NJSECFDS1W1 FINANCIAL DISCLOSURE STATEMENT FOR PUBLIC EMPLOYEES INSTRUCTIONS: Detailed instructions for completing this form are available on the Commission's website. Page 1 Public Employees must complete this form in full and ?le it electronically. Public of?cers, including members of certain State boards, commissions, authorities and public corporations, are not required to complete this form. but must complete and ?le form Questions should be directed to the State Ethics Commission, PO Box 082, Trenton, NJ 08625-0082, Telephone (609) 292-1892. a. General Information Date of Statement: May 10, 2016 Filing Year: 2016 First Name: Richard M.l. J. Last Name: Badolato Position Held: Acting Commissioner Department or Agency: Department of Banking and insurance Other compensated or uncompensated governmental positions you hold: ?State Health Bene?ts Plan Design Committee, Government Appointee; ?School Employees? Health Bene?ts Commission, Government Appointee; and NJ Economic Development Authority, Member. b. Please list below any occupation, trade, business, profession or employment engaged in by you (other than the position identi?ed in above), your spouse/civil union partner, your domestic partner, or your dependent children. None Do you hold a license issued by a State agency that entitles you to engage in a particular business, profession, trade or occupation law, real estate, engineering, medicine, plumbing)? If yes, please so indicate: License License is active License is inactive Law License FINANCIAL DISCLOSURE STATEMENT FOR PUBLIC EMPLOYEES NJSEC Page 2 Do you have any personal contractual or business relationship with another of?cer or employee or special State of?cer or employee of your agency? El Yes No If yes, please explain. c. State Employment - Relatives For the purposes of this question, "relative" means your spouse/civil union partner, or your or your spouse's/civil union partner's, parent, child, brother, sister, aunt, uncle, niece, nephew, grandparent, grandchild, son-in?law, daughter-in-law, stepparent, stepchild, stepbrother, stepsister, half brother or half sister, whether the relative is related to you or your spouse by blood, marriage or adoption. 1. Is any relative employed in a State of?ce or position? Yes No 2. If yes, name of relative(s) and employing agency. 3. Do you exercise authority, supervision or control (including personnel actions) over the individual(s) named above? Yes No d. Ethics Training 1. Have you completed ethics training? Yes No 2. If yes, indicate nature of training: in-person El on-Iine 3. If in-person, training provided by: El agency State Ethics Commission 4. Date most recent training completed: 9/24/15 FINANCIAL DISCLOSURE STATEMENT FOR PUBLIC EMPLOYEES NJSEC e. Assets Page 3 List all assets, both tangible and intangible, in which you, your spouse/civil union partner, your domestic partner or your dependent children hold an interest as of the date of this statement; provided, however, that when the value cannot be determined as of that date, a separate valuation date shall be speci?ed for the particular asset. Public employees and their spouses/civil union partners or their domestic partners must indicate the value of the asset in accordance with the value classi?cations listed below. Assets held by dependent children must be identi?ed but need not be valued. If asset is held jointly, the value class of the asset should be disclosed in the Public Employee box. The word ?joint? should then be noted in the Spouse/Domestic Partner box. Please ?ll in each line; indicate not applicable with or "None." ASSETS L, a ASSETS I E: 3 2 ?2 (Valued at more than $1,000) <3 0, (Valued at more than $1,000) 3 a, ESS u: a: @165 Eag? 0&5, 1?56 $1835 Ox? Ego, ?g2: Ege ?sS E8: 052 1,CASH ON HAND IN BANK NEW JERSEY REAL ESTATE INTERESTS- Jomt Itemize on Schedule 0 None NOTES RECEIVABLE- Indicate Nature REAL ESTATE INTERESTS OUTSIDE of Note on Item h.5 on page 4. OF NEW JERSEY Jo'nt ACCOUNTS RECEIVABLE - Indicate TOTAL VALUE OF PENSION FUNDS Nature of Account on Item h.5 (include IRA.Keogh. Annuities, State Joint on page 4. Pension, etc.) GOVERNMENT BONDS ACCUMULATED CASH VALUE Itemize on Schedule A None OF LIFE INSURANCE None STOCKS CORPORATE BONDS (Include Mutual Funds) VEHICLES Joint Itemize on Schedule A INTEREST IN CONTRACTS WITH OTHER ASSETS GOVERNMENT INSTRUMENTALITIES (Itemize Below) Joint Itemize on Schedule Jewelry Joint VALUE CLASS A greater than $1,000 but not more than $5,000 greater than $5,000 but not more than $25,000 greaterthan $25,000 but not more than $50,000 greaterthan $50,000 but not more than $100,000 greater than $100,000 but not more than $250,000 greaterthan $250,000 but not more than $500,000 greater than $500,000 Are you, your spouse/civil union partner, your domestic partner or your dependent children a El Yes No party to a blind trust agreement? If yes, please provide the name and address of the Trustee. Name: Address: Do you, your spouse/civil union partner or your domestic partner have any interest in any closely Yes No held corporation, partnership, sole proprietorship, or similar business entity? If yes, itemize on Schedule B. FINANCIAL DISCLOSURE STATEMENT FOR PUBLIC EMPLOYEES NJSEC Page 4 h. Income Public employees, their Spouses/civil union partners or their domestic partners must indicate the source and the value class of their incomes. The sources of income of dependent children must be identi?ed, but the value class of income need not be disclosed. Public employees ?ling before July 1 of any year must provide this information for the preceding calendar year. Public employees ?ling after July 1 of any year must provide this information for the 12-month period prior to ?ling. Income from any source totaling less than $1,000 need not be disclosed. The following gifts need not be reported: (1) cash gifts of less than $100 in the aggregate received from a person, (2) non-cash gifts with fair market value of less than $200 in the aggregate received from a person, and (3) gifts of less than $3,000 in the aggregate received from a relative. Please ?ll in each line; indicate not applicable with or "None." VALUE CLASS A greater than $1,000 but not more than $5,000 Spousal greater than $5,000 but not more than $25,000 Cile Union greaterthan $25,000 but not more than $50,000 Public Partner! Dependant greater than $50,000 but not more than $100,000 Emmott?: Domestic greater than $100,000 but not more than $250,000 "mica!" Farm? Check if greater than $250,000 but not more than $500,000 Class '"di?at? '5 greater than $500,000 value Class Ham 1. All compensated employment of whatever nature, including Current State or other employment. Please list commencement and, if applicable, termination date. Be sure to include the name of the employer(s): State of New Jersey (8/3/15 - Present) Bressler Amery Ross, 325 Columbia Turnpike, Florham Park, NJ 2. All directorships and other ?duciary positions for which compensation has or will be received: 3. All contractual arrangements producing or expected to produce income, including but not limited to buyout agreements and severance payments: 4. All capital gains: (ltemize on Schedule D) 5. All honoraria, lecture fees, gifts and other gratuities (cash or non-cash) and other miscellaneous sources of income, including but not limited Social Security and pensions, interest, dividends, royalties, rents and accounts and notes receivable: FINANCIAL DISCLOSURE STATEMENT FOR PUBLIC EMPLOYEES NJSEC FDS15I1 Page 5 List any of?ces, trusteeships, directorships or positions of any nature, whether compensated or uncompensated, held by you, your spouse/civil union partner, your domestic partner or dependent children, with any ?rm, corporation, association, partnership or business. If such ?rm, corporation. association, partnership or business does business with a casino or does business with the State, or is regulated, licensed or inspected by any State agency, please identify the State agency or casino. Indicate whether held by public Firm, Corporation, Association. Partnership or emP'Wee- 5P?user ?mo? State Agency Caslno partner, domestic partner, or Position Held . mess us dependent children. Vice President Suburban Golf Club Public Employee FINANCIAL DISCLOSURE STATEMENT FOR PUBLIC EMPLOYEES NJSEC FDS15I1 j. Liabilities Page 6 List all of your liabilities and those of your spouse/civil union partner, your domestic partner or your dependent children and identify the creditor. List value class of liabilities of public employee and spouse/civil union partner or domestic partner only. include all liabilities that have been forgiven by any creditor within the last twelve months, stating the name of the creditor to whom the liability was owed. Liabilities include, but are not limited to, notes, accounts payable, past due taxes, mortgages or liens, and loans on life insurance. The following