Nominee 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
Gingrich, Callista Louise
Ambassador to the Holy See, Department of State
Other Federal Government Positions Held During the Preceding 12 Months:
None
Names of Congressional Committees Considering Nomination:
●
Committee on Foreign Relations

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/ Gingrich, Callista Louise [electronically signed on 03/03/2017 by Gingrich, Callista Louise 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/ Huitema, David, Certifying Official [electronically signed on 05/26/2017 by Huitema, David in Integrity.gov]

Other review conducted by

U.S. Office of Government Ethics Certification
/s/ Apol, David, Certifying Official [electronically signed on 06/13/2017 by Apol, David in Integrity.gov]

 1. Filer's Positions Held Outside United States Government
#

ORGANIZATION NAME

CITY, STATE

ORGANIZATION
TYPE

POSITION HELD

FROM

TO

1

GINGRICH PRODUCTIONS, INC.

Arlington,
Virginia

Corporation

President & CEO

1/2007

Present

2

THE GINGRICH FOUNDATION, INC.

Arlington,
Virginia

Non-Profit

President

2/2005

Present

3

WINDY HILL COURT HOMEOWNERS
ASSOCIATION

McLean, Virginia

Homeowners
Association

President

3/2016

Present

4

CHOIR OF THE BASILICA OF THE NATIONAL
SHRINE OF THE IMMACULATE CONCEPTION

Washington,
District of
Columbia

Non-Profit

Professional
Choir Member

10/1996

Present

5

ELECTED.ORG, INC.

Arlington,
Virginia

Corporation

Vice-Chairman

6/2014

Present

6

Callista Gingrich Revocable Trust

Alexandria,
Virginia

Trust

Trustee

11/2001

Present

VALUE

INCOME TYPE

INCOME
AMOUNT

2. Filer's Employment Assets & Income and Retirement Accounts
#

DESCRIPTION

EIF

1

GINGRICH PRODUCTIONS, INC. (MULTIMEDIA PRODUCTION AND CONSULTING
COMPANY)

N/A

Salary

$242,005

2

CHOIR OF THE BASILICA OF THE NATIONAL
SHRINE OF THE IMMACULATE CONCEPTION

N/A

Salary

$7,961

3

GINGRICH PRODUCTIONS, INC. 401K

No

3.1

PRUDENTIAL SHORT TERM CORPORATE
BOND FUND (JDTRX)

Yes

$50,001 $100,000

$1,001 - $2,500

3.2

T ROWE PRICE RETIREMENT 2030 (RRTCX)

Yes

$100,001 $250,000

$5,001 - $15,000

 #

DESCRIPTION

EIF

VALUE

INCOME TYPE

INCOME
AMOUNT

4

Ownership Stake in Gingrich Productions

N/A

$250,001 $500,000

4.1

"Remember the Ladies," Regnery Publishing
(value not readily ascertainable)

N/A

4.2

"Hail to the Chief," Regnery Publishing (value
not readily ascertainable)

N/A

Advance

$20,000

4.3

"Rediscovering God in America," (Third
Edition) Center Street publisher (print and
audio book) (value not readily ascertainable)

N/A

Advance

$10,000

4.4

“Christmas in America,” Regnery Publishing
(value not readily ascertainable)

N/A

None (or less
than $201)

4.5

"From Sea to Shining Sea," Regnery
Publishing (value not readily ascertainable)

N/A

None (or less
than $201)

4.6

"Yankee Doodle Dandy," Regnery Publishing
(value not readily ascertainable)

N/A

Rent or
Royalties

$1,001 - $2,500

4.7

"Land of the Pilgrims' Pride," Regnery
Publishing (value not readily ascertainable)

N/A

Rent or
Royalties

$5,001 - $15,000

4.8

"Sweet Land of Liberty," Regnery Publishing
(value not readily ascertainable)

N/A

Rent or
Royalties

$2,501 - $5,000

4.9

"Ronald Reagan: Rendezvous with Destiny,"
Dunham Books (value not readily
ascertainable)

