branch cj .. ' i o· · 2016. 5. 11. · sf27s (rev. 0312000) 5 c.f.r part 2634 u.s. office of...

SF278 (R.~v. 0312000)

5 C.F.R Pa.rt 2634

Fonn Approved:

Executive Branch Personnel PUBLIC FINANCIAL DISCLOSURE REPORT ONffi No. 3209-0001 U.S . Office of Government Ethics

Date of Appointment; Candidacv. Election - Reporting Status ::, Calend!lrYear . . .': '. ..:.:.' ": ;; ;' :~'" Tennination Date (Jf ADDli ~ ' Fee for Late lJ""'lic-a-:b""'le""):-'-. ----------....,....,..-fshall be sUQject to'a $200 fee. . Po.§ttion for Which Filing Secretary Department of Agriculture .. :. ' . : Renortin1! Periods

1-:-:....;...---....,.,-----..,...------+:M~d...,.re-s-s7 (Jlv:-;"u-m-b:-e-r,""":S;:'"tr-e-et-:-. -:::c;-:'"if'L:-.-:S=:-:'ta-l-e -a-n-:d-;::Z;-;IP;:;-;::C;-o-:de~)~' ------'i------::-...,..,-~-:T::::-e-:'le-~ru-;-h:-· o-ne,..N::-:-o-. ~';';ln-c-:'lud-;-e-A7"r-ea---;::C;-o..,.de-:)~------tlncumbents: ·The reporting oeriod is

Location of Present Office 515-283-1000 the preceding calendar year except -(or forwarding address) .. 801 Grand Street, Suite 3900; Des Moines, IA 50309 Part II ofScheduleC and Part I of'

Sch~i.&D where YOU. must alSO'" '. ' "P:-. o-sl""'·tj""'"on-(""'s)~.H~e""'1"""d""w""'ith""""'th""e""'. F=-.. e""'4-er-a-:-1--:--. -, .... ""':;-. ~T=it:;le=o:;f~P:os:·~l:-· tl:.;:;·..,.o=n(:s:)::..:a-n:d~·D~a:te:~(:~s)2H~e:l.:.d~ _-_-_ .... _,..... _-_-_-_-_-_-_-_-_-_-_-_-_-___ - _-_-_-_-_-_-_-_-_-_-_-_':"" _-_-_-_-_~ ...... = ... ::=:: .. : .. :=:,.:.>= .. :.::::: .:. ::::::::::::::::::::::~include the filinp;year up to the d~te Gov~mmen.tDuring the Preceding you fil~,· PartII of Schedule P is not· 12MQn:th~ : (IfN.0t Same as Above) appliCable. .' . .' ~ .' .

~.; ~., .. ' . I-~""' ______ ~~_--~~_~~-~_~_~~~_-:--!"!"'"'~_~~_-~~~~~~~-~~-:'!' '.!':!. '",,"':',,:,,"' ; :~.';-... '" _~~~~ ______ --ITermination FHer~: The reporting: 'Presidential Nominees Sub ied to ~N.:.:am=e;;,..;o:::.!f:....::C~o::.:;n=.:grce:::::ss~jo;:;:n::::a:!.1 ,:::C.!:,;ornm::,:·:..:.· :.:,;itt:,:::e:;,::e-::C::.,::o:..:.,:n::.,:s i~de:::r.:.:ii1:t:.ig'-!N.;.;o:::..:.m:..:..i::,:n.::.;at:;.;jo:..:.n:....· ," __ r=D:;.:;o;;,..;Y~ou~ln;.:;te:..:.n;.;::d...;to:;;..;:::C:.:.:re::;::a::.:te...:a;..,(~)=.:lua:..:.h::.· fi::;le;:.d.::D:-.,;.iv.:..:e:..:.rs~i:.:.fied.;,:::...T.:.;ru:.:;.::.·st'?:..:.. -........:..-____ ----l·period begins at the' end -of the period Senllt~C.ont1rmation Committee on Agriculture, Nutrition, and Forestry D~~: " ::'L:-~> ' .... · •. :. · 0~i;I)f::'t.r:·· o'... :: . :"': .' . ~~.i;~~:a~:':fo~~~~:~f~~..rW~~ ~d ends I-----------"!!!""---'--.----------~-----" ... -----....1-.-=:;;...--~:--.,·-......... ·.:·

SF27S (Rev. 0312000) 5 C.F.R Part 2634 U.S. Office of Government Ethics

Thomas J. Vilsack

Assets and Income

BLOCK A

or you, your spouse, and dependent children, report each asset held for investment or the production of income which had a fair market value exceeding $1.000 at the close of the reoort· ing period.. or which generated more than $200 in income durinf! the repOrting period. together with such income.

yourself. also repOrt the source and actual ofeamed income exceeding $200 (other

the U.S. Government). For your spouse, source but not the amount of earned

of more than $1 ,000 (except report the acount of any honoraria over $200 of

spouse).

