l/rrz ft. - facebook cover-up –a global collaborative · sf 278 (rev. 0312000) 5 c.f.r' part...

6
Executive Branch Personnel PUBLIC FINANCIAL DISCLOSURE REPORT ortmg ::itatus Calendar Year Termination Date (If Avvli- k Incumbent Covered by Report New Entrant, Nominee, Termination CaMe) (Month, uay, rear) priate boxes) 0 I Oor Candidate o Filer I Name First Name an MI dlelmtlal Donough Denis R e of Position or A!!:encv (J(Annlirnh/p) puty Assistant to the President NSC frl'''< (Nl1mhpr Slrppl ritv Slnfp nnd TTP rodp) ,No (Tnrl7ld" Arpn rod" \ /&00 S 0/ )/?t1 1 Ot >JYL t- b 1/1/'/ e ofPosition(s) and Date(s) Held- me of CongressIOnal CommIttee Considering Nomination Do You Intend to Create a Qualified Diversified Trust? DYes E1NO afUre of Reporting IndiWtkiaI Uale (JVJomn, uay, I ear \juJ;{"- 3/30 Iv )' nature ot Uther Kevlewer I Date (Month. Dov. Year \ ( l/rrz 3/3//09 nature of Desi!!:Dated Agencv Ethics OfficiialJReviewing Official ORt" (Mn"th DJrv. Year) ! kl-A Cv· 1\ 3/31/°1 .r;-- tature Oat" {Un"lh ')ml Y"nr <nnrP ;. rpnn;rpd '.1' thp rpvpr.p .;dp nfth; •• hppt} (Check box iffiling extension granted & indicate number of days ID (Check box if comments are continued on the reverse sideCJ d. 278-112 Form DeSIgned In Microsoft Excel 2000 Fonn Approved: OMB No. 3209·0001 Fee tor Jate ". In!> Any individual who is required to file this report and does so more than 30 days after the date the report is required to be filed, or, if an extension is granted, more than 30 days after the last day of the filing extension period shall be subiect to a $200 fee. Renorting Periods Th" rennrtin<> nPrinrf i< the preceding calendar year except Part II of Schedule C and Part I of Schedule D where you must also include the filing year up to the date you file. Part II of Schedule D is not applicable. Tprminlltinn Th" r"nnrtin<> period begins at the end of the period covered by your previous filing and ends at the date of termination. Part II of Schedule D is not applicable. Nominees. New Entrants and Candidates for President and Vice President: .. .&_ Th,. rpnnrtln" nPMM fnT' income (BLOCK C) is the preceding calendar year and the current calendar year up to the date of filing. Value assets as of any date you choose that is within 31 days of the date of filing. R-Nnt onnli".hl" .. r. P"rt T rT.iRhiliti",.<'I- The reporting period is the preceding calendar year and the current calendar year up to any date you choose that is within 31 days of the date of filing. .. ,,:t. r Pa ..... If (!J.n-r_"""pntc nr Arrangements)- Show any agreements or arran!l:ements as of the date of filing. fi-Th" T"nnrtin<> ""rinrf i< the preceding two calendar years and the current calendar year up to the date of filinl!. Agencv Use Onlv OGE Use Onlv NSN 7540-01-070-8444 SF27S (Rev. 03/2000) 5 C.F.R Part U S Dince of GovemmelOX Ethics .. Date of AoD<'intmenL Candidacv. Election or (Month, Day, Year) 01/20/2009 Reporting Individual's Name Position for Which Filing Location of Present Office (or forwarding address) Position(sl Held with the Federal Government During the Preceding 12 Months (If Not Same as Above) Presidential Nominees Subiect to Senate Confirmation e I lea Ion I CERTIFY that the statements