N/A

4.10

"Remember the Ladies," Regnery Publishing
(anticipated advance)

N/A

4.11

Citizens United Movies, entitled to income
stream only (value not readily ascertainable)

4.11.1

"Divine Mercy: The Canonization of John
Paul II," Citizens United Foundation

4.11.2

"A City Upon a Hill," Citizens United

4.11.3

"America at Risk," Citizens United

4.11.4

"Nine Days that Changed the World,"
Citizens United Foundation

None (or less
than $201)
None (or less
than $201)

None (or less
than $201)
$1,001 - $15,000

None (or less
than $201)
Rent or
Royalties

$15,001 $50,000

 #

DESCRIPTION

4.11.5

"Ronald Reagan: Rendezvous with Destiny,"
Citizens United

4.11.6

"We Have the Power," Citizens United

4.11.7

"Rediscovering God in America," Citizens
United Foundation

4.11.8

"Rediscovering God in America II: Our
Heritage," Citizens United Foundation

5

Ownership Stake in Elected.org

See Endnote

EIF

VALUE

N/A

None (or less
than $1,001)

INCOME TYPE

INCOME
AMOUNT

None (or less
than $201)

3. Filer's Employment Agreements and Arrangements
#

EMPLOYER OR PARTY

CITY, STATE

STATUS AND TERMS

DATE

1

GINGRICH PRODUCTIONS, INC. 401K

Arlington,
Virginia

I will continue to participate in this defined
contribution plan. The plan sponsor will not make
further contributions during my time in public
service.

1/2007

4. Filer's Sources of Compensation Exceeding $5,000 in a Year
#

SOURCE NAME

CITY, STATE

BRIEF DESCRIPTION OF DUTIES

1

GINGRICH PRODUCTIONS, INC.

Arlington,
Virginia

President & CEO of a multimedia production and consulting company
based in Arlington, Virginia.

2

CHOIR OF THE BASILICA OF THE NATIONAL
SHRINE OF THE IMMACULATE CONCEPTION

Washington,
District of
Columbia

Professional Choir Member

3

The Gallup Organization

Washington,
District of
Columbia

Communications Consulting

4

Republican National Committee

Washington,
District of
Columbia

Communications Consulting

 #

SOURCE NAME

CITY, STATE

BRIEF DESCRIPTION OF DUTIES

5

Brian Wise Public Affairs

Arlington,
Virginia

Communications Consulting

6

Bipartisan Policy Center

Washington,
District of
Columbia

Communications Consulting

7

Newsmax Media

Palm Beach,
Florida

Production Consulting

8

Rick Berman

Washington,
District of
Columbia

Communications Consulting

9

JAM Capital Partners

St. Simons
Island, Georgia

Communications Consulting

10

Biotechnology Industry Organization

Washington,
District of
Columbia

Communications Consulting

11

CECU (Career Education Colleges and
Universities)

Washington,
District of
Columbia

Communications Consulting

12

Advocates for Opioid Recovery

Arlington,
Virginia

Communications Consulting

13

Blue Cross Blue Shield of America

Chicago, Illinois

Communications Consulting

14

The Gingrich Foundation, Inc.

Arlington,
Virginia

Production Consulting

5. Spouse's Employment Assets & Income and Retirement Accounts
#

DESCRIPTION

EIF

VALUE

INCOME TYPE

INCOME
AMOUNT

1

IRA #1

No

1.1

AMG YACKTMAN FUND CLASS I (YACKX)

Yes

$1,001 - $15,000

None (or less
than $201)

1.2

OAKMARK INTL FUND CLASS I (OAKIX)

Yes

$1,001 - $15,000

None (or less
than $201)

 #

DESCRIPTION

EIF

VALUE

INCOME TYPE

INCOME
AMOUNT

1.3

AMER FUNDS NEW PERSPECTIVE FUND
CLASS F2 (ANWFX)

Yes

$1,001 - $15,000

None (or less
than $201)

