United States Department of State

ishingion,

D.C. 20520

JUL 2 9 2010
In reply refer to: CA/PPT/L/LE — Case Control Number: 200807238

Christopher E. Strunk 593 Vanderbilt Avenue, #281 Brooklyn, NY 11238 Dear Mr. Strunk: The following is in response to your request to the Department of State, dated November 22, 2008, requesting the release of material under the provisions of the Freedom of Information Act (5 U.S.C. § 552). We have completed a search for records responsive to your request. The search resulted in the retrieval of six documents that are responsive to your request. After careful review of these documents, we have determined that all six documents may be released in full. We did not locate a 1965 passport application referenced in an application for amendment of passport that is included in the released documents. Many passport applications and other non-vital records from that period were destroyed during the 1980s in accordance with guidance from the General Services Administration. Passport records typically consist of applications for United States passports and supporting evidence of United States citizenship. Passport records do not include evidence of travel such as entrance/exit stamps, visas, residence permits, etc., since this information is entered into the passport book after issuance.

= EXHIBIT

1

This completes the processing of your request.

Jonathan M. olbin, Director Office of Legal Affairs and Law Enforcement Liaison Bureau of Consular Affairs Passport Services Enclosures: As stated

p1
FORM APPROVED BUDGET BUREAU NO.

47 - RI17.5

DEPARTMENT OF STATE
FOREIGN SERVICE OF THE UNITED STATES OF AMERICA

(

i

POST

APPLICATION FOR

li ,

I RENEWAL

1.--'

— , I REFERRED TO DEPARTMENT FOR ACTION .., . L ___I EXTENSION —
r•-7 RENEWED (.E-Xl`Nt:t. F.;r2) TO . 7.+
_:...L2L.,....._ .

AMENDMENT OF

...

1

I AMENDED AS REQUESTED

1 REGISTRATION
Document No.
/
,....-(FIRST 11AIVIE)

PASSPORT

7 CARD OF IDENTITY -i-1 CERTIFICATE OF IDENTITY S '
FEE COLLECTED

-7 -7 7-7-7 '=-' '. -c"-' Date Issued \lit' , / , ci / ci. It, , i i 7 /
, (MIDDLE49,4MEll (15.0- NAVE) 1_

IMO FEE COLLECTED

(PLEASE PRINT NAME IN FULL)

1

o citizen of the United States, do hereby apply for the serve indica ed above. Of amendment, set forth details on REVERSE.)
DATE • F BIRTH (Month, day, year) PLACE OF .BIRT

>1.--,--,1 n le y

ift /7/7

../ .,-71-, a /27 ..„4

7.::4:: e 7i.7/76; , .

NOW RESIDING AT

UNITED STATES ---

DENCE (Street address.," city, county, state)

a „--- c.-.1 7,72:,

/

/

-r---

,

, :f / /k1/2.17(-- Srq ,

IN THE EVENT OF DEATH OR ACCIDENT NOTIFY (Nome in full, relationship, street address, c ty, state)

a n /7 A p/7206//-

.?2/-7 4/77 1 . Pa n i ()74--

7 e"1 14/ / .I 4

/

.

r

ol~ -2.

/44/

SEEN REFUSED A PASSPORT OR REGISTRAAION AS A CITIZEN OF THE UNITED ST/ATES , E YOU EVE H IF THE ANSWER IS YES, EXPLAIN WHEN AND WHY

NO

PROPOSED TRAVEL PLANS
I INTEND TO RETURN TO THV, UNITED STATES PERMANENTLY TO RESIDE WITHIN

IF RETURNING TO U. S. COMPLETE THE FOLLOWING
PORT OF DEPARTURE

iNpfinit e — -

MONTHS

INTEND TO CONTINUE TO RESIDE ABROAD FOR THE FOLLOWING NAME OF SHIP OR AIRLINE ___D ._ "40.4Zetp hv pe.F.-//v47 PERIOD AND PURPOSE

--TO

A- A/

„, MOO 4.1-5-7/1 /11/ Ci //ZEN

DATE OF DEPARTURE

T have not (and no "tiler person Inc- hied or to be included in the passport or •Theumentation has), SHIGT. acquiring United States citizenship, been naturalized as a citizen of a foretgn state; taken an oath or made an affirmation or other formal declaration of allegiance to a foreign state; entered or served is the armed forces of a foreign state; accepted or perfOrmed the duties of any office, post, or employment under the government of a foreign state or political subdivision thereof; voted in a political election in a foreign state or par ticipated in an election or plebiscite to determine the sovereignty over foreign territory; made a formal renunciation of nationality either in the United States or before a diplomatic or consular officer of the Unit el `.=tates in a foreign state; ever sought or claimed the benefits of the nationality of any foreign state; or been convicted by a court or court martial of competent jurisdiction of committing any act of treason against, or attempting by force to overthrow, or bearing arms against, the United States, or conspiring to overthrow, put down or to destroy by force, the Government of the United States, (ff any of the above-mentioned acts or conditions have been performed by or apply to the applicant, or to any other person included in the passport or documentation, the portion which applies should be struck our, and a supplementary explanatory statement under oath (or affirmation) by the person to whom the portion is oppficob(e should he attached and made a Part of this application.)

o ,..-if

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mil t
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it

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. .-..;--,,c../"Cif.471

--ef -4-i-e,'

.,

(To da

be signed by ;(pplicani ).]
of

Subscribed and Sworn to(affirmed) before rile -his
(SEAL)
1 ''7' to the Consul of the Uni

1

tr??...,-...1. ..... .../ .

,

"-19 t

, • at m••e.)

N

— A074101111 Miliww ...,_

..

(The Department will assume that the consular officer,

rward .:, the application for the Department's decision, is fully satisfied as

applicant's identity unless a notation to the contrary i

FORM F5-299 7 -64

1
AMEND TO INCLUDE (EXCLUDE) (WIFE)(HUSBAND) NAME BIRTHPLACE BIRTHOATE

SPOUSE WAS PREVIOUSLY MARRIED TO

PREVIOUS MARRIAGE TERMINATED BY

n
NUMBER OF MY SPOUSE'S PREVIOUS PASSPORT DISPOSITION OF MY SPOUSE'S PREVIOUS PASSPORT

DIVORCE

L j DEATH .

/`a p ei

r- t

ATTACHED

r I CANCELED MATE)

AMEND TO INCLUDE (EXCLUDE) CHILDREN

NAMES

NA: *

.146.
1

RESIDENCE

BIRTHPLACE

SIR THDA TE

C7 i '. •

AMEND TO READ IN MARRIED NAME NAME

DATE MARRIED

PLACE MARRIED

MARRIED TO

CITIZENSHIP OF HUSBAND p U. S. CITIZEN 0 ALIEN-CITIZEN OF

OTHER AMENDMENTISI (DESCRIBE IN DETAIL ACTION REQUESTED)

DOCUMENTARY EVIDENCE SUBMITTED TO DEPARTMENT

B Y CONSULAR OFFICER

DOCUMENTARY EVIDENCE SEEN AND RETURNED TO APPLICANT BY CONSULAR OFFICER

STATEMENT OF ACTION BY POST UPON DEPARTMENT'S AUTHORIZATION (To

be executed only in Connection with eases referred to Dept.)

THE 1p PASSPORT P CARD OF !DEN TI TY P CERTIFICATE WAS

0 RENEWED TO 0 AMENDED AS REQUESTED 0 EXTENDED TO

DATE

AUTHORITY

(Consul of the United States of America) X
OPINION OF CONSULAR OFFICER

X (Photo required for inclusions) STAPLE ONE PHOTO HERE DO NOT MAR FACE The passport photos required must be approximately 2% by 214 inches in size; be on thin unglazed paper, show full front It= : view of applicant with a plain, light back-ground; and have been taken within 2 Years of date submitted. Caen dependents are included they should be shown in a jtaUp photograph. The consul will not accept photos that are not a good likeness. graphs are acceptable. D. not staple second photo. loosely by paper clip. Attach
Color photo-

-i,.1 --I > ?.
:.2

y i vl

a

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=

(Consul of the United States of Americo) 7 . 64
FORM

FS•299

In certain cases specific authorization by the nepanment will be required. In these cases an extra copy of the form should be prepared. Upon receipt of the Department's reply the extra copy should be transmitted with s notation of the action taken,

DTMENYO3Y.TE

REQUEST BY UH7 -717 5TA. -75 PAT1CL FOR AND REPORT OF EXCEPTION TO SEC O: 53.3, TITLE 22 OF E COC- E. OF FEDERAL REGULATIONS
REQUEST
.nt .HT:1; An ,•-• ,raHd md cE-1- a vaNd p.s,s1)7 im require.3ivLAI; ---c"
r_C) ale, as Dirov -...:leci
the

. Sf.... ctin
Section 23v3.

2
mid I wIl rern:c

th
fec:

=
:f
-

af

32 7 *.r",

CC - 4"
fr.F.:griatur-.1)

REPORT 7C.7, Pas;Torr_ 12fficft

Section

215 of the

and

Nationality Act of 1952

z of State '4'.-33binver., D. C A P 20s24

SUB JECT

TAHLEY ANJ

Dro!.7.
_1?-7 lb.

arcw-7,

D15 1, P . 11

:nman :, .atreman 22 Fay., Djaka7t., :naoriesil= " 16:1'7 '2.outh
NATuRALIZAT:ON DATE PASSPORT ND., DATE AND PLACE OF ISSUANCE

Bir-7THDATT-

Nov. 2?, 1'W42
BiR"- HPLACE

N. A.

777788
U 6.19 s 65 7

<-,_ansas
. AN: PLACE CE DEPARTURE !DESTINATION

Ha4ail
DEPARTURE FROM UNITED STATES

October 1967, Horolulu, Hawaii i---- -- - NUNABE? OR VESSEL 1_,GH

Djakarta, Indonesia
NAME OF CARRIER

Airines

t

TRAVEL TO UNITED STATES
Am 1- ': AND PLACE QF DEAvmTjRE FROM ABROAD

IDENTITY DOCUMENTS PRESENTED

October 20, 1g71, Djakarta, indonesia
FLC1T NIJmE.ER DR VESSEL

1 Passport as sbown above
!NAME OF CARRIER

; FAA 812
[

Fan Amartcar_ Airways
DEST!NATION

DATE AND PLACE CF ENRL

October 21, 1711, Honolulu., HaTzail
ACTION TAKEN
, ider:r.ity andcitizer,ship eslablished. grax_-,ed

Hawaii

22 CFR

5

PLACcr ;Immigrt=tian

Ser,c,1

5IONATURE

AT I

FORM A' 1VE.0

atlDGET BUREAU NO. 47-R059-8

DEPARTMENT OF STATE

,Passport Office Use Only) Amend as shown in section: FJE3 OC MD rirE EiF

APPLICATION FOR AMENDMENT OF PASSPORT
INSTRUCTIONS: All requests for inclusion of persons must be sworn to (or affirmed) belore an Agent of the Department of State or Clerk of Court. Photographs, which meet the requirements below, and evidence of citizenship must be submitted for all persons to be included by this amendment. If such persons hove had, or been included in, a previous passport, it should be submitted instec-I of other documents, and Section 0 c o mplete d,
-PASSPORT NO. OF APPLICANT , --7 -T --. „,..-----...
MAIL '
'

[J Add visa pages.
(r2 . 3

DATE ISSUED

../ ASSPORT TO7--' -'
..."

—'

'.. • ••••• /( .-7-1.... , ..-

STREET

-XFT

.-

i ("!: ,t,-e ....-14-(-.. , " --t.---,...‘4..4 ..., / .., STATE /

\.,..-L

)

. iL,'
.

BIRTH CERTIFICATEISI SEEN

-

C.ILOIRENI • S „...0 SR CR CITY

{WIFE'S! Fl•_ED

IMUSISAND•5I SR CR CITY

a

MARRIAGE CER't. t a &

NA rZ•N. CERT.

OTHER

3

tIt

El

O

S A N

O

CITY

41C---1' . /

..- et.

A.

U .9,
/...".

'N CARE OF 'PLEAS

E PRINT NAME IN FULL)

..(Middle

,

I

of the United States, do h indicated below.

. . .) - L . _

(First name)

name)

(Lost

name)

t. -.----

h 17 / [.i.. / ./ / f:// ... -..._ , a citizen eby request that my passport, which is enclosed, be amended as

C. : ,

t. /C r 0

'
VI

INCLUDE MY CHILD(REN), AS FOLLOWS: (Also complete Section H if child(ren) acquired citizenship by naturalization, and have not had a previous passport.)
NAME IN FULL PLACE OF BIRTH (City, State) DATE OF BIRTH

A

(Photo requirements for inclusion)

is
0

x

STAPLE ONE PHOTO HERE DO NOT MAR FACE

Cri

W

I

W

INCLUDE MY (WIFE) (HUSBAND), AS FOLLOWS: (Also complete Section H if (wife) (husband) acquired citizenship by naturalization, and/or Section I if wife was previously married before March 3, 193L) PLACE OF BIRTH (City, State) (WIFE'S) (HUSBAND'S) FULL LEGAL NAME

ii e . -

Photos must be ONLY of persons to be included by this amendment. The two photos must be duplicates, approximately 2) 12 by 4 2, 5 inches in size; be on thin, unglazed paper with a plain, light background and have been taken within 2 years of date submitted. Photos should be front view, but not full-length, and may not be snapshot, Polaroid, acetate or film base prints. When more than 1 person is to be included, a group photo is required. Color photos are acceptable. DO NOT STAPLE SECOND PHOTO ATTACH BY PAPER CLIP

; : 1) e r; r a ,f,

DATE OF BIRTH

DATE OF MARRIAGE

w
ic EXCLUDE PERSCNS, AS FOLLOWS:
WHO IS/ARE E MY WIFE E my HUSBAND E MY CHILDREN (Give name(s))

m

st

D TO APPLY FOR SEPARATE PASSPORT C] NOT TO ACCOMPANY

D
. ' I --

CHANGE TO READ IN MARRIED NAME, AS FOLLOWS:
MARRIED NAME ,7

j
r

.. 3

i

:.. e..5--: , e.
_..e.''''' DATE OF MAR !AG E/

PLACE OF MARRIAGE

(crty,

:r
State)

/0 ha.;
HUSBAND'S NAME INI FULL (...—

,. ., . . . .,.

f i
WHO IS A
'... a.
UNITED STATES

crr 1 ZEN •
..,:.' '

/ .5

6 5C 1) •:-. T. '

:

.7

/ ..,./ '

_ _JC

74-r I'''. i

cis,

ZEN OF

__,, '..7- e",

CHANGE TO READ AS FOLLOWS:

(CHILMRENI'Sl
NUMBER

(WIFE'S)

(HUSBAND'S) LAST U. S. PASSPORT DATE ISSUED

IN NAME OF
-

ifs SUBMITTED HEREWITH Ci OTHER DISPOSITION (State)

FORM o sp. 19 7- 64

(O V ER )

PAGE 2

TO BE COMPLETED BY AN APPLICANT REQUESTING INCLUSION IN THE PASSPORT OF A RELATIVE WHO ACQUIRED CITIZENSHIP THROUGH NATURALIZATION
IMMIGRATED TO MY THE U. S. ON (Month, day, year) ACQUIRED U. S. CITIZENSHIP ON (Month, day, year) THROUGH THE NATURALIZATION OF

I`

SELF

L--.1 PARENT

0 FORMER HUSBAND

WHO WAS NATURALIZED BEFORE THE (Name of court)

LOCATED IN (City. state)

AS SHOWN BY THE ACCOMPANYING CEATI FICA/ E OF NATURALIZATION NO.

TO BE COMPLETED BY AN APPLICANT WHOSE WIFE WAS PREVIOUSLY MARRIED BEFORE MARCH 3, 1931, AND WHO IS TO BE INCLUDED supplemental stay,,,,,,,) IN PASSPORT (If married more than twice, set forth fa c t s i n a
HER MAIDEN NAME WAS DATE Or PREVIOUS MARRIAGE

NAME OF FORMER HUSBAND

PLACE OF PREVIOUS MARRIAGE

FORMER HUSBAND'S PLACE OF BIRTH

MARRIAGE WAS TERMINATED BY
DEATH Ej DIVORCE

DATE

IN THE EVENT OF DEATH OR ACCIDENT NOTIFY
NAM[ IN FULL REL•TIONSMIR STREET AGGRESS, Gil. r, STATE

K

I have not (and no other person included or to be included in the passport has), since acquiring United Stares citizenship, been naturalized as a citizen of a foreign stare; taken an oath or made an affirmation or other formal declaration of allegiance to a foreign state; entered or served in the armed forces of a foreign state; accepted or performed the duties of any office, post, or employment under the government of a foreign state or political subdivision thereof; voted in a political election in a foreign stare or participated in an election or plebiscite to determine the sovereignty over foreign territory; made a formal renunciation of nationality either in the United States or before a diplomatic or consular officer of the United States in a foreign state; ever sought or claimed the benefits of the nationality of any foreign state; or been convicted by a court or court martial of competent jurisdiction of committing any act of treason against, or attempting by force to overthrow, or bearing arms against, the United States, or conspiring to overthrow, put down or to destroy by force, the Government of the United States.
(If any of the above-mentioned acts or conditions have been performed by or apply to the applicant, or to any other person included or to be included in the passport, the portion which applies should be struck out, and a supplementary explanatory statement under oath for affirmation) by the person to whom the portion is applicable should be attached and made a part of this application.) I solemnly swear (affirm) that the statements herein made arc true and that I have not previously asked to have these additional persons included in my passport; that they are nor now in possession of valid passports, and that they have not made application for passports and been refused.

, .
.... 47
.1"

•'

-..--

(Signature

--Subscribed and sworn to (affirmed) before me this day of

of ,4 pp/icon t) of

19

(Agent, Department of State or Clerk DSP 19
0.5

of Court)

FORM

T-64

RNMENT FRC -STING OFFICE 1t54 CI 702-12 , 1 1212)

(PLEASE PRINT OR TYPE • PENCIL NOT ACCEPTABLE)
DEARTMENT OF BTATE, PID 1r 1: LOCATION POST ACTION PASSPORT ISSJED Na Date

1 For Departmant Decision

Jakarta, Indonesia
REGISTRATICh APPRDVE Owe Expit.ts CARD OF IDENTITY AND REG. O. Dots (Se' cord) El $3 C.* a°1'"." 0413•Poge oassport . Li

APPLICATION FOR X PASSPORT "1 REGISTRATION
fte ALL ?riff ies in all sections that apply to you. If information is unknown, write "Unknown' , Do not leave blank spaces. Use additional sheets where space provided is not adequate.
C tulta 1

Z2433100 June 2,1976
1,1981

TO BE COMPLETED BY ALL APPLICANTS
iFiist -iarne (Midd le namC

EApir* June

Last name
'i./1//i/94-1

4-07'0

Appiicotion tee :oil/vol.) Ii,Z, A ,ti •(

D 510 Fire collected
1

or

the United States, do hereby apply for (a bassi.'

STAIN LEY 1
Day Y•or

ANA) A -J!SoEralt,,,tizen , t!egIS:r3tion)
COLOR OF EYES (Spell gut) SOCIAL SECURITY NO.

'Na Fee '''''ee.' -- -i Official passport

DATE OF BIRTH Month

PLACE OF BIRTH (City, state/province, country)

► / 29 412 WIG N I net, KA NsAsi 6,154
rat COLOR OF HAIR (Spell out)

MY LAST PASSPORT WAS OBTAINED FROM (Nate : :r inc•vEmi in snotileris passport, stet. name of bearer)
1..ICWISO *i 156
ulrIg

Office

Dote of Issuance
'''... .),4 Ail,

HEIGHT

.‘ iriii 01.04 I.;

e ii

fe ir).-?

VISIBLE

—5— r ' DISTINGUISHING MARKS

1,... a ilLoW N
074 .

8ft e WN

535-0-7 4.4tA
OCC URA TI ON

A

om VI PI ile0A1 I L I DALAI*, I TAN, RYA MeArreN C ) arldm.s. city. KM' 417 5. 8E11E7-AN/A No
NOW RESIDING AT PERMANENT RES DENSE (Street IN THE EVENT OF DEATH OR ACCIDENT NOT Y (Non.. in V

No AIL

577/1,

7

•1‘9Ft

I Submitted herewith 4CanceIted and returned

-F -bc "-- i-v-:?77- 7- 3-7.;7',7 7 e 1
• 1 Other disposition (store) Seen and returned MY LAST REGISTRATION AS A CITIZEN

1.___,

(If same as above,

OF THE UNITED STATES WAS APPROVED Dote or Registration Looation af Registertng Ofijc.

retotionslido,

cl to

, city, state)

STANI_EY

DV140.1414 FA?REt

1617 5. 6 EiterAN lA ii I0 S
N AS A CITIZEN OF THE UNITED STATES?

HAVE YOU EVER BEEN REFUSED A PASSPORT OR REGISTRAT PE ANSWER IS "YES", EXPLAIN WHEN AND WHY

El Ye'

lel 044,4ad /I /
Z /P

ira' v I

TO BE COMPLETED BY AN APPLICANT WHO BECAME A CITIZEN THROUGH NATURALIZATION

I

IMMIDRA

TED

TO TIIC U.S. I DCIADED CONTINUOUSLY IN THE U.S.
From fYearl To

(Month, year)

(Year)

NATURALIZATION CERTIFICATE NO. EjSubmrtted herewith

CI Seen and returned
I:=I PPS ), /GUI ly submitted

PLACE NA TURAL ZED (City, Oahe)

NATURALIZATION COURT

DATE NATURALIZED

(WIF E'S) (HUSBAND'S) FULL LEGAL NAME

COMPLETE ONLY IF OTHERS ARE TO BE INCLUDED IN PASSPORT OR REGISTRATION AND SIPINIT GROUP PHOTOGRAPH , 1—InArivE BORN I NATURALIZATION "-..ERTI F ICA TE NO.
ONATURALIZED u Seen and F*TIOIII NATURALIZATION COURT

PLACE NATURALIZED (City, state)

( OATE NATURALIZES
DATE OF BIRTH Rito-, O0 .
T•orl

(WIFE'S) (HUSBAND'S) PLACE OF BIRTH (City, Store or Province, Count y)

_
NAME IN FULL OF CHILDREN INCLUDED PLACE OF BIRTH (City, store:province, country) DATE OF BIRTH (Month, day, year) RESIDED IN U.S. (F rem-To)

EVIDENCE OF PRIOR DOCUMENTATION OF ABOVE-NAMED PERSONS TO BE INCLUDED (For completion by Consular Office)

NAMES

PASSPORT NO.

DATE OF ISSUE

c ANCE LED OR OTHER
DISPOSITION

DATE OF REGISTRA-

TION OR
BIRTH REPORT

LOCATION GE OFFICE

OTHER EVIDENCE OF U.S. CITIZENSHIP PRESENTED iState disposition)

FORM FS-176 9-74

(OVER - YOU MUST COMPLETE PAGE 2)

FORM APPROVED

BUDGET BUR EA U NO. 47-00012

FORM «-S-175 FATHER'S NAME

-7

4

PAGE 2 FATHER S PLACE OF BIRTH ,C'•v. S•efc Frovtnce se C. suns.). , K . u S. CITIZEN

svr'AN4E7'
DATE NATURALIZED FATHER'S DATE OF BIRTH

T'uN NAM
PLACE 4 ATURALIZEO iCity. sto•e) FATHER DECEASED efFATHER RESIONG AT

WI #4 /TA

CAN CAS
F ATHER RESIDED , SI U.S
f

7 NoT U.S. z , TizEN

m AitcH 03 i 'VS
MOTHER'S MAIDEN NAME

44 DEL' IV
DATE NATURALIZED MOTHER'S DATE OF BIRTH

PAY NE
,C] MOTHE R DECEASED

I Fran, F g 7-1,71 r 1,10/44404 id NI MOTHER'S PLACE ^JF BIRTH :C Iy• item. Pra,r.• sPER V KANSAS Nay et,01..0 1 111 F,.... ,;7(7.. r /-1

T. 1 ';- je-r"-s &Al i _. -;'

ZO , " V ,

,_,NOT U.S. CITIZEN --

_ U.S. CITIZEN

PLACE NATURALIZED ;Gtr. state)

0 I WAS NEVER MARRIED
SAn DUNI% i 1

°car, 04, /?22

MOTHER RESIDED ;t4 J.S. T, re 65. 4

r10,-,ER

R'=IOING AT

7

I PRESENT FULL LEGAL NAME OF HuSBANO OR WIFE /571, /

WO WAS LAST MARRIED ON pore) #144 IleC il HUSBAND'S OR WIFE'S PLACE OF BIRTH (City, •tate)

tdPS'IL 0 A 0

SO E'TO RO
L.. . HUSBAND OR WIPE 15 U.S. CITIZEN

HUSBAND'S OR WIFE'S DATE OF BIRTH

N DON es !A

TAN. A I /915

frotsaaND OR WIFE

IS NOT U.S. CITIZEN

HUSBAND OR WIFE NIDW RESIDING AT

D.TAIOLPTA i I "TONES/ A
C ARRIAGE NOT TERMINATED

--IMARRIAGE TERMINATED BY 0 DEATH 0 DivORCE ON
PROPOSED TRAVEL PLANS

A

T
ti Ce CS

J INTEND TO RETURN TO THE UNIT STATES WITHIN
.

19 ,MONTHS

YEARS

To

u RF.SIDE

,.

,, ',SIT.

u 7NDEFINITE.

1 NEVER INTEND TO RETURN TO THE UNITED STATES I INTEND TO CONTINUE TO RESIDE AtlipAi FAI 130)LAWING !JASON )

id

sE errvitki 7'0 IN COMPLETE vr S SE ZTA
r

FIF 77 5.
1

WI

Sh

COMPLETE IF RETURNING TO U.S.
074

ro
s
IN:::s ._:- i
L?"... .,..t;;.-1 '. ....•

PORT OF DEPAR -URE

k.Axer-4
Alre4

DATE OF DEPAR -7uRE

NE

hi l 1176

,

NAME OF SHIP OR AIRLINE

row

. „ '-i i s, , .„..-

.41,. ;
.s.

,

...

e--sii .

, ,,.., . 'I.' .. ..„ - „ ,_ :

VI1P''"7 ••-7,--

WARNING: FaiSE statements made knowingly and willfully in passport applications or in affidavits or other supporting uocumenrs =mum merewan are pumsnaore uy fine and /or imprisonment under the provisions of 18 USC 1001 and/or 18 USC 1542. Alteration or mutilation of a passport issued pursuant to this application is punishable by fine and/or imprisonment under the provisions of 18 USC 1543. The use of a passport in violation of the restrictions contained therein or of the passport regulations is punishable by fine and/or imprisonment under 18 USC 1544. I have not (and no other person included in the application has), since acquiring United States citizenship, been naturalized as a citizen of a foreign state; taken an oath or made an affirmation or other formal declaration of allegiance to a foreign state; entered or served in the armed forces of a foreign state; accepted or performed the duties of any office, post, or employment under the government of a foreign state or political subdivision thereof; made a formal renunciation of nationality either in the United States or before a diplomatic or consular officer of the United States in a foreign state; ever sought or claimed the benefits of the nationality of any foreign state; or been convicted by a court or court nartial of competent jurisdiction of committing any act of treason against, or attempting by force to overthrow, or bearing arms against, the United States, or conspiring to overthrow, put down or to destroy by force, the Government of the United States. (If any of the above-mentioned acts or conditions have been performed by or goofy to the applicant, or to ony other person to be included in the posspon or registration. the

portion which cpplies should be struck out, and a supplementary easlrmatory statement under oath (or affirmation) by the person to whom the portion is applicable should be attached and made a part of this typlicatiors)

I solemnly swear (or affirm) that the statements made on all the pages of this application are true and that the photograph attached is a likeness of me and of those persons to be included in the passport.

--, /L., ..$1 t......; _—

1 eft., i l-

1: .(To be signed of some time by husband /wife

k

/41

to Se

included in passport)

(To be signed by Applicant in presence

of person

— -A% 1

-

administering oath)

subscribed

and sworn to (affirmed) before me this

st iuck
e , . ril

day of .

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(Seal) Consul

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of the United Stares at

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Jakarta ,Indonesia

IDENTIFYING DOCUMENTS SUBMITTED (See 8 FAM 243, pros-acres !

PPLICAT1ON FOR M PASSPORT u REGISTRAT10It
e ALL entries in all sections that apply to you. If information is unknown. IF a "Unknown.' Do not leave blank spaces. Use additional sheets where space iv provided is not adequate. PRINT OR TYPE ENTRIES,
TO

POST LOCATION POST ACTION: PASSPORT ISSUED No Data Expires 1. 3

7a--::::-..rt a , : -,

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.;

REGISTRATION APPROVED Date E xp i res CARD CF IDENTITY AND REG. No. Date

:".37371 - -

BE COMPLETED BY ALL APPLICANTS
(Middle name) I Last name)

4/23/al. 4 / 137 . r9., ' ,

)First name(

S3

Application fee collected

STANLEY
SEX (M-F)

ANN

DUNHAM
a citizen BIRTH DATE Month Day

in
u u

I, of the United States, do hereby apply for le passport) (registration).

$10 Fee collected No Fee passport Official passport

u $5 fee collected (for card) u 48-page u 96-page passport

F

BIRTHPLACE (City, State or Province, Country)

APPLICANT'S EVIDENCE OF CITIZENSHIP
Year u Birth Certificate U-Passport u Certificate of Naturalization or Citizenship C11 4-176 - i 4---' ,

/ Vi..:- ry I

TA , KANSAS, U.S.A.
COLOR OF HAIR (Spell out) COLOR OF EYES (Spell out)

Nov.) 29 11942
SOCIAL SECURITY NO. (Not mandatory)

HEIGHT

Data:

Bearer's Name;

u

Submitted Herewith

5

FL

In.

BROWN

BROWN

535-40-8522

No
Place:

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EKCanceted & Returned u Seen & Returned

NOW RESIDING AT

Jalan Daksa 1/14, Kebayoran Baru Jakarta Selatan, Indonesia
as above,

MY LAST REGISTRATION AS A CITIZEN OF THE UNITED STATES WAS APPROVED Location of Registering Office Date of Registration

PERMANENT RESIDENCE (Street Address, City, State, U.S. ZIP Code) (If =TO

s°4'`"cat°

1617 South Beretania, Apt.1008, Hon., Hawaii
514,011.c

IN THE EVF.NT,geF ACCIDENT OR DEATH NOTIFY (Not mandatory) (Do not give name of a person who will accompary:vu when traveling) lin Relationship: , Name in full. Address: Phone No.: tbIU n .i u Yes No HAVE YOU EVER BEEN REFUSED A PASSPORT OR REGISTRATION =.. AZ. r ZEN OF THE UNITED STATES? IF ANSWER IS "YES." EXPLAIN WHEN AND WHY

lc I/ s u

ha in Becariiit,t1g,1110,Jimululli EzwAii
FATHER'S NAME

r A

949-2317 IN
U.S. CITIZEN

BIRTHPLACE 1/14/C,

STANLEY

DUNHAM

KANSAS, U.
BIRTHPLACE

.A. , Mar,A, 3

74

BIRTH DIE

Ky,•, u N.