I have made on this form and all attached schedules are true. complete and correct to the best ofmv knowledge. Other Review (If desired by Bl!ency) A!!encv Ethics Official's Opinion On the basis of infonnation contained in this report, I conclude that the filer is in compliance with applicable laws and regulations (subject to any comments in the box below). Office of Government Ethics Use Onlv of , Officials , Executive Branch Personnel PUBLIC FINANCIAL DISCLOSURE REPORT ReporTlng Status Calendar Year Tennination Date (ff ADDIi- (Check Incumbent Covered by Report New Entrant, Nominee, Tennination CaDle) (Month, uay, rear) appropriate bores) 0 I Dor Candidate o Filer I Last Name First Name and Middle Initial McDonough Denis R Title of Position . or A!!encv (If, ,) Deputy Assistant to the President NSC Address (Number. Sn-eeL rilv Slnlp nnd 7fP rndp ) N" flnrf"dp Arpn rnd" 1 If/OO ICM,n S 0/ Y? t1 I C1 !J ft . t. {)L Vt; b 1;;/1/ Tille ofPosition( sl and Date(s) Heidi Name of Congressional Committee Considering Nomination Do You Intend to Create a Qualified Diversified Trust? na DYes §lNO SignafUre of Reporting Ua[e lI"70mn, vay, ear GuJ:i"-- /lJ )' ;:, Ignature 0 . ut er KeVlewer I I f).te (Mnnlh )nv Ypnr 3/3//09 Sij:!nature of Desimated A!!encv Ethics OffidiallReviewin!! Official Date (Month. DJrv Year) f- LI- Lv ·· r-- }'j3J Signature !btl" r M'lMlh )tn) Y"nr' SDace is 'NO' ;",A Ihe ,,,,,prop ,Ao of.1his ,h.,p/: (Check box if filing extension granted & indicate number of days ID (Check box if comments are continued on the reverse sideCJ . . Suoersedes Pnor Editions. Which Cannot Be Used . 278·112 Form DeSIgned In MIcrosoft Excel 2000 Form Approved: OMB No. 3209·0001 "' ee lor I ,ate FilinlJ Any individual who is required to file this report and does so more than 30 days after the date the report is required to be filed. or. if an extension is granted, more than 30 days after the last day of the filing extension period shall be subiect to a $200 fee. Periods Thl'l! rPnnrtino nP'rinrt ic: the preceding calendar year except Part n of Schedule C and Part I of Schedule D where you must also include the filing year up to the date you file. Part II of Schedule D is not applicable. TprminAfinn Th", r"nnrtino period begins at the end of the period covered by your previous filing and ends at the date of termination. Part n of Schedule D is no! applicable. Nominees. New Entrants and Candidates for President and Vice President: .4._Th .. r ... nnrltnn n,t>o"';.-v4 fn" income (BLOCK C) is the precedinJ!, calendar year and the current calendar year up to the date of filing. Value assets as of any date you choose that is within 3 I days of the date of filing . .. hprl"l .. R_Nnt .• hll" S .. hprl"I .. r. PArt r n . i.hiliti,..\- The reporting period is the preceding calendar year and the current calendar year up to any date you choose that is within 31 days of the date of filing . .. r Port IT (4"","_,...."",,nf(' nr Arrangements)- Show any agreements or arranp:ements as of the date of filing. n_ Th .. r.. nnrtina "" .rintl i< the preceding two calendar years and the current calendar year up to the date of filintt Al!encv Use Only OGE Use Only NSN 7540-01-070-8444

