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
Klitenic, Jason
General Counsel, Office of the Director of National Intelligence
Other Federal Government Positions Held During the Preceding 12 Months:
None
Names of Congressional Committees Considering Nomination:
●
Select Committee on Intelligence

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/ Klitenic, Jason [electronically signed on 07/11/2017 by Klitenic, Jason 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/ Brooker, Bradley A, Certifying Official [electronically signed on 11/16/2017 by Brooker, Bradley A in Integrity.gov]

Other review conducted by

U.S. Office of Government Ethics Certification
/s/ Apol, David, Certifying Official [electronically signed on 11/20/2017 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

Holland & Knight LLP

Washington, DC,
District of
Columbia

Law Firm

Partner

3/2010

Present

2

Trump for America, Inc.

Washington, DC,
District of
Columbia

Presidential
Transition Team

Served on parttime unpaid
basis as
member of
Presidential
Transition Team

9/2016

1/2017

VALUE

INCOME TYPE

INCOME
AMOUNT

Salary/Bonus

$828,483

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

DESCRIPTION

EIF

1

Holland & Knight LLP (law firm)

N/A

2

Wells Fargo Custodian Traditional IRA

No

2.1

Blackrock Equity Dividend FD CL I (MADVX)

Yes

$15,001 $50,000

$201 - $1,000

2.2

Dodge & Cox FDS INTL STK FD (DODFX)

Yes

$15,001 $50,000

$201 - $1,000

2.3

First Eagle Funds First Eagle Global Fund
Class I (SGIIX)

Yes

$15,001 $50,000

None (or less
than $201)

2.4

Gabelli Equity SER FD SML Cap Growth Fund
Class I SHS (GACIX)

Yes

$15,001 $50,000

None (or less
than $201)

2.5

Principal FDS INC MidCap Fund INSTL Class
(PCBIX)

Yes

$15,001 $50,000

None (or less
than $201)

2.6

Oppenheimer DEV MKTS CL Y (ODVYX)

Yes

$15,001 $50,000

None (or less
than $201)

2.7

PIMCO FDS Income FD INSTL CL (PIMIX)

Yes

$15,001 $50,000

$201 - $1,000

 #

DESCRIPTION

EIF

VALUE

INCOME TYPE

INCOME
AMOUNT

2.8

Pioneer Fundamental Growth FD CL Y
(FUNYX)

Yes

$15,001 $50,000

None (or less
than $201)

3

Holland & Knight 401K (Trust Profit Sharing
Plan)

No

3.1

Fidelity Freedom 2030 Fund - Class K

Yes

$50,001 $100,000

$201 - $1,000

3.2

Fidelity Government Money Market Fund

Yes

None (or less
than $1,001)

None (or less
than $201)

4

Holland & Knight (Anticipated Discretionary
Bonus)

N/A

$100,001 $250,000

None (or less
than $201)

3. Filer's Employment Agreements and Arrangements
#

EMPLOYER OR PARTY

CITY, STATE

STATUS AND TERMS

DATE

1

Holland & Knight LLP

Washington, DC,
District of
Columbia

I may be eligible for a performance based
discretionary bonus for services rendered in 2017 up
to the date of my departure. This bonus amount
would be paid prior to assuming the government
position.

3/2010

2

Holland & Knight LLP (Trust Profit Sharing
Plan)

Washington,
District of
Columbia

I anticipate keeping my 401k plan, which I began
contributing to in or around February 2012, but there
will be no further contributions after my separation
from the firm.

3/2010

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

SOURCE NAME

CITY, STATE

BRIEF DESCRIPTION OF DUTIES

1

Holland & Knight LLP

Washington, DC,
District of
Columbia

Partner attorney at this law firm.

2

USI, Inc. (client of Holland & Knight LLP)

Valhalla, New
York

Legal Services

 #

SOURCE NAME

CITY, STATE

BRIEF DESCRIPTION OF DUTIES

3

OSI Systems, Inc. (client of Holland & Knight
LLP)

Hawthorne,
California

Legal Services

4

Garson & Shaw LLC (client of Holland &
Knight LLP)

Atlanta, Georgia

Legal Services

5

SCR Pharmatop (client of Holland & Knight
LLP)

Le Chesnay,
France, Outside
U.S.

Legal Services

6

Ports America, Inc. (client of Holland &
Knight LLP)

Jersey City, New
Jersey

Legal Services

7

Commodities & Minerals Enterprise Ltd.
(client of Holland & Knight LLP)

Tortola, British
Virgin Islands,
Outside U.S.