MOTHER'S MAIDEN NAME

F e: zi,/,

BIRTH DATE

U.S. CITIZEN

KANSAS, Ll.. A. Oct.26,'22 joy. u N0 , .1 m edrj d ft ' 64,.., w'',.,,X,.r.s:,a,,,V" sow 1:,?,a ll v oiricde name - complete Tp?..l In I WAS LAST MARRIED orilarch 5 01 WAS NEVER MARRIED tolo So torn , t. t4;.4 , vL24i, MADELYN PAYNE
21; PLACE BIRTH DATE Bar'' 4 ung, Indorse- Jan. 2,1936
— /HUSBAND'S VilIFS'S/HUSBANCrS U,S. CITIZEN u Yes

IKI No

0 MARRIAGE NOT TERMINATED 0 MARRIAGE TERMINATED BY 0 DEATH

YOU OR ANYONE NCLUDED IN SECTION B OF THIS APPLICATION BEEN ISSUED OR Ine-LvDED IN A U.S. PASSPORT? tZI Yes u No IF YES, SUBMIT PASSPORT. IF UNABLE TO SUBMIT MOST RECENT PASSPORT, STATE ITS Issue Date DISPOSITION:

S

1a

tia DIVOFICE ON Aug-28. 1980

Am submitting

No.=

Z2433100

:June 2, 1976

(PHOTO REQUIREMENTS FOR PERSONS TO BE INCLUDED) Photos must be ONLY of persons to be included (other then passport bearer). When more than one parson is to be included, a group photograph of the inclusions is required.

COMPLETE IF CHILDREN OR BROTHERS AND SISTERS UNDER AGE 13, AND/OR WIFE/HUSBAND, ARE TO BE INCLUDED AND SUBMIT PHOTO
Vv+FE'S/HUSBAND'S FULL LEGAL NAME

(CONSULAR OFFICE USE ONLY)
WIFE'S/HUSBAND'S EVIDENCE

u BIRTHPLACE ICIty,StateorF'vovince, Country( BIRTH DATE (Mo.,Day,Yr.) u u

Submitted Herewith Canceled & Returned Seen & Returned

CHILDIREN('S NAME(S) IN FULL CONSULATE WI LL STAPLE PHOTO OF INCLUSIONS HERE. DO NOT IMPRESS SEAL ON PHOTOGRAPHS.

BIRTHPLACE S) BIRTH DATE(S) (City, State or Country) (Mo., Oily, Yr.)

CHiLD(RES)'S EVIDENCE

u u u

Submitted Herewith Canceled & Returned Seen & Returned

I have not (and no other person included in this application has), since acquiring United States citizenship, performed any of the acts listed in section 1 on the reverse of this application form (unless explanatory statement 's attached). I solemnly swear (or affirm) that the statements made on all of the pages of this application are true and the photograph(s) attached is (are) a likeness of me and of those persons to be in9IMded in the ,passoort.

if

(SEAL) (To

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Ar , Pi

' .-A"''

be

signed

at

same time by husband/wife to be included in passport) I-- 7

(To be signed by Applicant in presence of person administering oath 19

e

i'=-4. 4.', -14 ,,,_
)

Subscribed and sworn to (affimsan) before me this
-2..../

day of

iii-F.V

Consul

of the United States at

•'

/----7-,

...,_2,,c..,L...,

/ —7 j9V) ' (i .ignature of Oarson ta kingapplication) January 19/C Dept. of State

OPTIONAL FORM 178 (FORMERLY FS-1781

(OVER - YOU MUST COMPLETE PAGE 2)

sir-ido

1'19

PAGE TO BE COMPLETED BY AN APPLICANT WHO BECAME A CITIZEN THROUGH NATURALIZATION
I RESIDED CONTINUOUSLY IN THE From (Year) To (Year) U.S. NATURALIZATION CERTIFICATE NO. u Submitted herewith u Seen and returned u Previously submitted NATURALIZATION COURT DATE NATURALIZED

C
I IMMIGRATED TO THE U.S. (Month, year)

PLACE Na -rURALIZED (City, state)

TO BE COMPLETED BY ALL APPLICANTS
OCCUPATION VISIBLE DISTINGUISHING MARKS

PROGRAM CFFICER, FORD FOUNDATION
I WAS PREVIOUSLY MARRIED ON TO (Full legal name)

none
WHO WAS BORN AT (City, State, Country)

E %OMEN MUST COMPLETE FOLLOWING IF CHILDREN OF A PREVIOUS MARRIAGE ARE INCLUDED OR IF PREVIOUSLY MARRIED BEFORE MARCH 3. 1931

ON (Date of birth)

0 FORMER HUSBAND WAS U.S. CITIZEN

PREVIOUS MARRIAGE TERMINATED BY 0 DEATH u DIVORCE

u FORMER HUSBAND WAS NOT U.S. CITIZEN ON (Date)

F

COMPLETE IF APFtICANT OR ANY PERSON INCLUDED
ENTERED THE U.S. u Applicant u Wife u Husband u Child RESIDENCE/CONTINUOUS PHYSICAL PRESENCE IN U.S. From(Year) To (Yost) u Applicant [I. Wife [Husband Cr Child ( (Month) (Year) Date

IN

SECTION BOLAS NOT BORN IN THE UNITED STATES AND CLAIMS aTIZENSHIP THROUGH PARENTE
IF FATHER NATURALIZED: Certificate No. IF KNOWN, FATHER'S RESIDENCE PHYSICAL PRESENCE IN U.S. To (Year) From (Year)

Before (Name of Court)

Piece (City, State)

IF MOTHER NATURALIZED: Date Certificate No.

IF KNOWN, MOTHER'S RESIDENCE PHYSICAL PRESENCE IN U.S. To (Year) From (Year)

Before (Name of Court)

Place (City, State)

(

PROPOSED TRAVEL PLANS (Not Mandatory)

I INTEND TO CONTINUE TO RESIDE ABROAD FOR THE FOLLOWING PERIOD AND PURPOSE

Two years contract with Ford Foundation from January 1981 - December 1982.
I INTEND TO RETURN -TO TKE UNITED STATES WEAMANENTEY Td RESIDE WITHIN MONTHS YEARS DATE OF DEPARTURE

H

PRIVACY ACT STATEMENT
The information solicited on this fdrm is authorized by, but not limited to, those statutes codified in Titles 8, 18, and 22, United States Coda, and all predecessor statutes whether or not :ocified, and all regulations issued pursuant to Executive Order 11295 of August 5, 1966, The primary purpose for soliciting the information is to establish citizenship, identity and entitlement to issuance of a United States Passport or related facility, and to properly administer and enforce the laws pertaining thereto. The information is made available at a routine use on a need-to-know basis to personnel of the Department of State and other government agencies having statutory or other lawful authority to maintain such information in the performance of their official duties; pursuant to a subpoena or court order; and, es set forth in Part 6a, Tide 22, Code of Federal Regulations (See Federal Register Volume 40. pages 45755, 45756, 47419 and 47420). Failure to provide the information requested on this form may result in the denial of individual seeking such passport, document or service.

a

United States Passport, related document or service to the

NOTE: The disclosure of your Social Security Number or of the identity and location of a person to be notified in the went Of death or accident is entirely voluntary, However, failure to provide this information may prevent the Department of State from providing you with timely weistance or protection in the event you should encounter an emergency situar" -; while outside the United States.

ACTS OR CONDITIONS
(If any of the below-mentioned acts or conditions have been performed by or apply to the applicant, or to any other person to be Included in the passport, the portion which applies should be struck out, and a supplementary explanatory statement under oath (or affirmation) by the parson to whom the portion is applicable should be attached and made a pert of this application.) I have not (end no other person included in this application hes), since acquiring United States citizenship, been naturalized as a citizen of • foreign state; taken en oath or made an affirmation or other formal declaration of allegiance to a foreign state: entered or served in the armed forces of a foreign state; accepted or performed the duties of any office, post, or employment under the government of a foreign state or political subdivision thereof; made a formal renunciation of nationality either in the United States or before a diplomatic or consular officer of the United States in a foreign state; ever sought or claimed the benefits of the nationality of any foreign state; or been convicted by a court or court martial of competent Jurisdiction of committing any act of treason against, or attempting by force to overthrow, or bearing arms against, the United States, or conspiring to overthrow, put down or to destroy by force, the Government of the United States. WARNING: False statements made knowingly and willfully in passport applications or in affidavits or other supporting documents submitted therewith we punishable by fine and/or imprisonment under the provisions of 18 USC 1001 and/or 18 USC 1542. Alteration or mutilation of a passport issued pursuant to this application is punishable by fine and/or imprisonment under the provisions of 18 USC 1543. The use of a passport in violation of the restrictions contained therein or of the passport regulations is punishable by fine and/or imprisonment under 18 USC 1544. All statements and documents submitted are Subject to yeriticatiLn.

(FOR USE OF OFFICE TAKING APPLICATION)
APPLICANT'S IDENTIFYING DOCUMENT(S) 1,—, Certificate of NaturalL./ leaden or Citizenship 0 Passport u u Driver's License Omer (Spacifi), No.: Issue Date: Place of Issue: Issued in Name of: IDENTIFYING DOCUMENT(S) OF WIFE/HUSBANO TO BE INCLUDED IN PASSPORT f--, Certificate of NaturalNo.: L-1 ization or Citizenship Issue Data: u Passport u u Driver's License Other (Specify). Place of Issue: Issued in Name of:

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CERTIFICATION DECLARATION OF Christopher-Earl: Strunk in esse
TO WHOM IT MAY CONCERN: I, Christopher-Earl: Strunk in esse, hereby declare and certify under penalty of perjury with 28 USC 1746, that: 1. I am the Plaintiff in the case Strunk v US DOS USDC for the District of Columbia Docket 08-cv-2234 seeking the passport related records of Stanley Ann Dunham (a.k.a. S. Ann Dunham Obama, a.k.a. S. Ann Dunham Soetoro) (deceased); and 2. I am the Petitioner in the matter of the Freedom of Information Act Request for the passport related records of Stanley Ann Dunham et al. with case control number: 200807238. 3. On or about July 30, 2010, I received a transmittal of six individual records marked P1 through P6 showing the front and back of each for a total pages of 12 plus the two page cover letter of July 29, 2010, and 4. That on July 29, 2010 all the records marked P1 through P6 were deemed all those available regarding the above referenced matter described in the cover letter by Jonathan M. Robin, Director for the Office of Legal Affairs and Law Enforcement Liaison Bureau of Consular Affairs Passport Services (see the attached). 5. Of particular interest is the "Amend to Include (Exclude) Children" entry by Stanley Ann Dunham Soetoro who subscribed to on 13 August 1968 on page 2 of the Document marked P1 shown in her own handwriting crossed out to mean to exclude "Barack Hussein Obama (Soebarkah)" from her passport renewal. 6. The attached documents plus cover letter of two pages for a total 14 pages received from the U.S. Department of State associated with my request for records of Stanley Ann Dunham etc. with case control number: 200807238.
I do hereby declare and certify that the attached records are a true and accurate copy of those received by Declarant; and that I am available to testify in open court as such.
Dated: Brooklyn New York December , 2011

C i ristopher-Earl: Strunk in esse 593 Vanderbilt Avenue — 281 Brooklyn, New York 11238 Cell- 845-901-6767 email: chris*,strunk.ws Attached: Coverletter (2 pages) Six (6) Documents P1 thru P6 (12 pages)

Dr. Orly Taitz, Attorney-at-Law (California SBN 223433) Orly Taitz Law Offices 26302 La. Paz, Suite 211 Mission Viejo, California 92691 Telephone: (949) 683-5411 E-Mail: dr taitz@yahoo.com

UNITED STATES DISTRICT COURT
FOR THE CENTRAL DISTRICT OF CALIFORNIA SANTA ANA (SOUTHERN) DIVISION Captain Pamela Barnett, et al., Plaintiffs, v. Barack Hussein Obama, Michelle L.R. Obama, Hillary Rodham Clinton, Secretary of State, Robert M. Gates, Secretary of Defense, Joseph R. Biden, Vice-President and President of the Senate, Defendants. Civil Action: SACV09-00082-DOC (Anx)

Affidavit of Susan Daniels
1. My name is Susan Elizabeth Daniels, 1 am over 18 years old, am of sound mind and free of any mental disease or psychological impairment of any kind or condition. 2. 1 am a citizen of the United States of America, I am 68 years old and 1 was born and raised in the State of Ohio. I am licensed by the State of Ohio as a private investigator; I am president of Daniels and Associates Investigations, Inc., incorporated in March 1995, license number 65199565509. 4. I have personal knowledge of all the facts and circumstances described herein below and will testify in open court to all of the same. 5. I located a social security number for Barack Hussein Obama and found that it was issued between 1977-1979 in the State of Connecticut but as I investigated
EXHIBIT

17-

further, I found an additional eight social security numbers. One of the numbers had (Deceased) behind it. I was able to find the name of the person the SSN actually belonged to and printed it from the Social Security Administration death index. 6. I researched social security numbers for Michelle Obama. When I ran her name, two different social security numbers appeared for her, including one that does not belong to her but is listed for her at 1600 Pennsylvania Ave. Washington, D.C. 7. The true and correct copies I personally obtained are attached.

8. 1 solemnly swear under penalty of perjury that all the facts stated and circumstances described above are true and correct statements.

I have not received any compensation for making this affidavit. Further, Affiant saith nagg4 y Signed and executed in October, 2009.

on this J f day of

usan Elizabeth Dam

NOTARY'S 3 - U RAT
Susan Elizabeth Daniels appeared before me in person on this _It_ clay of 6'7 (city) 2/LL I October, 2009, in (country) and having presented to me her tver's license and (state), having been sworn by me duly under oath and having been admonished that she did so under penalty of perjury, she did then and there depose herself and give the abovelisted statements in my presence in the form of his written affidavit. Specifically but without limitation, Susan Elizabeth Daniels did in my presence authenticate the documents attached here as a true and correct copy of the documents she obtained and described in her affidavit.

Notary Public in the State of Ohio Business Address of Notary:
.

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Age/DOB Address
AVE. . S C -K7430 IL 63615-2806

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Aug 05 - Aug 07

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1 OLD STATF CAPI 1 7 1.7 APT SDRINGf- IELD IL 32f'Cl '1512

May 09 - Sep 09

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,," ioiDHEL LE OBAMA
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Jun 08 - Sep 09

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MICHELLE:. 0 BA MA

123 VV NORTH AVE CAROL STREAM it I-;0188-200 I

Mar 09 Aug 09

Gender: Female

mIcHELLE ()SAWA Gender: Female
324-56-xxxx

,:136 4 MILE RD NVI APT
GRAND RAPIDS MI 45544 - 1502

Jan 09 - Jul 09

micHELL E GBAMA
Gender. Female

LII CAI HARINE 14 IILAILFI PHIA PA , +147,.7,009

Apr 07

intcHr I E OBAMA
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2 RHODES AVE AP -I 180 7 CHICAGO 1 6065,127?,

MIC H!.L0 6A MA Gender Female

1901

AUF Jun 09 - Sep 09

FIR,ILDERIcK MD T51

MICHEL.L.E. OBAMA Gender: Female

1 PENNSYLVANNIA BEVERI 90210

Jan 09 - Sep 09

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0/9/09 9: 15 AM

SSN Verifier Plus
SSNM111110.4425

Year(s) Issued: 1977-1979 State issued: Connecticut

SSN not found in Social Security Death Index

OBAMA, BARACK OBAMA, BARACK HUSSEIN

1890

08/04/1961 04/08/1961

Tracers Information Specialists, Inc. - Standard People Search

https://www.tracersinfo.com/SearchCentral/viewreturn.php3?pargs= „

Standard People Search
105 Records
Search Criteria Name: OBAMA, BARACK Flags: Arrests, Bankruptcies, Criminal Records, Evictions, Professional Licenses, Warrants

Reports

Name OBAMA BARACK H OBAMA BARACK

Address
295 HARVARD ST 1505 CAMBRIDGE MA 02139-2382

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Phone AR N

Reported: 01/2009 - 01/01/2009 County: Middlesex
1600 PENN AVE WASHINGTON DC 20007

Reported: 12/2008 12/2008 County: District of Columbia
-

N

OBAMA BARACK

559 W GOLF RD lx ARLINGTON HTS IL 60005-3904

Reported: 11/2008 - 11/2008 County: Cook
56 THORNTON RD NEEDHAM MA 02492-4330 lx

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OBAMA BARACK

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Reported: 09/2008 - 11/2008 County: NORFOLK
713 HART SENATE WASHINGTON DC 20510-0001 1x

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Reported: 11/2008 11/2008 County: District of Columbia 3fi.2F ni IVF T
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OBAMA
BARACK

DENVER CO 80207-1523

Reported: 09/2008 - 11/2008 County: Denver
810E 13TH AVE EUGENE OR 97401-3742

N

OBAMA BARACK

- -it ' ' ' Ill '-' ' ' ' ' I `) ' 9 Reported: 09/2008 - 11/2008 County: Lane
435 DALLAS AVE LANCASTER TX 75146

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OBAMA BARACK OBAMA BARACK l OBAMA BARACK Reports Name OBAMA BARACK

Reported: 09/2008 -11/2008 County: Dallas
1930 WALLACE ST 2x PHILADELPHIA PA 19130-3220

N

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Reported: 09/17/2008 County: Philadelphia

-

10/03/2008 2x

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Landline: (215)235 - 3040

N

1000 NW 33 AVE FORT WORTH TX 76180

Reported: 04/2008 - 09/2008 County: Tarrant Address
123 MAIN ST CHARLESTON SC 29464 1x

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675 - 54 - 6554

N Phone AR N

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SSN/DOB

Reported: 08/2008 09/2008 County: Charleston
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10/2/09 9:14 AM

Tracers Information Specialists, Inc. - Standard People Search

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OBAMA BARACK HUSSEIN OBAMA BARACK

5450 S EAST VIEW PARK PK CHICAGO IL 60615

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4425

Reported: 08/202008 - 08/20/2008 County: Cook
14 W ERIE ST CHICAGO IL 60654 (POSSIBLE HICK RISK)

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Issued: 1977-1979 in CT DOB: 08/04/1961 Age: 48

Landline:

( 7 73)684-4809

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Cell:
(312)310 - 0069 N

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Reported: 08/20/2008 - 08/20/2008 County: Cook NO ADDRESS REPORTED CHICAGO IL 60615 Reported: 08/18/2008 - 08/18/2008 County: Cook
180 N LASALLE CHICAGO IL 60601 „ , (PC),L-,IFDLE HIGH PISI1

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(No IP Address Reported)

Phone: (312)751-1170 N

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OBAMA BARACK

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OBAMA
BARACK

Reported: 08/18/2008 - 08/18/2008 County: Cook 2x 83775 BATES RD
JACKSON NJ 08527

OBAMA BARACK

Reported: 02/2008 - 08/2008 County: Ocean
1000 33RD AVE FORT WORTH TX 76180

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Reported: 08/2008 - 08/2008 County: Tarrant
505 FARR C COLUMBUS GA 31907-6275

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Reported: 01/2008 - 08/2008 County: Muscogee
1603 RUCKER RD ALPHARETTA GA 30004-1435

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Reported: 08/2008 - 08/2008 County: FULTON
180 N LA SALLE ST 2200 CHICAGO IL 60601-2610
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Reported: 06/012007 - 06/01/2008 County: Cook Address
OBAMA LN FRANKLIN WI 53132

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OBAMA "Reported: 05/2008 - 06/2008 BARACK County: Milwaukee OBAMA BARACK
123 WHITE HOUSE IRVINE CA 9261:3

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Reported: 06/2008 - 06/2008 County: ORANGE
15 A 1A MANALAPAN FL 33462

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Reported: 05/2008 05/2008 County: Palm Beach
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5046 S GREENWOOD AVE 5x CHICAGO IL 60615-2806 (POSSIBLE HIGH RISK) Reported: 12/01/2007 - 04/01/2008 County: Cook

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DOB: 08/04/1961 Age: 48

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5450 S EAST VIEW PARK 1 CHICAGO IL 60615

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Reported: 03/25/2008 - 03/25/2008 County: Cook NO ADDRESS REPORTED CHICAGO IL 0 Reported: 03/03/2008 - 03/03/2008
40 TRANSFER ST DENVER CO 80207 lx

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11.11.111 : 1977-1979 in CT lssu jr DOB: 08/04/1961 Age: 48

Landline:
(773)684 4809
-

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Reported: 03/2008 - 03/2008 County: Denver
111 PENNSYLVANIA AVE WASHINGTON UT 84780

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(303)545 0199
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Reported: 08/2007 02/2008 County: Washington
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505 FARR C COLUMBUS GA 31907

Reported: 02/2008 02/2008 County: Muscogee
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Issued: 1988 1989 in AL
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OBAMA BARACK LVVYR

14 VV ERIE ST CHICAGO IL 60610 (POSSIBLE HiGi, RISK)

Landline:
(312)751 1170
-

Reported: 01/02/2008 County: Cook
Address

-

01/02/2008

Cell:
(312)310-0069

N

E mail: bobarna@lawmbg.com
-

(No IP Address Reported) Maps 8x
Pv1ap

Phone: (312)751-1170
SSN / DOB

Reports

Name OBAMA BARACK HUSSEIN OBAMA BARACK

Phone Landline:
(773)684 4809
-

AR N

5450 S EAST VIEW PARK PK CHICAGO IL 60615

4111111 4425

Reported: Reported: 01/02/2008 - 01/02/2008 County: Cook
PO BOX 1236 PROVO UT 84603-1236 lx

It

• 1977-1979 in CT DOB: 04/08/1961 Age: 48 —

Reported: 01/2008 - 01/2008 County: Utah
15 AlA MANALAPAN FL 33434 lx Map It 651-23-4987

N

OBAMA BARACK OBAMA BARACK HUSSEIN MR OBAMA BARACK H OBAMA BARACK HUSSEIN OBAMA BARACK HUSSEIN OBAMA BARACK

Reported: 01/2008 01/2008 County: Palm Beach
-

N

5450 S EAST VIEW PARK 1 CHICAGO IL 60615

8x
Map It

alg4425

Reported: 11/15/2007 - 11/15/2007 County: Cook 5046 S GREENWOOD AVE 12x
CHICAGO IL 60615-2806 (POSSIBLE HIGH RISK)

: 1977-1979 in CT DOB: 04/08/1961 Age: 48
I"
-

Landline:
(773)684 4809
-

N

1

-4425 Map It

P7-1

Reported: 07/2005 - 11/15/2007 County: Cook
365 BROADWAY SOMERVILLE MA 02145

fed: 1977-1979 in CT DOB: 08/01/1961 Age: 48
ell-4425

N

3x
Map It

i 1

Reported: 06/01/1986 - 10/01/2007 County: Middlesex 365 BROADWAY B1 12x
SOMERVILLE MA 02145

ued- 1977-1979 in CT DOB: 08/04/1961 Age: 48
4425

Landline:
(773)684 4809
-

N

1:;:=;•7_

Map

Reported: 07/17/2001 - 10/01/2007 County: Middlesex 918 BAINBRIDGE ST 1x
PHILADELPHIA PA 19147

It

till• 1977-1979 in CT ied• DOB: 04/08/1961 Age: 48

Landline:
(773)684 4809
-

N

Reported: 08/2007 - 08/2007 County: Philadelphia

Map It

N

3 of 8

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OBAMA BARACK

123 MAIN ST LANSING MI 48910

1x Map

Reported: 07/2007 - 07/2007 County: Ingham
180 N LA SALLE ST 2200N CHICAGO IL 60601-2501 (POSSIBL E. HIGH RISK)

It 2x
Map It

N

OBAMA BARACK

H
Reports Name OBAMA BARACK

Reported: 02/2007 - 06/2007 County: Cook Address
1236 PO BOX PROVO UT 84603

111111114425 Issued: 1977-1979 in CT SSN / DOB
901-09-8765

N

Maps 2x

k

i Pas1

Reported: 06/2007 - 06/2007 County: Utah
610E OLD WILLOW RD PROSPECT HEIGHTS IL 60070-1913

N

lx
Map It

OBA AM E3ARAC K

N

Reported: 04/2007 - 04/2007 County: Cook
505 CATHARINE ST lx PHILADELPHIA PA 19147-3009

OBAMA BARACK OBAMA BARACK

Reported: 04/2007 - 04/2007 County: Philadelphia
5450 S EAST VIEW PARK 1 CHICAGO IL 60515-5916

Map It

N

3x
Map

4425

HUSSEIN

Reported: 07/2006 - 07/2006 County: Cook
607 E ADAMS ST SPRINGFIELD IL 62701-1634 (ROSSIBLE I IIGH RISK)

It 9x
Map 1t

la 1977-1979 in CT Iss: DOB: 08/04/1961 Age: 48

Landline:
(773)684-4809

N

F-51.-.: .2

OBAMA BARACK S OBAMA HARACK HUSSEIN

Landline:
(217)492-5089

N

Reported: 04/21/2006 - 05/07/2006 County: Sangamon 300 MASSACHUSETTS AVE 5 1x
WASHINGTC)N

r-r, ',,nori

Mop

Reported: 02/01/2006 - 02/01/2008 County: District of Columbia
227 6TH ST WASHINGTON DC 20002

It

"Me:1977 1979 in CT
-

1425

Landline:
(( /3)62/4 - 480$.-1

N

DOB: 08/04/1961 Age: 48

::

,—

OBAMA BARACK HUSSEIN OBAMA BARACK HUSSEIN OBAMA BARACK H OBAMA BARACK HUSSEIN

lx
Map

11111.4425

Reported: 02/01/2006 - 02/01/2006 County: District of Columbia
300 MASSACHUSETTS AVE 10x WASHINGTON DC 20001-2629

It

Issued: 1977-1979 in CT DOB: 08/04/1961 Age: 48
IIIII-4425

Landline:
(773)684-4809

N

Map

Reported: 09/2005- 02/01/2006 County: District of Columbia
300 MASSACHUSETTS AV WASHINGTON DC 20001-2640

It 3x
Map

Issued: 1977-1979 in CT DOB: 04/08/1961 Age: 48
4425

Landline:
(773)684-4809

N

Reported: 06/01/1986 - 02/01/2006 County: District of Columbia
227 6TH ST WASHINGTON DC 20002

It

ei ted: 1977-1979 in CT till 48 1961 Age: DDB '

684-4809

N

8x
Map It

411111-425 4
Issued: 1977-1979 in CT DOB: 04/08/1961 Age: 48 SSN / DOB

Landline:
(773)684-4809

Reported: 02/01/2006 - 02/01/2006 County: District of Columbia Address
227 6TH ST WASHINGTON DC 20002-6067 County: District of Columbia

N AR

Reports

Name OBAMA BARACK

Phone

H
AKA: OBAMA BARACK AKA:

2x
Map It

-4425

Reported: 06/01/1986 - 02/01/2006

Issued: 1977-1979 in CT DOB: 08/04/1961 Age: 48

684-4809

4ot8

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OBAMA BARRACK OBAMA BARACK
14 W ERIE ST CHICAGO IL 60610-5397 (POSSIBLE HIGH RISK)

2x
Map It

Landline:
(312)751 - 1170

Reported: 12/21/2004 - 01/2006 County: Cook
5046 S GREENWOOD AVE CHICAGO IL 60615-2806 , (POSSIBLL: HIGI-- ;),isi()

E mail: bobama@lawmbg.com
-

(No IP Address Reported) 2x
MaP It

Phone: (312)751-1170 Landline: (773)684 - 4809

OBAMA BARACK

1111114425

Reported: 07/2005 - 11/2005 County: Cook
54501 E VIEW PARK CHICAGO IL 60615

Issued: 1977-1979 in CT

N

OBAMA BARACK HUSSEIN
(

6x
Ma p It

Reported: 06/01/1997 - 05/26/2005 County: Cook
7436 S EUCLID AVE 2 CHICAGO IL 60649 lx

4425 Is"! 1977-1979 in CT

DOB: 08/04/1961 Age: 48
alle4425

Landline: (773)684 - 4809

N

I

OBAMA BARACK HUSSEIN OBAMA BARACK HUSSEIN OBAMA HUSSEIN OBAMA BARACK

Reported: 05/26/2005 - 05/26/2005 County: Cook
54501 SE VW CHICAGO IL 60615 lx

Map It

Issued: 1977-1979 in CT DOB: 08/04/1961 Age: 48
41111 4425

Landline: (773)684 - 4809

N

1r7tz.-1

Reported: 05/26/2005 - 05/26/2005 County: Cook
5450 E VIEW PARK 1 CHICAGO IL 60615 1x

Map It

Issued: 1977-1979 in CT DOB: 08/04/1961 Age: 48
4111111-4425

Landline: (773)684 - 4809

N

M ap
It

Reported: 05/26/2005 - 05/26/2005 Courtly: Cook
5450 S EAST VIEW PARK 1 CHICAGO IL 60615-5916

Issued: 1977-1979 in CT DOB: 08/04/1961 Age: 48

Landline: (773)684 - 4809

N

lx
Map

Reported: 05/2005 - 05/2005 County: Cook
1013 E 53RD ST CHICAGO IL 60615-4311

It 9x
Map It

N

OBAMA BARACK

Landline:
(773)363 - 1996

Reported: 12/21/2004 - 01/14/2005 County: Cook -,( cc1 ,3 I- 1( • --, ', IQ< ) ) ` I-- 1 ' ' ' `-' 1 ') Reported: 12/21/2004 - 01/06/2005 County: Cook
(1-

N

''''-'

OBAMA BARACK

14 W ERIE ST CHICAGO IL 60654-5397

ix
Map It

Landline:
(312)751-1170

N

E mail: bobama@lawmbg.com
-

(No IP Address Reported) Address

Phone: (312)751-1170 SSN I DOS Phone Landline:
(773)363 - 1996

Reports

Name OBAMA BARACK

Maps
lx Map It

10131/ 53RD ST CHICAGO IL 60615

Reported: 07/2003 - 07/2003 County: Cook
10131 53RD ST CHICAGO IL 60615

1x
Map It

OBAMA BARACK OBAMA BARACK SEN
-

Landline:
(773)363 - 1996

Reported: 07/2003 - 07/2003 County: Cook
1741 E 71ST ST CHICAGO IL 60649

7x
Map It

Reported: 02/01/2003 - 02/01/2003 County: Cook

Landline: (773)363 - 1996 Reported: 10/C

E mail: jemasondist13@prodigy.net

IP address: 192.100.76.133

5 of 8

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BARACK H

5450 S EAST VIEW PARK 1 CHICAGO IL 60615-5916

Reported: 10/1997 -10/2002 County: Cook

ma , I t ''''

........,,,,,--TL,..1

issued: 1977-1979 in CT DOB: 08/04/1961 Age: 48
4425

N

3:ifl

OBAMA BARACK H OBAMA BARACK H

Reported:

5450 S EAST VIEW PARK 1 CHICAGO IL 60615

1x
Map It

07/2002 - 07/2002 lx

see: 1977-1979 in CT

N

County: Cook
5450 S EAST VIEW PARK 1 CHICAGO IL 60615 Map It 350-60-2302

Reported: 07/2002 - 07/2002 County: Cook
365 BROADWAY SOMERVILLE MA 02145 - 2440

Issued: 1975-1976 in IL
alt4425

N

---,, _.

