FEDERAL BUREAU OF INVESTIGATION DELETED PAGE INFORMATION SHEET l359496-0 Total Deleted Page(s) 2 3 Page 1 Referral/Direct; Page 2 Referral/Direct; Page 3 Referral/Direct; Deleted Page(s) No Duplication Fee For this Page FEDERAL BUREAU OF INVESTIGATION DELETED PAGE INFORMATION SHEET l359576-0 Total Deleted Page(s) 2 3 Page 1 Referral/Direct; Page 2 Referral/Direct; Page 3 Referral/Direct; Deleted Page(s) No Duplication Fee For this Page Travel card 5) Room 4426 JEH by_ It's an - OPTIONAL FOWM N0. '0 JULY 197.1 EDITION 02A (41 ?Ha?z-5 on 3 3. .Z?fememntfem . TO DIRECTOR, FBI rmma: 5/12/76 b3 i . b6 Facsgg? Ins ANGELES (RUG) b7c - b7E . f1 00:, Washington Field Office Washington Field Office airtel dated 3/25/76. 1 Enclosed for the Bureau is one 3 5 travel card. . - . - On 3/23/76, learned subject was flying to Los Angeles on 3/24/76, to join a group of Polish film personalities, confer with officials of ?the American Film Institute and'attend the Academy banquet. Among the group attending the awe ds b6 l, were Him director, ANDRZEJ and film stars NC A End (First Name Unknown) entire group, including the subject, were to stay at the Century Plaza Hotel, Century City. On Iadvised he attended most of the events preceding the ceremonies. He knew b7D a Polish film had been nominated for an award, in theWQ foreign film category, and made it a point to get introduced to some of the Polish visitors. Those he met were: . I antenatal, 5089 mm I I 136 b7C ir\ assistant '(First Na:l SI?Q?hnown) MAY 1? 19% Ministry o~?C mam? Department fzgg?e Affairs 2182 Bureau Enc. -?wa We W35 heat?a??g gyms/1;; 7N b3 iris: a; L. t- i . in} (5) F3125 g- Pi?! Susi.) r1gg? U. .9. Enemy R?g?ldi?b? ?175 Payroll S??i?gf FiIm Critic and??burnalist ActreSs in the nominated film Actor in the nominated film ANDRZE EWAJLA The source said he never met subject nor heard his name mentioned. On 4/6/76, Los Angeles determined the American Film Institute had arranged for lodging for the Polish group, including the subject, and had paid the bill. The' group stayed at the Century Plaza Hotel which does not keep a record of any telephone numbers .called. The group departed Los Angeles on u/l/7b. 10s Angeles has not received any information regarding subject's visit in Los Angeles and will place the matter in an RUC StatuS. b6 b7C FEDERAL BUREAU OF INVESTIGATION DELETED PAGE INFORMATION SHEET 1359496-0 Total Deleted Page(s) 2 l2 Page 3 Referral/Direct; Page 4 Referral/Direct; Page 5 Referral/Direct; Page 9 Referral/Direct; Page 10 Referral/Direct; Page 11 Referral/Direct; Page 13 Referral/Direct; Page 14 Referral/Direct; Page 15 Referral/Direct; Page 16 Referral/Direct; Page 18 Referral/Direct; Page 19 Referral/Direct; Deleted Page(s) No Duplication Fee For this Page FEDERAL BUREAU OF INVESTIGATION DELETED PAGE INFORMATION SHEET 1359576-0 Total Deleted Page(s) 2 l2 Page 3 Referral/Direct; Page 4 Referral/Direct; Page 5 Referral/Direct; Page 9 Referral/Direct; Page 10 Referral/Direct; Page 11 Referral/Direct; Page 13 Referral/Direct; Page 14 Referral/Direct; Page 15 Referral/Direct; Page 16 Referral/Direct; Page 18 Referral/Direct; Page 19 Referral/Direct; Deleted Page(s) No Duplication Fee For this Page 4 Iwc .1 .20 39.3 30 ?ll Ez?Emu Bi??wn Um qu 4-2ghb?Rev. .