1.4

ROYCE SPECIAL EQUITY FD (RYSEX)

Yes

$1,001 - $15,000

None (or less
than $201)

1.5

OPPENHEIMER STEELPATH MLP SELECT 40
FUND Y (MLPTX)

Yes

$1,001 - $15,000

None (or less
than $201)

1.6

VANGUARD SMALL CAP VALUE INDEX CL
ADM (VSIAX)

Yes

$1,001 - $15,000

None (or less
than $201)

1.7

VANGUARD FTSE ALL-WLD EX-US INDEX CL
ADM (VFWAX)

Yes

$1,001 - $15,000

None (or less
than $201)

1.8

VANGUARD TOTAL STOCK MKT INDEX CL
ADM (VTSAX)

Yes

$1,001 - $15,000

None (or less
than $201)

1.9

DODGE & COX INCOME FUND (DODIX)

Yes

$15,001 $50,000

None (or less
than $201)

1.10

DOUBLE LINE TOTAL RETURN FUND INSTL
(DBLTX)

Yes

$15,001 $50,000

None (or less
than $201)

1.11

TEMPLETON GLOBAL TOTAL RETURN CL
ADV (TTRZX)

Yes

$1,001 - $15,000

None (or less
than $201)

1.12

VANGUARD INTERM-TERM BD IDX CL ADM
(VBILX)

Yes

$1,001 - $15,000

None (or less
than $201)

1.13

FPA CRESCENT FUND (FPACX)

Yes

$1,001 - $15,000

None (or less
than $201)

1.14

FIRST EAGLE GLOBAL FUND CLASS I (SGIIX)

Yes

$15,001 $50,000

None (or less
than $201)

1.15

FRANKLIN INC ADV (FRIAX)

Yes

$1,001 - $15,000

None (or less
than $201)

1.16

PIMCO ALL ASSET FUND CLASS P (PALPX)

Yes

$1,001 - $15,000

None (or less
than $201)

1.17

THORNBURG INCOME BUILDER CL I (TIBIX)

Yes

$15,001 $50,000

None (or less
than $201)

2

GINGRICH PRODUCTIONS, INC. 401K

No

 #

DESCRIPTION

EIF

VALUE

2.1

T ROWE PRICE RETIREMENT FUND 2010
(RRTAX)

Yes

$500,001 $1,000,000

3

GINGRICH PRODUCTIONS

N/A

Salary

4

DENTONS US, LLP

N/A

Consulting Fee

5

THE LUBBERS AGENCY (media relations)

6

See Endnote

INCOME TYPE

INCOME
AMOUNT
None (or less
than $201)

N/A

$15,001 $50,000

Owner
Distribution

$47,465

GINGRICH PRODUCTIONS, INC.

N/A

$250,001 $500,000

Owner
Distribution

6.1

"Vengeance," (Print and Audio Book
Copyright) Center Street (value not readily
ascertainable)

N/A

Advance

$57,813

6.2

"Understanding Trump," (Print and Audio
Book Copyright) Center Street (value not
readily ascertainable)

N/A

Advance

$85,000

6.3

"Treason," (Print and Audio Book Copyright)
Center Street, (value not readily
ascertainable)

N/A

Advance

$66,830

6.4

"Electing Trump," Self-Published (value not
readily ascertainable)

N/A

Rent or
Royalties

$5,001 - $15,000

6.5

"Rediscovering God in America," (Third
Edition) Center Street (print and audio book)
(value not readily ascertainable)

6.6

"Duplicity," (Print and Audio Book
Copyright) Center Street (value not readily
ascertainable)

N/A

Advance

$144,760

6.7

"Breakout," (Print and Audio Book
Copyright) Regnery Publishing (value not
readily ascertainable)

N/A

None (or less
than $201)

6.8

"$2.50 A Gallon," Regnery Publishing (value
not readily ascertainable)

N/A

None (or less
than $201)

6.9

"Victory at Yorktown," (Print and Audio
Book Copyright) St. Martin's Press (value not
readily ascertainable)