-

OBAMA BARACK H OBAMA BARACK HUSSEIN OBAMA BARACK H OBAMA BA RA CK HUSSEIN Name OBAMA BARACK H OBAMA BARACK

7x
Map

Reported: 06/01/1986 - 07/17/2001 County: Middlesex
7436 S EUCLID AVE 2 CHICAGO IL 60649

It

Issued: 1977-1979 in CT Dm 08/84/1881 Age: 48
4425

684-4809

N

8x
Map

o

1- 1

Reported: 11/13/2000 -11/132000 Cou nty: Cook 7436 S EUCLID AV 8x
CHICAGO IL 60(349-3626

t I-

1 11 : 1977-1979 in CT DOB: 04/08/1961 Age: 48
-4425 'red: 1977-1979 in CT

Landline:
(773)684 - 4809

N

ril

Map

Reported: 06/01/1986 - 11/13/2000 County: Cook
5450 VIEW PA CHICAGO IL 60615

it

684-4809

N

DOB: 08/04/1961 Age: 48
Map allIR-4425

8x It Maps 1x
Map

1:1
;f.
Reports

County: Cook

Reported: 10/01/1999 - 10/01/1999 Address

—ti"Is - . : 1977-1979 in CT DOB: 04/08/1961 Age: 48 SSN / DOB
illIM-425

Landline:
(773)684 - 4809

N
AR N

Phone 684-4809

54501 SE VIEW PK CHICAGO IL 60615

Reported: 06/01/1986 -10/01/1999 County: Cook
54501 SE VIEW PK CHICAGO IL 60615

It

Issued: 1977-1979 in CT DOB: 08/1961 Age: 48
425

lx
Map

HUSSEIN
I'
7.1.-

Reported: 10/01/1999 - 10/01/1999 County: Cook
5450 S EAST VIEW PA 1 CHICAGO IL 60615 - 5916

It

W:1977-1979 in CT DOB: 08/04/1961 Age: 48
425

Landline:
(773)684 - 4809

N

Il

OBAMA
BARACK H

5x
Map

684 4809
-

Reported: 06/01/1986 County: Cook
5450 VIEW PA CHICAGO IL 60615

10/01/1999 -

1t

sued: t1977 1979 in CT ued DOB: 08/04/1961 Age: 48

Landline:
(773)684 - 4809

N

OBAMA
BARACK HUSSEIN OBAMA BARACK HUSSEIN

lx
Map
-

Reported: 10/01/1999 County: Cook
49798 PO BOX CHICAGO IL 60649

10/01/1999
1x

It

ued: liella

- 4425 19'77 1979 in CT DOB: 08/04/1961 Age: 48
-

Landline: (773)684 - 4809

N

11.111-4425

Reported: 09/01/1999 - 09/01/1999 County : Cook
B49798 PO CHICAGO IL 60649

Issued: 1977-1979 in CT DOB: 08/04/1961 Age: 48 map It
1111104425

Landline:
(773)684 - 4809

N

1:I :-: 11
1 .
-

OBAMA BARACK HUSSEIN OBAMA BARACK H

lx

Reported: 09/01/1999 - 09/01/1999 County: Cook
B49798 PO CHICAGO IL 60649

Issued: 1977-1979 in CT DOB: 08/04/1961 Age: 48
1111114425

Landline:
(773)684 - 4809

N

2x
Map

Reported: 09/1999 - 09/1999 County: Cook

It

Issued: 1977-1979 in CT

N

6 of 8

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OBAMA BARACK HUSSEIN OBAMA BARACK SEN OBAMA BARACK HUSSEIN Reports 7.-.7. '.. FE .._

PO BOX 49798 CHICAGO IL 60649 Reported: 09/1999 - 09/1999 County: Cook

2x

DOB: 08/04/1961 Age: 48 Map It

r

if4425

ed: 1977-1979 in CT

Landline: (773) , 684 4809
-

7x 2152E 71ST ST CHICAGO IL 60649 Reported: 05/01/1999 - 05/01/1999 County: Cook 8x 1440 E 52ND ST CHICAGO IL 60615 Reported: 01/01/1999 - 01/01/1999 County: Cook Address lx 1440E 52ND ST CHICAGO IL 60615 Reported: 01/01/1999 - 01/01/1999 Count ,. Cook 365 BROADWAY B1 lx SOMERVILLE MA 02143 Reported: 11/12/1997 -11/12/1997 County: Middlesex 54501 E VIEW PARK CHICAGO IL 60615 Reported: 06/1997 - 06/1997 County: Cook 4x

Landline: (773)363 1996
-

Map It

tr

4425 ed: 1977-1979 in CT DOB: 04/08/1961 Age: 48 SSN / DOB

Landline: (773)684 4809
-

Name OBAMA BARACK HUSSEIN OBAMA BARACK HUSSEIN

Phone Landline: (773)684 4809
-

AR

Map It

011.11114425 Issued :1977-1979 in CT DOB: 08/04/1961 Age: 48 MIB-4425 Issued: 1977-1979 in CT

N

Map It

N

:...f.

OBAMA BARACK H OBAMA BARACK HUSSEIN OBAMA BARACK H OBAMA BARACK H OBAMA BARACK

Map It

1111111-4425 Issued: 1977-1979 in CT

N

-

r
-

-_=

54501 VIEW PA 16x CHICAGO IL 60615 Reported: 10/0'I/1994 - 10/01/1994 County: Cook 54501 SE VIEW PA 5x CHICAGO IL 60615 5942 Reported: 06/01/1986 - 10/01/1994 County: Cook
-

Map It

4425 tired: 19n-1979 in CT DOB: 04/08/1961 Age: 48 4425 1977-1979 in CT DOB: 08/04/1961 Age: 48

Landline: (773)684 4809
-

N

1 ::f.7:121

Map It

alitIssu

684-4809

N

5,150 S EA31 VIEW HE 1 1x CHICAGO IL 60615 Reported: 06/01/1986 - 10/01/1994 County: Cook 54501 SE VIEW PA 2x CHICAGO IL 60615 Reported: 10/01/1994 - 10/01/1994 County: Cook 365 BROADWAY ST 4x BOSTON MA 02111 ,,,,, _.,, r, 1,„ ( , C).., DILLL i 11(ot 11,1,:r\) Reported: 08/01/1994 - 08/01/1994 County: Suffolk
-

Map It

11111114425 Issued: 1977-1979 in CT DOB: 0811961 Age: 48 1111111114425 ssued: 1977-1979 in CT DOB: 08/04/1961 Age: 48 Landline: (773)684 4809
-

N

HUSSEIN
1
; ':1 1 OBAMA BARACK

Map It

N

Map It

Landline: (617)623 1266
-

N

OBAMA BARACK HUSSEIN

365 BROADWAY ST lx BOSTON MA 02'111 (POSSIBLE H1 (31 1 RISK) Reported: 08/01/1994 - 08/01/1994 County: Suffolk
-

Map It

4425 Will' 1977-1979 in CT ied: DOB: 08/04/1961 Age: 48

Landline: (773)684 4809
-

N

OBAMA BARACK HUSSEIN Reports Name

5324 S KIMBARK AVE 8x CHICAGO IL 60615 Reported: 12/01/1993 - 12/01/1993 County: Cook Address

Map It Maps Map It

111111114425 Issued: 1977-1979 in CT DOB: 04/08/1961 Age: 48 SSN/DOB 1.11.4425 Issued: 1977-1979 in CT DOB: 08/04/1961 Age: 48

Landline: (773)684 4809
-

N AR

Phone Landline: (773)684 4809
-

OBAMA 5324 S KIMBARK AVE lx BARACK CHICAGO IL 60615 HUSSEIN Reported: 12/01/1993 - 12/01/1993

701'8

10/2/099:14 AM

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Information Specialists, Inc. - Standard People Search

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County: Cook
OBAMA BARACK 5450 EASTVIEW PK 1 1x CHICAGO IL 60615 Reported: 08/01/1993 - 09/01/1993 County: Cook 7436 S EUCLID AVE CHICAGO IL 60649-3626 Reported: 08/1993 - 08/1993 County: Cook 2x Map It 4111111114425 Issued: 1977-1979 in CT N Map It

OM 4425
Issued: 1977-1979 in CT

N

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OBAMA BARACK

Li

OBAMA BARACK HUSSEIN OBAMA BARACK H OBAMA BARACK

lx 365 W BROADWAY BOSTON MA 02127 COSSIBLE HICI-I i--;i::;;;) Reported: 07/01/1991 - 07/01/1991 County: Suffolk
5324 S KIMBARK AVE 3x CHICAGO IL 60615-5287 Reported: 06/01/1986 - 12/1990 County: Cook 365 BROADWAY B1 lx SOMERVILLE MA 02145 Reported: 08/01/1988 - 09/01/1988 County: Middlesex 1N N lx CHICAGO IL 60615 Reported: 01/01/1988 - 01/01/1988 County: Cook N 1N CHICAGO IL 60615 Reported: 01/1988 - 01/1988 County: Cook 2x

,_ Ma p It

14425 Issued: 1977-1979 in CT DOB: 08/04/1961 Age: 48 all14425 Issued: 1977-1979 in CT DOB: 08/04/1961 Age: 48

Landline: _ , (/73)684-4809

N

Map It

N

HUSSEIN
OBAMA BARACK HUSSEIN OBAMA BARACK H OBAMA BARACK HUSSEIN

M a p 11111111114425 Issued: 1977-1979 in CT "" a!' It DOB: 1990 M ap
'' It 11.111114425 Iss ued: 1977-1979 in CT DOB: 08/04/1961 Age: 48 all. 4425 Issued: 1977-1979 in CT DOB: 08/04/1961 Age: 48

Landline:

(617)623 -1266

'

N

Landline: (773)684-4809

N

Map It

N

5429 S HARPER AVE 1N lx CHICAGO IL 60615 Reported: 10101/1986 - 10/01/1986 County: Cook 3x 5429 S HARPER AVE 1N CHICAGO IL 60615-5548 Reported: 06/01/1986 - 10/1986 County: Cook

Map It

111004425
Issued: 1977-1979 in CT DOB: 08/04/1961 Age: 48

Landline: (773)684-4809

N

,
Reports

OBAMA BARACK H

Map M' P It

Issued: 1977-1979 in CT DOB: 08/04/1961 Age: 48 SSN I DOB

N

Name
OBAMA BARACK H OBAMA BARACK H OBAMA BARACK HUSSEIN OBAMA BARACK H

Address
1440E 52ND ST CHICAGO IL 60915-4131

lx
Map It 2x Map It
rs ,

Reported: 04/1986 - 04/1986 County: Cook
5450 EASTVIEW PARK 1 CHICAGO IL 60615 County: Cook 365 BROADWAY B1 SOMERVILLE MA 02145-2440 County: Middlesex 5450 E VIEW PARK 1 CHICAGO IL 60615 County: Cook 54501 SE VW CHICAGO IL 60615 County: Cook

DOB: 08/1961 Age: 48
4425

N

gi rd: 1977-1979 in CT DOB: 08/1961 Age: 48
425

N

2x

.

-

Ma p It 2x Map It „,, Map

ft .4. 11 1977 1979 in CT DOB: 1890
-

N

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ailla4425 Issued: 1977-1979 in CT

N

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OBAMA BARACK H

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It

ler 1977 ed:

425

1979 in CT DOB: 08/04/1961 Age: 48
-

684-4809

N

8 of 8

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SSN 485405154 1 Viewing 1-1 of 1
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SOCIAL SECURITY
CERTIFICATION Pursuant to the provisions of Title 42, United States Code, Section 3505, and the authority vested in me by 45 F.R. 47245-46, I hereby certify that I have legal custody of certain records, documents, and other information established and maintained by the Social Security Administration, pursuant to Title 42, United States Code, Section 405, and that the annexed are true and complete copies of certain of such documents in my custody as aforesaid.

I also certify that the annexed computer printouts showing the dates the information was recorded are true and complete copies of such documents in my custody for Social Security Number 042-68-4429 in the name of Paul Michael Graziano.

IN WITNESS WHEREOF, I have hereunto set my hand and caused the seat of the Social Security Administration to be affixed this 18 th day of April, 2011.

Georgiana Wilson-Johnson Deputy Director Division of Earnings Record Operations Office of Central Operations

USA 1 1111r1

SOO/

Pursuant tc; the provisions ft) T;tie 42 United States Code. SectUn 3505, T-40. hereby :.:ertify that aiiitIO" vested a. me by 45 F.R. 4724:custody t.‘. ce-;rtain
reCOrdS. CIOCUMeniS.

5 other informztition estadhshed abc

maintained by the Sc:ial Sec.:witty Adr nistration. pursuant to We 42. United States Code. Section 405 and that .tna annexed are true and compiete conies certain cc: such documents in my custody as aforesa;c. aisb utsr-tf',' that the annexed comoutet printouts sbowind the darns
the

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SSN: 042-68-4425
Year(s) and State Issued
Year(s) Issued: 1977 - 1979 State Issued: Connecticut Social Security Death Index SSN not found in Social Security Death Index

Names Associated With SSN
OBAMA, BARACK OBAMA, BARACK HUSSEIN

Dates of Birth Associated With SSN
1890 08/04/1961 04/08/1961

Look Up a ZIP Code TM
Cities by ZIP CodeTM

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New Hampshire Maine Vermont Massachusetts Rhode Island Connecticut New York New Jersey Pennsylvania Maryland Delaware Virginia West Virginia North Carolina West Virginia North Carolina South Carolina Georgia Florida Ohio Indiana Illinois Michigan Wisconsin Kentucky Tennessee Alabama Mississippi Arkansas Railroad Enumeration of Entery

001-003 004-007 008-009 010-034 035-039 040-049 050-134 135-158 159-211 212-220 221-222 223-231 & 691-699 232 233-236 237-246 & 681-690 247-251 & 654-658 252-260 & 667-675 261-267 & 589-595 & 765-772 268-302 303-317 318-361 362-386 387-399 400-407 408-415 & 756-763 416-424 425-428 & 587-588 & 752-755 429-432 & 676-679 700-728 729-733

Louisiana Oklahoma Texas Minnesota Iowa Missouri North Dakota South Dakota Nebraska Kansas Montana Idaho Wyoming Colorado New Mexico Arizona Utah Nevada Washington Oregon California Alaska Hawaii District of Columbia Virgin Islands Guam, American Samoa & Philippines Puerto Rico

433-439 & 659-665 440-448 449-467 & 627-647 468-477 478-485 486-500 501-502 503-504 505-508 508-515 516-517 518-519 520 521-524 & 650-653 525 & 585 & 648-649 526-527 & 600-601 & 764-765 528-529 530 & 680 531-539 540-544 545-573 & 602-626 574 575-576 & 750-751 577-579 580 586 596-599

RA and US Numbers by State

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Effective Dates: 06/23/2011 - Present TN 2 (06-11)

RNI 10201 030 Structure of the Social Security Number (SSN)
The SSN consists of nine digits, separated into three groups by hyphens (i.e.., 0004)0-0000). This section contains a description of what each group of numbers represented in the Social Security Number (SSN), prior to June 25,2011 . Beginning June 25,2011 forward, this structure is no longer of any significance. NOTE: Information about the structure of the SSN is not restricted. Field offices (FOs) may respond to inquiries about the significance of the SSN structure and State allocations of area numbers.

A. SSN area number
Prior to June 25,2011 , the first three digits of the SSN represented the area number. The area number reflected the State as derived from the ZIP Code in the mailing address the number holder provided on the application for an original SSN card.

B. SSN group number
Prior to June 25.2011, the middle two digits of the SSN represented the group number. The group number ranged from 01 to 99. For administrative reasons, we assigned group numbers in the following sequence:

1. odd numbers from 01 through 09;
2 even numbers from 10 through 98; 3. even numbers from 02 through 08; and finally, 4. odd numbers 11 throu g h 99.

C. SSN serial number
Prior to June 25,2011, the last four digits of the SSN represented the serial number. The serial number represents a straight numerical series of numbers from 0001-9999 within each group.

D. See also
• Information about the SSN is available on SSA's website at:

Affidavit

STATE OF I:1.01(10.A 1 IS.S. C.01,,TN-TY OF DTI:70d 1. Fclicito Papa_ am over 18 years old and resident of 7579 Walden Road, Jacksonyi:Ie. FT. 32244 with FL DI. 41'100-245-45-082 0. I do not suffer from any mental impairment and can competently attest to the following under the penalty of perjury I am a professional web developer having graduated with a bachelor's dcgrei in IT at in Technical Institute in Indianapolis. IN. 2 I have over ten years of experience of web designs and development and have often used software such as Adobe Photoshop and Adobe Illustrator. hitehousc. , o, '2• I downloaded from the official Whitehouse websitc. 27. 201 I, the new birth certificate of Harack ()barna IL fitt7.,..•wia,-w,whitetouscgsly "sites•de:fault tiles rss i,tewer/birth-eertiticaty,loat;tcdt 4 I observed that the birth certificate pdf file could be opened with Adobe Illustrator and the software revealed that this document has many layers of images on , t. This indicates that the document was not a true copy of the original birth certificate. but a recently created document using Adobe Illustrator. I farther observed that this document does not have an embossed seal normally affixed by civil registrars to attest to the authenticity of government issued documents,

FURITIFP AFFIA SAYE 144NOT

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NOTARY GODFREY C WILLIS, JR. Notary Puvie, Stahl of Florida My imam. exp Jan. 24, 2014 Comm. No DD 955006

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I, Felicito Papa, am ver 18 years old and resident of 7579 Walden Road, Jacksonville, FL 32244 with FL DL 4P100-245-45-0 2-0. I do not suffer from any mental impairment and I competently attest to the following under the enalty of perjury: I. I am a prof ssional web developer having graduated with a bachelor's degree in IT from HT Technical 1 stitute in Indianapolis, IN. I have over ten years of experience of in web designs and developme t and I have often used software such as Adobe Photoshop and Adobe Illustrator. 2. On April 1 , 2010. the Whitehouse website, v,rww,whitehouse.gov , released the 2009 Form 1040 of Income ax Return of President Barack H. Obama: http://www whitehouse.gov/sites/default/files/president-obama-2010-complete-retum.pdf. I downloa d this 65-page pdf file on my computer. I observed that all information about the president's the first lady's social security numbers were redacted. All blocks or spaces for social secu ity numbers were blank, or "white-out." 1 submit Ehibit A (attached herewith, page 43 part of 2009 Form 1040) Form 709 U.S. Gill Tax Return of Ifres. Barack Obama. The space for his social security number is redacted or blank. I submit to Exhibit B (attached herewith, page 49 part of 2009 Form 1040) Form 709 U.S. Gift Tax Return of First Lady Michelle Obama. The space for her social security number is redacted or blank. Then thro h Adobe Illustrator software, I opened Exhibit A and B and found that these two pdf files have o layers each, not just one layer. When the top layer is turned off or dragged away, the social curity numbers of both persons are revealed. I submit E hibit Al (attached herewith) Form 709 U.S. Gift Tax Return of Pres. Barack Ohania with his social security number revealed. The following information are revealed: 1 Barack Obama's SSN. 042-68-4425 2i Michelle Obama's SSN 350-60-2302 3, An initial MLO on the side of Form 709 A 114 inch dark square with notation on it. Preparer's SSN or PIN P00570974 EIN 36-2700600 Phone no. 312/372-0440

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Affidavit of Linda Jordan I, Linda Jordan, am over 18 years of age, I am a resident of King County Washington and have personal knowledge of the facts described below: 1. I have extensively researched the birth record document that Barrack Obama posted on the White House Website on April 27th, 2011. 2. In 2008 Obama posted, on his campaign website fightthesmears.com , what he said was a copy of his short form Certification of Live Birth from the State of Hawaii. (http://www.fightthesmears.com/articles/5/birthcertificate) 3. Obama re-posted that same document on the White House website on April 25th, 2011. A short-form Certification of Live Birth from Hawaii is a computer generated document, or abstract, which contains some of the information found on the original long-form Certificate of Live Birth which is not a computer generated document. (http://hawaii.gov/health/vital-records/obama.html) 4. A computer generated, short-form Certification of Live Birth (COLB) issued in Hawaii is not acceptable as conclusive proof of your birth or birth place. Under Hawaiian law in 1961, the reported year of Obama's birth, a child could be born anywhere in the world and, after returning to Hawaii, the mother could register the birth in Hawaii, in a number of different ways and receive a COLB. Information provided by the mother did not have to be independently verified. See links for relevant Hawaii law. http://www.capitol.hawaii.gov/hrscurrent/Vo106_Ch03210344/HRS0338/HRS 0338-0017 0008.htm http://www.americanthinker.com/2008/11/why_the barack_obama_birth_cer.html 5. The Hawaii Department of Home Lands until very recently required the original Certificate of Live Birth when filing an application. It is still preferred today. From their web site: "The Department of Hawaiian Home Lands accepts both Certificates of Live Birth (original birth certificate) and Certifications of Live Birth because they are official government records documenting an individual's birth. The Certificate of Live Birth generally has more information which is useful for genealogical purposes as compared to the Certification of Live Birth which is a computer-generated printout that provides specific details of a person's birth.
1

EXHIBIT

2

Although original birth certificates (Certificates of Live Birth) are preferred for their greater detail...." (http://hawaii.gov/dhhl/applicants/appforms/applyhh1) 6. On April 27th, 2011, Barack Obama held a Press Conference announcing that he had attained what he said was a photo copy of his original, long-form Certificate of Live Birth and had posted it on the White House Website. (hap ://www .whitehouse .gov/sites/default/files/rss viewer/birth-certificate-longform.pdf) 7. The posted document is clearly typewritten, or a facsimile of typewriting, not "written" or "half typed, half handwritten". (http://www.whitehouse.gov/blog/2011/04/27/president-obamas-long-form-birthcertificate) 8. The Governor of Hawaii, Neil Abercrombie, told the Honolulu Star Advisor that his research showed that Obama's original Long-Form Certificate of Live Birth was handwritten. "Q: You stirred up quite a controversy with your comments regarding birthers and your plans to release more information regarding President Barack Obama's birth certificate. How is that coming? A: (Abercrombie said there is a recording of the birth in the State Archives and he wants to use that.) It was actually written I am told, this is what our investigation is showing, it actually exists in the archives, written down." (http://www.staradvertiser.com/editorials/20110118 This is a collaborative ende avor.html) 9. In an interview with NBC News, Michal Isikoff, on April 11, 2011, Dr. Chiyome Fukino, the former director of Hawaii's Department of Health stated that, "She found [Obama's] original birth record, properly numbered, half typed and half handwritten, and signed by the doctor who delivered Obama, located in the [Hawaii DOH] files." (http://www.msnbc.msn.com/id/42519951/ns/politicsmorepolitics/t/ex-hawaii-official-denounces-ludicrous-birtherclaims/#.TwyMkqVIrKg) 10. Obama and White House General Counsel Robert Bauer made public statements at the press conference on April 27, 2011, attesting to the steps they took in order to attain two certified photocopies, from the Hawaii Department of
2

3

Health, of Obama's original long-form Certificate of Live Birth. Bauer explained, in detail, the difference between a short-form computer generated Certification of Live Birth, an abstract if you will, and what they say they revealed on April 27, 2011, a photo copy of Obama's original, long-form Certificate of Live Birth. Bauer stated that this 1961 original Certificate of Live Birth was kept in a "bound book" at the Hawaii DOH. Bauer explained that Obama's lawyer, Judith Corley, flew to Hawaii and brought the documents back to the United States. At the same press conference Dan Pfeiffer told the gathered Press, "What you have in front of you now is a packet of papers that includes the President's long-form birth certificate from the state of Hawaii, the original birth certificate that the President requested and we posted online in 2008, and then the correspondence between the President's counsel and the Hawaii State Department of Health that led to the release of those documents." (http://www.whitehouse.gov/the-pressoffice/2011/04/27/press-gaggle-press-secretary-jay-carney-4272011) 11. These documents were posted on the White House Website on April 27, 2011, as evidence of the steps Obama took to attain copies of his original long-form Certificate of Live Birth; a. A letter to Hawaii Director of Health Loretta Fuddy, dated April 22, 2011, wherein Obama asks for "two certified copies of my original Certificate of Live Birth". b. A letter from Obama's lawyer, Judith Corley, dated April 22, 2011, to Loretta Fuddy stating that she understands that it is the Department's policy and practice "to only provide the "short-form" version when a certified copy of a birth certificate is requested" but that she is requesting "a waiver of the Department of Health's policy, so that my client can obtain two certified copies of his original, "long form" birth certificate". c. An April 25th, 2011 letter from Loretta Fuddy who responds to Obama. "I have the legal authority to approve the process by which copies of such records are made....I am making an exception to current departmental policy which is to issue a computer generated certified copy." The exception to the current department policy to only issue a computer generated short-form Certification of Live Birth is to make photo copies of the original long form Certificate of Live Birth.
3

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Fuddy continues, "Enclosed please find two certified copies of your original Certificate of Live Birth. I have witnessed the copying of the certificate and attest to the authenticity of these copies." 12. On April 27th, 201 lthe Governor of Hawaii, Neil Abercrombie, put out a press release supporting Fuddy's actions: "In 2001, the Hawaii State Department of Health began computer-generating vital statistics records. Since then, its longstanding policy and practice has been to issue and provide only the computergenerated Certifications of Live Birth, and to not produce photocopies of actual records to fulfill requests for certified copies of certificates. ....Director Fuddy made an exception for President Obama by issuing copies of the original birth certificate..." (http://hawaii.gov/gov/newsroom/press-releases/hawaii-healthdepartment-grants-president-obamas-request-for-certified-copies-of-long-formbirth-certificate) 13. In the same Press Release Hawaii Attorney General David Louie stated that, "The exception made in this case, to provide President Obama with a copy of his original Certificate of Live Birth, was done according to the letter of the law." 14. The document Obama posted on April 27th, 2011 on the White House Website is a computer generated document with multiple layers (http://www. scribd.com/doc/58721290/0bama-B irth-Certi ficate-Final-Affidavitof-Douglas-Vogt-J une-24-2011-Total-of-9- items-now-listed). 15. I contacted the Hawaii Department of health for an explanation of what their "computer-generated" certified birth record is and it was confirmed that a computer generated birth record, from Hawaii, originates when birth data from the original document is entered in to the computer and then an abstract of the original birth record is printed from the computer and certified. The computer generated document is also called a Certification of Live Birth not a Certificate of Live Birth which is the reserved title for the original, long-form, birth certificate. This means that the computer generated document Obama posted on April 27, 2011, that has multiple layers and is titled a Certificate of Live Birth, can not be a scanned photocopy of Obama's original, long-form Certificate of Live Birth. (http://hawaii.gov/govinewsroom/press-releases/hawaii-health-department-grants-

4

5

president-obamas-request-for-certified-copies-of-long-form-birth -certificate, and phone conversations)
I declare under penalty of perjury, that the above is a true and correct statement of the facts.

Signed Linda Jordan

In the city of Seattle Washington

Dared the

eitj\l\ day of

(AAA January 2012

Signature of Notary

LkL
s
Notary Public State of Washington MICHAEL L HITEMAN My Appointment Expires Sep 16. 2015

Date

5

Self Chec
Notice of Mismatch with Social Security Administration (SSA) Records
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Bring this notice with you when you visit SSA.
For SSA Field Office Staff: Do not use EV-STAR; See POMS RM 10250.000ff

(Thalia Rarack H Name of the employee Last Name, First Name, MI) 08/1 //2011 Date of Mismaten

042-08-4425
Employee's Social Security Number (SSN)

2011229111431GY
Case Verification Number Reason for this Notice:

SSN does not match. The Social Security Number (SSN) entered in Self Check is
but the name and,lor date of birth entered do not match SSA records.

SSN is invalid. The Social Security Number (SSN) entered in Self Check is not a valid
number SSA unable to confirm U.S. Citizenship. Cannot confirm that the employee is eligible to work because the SSA records do not show that the SSN Holder is a U S Citizen SSA record does not verify. Other reason. SSA faind a discrepancy in the recoici

SSA unable to process data. SSA found a discrepancy in other data in the record.

Instructions

attachment B

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THEREPOSITORY TM
REsELLERS OF 'HoDLC !ON DOCUMEN7 SCANNERS
WOE-FORMAT SCANNERS CRESS SCANNERS EASED DOCUMENT 1MACiNG SOFTWARE T-,,CANN!NS SOf TWAPT

ARCHIVE INDEX SYSTEMS, INC.
TEcHNoLoGiEs TO EXPAND MAN'S KNOW, EDGE

P.O. Box 40135
BELLEVUE, WASHINGTON 98015

WEB PAGES www.arshiveirdex.corn www.whoiesalecheckscanners.cem

(425) 643.1131; FAx (240) 384-7297

For response to this !otter:

May 22, 2011

Revised and Expanded Affidavit
I, Douglas B. Vogt, and over 18 years old, do not suffer from any mental impairment, have personal knowiedge in CnC ibilowing and attest Ltllcler penalty ol perjury that I have knowledge and expertise in documents, imaging, scanners and document imaging programs. Based on my knowledge and expertise the following is true and correct
My Credentials

I have a unique background for analyzing this document. I owned a typesetting company (Nova Typesetting) for II years so I know type and form design very well. I currently own Archive Index Systems since 1993, which sells all types or document scanners worldwide and also developed document imaging software (TheRepository). I know how the scanners work and their capabilities. I have also sold other document imaging programs, such as Laser Fiche, Liberty and Alchemy. 1 have sold and installed document imaging systems in city and county governments, so I know their procedures with imaging systems and everything about the design of such programs. ibis will be important in understanding what has happened with Obama's Certificate of Live Birth. I also have a good working knowledge of Adobe Photoshop and Illustrator.

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CERTIFICATE OF LIVE BIRTH

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Figure 1. tiff image of the Obama's Certificate of Live Birth dated August 8, 1961.

Figure 2. The microfilmed Certificate of Live Birth of Susan Nordyke dated August 11 , 1961.

(

i EXHIBIT

1 P-.'

I

What I Discovered about Obama's Certificate of Live Birth and why it is a Forgery.

What the Obama administration released Is a ppi: i ma u e that thc,, a re trying to pass Ott as a Certificate Live Birth Long Form printed on green security paper by the County Health Department, but this form is a created forgery:. Ironically the country has a lot to thank Mr. Donald frump and Mr. Jerome Corsi and his new book, because they made President Obamas birth certificate a public issue which in turn forced the White House to produce this forgery to answer both of them. The Obama (Certificate of hive Birth bong Form is a forgery for the following reasons.
1. Curved and non-curved type. [he image we are looking at was scanned in grayA:alc and some part in binary which cannot he on the same image. 1 he reason I know this is because of the shadowing along the gutter (left-hand side) is produced by scanning in grayscale. It also means that the county emploN cc who did the original scanning of all the forms. did not take the individual pages out of the post hinders. The result is that all the pages in that book display a parallax distorted tillage of the lines and type. 'They curve and drop down to the left. If you look at line 2 (Figure 3) on the form that says Sc. ,: von will notice the letters drop down one pixel but the typed word Mule does not. .Also notice the line Just below :116//e drops down 3 pixels.

sex

Male
MMI.M.MOIMM

Fi gure 3. Line 2 of the form. Baseline differences.