(11-17-59) r- v. '1 if?? SEAR 1P an? x-J 4 ?x Subj: f{ 33% :1 ?Date rod: . a 1' 3'7} SERIAL i 7 7 H. :1 ., 4?22 (Rev. 5? 12'81) 1., FEBERAL BUREAU OF ESTIGATION Records Systems/Services Sections . Name Searching?(Unit?li5434JI?LilaE 1.15 DSQWESMURW 4654, T111131E 225 5?1, I: Spec1al File Room, 5991, 122 .1 0 1 143 Attention b6 Return to b7C Ext. Ty Search Requested: (Wile) estricted Search (Active Index - 5 20) Restricted Search (Active Inactive Index - 5 30) Unrestricted (Active Inactive Index) (Check One) All References (Subversive Nonsubversive) DSubversive Search DNonsubversive Search 5gp 311%, CI Main References DExact Name Only (On the Nose) Buildup Variations Restricted to Locality of Subjectv I Birthdate PlJ?e Address Localities? ?5 Searcher 533 at?? g::i Date 22'] Initials Prod. I 7 i W?l/ b3 SERIAL f? 11-13-85) a: A I I FEDERAL BUREAU OF INVESTIGATION Records?Operations Sections, 19 Name Searching Unit, 4989, 121 Service Unit, 4654, 225 El Special File Room, 5991, 122 Forward to File Review, 5447, 143 Attention El Return b7C Scope of Search: (Check One) A tornated Data Base (ADB)(lndividuaI Born 1962 and After) 9? Restricted Search (Active Index - 5 20) [3 Restricted Search (Active Inactive Index - 5 30) El Unrestricted (Active Inactive Index) Type earch Requested: (Check One) All References (Security Criminal) Security Search Criminal Search I vs Main 4M. Rafe??er?lgeg?omy Special Instructions: (Check One) Exact Name Only (On the Nose) El Buildup Variations Restricted to of Subject Birthdate Place Address Localities f} I ?7 Searcher RIEALQ Date /0 Initials Prod. INACTIVE DATE ON CARD FILE NUMBER SERIAL b3 b7E k, 4 FEDERAL BUREAU OF INVESTIGATION DELETED PAGE INFORMATION SHEET l359496-0 Total Deleted Page(s) 2 5 Page 13 Referral/Direct; Page 14 Referral/Direct; Page 15 Referral/Direct; Page 19 b6; b7C; Page 20 b6; b7C; Deleted Page(s) No Duplication Fee For this Page FEDERAL BUREAU OF INVESTIGATION DELETED PAGE INFORMATION SHEET l359576-0 Total Deleted Page(s) 2 5 Page 13 Referral/Direct; Page 14 Referral/Direct; Page 15 Referral/Direct; Page 19 b6; b7C; Page 20 b6; b7C; Deleted Page(s) No Duplication Fee For this Page 9531:31:.? MW ?1:222: . WAJDA, ANDRZEJ 4/77 WAJDA, ANDRZEJ (MR) 4/77 WAJDA, ANDRZEJ 4/ 77 SEE. SPECIAL RQOM. .. SEE "SPEcm-t?t??m I a . SEE SPECIAL ROOM .. ?yr-me" . 5. f. - ?On/?-J:j gnaw/71978 i 7 I - ., mucussaamuzeu? m0 7, 7i (Rey. 5-22-28TRANSMIT PRECEDENCE: CLASSIFICATION: Teletype Immediate I: TOP SECRET Facsimile a Priority SECRET Routine CONFIDENTIAL [j UNCLAS i UNCLAS Date 12/18/78 TO: SAC, NEW YORK SAC, SPR GFIELD tiled; 7W ?gg?i SUBJECT: DA (U) /579pg 215:?) 4' (if. 00: Springfield. 7? . ?we, a 4/ ?"7331 . b3 (U) b7E Enclosed for New York is one copy of three file references concerning subject. On letterhead paper, dated 8/30/78, New York Division forwarded to Chicago a copy of INS form 1?94 concerning subject. Chicago forwarded same to Springfield Division for appropriate investigation. Stapled to this letterhead paper upon receipt in Springfield Division was a copy of the above enclosure. LEADS: NEW YORK DIVISION AT NEW YORK CITY, NEW YORK Will check indices as well as enclosure regarding iu?r lL Classified and Extended Reason for EX FCIM, II, 1? 