DSAC Membership Application Form

Company Name

UNITED STATES ARMED FORCES FOUNDATION, INC. CAGE CODE: 997N2

Company Main-page Web Address

Headquarters Address

City

State

Zip Code

Where is this company incorporated?

U.S. Business Sector

Presidential Policy Directive 21 (PPD-21) Critical Infrastructure Sector

Does this company belong to a parent company? If so, please provide the name of the parent company, address of the parent company headquarters, as well as contact information for the parent company's senior security officer.

Most Recent Annual Revenue:

Most Recent Fortune 1000 Rank

Please check this box if the company is listed in the Fortune 1000

Number of Employees Worldwide

Number of Employees in U.S.

Senior Security Officer (CSO equivalent) Name

Senior Security Officer Official Title

Please check this box to confirm you are the senior security officer

Are you a U.S. citizen?

If available, provide a brief professional profile or a link to your online professional profile.

E-Mail Address

Work Phone

Cell Phone

Mailing Address

City

State

Zip Code

Is this address the company's U.S. Security Headquarters location?

Secondary Point of Contact Name

Secondary Point of Contact Title

Secondary Point of Contact Email

Do you or other security staff have a U.S. government-granted security clearance? If so, list the type of clearance and issuing agency.

Describe the company’s line of business and how the company directly supports, influences, or impacts U.S. national security.

UNITED STATES ARMED FORCES FOUNDATION, INC. CAGE CODE 997N2, IS AN INSTRUMENTALITY OR AGENCY OF THE UNITED STATES OF AMERICA, OPERATING AS AN AGENCY OF THE DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE, FOR THE PURPOSE OF " NATIONAL BANK OF THE UNITED STATES", DEPARTMENT OF THE TREASURY-MAJOR AC"Q"UISITIONS PURSUANT TO CHAPTER 13 OF TITLE 50 U.S.C. SECTIONS 1961-68 OF TITLE 18 U.S.C. CHAPTER 215, SECTIONS 3321, 3322, CHAPTER 216, SECTIONS 3331, 3332, 3333, 3334, OF TITLE 18 U.S.C. 22 U.S.C. 661. 28 C.F.R. SECTION 5.1 et seq. (FARA) "Q"

Describe the company's geographic footprint (U.S. presence by state/international presence by country).

WORK IN PROGRESS:WORK IN PROGRESS: OFFICIAL UNITED STATES GOVERNMENT BUINESS, UNITED STATES ARMED FORCES, AC 56 CLASSIFICATION 94, 1000 DEFENSE PENTAGON, TOP SECRET/UMBRA/NORFORN, COSMIC TOP SECRET ATOMAL (CTS-A), "Q" NATIONAL NUCLEAR SECURITY ADMINISTRATION, DEPARTMENT OF ENERGY. CHAPTER 13 OF TITLE 50 U.S.C. SECTION 1961-68 OF TITLE 18 U.S.C. CHAPTER 215, SECTIONS 3321, 3322, CHAPTER 216, SECTIONS 3331, 3332, 3333, 3334, OF TITLE 18 U.S.C. TITLE 22 U.S.C. SECTION 661, 28 C.F.R. SECTION 5.1 et seq. (FARA) "Q"

Describe the value proposition of the company to DSAC.

Describe the company's U.S.-based security department, including its functions, key areas of responsibility, and number of staff. Please include information on both physical security and information/cyber security.

WORK IN PROGDEFENSE PENTAGON, JOINT CHIEFS OF STAFF, TOP SECRET/UMBRA/NORFORN, COSMIC TOP SECRET ATOMAL (CTS-A), "Q" NATIONAL NUCLEAR SECURITY ADMINISTRATION, DEPARTMENT OF ENERGY. CHAPTER 13 OF TITLE 50 U.S.C. SECTION 1961-68 OF TITLE 18 U.S.C. CHAPTER 215, SECTIONS 3321, 3322, CHAPTER 216, SECTIONS 3331, 3332, 3333, 3334, OF TITLE 18 U.S.C. TITLE 22 U.S.C. SECTION 661, 28 C.F_OFFICIAL UNITED STATES GOVERNMENT BUINESS, UNITED STATES ARMED FORCES, AC 56 CLASSIFICATION 94, 1000.R. SECTION 5.1 et seq. (FARA) "Q"

Describe the security department's reporting relationship to the company’s corporate legal department.

