OGE Form 2783 (March 2014]

 

Report Type:
Year (Annual Report only):
Date of Agpointment/Tennination:

Candidate

 

 

 

 

 

 

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Executive Branch Personnel Public Financial Disclosure Report (OGE Form 278e)

UNITED STATES OFFICE OF

GOVERNMENT ETHICS



Preventing Con?icts of Interest
in the Executive Bunch

 

 

 

Fi let?s Information

 

Last Name First Name MI

Position

Agency

 

Clinton Hillary 

 

 

 

Candidate for President

 

 

Other Federal Government Positions Held During the Preceding 12 Months:

 

None.

 

Name of Cengressional Committee Considering Nomination (Nominees only):

 

 

ller's Certi?cation - I cortin that the statements I have made in this report are true, complete and correct to the best of my knowledge:

 

Signature:

Mm?vx

 

Date:

05?le

 

 

(subject to any comments belowl

Agency Ethics O?iu?un 0n the basis ol in this report. [conclude that the titer Is in compliance waltt applicable Inws and regulations

 

 

 

 

 

 

Signature: Date:
Other Review Conducted By:

Signature: Date:
Of?ce of Goverrmnent Ethics Certi?cation (if required):

Signature: Date:

 

 

Comments of?Rsvi-ewing Of?cials:

 

 

 

 

OGE Form 27812 (March 20l4)

Instructions for Part 1

Note: This is a public form. Do not include account numbers, street or family member names. See instructions for required information.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

File?s Name Page Number

Hillary R. Clinton

Part 1: Filer's Positions Held Outside United States Government

Organization Name City/State Organization Type Position Held From To

1, The Clinton Family Foundation Chappaqua, NY Non-profit Charity Secretary/Treasurer 12/2001 Present

2, William Jefferson Clinton Irrevocable Life Chappaqua, NY Life Insurance Trust Trustee 07/1996 Present
Insurance Trust

3, VWliam J. Clinton 2010 Irrevocable Trust Chappaqua, NY Life Insurance Trust Trustee 12/2010 Present

4, William J. Clinton 2010 Residence Trust Chappaqua, NY Residence Trust Co-Trustee 12/2010 Present

5, Hillary Rodham Clinton 2010 Residence Chappaqua, NY Residence Trust Co-Trustee 12/2010 Present
Trust

6, Estate of Dorothy E. Rodham Washington, D.C. Estate Co-Personal Representative 12/2011 12/2014

7, Article 4 Trust Created Under the Dorothy E. New York, NY Lifetime Trust Trustee 09/2012 Present
Rodham Rev Trust, 5/26/00, FBO Hillary
Rodham Clinton

8, Bill, Hillary Chelsea Clinton Foundation New York, NY Non-profit charity Director 09/2013 04/2015

9_ ZFS Holdings, LLC Chappaqua, NY LLC (entity for speech and "Hard Single Member 03/2013 Present

Choices" book income)

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OGE Fonn 278e (March 2014)

Instructions for Part 2

Note: This is a public form. Do not include account numbers, street addresses, or family member names. See instructions for required information.

 

Filer's Name

Page Number

 

Hillary R. Clinton

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Part 2: Filer's Employment Assets Income and Retirement Accounts

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Description EIF Value Income Type Income Amount
1. Simon&Schuster, Inc. - "Living History" (value not readily Royalties $15,001 - $50,000
ascertainable)
2, Simon&Schuster, lnc. - "It Takes a Village" (Secretary Clinton None (or less than $201)
donates the royalties to charity) (value not readily
ascertainable)
3, ZFS Holdings, LLC (entity for speech and "Hard Choices"
book income):
4, -- Simon&Schuster, Inc. - "Hard Choices" (value not readily Royalties Over 335,000,000
ascertainable)
5_ -- tinePuinc lnc., Winnipeg, Canada - 01/21/2015 Honorarium $262,500
6_ tinePublic lnc., Saskatoon, Canada - 01/21/2015 Honorarium $262,500
7_ -- Canadian Imperial Bank of Commerce (0180), Honorarium $150,000
Whistler, Canada - 01/22/2015
8_ -- Watermark's Silicon Valley Conference for Women, Honorarium $225,500
Santa Clara, CA - 02/24/2015
9, -- eBay lnc., San Jose, CA - 03/11/2015 Honorarium $315,000
10_ American Camping Association, New York Section, Honorarium $260,000
Atlantic City, NJ - 03/19/2015
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OGE Form 278a (March 2014)

Instructions for Part 3
Note: This is a public form. Do not include account numbers, street addresses, or family member names. See instructions for required information.

 

 

Filer's Name

Page Number

 

Hillary R. Clinton

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Part 3: Filer's Employment Agreements and Arrangements

 



Employer or Party

City/State

Status and Terms

Date

 

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OGE Form 278e (March 2014)
Instructions for Part 4
Note: This is a public form. Do not include account numbers, street addresses, orfamilv member names. See instructions for required information.