Legal Services

8

CSX Corporation (client of Holland & Knight
LLP)

Jacksonville,
Florida

Legal Services

9

American Chemistry Council (client of
Holland & Knight LLP)

Washington, DC,
District of
Columbia

Legal Services

10

United Parcel Service, Inc. (client of Holland
& Knight LLP)

Atlanta, Georgia

Legal Services

11

CAE SimuFlite, Inc. (client of Holland &
Knight LLP)

Dallas, Texas

Legal Services

12

CyTech Services, Inc. (client of Holland &
Knight LLP)

Manassas,
Virginia

Legal Services

13

Worldwide Flight Services (client of Holland
& Knight LLP)

Jamaica, New
York

Legal Services

14

Volaris Airlines (client of Holland & Knight
LLP)

Mexico City,
Outside U.S.

Legal Services

15

The Akal Group (client of Holland & Knight
LLP)

Espanola, New
Mexico

Legal Services

16

California Manufacturing Technology
Consulting (client of Holland & Knight LLP)

Torrance,
California

Legal Services

17

Rochester Institute of Technology (client of
Holland & Knight LLP)

Rochester, New
York

Legal Services

 #

SOURCE NAME

CITY, STATE

BRIEF DESCRIPTION OF DUTIES

18

U.S. Fence Solutions, Co. (client of Holland &
Knight LLP)

Littleton,
Colorado

Legal Services

19

Duty Free World, Inc. (client of Holland &
Knight LLP)

Medley, Florida

Legal Services

20

New Stetic, S.A. (client of Holland & Knight
LLP)

Bogota,
Colombia,
Outside U.S.

Legal Services

21

OSM Aviation, Inc. (client of Holland &
Knight LLP)

Fort Lauderdale,
Florida

Legal Services

22

Environmental Systems Research Institute
(client of Holland & Knight LLP)

Redlands,
California

Legal Services

23

Balearia Caribbean, Ltd. (client of Holland &
Knight LLP)

Fort Lauderdale,
Florida

Legal Services

24

Qatar Airways (client of Holland & Knight
LLP)

Doha, Qatar,
Outside U.S.

Legal Services

25

AeroTurbine, Inc. (client of Holland & Knight
LLP)

Miramar,
Florida

Legal Services

26

Salient CRGT, Inc. (client of Holland & Knight
LLP)

Fairfax, Virginia

Legal Services

27

Axon Enterprise, Inc. (client of Holland &
Knight LLP)

Scottsdale,
Arizona

Legal Services

28

28 confidential clients of Holland & Knight
LLP

Legal Services (names cannot be disclosed because they are subject to
D.C. Bar Rule 1.6 and Georgia Bar Rule 1.6). One confidential client is a
U.S. company. The remaining 27 confidential clients are individuals.

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

DESCRIPTION

EIF

1

Wells Fargo Roth IRA

No

1.1

Wells Fargo Disciplined U.S. Core Fund Class A

Yes

VALUE

$1,001 - $15,000

INCOME TYPE

INCOME
AMOUNT

None (or less
than $201)

 #

DESCRIPTION

EIF

VALUE

INCOME TYPE

INCOME
AMOUNT

2

Visiting Nurse Health System OneAmerica
403(B)

No

2.1

State Street Equity 500 Index Adm

Yes

$15,001 $50,000

$2,501 - $5,000

2.2

AUL Stable Value Account

Yes

$1,001 - $15,000

None (or less
than $201)

6. Other Assets and Income
#

DESCRIPTION

EIF

VALUE

INCOME TYPE

INCOME
AMOUNT

1

Maryland 529 College Investment Plan
Portfolio 2018

Yes

$100,001 $250,000

None (or less
than $201)

2

Maryland 529 College Investment Plan
Portfolio 2021

Yes

$100,001 $250,000

None (or less
than $201)

3

Maryland 529 College Investment Plan
Portfolio 2024

Yes

$100,001 $250,000

None (or less
than $201)

4

US bank Account (cash)

N/A

$15,001 $50,000

Interest

None (or less
than $201)

5

United Parcel Service

N/A

$1,001 - $15,000

Dividends

None (or less
than $201)

6

Verizon Communications

N/A

$50,001 $100,000

Dividends

$201 - $1,000

7

Consolidated Ventures, Inc. (the
value/income of individual holdings is below
the reporting threshold.)

No

$1,001 - $15,000

Dividends

None (or less
than $201)

8

Proceeds from sale of undeveloped land in
Atlanta, Georgia.