2 3) Dat- ?eview for Declassification (December Newton; (Ens. 1 RM EM. ANABWEB ~2 - Springfield b3 b7E (4) !i\ax}33 mucus i' semausz? {11.29% f?n?czv 1973 Approved: Transmitted . (Number) 11116:) sl/ DOJ 4.x - ?5};ng I: new?? Ih't ?8 b3 b7E subject and forward copies of any serials containing information on subject in your Division to the Springfield Division if possible. 2* i so A22. TO: SAC, SPRINGFIELD FROM: ADIC, NEW YORK (RUC) w?n SUBJECT 4 b3 (00: SI) b7E ReSIairtcl to EgdixlE/13/78. Enclosed with rcfer?nccd communication was copy of three file references ST Office 5.5 a?vised that references on urea ticrc gravidc? by the EYO. EEO indicec regarding subject are negat5.ve. 3532434 Inasmuch as no further investigation remains to be conducted by the EYO at the presenL time fthis case is considered RUC. :?{3434 4? ii Bi?ic ?an; ?nded 146 PcaE?? for Eztc II, 1?3.4.2 2&3 I 5112414491: .4 7 for Dcclassi.- 'on 1999 CD ii?? im I7 . unawa? 4 2-Spr1ngfield (RM) 5 4 1 Li'mi-Iez': Stork N1 4 I '0 7'7 . (4) 1-3m. #43 .5732g9m1? b7C b7E . UNITED STATES DEPARTMENT OF JUSTICE STICATION FEDERAL BUREAU OF -26 FEDERAL PLAZA In ?eply, Please- Refer to File No. I - NEW YORK H. YORK 10067 ifNaz Isko ymi . rami) I Imie Inlclaldruglscolmlanlu 5(obyvgatal we): Numerpozwolenla(PermitNumber) Eagi?E?x regeslrecyjnejd:acudzoziemccw. 02 3 7 5 2 335.5% 3? i ME I. - Ahz- 1 w} - Adrosttanac [Iconoczon ch: (Nr dqmu ulica. mlastoistan) I No Mum; ll, 21' mg I @335.? tk Gd?e Pan i( am) Sir-E . 0" I #177? with? ?g 1 Nr. domu. nazwau?cymlaslo. okreg zamlaszkanla. ?3 Ham ky?g: i (j (A401, ?Inf-J . . Magoslac.czlenlrakurodzeniz?- I .3 ?vim-ha?? aggia I . i1 IDA. ??253: 5? ., . /c NEW gig?? kra u:rodzanla 253: [Kt 321r1, STAPLE Miaslac. dzienirokw ydaniawlzy: 5 FORM 1 HERE 4) . 1-.331 ., 59 . 3M .1. Ja-?u a'nhq?23; .- 37$ 0'0 E-EluoE323 . -. .. 53:gig-o 96>? .q?azzu' I US I (if?n. kg l? . 22 3.2m 55 ?w?gOQ a: fC?anFO 3.02? ?ng 525?1: \wmg??m Eu: ?h?mt: 53% 9:20.90 9., {AUEu-?mn? ?mm ?5-3 0.9,,0 Lu; I Eggnmo; macs,? \3 I Oman. 36an \x al-m-(E . "gang? HEN ggm?nm .3: .. nggu? 813-533ch gg?g L.- ?60532 . 01m 59% (0.5 gaze9..) Dwog?o?og >2gg$? ?g 8% 3' 03:0'0001 --7 5333*uzg - i . . . i i .- lndices Search?Slip FD-160 (Rev. 7- 17-78) q, :9 9 . an Date TO: OFFICE SERVICES MANAGER Subject Social Security Account Aliases 1 Bi th 1 Race Sex Address rt (1 ac [:IMale CIF?emale Exact Spelling [All References I I: :?Main Subversive Case Files Only I Subversive References Only :IMain Criminal Case Files Only Ej?estrict to Locality of Main Subversive (If no Main, list all Subversive References) Criminal References Only Main Criminal (If no Main, list all Criminal References) File g. Serial Number Remarks F?ile Serial Number Remarks 1f b3 5 137's T?v?r??W J. A 4? ?um-Requested by Squad Exteh3h\ File No. Searched by egg/7 7 AL: 1/ (we) Consolidated by (date) Review A ,1 (date) Enemiw Symbols I - Identical Not identifiable NI - Not identical magi able reference -- a 'l I i S?wl11,} UNITED STATES DEPARTMENT OF JUSTICE i FEDERAL BUREAU OF INVESTIGATION 26 FEDERAL PLAZA In Re 13mm - . Filel?go. we AUG 15 1979 NEW YORK, NEW YORK 10007 . ,1 33. h: g1 SQE. . 