Airlines Common ---------------J~e~ & S~th:, .!l0m~t~.! Stat~ __

USDA - Conservation Reserve Program in connection to Davis farm

Commercial Office Building 1/2 interest, Mt. Pleasant, Iowa

Prior Editions Cannot be Used.

Valuation of Assets at close of

reporting period BLOCKB

--r=~-

SCHEDULE A

Income: tvoe and amount. If "None (or less than $201)" is checked. no other entry is needed in Block C for that item.

BLOCKC

Other Income (Specify Type & Actual

Amount)

$7,552.00

spouse or

2

Date (Mo .. Dav.

Yr.)

Only if Honoraria

Sf278 (Rev. 0312000)

5 C.F.R Part 2634

mas J. Vilsack

Assets and Income

BLOCK A

NoneD

United States Savings Bonds

US Bank Checking Account (J)

US Bank Checking Account (J)



SCHEDULE A continued

Income: tvoe and amount. lftlNone (or less than $201)" is checked. no other entry is needed in Block C for that item.


Amount)

spouse or

3

Date (Mo .. Day.

Yr.)

Only jf Honoraria

SF278 (Rev. 0312000) 5 C.F.R Part 2634 U.S. Office of Govemment Ethics

Thomas J. Vilsack

Assets and Income

BWCKA

NoneD

US Bank Farm Checking Account

Strategic Partnerships LLC Alexandria, VA



reporting period BLOCKB



Amount)

4

$2,500 Director's Fee

Date (Mo .. Dav.

Yr.)

Onlv if Honoraria

05/17/2008

08/13/2008

12/2008

SfZ78 (Rev. 0312000) S C.F.R Part 2634 U.S. Office ofGovemment Ethics

J. Vilsack

Assets and Income

BLOCK A

NaneD

Northwest Area Foundation St. Paul, Minnesota

Harvard University Boston. Massachusetts

Iowa Pharmacy Association Des Moines, Iowa


reporting period BLOCKE


Income: tvoe and amount. If "None (or less than $201)" is checked. no other entry is needed in Block C for that item.

BLOCKC


Amount)

$5.000

$5,000 Honorarium

Salary

Salary

5

Date (Mo .. Dav.

Yr.)

Only if Honoraria

05/30/2008

03/13/2008

~F278 (Rev. 03(2000)

5 C.F.R Part 2634 U.S. Office of Govemment Ethics

Thomas J . Vilsack

Assets and Income

BLOCK A

Russell US Core Equity (RLlSX)

Anheuser Busch Companies

Chevron

Diageo

Emerson Electric




Amount)

the spouse or

6

Date (Mo .. Day,

Yr.)

Only if Honoraria

SF278 (R.ev. 0312000) 5 C.F.R Part 2634 U.S. Office ofGovemmcnt Ethics

homas J. Vilsack

Assets and Income

BLOCK A

NoneD

Account co ued: Pepsico

Southern Company

Vectren Corp





Amount)

spouse or

7

Date (Mo .. Dav.

Yr.)

Only if Honoraria

SF 278 (Rev. 0312000)

5 C.F.R Part 2634 Do not Complete Schedule B if you are a new entrant, nominee, Vice Presidential or Presidential Candidate U S Office of Government Ethics . . IKeportmg lnolYlduaJ's Name Wage Number

Thomas J. Vilsack SCHEDULEB 8

Part I: Transactions None D Report any purchase, sale, or exchange by you, your spouse, report a transaction involving property used solely as your Transaction Amount of Transaction (x) or dependent children during the reporting period of any real personal residence, or a transaction solelv between you. Type (x) property, stocks, bonds, commodity futures, and other your spouse, or dependent child. Check the "Certificate of Date (Mo., I I. 0 0 , '0 ...-0 securities when the amount of the transaction exceeded divestiture" block to indicate sales made pursuant to a ~ Day. Yr.) • 0 0 0 ...- 0 00 ~ eJ) ..... 0 .,...0 ~& 0 0 00 00 $1,000. Include transactions.that resulted in a loss. Do not certificate of divestiture from OGE. ~ § 0 ~ o ..... 0 00 00 0 o 0 C!.ci 00 .c ..... 0 0 00 00 00 00 ci o o· 00 00

~ ., .c o 0 o 0 C!. o· 00 00 g& ~& o 0 00 00 (;i 0 0. 1.6 1.60 00 ~~ lOO o 0 o • .no ::s >< .Il) Identification of Assets 0.. tI) U.l :;.;; .... \l) III ~ N \!} \l) .... o~ ~..o IC) N N Ii) IA- ~ ~

SF 278 (Rev. 0312000) 5 C.F.R Part 2634 U S Office of Government Ethics ..