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SF

278 (Rev· 03/2000)

5 C.F

.R P

art 263~

U S O

jfice of G

overnrne>( Ethics

.. D

ate of A

ppointment. C

andidacv. Election

or Nom

ination (Month, D

ay, Year)

01

/20

/20

09

Rep

ortin

g In

div

idu

al's Nam

e

Position for W

hich Filing

Location o

f Present O

ffice (or forw

arding address)

Position(s) H

eld with the F

ederal G

overnment D

uring the Preceding

12 Months (lfN

ot S

ame as A

bove)

Presid

ential N

ominees S

ub

iect to

Sen

ate Co

nfirm

ation

L.enlllcanon

I CE

RT

IFY

that the statements I have

made on this form

and all attached schedules are true, com

plete and correct to the best o

f mv know

ledge.

Oth

er Review

(If desired by

agency)

Agencv E

thics Official's O

-.l!inion O

n the basis of inform

ation contained in this report. I conclude that the filer is in com

pliance with applicable law

s and regulations (subiect to any com

ments

in the box below).

Office o

f Governm

ent Ethics

Use O

nly

of R

"vip

win

" Offic

iak

Executive B

ranch Personnel P

UB

LIC

FIN

AN

CIA

L D

ISC

LO

SU

RE

RE

PO

RT

Reportm

g ::itatus C

alendar Year

Term

ination Date (If A

vvli-

(Check

Incumbent

Covered by R

eport N

ew E

ntrant, Nom

inee, T

ermination

CaM

e) (Month, uay, rea

r)

appropriate boxes) 0

I O

or C

andidate o

Filer I

Last N

ame

First N

ame an

MI

dlelmtlal

McD

on

ou

gh

D

en

is R

Title o

f Position

or A!!:encv (J

(An

nlirn

h/p

)

Deputy A

ssistant to the President

NS

C

Arfrfrl'''<

(Nl1m

hpr Slrppl

ritv Slnfp n

nd

TTP rod

p)

,No

(Tnrl7ld" Arpn ro

d" \

/&00 1~tr!)-7 S 0/ )/?

t1 1 Ot

>JY

L

t- ~~j/$" b 1/1/'/ T

itle ofPosition(s) and D

ate(s) Held-

Nam

e of C

ongressIOnal C

omm

Ittee Considering N

omination

Do Y

ou Intend to Create a Q

ualified Diversified T

rust?

na DYes

E1NO SlgnafU

re of R

eporting IndiWtkiaI

Uale (JVJom

n, ua

y, I ear

\juJ;{

"-3/30 Iv )'

:SIgnature ot U

ther Kevlew

er I

Date (M

onth. D

ov. Year \

h1~ ( l/rrz

Vt/~

3/3

//09

S

ignature of D

esi!!:Dated A

gencv Ethics O

fficiialJReview

ing Official

OR

t" (Mn"th

DJrv. Y

ear) !

kl-A

Cv·

1\

3/31/°1 .r;--

SJmtature

Oat" {U

n"lh ')m

l Y"nr

'.<n

nrP

;. rpn

n;rp

d '.1' thp

rpvp

r.p .;d

p n

fth; •• hppt}

(Check box iffilin

g extension granted &

indicate number o

f days ID

(Check box if com

ments are continued on the reverse s

ideC

J

.. S

upersedes Pn

or E

dItIOns. W

hich Cannot B

e Used.

278-112 F

orm D

eSIgned In M

icrosoft Excel 2000

Fonn A

pproved:

OM

B N

o. 3209·0001

Fee tor Jate ".

In!> A

ny individual w

ho is required to

file this report and does so more than

30 days after the date the report is required to be filed, or, if an extension is g

ranted

, more than 3

0 d

ays after the

last day of the filing extension period

shall be subiect to a $200 fee.

Renorting P

eriods Tnrllmhpnh~

Th

" rennrtin<>

nPrinrf i<

the preceding calendar year except P

art II of S

chedule C and P

art I of

Schedule D

where you m

ust also include the filing year up to the date you file.

Part II o

f Schedule D

is not applicable.

Tp

rmin

lltinn

Filpr~~ Th

" r"nnrtin<>

period begins at the end o

f the period

covered by your previous filing and ends at the date o

f termination.

Part II

of S

chedule D is not applicable.

No

min

ees. New

En

tran

ts an

d

Can

did

ate

s for P

resid

en

t an

d V

ice P

resid

en

t:

~l"'h4Jotl .. l~ .&

_ T

h,. rp

nn

rtln" n

PM

M fnT

' incom

e (BL

OC

K C

) is the preceding calendar year and the current calendar year up to the date o

f filing. V

alue assets as o

f any date you choose that is w

ithin 31 days of the date o

f filing.

~rhptlllip R-N

nt o

nn

li".hl"

~l'hptlnl .. r. P"rt T

rT.iR

hiliti",.<'I-

The reporting period is the preceding

calendar year and the current calendar year u

p to any date you choose that is

within 31 days o

f the date of filing.