N/A

None (or less
than $1,001)

Capital Gains

$100,001 $1,000,000

9

Northwestern Mutual Whole Life Policy

No

$50,001 $100,000

Dividends

$201 - $1,000

10

Howell McDowell Management Company
LLP (Family Partnership)

 #

DESCRIPTION

EIF

VALUE

INCOME TYPE

10.1

Blackrock High Yield Bond Fund

Yes

$100,001 $250,000

$5,001 - $15,000

10.2

MFC iShares 1-3 yr. credit bond ETF

Yes

$50,001 $100,000

$1,001 - $2,500

10.3

Chevron Common Stock CVX

N/A

$1,001 - $15,000

10.4

DFA Emerging Markets Core Fund

Yes

$100,001 $250,000

$1,001 - $2,500

10.5

DFA International Smallcap Fund

Yes

$50,001 $100,000

$201 - $1,000

10.6

DFA Smallcap Fund

Yes

$50,001 $100,000

$201 - $1,000

10.7

MSCI iShares EAFE ETF

Yes

$50,001 $100,000

$1,001 - $2,500

10.8

Home Depot Common Stock HD

N/A

$500,001 $1,000,000

Dividends

$15,001 $50,000

10.9

Hewlett Packard Enterprises Common Stock
HPE

N/A

$1,001 - $15,000

Dividends

None (or less
than $201)

10.10

HP Inc CommonStock HPQ

N/A

$50,001 $100,000

Dividends

None (or less
than $201)

10.11

Kimberly-Clark Common Stock KMB

N/A

$15,001 $50,000

Dividends

$1,001 - $2,500

10.12

Coca Cola Common Stock KO

N/A

$250,001 $500,000

Dividends

$15,001 $50,000

10.13

McDonald's Corp Common Stock MCD

N/A

$100,001 $250,000

Dividends

$5,001 - $15,000

10.14

MFC Flexshares Stoxx Global Broad
Infrastructure ETF

Yes

$50,001 $100,000

$1,001 - $2,500

10.15

MFB Northern Funds Global Real Estate
Fund

Yes

$50,001 $100,000

$2,501 - $5,000

10.16

MFB Northern Funds US Govt Money Market
Fund

Yes

$1,001 - $15,000

None (or less
than $201)

Dividends

INCOME
AMOUNT

$201 - $1,000

 #

DESCRIPTION

EIF

VALUE

INCOME TYPE

INCOME
AMOUNT

10.17

MFB Northern Funds Intl Equity Index Fund

Yes

$100,001 $250,000

$2,501 - $5,000

10.18

MFB Northern Funds Mid Cap Index Fund

Yes

$50,001 $100,000

$201 - $1,000

10.19

MFC Flexshares Trust Quality Dividend ETF

Yes

$50,001 $100,000

$1,001 - $2,500

10.20

Southern Company Commmon Stock SO

N/A

$15,001 $50,000

Dividends

$1,001 - $2,500

10.21

AT&T Common Stock T

N/A

$15,001 $50,000

Dividends

$1,001 - $2,500

10.22

MFC Flexshares Trust Boxx 5 YR. Target TIPS

Yes

$15,001 $50,000

10.23

Verizon Common Stock VZ

N/A

$1,001 - $15,000

Dividends

$201 - $1,000

10.24

Exxon Mobil Corp Common Stock XOM

N/A

$100,001 $250,000

Dividends

$5,001 - $15,000

10.25

Apple Inc. - Common Stock

N/A

$15,001 $50,000

Dividends

$201 - $1,000

10.26

AbbVie Inc.

N/A

$1,001 - $15,000

None (or less
than $201)

10.27

Abbott Lab

N/A

$1,001 - $15,000

None (or less
than $201)

10.28

Accenture plc

N/A

$1,001 - $15,000

None (or less
than $201)

10.29

Adobe Systems Incorporated - Common
stock

N/A

$1,001 - $15,000

None (or less
than $201)

10.30

Analog Devices, Inc. - Common Stock

N/A

$1,001 - $15,000

None (or less
than $201)

10.31

Archer-Daniels-Midland Co

N/A

$1,001 - $15,000

None (or less
than $201)

10.32

Automatic Data Processing, Inc. - Common
Stock

N/A

$1,001 - $15,000

None (or less
than $201)

$201 - $1,000

 #

DESCRIPTION

EIF

VALUE

INCOME TYPE

INCOME
AMOUNT

10.33

Autodesk, Inc. - Common Stock

N/A

$1,001 - $15,000

None (or less
than $201)

