amos 7386 South Drs #1 ‘Chiang, ini PH 312-208-0086 | Ena: kkoma@ietnallcon/somas42@imai.can | rnowa0i6 | Office of Management and Budget (OMB) 725.17 Street NW DezOSTS Peco 200395-3608 ‘Sub: OMB SF-181 Form, H.RES 194 nd Supporting Documents Submision ‘Salutations I un subntng my SF-181 For, FIRES 194 and Supporting Document,Kevin Amos 7356 South Dorchester Chicago ins PH 312-208-1046 Email: Ksoma@tnal com Ksoma942G gmail com oos2016 ‘Ofie of Management and But (OMB) m5 17° Sweet NW ‘Washingion, DC 20503 Fas 202-395-3888 ‘Soh: OMB SF-181 Form, HIRES 194 and Supporting Documents Submision Salutations, Tam submitting my SF-181 Fom, HLRES 194 sl Supporting Documents Sincerely yous, ‘Kevin L AmosHP Officejet 4300 series 4315 Personal Printer/Fax/Copier/Scanner Fax Log for Kevin L Amos 1-312-208-0046 Oct 09 2016 12:08p Last Transaction Date Time Type Station ID Duration Pages Result Oct 09 12:06p Fax Sent 1-877-385-0645 1:46 12 OKKevin L Amos 7356 South Dorchester #1 Chicago, Illinois PH: 312-208-0046 Email: kisoma@hotmail.com / klsoma942@gmail.com 10/08/2016 Social Security Administration Office of International Affairs Fax: 1-877-385-0645 Subj: OMB SF-181 Form, H.RES 194 and Supporting Documents Submission Salutations, | am submitting my SF-181 Form, H-RES 194 and Supporting Documents. Sincerely yours, Kevin L AmosU5 one otra tanat ETHNICITY AND RAGE IDENTIFICATION M05. KEVIN — aunero%s Pavaay Rat Saiomont wot nace tration route unr he un 42 U.S.C Secon 2008-18 and compan te cro Wansgunnt sn Boge 1907 Ravean the Sodas rte Cateston of Fee's [Staion Race art vit Prog hs iomaton i Ylrtay ae has Wo rpc on your enpbye| Is trn erate 3 rang wn Yr emp pew nemo etly Your ac ‘tinct yi stneaon tis iemeton used as secretary wo plan for eqs! eneoymentopertintythsuprt te Fede smwomar ts aa ed by be US Oee of Perce! Management emp gee) arta [sre to lest nse hor pace! resewch suey espns and ne poston eau | Sep ein tayo sos pesto wit ees cles sos Scary Numba (SS) equa unter euro eee Order $67 wn autes SSN be te tee purpose unt. crehy samnsoobn oF esoee acres, Pow ts at | \ury sn fire dosa wi arene est en yor employment se W'Sh nl oS, ower ster enna cues ay bowed slant Sete rc: ps oo FISTS OH Ha a See open RR TOR RR SSS TO Te ae Se es eee RRR TREN eee ernToN OF eATEGERY Pow nin cAnne Raeaaapaneyem een ea Onn Adzracinhetcoite ary cag Coes Ca as, | Coos aman cn Apevsineg on aye gnc | Cone ones ma | Agente in myotonia Sean |pavmte Apesonig cto ayoteranspopn tp te ie Ea ofHL Res. 194 In the House of Representatives, U. S., aly 29, 2008, Whereas millions of AMtigans and their desoendants, were ‘enslaved in the United States and the 18 Ameriean eolo- nies from 1618 through 1865; ‘Whereas slavery in America resembled no other form of invol unary servinade known in history, as Afteans were cap tured and sold at auetion like inanimate objects or an mals; Whereas Afveans foreed into slavery were brutalized, humic sted, delumaninnd, and subjected to the indignity of boeing stripped oftheir names and heritage; ‘Whereas enslaved families were tor apart after having been sold separately from one another, ‘Whereas the system of slavery’ ad the visceral racism against persons of African descent upon which it depended bee ‘ame entrenehed inthe Nation's social fabri; Whereas slavery was not offivally abolished until the passage of the 18th Amendment to the United States Constitu: tion in 1865 after the end of the Cis War; ‘Whereas after emancipation from 246 years of slavery, Afric can-Americans soon saw the Mlosting political, social, and economic gains they made during Reconstruction evise corated by’ virulent racism, lyachings,disenfranchisement,2 [Black Codes, and racial segregation law that imposed a rigid system of offically sanctioned racial segregation in virtually all areas of lif; ‘Whereas the system of de jure racial segrogation Snow as “Fim Crow," wich arose in eertain parts of the Nation following Use Civil War to ereate seperate and unequal societies for whites and Afviean-Amerioans, was a direct sult of the racism aguinst persons of African deseent enigendened by slavery; ‘Whereas a century after the ofiial end of slavery in Amer- fea, Federal action was