!Keportmg lndlvlClual's Name

Thomas J. Vilsack

Part I: Liabilities

I Report liabilities over $10,000 owed to anyone creditor at

. anv time during the reporting Deriod bv vou. your spouse. or dependent children . . Check the highest amount owed dwine the reporting period. Exclude a morteage on vour

Creditors (Name and Address)

E~ples: IFirs~ Dis!!i~~~ yvas~~oE'..£

SF 278 (Rev. 0312000) 5 C.F.R Part 2634 U.S. Office ofGovemment Ethics

Reporting Individual's Name

Thomas J. VHsack

Part I: Positions Held Outside U.S. Government Report any positions held during the applicable reporting period, whether comoensated or not. Positions include but are not limited to those of an officer. dir~~tor. tfllstee. general partner. proprietor. representative. employee. or

Organization (Name and Address) Examples: ~:fl~~.:..2f_RO.C~ CollEctor; NY~NY _____________ ---, __

Doe Jones & SmIth, Hometown, State 1

MidAmerican Energy (Des Moines, Iowa) 2

National Education Association (Washington, DC) 3

Ambassadors Inc.lEmbark LLC (Chicago, Illinois) 4

Drake University Law School (Des Moines, Iowa) 5

Dorsey & Whitney LLP (Des Moines, Iowa) 6

Iowa State University (Ames, Iowa)

wage Number

SCHEDULE'D 10

consultant of any corporation, finn, partnership, or other business enterprise or any non.nrofit oro-jO\ni7~tinn or ~rill~Mion~1 in."tih1tion F,y('lurlf': n()!':ition~ with re:lio-ioll!': social. fraternal. or political entities and those solely of an honorary nature.

CI None Type of Organization Position Held From (Mo., Yr.) To (Mo., Yr.)

_ ~~!ofit ~duca.!iQ!]. _____ ~ ___ _ .?~i~el!!. __________ .,. 6/92 Present -------- -------Law finn Partner 7/85 1100 Energy Company Consultant 02/2007 12/2008

Teachers' Union Consultant 04/2007 12/2007

Event Planning Com!Jany Consultant 05/2007 10/2007

Higher Education Teacher 02/2007 12/2007

Law Firm Of Counsel 05/2007 present

Hiqher Education BIGMAP Fellowship 10/2007 12/2007

Part II: Compensation In Excess Of $5,000 Paid by One Source Do not complete this part Report sources of more than $5,000 compensation received by you or your corporation, finn, partnership, or other business enterprise, or any other non-profit if you are an Incumbent, business affiliation for services provided directly by you during anyone year of organization when you directly provided the services generating a fee or payment Termination Filer, or the reporting period. This includes the names of clients and customers of any of more than$5,OOO. You. need not report the U.S. Government as a source. Vice Presidential

or Presidential Candidate None CJ

Source (Name and Address) ., Brief Description of Duties tB~ Jones & Smith Hometown, State ' ~grus~ITic~~ __________________________________________

Examples: Me-tro U;iverSity (~lient-ofD~e Jo;es& -Smith), M~neyt~wn, site- - - - - - Legal services in connection with university construction 1

MidAmerican Energy (Des Moines, Iowa) Consulted on renewable energy 2

National Education Association (Washington, DC) Consulted on No Child Left Behind 3

Ambassadors, Inc (Newport Beach, California) Consulted on convention planning 4

Drake University Law School (Des Moines, Iowa) Teacher 5

Dorsey & Whitney LLP (Des Moines, Iowa) Legal services 6

Iowa State University(Ames, lowat Teaching salary- Fellowship ..

Pnor EditIOns Cannot Be Used.

SF 278 (Rev. 0312000) 5 C.F.R Part 2634 U S Office of Government Ethics ..

Reporting Individual's Name

Thomas J. Vilsack

Part I: Positions Held Outside U.S. Government Report any positions held during· the applicable reporting period, whether compensated or not. Positions include but are not limited to those of an officer. director. trustee. general partner. proprietor. representative. employee, or '.

Organization (Name and Address)

Examples: ~~!J As~n~f_Ro.c~ CollEc.!£r~ 1'1Y.!. !iY _______________ --.:. Doe Jones & SmIth, Hometown, State

1

Strategic Partnerships LLC (Alexandria, Virginia) 2

Carnegie Learning Company (Pittsburgh, Pennsylvania) 3

Harvard University (Boston, Massachusetts) 4

Allergan (Irvine, California) 5

6

SCHEDULED I"ge Numb«

11

consultant of any corporation, firm, partnership, or other business enterprise or any non-nrofit MO"::tnt7Mion or e:r1l1C".M;on::tl in~t;tllti()n F.yc-iJule: no~;ti()n~ with re:lio-iow: social. fraternal. or political entities and those solely of an honorary nature.