Place of Eli

Fhe second incident of t his parallax problem is seen in line sic Numc of 11ov/hi/ or 15181;111i/0H (Figure 4). The ‘,..ord Name drops down 2 pixels, but the typed hospital name. Kapioluni, does not drop down at all, and again the line just below drops down 2 pixels, but not the name Kapiohmi. Tile conclusion you must come to is that the typed in form was superimposed over an existing, original Certificate of Live Birth form. In (het, since I found some of the fOrm headings scanned in as binary and grayscale, the form itself is a composite but the person who created it did not flattened the image of the blank form and save it as one file before they started placing the typewriter text on the composite form. I he iudit• idual(sl who perpetrated this forgery could not evidently find a blank form in the clerks imaging database, so they were forced to clean up existing forms and overlay the typewriter type we sec here. The forger was also looking for certificates with the correct stamped dates and that is why I think they used more than one original lOrm. At first I wondered why the foTer didnt just typeset the entire form front scratch and j_werlay the type and not have to wony about the parallax problem. Then 1 remembered that in the early 1960s there was no phototypesetting and this form was set in hot metal horn a linotypc machine. The type design I think

is Times Roman but they could never replicate the exact design. They were stuck having to use existing forms that were scanned in using binary and grayscale.

Plume of

FlospitalKapiolani
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4.

Line Sc at 500%. The typewriter name of the hospital does not drop down 2 pixels.

2. There is a white haloing around all the type on the form. Figure 5 is an example of this. This effect should not appear on a scanned grayscale image. Figure 6 is a grayscale image scanned in at 240 dpi. You will notice that there is no haloing effect around the type and also the security pattern is seen through the type. Figure 7 is a color image where you can clearly see the security green color through the type and no haloing. Figure 8 shows a Black and White (binary) image of the same type. The important thing to remember is that you cannot have grayscale and binary on the same scan unless the image is a composite. This means that different components of the whole image are made up of smaller parts. Figure 9 is an enlarged version of Figure 6 showing what grayscale letters should look like compared to binary.
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Figure 6. Grayscale.

Figure 7. Color image.

The next question would be: What would have caused the halloing effect? We know that all the original Certificates of Live Birth (COFB) were microfilmed because we can see the Nordyke Certificate (Figure 2) was microfilmed. Then some time after 2004 the paper original copies, in post hinder books, were scanned using a commercial document scanner with a flatbed, scanned as grayscale images. The forger was working with two types of images. He/she may have used images printed from the microfilmed copy and then scanned the printout in grayscale. At that point the forger would have to invert the image so as to have a white background, black type. Figure 10 is an example of an inverted image of Figure 2. The result would be like Figure 9 but a whiter background. The image I am working with in Figure 10 is only 94 DPI but the forger was working with much higher resolution (>240 dpi). At that point the forger converted the grayscale to a binary image and placed it onto the background form image. The problem was that there were still image values for the pixels around the placed type so when he/she placed the type image over the 3

background and instructed the program to bring the type - forward - it blanked out the background image, hence' the halioing effect around the type.

URN. NC) RECEIPT NE- 61155A R.

SECURITY PACII Ventura & Sepulvel
15165 Ventura Bou Sherman Oaks. Ca
Figure 8. Binary image.
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Figure 9. An enlarged version of Figure 6 showing grayscale type.

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3. The Obotint Certificate is loadol with both binary and grayscale letters which is ilrst another
smoking gun that this form is a forgery. It appears the lines and some of the boxes were scanned using grayscale, but only some of the form headings were grayscale and sometimes it is only some letters. fIigure I 1 and Figure 4 give one example. You will notice that the II and, al, in Hospital, I in

Institution, (It and again the h and / in hospital were grayscale images, but the rest of the line is binary. The typewriter line below was scanned in as a binary image. I can also tell you for certainty that the Corm type was scanned in at a lower resolution (i',":.-200 dpi). This is because of the size of the pixels on the letters were such that the openings on the a and S on the first line arc not visible and filled in This may also further indicate that forger took some of the type images from the microfilmed copies.

Hospital or Institution ( Il not in hospital

)1ani Maternity & Gynecc

Figure 11. showing a mixture of grayscale and binary type on the same line.

Another example is found in form box la. his name B- RI CK. For some reason the "R. - is a grayscale image and the rest is binary (Figure 13). .1 hat means the "R" was originally on the form and the rest was not until it was added. The question again is: Why did the forger leave some grayscale type images in the Corm and not just erase the whole form? The answer is that he/she needed the grayscale images to re-establish the baseline of the type !Or the superimposed binary type. This also told me that the forger was an experienced graphic artist.

HgLire 13. Another example of grayscale and binary on the same line. Another example is the Certificate number itself' (Figure 14). The Iasi 1 - on the form is a grayscale image but the rest of the numbers are not. This is just another example of a cut and paste

lob. It also means we do not know what the real Certificate number is if there even is one. There are other form boxes that display the same feature, boxes: 5b. 7e, 11, 11. 16, 18a.

ARTMENT OF HEALT

61 1061,
grayscale, but the rest are binary.

Figure 14. The last - 1"

4. The Seciu-"11 Number is a fraud.? would like you to refer back to Figures 1 and 2. You will

notice that Baraek Obama was supposed to have been horn on Friday at 7:24 p.m. August 4. 1961 and the local registrar supposedly accepted it on Tuesday August 8, 1961 and hand stamped the Certificate number -61 10641." Then notice that the other Certificate of Susan L. Nordyke was horn on Saturday at 2:12 p.m. August 5. 1961 and another registrar date stamped it on August 11, but her Certificate number is "61 1(1637. - Susan Nordyke was a twin and her sister's_ Certificate number is 61 10638. Keep in mind there woulbe only one hates stamp machine in the office so the numbers would all he unique. There cannot be any duplicates so every Certificate has a unique serial number. th d ()llama's Certificate would have most likely been mailed on the following Mon a y. the 7 and received by the Clerk luesday the 8 th . Susan Nordyke and her sisters' Certificates looks like they were mailed sometime earlier that week and not accepted until the 11 th but Susan has a Certificate 4 numbers less than ()ham's. It is impossible to have Obama's Certificate number to be four numbers higher than a Certificate that came in 3 days later.

As stated in i the last - 1" on the form is a grayscale image but the rest of the numbers Lffe not (Figure 14), again irrefutable proof that the Certificate number is a composite of two numbers and

hence a forgery. This forgery comes under a separate offense and carries with it 5-years in prison !see Appendix D: Title 19, Ch.47. Sec. 1028(d)11. The facts 1 have shown you in 43 and 4 tell me several things about how this forgery was assembled. 1. Some person(s) in the Health Department. who had access to the document imaging program_ searched the database Ihr someone close to the actual birth date of Ohama and found 4th someone near the of August. if in fact he was born on the 4 0 and we should not assume that at all. ()Hama may have chosen the 4 ° of August because they had a baby who died close to his date of birth. The clerk may have crossed referenced the death database to find someone who had died and had a birth date close to Obama - s. It has been reported that an infant girl named Virginia Sunahara was horn on August 4. 106 at Wahiawa I lospital in Wahiawa. Oahu, 1-11 who died on August 5. 1961 at the Kapiolani Women and Children's Medical Center, due to complications. This happens to coincide with date of birth and birthplace of the Nordyke twins. We could make two assuming here. The first would be that the Wahiawa I lospital would have filled the COLB form as customary and mailed n to the County I Iealth Department and the Kapiolani Medical Center would have filled out the death certificate. The other less probable would be that her medical records were transferred to Kapiolani Hospital and they would produce the birth certificate and later the death certificate was later included in the group of birth certificates that contained the Nordyke twins. Hie Federal Government wanted the States to cross reference the birth and death databases so the database would have that information. The date stamps have two different colors and sizes (see f5 below) which indicates that both dates came from different Certificates. We can conclude from this that more than one person was involved in the Hawaii Department of Health to assemble the different components that were used and also do the database searches to find the right Certificates to create the fraudulent Certificate of Live Birth and finally someone who signed the fraudulent certificate. 1 believe that after all the components were assembled they ∎vere then given to a graphic artist to actually assemble the whole thing and create the finished forgery. That graphic artist could be located anywhere. In short. this was a multi-state conspiracy to defraud the United States.
5. Two different colors and font sizes in Form box 22 and 20 Date Accepted by Reg. General.

What is ‘, cry revealing about this box and date entry is there are tWO different colors on both lines
s \ here there should be no color at all. Both lines were scanned using binary mode. but I see two

different color.; (Figure 1 5). What 1 think tins is showing us is that the pet son who put this fraud together vv as looking for a form that had the right date namely "August 8 19 1." As you can see the only things that are printed in dark green (R-71, G=92, B-73) are "Date A" and "AUG -8 6." The rest of the type' is in black. This tells me that the forger was working in color mode and what they copied from had a color value for sonic reason unless they put a color value on it. Finally the Font N\ than the sLn. .p ased i box 20. This is unlikely becate---

the snntz rubber stamp dates

6

2210

.. nted

Figure 15 Two different colors, dark green and black. The same thing is found in form box 20 "Date Accepted by Local Reg." Figure 16 again shows that the date has two different colors. The "AUG -8 196" is in dark green (R=87, (i-111, B-87) and the "I" is in black. Yet again another irrefutable proof this form is a forgery. Form box 17a displays the same. two color image in the word "None". The "Non" is in dark green.

20. Date Accepted kty lead Reg.
Figure 16. Another example of two colors on the same line.

6. The official seal is not part of the Certificate of Live Birth. The Hawaiian law (Section 11-1-2
Seal of the Department of Health) states:
a) The official seal of the department of health shall be circular in shape, two and one-fourth inches in diameter. At the curve on the top portion there shall be the words "DEPARTMENT OF HEALTH" and at the curve on the bottom portion there shall be the words "STATE OF HAWAII." At the curve on each side portion shall he a star. In the center of the seal shall be the Caduceus, a winged rod entwined with two serpents, which has long been recognized as a universal symbol of medicine. The Caduceus shall be encircled by an indentation, which shall separate it from the words "DEPARTMENT OF HEALTH" and
"S FATE OF 1 IAWAII ."
kt•,•., l k .1,

s 60 1 A`%0*1.1104.4
*1 4.\\I'o • O., 1' •

igure 1/, Soo; on Obamas Short Form

Figure 18: NWiyke suai Elam 1966

Figure 19: Obama's COW long form Apr.2011

The first Certificate of Live Birth Obama the candidate produced in June of 2008 was the "Short Form" of the COI,B. It had the Department of Health's seal embossed on it (Figure 17) appearing on it about 3" from the bottom of the 11 inch paper. That told me the Health Department is using an electric embosser, which applies ample pressure to leave a clearly visible embossment. Hand seal

embossers have only 1 3.4 inch or less, clearance tor )1/4 inch sPql, frnm the de of the paper. The
Health Department seal does not appear obvious on the Obama COI.B. A good embossment will 7

distort the type and tines on a form and is clearly visible (Fleure 21). Fven on the Nordyke Certificate (i•igure IS) in spite of it being an inverted image from a microfilmed image, it is clearly seen. Figure 19 shows Obama's seal on the COI.B presented on April 27. 2011 is visible only because a color filter was used to see it. otherwise it completely disappears in the design of the security paper (Figure 20).

-r for Thieved Filing or AIlergnol

Figure 20: Seal on Obama's Figure 21: Hand stamped seal from COLB From April 27. 2011. an original COLB from 1962.
-

l'he official seal on the ()barna COLB is a second or even third generation image from another

form. The seal embossing did not distort the lines or type on the form and it most likely was never part of his Certificate. Yet another indication this Certificate of Live Birth is an obvious forgery.

7. The hand stamped certification from the current registrar is a forged stamped notice.
The Department of health has the right to produce a legal copy of the original Certificate of Live Birth to people who have the appropriate right to receive one. The Clerk in the office would search the document imaging database and retrieve the correct Certificate. The Clerk would then print out the Tiff image on the green security paper. They would then take a rubber stand that states the following: i CERTIFY THIS IS A TRUE COPY OR ABSTRACT OF THE RECORD ON FILE IN THE HAWAII STATE DEPARTMENT OF HEALTH. Then below this notice would be the likeness of the State Registrar's signature, in Ibis case it was Alvin T. Onaka, Ph.D. 'Fhen the clerk would stamp the date to the left of the certification. See Figure 22 for a Certificate done one month belbre the Obama's April 25, 201 1 Certificate. Please note that since it is a hand stamp the certificate stamp is skewed up on the rilit-hand side.

Figure 22. Registrar stamp on a persons Certificate done March 2011.

Now let us look at the Obama's Certificate (Figure 23) supposedly done on Aril 25, 2011. Notice the registrars' rubber stamp has an error on the word "the" which reads "'LW but this error does not show up on the same rubber stamp used one month before. In Figure 24 you will see an enlargement of the word. You will notice that the "X" had been created by the graphic artist by tilling in pixels so it appears like an "X" but it really is not. Also notice that the whole stamp is too straight on the form. The red lines drawn under two of the lines of type are aligned with the pixels. The stamp rises only two pixels over 3". My conclusion is that the whole stamp was placed there by 8

the graphic, artist to look as straight as possible. The only problem is that no hand stamped notice like this would be placed that pertect on the page.

APR

! '(J 11

Figure 0 3. Obama's Registrar stamp with the errors on it,

Figure 24. F!arc:intent of the "TXE."

Other investigators have mentioned what looks like an italic "E" under the capital A in Alvin. In Figure 22 the same artifact does not appear. We have to assume either the artifact was already on the security image the forger used, and forgot to erase it. or it was placed there deliberately for some reason that we don't know yet.
8. Multiple layers in the PDF file from the White House. I am not the first one to find this fact

and they deserve the credit for discovering it. What they discovered is that when you open up the

PDF file in Adobe Illustrator and you turn on layers, you see a long list of nine different layers that correspond to different sections of the form, including the signatures on the form. Figure 25 shows the laver that contains most of the Typewriter and form text. I discovered using just my Adobe Acrobat 8 Standard that I could also see the different components disappear when I enlarged the image to just 400% and used the "hand" tool to quickly move around the image. When I moved the image fast, the various type components would disappear from the form but the lines stayed just as I had concluded. I also opened up the White House PDF file in WordPad so I could see the codes and headers in the file. Ihere I discovered the evidence for the 9 layers embedded in the code (see below). The big surprise I discovered was that the file was finished or created on April 27, 2011 and the copy I had downloaded from the White House web site was modified on April 28, 2011 at 9:58 AM, the day after the news conference. The whole White House story that the President had his Scuttle based lawyer fly to Hawaii and pick up a signed and stamped paper Certificate of Live Birth and fly directly to Washington DC, is obviously not the document the public has been shown. In other words the whole story is not true. The Press Secretary proudly stated that he personally put up the PDF on the White House web site and that's probably all they got was the PDF by e-mail.
20 obi <</SubtypeiniLength 3759/Tyee/Metadata>>stream T12:09:24Z</xap:CreateDate> <zap:
<X2D:CreatorTool>Preview</xaP:CreatorTool>

1.09:58:24-07:00<ixap:ModifyDate> <xap: <x2o:MetadataDate>2011-04-28709:58:24-07:00<ixap:MetadataDate>

[he following are the header codes for the 9 layers embedded throughout the file.
13 0 obi /Subtype/lmage/Length 299366/FIlier/DCTDecodelBitsPeramecnent 8/CoiorSpace 9 0 R/Width 1652/Height 1276/Type/XObject>>stteam 14 0 obj «/Subtypelmage/Length 67980/Filter/FlateDecodeilptaceMask truelBitsPerCorneonent 1/Width I 454/Heght 1819/TyQe/XObject>>strearn 15 0 obj «/Sabtypeawagelength 5510/Filtet/RateDecodeilmageMask trueiBtsPerCornponept 1/Width 199/Height 778/Typ&XObject>>stream

9

O eL;
4S.IF 17 '33/F:e.:/HateDecodeiiinage'evlask true./BitsPe7Componelit 1iWidth 123!Height 228/TypeiX0o ; ecl>>siream 18 0 oh; 436'=, , ter,'Flatef2ecodeilmageMsk. trueiBtisPeiComponent 47 Height 216iType/X0*:ct>>sirearn 34/Height 70iTyQe/XObject»stream Fiat,e.Dec000.;imE:geMosk truelBJsre7Componer . 42.(Height 27411ypniXObiect>>sIreaTT

""9 0 obi
<<ISUb',ype;Ma.;:je'Le ,-)cp)17311= i'le!,'FlateCe;:ocieirTiaguMask truciBitsPerComponent

20 0

nhi

,=.1 S:in!yprirnage"Logth :371, 7 0!er./FlateDecodellmageMask trueieitsPera:mponent 1/Widt.n 243/Height 217/TyperX0bect»stream 2' 0 nbj <</Subripeilfp&,LjetenOi 344/EilterlF]ateDecodeimageMask truelBitcPerComconent 13211-legh! 149iTg.)9,1):01Y;col>>stream

This letter may have been accompanied by a CD with the tiles and images 1 worked from and the screen shots displayed is this report. I have also includd MP4 files of the three videos listed below. You may freely use these images and text for your own report or public notice. Some of the examples of the layering can he found on the following YouTubc web sites. I his one shows the layering in Illustrator:

This one shows that letter "B" in box Ie and 8 are exactly the same. An example of cut and paste.

Another good explanation ollayering showing at least 9 layers.

The original P1)1 is on the enclosed CD with this report and you can also download it from the web site: 1. The discovering of nine layers in the PDF image didn't matter for my analysis 1 through 7 because I was able to export the image as a TIFF (18.7, 5 MB) out of that PDF usinv, my Adobe Standard software. So I was working from a 11.inened image and was able to find all that I did, in other words the layers were irrelevant to me but was just Further proof that the Obamals Certificate of Live Birth is a forgery.
CERTIFICATE OF LIVE BIRTH
11,

„t 151

Gil 1

or;'

Fi gure 25: The layer that contains most of the forms text and typewriter text.

0

A Rebuttal to the Discovery of the Multi Layers Found in the PDF File.

The only rebuttal to the nine layers discovered in the PDF file released by the White House was a statement from a Canadian graphic artists from Quebec by the name of Jean-Claude Tremblay , on April 29. It was reported by Fox News and on their web site at: He tries to excuse the multi-layers as merely an artifact of an OCR (Optical Character Recognition) engine and then saved as a PDF. There are two major reason he is wrong and 1 know from his statement he knows nothing about OCR engines and how they work and their file structure. First of all the Obama PDF certificate was supposed to have come directly from the Health Departments office. As stated before, the records they have would have absolutely no reason to he OCRed and if they were asked to give the customer a PDF image it would he from their existing TIFF imatge stored their document irnaging program on the server. 'Hie program would have done no OCR processing at that time. My qualifications on OCR programs are considerable. Our own document imaging program, TheRepository, has an OCR option from Expervision that is called TypeReader. We integrated 1)/peReader into our program but to do this we had to sign a non-disclosure statement with them and then we got their Took Kit and API. When an OCR program saves a file as a searchable PDF, the file contains three main files within it. The first file is an image file, usually a compressed Group=( TIEF. The second file is a ASCII text file and the last tile is a matrix file that contains the X and Y coordinates of all the words in the document. The Starting point for the image file and the matrix file is us'ciily the upper left hand corner of the image measured in pixels. The text file and matrix files would never be seen as separate layers and there is certainly no nine layers. The three tiles would be in a PDF "wrapper" and that's all. All OCR programs work on the same principle.
Conclusion

The Certificate of I,ive Birth Obama presented on television on Aril 27, 2011 is a forgery.

In witness whereof he has hereto set his hand and seal. Name of Notary:
itle:

_, a Notary Public of King County and the State of Washington aforesaid, hereby certify that Douglas B. Vogt personally known to me to be the affiant in the foregoing affidavit, personally appeared before me this day and having been by me duly
sworn deposes and say that the facts set forth in the above affidavit are true and correct.

Witness my hand and official seal this the 22" day of May, 2011.

My Commission Expires:
#. Ala

Notary Public /2011
.011. 411..

Alb.

ALL

f
h Douglas

Notary Public State of Washington ZACHARY S NIEBRifiGGE My Appointment Expires Aug 9, 2011

B. Vogt

11

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ARCHI‘E INDI X SYSTEMS, INC.
;;AGING TECHNOLOGIES TO EXPAND MANS KNOV•t EDGF

Bar:
BELLEVUE. WASHINGTON 98015 (425) 643 1131; FAX (240) 384-7297 Fur response to this letter:

www.wholosalecheckscanners corn

i - BASF U 00r.tiMr.Ni IMAGING SO s iVJAP i::::',ANN!NG

Nilay 10. 2011

Affidavit
Douglas 1_. Douglas B. Vogt, am Over 18 years old, do not suffer from any mental impairment, have personal knowledge in the following and attest under penalty of perjury that I have knowledge and expertise in documents, imaging, scanners and document imaging programs. Based on my knowledge and expertise the Ibllowing is true and correct
Crecientiois

I have a unique background for analyzing this document. i owned a typesetting, company ibr 11 years so I know type and form design very well. I currently on Archive Index Systems since 1993, which sells all types of document scanners worldwide and also developed document imaging software (TheRepository). I know how the scanners work. I have also sold other document imaging OgraillS, such as Laser Fiche, Liberty and Alchemy. I have sold and installed document imaging systems in city and county governments, so I know their procedures with imaging systems and everything about the design of such programs. This will be important in understanding what has happened with Obamds Certificate of Lire Birth.
OATS ill *6*m
CERTIFICATE OF LIVE BIRTH '

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Fi gure 1 Tiff image of the Ohama's Certificate of Live Birth dated August 8, 1961, presented on TV 4/27/2011.

Figure 2. Another Persons microfilmed Certificate of Live

Birth dated August 11, 1961.

What I Discovered about Obama's Certificate of Live Birth and why it is a Forgery.

What the Obama administration released is a PDF image that they arc trying to pass off as a Certificate Live Birth Long Form printed on green security paper by the County Health Department. The form is a created forgery for the following reasons.

1. Curved and non-curved type. The image we arc looking It was scanned in grayscale and some part in binary which cannot be on the same image. l'he reason 1 know this is because of the shadowing along the gutter (left-hand side). It also means that the county employees who did the original scanning of all the forms. did not take the individual pages out of the post binders. The result is that all the pages in that book display a parallax distorted image of the lines and type. They curve and drop down to the left. If you look at line 2 (Figure 3) on the form that says Sex you will notice the letters drop down one pixel but the typed word Male does not. Also notice the line iust below Male drops down 3 pixels.

sex

01101......1=116101MOMONVIO.

Male
111s01.01.1

sMBIBLs11.110.111•ISOM

Figure 3. Line 2 of the form. Baseline differences. The second incident of this parallax problem is seen in line 6c Name of llo.spilal or histilmion (Figure 4). The word Nome drops down 2 pixels, but the typed hospital name, Kapiolani, does not drop down at all. And again the line just below drops down 2 pixels, but not the name Kr/pluton/.

Place of Di

Natite of Ilompititi

Kaniolani
, rwa

0--

inc. Figure 4. Line 6c at 500%. The typewriter name of the hospital does not drop down 2 pixels.
The conclusion you must come to is that the typed in form was superimposed over an existing original Certificate of Live Birth form from the county. In fact, since I found some of the form headings scanned in as binary and grayscale_ the form itself is a composite but the person who created it did not flattened the image of the blank form and save it as one file before they started placing the typewriter text on the composite form. The individual(s) who perpetrated this forgery could not evidently find a blank form in the clerks imaging database, so they were forced to clean up existing forms and overlay the typewriter type we see here. The forger was also looking fbr certificates with the correct stamped dates and that is why I think they used more than one original form. At first I wondered why the forger didn't just typeset the entire form from scratch and overlay the type and not have to worry about the parallax problem. Then I remembered that in the early

Usual ResiTence a:

1960s there was no phototypesetting and this form was set in hot metal from a linotype machine. fhe type design is Hines Roman but they could never replicate the exact design. They were stuck having to use existing forms that were scanned in using binary and grayscale.

2. There is a white haloing around all the type on the form. Figure 5 is an example of this. This effect should not appear on a scanned grayscale image. Figure 6 is a grayscale image scanned in at 240 dpi. You will notice that there is no haloing effect around the type and also the security pattern is seen through the type. Figure 7 is a color image where you can clearly see the security green color through the type and no haloing. Figure 8 shows a Black and White (binary) image of the same type. important 11-6112, to remember is that you cannot have grayscale and binary on the same scan unless the image is a composite. "[hat means that different components of the whole image are made no of smaller parts. Figure 9 is an enlarged version of Figure 6 showing what grayscale letters should look like compared to binary.
Name (Type or print)

A. This Birth

[Sinotle

114

Twin

Triplett"'

Figure 5. Obama's form
IJRN. NO RECEIPT NECIESSAR

Figure 6. grayscale.

Figure 7. Color image.

SECURITY PACT! Ventura & Sepulvel 15165 Ventura Roc Sherman Oaks. Ca
Figure 8. 13inary image. Fioure 9 An eularoed version of Figurf. 6 showing grayscale type.

S. Th. G;),-im;r4 Cui iificaie is loaded with both binary and grayscale letters which is just another smoking gun that this form is a forgery. It appears the lines and some of the boxes were scanned using gra)scale, but only sotto,: of the form headings were grayscale and sometimes it is only some letters. Figure 10 and Figure 4 give one example. You will notice that the If and, al, in Hospital_ in Institution. (if and again the Ii and I in hospital were grayscale images, but the rest of the line is binary. The typewriter line below was scanned in as a binary image. I can also tell you for certainty that the form type was scanned in at a lower resolution (f200 dpi). This is because of the size of the pixels on the letters were such that the openings on the a and .s on the first line are not visible and filled in.

Hospital or institution (11 not in hospital

aani Maternity & Gynece
Figure 10. showing a mixture of grayscale and binary type on the same line.

Another example is found in form box 1 a. his name BA RAC K. For some reason the "IC is a grayscalc image and the rest is binary (Figure 11). That means the "R" was originally on the form and the rest was not until it was added.

BA ACK
Figure 11. Another example of grayscale and binary on the same line. Another example is the Certificate number itself (Figure 12). The last "1" on the form is a grayscalc image but the rest of the numbers are not. This is just another example of a cut and past job. It also means we do not know what the real Certificate number is if there even is one. There are other fOrm boxes that display the same feature, boxes: 51), 7e, 1 I, 13, 16, 18a.

ARTMENT OF HEALT

81. 106.1

Figure 12. 'Hie last "1" is grayscalc. but the rest are binary. 4. The Sequential Number is a fraud. I would like you to refer back to Figures 1 and 2. You will notice that Barack ()barna was supposed to have been born on Friday at 7:24 p.m. August 4, 1961 and the local registrar accepted it on Tuesday August 8, 1961 and hand stamped the Certificate number "61 10641. - Then notice that the other Certificate of Susan F. Nordyke was horn on Saturday at 2:12 p.m. August 5, 1961 and another registrar date stamped it on August 11, but her Certificate number is "61 10637." Keep in mind there would be only one bates stamp machine in the office so the numbers would all be unique. There cannot be any duplicates so every Certificate has a unique serial number. Obama's Certificate would have most likely been mailed on the following Monday. die 1711` and feu:Jived the Clerk Tu the 8' h . Susan Not dyke's Certificate looks like it by esday was mailed sometime earlier that week and not accepted until the 11 th but she has a Certificate 4 numbers less than ()llama's. it is impossible to have Obania's Certificate number to be four numbers higher than a Certificate that came in 3 days later. The facts I have ciin v, 1 y ou in ;-13 and 4 tell me several things about how this forgery was assembled. 1. Some person(s) in the Health Department, who had access to the document imaging program, search the database for someone close to the actual birth date of Obama and found someone near the 4 ffi of August. They may have crossed referenced the death database to find someone who had died and had a birth date close to Ohama's. If you remember, the Federal Government wanted the States to cross reference the birth and death databases so the database would have that information. 2.1 he date stamps have two different colors and sizes (see /15 below) which indicates that both dates came from different Certificates. 3. More than one person is involved in the flawaii Department of Health to assemble the different components that were used, do the database searches to find the right Certificates to create President Obama's fraudulent Certificate of Live Birth and finally sign the fraudulent certificate. I believe that after all the components were

4

assembled they were then given to a graphic artist to actually assemble the whole thing and create the finished forgery. In short this was a conspiracy to defraud the United States. 5. Two different colors and font sizes in Form box 22 and 20 Date Accepted by Reg. General. What is very revealing about this box and date entry is there are two different colors on both lines. Both lines xvere scanned using binary mode. but I see two different colors (Figure 13). What I think this is showing us is that the person who put this fraud together was looking for a form that had the right date namely "August 8 19_1." As you can see the only things that are printed in dark green (kr 71. 0=92, B=73) are "Date A" and "AUG -8 6." The rest of the type is in black. This tells me that the forger was working in color mode. -would have orWCF 114011 the s-i-arn-p--nseel- in box 20-. This 4s ttniikely been.: Since (Lte: -in hoth-r-laees- and sign the fOfft we have two site lettem and numbers, that means thes(--- elements were taken- fFe+w two scparatif\ col 'its that

22.
Figure 13. Two different colors, dark green and black. The same thing is found in form box 20 "Date Accepted by Local Reg." Figure 14 again shows that the date has two different colors. The "AUG -8 196" is in dark green (R-87, G - 111. and the "1" is in black. Yet again another irrefutable proof this form is a forgery. Form box I 7a displays the same two color image in the word "None". •Ihe "Non" is in dark green.

N. Date Accepted by Ica' Reg.
l'iL2.urc 14 . Another example C1: wo colors on the same line.

6. Multiple layers in the PDF file from the White !louse. I am not the first one to find this fact and they deserve the credit for discovering it. What they discovered is that when you open up the PDF hie in Adobe Illustrator and you turn on layers, you see a long list of nine different layers that correspond to different sections of the form, including the signatures on the form. 1 discovered using just my Adobe Acrobat 8 Standard that I could also see the different components disawei Fir when I enlarged the image to just 400% and used the "hand" tool to quickly move around 411r irna*. When 1 moved the image fast, the various type components would disappear fram the form but the lines staved just as f had concluded.
A Rebuttal to the Discovery of the Multi Layers Found in the PDF File.

'Mc only rebuttal to the nine layers discovered in the PDF file released by the White. louse was a statement from a Canadian graphic artists from Quebec by the name of Jean -C1tude Tremblay on April 29. It was reported by Fox News an on their web site ati • s?'"e'

He tries to excuse the multi-layers as merely an artifact of an OCR (Optical Character Recognition) engine and then saved as a PDF. There arc two major reason he is wrong and I know from his statement he knows nothing about OCR engines and how they work and their file structure. First of all the Mama P1)1' certificate was supposed to have conic directly from the Health Departments office. As stated before, the records they have would have absolutely no reason to be OCRed and if At.:y Were asked to give the customer a PDF image it would be from their existing TIFF image stored in their document imaging program on the server. The program would have done no OCR processing at Ihat My qualifications on OCR programs are considerable. Our own document imaging, program, Thc.Reposnory, has an OCR option from Expervision that is called TypeReader. We integrated lypeRcader into our program but to do this we had to sign a non-disclosure statement with them and then we got their look Kit and APE. When an OCR program saves a file as a searchable PDF, the tile-contains three main files within it. The first file is an image file, usually a compressed Groupz.l TIFF. The second file is a ASCII text file and the last file is a matrix file that contains the X and Y coordinates of all the words in the document. The Starting point for the image file and the matrix file is usually the upper right-left hand corner of the image measured in pixels. The test file and matrix files would never be seen as separate layers and there is certainly no nine layers. The three files would be in a PDI' - 'wrapper" and that's all All OCR programs work on the same principle.

time.

