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This file contains:
Form for Nixon Chairman, Regional Chairman, National Staff, Republican Party Officials, Elected State Officials, Chairman of Delegation, Delegates at Large, and District Delegates. 3 pages. [Form], n.d.
Delegate or Alternate Personal Information Form. 3 pages. [Form], n.d.
State Delegates Form. 3 pages. [Form], n.d.
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26127102
label
WHSF: Returned, 40-4
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doc
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document
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1
Source metadata
id
26127102
sourceUrl
contentType
document
title
WHSF: Returned, 40-4
description
This file contains:
Form for Nixon Chairman, Regional Chairman, National Staff, Republican Party Officials, Elected State Officials, Chairman of Delegation, Delegates at Large, and District Delegates. 3 pages. [Form], n.d.
Delegate or Alternate Personal Information Form. 3 pages. [Form], n.d.
State Delegates Form. 3 pages. [Form], n.d.
citationUrl
collections
Richard M. Nixon's Returned Materials Collection
Returned White House Special Files
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1
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yes
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26127102
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a031bd20b9a7fc99
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Richard Nixon Presidential Library
White House Special Files Collection
Folder List
Box Number Folder Number Document Date Document Type
Document Description
40
4
n.d.
Form
Form for Nixon Chairman, Regional
Chairman, National Staff, Republican Party
Officials, Elected State Officials, Chairman
of Delegation, Delegates at Large, and
District Delegates. 3 pages.
40
4
n.d.
Form
Delegate or Alternate Personal Information
Form. 3 pages.
40
4
n.d.
Form
State Delegates Form. 3 pages.
Friday, October 26, 2007
Page 1 of 1
Actual
Committed
Sure
Leaning
Actual
Aug. 1
July 1
June 1
May 1
STATE
1.
Delegates
2. Nixon Chairman:
A. Home Address:
Phone
B. Miami Hotel:
Room
Phone
3. Regional Chairman:
A. Home Address:
Phone
B. Miami Hotel:
Room
Phone
4. National Staff Responsible:
5. Republican Party Officials:
Chairman:
Hotel
Rm.
CSL Un R.R. N.R.
Nat'l.
Committeeman:
Hotel
Rm.
CSL Un R.R. N.R.
Nat'l.
Committeewoman:
Hotel
Rm.
CSL Un R.R. N.R.
6. Elected State Officials:
Hotel
Rm.
CSL Un R.R. N.R.
Hotel
Rm.
CSL Un R.R. N.R.
Hotel
Rm.
CSL Un R.R. N.R.
7. Chairman of Delegation:
Hotel
Rm.
CSL Un R.R. N.R.
8. Delegates at Large:
Hotel
Rm.
CSL Un R.R. N.R.
Hotel
Rm.
CSL
Un R.R. N.R.
Hotel
Rm.
CSL Un R.R. N.R.
Hotel
Rm.
CSL Un R.R. N.R.
Hotel
Rm.
CSL Un R.R. N.R
Hotel
Rm.
CSL Un R.R. N.R.
Hotel
Rm.
CSL Un R.R. N.R.
Hotel
Rm.
CSL Un R.R. N.R.
Hotel
Rm.
CSL Un R.R. N.R.
Hotel
Rm.
CSL Un R.R. N.R.
9.
District Delegates:
1A
Hotel
Rm.
CSL Un R.R. N.R.
B
Hotel
Rm.
CSL Un R.R. N.R.
2A
Hotel
Rm.
CSL Un R.R. N.R.
B
Hotel
Rm.
CSL Un R.R. N.R.
3A
Hotel
Rm.
CSL Un R.R. N.R.
B
Hotel
Rm.
CSL Un R.R. N.R.
4A
Hotel
Rm.
CSL Un R.R. N.R.
B
Hotel
Rm.
CSL Un R.R. N.R.
5A
Hotel
Rm.
CSL Un R.R. N.R.
B
Hotel
Rm.
CSL Un R.R. N.R.
6A
Hotel
Rm.
CSL Un R.R. N.R.
B
Hotel
Rm.
CSL Un R.R. N.R.
7A
Hotel
Rm.
CSL Un R.R. N.R.
B
Hotel
Rm.
CSL Un R.R. N.R.
8A
Hotel
Rm.
CSL Un R.R. N.R.
B
Hotel
Rm.
CSL Un R.R. N.R.
9A
Hotel
Rm.
CSL Un R.R. N.R.
B
Hotel
Rm.
CSL Un R.R. N.R.
10A
Hotel
Rm.
CSL Un R.R. N.R.
B
Hotel
Rm.
CSL Un R.R. N.R.
11A
Hotel
Rm.
CSL Un R.R. N.R.
B
Hotel
Rm.
CSL Un R.R. N.R.
s
&
.
12A
Hotel
Rm.
CSL Un R.R. N.R.
B
Hotel
Rm.
CSL Un R.R. N.R.
13A
Hotel
Rm.
CSL Un R.R. N.R.
B
Hotel
Rm.
CSL Un R.R. N.R.
14A
Hotel
Rm.
CSL Un R.R. N.R.
B
Hotel
Rm.
CSL Un R.R. N.R.
15A
Hotel
Rm.
CSL Un R.R. N.R.
B
Hotel
Rm.
CSL Un R.R. N.R.
16A
Hotel
Rm.
CSL Un R.R. N.R.
B
Hotel
Rm.
CSL Un R.R. N.R.
17A
Hotel
Rm.
CSL Un R.R. N.R.
B
Hotel
Rm.
CSL Un R.R. N.R.