required during the 1960s to liminate the dejare and defueto system of Jim Crow thronghout parts of the Nation, though its vestiges stil Finger to this day; Whereas Afviean-Americens continue to suffer from the com: plex interplay between slavery and Jim Crow—long after both sostems were formally aboished—through enormous damage and loss, both tangible and intangible, inceding the loss of human dignity, the frustration of eareers and professional lives, and the long-term logs of income and opportuni ‘Whereas the story ofthe enslavement end de jure segregation of AMvioun-Americans and the debumanizing atrocities committed against them shoald not be purged from or minimized inthe teling of Amerian history; Whereas on July 8, 2002, during trip to Gorse Island, Sen- cal, a former slave port, President George W. Bush a+ nowleged slavery’s continuing legacy in American life tnd the need to confront that legaey when be stated that slavery “was . . . one of the greatest erimes of history ‘The racial bigotry fed by slavery did not end witha slavery or with segregation, And many of the issues that still trouble Ameriea have roots in the bitter experience of other times, But however long the journey, our destiny in st: Hberty and justice forall”; ‘Whereas President Bill Clinton also acknowledged the daep- seated problems eased by the continuing lagaey of race Jom against Aftiean-Americans that began with slavery when he initiated a national dialogue about races Whereas a genuine apology is an important and necessary first step inthe process of rial reconciliation; ‘Wherwas an apology for centuries of brutal dehumanization ‘nd injustices eannot erase the past, but confession of the wrongs committed can speed racial healing and re onelition and help Americans confront the ghosts of ‘heir pst ‘Whereas the legislature of the Commonseath of Virginia has ‘ooontly taken the lead in adopting « resolution filly ‘expressing appropriate remorse for slavery and other State legislatures have adopted or are ensidering similar resolutions; and ‘Whereas it is important for this country, which legally reeag- nied slavery throogh its Constitution and ite laws, to ‘make a formal apology for slavery and for its successor, Tim Crow, so that it ean move forwant and seek ree oneilition, justive, and harmony’ for all of its citizens Now, therefore, be it Resloed, That the House of Representatives — (1) seknowledges that slavery i incompatible with the basie founding prineiples recognized in the Declare tion of Independence that all men are ereated equal,4 (@) acknowledges the fundamental injustice, ervlty, ‘brutality, and inhumanity of slavery andl Jim Crow; (8) apologizes to Abican Americans on behalf of the people of the United States, for the wrongs committed against Thom and their ancestors who suffered under slavery and im Crow; and (4) expresses its commitment to rectify the fine sgering consequences of the misdeeds committed against African Americans under slavery and Jim Crow and to stop the oeeurrenee of human rights violations in the fu- ture, AttestInchan Country —— Pope Francs Apologizes Sighs =" tolndigenous Peoples for “Grave Sins’ of Colonialism sce | sans Sealine ope Pane ‘aged hrs eve ‘at ionamin Repectanctaipersio Say iy ent pp pet fos ners tit och Sed eatin Yo s mba pret cyt la ft char a eshetoa rt mcs ha 0a he Wr Dns Pepi ‘Meats sateen rae Sei be {olka a it ce pre MORE AMERICAN INDIAN, HISTORY Lis. =SSE | Beer ‘The et Chara net may Cea doit tat ending ‘Shean rl ot ane by a ‘Seth ter crt tm ftom thr cee on tn em ‘Seva oftn nrgean nists To Gnu rah Reon Smckee elect mverrina pattie rete ‘eas remedy ha re Maer rer ope ‘Seng Tangs fuer met op ren oa ep ‘tt opeaat ree he oaythe Peswo nar t ~ - sis + pea = Suse “Many have calle fo him t rescind the Doctrine of hi signi ininniaiey ved the way x tere spp apa ins Pen bisa pee nto mt hg a Thre pb stn a ‘ay cling nd at ce Naber a owes they arecommiting'a ve Pale POST A COMMENT 2 Comments ay wa a eter fs wenden PapIn our tines, th common goods increasingly Wreatened by ranenstonal organized crime, te Imoroper une ofthe marat and of the ecenomy,2¢ wel as by temo. ts therfore nanossar fr the rtamatonl community to