Conclusion

The Certificate of Live Birth Obama presented on television on Aril 27, 201 1 is a forgery.

In witness vvhereof he has hereto set his hand and seal. Name of Notary:CA Title:

tk jtEettLfibbe

&pa(

R6.4_

L

S

eRsvK—.

.a Notary Public of King County and the State of 1 , .4C. Wie4 Washington aforesaid, hereby certify that Douglas B. Vogt personally known to me to be the affiant in the foregoing affidavit, personally appeared before me this day and having been by me duly sworn deposes and say that the facts sct forth in the above affidavit are true and correct. Witness niv hand and official seal this the 10 th 01 1.

S

My Commission Expires:

/20

It

Novi

Douglas B. Vogt

6

Dr. Orly Taitz. Esq 9839 Santa 'Margarita Parkway, STE 100 Rancho ', arita Margarita CA 92688 653-5-111: Fax (949) 766- 7 603
1

72.7-

'30.COM

UNITED STTES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA

Dr. Orly Taitz Esquire, Pro Se, Plaintiff Civil Action:

Barrac -k Hussein Obama, Defendant

Affidavit of John N. Sampson

1. My name is John N. Sampson. I am over 18 years of age, am of sound mind and free of any mental disease or psychological impairment of any kind or condition. 2. I am a citizen of the United States of America, I am 58 years old, and was born in Jackson Heights, Queens, New York and raised in the State of New York. 3. I am the Chief Executive Officer, Owner, and Operator, of CSI Consulting and Investigations LLC, a consulting and private investigative firm registered with the Secretary of State of Colorado as a Limited Liability Company pursuant to the laws of the State of Colorado. The company was formed in the State of Colorado on January 2, 2009 and is in good standing with the Secretary of State of Colorado. Colorado does not have any licensing requirements or provisions for private investigators. I have personal knowledge of all of the facts and circumstances described herein below 4. and will testify in open court to all of the same. On, or about, November 16, 2009, Orly Taitz, the attorney who is prosecuting the above 5. captioned matter, requested that I access LocatePlus, a commercial database that I subscribe to,

EXHIBIT

which is located in the State of Massachusetts, and with whom 1 have a user agreement. and requested that I obtain any and all legally available information relating to U S. Social Security

(Th or about, ,;()Yoriaber 16. 2009, pursuant to the aforementioned request by Orb: Taitz. 1 requested from LocatePlus, any and all legally obrainable information relating to SSN 042-684425_ 7. As a result of tItt inquiry, I came to learn that Plaintiff Barrack Hussein Obama, has used this Social Security number since at least from June 1. 1986 to present. A detailed report was generated showing family relationships, past residence history, real property owned by Mr. Obama, and other detailed information to include, but not limited to, driver's license information, telephone numbers associated with Mr. Obama„ and people possibly related to Mr. Obama.

-

8. This information was obtained pursuant to a legitimate and permissible search under the user agreement I have with LocatePlus. This request was made in connection with a pending civil action, which is one of the expressed peimissible purposes to conduct such an inquiry through LocatePlus, as well as a possible criminal violation of United States law, and possible fraud. 9. As a result of this search and the results that were obtained, on or about November 17, 2009, 1 accessed a public access database named "SSN Validator at httpillww-w.ssnvalidator.coml. The information this site provided me was that SSN 042-68-4425 was issued by the Social Security Administration based upon an application filed for a Social Security Number in the State of Connecticut between the years 1976 and 1977. 10. Based upon information and belief, Plaintiff Barrack Hussein Obama has never had a direct connection with the State of Connecticut and has never claimed residency in the State of Connecticut.
11. 1 am a recently retired Senior Deportation Officer of the United States Department of Homeland Security, Immigration and Customs Enforcement (DES ICE) having retired on August 30, 2008.

12. As a result of my formal training as an immigration officer, conducted at the Federal Law Enforcement Training Center (FLETC), located in Brunswick, Georgia, and advanced training received at FLETC in Artesia, New Mexico and elsewhere during my 27 year career, as well as my professional experience spanning 27 years of federal law enforcement, it is my knowledge and belief that Social Security Numbers can only be applied for in the State in which the applicant habitually resides and has their official residence. During the period between January 1, 1976 and December 31, 1977 inclusive, it is my 13. knowledge and belief that Barrack Hussein Obama habitually resided solely within the State of Hawaii and was between the ages of 14 and 16 during the time period stated above. During that period of time, based upon information and belief, Mr. Obama resided with his maternal. grandparents, Madelyn and Stanley Dunham in the State of Hawaii.

On or about February 2, 2010, 1 received an email from a person identifyini2 himself as Curnminas Center. Suite 235N1. Beverly Operations Manal2er for LocatePlus, estirz. :liar I contact him re2ardin ,, mi\ account. On or about February 3, 2010, 'telephoned \Ir. Russo at 978-921-2727, extension 319 15. and inquired as to '0. -ny he wished to discuss mu account. At that time, Mr. Russo stated that LocatePlus had noticed I had conducted what he called a "celebrity political figure" inquiry and wanted to know why I had done so and which permissible reason pursuant to the user agreement I was under with LocatePlus pertained to my making my inquiry.

I told Mr. Russo that I was a private investigator in the State of Colorado, that I had been 16. tasked by Dr. Orly Taitz, an attorney in California who was prosecuting a civil suit involving Mr. Obama and that I had emails and other documentation that I could send him verifying that fact. Mr. Russo stated that he would appreciate it if I would send that information to him which I did on or about February 3. 2010. He assured me at that time that if I were to provide this information to him it would resolve any "issues" LocatePlus may have regarding my inquiry into a "political celebrity".
In the email I sent to Mr. Russo, I offered to have Dr. Taitz send him an email as well 17. confirming the fact that I had been tasked by her to conduct this inquiry pursuant to a pending civil suit in the United States District Court for the Central District of California. He stated that he would like to receive such an email.

On or about February 4, 2010. Dr. Orly Taitz, at my request, sent Mr. Russo an email 18. indicating that she had requested me, in connection with the pending civil suit in California against Mr. Obama, to conduct research through the commercial databases I habitually use as a private investigator, related to SSN 042-68-4425. Numerous emails have been exchanged between me and Mr. Russo due to the fact that as 19. of February 2, 2010, my account with LocatePlus has been frozen and I can no longer access this database despite the fact that I responded to their inquiries and have provided evidence to them indicating that I had followed the user agreement we have entered into. I have repeatedly asked that my account be unlocked, unfrozen, and made available to me. Despite all of this, as of March 8, 2010, my account remains frozen and I am unable to 20. conduct legitimate, legal database searches in connection with my business. As a result, I am being financially harmed, unable to conduct legal, lawful, legitimate investigations pursuant to law, and unable to provide to my clients, the services they have contracted with me to provide, thereby subjecting me to possible civil litigation for failing to provide contracted services. Based upon information and belief, misuse of a Social Security number is a direct 21. violation of Title 42 United States Code, Section 408(a)(7)(B), which is a federal felony punishable under Title 1.8 United States Code by fine or imprisonment of up to five years, or both.

22. I swear under the penalties of perjury that all the facts stated and circumstances described abm e are true and correct to the best of my knowledge and be? ef
ThaVC not been compensated for making thi Further. ffian eth not.
,,,tffj, ta

Signed and executed in Aurora. Colorado on th

8 day of March, 2010.

John N. Sampson

Dr. Orly Taitz. Esq 29839 Santa Mars;arita ParkAA ay, STE 100 Randle Santa Margarita CA 92688 Tel: i949 683 - 5 41 l : Fax (949) 766-7603
,

UNITED STTES DISTRICT COURT FOR TLIE DISTRICT OF COLUMBIA

Dr. Orly Taitz_ Esquire, Pro Se, Plaintiff Civil Action:

Ban-aelk Hussein Obama, Defendant

Affidavit of John N. Sampson

1. My name is John N. Sampson. I am over 18 years of age, am of sound mind and free of any mental disease or psychological impairment of any kind or condition_ 1 am a citizen of the United States of America, I am 58 years old, and was born in 2. Jackson Heights, Queens, New York and raised in the State of New York. 3. 1 am the Chief Executive Officer, Owner, and Operator, of CSI Consulting and Investigations LLC, a consulting and private investigative firm registered with the Secretary of State of Colorado as a Limited Liability Company pursuant to the laws of the State of Colorado. The company was formed in the State of Colorado on January 2, 2009 and is in good standing with the Secretary of State of Colorado. Colorado does not have any licensing requirements or provisions for private investigators_ 4. I have personal knowledge of all of the facts and circumstances described herein below and will testify in open court to all of the same. 5. On, or about, November 16, 2009, Orly Taitz, the attorney who is prosecuting the above captioned matter, requested that I access LocatePlus, a commercial database that I subscribe to,

which is located in the State of Massachusetts, and with whom 'have a user agreement, and requested that I obtain any and all legally available information relating to U.S. Social Security a 'ibc' 1--2-68-4425
On. or about.. .Ds - amber 16, 2009, pursuant T o the aforementioned request by 'Orly Taitz, I requested from LocatePlus. any and all obaainable information relating to SSN 042-684425.

7. As a result of this inquiry, I came to learn that Plaintiff Barrack Hussein Obama, has used this Social Security number since at least from June 1. 1986 to present. A detailed report was generated showing family relationships, past residence history, real property owned by Mr. Obama., and other detailed information to include, but not limited to, driver's license information, telephone numbers associated with Mr. Mama, and people possibly related to Mr. Obama. 8. This information was obtained pursuant to a legitimate and permissible search under the user agreement I have with LocatePlus. This request was made in connection with a pending civil action, which is one of the expressed peiiiiissible purposes to conduct such an inquiry through LocatePlus, as well as a possible criminal violation of United States law, and possible fraud. 9. As a result of this search and the results that were obtained, on or about November 17, 2009, I accessed a public access database named "SSN Validator" at http://www.ssnyalidatoncornl. The information this site provided me was that SSN 042-68-4425 was issued by the Social Security Administration based upon an application filed for a Social Security Number in the State of Connecticut between the years l 976 and 1977. 10. Based upon information and belief, Plaintiff Barrack Hussein Obama has never had a direct connection with the State of Connecticut and has never claimed residency in the State of Connecticut. 11. 1 am a recently retired Senior Deportation Officer of the United States Department of Homeland Security, Immigration and Customs Enforcement (DHS ICE) having retired on August 30, 2008. 12. As a result of my formal training as an immigration officer, conducted at the Federal Law Enforcement Training Center (FLETC), located in Brunswick, Georgia, and advanced training received at FLETC in Artesia, New Mexico and elsewhere during my 27 year career, as well as my professional experience spanning 27 years of federal law enforcement, it is my knowledge and belief that Social Security Numbers can only be applied for in the State in which the applicant habitually resides and has their official residence. 13. During the period between January 1, 1976 and December 31, 1977 inclusive, it is my knowledge and belief that Barrack Hussein Obama habitually resided solely within the State of Hawaii and was between the ages of 14 and 16 during the time period stated above. During that period of time, based upon information and belief, Mr. Obama resided with his maternal grandparents, Madelyn and Stanley Dunham in the State of Hawaii.

On c abcu ITehtilar\ 2. I received an email front a person identif ,, ing Cuirrnin2.s Center. Suite 235 %I. Be ♦ er )0c_'faii0P.S1,daria2er for LocatePlus. sso accounT. 5.. rccaa:_-, -;_ri ,z that contact him On or abo'n Fel)ruar\ 3, 2010, I telephoned \ Ir. Russo at 978-921-2727, extension 319 and inquired as to \vhiy he wished to discuss mr account_ At that time, Mr. Russo stated that LocatePlus had noticed I had conducted what he called a "celebrity political figure" inquiry and wanted to know v,liv I had done so and which permissible reason pursuant to the user agreement I was under with LocatePlus pertained to my making my inquiry.

16, I told Mr. Russo that I was a private investigator in the State of Colorado, that I had been tasked by Dr. Orly Taitz, an attorney in California sho was prosecuting a civil suit involving Mr. Obama and that Thad emails and other documentation that I could send him verifying that fact. Mr. Russo stated that he would appreciate it if I w ould send that information to him which I did ouid on or about February 3, 2010. He assured me at that time that if I were to provide this information to him it would resolve any "issues" LocatePlus may have regarding my inquiry into a "political celebrity". 17. In the email I sent to Mr. Russo, I offered to have Dr. Taitz send him an email as well confirming the fact that I had been tasked by her to conduct this inquiry pursuant to a pending civil suit in the United States District Court for the Central District of California. He stated that he would like to receive such an email. 18. On or about February 4, 2010, Dr. Orly Taitz, at my request, sent Mr. Russo an email indicating that she had requested me, in connection with the pending civil suit in California against Mr. Obama, to conduct research through the commercial databases I habitually use as a private investigator, related to SSN 042-68-4425. Numerous emails have been exchanged between me and Mr. Russo due to the fact that as 19. of February 2, 2010, my account with LocatePlus has been frozen and I can no longer access this database despite the fact that I responded to their inquiries and have provided evidence to them indicating that I had followed the user agreement we have entered into I have repeatedly asked that my account be unlocked, unfrozen, and made available to me. Despite all of this, as of March 8, 2010, my account remains frozen and I am unable to 20. conduct legitimate, legal database searches in connection with my business. As a result, I am being financially harmed, unable to conduct legal, lawful, legitimate investigations pursuant to law, and unable to provide to my clients, the services they have contracted with me to provide, thereby subjecting me to possible civil litigation for failing to provide contracted services. Based upon information and belief, misuse of a Social Security number is a direct 21. violation of Title 42 United States Code, Section 408(a)(7)(B), which is a federal felony punishable under Title 18 United States Code by fine or imprisonment of up to five years, or both.

22. I swear under the penalties of perjury that all the facts stated and circumstances described abo', earc true and correct to tire best of my knowled'ie and belief

havc not been compensated for making. Further_ Affiant saYeth not - .

affidavit

Signed and executed in Aurora, Colorado on this 8 day of March, 2010. d

John N. Sampson

Dr. Orly Taitz. Esq 29839 Santa MatIzarita Parkway, STE 100 Rancho Santa Margarita CA 92688 Tel: (049) 683-5411: Fax (949) 766-7603
E-ra=3..?;7 00,COM

t:ti PIED STIES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA

Dr. Orly Taitz, Esquire, Pro Se, Plaintiff Civil Action:

Barrack Ilussein ()barna_ Defendant

Affidavit of John N. Sampson

I My name is John N. Sampson. I am over 18 years of age, am of sound mind and free of any mental disease or psychological impairment of any kind or condition. 2. I am a citizen of the United States of America, I am 58 years old, and was born in Jackson Heights, Queens, New York and raised in the State of New York. 3. I am the Chief Executive Officer, Owner, and Operator, of CSI Consulting and Investigations LLC, a consulting and private investigative firm registered with the Secretary of State of Colorado as a Limited Liability Company pursuant to the laws of the State of Colorado. The company was formed in the State of Colorado on January 2, 2009 and is in good standing with the Secretary of State of Colorado. Colorado does not have any licensing requirements or provisions for private investigators. 4. I have personal knowledge of all of the facts and circumstances described herein below and will testify in open court to all of the same. 5. On, or about, November 16, 2009, Orly Taitz, the attorney who is prosecuting the above captioned matter, requested that I access LocatePlus, a commercial database that I subscribe to,

which is located in the State of Massachusetts, and with whom I have a user agreement, and requested that I obtain any and all legally available information relating to U.S. Social Security number t42-6S-4425.
On, or about_ NoYcinber 16, 2009, pursuant to the aforementioned request by Orly Tait', 6. I requested from Locate.Plus. any and all legally obtainable information relating to SSN 042-684425.

7. As a result of this inquiry, I came to learn that Plaintiff Barrack Hussein Obama, has used this Social Security number since at least from June 1, 1986 to present. A detailed report was generated showing family relationships, past residence history, real property owned by Mr. Obama, and other detailed information to include, but not limited to, driver's license information, telephone numbers associated with Mr. Obama, and people possibly related to Mr. Obama. 8. This information was obtained pursuant to a legitimate and permissible search under the user agreement I have with LocatePlus. This request was made in connection with a pending civil action, which is one of the expressed permissible purposes to conduct such an inquiry through LocatePlus, as well as a possible criminal violation of United States law, and possible fraud.
9, As a result of this search and the results that were obtained, on or about November 17, 2009, I accessed a public access database named "SSN Validator" at http://www.ssnvalidator.comi. The information this site provided me was that SSN 042-68-4425 was issued by the Social Security Administration based upon an application filed for a Social Security Number in the State of Connecticut between the years 1976 and 1977.

10. Based upon information and belief, Plaintiff Barrack Hussein Obama has never had a direct connection with the State of Connecticut and has never claimed residency in the State of Connecticut. 11. 1 am a recently retired Senior Deportation Officer of the United States Department of Homeland Security, Immigration and Customs Enforcement (DLIS ICE) having retired on August 30, 2008. 12. As a result of my formal training as an immigration officer, conducted at the Federal Law Enforcement Training Center (FLFFC), located in Brunswick, Georgia, and advanced training received at FLETC in Artesia, New Mexico and elsewhere during my 27 year career, as well as my professional experience spanning 27 years of federal law enforcement, it is my knowledge and belief that Social Security Numbers can only be applied for in the State in which the applicant habitually resides and has their official residence. 13. During the period between January I, 1976 and December 31, 1977 inclusive, it is my knowledge and belief that Barrack Hussein Obama habitually resided solely within the State of Hawaii and was between the ages of 14 and 16 during the time period stated above. During that period of time, based upon information and belief, Mr. Obama resided with his maternal grandparents, Madelyn and Stanley Dunham in the State of Hawaii.

-

14 On or about February 2, 2010 1 received an email from a person identif\ ini2 himself as Jim Russo - . Operations Manacier for LocatePlus. 100 Cummings Center, Suite 235\i. Be. eriy, IA. ':;15, rei,luestini2that I contact him rei.iarding my account.

On or about February 3, 2010, I telephoned Mr. Russo at 978-921-2727, extension 319 15. and inquired as to \\ hv he wished to discuss my account At that time, Mr. Russo stated that LocatePlus had noticed I had conducted what he called a "celebrity political figure" inquiry and wanted to know why I had done so and which permissible reason pursuant to the user agreement I was under with LocatePlus pertained to my making my inquiry.

16. I told Mr. Russo that I was a private investigator in the State of Colorado, that I had been tasked by Dr. Orly Taitz, an attorney in California who was prosecuting a civil suit involving Mr. Obama and that I had emails and other documentation that I could send him verifying that fact. Mr. Russo stated that he would appreciate it if I would send that information to him which I did on or about February 3, 2010. He assured me at that time that if I were to provide this information to him it would resolve any "issues" LocatePlus may have regarding my inquiry into a "political celebrity". 17. In the email I sent to Mr. Russo, I offered to have Dr. Taitz send him an email as well confirming the fact that I had been tasked by her to conduct this inquiry pursuant to a pending civil suit in the United States District Court for the Central District of California. He stated that he would like to receive such an email. 18. On or about February 4, 2010, Dr. Orly Taitz, at my request, sent Mr. Russo an email indicating that she had requested me, in connection with the pending civil suit in California against Mr. Obama, to conduct research through the commercial databases I habitually use as a private investigator, related to SSN 042-68-4425.
19 Numerous emails have been exchanged between me and Mr. Russo due to the fact that as of February 2, 2010, my account with LocatePlus has been frozen and I can no longer access this database despite the fact that 1 responded to their inquiries and have provided evidence to them indicating that I had followed the user agreement we have entered into. I have repeatedly asked that my account be unlocked, unfrozen, and made available to me.

Despite all of this, as of March 8, 2010, my account remains frozen and I am unable to 20. conduct legitimate, legal database searches in connection with my business. As a result, I am being financially harmed, unable to conduct legal, lawful, legitimate investigations pursuant to law, and unable to provide to my clients, the services they have contracted with me to provide, thereby subjecting me to possible civil litigation for failing to provide contracted services. 21. Based upon information and belief, misuse of a Social Security number is a direct violation of Title 42 United States Code, Section 408(a)(7)(B), which is a federal felony punishable under Title 18 United States Code by fine or imprisonment of up to five years, or both.

22. I swear under the penalties of perjury that all the facts stated and circumstances described above are true and correct to the best of my knowledge and belief
T ha\ c not been compensated for making this affidavit.

Further, Alliant saveth not. Signed and executed in Aurora. Colorado on this 8 day of March, 2010.

By John N. Sampson

2 NM
Case No. 201004122, DHS001 Mr. Kenneth Allen 10055 E Gray Hawk Drive Tucson, AR 85730 Dear Mr. Allen: I refer to your request dated February 20, 2009 to the U.S. Citizenship and Immigration Services for the release of certain material under the Freedom of Information Act (Title 5 USC Section 552). One document (totaling 14 pages) retrieved in response to your request originated with the Department of State, and was therefore referred to us for appropriate action. Please note that the one document has been divided into nine for processing purposes. After reviewing these documents, we have determined that four may be released in full, and five must be withheld in full. All released material is enclosed. An enclosure provides information on Freedom of Information Act exemptions and other grounds for withholding material. For all the documents withheld in full, we have cited exemption (b)(3) INA. We have now completed the processing of your case. If you have any questions, please call trial attorney Brigham Bowen at (202) 514-6289. We hope that the Department has been of service to you in this matter. Sincerely,

Margaret P. Grafeld, Director Office of Information Programs and Services Enclosures: As stated.

T he F reedom of information Act (5 USC 552)
FOIA Exemptions

(b)(1)

Exeicut:ves. Cinder in speccally aithorizec, unicie.r nto.nal defense or foreign colicA and properly ciassfied.
Executive Order 12958. as amended, classification categories:

interest of

1.4(a) Military piens. systems or pperatioris 14(b) orecn ocive.rnment nformadofl 07yDt2.10C y --.11:gen,_--, e activities. sources or methods. or 1.4(c)ntz. activities of the US includino confidentiai 1.4(d) FOe!Crl relations 07 fcy- e(gn 1.4(e) Scientific, tiei,ohnoipoical or economic matters relatino includind defense acainst transnationa TE-',770r:Sr7USG programs for safeguarding nuciear materials or faoiiities 1.4(f) 1.4(g) Vulnerabilities or cacopiiities of systems, installations. infriastructures. proects. Jdinc defense vices reiating to US national security. inci or-oleo:ion cans acair.st transnationa terrorism 1.4(h) information on weapons of mass destruction
e (b) 1 9\ Reatec soieiv to the ntema personn
Pnr4 practices of an aceflC\

i othei than section 552S of Tite (b)(3) SceoiticV exempted from, disclosure. °iv' statute i Title E USG Secticn 121-1 'fif ThE immigration and Niziticnaiity INA UiSiC Sectiinr Title The 2ontrai inte.,:liderir_-.,E.Acianicv Act of CiA The Arms Export Contra .Act. Title 22 USC 277E,-(eii ARM EX SC) App. USC EXPORT The Export Administration Act of I P-iiiillecedifoonfidertia: trade secrets, cornmercia orfina

;7.* c-, 717 3110 71

71 a. ptersicr.

(b)(5) in:era:Jen:7v c intra-aaehoy communications forming car, of toe deiiberative attorney-silent piriviiE-7, -ge, or attorney work p-oduct. (b)(6) e.eeese would constitute a cieariy unxarranted IOVCSIO (b)(7) erscr.2,

that woniiti: rriformiation comp,lied for law enforcement purposes , (A) interfere witir enforcement proceedings (B) Deprive a person of a fair trial , :nvasion of nersonCi :privacy (C) Constitute an unwararitec (D) Disclose confidential sources ) Disciose investigation tecnniques (F) Endanger life or ohys;cal safety of an\ individual

Other Grounds for Withholding

NR

our FOIL request. exclseci. iiviaterii,.- 1 nor nns000sive to iiy.

wit r- cur

.------71,71
-

DEPARTMENT OF STATE
u

=arm Approved B udget Bureau No. 47•R144.2

BUREAU OF EDUCATIONAL AND CULTURAL AFFAIRS

CERTIFICATE OF ELIGIBILITY FOR EXCHANGE VISITOR STATUS
;Authorised by regulations promulgated under provisions of Public Law PART is hereby cedilla follows: ISITOR NAMED BELOW TO PARTICIPATE IN THE

87 256)
-

LECTED THE EXCHANGE . THE ORGANIZATION (SPONSOR) NAMED BELOW HAS EXCHANGE-VISITOR PROGRAM DESCRIBED IN ITEM 7, PAGE 1 OF THIS FORM
2. NAME OF EXCHANGE VISITOR

ATE OF BIRTH

Lola SOETORO
4. NA TIONALITY

'a
S. PLACE OF BIRTH

.a ry 2

l

35

I ndonesian
6. SPONSOR (Hems and address )

Beduno, West Java d Teri l let- chanae be * ween East and _
,

I ndonesia University of Hawal

Center for Cul ur 1

s

ww , DESIGNATED BY THE SECRETARY OF STATE ON,AUne 7. EXCHANGE VISITOR PROGRAM NO. IS STILL VALID AND CURRENTLY IS OFFICIALLY DESCRIBED AS FOLLOWS (Insert here the overt weeding el the proven. dose r$15" 6" as contained In the lomat notification Iener received groat the Secretary of State,)

3n, 1854

A program to provide courses of study, research, teaching, or lecturing, or a combination thereof, in the various fields of Instruction and research conducted by the University of Hawaii for qualified foreign students and visiting professors, in the general interests of international academic exchange. x 1---.7:1
.
-""
7. ...4 .:1.

..,••• s
.
--'.....; ...

HEREIN WILL ENGAGE IN THE FOLLOWING ACTIVITIES UNDER THE PROG!*4 (Irr b•-iellY wi th B. THE EXCHANGE VISITOR sufficient clority to enable the appropriate officials to determine that the activities are within the scope of the Exolionfe•Virtita Program described in Heat 7 above) Under practical will ..C.-..

training student

work for L. Freprickrack

item 7(b), pag• 2 o f this

and Associates

in the fields of surveying, mapping and plotting.

9. THIS CERTIFICATE COVERS THE FOLLOWING PERIOD (The period covered by the following dams may not exceed one year, notwithstanding

the fact then sponsorship beyond that period may be contemplated in =cordon:e with the limitations listed In
From (Month, day, year)

farm)

J une 20,

1 P64

To (Month, day, year)

Jane. 2n,

196;

10. THE SPONSOR UNDERTAKES THE FOLLOWING FINANCIAL OBLIGATIONS FOR THIS EXCHANGE VISITOR (Specify exact amounts wherever possible, indicating period covered. Include any financial arrangements for travel expanses.) et

Student will be paid $2.00 per hour.

_

IF THIS IS A DUPLICATE CERTIFICATE ISSUED T A RETURNING EXCHANGE VISITOR AS DESCRIBEEN ITEM 7(c) ON PAGE 2 OF THIS FORM, THE EXPIRATION DATE OF THE EXCHANGE VISITOR'S AUTHORIZED STAY•AS IT APPEARS ON FORM 1-9.1 IN HIS POSSESSION IS (Month, day, year)
12. THE SPONSOR HAS NAMED THE UNDERSIGNED AS RESPONSIBLE OFFICER OF THE EXCHANGE-VISITOR PROGRAM DESCRIBED IN

ITEM 7 ABOVE AND HAS SO NOTIFIED THE BUREAU OF EDUCATIONAL AND CULTURAL AFFAIRS, DEPARTMENT OF STATE, WASHINGTON, p, C. For immigration Official 13. SIGNATURE OF RESPONSIBLE OFFICER (Also print or type name and title) „7-0 2L-- OS -- 6, 41-

14

14/

- .57) 6

7-L —L
PART 1 (To be

l d.DA

E

LI transfer)
sponsored by are of the opinion that the transfer

plated by reLoilng sponso r in e nact

I, the undersigned Responsible Officer of Exchange-Visitor Program Ne.

Is necessary or highly desirable in view of the exchange visitor named above to Exchange-Visitor Program No. of the purpose far which the asehang• richer was admitted to the United States and is in conformity with the oblactive• of tiro Mutual Eduoalianalv,a Cultural Exchange Act al 1961. SIGNATURE OF RESPONSIBLE OFFICER Also print or iype name end title)
DATE

FORM Ds1, -6.6 1-63

Dept. of State, AIGIST1PS, Margaret P. Grafeid. Dir (4 Release ) Excise ( ) Deny ( ) Declassify Date -1-47S/ic.' Exemption

7.1247

POKY DIVAS

egal.'
,

DEPARTMENT OF STATE

@sPfIS4 a the Budget No. 4742144

.TERNATIONAL EDUCATIONAL EXCHANGE udRVICE

CERTIFICATE OF ELIGIBILI TY FOR EXCHANGE VISITOR STATUS
(Authorised by regulations promulgated under provisions of P.L. 402, BOA C

rase, aa

Offsenderat)

1 . NAME OF EXCHANGE VISITOR

2. DATE OF BIRT H

Lob
3. NATIONALITY S. PLACE

Soetoro
i 4. PLACE OF BIRTH

January 2, 1515 Bandung, West
O. DATE

Indonesian
7.

ava, Indonesia

June
PARTICIPATE IN EXCHANGE VISITOR PROGRAM NO.

5,

1963

Tdiee liklitiikSHFekli #14E SPONSOR NAMED BELOW HAS SELECTED THE EXCHANGE VISITOR NAMED HEREIN TO
.

P-1-1723 S. DATE OF PROGRAM DESIGNATION BY THE DEPARTMENT OF STATE 9. SPONSOR

1 9; 1

Center.for. Cultural and Technical Interchange between East and West,
10. TIME

A

trF

S

i fiARTICIPATION (Length 0/ Slay.

Vinerzeiel Arrangements. Trahning Obiectives)

Effective September 1, 1962: Twenty-one month study grant at the East-West Center, University of Hawaii. The grant covers travel, tuition, books and all fees plus room, board, medical insurance, modest clothing and cleaning allowance. Mainland study tour will be from June to September, 1963. Sumer will be spent at Northwestern University and Wisconsin University. Sponsorship remains under the East-West Center. East-West Center grant terminates on June 20, 196k.


11. CERTIFICATION1

fermi& tom Era:nags Visitor Program No.
berein. end NNE

P

-1793 the gravLdes

gragn‘n -activities isi staled abiliie far the excbenge visitor named

the designative is sail valid.