N/A

None (or less
than $201)

See Endnote

 #

DESCRIPTION

EIF

6.10

"To Make Men Free" (Print and Audio Book
Copyright) St. Martin's Press (value not
readily ascertainable)

N/A

None (or less
than $201)

6.11

"A Nation Like No Other," (Print and Audio
Book Copyright) Regnery Publishing (value
not readily ascertainable)

N/A

None (or less
than $201)

6.12

"Ronald Reagan: Rendezvous with Destiny,"
Dunham Books (value not readily
ascertainable)

6.13

"To Save America: Stopping Obama's
Secular-Socialist Machine" (Print and Audio
Book Copyright) Regnery Publishing (value
not readily ascertainable)

N/A

None (or less
than $201)

6.14

"Valley Forge," (Print and Audio Book
Copyright) St. Martin's Press (value not
readily ascertainable)

N/A

None (or less
than $201)

6.15

"5 Principles for a Successful Life: From Our
Family to Yours," (Print and Audio Book
Copyright) Crown Publishing (value not
readily ascertainable)

N/A

None (or less
than $201)

6.16

"To Try Men's Souls: A Novel of George
Washington and the Fight for American
Freedom," (Print and Audio Book Copyright)
St. Martin's Press (value not readily
ascertainable)

N/A

None (or less
than $201)

6.17

"Days of Infamy," (Print and Audio Book
Copyright) St. Martin's Press (value not
readily ascertainable)

N/A

None (or less
than $201)

6.18

"Drill Here, Drill Now, Pay Less," (Print and
Audio Book Copyright) Regnery Publishing
(value not readily ascertainable)

N/A

None (or less
than $201)

6.19

"A Contract with the Earth," (Print and
Audio Book Copyright) Johns Hopkins
University Press (value not readily
ascertainable)

N/A

None (or less
than $201)

6.20

"Pearl Harbor," (Print and Audio Book
Copyright) Thomas Dunne Books (value not
readily ascertainable)

N/A

None (or less
than $201)

See Endnote

VALUE

INCOME TYPE

INCOME
AMOUNT

N/A

 #

DESCRIPTION

EIF

VALUE

INCOME TYPE

INCOME
AMOUNT

6.21

"Real Change," (Print and Audio Book
Copyright) Regnery Publishing (value not
readily ascertainable)

N/A

None (or less
than $201)

6.22

"Rediscovering God in America" (1st and
2nd editions), Thomas Nelson Publishing
(print and audio for 1st edition; print only
for second edition) (value not readily
ascertainable)

N/A

None (or less
than $201)

6.23

"Window of Opportunity," Tor Books (value
not readily ascertainable)

N/A

None (or less
than $201)

6.24

"Contract with America," Three Rivers Press
(value not readily ascertainable)

N/A

None (or less
than $201)

6.25

"Restoring the American Dream," Three
Rivers Press (value not readily ascertainable)

N/A

None (or less
than $201)

6.26

"To Renew America," (Print and Audio Book
Copyright) Harper Collins (value not readily
ascertainable)

N/A

None (or less
than $201)

6.27

"1945," Baen Publishing (value not readily
ascertainable)

N/A

None (or less
than $201)

6.28

"Lessons Learned The Hard Way," (Print
and Audio Book Copyright) Harper Collins
(value not readily ascertainable)

N/A

None (or less
than $201)

6.29

"Saving Lives & Saving Money," Gingrich
Communications (value not readily
ascertainable)

N/A

None (or less
than $201)

6.30

"Gettysburg," (Print and Audio Book
Copyright) Thomas Dunne Books (value not
readily ascertainable)

N/A

None (or less
than $201)

6.31

"Grant Comes East," (Print and Audio Book
Copyright) Thomas Dunne Books (value not
readily ascertainable)

N/A

None (or less
than $201)

6.32

"The Art of Transformation," (Print and
Audio Book Copyright) CHT Press (value not
readily ascertainable)