liabilities need not be reported: less than $10,000 owed to a relative; less than $1,000 owed to any other person; loans secured by a personal motor vehicle, household furniture or appliances where the loan did not exceed the purchase price of the item and the outstanding balance did not exceed $10,000 as of the close of the preceding calendar year; and revolving charge accounts where the outstanding liability did not exceed $10,000 as of the close of the preceding calendar year. Indicate not applicable with or "None." Obligation of (check) o-nmuowzcDescription Ch?? if E, ?g (Type of obligation and nature of Creditor F?l?arg's?nz'" 2: f; 5 security. if an? Months 0? IE 5 0 Mortgage Chase Vehicle Lease Ford Motor Corporation Auto Loan Toyota Motor Corporation VALUE CLASS greaterthan $1,000 but not more than $5,000 greaterthan $5,000 but not more than $25,000 greaterthan $25,000 but not more than $50,000 greaterthan $50,000 but not more than $100,000 greater than $100,000 but not more than $250,000 greater than $250,000 but not more than $500,000 greaterthan $500,000 FINANCIAL DISCLOSURE STATEMENT FOR PUBLIC EMPLOYEES NJSEC SCHEDULE A - STOCKS AND BONDS HELD Page 7 List the type and value class of securities owned by you, your spouse/civil union partner or your domestic partner; list the type of stocks and bonds of your dependent children; list the name of the company, mutual fund, holding company or government agency issuing the stocks and bonds. If your ownership interest exists through a mutual fund or holding company, you need not list the individual stocks so owned; you must, however, list the mutual fund or holding company. If your ownership interest exists through a bene?cial interest in a trust, list the stocks and bonds so owned if you have such knowledge; othenrvise list the name of the trustee. Indicate not applicable with or "None." Indicate Held by:(check) Value Class if Held by '05 .. a 3% .. If; If: Type of Security Name of Issuing Company, Mutual Fund, E. 9. 53 Percentage (Stock or Bond) Holding Company or Government Agency L3 CE 3 3 GE owners?hCommon Stock AGL RES Inc Com ALTRIA GROUP AMERICAN ELEC INC COM FOODS BROOKFIELD INFRAST PARTNERS LP INT UNI CARE CAP INC COM A CINCINNATI FINL CORP COM CONSOLIDATED COMM INC COM DOMINION RES INC VA NEW COM DUKE ENERGY CORP NEW COM NEW EPR COM SH BEN INT EVERSOURCE ENERGY COM *lndividuals who own more than 10% of the total stock of any company must disclose the percentage of ownership. VALUE CLASS II II II II II greater than $500,000 greaterthan $1,000 but not more than $5,000 greater than $5,000 but not more than $25,000 greater than $25,000 but not more than $50,000 greater than $50,000 but not more than $100,000 greater than $100,000 but not more than $250,000 greater than $250,000 but not more than $500,000 FINANCIAL DISCLOSURE STATEMENT FOR PUBLIC EMPLOYEES NJSEC Page 8 SCHEDULE - INTEREST IN CLOSELY HELD CORPORATIONS OR SIMILAR BUSINESS ENTITIES If you, your spouse/civil union partner or your domestic partner has any interest in any closely held corporation, partnership, sole proprietorship, or similar business entity, please provide the requested information for each business entity. "Interest" means ANY ownership or control of ANY pro?ts or assets of such business entity. Indicate not applicable with or "None." Interest held by: Public Employee Spouse/Civil Union Partner El Domestic Partner Business Name: Address: City: State: General description of business activity of entity: Duties and responsibilities of your State position: GOVERNMENT INSTRUMENTALITIES: Does entity identi?ed above do business with any of the following? "Doing Business" means business or commercial transactions involving the sale, conveyance, or rental of any goods or services, and does not include such activities as compliance with regulatory procedures. In addition, if you indicated on page 3, Assets, that you, your spouse/civil union partner, your domestic partner, or dependent children has an interest in a contract with a government instrumentality, please check the appropriate instrumentality. Yes* No State of New Jersey New Jersey Local Government Entity Interstate Entity (New Jersey membership) El *If you checked ?yes? for any of the above, please provide copies of the contract(s) with the governmental instrumentality(ies). Is the purchase, sale, contract, or agreement with the government entity subject to public notice and competetive