10.34

Amer Elec Power Co Common Stock

N/A

$1,001 - $15,000

None (or less
than $201)

10.35

Aetna Inc

N/A

$1,001 - $15,000

None (or less
than $201)

10.36

AFLAC Inc

N/A

$1,001 - $15,000

None (or less
than $201)

10.37

Allergan Inc

N/A

$1,001 - $15,000

None (or less
than $201)

10.38

American Intenational Group

N/A

$1,001 - $15,000

None (or less
than $201)

10.39

Allstate Corp

N/A

$1,001 - $15,000

None (or less
than $201)

10.40

Applied Materials Inc

N/A

$1,001 - $15,000

None (or less
than $201)

10.41

Amgen Inc. - Common Stock

N/A

$1,001 - $15,000

None (or less
than $201)

10.42

American Tower

N/A

$1,001 - $15,000

None (or less
than $201)

10.43

Amazon

N/A

$1,001 - $15,000

None (or less
than $201)

10.44

Anthem, Inc.

N/A

$1,001 - $15,000

None (or less
than $201)

10.45

Aon plc

N/A

$1,001 - $15,000

None (or less
than $201)

10.46

AvalonBay Communities Inc

N/A

$1,001 - $15,000

None (or less
than $201)

10.47

Broadcom

N/A

$1,001 - $15,000

None (or less
than $201)

10.48

American Express Co

N/A

$1,001 - $15,000

None (or less
than $201)

 #

DESCRIPTION

EIF

VALUE

INCOME TYPE

INCOME
AMOUNT

10.49

Boeing Co

N/A

$1,001 - $15,000

Dividends

$201 - $1,000

10.50

Bank of American Corp

N/A

$1,001 - $15,000

None (or less
than $201)

10.51

Baxter International Inc.

N/A

$1,001 - $15,000

None (or less
than $201)

10.52

BB&T Corp

N/A

$1,001 - $15,000

None (or less
than $201)

10.53

Becton Dickinson & Co.

N/A

$1,001 - $15,000

None (or less
than $201)

10.54

Baker Hughes

N/A

$1,001 - $15,000

None (or less
than $201)

10.55

Biogen

N/A

$1,001 - $15,000

None (or less
than $201)

10.56

The Bank of New York Mellon Corp

N/A

$1,001 - $15,000

None (or less
than $201)

10.57

Blackrock Inc Common Stock

N/A

$1,001 - $15,000

None (or less
than $201)

10.58

Bristol-Myers Squibb

N/A

$1,001 - $15,000

None (or less
than $201)

10.59

Berkshire Hathaway B

N/A

$1,001 - $15,000

None (or less
than $201)

10.60

Boston Scientific Corp

N/A

$1,001 - $15,000

None (or less
than $201)

10.61

Citigroup Inc.

N/A

$1,001 - $15,000

None (or less
than $201)

10.62

Caterpillar Inc

N/A

$1,001 - $15,000

None (or less
than $201)

10.63

Chubb Corp

N/A

$1,001 - $15,000

None (or less
than $201)

10.64

Crown Castle Intl C

N/A

$1,001 - $15,000

None (or less
than $201)

 #

DESCRIPTION

EIF

VALUE

INCOME TYPE

10.65

Celgene Corp

N/A

$1,001 - $15,000

None (or less
than $201)

10.66

Charter Communications, Inc. - Class A
Common Stock

N/A

$1,001 - $15,000

None (or less
than $201)

10.67

Colgate-Palmolive Co

N/A

$1,001 - $15,000

None (or less
than $201)

10.68

Comcast Corporation - Class A Common
Stock

N/A

$1,001 - $15,000

None (or less
than $201)

10.69

CME Group Inc

N/A

$1,001 - $15,000

None (or less
than $201)

10.70

Cummins Inc

N/A

$1,001 - $15,000

None (or less
than $201)

10.71

Capital One Financial

N/A

$1,001 - $15,000

None (or less
than $201)

10.72

Conoco Phillips

N/A

$1,001 - $15,000

None (or less
than $201)

10.73

Costco Wholesale Corp

N/A

$1,001 - $15,000

None (or less
than $201)

10.74

Salesforce

N/A

$1,001 - $15,000

None (or less
than $201)

10.75

Cisco Systems

N/A

$1,001 - $15,000

10.76

CSX Corp

N/A

$1,001 - $15,000

None (or less
than $201)

10.77

CVS Caremark Corp

N/A

$1,001 - $15,000

None (or less
than $201)

10.78

Chevron Corp

N/A

$1,001 - $15,000

10.79

Dominion Energy, Inc.