1? I lmla 4 ,4 (niclal drunleno lmlonla gij Kraipochodzenla (obvrva?elslwo): ?prr 3km?, relestrac?nel d] a cudzoziemcow. Numer oaszportu Iub Karly Numer pozwalanla (Permit Numhnr) 002 37 52 ?AdresttanachZjadnoczonych: (Nr. dorm. ulica. miaaloiatan) . *Nazwn i?nll lomlcze] I numer .qu tub ckratowal statku. ktorym PaMPmi) do Stanow Zladnoczonych: 3:on I Gdzie Pan (Pani) roznoczquodrdi 041! in}. I I Fun?#Nr. domu. nazwa u?cy. miasto,okreg administracyinyi kra] slalago zamlaszkania. 1? i x} ?26. (m it We 124mb mm Pa ?4 Mieslac. dzien ?If 819179 :6 my? )5th E- f' a let: a FM 1"u6l-?J (ii-W61 (a STAPLE I Mias'rac. dzienlrok HERE 4, J, :9 7?0 . 1 )?rw?w i a; A. r, ?mgrSat. wi'Arm Indices Search Slip FD-160 (Rev. 7-17-78) I TO: OFFICE SERVICES MANAGER 7: Date an - .- (/24 I 1 I . . Subject f? Social security Account I . 1 a ?midis/.7 xii/{w Aliases {j t/ Address Birth Date Race Sex CIMale :]Female l: lExact Spelling All References Main Subversive Case Files Only 9 Subversive References Only Main Criminal Case Files Only Criminal References Only lj?estrict to Locality of Subversive (If no Main, list all Subversive References) Main Criminal (If no Main, list all Criminal References) 179,; 6. Serial Number I Remarks .4 File Serial Number Remarks ?gr? ?an! 42,: 37/ am?mm; W?ww ?Wm . b6 Requested by Squ?rdr Extension Fih?o. Searched by if? '7 1?7 1/ . f?e?j 31M (4527;42ny Consolidated by Reviewed by My (date) ?mm ?7333?) File Review Symbols 1 Identical NI - Not identical kh_ Not identifiable Unavailable reference ix . Security Relerences Only lndcee Seem! Silo F9360 (Rev. 7-21-83) TO: OFFICE SERVICES MANAGER ?mm? ?an? . iBirll'l Dele Bimblece Main Criminl Case Files Only Crimind References Only Mein Security (If no Main. list all Security References) Main Criminal (if no Min. list all Criminal References) Exact Sowing Ci All References Mein Security Case Files Only File A Send Number 6 Extension Requested by Squad ISIS: Searched by OCIS: Searched by Date I Conlidenllel Indlcee: Searched by Dale Searched by I ELSUR Indlcee: IIS: Seamed by Dale Searched by Consolidated by File No. i Date 9 Reviewed by out. i 5.3; File Renew Syri'lbols I i E?jig?mii?? Iizgiz? - l-ldentic-I . Not identl?lbie ENE: ?um: Nl . 14??de Unavailable reference i . lAlli; 5 19% - 198%": VIEIPELNIAC . MAX B-1 MAX B-2 MAX OTHER MAX Visa Classification MULT OR Number Applications MONTHS Validity ODOWE ldojdadnie 22. Posiadacze wiz nie mega pracowa? 4.x? 2. IMIONA ldokladnie jak paszporcie/ ani studiowa? USA. CZY ZAMIERZA PHACOWAC Jesli TAK, wyjasnic. TAK ANDRZEJ 3. TAKZE JAKO: lnazwisko panienskie, pseudonimy zawodowe, religijne/ CZY ZAMIERZA STUDIOWAC Jesli TAK, napisac nazwe i adres szkoiy tak jak formulatzu I-20. TAK 23. 4. DATA URODZENIA 7. NUMER PASZPORTU ldzien, miesiac, rok/ KTO OPLACA KOSZTY PODROZY ORAZ 24. 6.03.I426 5. MIEJSCE URO ZENIA lmiejscowosc. wje rail Dr?. DATA WYDAN IA PASZPORTU 6. OBYWATELSTWO PASZPORT WAZNY DO: ?0 0 L5 ?6432? 25. OBECNE ZAJECIE ljesli na emeryturze, poda? ostatnigzajecie/l MIESIECZNY ZAROBEK AHW 8. ADRES lmiasto, kod pocztowy. ulica, nr domu WMW 9. NAZWA I ADRES OBECNEGO MIEJSCA PRACY LUB SZKOLY I pelna nazwa/ mam 477mg [Mmu 10. TELEFON DOMOWY 11. TELEFON DO PRACY 39204?