PREVIOUS EDITION IS OBSOLETE

CAUTION: NOT TO BE USED FOR

IDENTIFICATION PURPOSES

CERTIFICATE OF RELEASE OR DISCHARGE FROM ACTIVE DUTY THIS IS AN IMPORTANT RECORD.

SAFEGUARD IT.

ANY ALTERATIONS IN SHADED AREAS

RENDER FORM VOID

This Report Contains Information Subject to the Privacy Act of 1974, As Amended. 1. NAME (Last, First, Middle)

WYNN KRISTEN NICOLE

2. DEPARTMENT, COMPONENT AND BRANCH

AIR FORCE--REGAF

3. SOCIAL SECURITY NUMBER

076 82 8578

4a. GRADE, RATE OR RANK

SRA

b. PAY GRADE

E4

5. DATE OF BIRTH

19930804

(YYYYMMDD) 6. RESERVE OBLIGATION TERMINATION DATE

(YYYYMMDD) N/A

7a. PLACE OF ENTRY INTO ACTIVE DUTY

DALLAS TX

b. HOME OF RECORD AT TIME OF ENTRY (City and state, or complete address if known) WEST MELBOURNE (BREVARD) FL

8a. LAST DUTY ASSIGNMENT AND MAJOR COMMAND

8 SPECIAL OPERATIONS SQ (SOC)

b. STATION WHERE SEPARATED

JBSA RANDOLPH TX

9. COMMAND TO WHICH TRANSFERRED

N/A

10. SGLI COVERAGE

AMOUNT: $400,000

NONE

11. PRIMARY SPECIALTY (List number, title and years and months in 12. RECORD OF SERVICE YEAR(S) MONTH(S) DAY(S) a. DATE ENTERED AD THIS PERIOD 2011 AUG 16

b. SEPARATION DATE THIS PERIOD 2015 JUL 28

c. NET ACTIVE SERVICE THIS PERIOD 03 11 13

d. TOTAL PRIOR ACTIVE SERVICE 00 00 00

e. TOTAL PRIOR INACTIVE SERVICE 00 03 28

f. FOREIGN SERVICE 00 03 01

g. SEA SERVICE 00 00 00

h. INITIAL ENTRY TRAINING 2011 AUG 16

i. EFFECTIVE DATE OF PAY GRADE 2014 FEB 14

specialty. List additional specialty numbers and titles involving periods of one or more years.)

1C052, AVIATION RESOURCE MANAGEMENT, 3 YEARS AND 9 MONTHS.

13. DECORATIONS, MEDALS, BADGES, CITATIONS AND CAMPAIGN RIBBONS AWARDED OR AUTHORIZED (All periods of service) Meritorious Unit Award, AF Good Conduct Medal, National Defense Service Medal, Global War On Terrorism Expeditionary Medal, Global War on Terrorism Service Medal, Air Force Expeditionary Service Ribbon with Gold Border, AF Training Ribbon.

14. MILITARY EDUCATION

(Course title, number of weeks, and month and

year completed)

AF BASIC MILITARY TRG, OCT 2011; (9NO) AVIATION RESOURCE MANAGEMENT APPRENTICE, JAN 2012.

15a. COMMISSIONED THROUGH SERVICE ACADEMY YES X NO b. COMMISSIONED THROUGH ROTC SCHOLARSHIP (10 USC Sec. 2107b) YES X NO c. ENLISTED UNDER LOAN REPAYMENT PROGRAM (10 USC Chap. 109) (If yes, years of commitment: ) YES X NO 16. DAYS ACCRUED LEAVE

PAID 0

17. MEMBER WAS PROVIDED COMPLETE DENTAL EXAMINATION AND ALL APPROPRIATE DENTAL SERVICES AND TREATMENT WITHIN 90 DAYS PRIOR TO SEPARATION YES NO

X

18. REMARKS

NOTHING FOLLOWS 19a. MAILING ADDRESS AFTER SEPARATION (Include ZIP Code) 120 LIELMANIS AVE UNIT 2005

HURLBURT FIELD FL 32544

b. NEAREST RELATIVE (Name and address - include ZIP Code) 20. MEMBER REQUESTS COPY 6 BE SENT TO (Specify state/locality) FL OFFICE OF VETERANS AFFAIRS X YES NO a. MEMBER REQUESTS COPY 3 BE SENT TO THE CENTRAL OFFICE OF THE DEPARTMENT OF VETERANS AFFAIRS

(WASHINGTON, DC) X YES NO

21.a. MEMBER SIGNATURE

MEMBER NOT AVAILABLE TO SIGN

b. DATE

(YYYYMMDD)

N/A

22.a. OFFICIAL AUTHORIZED TO SIGN (Typed name, grade, title, signature) CAC/PKI SIGNED BY LEWIS.DOUGLAS.W.113*******

CONTRACTOR, TFSC DD FORM 214 TECHNICIAN Jul 23 2015 7:31:39:000 PM CAC Serial Number: 35A5B4 IssuerCN: DOD CA-32

b. DATE

(YYYYMMDD)

20150723

SPECIAL ADDITIONAL INFORMATION (For use by authorized agencies only) 23. TYPE OF SEPARATION

RETIREMENT

24. CHARACTER OF SERVICE

HONORABLE

(Include upgrades)

25. SEPARATION AUTHORITY

AFI 36-3212

26. SEPARATION CODE

SEK

27. REENTRY CODE

2Q

28. NARRATIVE REASON FOR SEPARATION

DISABILITY, TEMPORARY

29. DATES OF TIME LOST DURING THIS PERIOD

NONE

(YYYYMMDD) 30. MEMBER REQUESTS COPY 4

(Initials) N/A

DD FORM 214, AUG 2009 SERVICE-2

The information contained herein is subject to computer matching within the Department of Defense or with any other affected Federal or non-Federal agency for verification purposes and to determine eligibility for, and/or continued compliance with, the requirements of a Federal benefit program. NONE PROVIDED

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