New Entrant Report U.S. Office of Government Ethics; 5 C.F.R. part 2634 Form Approved: OMB No. (3209-0001) (March 2014) Executive Branch Personnel Public Financial Disclosure Report (OGE Form 278e) Filer's Information McFarland, Kathleen Deputy National Security Advisor, White House Date of Appointment: 01/20/2017 Other Federal Government Positions Held During the Preceding 12 Months: None Electronic Signature - I certify that the statements I have made in this form are true, complete and correct to the best of my knowledge. /s/ Mcfarland, Kathleen T [electronically signed on 02/04/2017 by Mcfarland, Kathleen T in Integrity.gov] Agency Ethics Official's Opinion - On the basis of information contained in this report, I conclude that the filer is in compliance with applicable laws and regulations (subject to any comments below). /s/ Passantino, Stefan, Certifying Official [electronically signed on 03/31/2017 by Passantino, Stefan in Integrity.gov] Other review conducted by /s/ Schultz, James D, Ethics Official [electronically signed on 03/31/2017 by Schultz, James D in Integrity.gov] U.S. Office of Government Ethics Certification Data Revised 02/17/2017 Data Revised 02/16/2017 1. Filer's Positions Held Outside United States Government # ORGANIZATION NAME CITY, STATE ORGANIZATION TYPE POSITION HELD FROM TO 1 Fox News New York, New York Corporation contributor 9/2009 11/2016 VALUE INCOME TYPE INCOME AMOUNT 2. Filer's Employment Assets & Income and Retirement Accounts # DESCRIPTION EIF 1 Fox News Network, LLC N/A Contract payments as a national security analyst $63,518 2 U.S. Global Leadership Coalition - January 20-21, 2016 N/A Honorarium $7,500 3 speech at American Fuel & Petrochemical Manufacturers - April 12, 2016 N/A Honorarium $16,000 4 Keppler Speakers speech at Wisconsin Bankers Association Bank Executives Conference - February 9, 2016 N/A Honorarium $9,375 5 Keppler Speakers speech at Ohio Cable Telecommunications Association - February 24, 2016 N/A Honorarium $9,750 6 Keppler Speakers speech at Bakersfield Business Conference - October 8, 2016 N/A Honorarium $10,000 7 Keppler Speakers speech at Construction Industry Round Table - May 18, 2016 N/A Honorarium $6,750 8 Keppler Speakers speech at 7th Annual Cyber Security Awareness Week - October 11, 2016 N/A Honorarium $11,000 9 Politicon - June 25, 2016 N/A Honorarium $7,000 # DESCRIPTION EIF 10 U.S. Global Leadership Coalition - July 20, 2016 11 VALUE INCOME TYPE INCOME AMOUNT N/A Honorarium $7,000 Keppler Speakers speech at Associated Equipment Distributors Annual Economic Forum - September 22, 2016 N/A Honorarium $9,750 12 Keppler Speakers speech at Air Movement & Control Association - October 22, 2016 N/A Honorarium $6,000 13 Texas Crime Stoppers - October 12, 2016 N/A Honorarium $16,000 14 Ross Yoon Agency Crown Publisher for Book named Turning Point -- Reclaiming an America We Can Believe In N/A Author's advance $42,500 15 Kepplers Speakers speech at Young America's Foundation - November 12, 2016 N/A Honorarium $2,500 16 Keppler Speakers speech at , Leadership Conference for MRA - The Management Association - December 17, 2015 N/A Honorarium $8,250 17 IRA 17.1 AKAMAI TECHNOLOGIES INC N/A $1,001 - $15,000 None (or less than $201) 17.2 ALPHABET INC CL A N/A $1,001 - $15,000 None (or less than $201) 17.3 AMAZON.COM INC N/A $1,001 - $15,000 None (or less than $201) 17.4 APPLE INC N/A $1,001 - $15,000 None (or less than $201) 17.5 CELGENE CORP N/A $1,001 - $15,000 None (or less than $201) 17.6 DISNEY WALT CO NEW N/A $1,001 - $15,000 None (or less than $201) 17.7 DREYFUS TREAS SECURITIES CASH MGT PT N/A $1,001 - $15,000 None (or less than $201) 17.8 EXXONMOBIL CORP N/A $1,001 - $15,000 None (or less than $201) # DESCRIPTION EIF VALUE 17.9 FACEBOOK INC-A N/A $1,001 - $15,000 None (or less than $201) 17.10 GENERAL ELECTRIC CORP N/A $1,001 - $15,000 None (or less than $201) 17.11 GILEAD SCIENCES INC N/A $1,001 - $15,000 None (or less than $201) 17.12 GOLDMAN SACHS GROUP INC N/A $1,001 - $15,000 None (or less than $201) 17.13 HONEYWELL INTERNATIONAL INC N/A $1,001 - $15,000 None (or less than $201) 17.14 MICROSOFT CORP N/A $1,001 - $15,000 None (or less than $201) 17.15 NXP SEMICONDUCTORS N/A $1,001 - $15,000 None (or less than $201) 17.16 UNION PAC CORP N/A $1,001 - $15,000 None (or less than $201) 17.17 VANGUARD FTSE ALL-WORLD EX-US Yes $1,001 - $15,000 $201 - $1,000 17.18 VANGUARD FTSE EMERGING MARKETS ETF Yes $1,001 - $15,000 None (or less than $201) 17.19 VANGUARD IND FD MID-CAP Yes $1,001 - $15,000 None (or less than $201) 17.20 VANGUARD REIT ETF Yes $1,001 - $15,000 $201 - $1,000 17.21 VANGUARD SMALL-CAP ETF Yes $1,001 - $15,000 None (or less than $201) 17.22 VISA INC CL A N/A $1,001 - $15,000 None (or less than $201) 3. Filer's Employment Agreements and Arrangements INCOME TYPE INCOME AMOUNT None 4. Filer's Sources of Compensation Exceeding $5,000 in a Year # SOURCE NAME CITY, STATE BRIEF DESCRIPTION OF DUTIES 1 U.S. Global Leadership Coalition Washington, District of Columbia Honorarium 2 American Fuel & Petrochemical Manufacturers Washington, District of Columbia Honorarium, AFPM Security Conference 3 Keppler Speakers Arlington, Virginia Honorarium, Wisconsin Bankers Association Bank Executives Conference 4 Keppler Speakers Arlington, Virginia Honorarium, Ohio Cable Telecommunications Association 5 Keppler Speakers Arlington, Virginia Honorarium, Bakersfield Business Conference 6 Kepplers Speakers Arlington, Virginia Honorarium, Construction Industry Round Table 7 Kepplers Speakers Arlington, Virginia Honorarium, 7th Annual Cyber Security Awareness Week 8 Politicon Los Angeles, California Honorarium 9 U.S. Global Leadership Coalition Washington, District of Columbia Honorarium, USGLC State Leaders Summit 10 Keppler Speakers Arlington, Virginia Honorarium, Associated Equipment Distributors Annual Economic Forum 11 Keppler Speakers Arlington, Virginia Honorarium, Air Movement & Control Association 12 Texas Crime Stoppers Austin, Texas Honorarium 13 Ross Yoon Agency Crown Publisher for Book named Turning Point -- Reclaiming an America We Can Believe In Washington, District of Columbia Author's advance # SOURCE NAME CITY, STATE BRIEF DESCRIPTION OF DUTIES 14 Keppler Speakers Washington, District of Columbia Honorarium 15 Keppler Speakers Charleston, South Carolina Honorarium 16 Keppler Speakers Madison, Wisconsin Honorarium 17 Keppler Speakers Memphis, Tennessee Honorarium 18 Keppler Speakers Wauwatosa, Wisconsin Honorarium 19 Keppler Speakers Atlanta, Georgia Honorarium 20 Salem Radio Chicago, Illinois Honorarium 21 Colorado Women's Alliance Denver, Colorado Honorarium 22 Aspen Glen Aspen, Colorado Honorarium 23 Keppler Oklahoma City, Oklahoma Honorarium 24 US Global Leadership Coalition Denver, Colorado Honorarium 25 US Global Leadership Coalition Milwaukee, Wisconsin Honorarium 5. Spouse's Employment Assets & Income and Retirement Accounts # DESCRIPTION EIF 1 Village of Southampton Planning Board N/A 2 Excellon N/A VALUE $50,001 $100,000 INCOME TYPE INCOME AMOUNT Planning Board Member payment $4,000 Interest $2,501 - $5,000 # DESCRIPTION EIF VALUE INCOME TYPE INCOME AMOUNT 3 Excellon Resources Inc N/A Directors fees $17,106 4 IRA 4.1 DREYFUS TREAS SECURITIES CASH MGT PT N/A $100,001 $250,000 4.2 U.S. TREASURY BILLS N/A None (or less than $1,001) Dividends $2,501 - $5,000 4.3 U.S. TREASURY NOTES N/A $1,000,001 $5,000,000 Dividends $5,001 - $15,000 4.4 VANGUARD CAPITAL VALUE F-INV Yes $500,001 $1,000,000 $5,001 - $15,000 4.5 VANGUARD DIVIDEND GROWTH-IV Yes $500,001 $1,000,000 $15,001 $50,000 4.6 VANGUARD FTSE ALL-WORLD EX-US Yes $15,001 $50,000 $201 - $1,000 4.7 VANGUARD FTSE EMERGING MARKETS ETF Yes $15,001 $50,000 $201 - $1,000 4.8 VANGUARD IND FD MID-CAP Yes $50,001 $100,000 $201 - $1,000 4.9 VANGUARD REIT ETF Yes $15,001 $50,000 $1,001 - $2,500 4.10 VANGUARD SMALL-CAP ETF Yes $50,001 $100,000 $201 - $1,000 4.11 VANGUARD WINDSOR-ADM Yes $500,001 $1,000,000 $15,001 $50,000 EIF VALUE None (or less than $201) 6. Other Assets and Income # DESCRIPTION 1 Grantor Trust INCOME TYPE INCOME AMOUNT # DESCRIPTION EIF VALUE INCOME TYPE INCOME AMOUNT 1.1 3M CO N/A $100,001 $250,000 Dividends $2,501 - $5,000 1.2 ABBOTT LABS N/A None (or less than $1,001) Dividends $201 - $1,000 1.3 AKAMAI TECHNOLOGIES INC N/A $50,001 $100,000 None (or less than $201) 1.4 ALPHABET INC CL A N/A $100,001 $250,000 None (or less than $201) 1.5 ALPHABET INC CL C N/A $100,001 $250,000 None (or less than $201) 1.6 AMAZON.COM INC N/A $100,001 $250,000 None (or less than $201) 1.7 APPLE INC N/A $50,001 $100,000 Dividends $1,001 - $2,500 1.8 BANK OF AMERICA CORP N/A $100,001 $250,000 Dividends $1,001 - $2,500 1.9 BERKSHIRE HATHAWAY INC-CL B N/A $100,001 $250,000 1.10 BRISTOL MYERS SQUIBB CO N/A $50,001 $100,000 1.11 CELGENE CORP N/A $100,001 $250,000 1.12 CHEVRON CORPORATION N/A $50,001 $100,000 Dividends $1,001 - $2,500 1.13 CLOROX COMPANY N/A $50,001 $100,000 Dividends $1,001 - $2,500 1.14 COSTCO WHOLESALE CORP N/A $100,001 $250,000 Dividends $1,001 - $2,500 1.15 CVS HEALTH CORP N/A $100,001 $250,000 Dividends $1,001 - $2,500 1.16 DANAHER CORP N/A $100,001 $250,000 Dividends $201 - $1,000 None (or less than $201) Dividends $1,001 - $2,500 None (or less than $201) # DESCRIPTION EIF VALUE INCOME TYPE INCOME AMOUNT 1.17 DISNEY WALT CO NEW N/A $100,001 $250,000 Dividends $2,501 - $5,000 1.18 DREYFUS TREAS SECURITIES CASH MGT PT N/A $15,001 $50,000 1.19 DU PONT E I DE NEMOURS & CO N/A None (or less than $1,001) Dividends $201 - $1,000 1.20 EXXONMOBIL CORP N/A $50,001 $100,000 Dividends $2,501 - $5,000 1.21 FACEBOOK INC-A N/A $50,001 $100,000 None (or less than $201) 1.22 FORTIVE CORP N/A None (or less than $1,001) None (or less than $201) 1.23 GENERAL ELECTRIC CORP N/A $50,001 $100,000 Dividends $1,001 - $2,500 1.24 GILEAD SCIENCES INC N/A $100,001 $250,000 Dividends $2,501 - $5,000 1.25 HONEYWELL INTERNATIONAL INC N/A $100,001 $250,000 Dividends $2,501 - $5,000 1.26 JOHNSON & JOHNSON N/A $100,001 $250,000 Dividends $2,501 - $5,000 1.27 MANHATTAN ASSOCS INC N/A $50,001 $100,000 1.28 MASTERCARD INC CL A N/A $100,001 $250,000 Dividends $1,001 - $2,500 1.29 MCDONALDS CORP N/A $100,001 $250,000 Dividends $2,501 - $5,000 1.30 MICROSOFT CORP N/A $50,001 $100,000 Dividends $1,001 - $2,500 1.31 NOVARTIS AG SPONS ADR N/A None (or less than $1,001) Dividends $1,001 - $2,500 1.32 OCCIDENTAL PETE CORP N/A None (or less than $1,001) Dividends $201 - $1,000 None (or less than $201) None (or less than $201) # DESCRIPTION EIF VALUE INCOME TYPE INCOME AMOUNT 1.33 SCHLUMBERGER LTD N/A $100,001 $250,000 Dividends $1,001 - $2,500 1.34 STARBUCKS CORP N/A None (or less than $1,001) Dividends $201 - $1,000 1.35 T ROWE PRICE NEW HORIZONS FUND N/A $50,001 $100,000 Dividends $1,001 - $2,500 1.36 T ROWE PRICE NEW HORIZONS FUND N/A None (or less than $1,001) Capital Gains $2,501 - $5,000 1.37 U.S. TREASURY BILLS N/A None (or less than $1,001) Dividends $201 - $1,000 1.38 U.S. TREASURY NOTES N/A $50,001 $100,000 Dividends $201 - $1,000 1.39 UNION PAC CORP N/A $100,001 $250,000 Dividends $2,501 - $5,000 1.40 UNITED TECHNOLOGIES CORP N/A $100,001 $250,000 Dividends $2,501 - $5,000 1.41 VANGUARD FTSE DEVELOPED MARKETS ETF Yes $100,001 $250,000 $2,501 - $5,000 1.42 VANGUARD FTSE EMERGING MARKETS ETF Yes $100,001 $250,000 $2,501 - $5,000 1.43 VANGUARD MID CAP INDEX-ADM Yes $100,001 $250,000 $1,001 - $2,500 1.44 VANGUARD REIT ETF Yes $100,001 $250,000 $5,001 - $15,000 1.45 VANGUARD SMALL-CAP INDEX-ADM Yes $100,001 $250,000 $1,001 - $2,500 1.46 VISA INC CL A N/A $100,001 $250,000 2 TD Canada Trust N/A $50,001 $100,000 None (or less than $201) 3 US bank account #1 (cash) N/A $50,001 $100,000 None (or less than $201) Dividends $1,001 - $2,500 # DESCRIPTION EIF VALUE INCOME TYPE INCOME AMOUNT 4 US bank account #2 (cash) N/A $1,001 - $15,000 None (or less than $201) 5 US bank account #3 (cash) N/A $50,001 $100,000 None (or less than $201) 6 Residential Real Estate 16 Tuckahoe Lane, Southampton, NY N/A $1,000,001 $5,000,000 None (or less than $201) 7 Inherited Trust #2 7.1 DREYFUS TREAS SECURITIES CASH MGT PT N/A $15,001 $50,000 None (or less than $201) 7.2 U.S. TREASURY NOTES N/A $50,001 $100,000 Dividends $201 - $1,000 7.3 Schlumberger Ltd N/A $15,001 $50,000 Dividends $201 - $1,000 7.4 GENERAL ELECTRIC CORP N/A $15,001 $50,000 Dividends $1,001 - $2,500 7.5 OCCIDENTAL PETE CORP N/A None (or less than $1,001) Dividends $201 - $1,000 7.6 DANAHER CORP N/A $15,001 $50,000 7.7 BRISTOL MYERS SQUIBB CO N/A $15,001 $50,000 Dividends $201 - $1,000 7.8 CVS HEALTH CORP N/A $15,001 $50,000 Dividends $201 - $1,000 7.9 APPLE INC N/A $15,001 $50,000 $201 - $1,000 7.10 CLOROX