~l"'hAn .. ,,:t. r

Pa ..... I

f (!J.n-r_

"""p

ntc

nr

Arrangem

ents)-S

how any agreem

ents or arran!l:em

ents as of the date o

f filing.

~rhpclllip fi-

Th

" T"nnrtin<

> ""rin

rf i< the preceding tw

o calendar years and the current calendar year up to the date o

f filinl!. Agencv U

se On

lv

OG

E U

se On

lv

NS

N 7540-01-070-8444

SF27S (Rev. 03/2000)

5 C.F.R Part 263~

U S Dince of GovemmelOX Ethics ..

Date of AoD<'intmenL Candidacv. Election or Nominatio~_ (Month, Day, Year)

01/20/2009

Reporting Individual's Name

Position for Which Filing

Location of Present Office (or forwarding address)

Pos ition(sl Held with the Federal Government During the Preceding 12 Months (If Not Same as Above)

Presidential Nominees Subiect to Senate Confirmation

e I lea Ion I CERTIFY that the statements I have made on this form and all attached schedules are true. complete and correct to the best ofmv knowledge.

Other Review (If desired by

Bl!ency)

A!!encv Ethics Official's Opinion On the basis of infonnation contained in this report, I conclude that the filer is in compliance with applicable laws and regulations (subject to any comments in the box below).

Office of Government Ethics Use Onlv

of , Officials ,

Executive Branch Personnel PUBLIC FINANCIAL DISCLOSURE REPORT

ReporTlng Status Calendar Year Tennination Date (ff ADDIi-(Check Incumbent Covered by Report New Entrant, Nominee, Tennination CaDle) (Month, uay, rear)

appropriate bores) 0 I Dor Candidate o Filer I Last Name First Name and Middle Initial

McDonough Denis R

Title of Position . or A!!encv (If, , )

Deputy Assistant to the President NSC

Address (Number. Sn-eeL rilv Slnlp nnd 7fP rndp ) T~I~nh"n~ N" flnrf"dp Arpn rnd" 1

If/OO ICM,n S 0/ Y?t1 I C1 !J ft. t. {)L Vt; b 1;;/1/ Tille ofPosition(sl and Date(s) Heidi

Name of Congressional Committee Considering Nomination Do You Intend to Create a Qualified Diversified Trust?

na DYes §lNO SignafUre of Reporting Indi~1 Ua[e lI"70mn, vay, ear

GuJ:i"-- ~/30 /lJ ) ' ;:, Ignature 0 . ut er KeVlewer I I f).te (Mnnlh )nv Ypnr

~ (/~ Vt/~ 3/3//09 Sij:!nature of Desimated A!!encv Ethics OffidiallReviewin!! Official Date (Month. DJrv Year)

Ir~ f-LI- Lv ·· r-- }'j3J /~tj Signature !btl" r M'lMlh )tn) Y"nr'

SDace is 'NO' ;",A Ihe ,,,,,prop ,Ao of.1his ,h.,p/:

(Check box if filing extension granted & indicate number of days ID

(Check box if comments are continued on the reverse sideCJ

. . Suoersedes Pnor Editions. Which Cannot Be Used . 278·112 Form DeSIgned In MIcrosoft Excel 2000

Form Approved:

OMB No. 3209·0001

" 'ee lor I ,ate FilinlJ Any individual who is required to

file this report and does so more than 30 days after the date the report is required to be filed. or. if an extension is granted, more than 30 days after the

last day of the filing extension period shall be subiect to a $200 fee.

ReDortin~ Periods Tn"'"mhpnt~= Thl'l! rPnnrtino nP'rinrt ic: the preceding calendar year except Part n of Schedule C and Part I of Schedule D where you must also include the filing year up to the date you file. Part II of Schedule D is not applicable.

TprminAfinn Filpr~~ Th", r"nnrtino period begins at the end of the period

covered by your previous filing and ends at the date of termination. Part n of Schedule D is no! applicable.