THE SPONSOR AGREES (I) TO INSURE THAT PARTICIPANT ADHERES TO CONDITIONS UNDER WHICH HE WAS ADMITTED TO THE U.S AND WILL DEPART FROM THE U.S. UPON COMPLETION OF HIS PROGRAM; (2) TO NOTIFY IMMEDIATELY THE DISTRICT DIRECTOR. U.S. IMMIGRATION AND NATURALIZATION SERVICE HAVING JURISDICTION OVER THE DISTRICT IN WHICH THE exCHANGE VISITOR IS RESIDING IF HE CEASES TO PURSUE THE PROGRAM OBJECTIVES FOR WHICH HE WAS ADMITTED TO THE U.S. GIVING THE VISITORS NAME, ADDRESS, NATIONALITY. DATE Or ENTRY INTO THE U.S. AND HIS PRESENT ACTIVITIES; (3) TO SUPPLY ALIEN WITH REQUIRED TIME AND TERNS OF HIS CONTINUED STAY SUFFICIENTLY III ADVANCE OF EXPIRATION OP STAY TO ENABLE THE ALIEN TO APPLY FOR EXT a 31ON TO THE IMMIGRATION AND NATURALIZATION SERVICE.

_-_. _U.. Fore ign St udent Advise r
MONA TURC OP R ESP ONUS li 0 PIC R

A

Lee 2 Id a

'
LIZAT

1T ITLC I

I I.
I.
3.

FOR

USE OFIMMIGRATION AND A
2. PLACE

SERVICE

47 TED TO 0e/a---7/4-4.

DATE

4. EXTENDED TO / l‘ r_ t OF S OFFICIAL

S. EXTENDED TO

S. EXTENDED T O

7. SIGNATUR

• -

,--2:;----^,-/EN,

......

Dept. of Siam. AIG1SVIPS, Margaret P. Grafc141sair (4 Release ( ) Excise Deny ( ) Declassify Date --7//.2s/i e Exemption
( )

REVERSE SIDE)

•IGNED BY APPLICANT FOR EXCHANGE-VI "OR VISA AND/OR STATEMENT T ADMISSION .... AN EXCHANGE-VISITOR UNDER SECTION $ ,0)(151 AND 402(0 Of THE IMMIGRATION AND NATIONALITY ACT
T

0••••0.1(Z

T C, 0
of applicant. Please print)

have been selected tc participate in an Exchange Visitor Program aesignatea as such under provisions of section 201, Public Law 402, 80th Congress, as amended. 2. As an applicant for a non-immigrant, exchge-visitor visa and for admission into the United States as an ex. chcmge visitor, 1 declare that: a. I seek to enter the United States temperaily and solely for educational purposes under the followino conditjons: (1) Maximum: caiticipated stay (2) Degrees or eer ficate towarr; ..vhich study or training will be directed.
-

(3) My training (4) Remarks:

Ell will not involve more thon one institution.

Ye....z.A.

I understand and shall fulfill the terms under which I was selected t gram Na. •

participate in Exchange Visitor Pro-

I have sufficient scholastic preparation and hnowledae of F_'nolis'n tc undertake theprograrn for which [have been selected. staytr. the UnitedStates (State sources. amount of support, Ion oncincially able EC supoortmyself during ncluding stipends and allowcmaez., from F,v.citiange Vitor Prpararn.)
--21601 •, -2.44-4

I understand that the following conditions are applicable to ex ch , inge •rizitors: a. Exchange visitors may not accept renumerative employment in the U. S. other than that which may be an integral pat of their program, b. Exchange visitors -are admitted for the period of their :"chedulea program or for a maximum period of one year, un less their stay is officially extended.: . Exchange visitors may apply for an eitission by; completing Form 1-539 and sLbrnitting it to the nearest office of the immigration and Naturalization Service 30 days onor to expiration of the period of admission authorized. d. Exchange visitors who complete their orogrami and wno wish to transfer to another Exchange Visitor Program to further their educational objectives, must complete Form DSP-67 rind present it to the U. S. Immigration office having jurisdiction. over the ca- ea in which they reside e. Exchange visitors are net eligible far adjustment to status of aliens admitted for permanent residence, or to any other non-iamiamt classification, but must leave the United States upon completion of purpose of entry. f. Aliens in the U. S. on iccivay 1, of each year, must submit their address, In writing, to the immigration and -Naturalization Service by January 31. Forms may be obtained at U. S. Immigration or U. S. Post Office. a. Exchange visitors, prior to departure from the U. S. shall surrender their temporary entry permits, (Form-FS-257c KtilL" 41Ey.phaige visitors who leave the U.S. temporarily during the tenure of their program must have in CITY ceniketiidtsessiPi; a valid exchange-visitor visa when applying for readmission to the U. S. I Tidlititiel.tiffsi orA'are not eligible for immigrant visas until after they have accumulated 2 yeas residence in a cooperating 4ntry or countries, following completion of their stay in the United States, unless this provision is waived by the Attczney General of the U. S. acting upon recommendation of the Secretary of State.
-

SUESCRIBED
THIS

S.WORN - -.RE,FORE ME
19 ' AT
!

'7' JiA .1" OF

agree to coiforrn to the conditions n

c

13.4

outlined above

A
,

(::;i6=1 ,2444.e...and T :

of ConsLdar Officer)

.

iSii,atire of Applicant)

Dept. of State, ,VGISIIPS, Margaret P. Grafeld, f)ir (4 Release ( ) Excise ( ) Deny ( ) Declassify Date..-7hVie Exemption

STATEMENT TO e 1GNED BY APPLICANT FOR EXCHANGE-VI' "OR VISA AHD/OR 4051 AND ADMISSION . AN EXCHANGE-VISITOR UNDER SECTION 402(1) OF THE IMMIGRATION AND NATIONALITY 1. 1 (Name of applicant Please print)

have been selected to pa- ticipate uo on Exchange Visitor Progran designated as such under provisions of section 201, Public Law 402, 5..0th Congress, ,ds amended. admission into the United States as an ex2. As an applicant for c non-immicront, exchange-visiter visaand change visitor, I declare that: a: I seek to enter the United States- temporcaily and solely for educational purposes under the following conditions: (1) Maximum anticipated stay (2) Degrees or certificate toward which study or training wjll be directed.

(3) My training FT vilI Ti will not involve mare than one institution. (4) Remarks:

b. I understand and shall fulfill the trms under which I was selected to participate in Exchange Visitor Program Na. a. I have sufficient scholastic preparation and knowledge f Endlish to -andertaketheprogram for which I have been selected. d. I inancially dr.:le to comport myseluting m, rly +a the UnitedStates (State sources, amount of suppon. nch:Mho stipends cad allowances from Exchanae Visitor Program.)

3. 1 understmnd that the following conditions ore applicab)e t exchonde visitors: o. Exchange visitors may no: accept renumerctive ernploymont in the U. S. other trim that which may be an integral part of their program, h. Exchange visitors are admitted for the period of their :-othedulon program or fur a maximum period of one yecounless their stay is officially extended. a. Exchanae visitors may apply for an extension by completingForm i-539 and submitting it to the nearest office of the Immigration and Naturalization Service 30 days prior to expiration of the period of admission authorized. d. Exchange visitors who complete their program and who wish re transfer to another Exchange Visitor Program to further their educational objecties, must complete Form DSP--67 and present it to the U. S. Immigration office having jurisdiction over the area in which they restore Exchange visitors are not eligible for adjustment to status of aliens admitted for penrznent residence, or to any other non-irrrnignmt clascification, but must leove the United States upon completion of purpose of entry. Aliens in the.U. S. on jamucry 1, of each year, must submit their address, in writing, to the Immigration and Naturalization Service by January 31. Forms may be obtained at U. S. Immigration or U. S. Post Office. Exchange visitors, prior to departure from the U. S. shall surrender their temporary entry permits, (Form-FS-257c Exchange visitors who leave the U.S. temporarily during the tenure of their program, must have in or I 94). :heir oossession a vodiri exchange-vi-sitor visa when applying for readmission to the U. S. Exchange visitors me not eligible for immigrant visas until after they have accumulated 2 years residence in cooperating country or countries, following completion of their stay in the United States, unless this provision s waived by Ire Attorney General of the U. S. acting upon. recommendation or the Secrerody of State.
..'41)RN TO I IEFORE AfF TiftS 19 AT I agree to conform to the conditions as outlined above.

riure and Title of 1:on5:.,-lar Officer)

(5 1- r ,,, ta re of Applicant)

'Dept, of State, A./GISITS, Margaret i'. Uraim, LA; Deciassify Reiease t ) Excise ( ) Deny Date i:/.21,'- A-c
tlip.0.1010.10.1111M++1.4. , .

ItOPIM OSP-SS

,•22-S7

DEPARTMENT0F STATE

:

-

41*4111.i'

1

:Ma. 471444 -

TERNATIONAL EDLICATIONALECHANGE

SERVICE

.t.1,....,... ii,

(Authorizad'• ragultiticois promulgated under proukelpite 41' ,..4. 4O2t 8014:Congrose, as amended)
'
I. NAME OF X ANGE VISITOR

CERT

'CATE OF-ELIEIBILit Y. frOli..:Et CHANGE VISITOR STATUS
...
-

I,o 10 Soeta:'O
3. NATIONALITY S. PLACE

.


veA,T.e art. EI RTFI - ,3*~4nFary 2, 935 .

1

4.,...01LACE:OFEIRTH ,

Indonesian
E.;

p*TA

. -Bandung ,34-es ta,.indonesi a

.,

..,

..

:

,,,---:-..,

*.

H
PARTICIPATE IN

u u Tr awaii Excr-msoevisrroR
PROGRANO. W

.
,LEcTg'D.T ,

7. THIS CERTIFIES THAT THE SPONSOR NAMED SIELO

ust 15, 9 • *cm,0,14nayiSil`p N AMED Itiarah. 23,:,1 95 1
'

EREIN TO

P

793`

S. DATE OF PROGRAM. DESIGNATION t3Y.THE DEPART S. SPONSOR

sTKTE,..

:711111..cal Interchange Be C e nter for Cultural and Te.university of Haas it. '
ID, TIME AND TERMS OP PROGRAM PARTICIPATION (Length tr,Stoy, l'imatcl •

e

t :and .Weet;„. t.
.. .

',Air!arurouttmt..t. TramiNtObjectitots)

nth study gri*fit::.4t the East-West Effective September` 1 1962 '; : Tilenty-Center, Univeraity of •itawaii.; The 'itaiati, :conei,i1;travel, ..tuition, books and es t. c.:.ottling: end o_eaniog all fees pins .roont, , board, ,2*dical "Tnsur nee; allowance. 32veet;., pli.,au.t saill-:s. Training ,Ob*er.. ce an unclassified non-due stUdee.i;
---

..

in thepeo tment of Geography as

r'S ' • ”

_

......,

. CERTIFICATIONI certify Its FscouitgIViritor , PxoirinsT N:: r

—,';;ni.de js

eg-givitiez

lrIctte

above joy iiie extthinge-visitor h awed '

berein. Med ti•M Ibe: .crmstitteefort ltr . ;far..tetifid,

:...:... THE SPONSOR AGREES IIITO INSURE THATPARTIciPANIODHERc .9. T D CONDITIONS UNDER•NNICNIIE NAs:AoMITTED TO THE U.S AND WILL DEPART FROM THEIU.S, UP6H.colg!WflokipiT:jiisifi406 .41*.14) TO::.00T: IMMEDIATELY TiIiiiisl- Nie -r TIP

,,,..

amitc•roH, u,s. OWl ipwicai ANDtiATOiiAS.:IZATiptiiiiiSfiC0f,0410*tiscH&TICik.:0-1/Eiq'THE oiStnicTiN rtHicH T*411e 1

TO THE U.S. GIVING. THE VISITORS N ANE:ADONESS:NATIONALI, DA:4E5.0F ENTRY INTOTHE U.S.. AND HIS PRESEWT ACTIVITIES; tsi To SUPPLY ALIEN WITH RE Q UIRED TIME AND TERMS OF NI DOHTINUE0 STAY,SUFFIcIENTLYIN ADVANCE OF EXPIRATION OF STAY TO EWA THE ALIEH TO APPLY rOR EX.TENIION TO THE ININIONATION AND NATURALIZATIONSERVICE. .M.134SEIOISS .Sedie.r-EMY ; A
ENATUEE•ELFIFF2M,Eti IEESCPrPTEEEP: • ':' - ...,.. - ' ,.....bwomen•••ss•ss•ssN . '• • _ 1 .. 'tyrri.e)

CHANGE VISITOR IS NESIOING-IF.HE

ezist*.;•fif.Oi.iii4.*tteli1:iiiiilAisit!iie.ISOIVas,iwiTtit04,ikWiS-AeHAITTED

EX-

-4 . ,. .,r, ,

,

1. DATE S. ADMITTED TO

..=F0 'WSE'OF 'IMMIGRATION A NORATURA LIZA TIONCYERVICZ '`... ._ 2. PLACE . . ,., .

-.

EXTENDED TO

S . EXTENDED TO

1 5, EXTENDED T

:7. SI NATURE. OF INS OFFICIAL -

IEEE REVRSks.pper:,-.,

C .S. Department of Homeland Security P.O. Box 648010 Lee's Summit, MO 64064-8010

July 29, 2010

U.S. Citizenship and Immigration Services

Mr. Kenneth Allen 10055 E. Gray Hawk Drive Tucson, AZ 85730 Dear Mr. Allen: We have completed the review of all documents responsive to your Freedom of Information Act (FOIA) request of March 1, 2009, for records concerning individuals you have identified as "Stanley Ann Obama, aka Stanley Ann Dunham, aka Stanley Ann Soetoro" and "Lolo Soetoro." We have identified 111 pages of documents responsive to your request. Enclosed are 83 pages which are released to you in their entirety, and six pages released in part. We are withholding seven pages in full. In our review of the aforementioned documents, we have determined that the redacted portions contain no reasonable segregable, non-exempt information. We have referred 16 pages to the U.S. Department of State for their direct response to you. All responsive information known to exist is hereby released to you with the exception of those portions that are exempt from disclosure pursuant to FOIA exemptions (b)(3) (as applied in conjunction with subsection 6103(a) of the Internal Revenue Code (IRC)) and (b)(6). See 5 U.S.C. §§ 552(b)((3) and -(b)(6); IRC § 6103(a). The following exemptions are applicable:
Freedom of Information Act, 5 U.S.C. § 552(b)(3) in conjunction with IRC § 6103(a)

Exemption (b)(3) provides protection for information specifically exempted from disclosure by statute, provided that such statute requires that the matters be withheld from the public in such a manner as to leave no discretion on the issue, or establishes particular criteria for withholding or refers to particular types of matter to be withheld. Exemption (b)(3) is being asserted in conjunction with subsection 6103(a) of the Internal Revenue Code (IRC § 6103(a)). Subsection 6103(a) of the Internal Revenue Code states, generally, that no officer or employee of the United States shall disclose any "return" or "return information" (as those terms are defined by subsections 6103(b)(1) and —(2)(A), respectively) obtained by him in any manner in connection with his service as such an officer or employee or otherwise or under the provisions of section 6103, except as authorized by the Internal Revenue Code. Subsection 6103(a) leaves the deciding agency official no alternative or discretion on the issue. FOIA exemption (b)(3) is being asserted in conjunction with IRC § 6103(a) to protect certain returns and return information found in a record responsive to your FOIA request. After meticulous analysis and careful consideration, none of the exceptions to this strict statutory prohibition against disclosure was found to be applicable to your request. Accordingly, the USCIS has no discretion on the issue, and must deny your request for access to the same.

Page 2 — Freedom of Information Act Request of Kenneth Allen Freedom of Information Act 5 U.S.C. § 552 (b)(6) Exemption (b)(6) permits the government to withhold all information about individuals in personnel, medical and similar files where the disclosure of such information would constitute a clearly unwarranted invasion of personal privacy. Records responsive to your request were located in a Privacy Act protected system of records referred to as the Alien File/Central Index System (A-file/CIS — DHS/CIS 001)." See 72 Fed. Reg. 1755 (Tuesday January 16, 2007). This system of records contains information regarding aliens who have sought benefits under the immigration and nationality laws of this country; these records are collectively referred to as alien registration files or "A-files." A-files are universally recognized as being similar in character to personnel and medical records (inasmuch as they contain some of the most sensitive and intimate details associated with aliens who have sought benefits under U.S. immigration laws) and, thus, are entitled to the protection from disclosure afforded under FOIA exemption (b)(6). In deciding the disclosure disposition of those documents containing personal details lifted from the lives of private individuals, the documents were closely scrutinized in an effort to identify any public benefit to be gained from their disclosure. It was ultimately determined that no discernable public gain would be achieved from the disclosure of the information subject to this review. On the other hand, the potential private harm that could be suffered as a result of the release of this information was found not only to be tangible, but also significant and reasonably probable. In the case of these documents, the potential private harm stemming from their release was determined to clearly outweigh the total absence of any public benefit to be gained from such disclosure. Consistent with this analysis, it has been concluded that the release of the subject information would constitute a clearly unwarranted invasion of the personal privacy of the individual(s) to whom it pertains. The USCIS, therefore, must deny your request for access to this information under the authority of FOIA exemption (b)(6). The enclosed record consists of the best reproducible copies available.

Sincerely, T. Diane Cejka Director Enclosure(s)

•s ^"v". 1."...1"" ••••"...1

! Alfas

.

8051530 IA* aka IiiiitteDMIXTO Abt jog Sat
DATE OF ENTRY TYPE ADM,

5•
MO,•DAAR, OF BIRTH

A20 481 1165
COUNTRY OF AM

P.O,E.

155_ 10605.15
Type of AsflIOM Actie on VPt (Decision) (Mo.)

1n-1
(Day)

01-0248
(Year) (Section)

11

imdonosia
(Forwarded to Consul oh

Name of Sponson

Street Address(City, Stole, and Zip Code) .i,

MO

Dote

FCO

Date

FCO

Date

ANN
Acesslon No.

2/5/74
B"

tibiZr.r::

.-;.

7NDILX CARD

0 0 0 0 01

:221013ANDI;1; Re: Lolo S. 3oetoro A30 ILL 285

'FIL3.;

contacted Hrs. Sector() by telephone (»941-9955) on Nay 21, 1974. She advised that she mould contact her husband and have him return his reentry permit and application (Form 1-131) to this oX Lice as soon as poscible so that we may complete the adjudication*

Date: May 23, 1974

000002

L

Itp#•
HOnOlulU,. Hawaii Mey 1, 1974

apt,. 3

961:t22

d112 11'1

John F. O'SheaDistrict Director United States Department of Justice Immigration and Naturalization Service

Dear Mr. O'Shea, -%s I informed you by telephone, the ANmerican Embassy is refusing my husband an extension of reentry permit on the grounds that he Wed a 1973 .non-resident tax return. This erroneous information is based on a letter sent by your office (Item I enclosed).
My husband, prior to departing for Djakarta on business, flied a 1973 resident. tax return. Enclosed is a copy of that return (kern Z). The fact that it is a resident form is clekarly stated at the top of the second page. In addition I have visited the downtown tax office and had them verify that it was a resident form. Non-resident forms have a special N.R. initial in the upper left-hand corner. Lastly I have enclosed copies of my husbands 1973 wag e and tax statement, should you need them.
_

If you could clear up this mistake as soon as possible by notifying the U.S. Embassy In Djakarta it Oc:pOld be greatly appreciated. My husband hopes to return to Honolulu next month. If you have made a decision on the matter I would also appreciate a call from you or your secretary. You can reach me at home at 941-9958. Thank you so much for your trouble,

Mrs.

Hn

n Soetoro

d.

del" 000003

•:•:.•••

1:•••7; •••?1,3 ••-•",-.}4 , Writ,;1 ,

rutrivi 3-6 -nem. rtiz 14umula

A30

481 285

UNITED STATES DEPARTMENT OF•JUSTICE t

IMMIGRATION AND NATiMALIZATION SERVICE
MPG ALL. MOANA ift-VO., P.O.X 481 )

HONOLULU,
-

HAWAII sa Febriiali-r28; • 974

Lolo SOETORO c/o Diponegoro 7 Djakarta, Indonesia Dear Sir:

In connection with your application fors_Ntension of After you were admitted as a lawful permanent

rentypmi,hfolwgsbrut.yaenio:

resident of the United States miler the immigration laws, and after you established a•esidence in' this country, you elected tO claim nonresident 1

status to_gualiZy for benefits under the Federal ingoi6-ilm,laYa. Such claim is iigelidisfai7 --a ntinuance of status as a lawful perwith
manent resident unddi•the immigration laws.

ce exnlas to submit, if you wish to do so, before a dec.laisiqq_1s made on your.application. Any submission you may wish to..make mUst be receivedAthim_O days of :the 4ta of this ketter. If no submission ii'ieceived frdiTriar within-the time allowed, the decision on your application will be made on the basis of the evidence of record.
Sincerely,

The purpose of this letter is to give you an opportunity

0 1 1414d .1. C3,6? John F. o'shea District Dirac:tor
JOS:gsl

000 .004

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.

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di100 610 141t1ii8T, #4011 $

Sinocii1,3rt
John. F. O'Shea, District Di-ree tor
.

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Your: -r er .
WMA Mr PiEtrict Iiirtio•or Immizration and Naturtlon !:;arv .:Jo* ••61 P.O. aonolvIn

5

wear 114ank yon foryoUr IrittoT t:latoa ?ebraury 2;T:1 ) Vi)74 revad:lag the sat status. I van complvtely urivo•o that mfttter of my'pewilawnt ros .idt, I tad contravened arly Federal law, My only txpInnation is that mben enlisted the ;:Jolp or a fric:, nd. 7: filled out my tRx form for 1973 He worked for a bank and Was OWi:X• of my status thusJ trusted in hiE kno•le(lge of the tax '3 y» +' order to cicar tbis matterup could you plenae infory me as tx the ntion I muvt tkAm. If have to pay nny back-tf.ixes nzturNlly would be un6er an obliution to to so. " Ple.115e ecept ;.:9 the truth thpt I wav completely unw.ore thd ., I regulz.tions. brohn sincerely hope th”t this incident will amt j;-:opeline my cbances of an extern :ton to my rf.-entry part .t.

7our4l feitbfully,

Lob Soc11617-----"

.0

TU

000013

0-Approval

u Note & Return
Noce

E-j- see me _
kp
requested El For your informetion

0-comment
0 Necessair iiction Per telephone (--) conversation

a NI,

Signature': Cell roc Ext.

Remarks

O

From
IMMIGRA TION AND NATURALIZATION

Roost

service

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000027

STATE OF HAWAII • • DEPARTMENT ATTORNEY GENERAL BUREAU OF CRIME STATISTICS & IDENTIFICATION KANA1NA BUILDING, CAPITOL GROUNDS HONOLULU, HAWAII 96813

Tom' tid:iCir 1.)::is NAY CONCER N:
ABSTRACT CF CRIMINAL RECORD

Our Number

Data

July 18, 1972

The following record is furnished FOR OFFICIAL USE ONLY, Information shown on this identification record represents data furnished by ail Police Departments in the State of Hawaii and the Hawaii State Prison. For Mainland arrests write the contributor for possible complete record. Contributor of Fingerprints Arrested or Rec'd

Name & Number

SOETOR(.), Lola Ma

todihardjo (Visa applicant )

Above subject has

no Hawaii arrest

or Director

000029

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IPLEADD*ROUR T TRW MS KM MO

UNITED STATES DEPARTMENT OF JUSTICE IMMIGRATION AND NATURALIZATION SERVICE
DOB ALA MOANA BLVD.

A1432294

HONOLULU, HAWAII 9 009

August 22, 1955

We. Ann D. &star° 2234 Univeraity Avenue Honolulu, Hawaii Dear Madam: We is in reference to Application fox vaiver of the two.year foreign residence requirement filed by your huaband, Lo Lo Soetoro.

Our records indicate that your husband returned to Indonesia, the country of his nationality and last residence on. July 20, 1966. It appears therefore that bn has accumulated the tvwears of physical ixresence in Indca2eala and that there is no need to consider the application for waiver at this time* We are therefore considering the application cloeed, however, If at any time it is found. that consideration or the waiver application is necessary the matter will be reopened*

e

Sincerely,

tv„ F ts )-f

oho. O'Shea trict Director

00 00 30

-I.

U. S. DEPARTMENT OF JUSTICE
IMMIGRATION AND NATURALIZATION SERVICE
139/4 ALA MOANA BOULEVARD

POUTAGE AND PC= PAID •

Immigration mul Ikturtruzliso Sordee

&

HONOLULU. HAWAII 96913 OFFICIAL BUSINESS

HAIM AL WA
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U LU Kra. .Ann Dunham Eloetoro 2231r1111-117--Arenue lionoittbis -

RETURN. TO WRITER
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000032
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44
ED STATES DEPARTMENT OF JUS liannitfatieLontftturatitation Service ligi9A1,441 • P; '.HAWAII : 961100 • NOTICE(OFOPROVAL OR REVALIDATION OF VISA..PETITIM4 . File Number: Date:
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Date Petition Date to which Petition is valid'

eztaitge,14 1965
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oulosificatio.
.

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Please note the itemn4be1nk Vhicir arerindioatatir PIPTILs.: 0Pppri0A4he , viElk.:F0:41904Ped'in you in b e h a lf of TN.Theipetition :has been eiP4Veclirnalfoordekttiifthelliiited'StateS;tonatileteet Tihiehijibe*neficiaryor beneficiailes will::apPly for .a , Ilaitititti. e0nceasg.thsisssaspe*s viseshouIdb..ditccted to thelConiiinte at 0.1.1Aetkp,Olgyn ilPS,.ksen-isy.efAdoted onOitotioot.diailIo, titeiviutod stotbo;,:cdriaolote at whLóWtbe bonéficlury sor kigiir.400 *0,40ply for 4,,Iiinii .,:f#tr.:;innallytorteericitittheiSsilinOeit-6ii4044ti6014;be ittoterktb3he,,deriaelato.:0. apEItgirr?,hiliAiated-thiCth&beiiiilielary,. dies not require a visa to enter the United proval rittliepetitiorilakliiren.foivinr.ilid to the intendeti.tniteg*iteekitet enttyIfielarret.notity this ciffibeartirsediritely of.anychange ,in,the intended1.0 1P0 nThe :petition laelfoien iiPpOveil;Xofricitice#41WuV0- Otthe....110.14.191.L.410 been . s34410 . Oen attit4 or post lifAnt13.43;:tt.hn# not ileitn:;•10oute4:libit:thelibnaileiariOetY ,.-wat,ipptgfor vine(s) States. , OtrOt PMSsi9P to, the .EfT114:pugiioue,sfaAi?it that il;o*uolioiuty as 44;aclinitoilStotoo ,ouomigiiirfoAlls,dgo,ot Of status totliat of altivifiii4ceimenentleeiderit: The enclosed by the beneficiary in accordance with the Instructions •Centainektihetein, The petition has been revalidated. No notice Of revalidation ot,the,petikkontes been,,sent to a United ,States Consulate, on ithaorlot beeesindlisted:that the.beneficiary(les),Nyill apply . for vjart(s). 0 lf:.7Oebecoute nntnAnlizeit ,ns,-0..citizen gi the United States and en :intelligent visa haincinikt*Ohaft Issued to the rbargiO. 4trYT;Illit* thin office lunmediatoly, giving tFe data of your ntiturnIizratnn This ,L • 4146rryiiimigEtyvtgo.4.49.11yg ,',)Elopo.pc.of a vian to the benefzciay if the petItiOn was in behalf of :airried e :, • •••itil4S'Spilr400340f,!eistV7.00.44t.Whother that person in StillSsin difite l;prOmptlYatthe cniployzent or traInin Specified an tirts petition El You irt.teindriatatt.befOte,the.eitiikation Of the iiiitherlied:Stek -.ituthOaitetgOttren:,of#0 1'444_ upitipp). occurs. You 'aieregitented te,-adiitielltebenefielaw : Oeslthet-theaccePfanced. epploYaletkerAretaing not specified in Wis. petliinn-mill.be.G .violation, of theoonitanigrerwit4tia.cot „ther•lighq4:01.4Aigs); MUpon :arrivol. In the United *ales, the initial *edit! of .admitglortipt the lienefiniery:(1.04:4y.onf ton• • 42P 41r.q4",43 a r.!*31.1. may not exceed the date to .vohichlire petition is valid. Thei.temparagy..;tp.ofit.)ie*egelicipry (inn), 0*nd in yout.OntitInn In extended to
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A14 128 294 Assiotant Ofralsolasar, Towel antral. Saatlamat Realm Salm B. Otebaa s Diatzlet Virecter iranolinto. Varian Isar MI 234349 July 29. 1028; lelo 812N0194 A14 228 294 • Ow. 212(o) Waiver applicant Our file indicates that the subject retaratil to Asa, tint cssatry of his satigmatitg sad lot residence, an Mg 28, 1968. Akira* there is a nate possibility that he ban sot pat egmasletsd too tali pan of pigsties mama 1a latianeala„ nen does not appear to be agy need to *Gasifier the salver at Ole time. If yea agree, wa alil cost the wolves application as eland atattotteally, subject to beim eappeued at erg Ms if con. Gideratiem of tba salver to Saund to be seaeseary„ ad se sill so advlaa to applicant at his last torelipa addreas.

leo= 1. 1968

Via aters41
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000034

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SW .213.0 :ITulY 19, 1966

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000035

£14 128 294 Assistant Regional Oactgasioner, frayed Control, Sautheast*Region . Jahn F. O'Shea, lOstriet Director Rambles HEREGii Ald 126 294, Zola Sesta* • Section 212(e) Salver Agglicaatt Your SD 2143• of October 10, 1967 The Central Mice on October 6, 1967 wailed our letter as this ease to the Department of State with favorable reecconandation. We have received no reaps= ban the Vagartment of State, and it is suggested that imp*, be Endo as to their decision on this matter. Via Almon
ISC:rn

July It, 1968

000036

A nt

000037

. ornakm taa:1“)

UNITED STATES GOVERNMENT

Memorandum
TO

:District Director Honolulu, Hawaii

SW 214j.4 DATE: October 10, 1967

FROM : 3. P. Sharon, Assistant Regional Commissioner, Travel Control, Southwest Region

sumpor:A14 128 294, Lolo Soetoro - Section 212(e) Waiver Applicant Subject file is returned. The Central Office on October 6, 1967 nailed your letter on this case to Department of State with favorable 'recommendation.