COMPANY N/A $15,001 $50,000 None (or less than $201) 7.11 Costco Wholesale Corp N/A $15,001 $50,000 None (or less than $201) 7.12 VISA INC CL A N/A $50,001 $100,000 None (or less than $201) Dividends $201 - $1,000 # DESCRIPTION 7.13 JOHNSON & JOHNSON 7.14 Honeywell Intl Inc 7.15 EIF VALUE INCOME TYPE INCOME AMOUNT $50,001 $100,000 Dividends $1,001 - $2,500 N/A $15,001 $50,000 Dividends $1,001 - $2,500 EXXONMOBIL CORP N/A $50,001 $100,000 Dividends $1,001 - $2,500 7.16 3M CO N/A $15,001 $50,000 Dividends $1,001 - $2,500 7.17 PERRIGO CO PLC N/A $1,001 - $15,000 7.18 V.F. CORP N/A None (or less than $1,001) Dividends $201 - $1,000 7.19 BANK OF AMERICA CORP N/A $15,001 $50,000 Dividends $201 - $1,000 7.20 GILEAD SCIENCES INC N/A $15,001 $50,000 Dividends $201 - $1,000 7.21 T ROWE PRICE GROUP INC N/A $15,001 $50,000 Dividends $201 - $1,000 7.22 UNION PAC CORP N/A $15,001 $50,000 Dividends $201 - $1,000 7.23 NOVARTIS AG SPONS ADR N/A $15,001 $50,000 Dividends $201 - $1,000 7.24 DISNEY WALT CO NEW N/A $15,001 $50,000 Dividends $201 - $1,000 7.25 First Republic Bank stock N/A $15,001 $50,000 None (or less than $201) 7.26 FORTIVE CORP N/A None (or less than $1,001) None (or less than $201) 7.27 MICROSOFT CORP N/A $15,001 $50,000 Dividends $201 - $1,000 7.28 PROCTER & GAMBLE CO N/A $15,001 $50,000 Dividends $201 - $1,000 None (or less than $201) # DESCRIPTION EIF VALUE INCOME TYPE INCOME AMOUNT 7.29 STARBUCKS CORP N/A $15,001 $50,000 Dividends $201 - $1,000 7.30 VANGUARD MID CAP INDEX-ADM Yes $15,001 $50,000 $201 - $1,000 7.31 VANGUARD FTSE ALL-WORLD EX-US Yes $15,001 $50,000 $1,001 - $2,500 7.32 VANGUARD FTSE EMERGING MARKETS ETF Yes $15,001 $50,000 $201 - $1,000 7.33 VANGUARD REIT ETF Yes $15,001 $50,000 $1,001 - $2,500 7.34 VANGUARD SMALL-CAP ETF Yes $15,001 $50,000 $201 - $1,000 7.35 AKAMAI TECHNOLOGIES INC N/A $15,001 $50,000 None (or less than $201) 7.36 ALPHABET INC CL A N/A $15,001 $50,000 None (or less than $201) 7.37 ALPHABET INC CL C N/A $15,001 $50,000 None (or less than $201) 7.38 AMAZON.COM INC N/A $50,001 $100,000 None (or less than $201) 7.39 BERKSHIRE HATHAWAY INC-CL B N/A $15,001 $50,000 None (or less than $201) 7.40 CELGENE CORP N/A $15,001 $50,000 None (or less than $201) 7.41 CHEVRON CORPORATION N/A $1,001 - $15,000 None (or less than $201) 7.42 FACEBOOK INC-A N/A $15,001 $50,000 None (or less than $201) 7.43 MANHATTAN ASSOCS INC N/A $15,001 $50,000 None (or less than $201) 7.44 NXP SEMICONDUCTORS N/A $15,001 $50,000 None (or less than $201) # DESCRIPTION EIF VALUE INCOME TYPE INCOME AMOUNT 7.45 THERMO FISHER SCIENTIFIC INC N/A $15,001 $50,000 None (or less than $201) 8 Inherited Trust #1 8.1 DREYFUS TREAS SECURITIES CASH MGT PT N/A $1,001 - $15,000 None (or less than $201) 8.2 US Treasury Notes N/A $15,001 $50,000 Dividends $201 - $1,000 8.3 3M CO N/A $15,001 $50,000 Dividends $201 - $1,000 8.4 APPLE INC N/A $15,001 $50,000 Dividends $201 - $1,000 8.5 BRISTOL MYERS SQUIBB CO N/A $1,001 - $15,000 Dividends $201 - $1,000 8.6 CLOROX COMPANY N/A $1,001 - $15,000 Dividends $201 - $1,000 8.7 COSTCO WHOLESALE CORP N/A $1,001 - $15,000 8.8 CVS HEALTH CORP N/A $15,001 $50,000 8.9 DANAHER CORP N/A $1,001 - $15,000 8.10 DISNEY WALT CO NEW N/A $15,001 $50,000 Dividends $201 - $1,000 8.11 DU PONT E I DE NEMOURS & CO N/A $15,001 $50,000 Dividends $201 - $1,000 8.12 EXXONMOBIL CORP N/A $15,001 $50,000 Dividends $201 - $1,000 8.13 FORTIVE CORP N/A None (or less than $1,001) 8.14 GENERAL ELECTRIC CORP N/A $50,001 $100,000 Dividends $1,001 - $2,500 8.15 GILEAD SCIENCES INC N/A $15,001 $50,000 Dividends $201 - $1,000 None (or less than $201) Dividends $201 - $1,000 None (or less than $201) None (or less than $201) # DESCRIPTION EIF VALUE INCOME TYPE INCOME AMOUNT 8.16 HONEYWELL INTERNATIONAL INC N/A $15,001 $50,000 Dividends $201 - $1,000 8.17 JOHNSON & JOHNSON N/A $1,001 - $15,000 Dividends $201 - $1,000 8.18 MCDONALDS CORP N/A $15,001 $50,000 Dividends $201 - $1,000 8.19 MICROSOFT CORP N/A $15,001 $50,000 Dividends $201 - $1,000 8.20 NESTLE SA SPONS ADR N/A $1,001 - $15,000 Dividends $201 - $1,000 8.21 PERRIGO CO PLC N/A None (or less than $1,001) 8.22 PROCTER & GAMBLE CO N/A $1,001 - $15,000 Dividends $201 - $1,000 8.23 SCHLUMBERGER LTD N/A $1,001 - $15,000 