◆ SpookStack

‘ ; a _ FD-253 (11-22-54) £ b. UNIT. » STATES DEPARTMENT OF JU. ICE s FEDERAL BUREAU OF INVESTIGATION a4, WASHINGTON 25, D. CG February 14, 1958 Ulrector 24 Federal bureausa” investigation RE: ( bi a United States Lerertment of Justice (type or print plaialy) Washington, D, Dear sir: For -ciusion in the fund to be paid to the dealgnated beneficiary of any Special Agent of the FEI who has previously contributed to this fund and who dies from eny cause except self-destruction while employed as a Special Agent, I am forwarding herewith (by CHECK - MONEY ORDER) the sum of $10, pay- © able to the Assisiant Director, Administrative Division, FBI, to be included in said fund. Payment will be made for desth by self-destruction after the Agent has been a member of the fund for a continuous period of two years. “t is understood and agreed that the sum tendered herewith is « voluntary, gratuitous contri- Sution te said fin. which I understand is to be administered in the following manner. The ..~eetor of the FBI will appoint « committee which shall consider all astters pertaining to the sciuisitic . safe keeping and expending of said fund, which committee will recommend appropriste action to the Director i: pertinent matters. The Assistant Director of the Administrative Division of the FBI shall receive all contributions and account for same to the Director. Upon the death of any Spacia] Agent who is # membe- -f said fund the appointed committee will consider the case and submit a recommendation to BA the Di-sctor a- 70 its conclusions. Appropriate instructions will then be fasued to the Assistent Director ie of the Adminis-ravive Division, directing him to pay to the designated beneficiary the mum of $10,000. The $ Liability of the “und shall not under any circumstances exceed the amount of monies in the fund at the tine a any i428 (lity 2°43? occur. The following person is designated as my beneficiary for FRI Agents’ Insurance Fund ‘ z. Nene _ Estate Relationship t__ ' z, Address ; fA The .. swing person is designated ea my beneficiary under the Chas. S. Ross Fund providing §1500 : q: death benefit - ceneficiary of sgents killed in the line of duty. Rae Neme__ Estate Relationship Date Addresr <a sare mer Lao Tee IR Re Te ne ah SESS EE NTT OT rete dg cia eee oe ae ae sees Soci T oat iae Galata ee