- 26. ADRES, POD KTORYM BEDZIE PRZEBYWAC (NAZWISKO IMIE OSOBY ZAPRASZAJACEJ) 515557134194 I?m Shaded-.4, 12. PLEC 13. KOLOR 14. KOLOR OCZU 27. CEL El . WLOSOW meska 15. CERA 16. WZROST 17. STAN CYWILNY zona?ly-zamezna kawaler-panna 18. ZNAKI SZCZEGOLNE wdowiec? wdowa i?0?i?9 El rozwiedziony/a separacji 17 ILE PANSTWO MAJA 02:50:? A CZY ONE MI SZKAJA ml? 19. NAZWISKA, IMIONA. STOPIEN POKREWIENSTWA 0303 WYJEZDZAJACYCH ldla kaidej osoby powinien by? wypelniony osobny formularz. to rawnie'z dzieci i niemowlaU 28. KIEDY ZAMIERZA PRZEKROCZYC GRANICE 6' 20. CZY SIE KIEDYKOLWIEK WIZE IMIGRACYJNA LUB NIE El TAK Gdzie? . Kiedy? lee wydano Rodzaj wizy? [j Wize odm?wiono 29. DLUGO ZAMIERZA ZOSTAC W?llmo so. PLANUJE WYJAZDY DO JESI TAK. 21. CZY WIZA ZOSTALA KIEDYKOLWIEK NIE TAK PODANIE 0 WIZE 31. CZY KIEDYKOLWIEK NIE TAK Kiedy? Jak d1 ugo? WYPELNIJ PYTANIA NA ODWROTNEJ STRONIE OPTIONAL FORM 156 lRev. 1 Depalglment of State lb/ CZY LUB lcliCZY KIEDYKOLWIEK BEURA IMIGRACYJNEGO CHEC WYJAZDU NA POBYT NIE llU WYSTEPOWAL POZWOLENIE NA PEACE 32. nil-CZY KTOKOLWIEK KIEDYKOLWIEK PANMPANIA PErvaE DNIKOWI USA LUB El TAK 33. CZY KTOKOLWIEK NASTEPUJACYCH OSOB JEST LUB BYL lJeSli TAK, zakreslic odpowiedni stopieI?I pokrewienstwa i zaznaczy?, co ta osoba robi USA. np. uczy sie, pracuie. itp.] 34. WYMIENIC PANSTWA, KTORYCH CIAGU OSTATNICH 5 LAT: PANSTWA MIASTA OKRES . ngneralni? one osob: Podejlzanych narkomanie lub handel narkotykami: Deportowanych 2 USA przeciqgu ostatnich 5 lat; usilowaly uzyskac wize droga oSwiadczeI?i lub oszuslwa; Niemlec. KTOREKOLWIEK KATEGORII Do?Tvc'zA ZNIE Konsulatu. wiadomoSci, 2e posiadanie wi_zy nie uprawnia mnie do wjazdu na terytorium uznaja mnie za osobe niepo'zaqang. DATA PODANIA WIZOWEGO PODPIS SKLADAJACEGO PODANIE Je'zeli podanie wize zostalo wypelnione przez kogo Innego ni'z starajacy sic; wize. nale'zy podac imie, nazwisko' I adres 35. UWAGA: APLIKANCI MUSZA PRZECZYTAC I ODPOWIEDZIEC NA NASTEPUJACE PYTANIA: Wiza moie nie zosta? wydana osobom, ktore podlegaja pIzepisom, zabraniajacym wjazdu na teren pewnym osobom lz wyjatkiem tygh, kt?rzy uchylenie tego przepisu wcze?niejl. Dokladne informacje dotyczace kgtegoriinrarczy odnosza-sie one do Panalil, mega byd: uzyskane tuteiszym Konsuiacie. -- Dotknieiych chorobami zakaZnymi/np. gruZIical. Iub kt?re chorowaly na powaizna chorolge Ayesztowanych, kaI'anych sadownie lnawet je?li sprawa zosiaia umorzona, gdy .wyrok ulegl zatarciu/ Iub bylo prowadzone przeciwko nim jakiekolwiek prawne dochodzenie; - KtOre sa Iub bny czlonkami organizacji wlacznie PZPR i innth. bedagych 'pod jej Kidre przesladowaniu ludzi powodu ich rasowej, wyzhania, narodowo'?ci lub przekonan lpriez wydawanie zarzadzen. podburzanie. pomoc, itp. na polecenie nazistowskiego rzadu Niemiec Iub Izadu Innego panstwa bedacego nazistowskiego rzadu . Jesli TAK. lub j?sli ma jekiekolwiek pytania powinien/nna Pan/i] osobi?cie zglosic sie do tutejszego - i . v-?n 36. OSwiadzam, 'ze przeczytale?m/am i zrozumiaJem/am pytania zawarte fq?mh'l?i?z'd'. odpowiedzi mole 5a zgodne prawda i udzielone wedlug mej nailepszej woli i wie ?gi'aniczne do osoby \ivypelniajacej oraz je] puu -- PODPJS OSOBY WYPELNIAJACE 37 mm 37mm ZDJECIE OPTIONAL FORM 156/Rev.6982l PAGE 2 Department of State