Dividends $201 - $1,000 8.24 T ROWE PRICE GROUP INC N/A $1,001 - $15,000 Dividends $201 - $1,000 8.25 THERMO FISHER SCIENTIFIC INC N/A $1,001 - $15,000 8.26 UNION PAC CORP N/A $15,001 $50,000 8.27 VISA INC CL A N/A $15,001 $50,000 None (or less than $201) 8.28 VANGUARD MID CAP INDEX-ADM Yes $15,001 $50,000 $201 - $1,000 8.29 VANGUARD FTSE ALL-WORLD EX-US Yes $1,001 - $15,000 $201 - $1,000 8.30 VANGUARD FTSE EMERGING MARKETS ETF Yes $1,001 - $15,000 None (or less than $201) 8.31 VANGUARD REIT ETF Yes $1,001 - $15,000 $1,001 - $2,500 8.32 VANGUARD SMALL-CAP ETF Yes $15,001 $50,000 $201 - $1,000 8.33 AKAMAI TECHNOLOGIES INC N/A $1,001 - $15,000 None (or less than $201) None (or less than $201) None (or less than $201) Dividends $201 - $1,000 # DESCRIPTION EIF VALUE INCOME TYPE 8.34 ALPHABET INC CL A N/A $15,001 $50,000 None (or less than $201) 8.35 ALPHABET INC CL C N/A $15,001 $50,000 None (or less than $201) 8.36 AMAZON.COM INC N/A $15,001 $50,000 None (or less than $201) 8.37 BERKSHIRE HATHAWAY INC-CL B N/A $15,001 $50,000 None (or less than $201) 8.38 CELGENE CORP N/A $15,001 $50,000 None (or less than $201) 8.39 FACEBOOK INC-A N/A $15,001 $50,000 None (or less than $201) 8.40 GOLDMAN SACHS GROUP INC N/A $1,001 - $15,000 None (or less than $201) 8.41 NXP SEMICONDUCTORS N/A $15,001 $50,000 None (or less than $201) 9 Managed account 9.1 3M CO N/A $50,001 $100,000 9.2 ABBOTT LABS N/A $1,001 - $15,000 None (or less than $201) 9.3 ABBVIE INC N/A $15,001 $50,000 None (or less than $201) 9.4 ADVANSIX INC N/A None (or less than $1,001) None (or less than $201) 9.5 AFLAC INC N/A $15,001 $50,000 None (or less than $201) 9.6 ALPHABET INC CL A N/A $15,001 $50,000 None (or less than $201) 9.7 AMAZON.COM INC N/A $15,001 $50,000 None (or less than $201) Dividends INCOME AMOUNT $201 - $1,000 # DESCRIPTION EIF VALUE INCOME TYPE INCOME AMOUNT 9.8 APPLE INC N/A $15,001 $50,000 Dividends $201 - $1,000 9.9 BERKSHIRE HATHAWAY INC-CL B N/A $15,001 $50,000 9.10 BRISTOL MYERS SQUIBB CO N/A $50,001 $100,000 9.11 CEDAR FAIR LP N/A $1,001 - $15,000 None (or less than $201) 9.12 CELGENE CORP N/A $15,001 $50,000 None (or less than $201) 9.13 CHEVRON CORPORATION N/A $1,001 - $15,000 None (or less than $201) 9.14 CISCO SYSTEMS INC N/A $15,001 $50,000 None (or less than $201) 9.15 COCA COLA CO N/A $15,001 $50,000 None (or less than $201) 9.16 COMCAST CORP-CL A N/A $15,001 $50,000 None (or less than $201) 9.17 CONOCOPHILLIPS N/A $15,001 $50,000 None (or less than $201) 9.18 CVS HEALTH CORP N/A $15,001 $50,000 9.19 DANAHER CORP N/A $15,001 $50,000 9.20 DISNEY WALT CO NEW N/A $15,001 $50,000 9.21 DOW CHEMICAL COMPANY N/A $15,001 $50,000 None (or less than $201) 9.22 DREYFUS TREAS SECURITIES CASH MGT PT N/A $1,001 - $15,000 None (or less than $201) 9.23 EXCELLON RESOURCES INC N/A $15,001 $50,000 None (or less than $201) None (or less than $201) Dividends Dividends $201 - $1,000 $201 - $1,000 None (or less than $201) Dividends $201 - $1,000 # DESCRIPTION EIF VALUE INCOME TYPE INCOME AMOUNT 9.24 EXXONMOBIL CORP N/A $15,001 $50,000 None (or less than $201) 9.25 FACEBOOK INC-A N/A $15,001 $50,000 None (or less than $201) 9.26 FIRST REPUBLIC BANK stock N/A $15,001 $50,000 None (or less than $201) 9.27 FORD MOTOR CO DEL N/A $15,001 $50,000 None (or less than $201) 9.28 FORTIVE CORP N/A $1,001 - $15,000 None (or less than $201) 9.29 GENERAL ELECTRIC CORP N/A $15,001 $50,000 Dividends $201 - $1,000 9.30 GILEAD SCIENCES INC N/A $15,001 $50,000 Dividends $201 - $1,000 9.31 HOME DEPOT INC N/A $15,001 $50,000 9.32 HONEYWELL INTERNATIONAL INC N/A $50,001 $100,000 9.33 INTEL CORP N/A $15,001 $50,000 None (or less than $201) 9.34 INTL. BUSINESS MACHINES CORP N/A $15,001 $50,000 None (or less than $201) 9.35 JOHNSON & JOHNSON N/A $50,001 $100,000 9.36 KRAFT HEINZ CO N/A $1,001 - $15,000 None (or less than $201) 9.37 MANHATTAN ASSOCS INC N/A $15,001 $50,000 None (or less than $201) 9.38 MATTHEWS PACIFIC TIGER-INST N/A $15,001 $50,000 None (or less than $201) 9.39 MATTHEWS PACIFIC TIGER-INST N/A None (or less than $1,001) None (or less than $201) Dividends Dividends Capital Gains $201 - $1,000 $201 - $1,000 $201 - $1,000 # DESCRIPTION EIF VALUE INCOME TYPE INCOME AMOUNT 9.40 MCDONALDS CORP N/A $15,001 $50,000 9.41 MICROSOFT CORP N/A $15,001 $50,000 Dividends $201 - $1,000 9.42 MONDELEZ INTERNATIONAL INC N/A $15,001 $50,000 Dividends $201 - $1,000 9.43 PEPSICO INC N/A $1,001 - $15,000 None (or less than $201) 9.44 PHILLIPS 66 N/A $1,001 - $15,000 None (or less than $201) 9.45 PROCTER & GAMBLE CO N/A $1,001 - $15,000 None (or less than $201) 9.46 QUALCOMM INC N/A $15,001 $50,000 None (or less than $201) 9.47 ROSS STORES INC N/A $15,001 $50,000 None (or less than $201) 9.48 T ROWE PRICE GROUP INC N/A None (or less than $1,001) Dividends $201 - $1,000 9.49 UNION PAC CORP N/A $15,001 $50,000 Dividends $201 - $1,000 9.50 UNITED TECHNOLOGIES CORP N/A $15,001 $50,000 None (or less than $201) 9.51 VANGUARD FTSE EMERGING MARKETS ETF Yes $15,001 $50,000 $201 - $1,000 9.52 VANGUARD MID CAP INDEX-ADM Yes $15,001 $50,000 $201 - $1,000 9.53 VANGUARD REIT ETF Yes $50,001 $100,000 $2,501 - $5,000 9.54 VANGUARD SMALL-CAP INDEX-ADM Yes $15,001 $50,000 $201 - $1,000 9.55 VISA INC CL A Yes $15,001 $50,000 $201 - $1,000 None (or less than $201) # DESCRIPTION EIF VALUE INCOME TYPE INCOME AMOUNT 9.56 WELLS FARGO & CO N/A $15,001 $50,000 Dividends $201 - $1,000 7. Transactions (N/A) - Not required for this type of report 8. Liabilities None 9. Gifts and Travel Reimbursements (N/A) - Not required for this type of report Endnotes Summary of Contents 1. Filer's Positions Held Outside United States Government Part 1 discloses positions that the filer held at any time during the reporting period (excluding positions with the United States Government). Positions are reportable even if the filer did not receive compensation. This section does not include the following: (1) positions with religious, social, fraternal, or political organizations; (2) positions solely of an honorary nature; (3) positions held as part of the filer's official duties with the United States Government; (4) mere membership in an organization; and (5) passive investment interests as a limited partner or non-managing member of a limited liability company. 2. Filer's Employment Assets & Income and Retirement Accounts Part 2 discloses the following: ● ● Sources of earned and other non-investment income of the filer totaling more than $200 during the reporting period (e.g., salary, fees, partnership share, honoraria, scholarships, and prizes) Assets related to the filer's business, employment, or other income-generating activities that (1) ended the reporting period with a value greater than $1,000 or (2) produced more than $200 in income during the reporting period (e.g., equity in business or partnership, stock options, retirement plans/accounts and their underlying holdings as appropriate, deferred compensation, and intellectual property, such as book deals and patents) This section does not include assets or income from United States Government employment or assets that were acquired separately from the filer's business, employment, or other income-generating activities (e.g., assets purchased through a brokerage account). Note: The type of income is not required if the amount of income is $0 - $200 or if the asset qualifies as an excepted investment fund (EIF). 3. Filer's Employment Agreements and Arrangements Part 3 discloses agreements or arrangements that the filer had during the reporting period with an employer or former employer (except the United States Government), such as the following: ● ● ● ● ● Future employment Leave of absence Continuing payments from an employer, including severance and payments not yet received for previous work (excluding ordinary salary from a current employer) Continuing participation in an employee welfare, retirement, or other benefit plan, such as pensions or a deferred compensation plan Retention or disposition of employer-awarded equity, sharing in profits or carried interests (e.g., vested and unvested stock options, restricted stock, future share of a company's profits, etc.) 4. Filer's Sources of Compensation Exceeding $5,000 in a Year Part 4 discloses sources (except the United States Government) that paid more than $5,000 in a calendar year for the filer's services during any year of the reporting period. The filer discloses payments both from employers and from any clients to whom the filer personally provided services. The filer discloses a source even if the source made its payment to the filer's employer and not to the filer. The filer does not disclose a client's payment to the filer's employer if the filer did not provide the services for which the client is paying. 