bidding? Yes No FINANCIAL DISCLOSURE STATEMENT FOR PUBLIC EMPLOYEES NJSEC 9 SCHEDULE 0 - NEW JERSEY REAL ESTATE INTERESTS age 1. List all of your real estate holdings in New Jersey and those of your Spouse/civil union partner or domestic partner and dependent children. New Jersey real estate holdings must include the county, and current use of any real property in which any direct, indirect, vested or contingent interest is held by you, your spouse/civil union partner or domestic partner or dependent children, along with the names of all individuals or entities who share a direct or indirect interest therein. Indicate II II II II indicate not applicable With or None. Held by.(check) vilpielgizss I Individuals or Entities Sharing Acquisition County Interest Current Use* Date Public Employee: Spouse] Civil Union Partner] Domestic Partner: Dependent Children: Public Employee: Spouse! Civil Union Partner! Domestic Partner NIA *Specify if commercial, industrial, residential, rental. farm or vacant. VALUE CLASS greaterthan $1,000 but not more than $5,000 greater than $5,000 but not more than $25,000 greater than $25,000 but not more than $50,000 greater than $50,000 but not more than $100,000 greater than $100,000 but not more than $250,000 greater than $250,000 but not more than $500,000 greater than $500,000 omm00m> 2. Do any individuals listed above as Sharing a real estate interest with the public employee, spouse/civil union partner, domestic partner or dependent children of the public employee work for the same State agency as the public employee? if so, identify the individual and indicate if there is a supervisor/subordinate relationship between the public employee and the individual. Supervisor/Subordinate Relationship? Yes No Name: 3. List the name of any government instrumentality that is a tenant in 1. above and any government instrumentality that has before it an application, complaint or proceeding directly affecting any real property listed above. County Government Instrumentality Tenant Government Instrumenta'ity with Proceeding Pending NIA FINANCIAL DISCLOSURE STATEMENT FOR PUBLIC EMPLOYEES NJSEC Indicate not appIicable with or "None." SCHEDULE - CAPITAL GAINS Gain Received By: Page 10 (check) . . 1: .. Description Date Name of Purchaser If Known 35 5 Item real property, Acquired Date ,5 3 i stock nameNJSEC 5/1 Page 11 ATTESTATION I hereby certify that I have read the foregoing statement and any addendum pages attached hereto and to the best of my knowledge and belief, they are true, correct and complete. I further certify that have not and will not transfer any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest therein. I understand that I am subject to penalties for perjury. Enter your full name: Richard J. Badolato This Financial Disclosure Statement was prepared by (check one): 2 Public Employee Spouse Civil Union Partner Domestic artner Other (Please identify) 5864 FINANCIAL DISCLOSURE STATEMENT FOR PUBLIC EMPLOYEES NJSEC SCHEDULE A - STOCKS AND BONDS HELD List the type and value class of securities owned by you, your spouse or your domestic partner; list the type of stocks and bonds of your dependent children; list the name of the company, mutual fund, holding company or government agency issuing the stocks and bonds. If your ownership interest exists through a mutual fund or holding company. you need not list the individual stocks so owned; you must, however, list the mutual fund or holding company. If your ownership interest exists through a bene?cial interest in a trust, list the stocks and bonds so owned if you have such knowledge; otherwise list the name of the trustee. Indicate not applicable with or "None." Held by:(check) Indicate Value Class if Held by Type of Security (Stock or Bond) Name of Issuing Company, Mutual Fund, Holding Company or Government Agency Public Employee: Spouse I DOITIESIIC Partner: Dependent Children: Public Employee: Spouse Domestic Partner Percentage Ownership?r COM STOCK GENERAL MLS INC COM GLAXOSMITHKLINE PLC SPONSERED ADR INCOME TR COM SHS BEN HEALTHCARE TR AMER INC CL A NEW LAMAR ADVERTISING CO NEW CL A LIBERTY PPTY TR LTC INC COM MERCK CO INC NEW COM METLIFE INC COM NATIONAL RETAIL INC COM ONE GAS INC COM ONEOK INC NEW COM PAYCHEX INC COM PHILIP MORRIS INTL INC COM SCANA CORP NEW COM SELECT INCOME REIT COM SH *lndividuals who own more than 10% of the total stock of any company must disclose the percentage of ownership. VALUE