N/A

$1,001 - $15,000

None (or less
than $201)

10.80

Deere & Co

N/A

$1,001 - $15,000

None (or less
than $201)

10.81

Discover Financial Services

N/A

$1,001 - $15,000

None (or less
than $201)

Dividends

Dividends

INCOME
AMOUNT

$201 - $1,000

$201 - $1,000

 #

DESCRIPTION

EIF

VALUE

INCOME TYPE

INCOME
AMOUNT

10.82

Danaher Corp

N/A

$1,001 - $15,000

None (or less
than $201)

10.83

Walt Disney Co

N/A

$1,001 - $15,000

None (or less
than $201)

10.84

DowDuPont, Inc.

N/A

$1,001 - $15,000

None (or less
than $201)

10.85

Duke Energy Corp

N/A

$1,001 - $15,000

None (or less
than $201)

10.86

Electronic Arts

N/A

$1,001 - $15,000

None (or less
than $201)

10.87

eBay, Inc

N/A

$1,001 - $15,000

None (or less
than $201)

10.88

Ecolab Inc

N/A

$1,001 - $15,000

None (or less
than $201)

10.89

Edison Intl

N/A

$1,001 - $15,000

None (or less
than $201)

10.90

Emerson Electric

N/A

$1,001 - $15,000

None (or less
than $201)

10.91

Enbridge Inc

N/A

$1,001 - $15,000

None (or less
than $201)

10.92

EOG Resources

N/A

$1,001 - $15,000

None (or less
than $201)

10.93

Equinix, Inc. - Common Stock

N/A

$1,001 - $15,000

None (or less
than $201)

10.94

Edwards Life Sciences Corp

N/A

$1,001 - $15,000

None (or less
than $201)

10.95

Exelon Corp

N/A

$1,001 - $15,000

None (or less
than $201)

10.96

Facebook, Inc. - Class A Common Stock

N/A

$1,001 - $15,000

None (or less
than $201)

10.97

FedEx Corp

N/A

$1,001 - $15,000

None (or less
than $201)

 #

DESCRIPTION

EIF

VALUE

INCOME TYPE

10.98

Fiserv Inc

N/A

$1,001 - $15,000

None (or less
than $201)

10.99

Twenty-First Century Fox, Inc

N/A

$1,001 - $15,000

None (or less
than $201)

10.100

General Dynamics

N/A

$1,001 - $15,000

None (or less
than $201)

10.101

General Electric

N/A

$1,001 - $15,000

None (or less
than $201)

10.102

Giledad Sciences

N/A

$1,001 - $15,000

None (or less
than $201)

10.103

General Mills

N/A

$1,001 - $15,000

None (or less
than $201)

10.104

Corning Inc

N/A

$1,001 - $15,000

None (or less
than $201)

10.105

General Motors Comp

N/A

$1,001 - $15,000

None (or less
than $201)

10.106

Alphabet COOG - Class A

N/A

$1,001 - $15,000

None (or less
than $201)

10.107

Alphabet COOGL - Class C

N/A

$1,001 - $15,000

None (or less
than $201)

10.108

Goldman Sachs Group

N/A

$1,001 - $15,000

None (or less
than $201)

10.109

Halliburton

N/A

$1,001 - $15,000

None (or less
than $201)

10.110

Welltower REIT

Yes

$1,001 - $15,000

None (or less
than $201)

10.111

Home Depot Inc

N/A

$1,001 - $15,000

10.112

Honeywell Intl Inc

N/A

$1,001 - $15,000

None (or less
than $201)

10.113

Hewlett-Packard Enterprises

N/A

$1,001 - $15,000

None (or less
than $201)

Dividends

INCOME
AMOUNT

$201 - $1,000

 #

DESCRIPTION

EIF

VALUE

INCOME TYPE

10.114

HP Inc

N/A

$1,001 - $15,000

None (or less
than $201)

10.115

Humana Inc

N/A

$1,001 - $15,000

None (or less
than $201)

10.116

International Business Machines Corp

N/A

$1,001 - $15,000

10.117

IntercontinentalExchange

N/A

$1,001 - $15,000

None (or less
than $201)

10.118

Intel Corp

N/A

$1,001 - $15,000

None (or less
than $201)

10.119

Intl Paper Co

N/A

$1,001 - $15,000

None (or less
than $201)