N/A

None (or less
than $201)

 #

DESCRIPTION

EIF

VALUE

INCOME TYPE

6.33

"Never Call Retreat: Lee and Grant, the Final
Victory," (Print and Audio Book Copyright)
Thomas Dunne Books (value not readily
ascertainable)

N/A

None (or less
than $201)

6.34

"Winning the Future: A 21st Century
Contract with America," (Print and Audio
Book Copyright) Regnery Publishing (value
not readily ascertainable)

N/A

None (or less
than $201)

6.35

Citizens United Movies, entitled to income
stream only (value not readily ascertainable)

6.35.1

"Divine Mercy: The Canonization of John
Paul II," Citizens United Foundation

6.35.2

"A City Upon a Hill," Citizens United

6.35.3

"America at Risk," Citizens United

6.35.4

"Nine Days that Changed the World,"
Citizens United Foundation

6.35.5

"Ronald Reagan: Rendezvous with Destiny,"
Citizens United

6.35.6

"We Have the Power," Citizens United

6.35.7

"Rediscovering God in America," Citizens
United Foundation

6.35.8

"Rediscovering God in America II: Our
Heritage," Citizens United Foundation

7

BARRICK GOLD, STOCK OPTIONS: 25,000
VESTED SHARES, STRIKE $9.90 (CAD), EXP.
8/2022

N/A

8

BARRICK GOLD

N/A

9

Elected.Org

10

BARRICK GOLD, STOCK OPTIONS; 75,000
UNVESTED SHARES, (VALUE NOT READILY
ASCERTAINABLE): STRIKE $9.90 (CAD); EXP.
08/2022.

See Endnote

See Endnote

INCOME
AMOUNT

None (or less
than $201)

N/A
N/A

$250,001 $500,000
Consulting Fee
None (or less
than $1,001)

None (or less
than $201)
None (or less
than $201)

 #

DESCRIPTION

EIF

11

Blue Ridge Networks (cyber security), Stock
Options (value not readily ascertainable),
100,000 unvested shares, strike $0.01, exp.:
06/28/2025

See Endnote

N/A

12

CSC Partners LLC (analytics software)

See Endnote

N/A

13

Pathway Genomics (medical diagnostics),
unvested stock options (value not readily
ascertainable): 50,000 stock options at strike
price of $2.40, exp. 06/11/2025

See Endnote

N/A

VALUE

INCOME TYPE

INCOME
AMOUNT
None (or less
than $201)

$15,001 $50,000

None (or less
than $201)
None (or less
than $201)

6. Other Assets and Income
#

DESCRIPTION

EIF

VALUE

INCOME TYPE

INCOME
AMOUNT

1

BROKERAGE #1

No

1.1

AB INTERMEDIATE DIVERSIFIED MUNICIPAL
PORTFOLIO CLASS FUND (AIDYX)

Yes

None (or less
than $1,001)

$2,501 - $5,000

1.2

EATON VANCE SHORT TERM BOND (EIBSX)

Yes

None (or less
than $1,001)

$2,501 - $5,000

1.3

FIDELITY MUNICIPAL INCOME FUND (FCSHX)

Yes

None (or less
than $1,001)

$201 - $1,000

1.4

FRANKLIN HIGH YIELD TAX-FREE INCOME
FUND (FHYVX)

Yes

None (or less
than $1,001)

$5,001 - $15,000

1.5

THORNBURG LIMITED TERM MUTUAL FUND
(LTMIX)

Yes

None (or less
than $1,001)

$2,501 - $5,000

1.6

VANGUARD HIGH-YIELD TAX-EXEMPT FUND
(VWALX)

Yes

None (or less
than $1,001)

$5,001 - $15,000

1.7

ALLIANCE BERNSTEIN INTERMEDIATE
DIVERSIFIED MUNICIPAL PORTFOLIO CLASS
A (AIDAX)

Yes

None (or less
than $1,001)

$201 - $1,000

1.8

BANK OF INDIA CERTIFICATE OF DEPOSIT

N/A

$50,001 $100,000

None (or less
than $201)