CLASS m?nmonmb II II II II II 1 greaterthan $500,000 greater than $1,000 but not more than $5,000 greater than $5,000 but not more than $25,000 greaterthan $25,000 but not more than $50,000 greater than $50,000 but not more than $100,000 greater than $100,000 but not more than $250,000 greater than $250,000 but not more than $500,000 FINANCIAL DISCLOSURE STATEMENT FOR PUBLIC EMPLOYEES NJSEC Page 6 SCHEDULE A - STOCKS AND BONDS HELD List the type and value class of securities owned by you, your spouse or your domestic partner; list the type of stocks and bonds of your dependent children; list the name of the company, mutual fund, holding company or government agency issuing the stocks and bonds. If your ownership interest exists through a mutual fund or holding company, you need not list the individual stocks so owned; you must, however, list the mutual fund or holding company. If your ownership interest exists through a bene?cial interest in a trust, list the stocks and bonds so owned if you have such knowledge; otherwise list the name of the trustee. Indicate not applicable with or "None." Indicate Held by:(check) Value Class if Held by .. E. Type of Security Name of Issuing Company, Mutual Fund, 5 Percentage (Stock or Bond) Holding Company or Government Agency Lu 3 a UJ 5 ownersmp' I: 0- an 9- COMMON STOC SIX FLAGS ENTMT CORP NEW COM VECTOR GROUP LTD COM VENTAS INC COM VERIZON COMMUNICATIONS INC COM WELLTOWER, INC ADOBE SYS INC COM ALPHABET INC CAP STOCK CLASS A ALPHABET INC CAP STOCK CLASS AMERICAN WTR WKS CO INC APPLE INC COM BLACKROCK INC COM BOEING CO COMO CAPITAL ONE FINL CORP COM CELGENE CORP COM COMCAST CORP NEW CL A COSTCO SHSL *lndividuals who own more than 10% of the total stock of any company must disclose the percentage of ownership. VALUE CLASS greater than $1,000 but not more than $5,000 greater than $5,000 but not more than $25,000 greater than $25,000 but not more than $50,000 greater than $50,000 but not more than $100,000 greaterthan $100,000 but not more than $250,000 greater than $250,000 but not more than $500,000 greater than $500,000 FINANCIAL DISCLOSURE STATEMENT FOR PUBLIC EMPLOYEES NJSEC Page 6 SCHEDULE A - STOCKS AND BONDS HELD List the type and value class of securities owned by you, your spouse or your domestic partner; list the type of stocks and bonds of your dependent children; list the name of the company, mutual fund, holding company or government agency issuing the stocks and bonds. If your ownership interest exists through a mutual fund or holding company, you need not list the individual stocks so owned; you must, however, list the mutual fund or holding company. If your ownership interest exists through a bene?cial interest in a trust, list the stocks and bonds so owned if you have such knowledge; othenNise list the name of the trustee. Indicate not applicable with or "None." Indicate Held by:(check) Value Class if Held by as '05 -- UI -- Type of Security Name of Issuing Company, Mutual Fund, ?21 3 33 {13? E: 3 Percentage . E- Ownership? (Stock or Bond) Holding Company or Government Agency 0% a ES a COM STOCK CVS HEALTH CORP DANAHER CORP DEL COM DISNEY WALT CO COM DISNEY EXXON MOBIL CORP COM FACEBOOK INC CL A GILEAD SCIENCES INC COM HCA HOLDINGS INC COM HEXCEL CORP NEW COM HOME DEPOT INC COM HONEYWELL INTL INC COM HOST HOTELS RESORTS INC COM A JPMORGAN CHASE CO COM MAGNA INTL INC COM OCCIDENTAL PETE CORP DEL COM A PRUDENTIAL FINL INC COM PULTE GROUP INC COM *Individuals who own more than 10% of the total stock of any company must disclose the percentage of ownership. VALUE CLASS greater than $1,000 but not more than $5,000 greater than $5,000 but not more than $25,000 greaterthan $25,000 but not more than $50,000 greater than $50,000 but not more than $100,000 greater than $100,000 but not more than $250,000 greater than $250,000 but not more than $500,000 greater than $500,000 9710100033:- II II II II II FINANCIAL DISCLOSURE STATEMENT FOR PUBLIC EMPLOYEES NJSEC Page 6 SCHEDULE A - STOCKS AND BONDS HELD List the type and value class of securities owned by you, your spouse or your domestic partner; list the type of stocks and bonds of your dependent children; list the name of the company, mutual fund, holding company or government agency issuing the stocks and bonds. If your ownership interest exists through a mutual fund or holding company, you need not list the individual stocks so owned; you must, however, list the mutual fund or holding company. If your ownership interest exists through a bene?cial interest in a trust, list the stocks and bonds so owned if you have such knowledge; othenNise list the name of the trustee. Indicate not applicable with or "None." Indicate Held by:(check) Value Class if Held by a. -- -. 