Nominees. New Entrants and Candidates for President and Vice President:

~I"h~tfll'~ .4._Th .. r ... nnrltnn n,t>o"';.-v4 fn" income (BLOCK C) is the precedinJ!, calendar year and the current calendar year up to the date of filing. Value assets as of any date you choose that is within 3 I days of the date of filing .

~ .. hprl"l .. R_Nnt .nnli~ .• hll"

S .. hprl"I .. r . PArt r n .i.hiliti,..\-The reporting period is the preceding calendar year and the current calendar year up to any date you choose that is within 31 days of the date of filing .

~"h~tlnl .. r Port IT (4"","_,...."",,nf(' nr Arrangements)- Show any agreements or arranp:ements as of the date of filing.

~rhpcl"lp n_ Th .. r .. nnrtina "".rintl i< the preceding two calendar years and the current calendar year up to the date of filintt

Al!encv Use Only

OGE Use Only

NSN 7540-01-070-8444

SF2

78 (Rev. 03

/20

00

)

Assets and Incom

e

BL

OC

K A

your spouse, and dependent children, asset held for investm

ent or the ~l'}UUI"lJVl1 o

f income w

hich had a fair market

exceeding $1.000 at the close ofth

e report­or w

hich generated more than $200

during the reporting period. together such incom

e.

yourself. also report the source and actual o

f earned income exceeding $200 (other

the U.S. G

overnment).

For your spouse,

the source but not the amount o

f earned o

f more than $1

,000 (except report the acount o

f any honoraria over $200 of

spouse).

Airlines C

omm

on !o~s_&.2"!.i~ ~

o~e~o~

,§~e _

_

Equ~ty Fu_n~ _

__

__

_

Congressional F

ederal Credit U

nion

Center F

or Am

erican Progress

Dem

ocratic National C

omm

ittee

Valuation o

f Assets

at close of

reporting period B

LO

CK

B

SC

HE

DU

LE

A

me: tvoe and am

ount. If "N

one (or less than $20 n" is checked. no

entry is needed in B

lock C for that item

.

Other

Income

(SpecifY

T

ype &

Actual

Am

ount)

$28,008.1

2

$84,175.0

0

$14,615.43

$24,916.58

spouse or

Date

(Mo., D

ay, Yr.)

Only if

Honoraria

Sf278 (R<v. 0312000)

Assets and Income

BLOCK A

11, your spouse, and dependent children, each asset held for investment or the

oroduction of income which had a fair market value exceedinl! $1 .000 al the close of the report­ing period. or which generated more than $200 in income during the reporting period. together with such income.

For yourself. also reDon the source and acrual amount of earned income exceedinll: $200 (other than from the U.S. Government). For your spouse. reoon the source but not the amount of earned income of more than $1,000 (except report the actual aeount of any honoraria over $200 of your spouse).

AirlInes Common --------------~o~_&.1.~i~~o~e~o~,_S~e __

Ke1mp'SIOI)e Equ!ry~u~~ _____ _

Congressional Federal Credit Union

Center For American Progress

Democratic National Committee

Vanguard European Stock Index

Valuation of Assets at close of

reporting period BlOCKB

or-1'lI'!!~-

SCHEDULE A

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

Other Income (Specify Type & Actuat

Amount)

$28,008.12

$84,175.00

$14,615.43

$24,916.58

Date (Mo .. Dav.

Yr.)

Onlvif Honoraria

SF

278 (Rev. 03/2000)

5 C.F

.R P

art 2634

A

et and In

come

BL

OC

K A

NoneD

Vanguard T

otal Inll Slo

ck Index

Vanguard E

me

rging Mkts S

tk Index

Vanguard M

id Ca

p In

de

x Fd

Vanguard S

mall C

ap

Gro

wth

index

John Ha

nco

ck Retirem

ent Acco

un

t cash value

Valuation o

f A

ets at close o

f re

po

rting

pe

riod

B

LO

CK

B

SC

HE

DU

LE

A continued

Other

Income

(Specify Type &

A

ctual A

mount)

Date

(Mo

.. DO

lI. Yr.)