 #

DESCRIPTION

EIF

VALUE

INCOME TYPE

1.9

BANK OF BARODA CERTIFICATE OF DEPOSIT

N/A

$50,001 $100,000

None (or less
than $201)

1.10

US BANK ACCOUNT # 8 (CD)

N/A

$100,001 $250,000

None (or less
than $201)

1.11

US BANK ACCOUNT # 9 (CD)

N/A

$100,001 $250,000

None (or less
than $201)

1.12

US BROKERAGE CASH ACCOUNT

N/A

$1,000,001 $5,000,000

None (or less
than $201)

2

US BANK ACCOUNT #1 (CASH)

N/A

$15,001 $50,000

None (or less
than $201)

3

US BANK ACCOUNT #2 (CASH)

N/A

$15,001 $50,000

None (or less
than $201)

4

US BANK ACCOUNT #3 (CASH)

N/A

$15,001 $50,000

None (or less
than $201)

5

US BANK ACCOUNT #4 (CASH)

N/A

$1,001 - $15,000

None (or less
than $201)

6

US BANK ACCOUNT #5 (CASH)

N/A

$100,001 $250,000

7

US BANK ACCOUNT #6 (CASH)

N/A

$1,001 - $15,000

None (or less
than $201)

8

BROKERAGE #2

No

8.1

FRANKLIN HIGH YIELD TAX-FREE INCOME
FUND (FHYVX)

Yes

None (or less
than $1,001)

$201 - $1,000

8.2

VANGUARD HIGH-YIELD TAX-EXEMPT FUND
(VWALX)

Yes

None (or less
than $1,001)

$201 - $1,000

8.3

ALLIANCE BERNSTEIN INTERMEDIATE
DIVERSIFIED MUNICIPAL PORTFOLIO CLASS
A (AIDAX)

Yes

None (or less
than $1,001)

$201 - $1,000

8.4

BANK OF INDIA CERTIFICATE OF DEPOSIT

N/A

$50,001 $100,000

None (or less
than $201)

8.5

BANK OF CHINA CERTIFICATE OF DEPOSIT

N/A

$50,001 $100,000

None (or less
than $201)

Interest

INCOME
AMOUNT

$201 - $1,000

 #

DESCRIPTION

EIF

VALUE

INCOME TYPE

8.6

US BANK ACCOUNT #10 (CD)

N/A

$100,001 $250,000

None (or less
than $201)

8.7

US BANK ACCOUNT # 11 (CD)

N/A

$100,001 $250,000

None (or less
than $201)

8.8

US BROKERAGE CASH ACCOUNT

N/A

$15,001 $50,000

None (or less
than $201)

9

US BANK ACCOUNT CERTIFICATE OF
DEPOSIT

N/A

$100,001 $250,000

Interest

$201 - $1,000

10

US BANK ACCOUNT #7 (CASH)

N/A

$250,001 $500,000

Interest

$201 - $1,000

11

BROKERAGE #3

No

11.1

BOX, INC. CLASS A (BOX)

N/A

$1,001 - $15,000

Capital Gains

$1,001 - $2,500

11.2

TESLA MOTORS, INC. (TSLA)

N/A

$15,001 $50,000

None (or less
than $201)

12

BROKERAGE #4

No

12.1

GREAT LAKES DREDGE & DOCK CORP
(GLDD)

N/A

$1,001 - $15,000

None (or less
than $201)

12.2

LENDING CLUB CORPORATION (LC)

N/A

$1,001 - $15,000

None (or less
than $201)

12.3

SKYWORKS SOLUTIONS INC (SWKS)

N/A

$1,001 - $15,000

None (or less
than $201)

12.4

GENERAC HOLDINGS, INC (GNRC)

N/A

$1,001 - $15,000

None (or less
than $201)

12.5

MILLER INDUSTRIES, INC (MLR)

N/A

$15,001 $50,000

12.6

DULUTH HOLDINGS, INC (DLTH)