Attachment

I

000038

AU 128 2S4

Chief, Famititetiva Services Staff Sam of Sdneatioaal end Cultural Affair& Dapartaint of State Washiegtea. D. C. 20520

Dear Sir: SlOge ids eadeseit the eSPISoation of fir, Lob Swims) for a foreign residesea requirement of mei= waiver of the evp um) of Oa lessigratina cad Butbanality Sots alvenended.
W. Mateo to a3 21fser•old native and citizen of Ihnioncaia. Ife ear adaitted to tie United States ea as enahatits visitor on September le t 1962, for graduate Mediae eponeered by the Center far Cultural mad Technical Interchange Bette Beet and West, University of %W$, under Embargo Viaitze grow= M. IN44793. ffi agaidesed actions:he new Duchene Vladimir Maxon No. 1440•1703 on Sumo 20, 19614 Tom. Seaton departed EMI the United States •04 &IT 20. 1956: and boo One bean residing in Inianesia *era he la preeently employed by the Indonesian Couaremeet• The applicants . lidded State, admen Wife resides at 3334 MAW Toiversidw Avenue* Tonalulu, Santis 'with bar 6 States oitireo sou by a prior Ito • tits see thew for over IA =She earned to Wanes& and hoe bees tea in as effort to satiety the foreign madame resnirement. ea=s a very =agar eatery and in dependant opeet =bare of bin fardlg. EL. Otte bee remained via hie stepchild in the Weed States and eallita *Mt *400 DON eenth. She bee scaleoplication for a visa for herealf and her con to travel , to IndenW4 as she So dew to Ada her husband gm neon an penal% if he do. uct paiseitted tip roma hoes 'MOM she can no lo end= the esperation: She boo bees wing elate last year to Obtain craployerust et* the ILL Weary Sn eta, ludenesia, thus far toithout enema. and eke gilt therefore he without edecueee income to support hermit and her ulcer eon of a previous marriege mho will be revised co mace. may ker. satiefeatory avidensa ► ms's antriage on Dinah aSir Miss to a limited States citizen •ond evidence of the iagal terainetion

000039

Clef, Vaedlitattve Servioae Staff

-2-

of Ida apeveee prior Issedase have teen =batted. Item axo go ewe factor& In tido vase. In oleo of the foregetue, it hen been dew that eeepit• woe with the foseign mama recostreseat of nation 212(e) of eta lasdavelloa gad Vatioaelity dot, as ameaded• would isiteese ea• eepttenal hardship upon x. Beatotove Vatted States dittoes °pause =A °tavolaId. It to therefore requested that the. Seeretasty of State steevaand Ithethez the waiver should be pasted. Nuevaly,

John V. Waco itteertot DIMON

WfX:cs

000040

ITN

Deputy Macciate Comaleaner, Travel Control, Genteel Office, Wsehinton, D.C.
y. W. Gilman, Associate Deputy &Wane" Couslasioicer, Oporatiose, Southwest Beaton

214j-C Septa uber 29, 10

AlIs 128 2976, WA SWORD - Section 212(e) Waiver .App on: Assist Ccemai Auer v Ad3udicatione el

Attached hereto is subject file timelier with prep a& undated letter, original end two copies,. addressed to the Chiefs Facilitative Services Staff, Bureau of gdueational and Cultural Affairs, Departuent of State. Favorable action on the application is rearnmetuled. This cue has previously been reviewed in your office and your CO 232.43-C of Austat 21, 107 relates.

Attachment

000041

keelateat ingional Cosodesionee, Twat .e1,. foothwast Region nu V. efteas Matelot Director Itaaobsbs, LoaLi Tow OW alkiiielt Amirost us Scotian 211() trams applittoat

£14 VII 214 September. 254, Ufa

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Puma* to your object eatairoadaa. the oaolosest bates to the itopertaoat of BOW wopesatair acommeadatioa ea tattoo 222(i) waiver le foreaaded to you for savior.

Attaobasat Via atiamail

000042

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000045

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Memorandum to fil e A 1 28 Sept. 967

Pursuant to inquiry from Centra l office regarding the status a the appl icants' spouses' chid by a former marriage. The person in question is a united states citizen by virtue of his birth in Hono l ul u, Hawaii Aug. 4, '96'. He is l iving with the appl icants spouse in Hono'u'up Hawaii. He menekendiens is considered the appl icants step—chil d, within the meaning of Sec. l 0l (b)( l )(1$ of the act, by virtue of the marriage of the appl iclult to chi de' mother on March '5 1 1 965
W. L . MIX

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CO 212.43-C Regional Comnisaimer San Pedro, California Assistant Commissioner Adjudications Lobo Santoro, £14 126 294; Section 212(c) tlaiver Spelitoutt Your SD 214j-C, July 24, 1967. Anagagat liesociate Deputy Regional Commissioner, Operations
The applicant's file is returned herewith. It is the opinion of this anise that (=optional hardehip has been (uninhibited in this case for the following reasons:

AUG 2 1 1961

Tice applicant, she returned to Indancala. and has been residing there for over 13 months in an effort to satisfy the foreign residence requiLreuent, earns a very meager salary and is dependent upon =hare of his family. Die wife has remained in the United States and earns about *400 a month. She has now determined 'to join her husband in Indonesia if he is not permitted to return bare bemuse she can no longer endure the separation. She has been trying since beet year to obtain employment with the D.S. Erbasay in Djakarta, Indonesia, thus fax without success, and she will therefore be without adequate income to support herself and her minor son of a previews savriage who will atm:wally her there. There is nothing in the file to document the statue of the 84k:uses aon. Please inquire into his citizenship and residence status and determine whether or not he is the applicant's child within the meaning of Section 101(5) of the dot, who may suffer enesptionat hardehip within the meaning.of.Section 212(e). the appropriate letter has been written, please mita here together with the applicant's file for forwarding to the Depart:must of State.
....11411

Attaohnnit

000048

Mapsty.Aesociate Conniseioner, Travel Control, Central Office, Washilastan, D.C. L. W. Oilmen, Associate Deputy itegiO321:61 Commissioner, Operations, Southweet Region

L2117C1967 4,

A14 128 294, Lob Soetoro Section 2124) Waiver Applicant Attention: Assistant Commiesioner ^ Adindications SubSect file is attached for your reviev together with prepared letter of denial addressed to the Opplioant. Your memorandum CO 212.44 of Januesy 5, 1967 relates.

Attachment

000049

La 128 294 Assist Regional Carmicalanar, Travel Controls Etauttareet Evian Jobe F. 011512ca, District Director Barolubts HireciA Tour MI 214,14, ame 33, 39571 CO 212. 1434, Jessuary 5, SO; Alk 128 2941 laic lioetena - Section MO) Valve Applicant Subject Me Wetter with revised letter of denial is returned. Jtay 31, 2967

Attaehment Via AIXamil.

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000050

.. P' ommosmmwaso
MAY PAO WI= OPA PM PAO. MS V

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UNITED STATES GOVERNMENT

.0(e,

Memorandum
TO • District Director Honolulu, Hawaii Travel Control, Southwest Region
MOM 1: 3. P. Sharon, Assistant Regional Commissioner,

t #fri 4L

SW 214j-0 DATE: June 13, 1967

sumjsmTv A14 128 294, Lobo Soetoro - Section 212(e) Waiver Applicant Subject file is returned making reference to CO 212.43-C of January 5, 1967 requesting that your previously prepared letter of denial be brought up to date for reconsideration by the Central Office. Your previous letter of denial submitted with your memorandum of December 13, 1966 should be revised accordingly.

Attachment

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000051

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1111011111PIONOWO

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UNITED STATES GOVERNMENT`

Memorandum
To
.PROM

.:. District Director Honolulu, Hawaii
p. Sharon, Assistant Regional Commissioner, Travel Control, Southwest Region

DATE;

SW 214j-C January 13, 1967

swam Alk 128 294, LOlo Soetoro - Section 212(e) Waiver Applicant Subject file has been reviewed by the Central Office. Attached CO 212.43-C of January 5, 1967 by the Assistant Commissioner, Adjudications indicates the views of the Central Office. We concur. Subject file is returned for your further action as indicated. Please return file with your comments after:the requested action has been taken.

Attachment

'0

11:2

7.1

000057

AMIN:ant Regional CON08102W, itoaval COL, Soutimaat Region Ms B. O'Shea, District Director, Rocolniu, Nonni

Datanber Jia, 1956

Tour ON 2l4 .C, September 15, 1966, A14 128 294, Salo Soateso, Sent= 212(e) Waiver Applicant ' To mitoormulan sasanded the case to be brought up to date. Mc applicant% epoxy has been re•intervisved awl tt has been establiobad that We applicant io- now in lodestone and is ouglaped by the loadoesion gerournmant. It Rea also datermioad that the applicant% spouse is ow ell sstd and can adequately odukein both hereele aidbar Soymer.old child hy down nerriage, No cum Easton van devadoptd in this case awl eberefein, ve still recomoned *wig a elmapplication Ve bate remits= our dental latter and ere forrazding ours dila for y conelderatice. Attachment: A14 126 294 Tie Airmail tss ra
:

000058

O O

. - .

Deputy Aaaoointe Commissioner s Travel Control, Central Offices Washingtaa, D. C. 4, L. W. Gilman, Associate Deputy Regional Co=istrioner, Operations, Southwest Region Alf 228 294, /010 Soetoro • Section 212(e) Waiver Applicant Attention: Assistant Ccraniaaituers Adindications

Sg 214,1• December 19, 1966

Subject file Is attached for your review together with prepared letter of denial addressed to the applicant. Your CO 212.43.4 of December 22, 1965 relates. The applicant left the United States June 20 0 1966 and returned to Djakarta, Indonesia Where he is employed 'by. the Indonesian Government. Hie Obited States citisen wife le employed in Hawaii and aupporting herself and child. With your concurrence, the enclosed prepared letter of denial will be mailed to the applicant and file not retained in ufreese" statue.

Attachment

000061

Regional Commiesioner, San Pedro, California Assistant ClIIM19810ftee AdjUdiCatiOrla

CO I12.43-0

JAN 5 196?

Your SW 2144 4, December 19, 1966; Lebo Seaton. 814 126 294; Section 212(o) Waiver Applicant. Attention: Associate Deputy Regional Commissioner, Operations It is noted that the applicantla Waited States citizen wife will obtain her baccalaureate in anthropology in Velmmary 1967, end that Oa le attempting to seenre a position with our Embassy in Indonesia so that elm may join her husband in that country. Dave boebandes application, concerning which a prabloinary decision to deny has been =de, abanid be held in abeyance until it is ascertained whether hie wife's plans have worked cut. Sammtima in February 1967 the entire matter should Ire' reviewed and a determination made as to idtetb ►r changed cdscamstances warrant a change in deaden. After such roilow, the file should be reaubmdtted to this office with your commute for further eimsideration, caking reference to this memorandat.

000062

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the Dated States. nue boodabigo tbom out a:moldered to be the go& budebiye thigh might be esticipated as ezaimoge alias ohm t. the fameiga vesidemse le complyits ,,,,, Bamolot ==me Deese of ; ,,:o. -=,:- 2, b° Deput Do. 91:11:1atal Bb, 1 of the Caudttee vs My 17, Odle gmegaved by o1 es Intentotional the abdiatar ►, Oa --::•:, nndstiltion, Poogimmil. page 121 of the matt, the lithe del eaemilttee coltsmatee the fendemestal aignificenee of a -,;.?...,, ,,,,,,,n a Ike fomeigm noidente moot diligent ad to be detrimental it is tequivesmt.Se 4 '0:! end to be Mimi fotecesto of es 1 8 ..... the to the gmapootel'of 1 ammodes conoUned to 1 .,. :i* a Union polio, in ohm adjudication of voivemos including casm;' ,4,4-r, marriage cumnics is do United . Stotts* or Os birth of , -,,,I. : .,; oblides% is seed .to impact tio .,, o deputeee iinta this MEOW contusion that tin :mold mac woad --11, ...

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coevifolly consieseed. Immo the futon is case bare do bendebige Fos two the foregoing. it bten onaludad amid be onticiyated a, the set lath budebigo by the etotate. slid= thas the iate MUM base it boo boos the mist bees establithed thee teseptiomal Mathis got bees mot is yaw cue. dinsecelye

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000064

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Form 1.215A (Itov. 3.25-65)

UNITED STATES DEPARTMENT OF JUSTICE
IMMIGRATION AND NATURALIZATION SERVICE

RECORD OF SWORN STATEMENT IN AFFIDAVIT FORM

AFFIDAVIT
IN RE. SOMORO. Lobo RILE NO. A11. 128 294 Nov. 31, 1965 Honolulu, Hawaii EXECUTED AT DATE Before the following officer of the U.S. Immigration and Naturalization Service: Frank R. Potter, Immigrant Inspector
, acknowledge that the above-named officer has identified himself to me as an officer of the United States Immigration and Naturalization Service authorized by law to administer oaths and take testimony in connection with the enforcement of the Immigration and Nationality laws of the United States. He has informed me that he desires to take my swern statement in the above matter pursuant to such authority. I am willing to make such a statement. He has told me that my statement must be made freely and voluntarily and may be used against me or aay other person in Immigration and Naturalization Service proceecliny.:. 3,,Ann Soetobo

Being duly sworn, I make the following statement: My true and correct name is Stanley Ann Soetoro and I am Oot known by any other names except Stanley Ann Dunham. I am shown as Stanley Ann Dunham on the records of the University of Hawaii. I am a citizen of the United States by virtue of my birth in Wichita, Habeas. I am married to Lobo Soetoro. He was a student with me at the University of Hawaii as an exchange visitor.

He applied to the U.S. Immigration & Naturalization Service for a waiver of the two year residence requirement of the Immigration and Nationality Act. The basis of
this application was the hardship that his absence would have caused me. Evidence was offered that It was a oolo ical hardship for me to be with out him rather than a physical hardehi

I am now living with my parents in the home which they rent here in Honolulu near the University. My son by a former marriage lives there with us. As hardship is defined under the present laws, I donit feel that I would undergo any

exceptional hardship if my husband were to depart from the United to reside abroad
as the regulations require. I have read the above statement and it is a true and correct stat mbnt to the best of my opinion. . Ann Soetoro SVOHN TO AND SUBSCRIBED BEFORE ME THIS 30th DAY OF NOVEMBER, 1965 AT HONOLULU, HAWAII.

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I am submitting this statement or explanation in the knowledge that, should I fail to get the two-year foreign residence requirement waved, it would Impose great hardship on my wife and have a disasterous effect on both our lives. 'NY wife, Ann Soetoro, is a citizen of the United States and has resided here all her life, It is presently impossible for my wife to return to Indonesia with me. The reasons are multiple. Financially, both of us having been students, there is no way I can accumulate the passage money (more than $600 for my, wife . alone).. Within Indonesia itself, economic crisis is so widespread at the present time that the salary of even a college graduate provides a standard of living bordering on poverty. Most importantly, anti-American feeling as reached a feverish pitch under' the direction of the Indonesian Communist party, and I have been advised by both family and iriends in Indonesia that .1.t would be dangerous to endeavor to bet= with my wife at the present time. Of secondary importance is the fact that my wife does not yet speak Indonesian.. Not only would she be forced to cut short her college education, but she would be left in a position of isolation in the community. Failing a waver, then, my only alternative would be to leave my wife on her own and return alone to Indonesia. But this too is filled with difficulties. My wife has had:no work experience and, her education being still in= complete, she is ill-prepared to be self-supporting. Yet,

000078


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nesian monument is no longer able' to guarantee. the safety of corps members. It seems probable that warfare in Indonesia cannot be avoided such longer. I am a trained geographer with a special background in mapping and air photo interpretation. I have traveled throughout the Indonesian islands and have detailed knowledge of each of the major areas and their resources. Due to my former compulsory association *IthltheIIndonesian army while still a student, it is quite probable that I would be placed on the front lines doing reconaissance work in Indonesia's current campaign against Malaysia and the British forces. Aside from both my wife's and my distaste for this campaign, my wife is distraught for my safety.

No reassurances that I have been able to offer her have alleviated her nervous and upset condition. I have been advised by our doctor
that a prolonged separation under these cireumstances would

endanger my wife's health and mental outlook. In the light of these considerations, I ask you to please wave the 2-year foreign residence requirement in our case.

000080

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Al4 128 294 Assistant Regional Commissioner, Travel Control, Southwest Region John F. O'Shea, District Director, Honolulu, Hawaii Application for waiver of foreign residence requirement of Section 212(e) of Mr. Lobo Sostoro; A14 128 294
In accordanoe with OI 212.8(4), our letter of denial to the subject is forwarded for your review, together with subject's

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DeceMber 7, 19&

file.

Attachments' Via Airmail
FP:rn

000082

Heine (L in CAI)
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Sear C.O. Index for following: 94 (Z)2-109 01-95 ---- 0 1-103 0 Furnish any rotating file far

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R. P., etc.}

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Form C-180 (Rev, 4.20-61)

REQUEST FOR SEARCH OF CENTRAL OFFICE

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000083

/RN CENTER FOR CULTURAL AND TECHNICAL INTERCHANGE BETWEEN EAST AND WEST
A project 01 the Government ol the United States in cooperation with the Uniemity of Hawaii
HONOLULU. HAWAII 96022

Cable: EASWESCEN

September 27, 1965

Mr. R. E. SOehardi, Cultural Consul IConsulat Republik Indonesia San Francisco, California Dear Sir: This letter is to follow my letter to you of September 17, 1965, which I wrote in response to your inquiry of September 13 regarding Nt. Lola Soetor former Eaat-teat Center grantee, employee of the Director of To graphy of the Indonesian Army. Aelg A.? faR 746 - 7-0 (i-azz)-7;41/4 oetoro came to see me after receivin a co• of m letter to ou He assures, me that he fully intends to return to In one-Ede in June, .6 when his current American visa expires. He says that he has communicated this intention to the Military Attache of the Embassy of Indonesia in Washington, D.C. He ()Gates that his wife fully intends to return to Indonesia with him. If I can provide you with any additional information, please do not hesitate to write. Respectfully yours,

Robert Aitken, Evaluation & Alumni Liaison Officer Institute'for Student Interchange East-West Center cc: Dr. Robert G. Zumwinkle Ht. Robert Wooster vImmigration & Naturalisation Service Ht. Lola Soetoro RA:ck

000084\

CENTER FOR CULTURAL AND TECHNICAL INTERCHANGE BETWEEN EAST AND WEST
A project of the Government of the United States In cooperation with the Vnivareity of Hawaii

HONOLULU. HAWAII 95822

Cables EASWESCEN

September 17, 1 965

Nr• R. 11. Scebordi, Cultural Consul
Unsold* Republic Indonesia San Francisco, California Dear Sir: Dank you for your inquiry about lir. Lobo Seator‘ forcer Ilast.liest Center grantee. I enclose for your inforcation•a copy of our uasse• rand= to the United 'States ration and Naturalization Service, which was intended as a e.nmwy of this cam. A copy of this mow* rand= was cent to Brigadier General Bede ecemartono, Military Attache of the Nabassy of Be would be lappy to provide you with additional informatics upon your taco:1sta

"7C(;61:2) -6 //f45

Siaely years,
Evaluation & Alumni Liaison Officer Institute fax Student Interchange • 8da jhl
flue.

cot Dr. Robert C. ZumwinIde, Executive Director Institute for Student Interchange VIcalgtation end Naturalization Service 595 Ala Noll= Blvd. Honolulu, Hawaii ft. Lola Sonora 3326 Oahu Avenue Honolulu, Sewall 96022

000085-

UNITED STATES' DEPABI103In OF JUBTICS Mt:ORATION AND NATIMALIZATION BERVIOB

OnMENSAMOMIUMEZE
Filet iel":/"

Pates
1. 2. 3. 4. 0 Subject: cra e-toRo, AeA Date Aesignsdt .3 -- a 14' c, Officer to whom assigned: e0/7.0 e Action taken to date!"
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701 BUZIRVIOOR ONLY

Officer DATE: 1-s/.

this case personally with the officer preparing this I have d s c form and I agree with his commants for the following reasons: CM I do not agree with his comments for the reasone.sot forth below and I have directed 'that the following actions be taken. •

Form 0-167
(Rev. 12..9-63) Super no

O m reverse if necessary) URN CASE IS MOM, THISFORK IMF BR WiTEDRAWR FROM TEE FITZ AND DEOTROIRD
000086

•••••111,..

OFFICE OF THE EXECUTIVE DIRECTOR Institute for Student Interchange, East-West Center July 13, 1965
MEMORANDUM

TO: Mr. John F. O'Shea, District Director Immigration and Naturalization Service, Honolulu, Hawaii FROM: Robert Zumwinkle, Executive Director Institute for Student Interchange, East-West Center
..°..."' .. e.=...........s

SUBJECT:

. o Soetoro-.4. order Esst-West Center Grantee From kdo... nesia

/41/2417.2p( 7tre%.4:4:7)150/64v

Mr. Wooster has briefed me on his meeting with you today regarding Mr. Soetoro's visa status. He informs me that you were advised of the grantee's academic background and of the current situation with respect to his marriage and request to remain in the United States for an indefinite period. As you know, we have received a cable from the Embassy of Indonesia requesting by official order that Lola Soetoro, a civilian employee of the Indonesian Army immediately terminate his studies and return to Djakarta, Indonesia. Mr. Soetoro came to the United States in September, 1962 from Indonesia on a J-visa sponsored by the East-West Center. He came to participate in a program designed to insure prompt return to his home country immediately upon the completion of the agreed program of studies at the University of Hawaii. Mr. Soetoro's grant termination date was June 15, 1964. On June 19, 1964 at the student's request he was given permission by the Institute for Student Interchange to remain in the United States for practical training with Park Associates of Hawaii until June 22, 1965. At that time he was advised that the Center could not hold his return travel beyond the June 22, 1965 date. He was informed also that no further requests to remain in the United States for practical training could be entertained. He was asked to keep in touch with the Center and to take care of necessary arrangements for return travel early in June of this year. Since Mr. Soetoro did. not comply with these instructions, it can only be assumed that this was an intentional disregard of East-West Center advice. During March of this year, Mr. Soetoro married a United States citizen who is currently residing in Hawaii.
,

We cannot, in good conscience, extend East-West Center sponsorship of his visa or agrde to his remaining in the United States. There is an agreement in principle between the Center and the Government of Indonesia that every effort will be made to return students at the . completion of their grants.

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Tie, th re d e, place this m&tte`r iu yQu ~ honda and shall be returned to 4.iltNetili.113 ilodif.ewlfactifibie4 ire 410A. .aV14aa&tajar infoririing us 1)11.*O4ii6r::;matiststa - .0e#Cittiition action, whi=ch. you 'Feel tout be ,,t0an. ilLwIk2tsf :Brigadier 0e#A# .01. • 11.1:11:tiiy.WEiiigq -"' Ni;,;
.

15000 of. Mr Lee Ziegler, Director 14e#40:013:19t4dk4; ootatqati • • Semi t of 13i:rani:;Foii

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OFFICE OF TES vms.amummos Institute for Student Interchange July 7, 1.965 MEMORANDUM TO: Dr. gumwiukle FROM: Mr. Robert Wooster SUBJECT: Visa Status of East-West Center Alumnus from Indonesia, Mr. Lobo Soetoro On Friday afternoon, July 2nd, Mr. Soetoro telephoned and informed me that he had gotten his J vies extended by the Honolulu Immigration and Naturalization Service. He informed me also that he had gotten married to an American citizen and that his wife was now ill. He gave his wife's illness as the reason for his visa extension request. I asked Mr. Soetoro to come in to see me on Tueaday, July 6. Mr. Soetoro arrived at 3:30 p.m. and gave me the following information: 1. Address: 3326 Oahu Avenue, Honolulu Telephone number: 986944 2. On or about June 4 someone at INS made an official extension of his J visa to June 10, 1966. There was no signature on the card but a notation, office HEED 379. Mr. Soetoro got this extension without any prior notification or approval from the East-West Center. According to him he gave the Immigration official the following reason: It would be a severe hardship aa his wife if he were to have to return to Indonesia this year. He was married in March (cannot recall the exact date) of this year to an American citizen. Shortly after they were married his wife became ill and is still suffering from a stomach ailment which may, according to her physician, require surgery. When I premed Mr. Soetoro for more information regarding the name of the physician, etc., he claimed that be could not remember exactly.

3. Mr. Soetoro is still employed by Hawaii-Pacific Engineers Surveyors, Inc., 1649 lapiolani Blvd., Room 3, telephone no. 961431. He states that this employment will continue until June of next year.
4. Mr. Soetoro's grant expired on June 15, 1964. At that time

he completed all requirements for and received an MA degree in Geography. At this time Mr. Soetoro requested that he be allowed to remain in the United Staten for one year for practical training with Park Associates of Hawaii, Ltd. This request we approved and Dr. Hendrickson signed the appropriate memorandum to the Foreign Student Advisor allowing Mr. Soetoro to remain for practical training until June 22, 1965 (this date actually was a mistake. Should have read June 15). At that time I was Program Coordinator for the Indonesian

000089

-2students so I am familiar with the particulars. I handed the student his copy of the memorandum and signed his check out sheet (which is now missing from the folder). / advised him that the Center could not hold his return travel later than June 22, 19667one year beyond the official expiration date of his grant. I impressed him with the importance of keeping in touch with ISI and asked him to come to see me in early June of this year. Approximately six months later I received a telephone call from Mr. Soetoro explaining that Park Associates had terminated his employment because of lack of work. He informed me that he had gotten a job with the Hawaii-Pacific Company. I advised him to notify Immigration immediately of this change and I reminded him that

it would be necessary for him to see me early in June. Unfortunately, I did not follow-up with a letter. This advice was given verbally and there is nothing in the folder to substantiate this. I did not hear from Mr. Soetoro again until July 2. I can only assume that this was an intentional disregard of my advice. S. Mr. Soetoro informs me that be has written a letter to Senator Fong requesting an indefinite extension of stay in the United States. He has received a reply from Senator Fong end has promised to supply me with a copy as soon as possible. It took some urging on my part and I suspect that be would have preferred not to give'e a copy. 6. When I explained to Mr. Soetoro that the East-West Center still retained vies sponsorship and authority and that his return travel option has expired, he showed very little concern. Each time I tried to discuss this with him, he attempted to change the subject and evaded my direct questions. I can only assume that he is not entirely displeased about the expiration of his return ticket. 7. Mr. Soetoro is requesting East-West Center to make a special exception in his case and to hold his return travel for another year, or until June 22, 1966. He is also requesting permission to remain in the United States for the same period. I gather that he intends to make every attempt to remain indefinitely with or without East-West Center approval although his manner throughout our interview wee polite and cordial. S. Mr. Soetoro would like permission from us to work weekends doing translation for Mrs. Wittermans in LAP. I do not know if he needs our approval but apparently Mrs. Wittermans has asked him to get this permission.
I would very much appreciate your advice on the appropriate steps that should be taken regarding his status. Also it might be a good idea to discuss this problem with someone at INS. If a student can get an extension of visa, apparently as easily as Mr. Soetoro got his, this weakens our visa control considerably and may give grantees a way around us.

Thank you very much.

000090

tga'a

t'ED STATES DEPARTMENT OP JUSTWE
Immigration and Nedurallaalloa Sariloa HONOLULU, HAWAII
ROCCO TO TOM VILIS MAMMA

July 6, 1965

A14 228 294.

Mr. & Mrs. Lolo Soetoro 3325 Oahu Avenue Honolulu, Hawaii Dear Mr. & Mrs. Soetoro:

Please come to the office shown helm. at the time and place Indicated in connection with an official :
matter,

OFFICE LOCATION DATE AND HOUR ASK FOR REASON FOR APPOINTMENT BRING WITH YOU

695 Ala Mona Ulvd., Honolulu Room No.
• Floor No.

July 19, 1965 at 3:CO ran Travel Control Unit
To be interviewed

evidence of financial status

Jr is important that you•keep this appointment. If you are unable to do so, notify this office at once, using the reverse side of this letter, and we will make another appointment for you. Bring this letter with you.

Very truly yours,

DISTRICT DIRECTOR

Form G4( (Rev. 2-2044) 000092

..•

=044

'UNITED; STATtS*:

*vr-thloPYIENT

To

travel -.Cptitt61 :1).1Siwara,„ Actrig

TATA:

June 30 1965

suBJEErr:,

10:69:9±IPri?

U,128

‘294), Applicant for :Waiver under. •-2.1,e

. Form I-61:',prol4deti:(yeverie ; e.ide)3;:that (IteM 46 of the Instructions) ' pssapOrt and 1-:-94 must that if the applicant is in the Unit©d 'iPhve..1.,ape)1i3hoVs be Attached to Gt.90‘ '11;274.1ion. . that it is, eMyky.: 2e Th e is. a ease there the apgicant- :'As apply ng fix the bra ver :on basis of -s:hardehip. In his .04:gned statement attached • to;I- 7:612 The :states among Lack g.40:11g-,11113 we to A:114044 -border 1.14.4:.bala*in indoneSia, once, he • c., ' anti tune can reeling in Indonesia; d o DeialuatiOn' Of.'the Indonesian • rupiah would maks-diffic 1.4tx • •. for him to support his . -fe441, and , ;. f, 'PO:40010' s c4. Ilan w th the IndOnea#p• . of :the: 'his*etter:'thst ILMedi;ca cause undue hardship & cmotaona3 cAnian'that! eega on , is of theLOpinitin that the .dOetOf 1 s 3:etter
,detexmine Qum

other things;...

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s- spouse

in #2x,.prior: to his ,coming =to''t; he United 4t#es...' other titords, s -are ..Vie. -c&nditions in Indonesia the 'Same 'de th" . his `:coming Whether either. or both if;.;he s. icant)and ilie lase : a,± -:,health

I am ago:9rd .1,4b Intipector :.Pottbr...in that the . applicant: has not :made out 'a ; case of untU Ilatdsh# as call• for in. S ec ,•

• ' •

' 0

OF TUSTIPE: Iiianightitati ,46004146110#014::.,5010-:
411411211t,:gg

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Porn I-46S Remarks: (continuted)

The letter from the doctor deals only in generalities. It does not indicate the wife bee ever been under the doctor's care or that any medical attention will be necessary. The reasons set forth by the applicant do not constitute exceptional hardship for the United States citizen wife.

FrankR. Potter Immigrant /aspect=

June 7, 1965 The applicant and his wife were interviewed on this date. There was no new
evidence presented to substantiate the claim of hardship. It was revealed that the wife's mother and father are at present residing in Honolulu. Up

to the time of the marriage, she was supported by her parents. She offered no reasons why she could not make her home with than again in event her husband was required to depart the United States.

Frank R. Potter Immigrant Inspector

000095

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NAME (Exactly as 16 anneara on the Nonimmigrant DOcument)

i FILO NO,

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DATE Or A LIMIssIoN

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DATE or n Mani'

REPORTING 02, 1960

p: DAI:1 TO WHICH AOMITTED

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EXTEA SIGN OF STAY GRANTED • El EXTENSION DENIED

TO:

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CHANGE OF NONIMMIGRANT STATUS

STATUS ADJUSTED TO THAT OF PER MA NEWT RESIDENT ON: (aatu)
ACER ZOC , e.1 FS I-LPG-4-65-i , Gou.pA OS.Inau

r ,UNITED STATES DEPARTMENT OF JUSTICE

. 1-630( v; 11-W-60

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RESORT

'AO/ or A

InnnigrAtian

, and Naturalization Service'

ION—NONIMMIGRANT,'

000096

Eonababat Mai .1107 26a 1965

AAA 3118 294

Mr.an iits. lobo Beet= 3326 Oahu Avenue IsomWu, Patna Dear rer. aul Ms. Soetoro:
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6/7/6

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Vierel Contra - RN Potter Tour egalloatton for diver of forage reatdenee reculratent

, VI

000097

DEPORTATION DOCKET CONTROL ACTION SUP OR NOTICE
TO: 0 S.1.0. CI Travel Control l investigations Za Deportation Docket Control

s

in Notice of Action
)

El Notice of failure to submit action slip.
" skIETC•02 Lolo

(Last report dated Please execute this farm and return it to Deportation Docket Control.