Onlv ir

Honoraria

spouse or o

t",,:nu

"'1L

SF278 (Rev, OJf200G)

5 C. F.R Pm 2634 US

Assets and (ncome

BLOCK A

Vanguard Total Inti Stock Indel<

Vanguard Emerging Mkts 51k Index

Vanguard MId Cap Index Fd

Vanguard Small Cap Growth Index

Hancock. Retirement Account

Valuatioo of Assets at close of

reporting period BLOCKB

SCHEDULE A continued

Other lnC()me (Specify Type & Actual

Amoun'\

Dete (Mo .. Duv.

Yr.)

On]", If Honoraria

SF

278 (Rev. 0312000)

5 C.F

.R' P

art 2634 D

o n

ot C

om

plete S

ched

ule B

if you

are

a ne

w en

trant, n

om

inee, V

ice Presid

ential o

r Presid

ential C

and

idate

US

Office ofG

ovemm

ent Ethics

Reportm

g lndlvlduafs Nam

e

age Num

lJer S

CH

ED

UL

EB

P

art I: Transactions

No

ne

D

Report any purchase, sale, or exchange by you, your spouse,

report a transaction involving property used solely as your T

ransaction A

mount of T

ransaction (x)

or dependent children during the reporting period o

f any real personal residence. or a transaction solely betw

een you. Type (xl

property, stocks, bonds, comm

odity futures, and other your spouse, or dependent child.

Check the "C

ertificate of

Date (M

o.,

§ ':'8

gg

securities when the am

ount of the transaction exceeded

divestiture" block to indicate sales made pursuant to a

" ~

Day, Yr.)

':'g ~ 0

, i8

~8 88

88

go

,

$1,000. Include transactions that resulted in a loss. D

o not certificate o

f divestiture from O

GE

. :q

" :... 8

~ 0

gg

..c

.. 8

8

80

8

0

0 §§

, 8

g 0

) ..c

o 0

o,g 8'g

~f g '8

l!;8

8 '

00

'"

u o

' ';i iii g ~'

~g

" •

10

10

Identification of Assets

0.. en

PJ

g~ ~

N Z;~

>

. T""~

1.1)-1

0

N

~ '" '" ... '" ... '" '"

'" .... 0

;;; '" ... '" .... ...... E

xample: IC

entral Airlines C

omm

on

x 2/1/99

x 1

2

3

4

5

* This category applies only if the underlying asset is solely that o

f the filer's spouse or dependent children.

If the underlying asset is either held by the filer o

rjoin

tIyh

eld by the filer w

ith the spouse or dependent children

use the other higher categories of value, as appropriate.

Part II: G

ifts, Reim

bursements, and T

ravel Expenses

Fo

r yo

u. y

ou

r spo

use an

d d

epen

den

t child

ren. rep

ort th

e sou

rce. a brief d

escrip-

the U

.S. G

ov

ernm

ent: g

iven

to y

ou

r agen

cy in co

nn

ection

with official trav

el;

tion. and

the v

alue of: (I) gifts (su

ch as tan

gib

le items. tran

spo

rtation

. lod

gin

g.

received

from

relatives; received

by yo

ur sp

ou

se or d

epen

den

t child

totally

foo

d. o

r entertain

men

t) received from o

ne so

urce to

taling

mo

re than

$260; and

in

dep

end

ent o

ftheir relatio

nsh

ip to y

ou

; or p

rov

ided

as perso

nal h

osp

itality at

(2) travel-related

cash reim

bu

rsemen

ts received

from

on

e sou

rce totalin

g m

ore

the d

on

or's residence. A

lso. fo

r pu

rpo

ses of ag

greg

ating

gifts to d

etenn

ine th

e

than

$260. Fo

r con

flicts analysis, it is help

ful to in

dicate a basis fo

r receipt, such

total v

alue from

on

e sou

rce. exclu

de item

s wo

rth $104 o

r less. S

ee instru

ction

s

as perso

nal friend. ag

ency

app

rov

al un

der 5 U

.S.c. &

4111 or o

ther statu

tory

fo

r oth

er exclu

sion

s. au

tho

rity. etc. F

or trav

el-related gifts an

d reim

bu

rsemen

ts. inclu

de travel itinerary.