N/A

$1,001 - $15,000

12.7

GAMESTOP CORP CLASS A (GME)

N/A

$15,001 $50,000

12.8

FACEBOOK INC CLASS A (FB)

N/A

$1,001 - $15,000

Dividends
Capital Gains

INCOME
AMOUNT

$5,001 - $15,000
None (or less
than $201)

Dividends

$201 - $1,000
None (or less
than $201)

 #

DESCRIPTION

EIF

VALUE

INCOME TYPE

12.9

TASER INTERNATIONAL INC (TASR)

N/A

$1,001 - $15,000

None (or less
than $201)

12.10

EATON VANCE FLOATING RATE ADVANTAGE
FUND (EIFAX)

Yes

$50,001 $100,000

None (or less
than $201)

12.11

RAVEN INDUSTRIES INC (RAVN)

N/A

$1,001 - $15,000

12.12

NIC, INC (EGOV)

N/A

$15,001 $50,000

12.13

LIONS GATE ENTERTAINMENT CORP (LGFB)

N/A

$1,001 - $15,000

Dividends

$201 - $1,000

12.14

NEWTEK BUSINESS SERVICES CORP (NEWT)

N/A

$1,001 - $15,000

Dividends

$201 - $1,000

12.15

BOEING CO. (BA)

N/A

$1,001 - $15,000

Dividends

$201 - $1,000

12.16

TRINITY INDUSTRIES INC. (TRN)

N/A

$1,001 - $15,000

Dividends

$201 - $1,000

13

AIG VARIABLE LIFE INSURANCE POLICY

No

13.1

FIDELITY VIP EQUITY-INCOME PORTFOLIO
(FAVEI)

Yes

$15,001 $50,000

None (or less
than $201)

13.2

FIDELITY VIP CONTRAFUND (FAVCF)

Yes

$15,001 $50,000

None (or less
than $201)

13.3

PIMCO REAL RETURN PORTFOLIO (PRRIX)

Yes

$15,001 $50,000

None (or less
than $201)

13.4

PIMCO TOTAL RETURN PORTFOLIO (PTTRX)

Yes

$15,001 $50,000

None (or less
than $201)

13.5

VANGUARD HIGH YIELD BOND PORTFOLIO

Yes

$15,001 $50,000

None (or less
than $201)

13.6

FRANKLIN TEMPLETON FRANKLIN MUTUAL
SHARES VIP FUND - CLASS 2 (TESIX)

Yes

$15,001 $50,000

None (or less
than $201)

13.7

OPPENHEIMER GLOBAL FUND/VA (OPPAX)

Yes

$15,001 $50,000

None (or less
than $201)

Dividends
Capital Gains

INCOME
AMOUNT

$201 - $1,000
None (or less
than $201)

 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
PART

#

ENDNOTE

2.

5

Elected.org is in the process of being dissolved and currently has no assets and generates no income.

5.

5

Passive ownership interest.

5.

6.5

Filer and her spouse jointly hold the copyright for "Rediscovering God in America." The value of income
for this copyright is reported in Part 2, Line 4.3.

5.

6.12

Filer and her spouse jointly hold the copyright for "Ronald Reagan: Rendezvous with Destiny." The full
value of income for this book is reported in Part 2, Line 4.9.

5.

6.35

Filer and her spouse jointly collaborated on the following movies and are jointly entitled to the income
stream. The value of income for these movies is reported in Part 2, Line 4.11.

5.

9

Elected.org is in the process of being dissolved and currently has no assets and generates no income.

5.

11

Spouse received these shares as compensation for his role on the advisory board of the Blue Ridge
Networks. He also received an advisor fee for these services, but did not receive any such fee prior to
the date of this report.

5.

12

Spouse received these shares as compensation for his role on the advisory board of the CSC Partners
LLC.

 PART

#

ENDNOTE

5.

13

Spouse received these shares as compensation for his role on the advisory board of Pathway
Genomics.

 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).