I Fdi ilzb58 294

Adion 1-612 applicant Vol. departure extended to June 20, 1966

.APPROVI1D:

0
Action Date

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section

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Reporting

office or

.

Date

this report submitted

June 7, 1965
Ferns H56 (Rev. 7442)

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United States DvarIrrent _al Justice Service landgratiers and

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Division til Vital S tubiIIict anti fiecarcts

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TDRU NISHIDAYA, M. D.
sena WAIALACC AVIINUEE
14014101.1.161.; 10. 14AWAll

April 29th,1965

TO WHOM IT MAY CONCERN: Re: Mrs.Stenlor Ann Dunham Soetoro Mrs. Stanley Ann Bunion Soetoro, an under graduate student at the University of Hawaii is faced with a most difficult problem--that of being separated from her husband lobo Soetoro, an Indonesian whose visa to the United States expires in June 1965. Internal problems in Indonesia make it almost impossible to go there even, if it were possible financially to do so.-and it is not. Other considerations would make it mandatory that the couple be separated for a very long period of time. Medically, I feel that such a separation would cause undue hardship and emotional strain were it to happen, and ahy help to alleviate the situation would be of great service to her. Sincerely, . . TZi/ eoy Dr. T. Nishigaya

77:141 $44.1. r

000102

NAME (EXACTLY As IT APPEARS ON THE NONIMMIGRANT DOCUMENT(

TILE NO..

OTHER NAMES OR ALIADEE

1N/I NATIONALITY (

N1

DATE OF DIAMPOIDM

cum's

DATE Or BIRTH

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SXTENBION OF STAY GRANTED TO3 toson L O EXTENSION DENIED

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oac ISSUED
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CHANGE or NONIMMIGRANT STATUS

STATUS ADJUSTED TO THAT OF PERMANENT RESIDENT ON/ MATE)

Vt•••••••••••s•••s
1•310 (Rev. 1-1.11) rp1•.pc•FI•03•11.1•0150 UNITED sTATILI DEPARTMENT or JUSTICE

REPORT OF ACTION ••• NONIMMIGRANT
IMMIGRATION AND NATURALIZATION SERVICE

000103

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7 -19 -65 Memo to file: A 14 128 294 In accordance with the instructions with the memo received from acting DDD Fujiwara Mr. and lairs Soetoro were re interviewed on this date. The following information was obfiiined.
1. Mr. Soetero is now employed at Hawaii Pacific Engineers and Surveyors,

inc. 1649 Kqpiolani Blvd. Suite #3, Honolulu, Hawaii. His rate of pay is gax $2.00 and his take home pay for two weeks without overtime is $133.03. E. They have some outstanding bills. A Dentist bill for Mr. Soetero for $81.00. The dentist has also told him he would have to have 4 wisdom teeth extracted, Otherwise he is good physical condition. They also presented a telephone bill which showed one month in arrears in the amount of $18.84. Their rent amounts to $65.00 per month which is nominal for this XXIX area. They pay an electric bill of less than $5.00 per month to their land i lord. 3. They own a 1963 Chevrolet Corvair against which there is no lein. His uncle in Indonesia gave him the car and he is paying money as he can. He has to send the money with persons returning to Indonesia from Honolulu because to send money through the mail would be toarisky in Indonesia. 4. They have appro =te1 Bank i 00.00 in a S vi s account at lst Nation
ey main a n

5. As a detenant to their financial condition affecting his ability to support his wife from Indonesia he states that the value of the Indonesian Rupiah has detiorated from 4,000 to 1 to 10,000 to 1.

Since the first interview there have been placed in the file two memos from
East West Center indicatthng that the Government of Indonesia is interested in having this student return to his homeland. Aoopy of a cable issuing an order

from the Indonesian Embassy for the subject's return was included with one of these memos. inancial situation Due to the usual hard ship some consi erat on should be g van prospect for the D.S. Citizen spouse

0 001 1 1

/AN

Memo to file: A 14 128 294 In accordance with the instructions with the memo received from acting DDD FUjiwara Mr, and Mfrs Soetoro were re interviewed on this date. The following information was obaained. 1. Mr. Soetero is now employed at Hawaii Pacific Engineers and Surveyors, Inc. 1649 Kqpiolani Blvd. Suite #3, Honolulu, Hawaii. His rate of pay is tkx $2.00 and his take home pay for two weeks without overtime is $133.03. 2. They have some outstanding bills. A Dentist bill for Mr. Soetero for $81.00. The dentist has also told him he would have to have 4 wisdom teeth extracted, Otherwise he is good physical condition. They also presented a telephone bill which showed one month in arrears in the amount
of $18.84. Their rent amounts to $65,00 per month which is nominal for this

XXIX area. They pay an electric bill of less than $5.00 per month to their land &mixt lord. 3. They own a 1963 Chevrolet Corvair against which there is no lein. His uncle in Indonesia gave him the car and he is paying money as he can. He has to send the money with persons returning to Indonesia from Honolulu because to send money through the mail would be too risky in Indonesia. 4. They have appro Bank i tel 00.00 in a Savin s account at let Nationa
ey main a n

5. As a deterant to their financial condition affecting his ability to support his wife from Indonesia he states that the value of the Indonesian Rupiah has detiorated from 4,000 to 1 to 10,000 to 1.

Since the first interview there have been placed in the file two memos from East West Center indicataIng that the Government of Indonesia is interested in having this student return to his homeland. Aoopy of a cable issuing an order from the Indonesian Embassy for the subject's return was included with one of these memos. inancial situation Due to the usual hard ship some consi•erat on should be g ven prospect for the U.S. Citizen spouse

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REGISTRATION

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GRADEBOOK

NO. 203.

1. The name of the pupil: Barry Soetoro 2. The place and date of birth: Honolulu 4-8-1961 3. The nation a. of Citizenship: Indonesia b. The foreign descendants: c. The ethnic group: 4. The religion: Islam S. Address of the pupil: menteng Dalam R001:R001 6. From which school (moved from) and what class:
7. 777

a. Date accepted: 1-1-1968 (January 1, 1968) b. Grade: I (First grade) a. The name of the parents mr.:ms.: L. Soetoro m A (L010 Soetoro) b. Occupation:Job: (7777 Geography 7???) (name of the mother will only be used if father is deceased) c. Address: menteng Dalam 8001 8003

8.

9. The name of the guardian: (7 7 7 was filled up 777 parents of the pupil were not available, already 777? 777? because another thing ) b. Occupation:Job: c. The address: menteng Dalam R001:8003 10. Left this school: a. ?? was finished. Outside from the class: NO. b. 7? recieved ?? the date: C. 7? the school to: 11. Other information: The date:

EXHIBIT 104

Close-up of Barack Obama Passport, Screen Capture from

Photograph, Scott Inoue and Barack Obama, "Barry",

ARDC

Lawyer Search: Attorney's Registration and Public Di... Page 1 of 2

Lawyer Search Ea%xyer Regi•Atrarion I1t to Silbi»it a Request For In‘ est b;ation Rules and Decisions Ethics lnquir,. Prop.ram Publications New Filinps. Ilearitv Schedules and Clerk's Office Client Protection Prol:inun Resources & Links y1RDC Organizational Information

LAWYER SEARCH: ATTORNEY'S REGISTRATION AND PUBLIC DISCIPLINARY RECORD
ARDC Individual Attorney Record of Public Registration and Public Disciplinary and Disability Information as of March 4, 2010 at 1:15:21 PM:
Full Licensed Name: Full Former name(s): Date of Admission as Lawyer by Illinois Supreme Court: Registered Business Address: Registered Business Phone: Illinois Registration Status: Malpractice Insurance: (Current as of date of registration; consult attorney for further information)

Barack Hussein Obama None

December 17, 1991 Not available online Not available online Voluntarily retired and not authorized to practice law No malpractice report required as attorney is retired.

Public Record of Discipline and Pending Proceedings:

None

registrationiardc.org

Address
Change Requests

Name Chan_ge Requests

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3/5/2010

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IARDC g:online access to registration and discipline information regarding Illinois lawyers presented by the Illinois Attorney Registration & Disciplinary Commission. er Search I Lawyer Registration Hoer to Submit a Request For Investigation Rules and Decisions I Ethics Inquiry- Program Publications New Filings. Hearin() Schedules and Clerk's Office I Client Protection Program Resources & Links I ARDC Organizational Information Website Information I Search Site I Home

https://www.iardc.org/ldetail.asp?id=640861630

3/5/2010

V.

Verification Response

Page I of 2

. Aqtt'it',L lP.equires Adobe Acrcbat ReadeC) We 6ae successfsily completed yoi.J verification request IT you have 2rly questiocs. see
ACOr

L.

Transaction ID: Requested By:

ORLY TAITZ

Date Requested: 03/06/2011 11 . 26 EST 03/06/2011 11.26 EST Date Notified:

Status: $10.00 Fee: Credit Card Order#: 6672402 . Credit Card Confirm dr_tattz@yandc,i.,corn Email:

Subject Name;
First Name Middle Name Middle Name Last Name Last Name

Name Used While Attending School: if different from above Date of Birth: School Name: Attempt To

First Name

n

yyy

Name On School's Records Date Awarded: Degree Title: Official Name of School: Major Course(s) of Study: Dates of Attendance;

https://www.studentclearinahouse.org/secure area/DVEV/thiresponse.asp

3/6/2011

AFFIDAVIT OF ORLY TAITZ I. I. Orly Taitz, am over 18 years old, I am an attorney, licensed in the state of
California and admitted in all courts of California, 9th Circuit Court of Appeals, 3rd Circuit Court of Appeals and Supreme Court of the United States. I have personal knowledge of the facts described below and I can competently testify at trial to the following: 2. I received information from licensed investigators Sankey and Daniels as well as recently retired senior deportation officer John Sampson, that for most of his life Barack Obama used and is currently using a Connecticut social security number 042-68-4425. 3. The first three digits of the number 042 were assigned by the Social Security administration to the state of Connecticut. 4. Based on information and belief, Obama was never a resident of

Connecticut. 5. Concerned that we have an individual fraudulently using a stolen social security number from a state, where he never resided, I decided to verify this information through official sources of the U.S. government. 6. I went on the official website for the U.S. government www.sss.gov . This website provides verification of the Selective Service registration with the U.S. military. 7. One cannot occupy an executive position with the U.S. government without such registration with the Selective Service.

8. For verification one is supposed to enter the name, birthdate and social security number of the individual. If all three parameters match to the identification information on file, it will show "Matched record". 9. 1 personally entered name "Obama", birthdate 08.04.1961 and social security number 042-68-4425, given to me by investigators Sankey, Daniels and Sampson. 10. I got a response "Matched record" . selective service number 61-11255391. Date of registration 9.4.1980. 11. From birth and until date of registration Obama was not a resident of Connecticut. 12. I also received a sworn affidavit from expert Chito Papa, showing, that Barack Obama is using the same Connecticut social security number 042-68-4425 on his 2009 tax returns, which were posted on the official web site WhiteHouse.gov . This tax return was later reposted with the file flattened and the social security number electronically whitened, however the original file with the visible social security number was downloaded by Mr. Papa and multiple other individuals. A true and correct copy of such affidavit is attached herein. 13. I also received a sworn affidavit from Ms. Linda Jordan. A true and correct copy of such affidavit is attached herein. 12. As an attorney and officer of the court I declare under penalty of perjury, that above is true and correct statement of the facts. As an officer of the court I am requesting an immediate hearing on this matter, as it shows that we have an unprecedented breach of the U.S. National security, we have an individual with a fraudulently obtained Social Security number from a state, where he never resided, occupying the position of the President of the United States and Commander-inchief.

/s/ Dr. Orly Taitz, Esq.

tAINNISTII 41111160m0

s111•1111111111 O,......10,74411111.101111111111111111111M

KEY INFORMATION

Selective Service Record Search Results
Search Criteria
Last Name: obama Social Security Number: *** - ** - 4425 Date of Birth: 08/04/1961

Matched Record
Selective Service Number: 61-1125539-1 Date of Registration 9/4/1980

To obtain written proof of Selective Service registration CLICK HERE and follow the instructions on our "Registration Information" page. New Search ?

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Selective Service System: Registration Verification

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(1)I

YET]
KEY INFORMATION

about the agency registration info . news & public affairs what's new contact

Selective Service Online Registration Verification
This service allows you to look up a man's Selective Service number, as well as the date he registered. Enter a last name social security number, and date of birth for the registered man. and click on "Submit." Only registrations of men born on or after January 1. 1960. can be verified through this system. To • . and follow the obtain Selective Service information about men barn earlier, instructions on our "Records" page. This service is operational seven days a week. It is not available when system maintenance is scheduled from 2 am. to 4 a.m., U.S Central Time, Tuesday through Saturday.

history/records publications fast facts whit happens in a draft

Selective Service Online Registration Search
Last Name:

site map

Social Security Number: Date of Birth: Submit Reset

(No clashes or spaces) (mmddyyyy)

Men who have registered remain eligible for federal student aid, most federal jobs, and federal job training. Male non-citizens living in the U.S. who are 18 through 25 must register to remain eligible for citizenship.

Lasi Ufxlated. 8114,2001

02011 Se{ectiye Service System

h ttps://ww w.sss.fiov/RegV eriw Veri lication.aspx

9/5/2011

FP1714 'a!
(6/8/2011 11:35:43 AM)

;LW Of

KEY INFORMATION

Sorry, your request cannot be processed at this time because you have exceeded the daily limit for the verification of these credentials.

Your access is

U.S 9810(tment of Health & Human Se we

This page has been blocked due to a possible security threat. If further action is required, please contact the ITO service desk for assistance at 1866-699-4872 1-866-699-4872 . Please include the error codes listed below. Access denied Error Code:

61-1:

11.1,11.1,1„11,.1„1,„ ii,11„,11.1.1„11d1„,.,1,11
61-1125539-1 BARACK HUSSEIN SO OBAMA 01128-000360

If you have already reached age 26 or will do so in the current calendar year, you are no longer required to notify Selective Service of any future changes of address or changes to any other items on your
registration record,

2°02

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BAM A

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Lawrence G Porno


T)1 71CaliOn Resuh !2i3 H1

Social Security Number Verification System SSNVS)
ssNiy$
Heip

SSN Verification Results
EmPloyer s Records 5ubmitted Palled verified Records. 1 1 0 sutonditted ieSoitS The fr51:01urnr, tnc , cates , f toe suciromed iieidorc toA:cg :ace d , sionays empoyee ,s deceased The firs: five c,gits of the SSN will be inasked tor veritieO verified tai , eri records and recorcs witn a yercatioo iiesults code ot 2 3 4 or

Failed - Data does no! maidri SociaiSecurity 4ciri , riistrat , ori s iiecords Select
' fior more , nforriation

'

Deceased - Data matches Soo a, Security ,=,,drom,istrat , on s records and our records indicate that
toe person ,s deceased =or more [nformat!o7 Cease cootact o.rr deoera: SSA •Mormation line at 1-800;72-1213 iTDO -rii`r '-800-325-C 778 , or your local Soo:ai Security field office Seiect to find tne office nearest you

Verified Data matcoes Social Seciiiity AdmInistiatiocis ieocr:io

Results!

First Middle • Last SSN 999999999 Name Name Name 1 042684425 B ARACKI

Date of Gender Verification Birth l F/M Results Suffix [MMDDYYYY 08041961

OBAMA -

m 1

Verification Results Code 1 Description SSN not in file !never issued)

Have a question') Call 1-800-772-6270 Mon - Fri 7AM to 7PM Eastern Time to speak with Employer Customer Service personnei For

TODTTY cat 1-800-325-0778

https: sccutc,ssii.go -app 1 2/ SSN'v S interactive

United States Gift (and Generation-Skipping Transfer) Tax Return
Fo
Department of the Treasury Internal Revenue Service For gifts made during calendar year 2009)

OMB No. 1545-0020

110. See separate instructions.
2 Donor's last name

2009
3 Donor's social security number

1 Donor's first name and middle initial

BARACK H.
4 Address (number, street, and apartment number)

OBAMA

—044=48-4425
5 Legal residence (domicile)

1600 PENNSYLVANIA AVENUE, NW
8 City, state, and ZIP code

ILLINOIS
7 Citizenship (see instructions)

WASHINGTON, DC 20500
Part 1 - General Information
8 If the donor died during the year, check here ► I I and enter date of death 9 If you extended the time to file this Form 709, check here 110 ,

UNITED STATES
Yes
No

I

10 Enter the total number of donees listed on Schedule A. Count each person only once.

2 X

11a Have you (the donor) previously filed a Form 709 (or 709-A) for any other year? If "No; skip line llb b If the answer to line lla is Yes,' has your address changed since you last filed Form 709 (or 709-A)? 12 Gifts by husband or wife to third parties. Do you consent to have the gifts (including generation-skipping transfers) made by you and by
your spouse to third parties during the calendar year considered as made one-halt by each of you? (See instructions.) (If the answer is 'Yes; the following information must be furnished and your spouse must sign the consent shown below. If the answer is *No,' skip lines 13-18 and go to Schedule A.) 13 Name of consenting spouse

MICHELLE L . OBAMA

1 1 4 ssoliMillinamt°942X X

($ 4-O

15 Were you married to one another during the entire calendar year? (see instructions) 18 If 15 is No," check whether married 1_1 divorced or widowed/deceased, and give date 1110. 17 Will a gift tax return for this year be filed by your spouse? (If Yes; mail both returns in the same envelope.) 18 Consent of Spouse. I consent to have the gifts (and generation-skipping transfers) made by me and by my spouse to third parties during the calendar year considered as made one-half by ear h of us. We re both ware of theig int and several liabifity for tax created by the execution of this consent c s .

Li

Consenting spouse's signature 1114 Jl4AA 4WC 1 Enter the amount from Schedule A, Part 4, line 11 2 Enter the amount from Schedule B, line 3 3 Total taxable gifts. Add lines 1 and 2

4-

4-01V

Date jis

0.
2 3 4 5 8 7 8 9 10 11 12 13 14 15 18 17 18 19 20

4 Tax computed on amount on line 3 (see Table for Computing Gift Tax in separate instructions) 5 Tax computed on amount on line 2 (see Table for Computing Gift Tax In separate instructions) Balance. Subtract line 5 from line 4 7 Maximum unified credit (nonresident aliens, see instructions) 8 Enter the unified credit against tax allowable for all prior periods (from Sch. 8, line 1, col. C) 9 Balance. Subtract line 8 from line 7 10 Enter 20% (.20) of the amount allowed as a specific exemption for gifts made after September 8, 1976, and before January 1, 1977 (see instructions) 11 Balance. Subtract line 10 from line 9 12 Unified credit Enter the smaller of line 6 or line 11 13 Credit for foreign gift taxes (see instructions) 14 Total credits. Add lines 12 and 13

0. 0. O. 0. O. 345,800.

0

O O.
E 0

345,800.
345,800.

0.
0.

0.

15 Balance. Subtract line 14 from line 6. Do not enter less than zero
18 Generation-skipping transfer taxes (from Schedule C, Part 3, col. H, Total) 17 Total tax. Add lines 15 and 16 18 Gift and generation-skipping transfer taxes prepaid with extension of time to file

0.
0.

I

19 If line 18 is less than line 17, enter balance due (see instructions) 20 ! line 18 is greater that ' e 1 . nter amou to be refunded

Sign Here

Under pen trbe.mffect,

Perky.
comp

tare Der era

th

this return, including any accompanying schedules and statements, and to Me best of my knowledge and belief, it is than donor) is based on information of which preparer has any knowledge May the In disCues this return with the preparer shown below (see instructions)? I I

X Yes

L I No

a
Paid Preparers Use Only

Signature of donor
Preparer's 1110, signature Fern's name (or Date

Date
Check if selfPreparers SSN PTIN 31 34, k)

engloyed
EIN

WINEBERG SOLHEIM HOWELL & SHAIN, PC

P 9%444174 3 C—a4004-00
Form

1
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N;111=4180 IP and Z code
1)53 0 1

N LASALLE ST, STE 2200

Phone 1:17nWPgi74- 4- 5 4 4 --

CHICAGO, IL 60601 709 12009)

12-15-09

LHA For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see page 12 of the separate instructions for this form. 1
-

1 4380330---1 3 1 411- 01111D

aG.0-91-0-30-30--OBAKA.,—BARACK H .

0 1-1-

Sell( heck : Notice oi . 1\1istuatch %%itli Social Security Administration...

Nips: sclfclicck.tii,cts.gok Seltt'lleck1.11 csaContact Nati

Self Chec
Notice of Mismatch with Social Security Administration (SSA) Records
I' t i n t \ er en F spanol

Bring this notice with you when you visit SSA.
For SSA Field Office Staff: Do not use EV-STAR; See POMS RM 10250.000ff

Obama Barack H

Name of the employee (Last Name, First Name, MI) 08/17/2011 Date of Mismatch

042-68-4425

Employee's Social Security Number (SSN)
2011229111431GY

Case Verification Number Reason for this Notice:
SSN does not match. The Social Security Number (SSN) entered in Self Check is valid. but the name and/or date of birth entered do not match SSA records. SSN is invalid. The Social Security Number (SSN) entered in Self Check is not a valid

number.
SSA unable to confirm U.S. Citizenship. Cannot confirm that the employee is eligible to work because the SSA records do not show that the SSN Holder is a U.S. Citizen. SSA record does not verify, Other reason. SSA found a discrepancy in the record. SSA unable to process data. SSA found a discrepancy in other data in the record.

Instructions

ol . 3

attachment 13

8.17 2011 X:09 AM

1, Linda Jordan am over 18 years old, do not suffer from any mental impairment, have personal knowledge of the facts listed below and declare under penalty of perjury: I used the government run E-Verify System to verify the employment eligibility for Barack H Obama (Obama) and it revealed a "Notice of Mismatch - between Obama's name, birth date and Social Security Number (SSN), compared to the information the Social Security Administration has on file. I saw Obama's Selective Service Registration (SSR) form which was available on the web at www.sss.gov and copied the SSN Obama used on that form. I also read the reports of licensed investigators Neil Sankey, Susan Daniels and the opinion of retired senior deportation officer of the department of Homeland Security John Sampson, that the SSN Obama was using was fraudulent and/or never issued to him. Between October 2008 and May 2011, I submitted several requests to agencies and people with the legal responsibility and authority to investigate the use of forged documents and election fraud, concerning Obama's birth records and SSN. (attachment A) To date no one with the legal responsibility and authority has responded to any of my requests. I read part of the testimony of Marianna LaCanfora before the Committee on Ways and Means Sub Committee on Social Security in the I louse of Representatives dated April 14 th , 2011. She explained that a SSN in conjunction with a proper identity document determine whether a person is authorized to work. LaCantbra said that the E-Verify system run by the government is a free, Internet-based system that allows employers to electronically verify the employment eligibility of their employees. The Immigration Reform and Control Act of 1986 required all employers to verify the identity and employment eligibility of all new employees regardless of citizenship or national origin.

I considered myself‘to be one of the employers of the President of the United States.

On July 2h. 2011. 1 tried to enroll in the F-Verif' System but it required the employer to enter data from their employees 1-9 I :inplo\ meat FliObilit Verilication Form. 1 have been unable to locate one for ()barna.

s

(. ) 11 A ti ousi I 7 2011. 1 went hack on the C-Verify \\ ebsite and saN\ that there \\ as a - Selr-Ser\ ice - 1 -unction that was more streamlined and easier to use \\ hen checking an employees elHbilitY. 1 entered the name liarack H
.

O bania, birth date August 4, 19(11 and SSN 042-(8-442. 'kis data s \ as
entered correctly. I he report 1 oot hack From the SSA included a "Notice of lisrnatch with Social Security Administration (SSA) Records - . tattachment 13)

Linda Jordan 441 ) So. Dawson St. Seattle W.1 98118 ' -'06.7 -'3.6471

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AFFIDAVIT

STATE OF H OR] DA ) )S.S. COUNTY OF DUVAL)
1, Felicito Papa, am over 18 years old and resident of 7579 Walden Road, Jacksonville, FL 32244 with FL DL /1'100-245-45-082-0. I do not suffer from any mental impairment and I competently attest to the following under the penalty of perjury: 1. I am a professional web developer having graduated with a bachelor's degree in IT from ITT Technical Institute in Indianapolis, IN. I have over ten years of experience of in web designs and development and I have often used software such as Adobe Photoshop and Adobe Illustrator. On April 15,2010, the Whitehouse website, www.whitehouse.gov, released the 2009 Form 1040 of Income Tax Return of President Barack H. Obama: http://www.whitehouse.govisites/default/files/president-obama-2010-complete-return.pdf. I downloaded this 65-page pdf file on my computer. !observed that all information about the president's and the first lady's social security numbers were redacted. All blocks or spaces for social security numbers were blank, or "white-out." I submit Exhibit A (attached herewith, page 43 part of 2009 Form 1040) Form 709 U.S. Gift Tax Return of Pres. Barack Obama. The space for his social security number is redacted or blank. 1 submit too Exhibit B (attached herewith, page 49 part of 2009 Form 1040) Form 709 U.S. Gift Tax Return of First Lady Michelle Obama. The space for her social security number is redacted or blank. Then through Adobe Illustrator software, I opened Exhibit A and B and found that these two pdf files have two layers each, not just one layer. When the top layer is turned off or dragged away, the social security numbers of both persons are revealed. I submit Exhibit Al (attached herewith) Form 709 U.S. Gift Tax Return of Pres. Barack Obama with his social security number revealed. The following information are revealed: 1. 2. 3. 4. 5. Barack Obama's SSN. 042-68-4425 Michelle Obama's SSN lime-2302 An initial MLO on the side of Form 709 A I /4 inch dark square with notation on it. Preparer's SSN or PIN P00570974 EIN 36-2700600 Phone no. 312/372-0440

2.

3.

4.

5.

6.

7.

8. 1 submit Exhibit BI (attached herewith) Form 709 U.S. Gift Tax Return of First Lady Michelle Obama with her social security number revealed. The following information are revealed: I. Michelle Obama's SSN 91111116 -2302 2. Barack Obama's SSN. 042-68-4425 3. Preparer's SSN or Pm P00570974 EIN 36-2700600 Phone no. 3 1 2/3 72 -0440 9 . It is apparent that the tax preparer for Forms 709 of Pres. Obama may have forgotten to lock or flatten the covering top layers before posting them on the Internet. I later noticed that after April 15, 2010, the pdf file posted at the White House has been modified. The top layers on President Obama's Income Tax Return have been locked or flatten and could no longer be dragged out. His SSN and his wife's SSN were no longer visible.

FURTHER AFFIANT SAYETH NOT.
DAHLIA LOUIE
5 MY COMMISSION # DD99375 4 EXPIRSJune06,21

ELICITO PAPA

(407) 398-0153

FlondallotaryService corn

SUB,SCRIBED TO AND SWORN TO before me on August 24, 2011. NOTARY PUBLIC

BARACK HUSSEIN OBAMA 1 II NaleAug,ust 4 1 1961 724P Honolulu Oahu Kapiolani Maternity &Gynecological Hospital Honolulu Oahu Honolulu, Hawaii 6085 Kalanianaole Highway BARACK HUSSEIN OBAMA African 25 Kenya, East Africa Student University STANLEY ANN DUNHAM Caucasian 18 Wichita, Aansas None

These are 161 typed characters selected from Obama's birth certificate that do not match each other for style or size.

AA.A.AEEHHHHKKMM HRSSSUUaaaaaaaa aaaaaaaaaas.aaaa ecceceeeeeeeffgg iiiiiiiiiiiiiii 3.11111111.nnrinn nnnnnnnnnn0000 0000000opprrrr ssssssttttttttt)
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yyyyy 1:1122,133,

214

DREAMS FROM NIS' FATHER

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7/5

things were okay. Ruth, our new mother, was nice enough to us then, She treated us almost like her own children. Her parents were rich, I think, and they would send us beautiful presents from the States. I'd get really excited whenever a package came from them. But I remember sometimes Roy would refuse to take their gifts, even when they sent us sweets. I remember once he ref -Used some chocolates they had sent, but later in the night, when he thought I was asleep, I saw him taking some of the chocolates that I had left on our dresser. But I didn't say anything, because I think I knew that he was unhappy. "Then things began to change. 'When Ruth gave birth to Mark and David, her attention shifted to them. The Old Man, he left the American company to work in the government, for the Ministry of Tourism. He may have had political ambitions, and at first he was doing well in the government. But by 1966 or 1967, the divisions in Kenya had become more serious. President Kenvatta was from the largest tribe, the Kikuvus. The Luos, the second largest tribe, began to complain that Kikuvus were getting all the best jobs. The government was full of intrigue. The vice-president, Odirga, was a Luo, and he said the government was becoming corrupt. That, instead of serving those who had fought for independence, Kenyan politicians had taken the place of the white colonials, buying up businesses and land that should be redistributed to the people. Odinga tried to start his own party, but was placed under house arrest as a Communist. Another popular Luo minister, Tom M'boya, was killed by a Kikuyu gunman. Luos began to protest in the streets, and the government police cracked down. People were killed. All this created more suspicion between the tribes. "Most of the Old Man's friends just kept quiet and learned to live with the situation. But the Old Man began to speak up. He would tell people that tribalism was going to ruin the country and that unqualified men were taking the best jobs. His friends tried to warn him about saying such things in public, but he didn't care. He always thought lie

lai ew what was best, you see. When he was passed up for a pronotion, he c omplained loudly. 'Flow can :JAI be my senior,' he would say:0 one of the ministers, 'and yet I am teaching you how to do your jol prop-

er ly ?' Word got back to Kenvatta that the Old Man was a troublemaker, a nd he was called in to see the president. According to the :tones,
Kenyatta said to the Old Man that, because he could not k:ep his mouth shut, he would not work .gain until he had no shoes on lis feet. "I don't know how much of these details are true. But I know that with the president as an enenn things became very bad for tie Old Man. He was banished from the government—blacklisted. I"one of the ministries would give him w )rk. When he went to foreign :ompanies to look for a post, the compinies were warned not to hire bin. He began looking abroad and was hired to work for the African avelopment Bank in Addis Ababa, bit: before he could join them, tie government revoked his passport, sad he couldn't even leave Kenya. "Finally, he had to accept a small job with the V s Even this was possible only because one of his friend job kept food on the table, but x was a big fall for h began to drink heavily, and mart' of the people he knew stopped coming to visit because now it was dangerous to be seen with hit. They told him that maybe if he apolOzed, changed his attitude, he would be all right. But he refused and con :inued to say whatever was on his mind. "I understood most of this only when I was older. At thc time, I just saw that life at home became very difficult. The Old Mm never spoke to Roy or myself except 70 scold us. He would come hone very late, drunk, and I could hear him shouting at Ruth, tellim her to cook him food. Ruth became very bitter at how the Old 1.1an had changed. Sometimes, when lie wasn't home, she would tell Zoy and myself that our father was Cra2y and that she pitied us for havng such a father. I didn't blame her for this—I probably agreed. But I noticed that, even more than before, she treated us differently from her own hildren and tiere was two sons. She woul =
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EXHIBIT

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