CI None Type of Organization Position Held From (Mo .• Yr.) To (Mo., Yr.)

_ ~~!ofit ~duc~i~ _________ _ !resi~ent ___________ 6/92 Present r--7/85

- - -- -------Law finn Partner I100 .

Consulting Company Director 02/2007 12/2008

Educational Software Company Director 03/2007 12/2007

Higher Education Kennedy School Fellow 09/2008 1212008

Healthcare Company Consultant 08/2007 08 /2008

Part II: Compensation In Excess Of $5,000 Paid by One Source Do not complete this part Report sources of more than $5,000 compensation received by you or your corporation, firm, partnership, or other business enterprise, or any other non-profit if you are an I ncumbe nt, business affiliation for services provided directly by you during anyone year of organization when you directly provided the services generating a fee or payment Termination Filer, or the reporting period. This includes the names of clients and customers of any of more than $5,000. You need not report the U.S. Government·as a source. Vice Presidential

or Presidential Candidate

None CJ Source (Name and Address) Brief Description of Duties

. . ~e Jones & Smith, Hometown, State . .'. ~grus~~ic~ ___________________________________________

Examples: Me""tro U;iverSity (;Uent-ofDoe Jones & Smith), Moneytown, State- - - --- Legru services in connection with university construction 1

Strategic Partnership LLC (Alexandria, Virginia) Director 2

Carnegie Learning Company (Pittsburgh, Pennsylvania) Director 3

Harvard University (Boston, Ma ssachusetts) Fellow 4

Panetta Institute (Seaside, California) Speaking engagement in 2007 5

Alleghney County Medical Society (Pittsburgh, Pennsylvania) Speaking engagement in 2007 6 Allergan (Irvine, California) Consulting

·Northwest Area Foundation (St. Paul. Minnesota) Speaking engagement in 2008 . .

Prior EdItions Cannot Be Used .

SF 278 (Rev. 03/2000) :; 8.F.R Part 2634 US Office of Govemment Ethics .. Reporting Individual's Name

Thomas J. Vilsack

Part I: Positions Held Outside U.S. Government Report any positions held during the appiicable reporting period, whether compensated or not. Positions include but are not limited to those of an officer:. director. trustee. general partner. proprietor. representative. employee. or

.. ' Organization (Name and Address)

Examples' ~~!l As~n..:...2f..:Roc~ CollEcto~ NY.! NY _______________ ~ . Doe Jones & Smith, Hometown, State

1

2

3

4

5

6

wage Number

SCHEDULED 12

..

consultant of any corporation. finn. partnership, or other business enterprise or any non-nrnfit nn7~ni7~tinn'or t"_cillC'~ti(m~1 in~titl\tinn F.Y('hulf.~ nn"ition" with re:liu;ow: social, fraternal. or political-entities and those solely of an honorary nature.

CJ None Type of Organization Position Held From (Mo., Yr.) To (Mo., Yr.)

_ ~~Iofit ~ucaJion ___ .--: _____ _ .r~ige.!!!. ___________ 6/92 Prescnt '-------- -1/00 ----Law firm Partner 7/85

Part II: Compensation In Excess Of $5,000 Paid by One Source Do not complete this part Report sources of more than $5,000 compensation received by you or your corporation, finn, partnership, or other business enterprise, or any other non-pro fit - if you are an Incumbent, business affiliation for services provided directly by you during anyone year of organization when you directly provided the services generating a fee or payment Termination Filer, or the reporting period. This includes the names of clients and customers of any of more than $5,000. You need not report the U.S. Government as a source. Vice Presidential

or Presidential Candidate None CJ

Source (Name and Address) Brief Description of Duties ~~e Jones & Smith, Hometown, State ~$rus~i~ ___________________________________________

Examples: Metro U;iverSity (client -of D;e Jo;es & -Smitii)~oneytown. State- - - - - - Legal services in connection with university construction 1

Iowa Pharmacy Association (Des Moines, Iowa) Speaking engagement in 2008 2

Gordian Group (Mauldin, South Carolina) Legal fees 3

Independent Light and Power (lndeRendence, lowaL Legal fees 4

Kevin Maclnness (Boulder, Colorado) Legal fees 5

Brett Maclnness (Dallas, Texas) Legal fees 6

Macalester College (St. Paul, Minnesota) Speaking engagement in 2008 . .

Pnor EdItions Cannot Be Used .

branch cj .. ' i o· · 2016. 5. 11. · sf27s (rev. 0312000) 5 c.f.r part 2634 u.s. office of...

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