 

Filer?s Name Page Number

 

 

Hillary R. Clinton

 

Part 4: Filer's Sources of Compensation Exceeding $5,000 in a Year

 

Source Name City/State Brief Description of Duties

 

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OGE Form 2786 (March 2014)
Instructions for Part 5

Note: This is a public form. Do not include account numbers, street addresses, or family member names. See instructions for required information

 

Filer?s Name

Page Number

 

 

 

 

 

Hillary R. Clinton 6
Part 5: Spouse's Employment Assets Income and Retirement Accounts

Description EIF Value Income Type Income Amount

1_ Random House - "Giving" (value not readily ascertainable) None (or less than $201)

 

2, Random House - "My Life? (value not readily ascertainable) 

Royalties

$15,001 - $50,000

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3, Random House - "Back to Work? (value not readily None (or less than $201)
ascertainable)

4, Arkansas Public Employee Retirement System Defined Retirement benefits
Benefit Plan over $1,000

5_ William Morris Endeavor, Carlsbad, CA - 01/09/2015 Honorarium $225,000

6, MPSF, lnc., Marin, GA - 02/02/2015 Honorarium $181,250

7_ MPSF, lnc., Oakland, CA 02/03/2015 Honorarium $181,250

8_ MPSF, lnc., San Mateo, CA - 02/04/2015 Honorarium $181,250

9, MPSF, lnc., Marin, CA - 02/05/2015 Honorarium $181,250

10_ UBS Wealth Management Americas, Nashville, TN - Honorarium $225,000
02/19/2015

11, National Association of Manufacturers, Scottsdale, AZ - Honorarium $325,000
03/02/2015

12, HR.com Limited, Irving, TX - 03/31/2015 Honorarium $275,000

13_ Texas China Business Council, LLC, Austin, TX - 03/31/2015 Honorarium $285,000

14_ Hotel Group, Las Vegas, NV - 04/01/2015 Honorarium $225,000

15, ISN Software lnc., Grapevine, TX 04/09/2015 Honorarium $275,000

16_ Oracle Corporation, Rancho Mirage, CA - 04/18/2015 Honorarium $300,000

17, Univision Management Company, New York, NY - Honorarium $250,000
05/12/2015

18, Apollo Management Holdings, L.P., New York, NY - Honorarium $250,000
05/12/2015

19_ American Institute of Architects, Atlanta, GA - 05/14/2015 Honorarium $225,000

20, America's Health Insurance Plans, Inc. (AHIP), Nashville, TN Honorarium $285,000

 

 

- 06/05/2015

 

 

 

 

 

 

Note: This is a public form. Do not include account numbers. street addresses, or family member names. See instructions for required information

 

Fi lnr's Name

Page Number

 

HiIiary R. Clinton

 

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Part 5: Spouse?s Employment Assets Income and Retirement Accounts

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Description EIF Value Income Type Income Amount
1, Klick Inc.. Philadelphia. PA - 06/15/2015 Honorarium $225,000
2, Global Conferencing Services 8. a. r. l, Vancouver, Canada - Honorarium $225,000
06/19/2015
3, Collinson Media and Events, Pittsburgh. PA 08/29/2015 Honorarium $280,000
4, Computer Design 8: Integration LLC, Clifton, NJ - 09/14/2015 Honorarium $225,000
5, Stephens Inc., Little Rock, AR - 10/02/2015 Honorarium $200,000
6, Mediacorp Canada Inc., Toronto. Canada - 11/16/2015 Honorarium $225,000
7, WJC, LLC (entity for consulting income):
3, Varkey GEMS Foundation Nonempioyee
compensation over
$1.000
9, Laureate Education. inc. Nonempioyee
compensation over
$1,000
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OGE Form 2783 (March 2014)

Instructions for Part 6

 

 

 

Note: This is a puhlir. form. Do not include account mimburs, street addresses, or family member names. See instructions for required information
Filer's Name Page Number
Hillary R. Clinton 8

 

 

Part 6: Other Assets and Income

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Description EIF Value Income Type Income Amount

1. Northwestern Mutual Life Insurance (cash value - whole life $15,001 - $50,000 Dividends $5,001 - $15,000
policy) (Spouse)

2, Northwestern Mutual Life Insurance (cash value - whole life NIA $15,001 - $50,000 Dividends $5,001 $15,000
policy)

3, National Life Insurance Company (cash value - universal life NIA $250,001 - $500,000 Interest $15,001 - $50,000
policy) (Spouse) (held in the William J. Clinton 2010
Irrevocable Life Insurance Trust)

4, JP Morgan Custody Account (cash) $5,000,001 - $25,000,000 Interest $15,001 - $50,000

5, US. Treasury Notes 4.875% 8/15/16 Bond WA $50,001 - $100,000 Interest $2,501 $5,000

6_ AIG Life Insurance (cash value - universal life policy) (held in WA $500,001 - $1,000,000 Interest $15,001 - $50,000
the Hillary Rodham Clinton Irrevocable Life Insurance Trust)

7, AIG Life Insurance (cash value - universal life policy) NIA $500,001 - $1,000,000 Interest $15,001 - $50,000
(Spouse) (held in the William Jefferson Clinton Irrevocable
Life Insurance Trust)

8, Vanguard 500 Index Fund $5,000,001 - $25,000,000 Dividends $100,001 - $1,000,000

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OGE Form 278e (March 2014)
Instructions for Part 7
Note: This is a public form. Do not include account numbers, street addresses, or famin member names. See instructions for required information.

 

Filer's Name Page Number

 

Hillary R. Clinton 9

 

Part 7: Transactions

 

Description Type Date Amount

 

1_ NIA

 

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OGE Fonn 278a (March 2014)
Instructions for Part 8

Note: This is a public form. Do not include account numbers, street addresses. or family member names. See instructions for required information.

 

Filer's Name Page Number

 

Hillary R. Clinton 10

 

Part 8: Liabilities

 

Creditor Name Type Amount Year Incurred Rate Term

 

1, None.

 

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OGE Form 278e (March 2014)
Instructions for Part 9
Note: This is a public form. Do not include account numbers. street addressee, or famin member names. See instructions for required information.

 

Filer's Name Page Number

 

 

Hillary R. Clinton 11

 

Part 9: Gifts and Travel Reimbursements

 

Source Name City/State Brief Description Value

 

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