None

rl"tf'~ "nrl th

" n"hIT" o

f f'.Ynf'n~p.~ nTovirl"rl

Fvrl"

rl .. "nv

thin

o oivf'n to v

on

hv

Source (N

ame a

nd

Address)

Brief D

escription

8 ..... 0

0 ~ .~

§ '" l!;

0 ~

" >

1

0

~

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Examplesl~a!l. A.:s.!!;. <ifR~k O::>Ll~o.!s,]:lY, Nt: _

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A

irli!:,e tic~:!,.. h9te1 r9~ ~ ~e~ls in~iden~ t£.!.1::ti.£!!aL :£!,~e~r;,e 6/1?/99 <.r.:rs0!l~a~tivitt ~

elated !o,iu!>

'L _

__

__

__

__

__

__

__

__

__

_

Frank Jones, San Francisco, CA

L

eather briefcase (personal friend) ---$

30

6--

1

2

3

4

5

Prior EdItIOns C

annot Be U

sed.

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 US Office of Government Ethics Reponmg lnalvlauars Name

Part I: Transactions Report any purchase, sale, or exchan)!;e by you, your spouse, or dependent children during the reporting period of any real property, stocks, bonds, commodity futures , and other securities when the amount of the transaction exceeded $1,000. Include transactions that resulted in a loss. Do not

SCHEDULEB

report a transaction involvin)!; property used solely as your personal residence. or a transaction solely between you. your spouse, or dependent child. Check the "Certificate of divestiture" block to indicate sales made pursuant to a certificate of divestiture from OGE.

Identification of Assets Example: ICentral Airlines Common

3

4

5

Transaction Type (x

x

Date (Mo., ~ Day, Yr.) 1;; .c <)

'" W

211 /99

None D

x

age Number

Amount of Transaction (x)

§ o

~ g > . 0;;;

• This category applies only if tbe underlying asset is solely that of the filer's spouse or dependent children. If the underlying asset is either held by the fil er or jointly held by the filer with the spouse or dependent children use the other higher categories of value, as appropriate.

Part II: Gifts, Reimbursements, and Travel Expenses For vou. your spouse and dependent children. report the source. a brief descrip­tion. and the value of: (I) gifts (such as tangible items. transportation. lodging. food. or entertainment) received from one source totaling more than $260: and

the U.S. Government: given to vour agencv in connection with official travel: received from relatives: received bv vour spouse or dependent child totallv independent of their relationship to vou: or provided as personal hospitality at the donor's residence. Also. for purposes of aggregating gifts to determine the total value from one SOUTce. exclude items worth $104 or less. See instructions for other exclusions.

(2) travel-related cash reimbursements received from one source totaling more than $260. For conflicts analysis, it is helpful to indicate a basis for receipt, such as personal friend. agenCV approval under 5 U.s. c. & 41 I 1 or other statutory authorilY. etc. For travel-related gifts and reimbursements. include trayel itinerary. rl"tl'< <l nrl th" nMlIT" nf I'Yn"n<,,< nrnvirl"rl li'.vrhlli .. <lnvthino oiw'n In vnll hv

None c=J

Source (Name and Address) Brief Description Value

ExamplestN_a~ A;i~ ~~~k,9:>~I~o!s~!'..!:!.,: _____ A.!!!i!:'c:.!!.c5~h~~r~~ ~ !!!.e~l~n:iden~t£..!.'ay~!!al :£.n~e~~ ~1~/22. (pe~o_n~a:tivi~ ~elated ~o..!!u!YL ___________________ _ I Frank Jones, San Francisco, CA Leather briefcase (personal friend)

$500 - - -$300 --

2

3

Prior EditIOns Cannot Be Used.