adopt adquale loa suet 0 prevent and cour cial actives, by pemsting intonation judil cooperation on nin ters {natn numerous iterations conventions In these areas, and acting ls on bol of Vatcen Cty State he Hal See has constanty mantined that such agrerrents are fective ‘means to prevent rininal activites hat reston human cg, he common good and pes. With a view to enewng the Azceoe See's commento cooperate fo these end, by maans of this Apostle Ltr ssued Mot Prop, Lesatsh hat 1. The compote sult Authors of Vatican Cy Stata shal also exercise perl jurisscton 9) exes commitod against th soc, to fundamental intrest ote ptimny ofthe Holy See:1) axes eored we: in Vtcan City Stato Law No. Vil of 14 July 2018, consiring Supplementary Noms on Criminal aw Mats, ln Vatican Clty State Law No, X11 July 203, conan Amendments othe Criminal Code ‘and the Crmina Procedure Code: hen such crimes are commits bythe persans refered to in paragraph below inthe exercise of ir uncsons; ©) ary ter ere whose prosecutions required by an intematonel agreement railed bythe Holy Seo, ifthe carpettar i physical pasentin the teroy ol Vatican City State and has not boon acradtod 2 The crimes refrain paragraph 1 are ob judged pursuant othe criminal law in foc Vaican Cy State athe tine ter commission, without peudce to the genera princes ofthe legal sytem on the tempera aplation of ial laws. For the purposes af Vatican criminal aw, he llowing persons are deemed cubic oflals* 8) members oficial and prsonnal ofthe various organs ofthe Reman Curia and of te Inetitons connected ok ») papal ogates and diplomatic personnal ofthe Holy See, ©) those persons wha seve as reprosoriatves, managas oF decors, a well as persona who ‘oven defacto manage or xorse contr ove te entilesdrecty dependent onthe Holy See and sted inthe registry of cancrical urscl persons kept bythe Goverorate of Vatican Cy State, {6 ny cher person hong an ainsi oj mandate inthe Holy See, permanent or temporary, paid or up, nespectv ofthat person's sri. 4. The uration refered tn paragraph 1 comprises aso the administrative Labs of uid ‘pens arcing fom crimes, 35 regulated by Vatican Cy State laws. 5. When the same matter are prosecuted in oer Sats, the provision in fore Vaoan Cy ‘Stato on concretion sl sop. 6. The content of ae 23 Law No, CHDK of 21 Novernber 1887, which approves the dal (Order of Vatican Cy Stato remains in fre. ‘This | decide and ontabe, anything tothe contrary notwithstanding, |estabsh tat this Aposoc Lette issued Motu Propo wil be promulgate ys publeaton in[Losseratoe Romano tering ino fre on 4 September 2018, {Given in Rome, a he Apostle Palace, on 11 sly 2013, rst of my Ponce,MESSAGE OF MIS HOLINESS POPE FRANCIS FOR THE CELEBRATION OF THE "WORLD DAY OF PEACE 1 DANUARY 2015 [MO LONGER SLAVES, BUT BROTHERS AND SISTERS, 1. tthe begrning of he New Yea, which we weome as Go's gracbus ft taal amonty, I offer heafek Wes of peace to every man orc Woman, to afte words poop and rations, to head of state and Soveromet, ato elgous ede. In dr 5 I pry for an en to tars conifer the gret sete cused by human agency, by pkemes past and preset, and by the devastaton wows by rato! (Seater. I pray espceW thet, onthe bas of ou common cag to ‘cooperate wth Gad and al people ef good wer the advancement of hrtmony and peace the wort we may fess the torpeaton to act ha manner unmet of our hunny. In Message fr Peace last year, I spoke of "he deste fora fe, whch lee brag fe aty wich dans us to felons wh ‘thers and erate us to 200 them not as enams oa But brothers and seers to be acepted arc embraces] She we are by ‘nature réral berg, mart to fe fuer hough nerpersonel rebtonehce reed by ste ad bve, Ri fundamerta frou human Gevecpment thet our py, freedom and autoremy be akong ‘and respecte, Trogealy, the owing scourge of mais expbtaton By ‘man gravely damages the Ke of communen and our cain to fom rspersoral res morte by respec, juste and bye. The ‘tomate plenomenen, whch ead to contempt forte undamertal Fas of thes and othe suppression of he freedom and gry, takes tary forms T wel Be bref) te conser these, 0 tht, nthe KR of God's werd, we cn conser al men and vemen “ro brge ves, tut broters ant seer", Lustenna to God’ an fr turanty 2. The theme Lhave chosen forth years message drawn from SantSOCIAL SECURITY TEH2A October 27, 2016 16A010QL Mr. Kevin L. Amos Apartment 1 7356 South Dorchester Chicago, IL 60619 Dear Mr. Amos: Thank you for your October 12, 2016 letter to the Social Security Administration (SSA) referring to your ethnicity and race identification in our records. The Form SS-5, Application for a Social Security Card, has always contained a voluntary question related to race/ethnicity. Applicants for an original Social Security number (SSN) or replacement SSN card are not required to answer the race/ethnicity question. We will process the Form SS-5 regardless of whether the applicant has provided race/ethnicity information. We request race information for research and statistical purpose only. We create a Numident record when a person applies for an original SSN card. The Numident is the electronic database that contains SSA’s records of SSNs assigned since 1936. Each time an individual applies for a replacement SSN card, we establish a new entry in his or her Numident record. To update information on the Numident, including race, you must submit a Form SS-5 for a replacement SSN card and evidence of identity to prove identity only; you do not need to provide documentation to prove the race selected. To prove identity, you must submit one unexpired, valid document of identity, such as a U.S. driver’s license or state issued non-driver identity card. You can complete, sign, and mail the enclosed Form SS-5, Application for a Social Security Card, with supporting identity evidence to your local Social Security office at 9715 South Cottage Grove, Chicago, Illinois 60628. Social Security Administration Enclosure SOCIAL SECURITY ADMINISTRATION BALTIMORE, MD 21235-(Kevin L Amos 7356 South Dorchester #1 Chicago, Illinois 60619 Social Security Administration Office 9715 South Cottage Grove Chicago, Illinois 60628 Subj: Ethnicity Change Salutations, Please review the letter enclosed from the Social Security Administrator regarding changing my RACE with regard to the Social Security Number Ihave complete the require information on the enclose SS-5 Application regarding RACE. Can you ensure the Numident Electronic Database system that contains the SSA’s records of SSN’s reflect this, information change. Thanks you. Dated: 11.09.2016(10 Appucauun 11 a ouuial vouurny var — eae Wave TAME con caro Reuty 1 |FULL NAME AT BIRTH Fest Pennant: IF OTHER THAN ABOVE OTHER NAMES USED 'Social Security number previously assigned to the person listed in 2 item 4 PLACE S\oF BIRTH (74440. (20 Not Abbrev) Cty Sie or Foreign Country Legal Alen 5 CITIZENSHIP Ty us.ctzen Ey Aveo Ta Mies Wa Soe, esinarrs ETHNICITY. RACE 1 Native Hewaiin B-American indian EL] Other Pacific island 6 |e You ttopanc orator 7 | sien or Mae EE] Assia Native] Blact/Atican American Wiite (Your Response is Voluntary) four Remoame fe Homa) py hon |__| Chyes {No 8 |sEx 121 mate 1 Femate A. PARENTIMOTHER'S |" aie tat g |_NAME AT HER BIRTH Lawinue —Tisore B. PARENT/MOTHER'S SOCIAL SECURITY — NUMBER (see instuctons for 28 on Page 3) Lite hy JA.PARENTIFATHER'S [5 rashes aa NAME Kerate Spe S |B. PARENT/FATHER'S SOCIAL SECURITY _ _ NUMBER (ee instructions for 108 on Page 3) te Ly Pat ennown 44 |Has the person listed in item 1 or anyone acting on his/her behalf ever filed for or received a Social Security number lcard before? 12) Dor Know ("dort kro” Bl Yes yes" answer quesions 1213) EI No Oo preter [Name shown on the most recent Social Full Middle Name Last — Crs lee fs 13 14) Enter any different date of birth if used on an. earlier application for a card 4 | TODAY ME Re Lee 1. —_— 16) 5 ‘Apt_Wo,,PO Box, Rpral Route 7B. : 5 MAILING ADDRESS coumny 21 Code (Do Not Abbreviate) = aie - [Tdeciare under ‘of perury that Ihave i fon on this form, and on any accompanying statements or formes, Terre under penal of peau that have ae ‘and on any accompanying it g| SPUR RELATIONSHIP TO THE PERSON IN ITEM 1 IS: aopoveParen CI Siraan [1 Per Gee NPN [boc NT [CAN inv PEC Evi Eva Eve PRA NWR [NR [UN EVIDENCE SUBMITTED SIGRATURE AND TTL OF EMPLOYEES) REVIEWING | DATE Form 8-55 (08-2011) ef (082011) Destroy Prior Ealvons Pages