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HP Officejet Pro 8610 Series Fax Log for ‘Shabazz-E! Foundation 980 492-6802 Jun 172015 5:08PM Last Transaction Date Time Type Station 1D Duration Pages Result Digital Fax Jun 17 5:03PM — Fax Sent 2023953729 5:37 8 Ok NA Note: ‘An image of page 1 will appear here only for faxes that are sent as Scan and Fax. july 17, 2015, ‘TO: Office of Manager TAX: 202-305-9729 _PHONE: 202-395-4790 _ _FROM: Finlandra Fri PAGES: 44 including ex RE: SFi8; COMMENTS: Pursuant to the herein documents immediate correction in ALL. RECORDS; Priority. command, ‘SF181 Form (1 Page) INTEGRATED POSTSECONDARY EDUCATION DATA SYSTEM (1 Page) H, RES. 194 (4 Pages) 1g Amendment with 20 Sections of Constitution of the United States of America; ratified November 18, 1865 by 54 of the several states (3 Pages) CDC.Goy Racé cobe UsT (I Page) (J urcenr ([] PLease commenT PLEASE REVIEW FOR YOUR RECORDS oN ‘mnopeYyD 6Sgzb xog Og LoNEpunog fa-zzeqeys £999-S68-€bb wuyporey UI A U.S. Office of Personnel Management ETHNICITY AND RACE IDENTIFICATION Guide to Personnel Data Standards (Please read the Privacy Act Statement and insructions before completing form.) Name (Last, Fist, Mile Initial) | Birthdate (Month and Year) RISBY FINLANDZIA, W al/l4 Pee ae nea a Privacy Act Statement Ethnicity and race information is requested under the authority of 42 U.S.C. Section 2000e-16 and in compliance with the Office of Management and Budgets 1997 Revisions to the Standards for the Classification of Federal Data on Race ‘and Ethnicity. Providing this information is voluntary and has no impact on your employment status, but in the instance Cf missing information, your employing agency wil attempt to identify your race and ethnicity by visual observation. This information is used as necessary to plan for equal employment opportunity throughout the Federal government. It is also used by the U. S. Office of Personnel Management or employing agency maintaining the records to locate individuals for personnel research or survey response and in the production of summary descriptive statistics and analytical studies in support of the function for which the records are collected and maintained, or for related workforce studies. Social Security Number (SSN) is requested under the authority of Executive Order 9397, which requires SSN be used for the purpose of uniform, orderly administration of personnel records. Providing this information is voluntary and failure to do so will have no effect on your employment status. If SSN is not provided, however, other agency sources may be used to obtain it, Specific Instructions: The two questions below are designed to identify your ethnicity and race, Regardless of your answer to quostion 1, go to question 2, z ‘Question 1. Aro You Hispanic or Latino? (A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.) Yes Question 2. Please select the racial category or categories with which you most closely identify by placing an “X" in the appropriate box. Check as many as apply. RACIAL CATEGORY (Check as many a¢ apply) : DEFINTIONOF CATEGORY 1B -American indian or Alaska Native ‘A person having origins in any of the original peoples of North and South America {including Central America), and who maintains tibel afiiation or community YMecOR | Sache Asian ‘A person having origins in any of the original peoples of the Far East, Southeast ‘Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam, 1 Black or african American ‘A person having origin in any of the black racial groups of Africa, 7 Native Hawaiian or Other Pacific Islander | A person having origins in any ofthe original peoples of Hawaii, Guam, Samoa, or ‘ther Pacific Islands, Grthite ‘A person having origins in any of the original peoples of Europe, the Middle East, or North Arica I : Standard Form 781 Revised August 2005 Previous edtions not usable Coreectenou/i7/201s— ‘ue scaut gual NSN 7540-01-089-3446 ‘The Integrated Postsecondary Education Data System - Definitions for. |itp:/inces.ed,gov/IPEDS/reie/definitions.asp “TOS Baie HS aap INTEGRATED POSTSECONDARY EDUCATION DATA SYSTEM ‘SaaiPSDS___ gg Heme About Newsroom Training & Oureach NPEC:IPEDS R&D Pubcatons Gloary Report Your Data Stal Hep DEFINITIONS FOR NEW RACE AND ETHNICITY CATEGORIES ert ae ge (NM) ua ob ups wich incase, Sew rt derle eee define of trate igre Ts deans eo satb etepeae US. ‘Sara ide oer nde encliens baits asked ya ean atc. " Hisoaicor Ltn or ‘= Not ispanc or atno ‘Scie nite asked cr noe ea pag a tong America Indian or Hasta Native = Rain « Blackor foan American | Native Hotion or Other Pai lander ‘Aperson having onan n ny ofthe origin! peoples of Europe the Mice East, North Aca. | Nonresident ation ‘A paron who snot clan of national of he ried Slates an wo la his coud 0 visa or enporaty Basis and does not Pawo the Fait roman indtitly. Not: Nerwoatent allan ae to be report soparatly the paces proved, rather than any of De ‘eile cotoories dossrbed above stalin (and other eligible non

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