SF 278 (Rev. 0312000) 5 C.F.R Pan 2634 U S Office of Government Ethics IKeporttng IndIvIdual'S Name Page Number

SCHEDULEC

Part I: Liabilities Report liabilities over $\0,000 owed to anyone creditor at personal residence unless it is rented oul; loans secured Nonem Category of Amount or Value (x) any time during the reoortinl!. Deriod bv vou. vour soouse. by automobiles, household furniture or appliances; and or dependent children. Check the highest amount owed liabilities owed to certain relatives listed in instructions,

:... 8 during the reoortinl!. oeriod. Exclude a mortgage on your See instructions for revolving charge accounts. Date Interest Term if :... 8 b -0 0 88 - 0 8 88 8 o.

Incurred Rate appli- 8 g 8 0 - 0 g 8 o _ 0 g-g- -8 a 8 0_ 0_ § cable a o· 0

~~ :;;8 § -0' 1/''- >Ii g .0

~ --00 0"> _ "> Creditors (Name and Address) Type of Liability 0;;

10 _ -N > . T"': 1.fi 10 N '" .. .. "'''' '" .. '" '" '" '" 00;; '" ... '" ..

Examples: Ifirs! Q!.s~~ B_ank, .Y'ashin~o~ ,.£C _________ ~.9~a~e...£." !~ta! e!2e.e!!r, p~,:,~ ___________ 1991 8% _ ~y.:s-,- x - 1999- r -10 %- -- ~-- -- ~-- -- -- I- - ---

John Jones, 123 J St, Washington, DC Promissory note on demand x 1

2

3

4

5

• This category applies only if the liability is solely that of the filer's spouse or dependent children. If the liability is that of the filer or a joint liability of the filer with the s~ouse or dl~l'endent children , mark the other higher cat~ories, as <l])prOj)riate.

Part II: Agreements or Arrangements Report your agreements or arrangements for: continuing participation in an of absence; and (4) future employment. See instructions regarding the reporting employee benefit plan (e.g. 40 I k, deferred compensation; (2) continuation of negotiations for any of these arrangements or benefits payment by a former employer (including severance payments); (3) leaves

0 None

Status and Terms of any Agreement or Arrangement Parties

Example: I Pursuant to partnership agreement, will receive lump sum payment of capital account & partnership share Doe Jones & Smith, Hometown, State calculated on service oerformed through 1/00.

1

John Hancock Retirement Account John Hancock 2

Accenture 401Tht Accenture 3

4

5

6

Prior Editions Cannot Be Used.

-0 0

88 8 go 0 08 ~ 8. Irj-O

>~ NIO

'" '" 0",

-- --

Date 7/ 85

4/06

9/94

SF 278 (Rev. 03 /2000) 5 C.F.R Pan 2634 U S 'C>(lice of Government Ethics Reporting Individual's Name

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: l~at'~AsSI!.. of~ock ~olle~t~,_NY , !:,r.. ________________ Doe Jones & SmIth, Hometown, State

1

Obama Biden Transition 2

Center For American Progress 3

4

5

6

I rage l'wmoer

SCHEDULED

consultant of any corporation, furn, partnership, or other business enterprise or any non_nrnfit nro~ni7~tion or p:rlllr,~tinn~1 inc:.titlltinn F.Yf'lrufp. nn<::itinnc:. with re:lioinll" social. fraternal. or political entities and those solelv of an honorary nature.

D None

Type of Organization Position Held From (Mo., Yr.) To (Mo., Yr.) _ 2J2n.:£r2fit equ~t~o~ ________ President 6/92 _P!e~n! ___ ---------------- -------Law firm Parmer 7/85 1/00

Transition Senior Foreign Policy Advisor 11/08 1109

Poicy Senior Fellow 11/05 6108

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 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 D Source (Name and Address) Brief Description of Duties I Doe Jones & Smith, Hometown, State _ ~~a!2.e':."ices ____________________________________________

Examples: Met;oUniv~sity (c1ie;i ;fDo; Jon;s &Smith), Mo~eyto~si~ - - - - -- Legal services in connection with university construction 1

Obama Biden Transition Senior Foreign Policy advisor

2 Obama For America Senior Foreign Policy Advisor

3

Democratic National Committet Senior Foreign Policy Advisor 4

Center for American Progress Senior Fellow 5

6

Pnor EdltlOos Cannot Be Used.