18A
Hotel
Rm.
CSL Un R.R. N.R.
B
Hotel
Rm.
CSL Un R.R. N.R.
19A
Hotel
Rm.
CSL Un R.R. N.R.
B
Hotel
Rm.
CSL Un R.R. N.R.
20A
Hotel
Rm.
CSL Un R.R. N.R.
B
Hotel
Rm.
CSL Un R.R. N.R.
21A
Hotel
Rm.
CSL Un R.R. N.R.
B
Hotel
Rm.
CSL Un R.R. N.R.
22A
Hotel
Rm.
CSL Un R.R. N.R.
B
Hotel
Rm.
CSL Un R.R. N.R.
23A
Hotel
Rm.
CSL Un R.R. N.R.
B
Hotel
Rm.
CSL Un R.R. N.R.
24A
Hotel
Rm.
CSL Un R.R. N.R.
B
Hotel
Rm.
CSL Un R.R. N.R.
25A
Hotel
Rm.
CSL Un R.R. N.R.
B
Hotel
Rm.
CSL Un R.R. N.R.
26A
Hotel
Rm.
CSL Un R.R. N.R.
B
Hotel
Rm.
CSL Un R.R. N.R.
.
STATE
Check one: Delegate ( )
Alternate ( )
NAME
HOME ADDRESS
(Number and Street)
(City and State)
(Zip Code)
TELEPHONE NUMBER
(Area Code)
(Number)
BUSINESS ADDRESS
(Name of Company or Firm)
(Number and Street)
(City and State)
(Zip Code)
BUSINESS TELEPHONE NUMBER
(Area Code)
(Number)
MARITAL STATUS
Single ( )
Divorced ( )
Married ( )
Widowed ( )
INFORMATION ON SPOUSE
Name of Spouse
(If spouse is female, please include and underline her maiden name)
If spouse's address is different from subject's home address given above, please list.
POLITICAL PARTICIPATION
PARTY ORGANIZATION
Offices Held:
Date
( ) National Committeeman/woman
( ) State Chairman/woman
( ) State Vice Chairman/woman
( ) State Secretary
( ) State Finance Chairman
( ). Campaign Chairman
( ) Other State offices held
( ) County Chairman/woman
( ) County Vice Chairman/woman
( ) County Secretary
( ) County Finance Chairman
( ) Other County or City offices held
PARTY ORGANIZATION (continued)
AFFILIATIONS:
Offices Held:
Church
( ) Precinct Committeman/woman
Fraternal
( ) Block Worker
Related Groups:
( ) Young Republicans
Offices Held:
Civic
) Republican Associate
Offices Held:
( ) Others (specify):
PREVIOUS NATIONAL CONVENTION HISTORY
Country and other Private
1960 Delegate ( )
Clubs
Alternate ( )
Candidate Supported:
1964 Delegate ( )
Alternate ( )
Candidate Supported:
Please provide any relevant information regarding subject's national convention background, relationship to
prominent political figures or other information which you believe might have a bearing upon his or her
political posture. (Attach separate pages as necessary should space provided below be inadequate.)
PUBLIC OFFICES HELD AND DATES
( ) U.S. Senator
( ) U.S. Congressman
( ) Governor
( ) Lt. Governor
( ) Secretary of State
( ) County Commissioner
( ) Mayor
( ) Selectman
( ) Other (specify)
Is subject committed to any candidate? Yes ( ) No
(
If so, to whom:
Nixon
( )
Rockefeller ( )
Reagan
( )
Romney
( )
Percy
( )
Other
( )
Is subject leaning toward any candidate? Yes ( ) No ( )
If so, to whom:
Nixon
( )
Rockefeller ( )
Reagan
( )
Romney
( )
Percy
( )
Other
( )
NOTE: Please list below name, address and telephone number of person within the Nixon organization we
may contact should further information be required pertaining to this person.
NAME:
ADDRESS:
(Street Number and Name)
(City and State)
TELEPHONE NUMBER:
(Area Code)
(Number)
Date
No Change Since
STATE
NO. OF DELEGATES
NIXON CHAIRMAN
REGIONAL DIRECTOR
I. Delegates at Large
Name and Address
Home Phone
Bus. Phone
Status
CSL Un R.R. N.R.
CSL Un R.R. N.R.
CSL Un R.R. N.R.
CSL Un R.R. N.R.
CSL Un R.R. N.R.
CSL Un R.R. N.R.
CSL Un R.R. N.R.
CSL Un R.R. N.R.
CSL Un R.R. N.R.
CSL Un R.R. N.R.
II. District Delegates
Home
Bus.
District
Name and Address
Phone
Phone
Status
1A
CSL Un R.R. N.R.
B
2A
CSL Un R.R. N.R.
B
3A
CSL Un R.R. N.R.
B
4A
CSL Un R.R. N.R.
B
5A
CSL Un R.R. N.R.
B
6A
CSL Un R.R. N.R.
B
7A
CSL Un R.R. N.R.
B
8A
CSL Un R.R. N.R.
B
9A
CSL Un R.R. N.R.
B
10A
CSL Un R.R. N.R.
B
11A
CSL Un R.R. N.R.
B
Home
Bus.
District
Name and Address
Phone
Phone
Status
12A
CSL Un R.R. N.R.
B
13A
CSL Un R.R. N.R.
B
14A
CSL Un R.R. N.R.
B
15A
CSL Un R.R. N.R.
B
16A
CSL Un R.R. N.R.
B
Please make any comments concerning the delegates or anything else you wish to comment upon.
This record is strictly confidential.
Chairman