OFFICE OF THE SECRETARY OF STATE JESSE WHITE « Secretary of State October 20, 2016 Mr. Kevin L. Amos 7356 South Dorchester, #1 Chicago, IL 60619 RE: — Ethnicity and Race Identification Dear Mr. Amos, The Office of the Secretary of State neither collects, nor maintains, racial or ethnic identification. Office of the Secretary of State Department of IndexKevin L Amos 7356 South Dorchester #1 Chicago, Illinois 60619 Ph: 312-208-0046 Email: kisoma@hotmail.com / klsoma942@gmail.com Jesse White Illinois Secretary of State 213 State Capitol Springfield, IL 62756 Subj: ETHNICITY AND RACE IDENTIFICATION Salutations, Secretary of State Jessie White. Thave submitted within this registered mail envelop supporting documentation that has also been sent to the Social Security Administration Office of International Affairs and the Office of Management and Budget with regard to my Ethnicity and Race Identification Status change. I would like my Ethnicity and Race Identification Status changed to “White and American Indian”. If there is only one choice “White” only. I would greatly appreciate your aid in ensuring my Ethnicity and Race Identification Status is change on all documentations or documents associated with the State of Illinois and the Secretary of State for the State of Illinois. Thank you much for any and all the assistance you provide me. Sincerely, Keyin L Amos ated. Dated: 10/17/2016Send Result Report XQKYOCERA MFP 5MFP NV rr 10/08/2016 12:13 (2K, 000,001,011 (2 Complete == Sesousrate noses Kevin|L Amos 7356 South Dorchester #1 Chicago, Ilinols PH: 312-208-0046 Email: klsoma@botmail.com / kisoma942@gmail.cam 10/08/2016 Office of Management and Budget (OMB) 725 \7* Strect NW Washington, DC 20503, Fax 202-395-3888 i Subj: OMB SF-181 Farm, H.RES 194 and Supporting Documents Submission Salutations, Tam submitting my SP-181 Form, H.RBS 194 and Supporting Documents. | Sincerely yours, Kevin L Amos No, ate and Tine_Destination Times Type ___—Result.___ResoTution/ECN aol w/0an6 v2.08 2078653668 0545" Fat x lbx100 Nort OFF [ wes15820 J