WORK IN PROGRESS: OFFICIAL UNITED STATES GOVERNMENT BUINESS, UNITED STATES ARMED FORCES, AC 56 CLASSIFICATION 94, 1000 DEFENSE PENTAGON, JOINT CHIEFS OF STAFF, TOP SECRET/UMBRA/NORFORN, COSMIC TOP SECRET ATOMAL (CTS-A), "Q" NATIONAL NUCLEAR SECURITY ADMINISTRATION, DEPARTMENT OF ENERGY. CHAPTER 13 OF TITLE 50 U.S.C. SECTION 1961-68 OF TITLE 18 U.S.C. CHAPTER 215, SECTIONS 3321, 3322, CHAPTER 216, SECTIONS 3331, 3332, 3333, 3334, OF TITLE 18 U.S.C. TITLE 22 U.S.C. SECTION 661, 28 C.F.R. SECTION 5.1 et seq. (FARA) "Q"

Describe a top concern the security department is focused on this year, or a goal it is trying to achieve.

WORK IN PROGRESS: OFFICIAL UNITED STATES GOVERNMENT BUINESS, UNITED STATES ARMED FORCES, AC 56 CLASSIFICATION 94, 1000 DEFENSE PENTAGON, JOINT CHIEFS OF STAFF, TOP SECRET/UMBRA/NORFORN, COSMIC TOP SECRET ATOMAL (CTS-A), "Q" NATIONAL NUCLEAR SECURITY ADMINISTRATION, DEPARTMENT OF ENERGY. CHAPTER 13 OF TITLE 50 U.S.C. SECTION 1961-68 OF TITLE 18 U.S.C. CHAPTER 215, SECTIONS 3321, 3322, CHAPTER 216, SECTIONS 3331, 3332, 3333, 3334, OF TITLE 18 U.S.C. TITLE 22 U.S.C. SECTION 661, 28 C.F.R. SECTION 5.1 et seq. (FARA) "Q"

Describe the security department’s level of engagement with the FBI local Field Office.

FBI Field Office

If applicable, FBI Resident Agency (FBI offices in smaller cities and towns within field offices)

Describe engagements the company’s security department has had with other law enforcement and Intelligence Community partners.

List any certifications or areas of expertise you or other security staff have.

List any professional associations to which the company or individual security staff belong or support. Examples include but are not limited to AGA, AFCEA, ASIS International, CLIA, ISAC related groups, FSR, InfraGard, ISMA, NICB, OSAC, Sector Coordinating Councils, etc.

UNITED STATES ARMED FORCES, DEPARTMENT OF DEFENSE, DEPARTMENT OF THE ARMY, U.S. ARMY SPECIAL OPERATIONS-DELTA FORCE (COUNTERINTELLIGENCE), U.S. SPECIAL OPERATIONS COMMAND, DEFENSE LOGISTICS AGENCY, DEFENSE SECURITY SERVICE, DEFENSE COUNTERINTELLIGENCE AND SECURITY AGENCY, QUANTICO, U.S. MARINE CORPS INTELLIGENCE,DEPARTMENT OF ENERGY, NATIONAL NUCLEAR SECURITY ADMINISTRATION, DEFENSE CONTRACT MANAGEMENT AGENCY, NUCLEAR REGULATORY COMMISSION, FEDERAL COMMUNICATIONS COMMISSION, SECURITIES AND EXCHANGE COMMISSION, DEPARTMENT OF HOMELAND SECURITY, COMMITTEE ON NATIONAL SECURITY SYSTEMS, NATIONAL SECURITY AGENCY, UNITED STATES DEPARTMENT OF STATE, BUREAU OF DIPLOMATIC SECURITY, DSAC, OFFICE OF THE DIRECTOR OF NATIONAL INTELLIGENCE, UNITED STATES SPECIAL OPERATIONS COMMAND, WARRIOR CARE PROGRAM (CARE COALITION), DEPARTMENT OF JUSTICE, DEPARTMENT OF THE TREASURY, CHAPTER 13 OF TITLE 50 U.S.C. TITLE 18 U.S.C. SECTIONS 1961-68. CHAPTER 215, SECTIONS 3321, 3322, CHAPTER 216, SECTIONS 3331, 3332, 3333, 3334, OF TITLE 18 U.S.C. (FARA) "Q" "NATIONAL BANK OF THE UNITED STATES / DEPARTMENT OF THE TREASURY."

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