5. Spouse's Employment Assets & Income and Retirement Accounts Part 5 discloses the following: ● ● ● Sources of earned income (excluding honoraria) for the filer's spouse totaling more than $1,000 during the reporting period (e.g., salary, consulting fees, and partnership share) Sources of honoraria for the filer's spouse greater than $200 during the reporting period Assets related to the filer's spouse's employment, business activities, other income-generating activities that (1) ended the reporting period with a value greater than $1,000 or (2) produced more than $200 in income during the reporting period (e.g., equity in business or partnership, stock options, retirement plans/accounts and their underlying holdings as appropriate, deferred compensation, and intellectual property, such as book deals and patents) This section does not include assets or income from United States Government employment or assets that were acquired separately from the filer's spouse's business, employment, or other income-generating activities (e.g., assets purchased through a brokerage account). Note: The type of income is not required if the amount of income is $0 - $200 or if the asset qualifies as an excepted investment fund (EIF). Amounts of income are not required for a spouse's earned income (excluding honoraria). 6. Other Assets and Income Part 6 discloses each asset, not already reported, that (1) ended the reporting period with a value greater than $1,000 or (2) produced more than $200 in investment income during the reporting period. For purposes of the value and income thresholds, the filer aggregates the filer's interests with those of the filer's spouse and dependent children. This section does not include the following types of assets: (1) a personal residence (unless it was rented out during the reporting period); (2) income or retirement benefits associated with United States Government employment (e.g., Thrift Savings Plan); and (3) cash accounts (e.g., checking, savings, money market accounts) at a single financial institution with a value of $5,000 or less (unless more than $200 of income was produced). Additional exceptions apply. Note: The type of income is not required if the amount of income is $0 - $200 or if the asset qualifies as an excepted investment fund (EIF). 7. Transactions Part 7 discloses purchases, sales, or exchanges of real property or securities in excess of $1,000 made on behalf of the filer, the filer's spouse or dependent child during reporting period. This section does not include transactions that concern the following: (1) a personal residence, unless rented out; (2) cash accounts (e.g., checking, savings, CDs, money market accounts) and money market mutual funds; (3) Treasury bills, bonds, and notes; and (4) holdings within a federal Thrift Savings Plan account. Additional exceptions apply. 8. Liabilities Part 8 discloses liabilities over $10,000 that the filer, the filer's spouse or dependent child owed at any time during the reporting period. This section does not include the following types of liabilities: (1) mortgages on a personal residence, unless rented out (limitations apply for PAS filers); (2) loans secured by a personal motor vehicle, household furniture, or appliances, unless the loan exceeds the item's purchase price; and (3) revolving charge accounts, such as credit card balances, if the outstanding liability did not exceed $10,000 at the end of the reporting period. Additional exceptions apply. 