0 Type of Security Name of Issuing Company, Mutual Fund, E2 3 5 Percentage (Stock or Bond) Holding Company or Government Agency Lu 3 8 LU OwnerSh'V ?1 0 c: :2 COMM STOCK SCHLUMBERGER LTD COM A SCHWAB CHARLES CORP NEW COM STARBUCKS CORP COM TEXTRON INC COM THERMO FISHER SCIENTIFIC INC COM UNITEDHEALTH GROUP INC COM VISA INC COM CLA WAL-MART STORES INC COM A WELLS FARGO CO NEW COM WHITEWAVE FOODS CO COM CL A MUTUAL FUNDS VANGUARD INDEX FDS MCAP GR IDXVIP VANGUARD INDEX FDS MCAP VL IDXVIP TWEEDY BROWNE FD INC GLOBAL VALUE CITY NATL ROCHDALE FDS FXD INC OPP FD CITY NATL ROCHDALE FDS FXD INC OPP FD ACCRUED DIVIDEND A *lndividuals who own more than 10% of the total stock of any company must disclose the percentage of ownership. VALUE CLASS greaterthan $1,000 but not more than $5,000 greaterthan $5,000 but not more than $25,000 greater than $25,000 but not more than $50,000 greater than $50,000 but not more than $100,000 greater than $100,000 but not more than $250,000 greater than $250,000 but not more than $500,000 greater than $500,000 A FINANCIAL DISCLOSURE STATEMENT FOR PUBLIC EMPLOYEES NJSEC Page 6 SCHEDULE A - STOCKS AND BONDS HELD List the type and value class of securities owned by you, your spouse or your domestic partner; list the type of stocks and bonds of your dependent children; list the name of the company, mutual fund, holding company or government agency issuing the stocks and bonds. If your ownership interest exists through a mutual fund or holding company, you need not list the individual stocks so owned; you must, however, list the mutual fund or holding company. If your ownership interest exists through a bene?cial interest in a trust, list the stocks and bonds so owned if you have such knowledge; othenNise list the name of the trustee. Indicate not applicable with or "None." Indicate Held by:(check) Value Class if Held Type of Security Name of Issuing Company, Mutual Fund, a a '5 Percentage (Stock or Bond) Holding Company or Government Agency a Eu 8 i 1% ownerSh'p* a) a ll 8 a CORP BONDS BANK AMER NC MTN INGRAM MICRO INC 0 INTERNATIONAL BUSINESS MACHS GENERAL ELEC CAP CORP MTN BE SHELL INTERNATIONAL FIN BV COMCAST CORP NEW MORGAN STANLEY HOME DEPOT INC CATERPILLAR INC DEL CME GROUP INC TECK RESOURCES LTD A VERIZON COMMUNICATIONS INC *Individuals who own more than 10% of the total stock of any company must disclose the percentage of ownership. VALUE CLASS greaterthan $1,000 but not more than $5,000 greaterthan $5,000 but not more than $25,000 greater than $25,000 but not more than $50,000 greater than $50,000 but not more than $100,000 greater than $100,000 but not more than $250,000 greaterthan $250,000 but not more than $500,000 greater than $500,000 FINANCIAL DISCLOSURE STATEMENT FOR PUBLIC EMPLOYEES NJSEC Page 6 SCHEDULE A STOCKS AND BONDS HELD List the type and value class of securities owned by you, your spouse or your domestic partner; list the type of stocks and bonds of your dependent children; list the name of the company, mutual fund, holding company or government agency issuing the stocks and bonds. if your ownership interest exists through a mutual fund or holding company, you need not list the individual stocks so owned; you must, however. list the mutual fund or holding company. If your ownership interest exists through a bene?cial interest in a trust, list the stocks and bonds so owned if you have such knowledge; othenlvise list the name of the trustee. Indicate not applicable with or "None." Indicate Held by:(check) Value Class if Held Type of Security Name of Issuing Company, Mutual Fund, EL 3 Pg Percentage (Stock or Bond) Holding Company or Government Agency 3 a ownerShMUTUAL FEDERATED GOVT OBLIGATIONS SRV SHARES PERSHING GOVT ACCT *lndividuals who own more than 10% of the total stock of any company must disclose the percentage of ownership. VALUE CLASS greater than $1,000 but not more than $5,000 greaterthan $5,000 but not more than $25,000 greater than $25,000 but not more than $50,000 greater than $50,000 but not more than $100,000 greater than $100,000 but not more than $250,000 greater than $250,000 but not more than $500,000 greater than $500,000 II II II II II II