9. Gifts and Travel Reimbursements This section discloses: ● ● Gifts totaling more than $375 that the filer, the filer's spouse, and dependent children received from any one source during the reporting period. Travel reimbursements totaling more than $375 that the filer, the filer's spouse, and dependent children received from any one source during the reporting period. For purposes of this section, the filer need not aggregate any gift or travel reimbursement with a value of $150 or less. Regardless of the value, this section does not include the following items: (1) anything received from relatives; (2) anything received from the United States Government or from the District of Columbia, state, or local governments; (3) bequests and other forms of inheritance; (4) gifts and travel reimbursements given to the filer's agency in connection with the filer's official travel; (5) gifts of hospitality (food, lodging, entertainment) at the donor's residence or personal premises; and (6) anything received by the filer's spouse or dependent children totally independent of their relationship to the filer. Additional exceptions apply. Privacy Act Statement Title I of the Ethics in Government Act of 1978, as amended (the Act), 5 U.S.C. app. § 101 et seq., as amended by the Stop Trading on Congressional Knowledge Act of 2012 (Pub. L. 112-105) (STOCK Act), and 5 C.F.R. Part 2634 of the U. S. Office of Government Ethics regulations require the reporting of this information. The primary use of the information on this report is for review by Government officials to determine compliance with applicable Federal laws and regulations. This report may also be disclosed upon request to any requesting person in accordance with sections 105 and 402(b)(1) of the Act or as otherwise authorized by law. You may inspect applications for public access of your own form upon request. Additional disclosures of the information on this report may be made: (1) to any requesting person, subject to the limitation contained in section 208(d)(1) of title 18, any determination granting an exemption pursuant to sections 208(b)(1) and 208(b)(3) of title 18; (2) to a Federal, State, or local law enforcement agency if the disclosing agency becomes aware of violations or potential violations of law or regulation; (3) to another Federal agency, court or party in a court or Federal administrative proceeding when the Government is a party or in order to comply with a judge-issued subpoena; (4) to a source when necessary to obtain information relevant to a conflict of interest investigation or determination; (5) to the National Archives and Records Administration or the General Services Administration in records management inspections; (6) to the Office of Management and Budget during legislative coordination on private relief legislation; (7) to the Department of Justice or in certain legal proceedings when the disclosing agency, an employee of the disclosing agency, or the United States is a party to litigation or has an interest in the litigation and the use of such records is deemed relevant and necessary to the litigation; (8) to reviewing officials in a new office, department or agency when an employee transfers or is detailed from one covered position to another; (9) to a Member of Congress or a congressional office in response to an inquiry made on behalf of an individual who is the subject of the record; (10) to contractors and other non-Government employees working on a contract, service or assignment for the Federal Government when necessary to accomplish a function related to an OGE Government-wide system of records; and (11) on the OGE Website and to any person, department or agency, any written ethics agreement filed with OGE by an individual nominated by the President to a position requiring Senate confirmation. See also the OGE/GOVT-1 executive branch-wide Privacy Act system of records. Public Burden Information This collection of information is estimated to take an average of three hours per response, including time for reviewing the instructions, gathering the data needed, and completing the form. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Program Counsel, U.S. Office of Government Ethics (OGE), Suite 500, 1201 New York Avenue, NW., Washington, DC 20005-3917. Pursuant to the Paperwork Reduction Act, as amended, an agency may not conduct or sponsor, and no person is required to respond to, a collection of information unless it displays a currently valid OMB control number (that number, 3209-0001, is displayed here and at the top of the first page of this OGE Form 278e).