10.120

Ingersoll-Rand Plc

N/A

$1,001 - $15,000

None (or less
than $201)

10.121

Intuitive Surgical Inc

N/A

$1,001 - $15,000

None (or less
than $201)

10.122

ILL Tool Works (ITW)

N/A

$1,001 - $15,000

None (or less
than $201)

10.123

Johnson & Johnson

N/A

$1,001 - $15,000

Dividends

$201 - $1,000

10.124

JP Morgan Chase & Co

N/A

$1,001 - $15,000

Dividends

$201 - $1,000

10.125

Kraft Heinz

N/A

$1,001 - $15,000

None (or less
than $201)

10.126

Kimberly-Clark

N/A

$1,001 - $15,000

None (or less
than $201)

10.127

Kinder Morgan

N/A

$1,001 - $15,000

None (or less
than $201)

10.128

Coca-Cola Co

N/A

$1,001 - $15,000

10.129

Lilly Eli & Co

N/A

$1,001 - $15,000

None (or less
than $201)

10.130

Lockheed Martin

N/A

$1,001 - $15,000

None (or less
than $201)

Dividends

Dividends

INCOME
AMOUNT

$201 - $1,000

$201 - $1,000

 #

DESCRIPTION

EIF

VALUE

INCOME TYPE

INCOME
AMOUNT

10.131

Lowes

N/A

$1,001 - $15,000

None (or less
than $201)

10.132

Lam Research Corp

N/A

$1,001 - $15,000

None (or less
than $201)

10.133

Southwest Airlines Co

N/A

$1,001 - $15,000

None (or less
than $201)

10.134

Mastercard Inc A

N/A

$1,001 - $15,000

None (or less
than $201)

10.135

Marriott International - Class A Common
Stock

N/A

$1,001 - $15,000

None (or less
than $201)

10.136

McDonald's

N/A

$1,001 - $15,000

None (or less
than $201)

10.137

McKesson Corp

N/A

$1,001 - $15,000

None (or less
than $201)

10.138

Moody's

N/A

$1,001 - $15,000

None (or less
than $201)

10.139

Mondelez Int

N/A

$1,001 - $15,000

None (or less
than $201)

10.140

Medtronic

N/A

$1,001 - $15,000

None (or less
than $201)

10.141

Metlife Inc

N/A

$1,001 - $15,000

None (or less
than $201)

10.142

Marsh & McLennan Companies

N/A

$1,001 - $15,000

None (or less
than $201)

10.143

3M Co

N/A

$1,001 - $15,000

None (or less
than $201)

10.144

Altria Group Inc

N/A

$1,001 - $15,000

None (or less
than $201)

10.145

Monsanto Co

N/A

$1,001 - $15,000

None (or less
than $201)

10.146

Marathon Petroleum Corp.

N/A

$1,001 - $15,000

None (or less
than $201)

 #

DESCRIPTION

EIF

VALUE

INCOME TYPE

INCOME
AMOUNT

10.147

Merck & Co Inc

N/A

$1,001 - $15,000

Dividends

None (or less
than $201)

10.148

Morgan Stanley

N/A

$1,001 - $15,000

10.149

Microsoft Corp

N/A

$15,001 $50,000

10.150

Micron Technology Inc

N/A

$1,001 - $15,000

None (or less
than $201)

10.151

NextEra Energy Inc

N/A

$1,001 - $15,000

None (or less
than $201)

10.152

NetFlix Inc

N/A

$1,001 - $15,000

None (or less
than $201)

10.153

NIKE Inc B

N/A

$1,001 - $15,000

None (or less
than $201)

10.154

Northrop Grumman Corp

N/A

$1,001 - $15,000

None (or less
than $201)

10.155

Norfolk Southern Corp

N/A

$1,001 - $15,000

None (or less
than $201)

10.156

Nvidia Corp

N/A

$1,001 - $15,000

None (or less
than $201)

10.157

Newell Brands

N/A

$1,001 - $15,000

None (or less
than $201)

10.158

Omnicom Group (OMC)

N/A

$1,001 - $15,000

None (or less
than $201)

10.159

Oracle Corp

N/A

$1,001 - $15,000

10.160

O Reilly Automotive

N/A

$1,001 - $15,000

None (or less
than $201)

10.161

Occidental Petroleum

N/A

$1,001 - $15,000

None (or less
than $201)

10.162

The Priceline Group Inc. - Common Stock

N/A

$1,001 - $15,000

None (or less
than $201)

10.163

PepsiCo Inc

N/A

$1,001 - $15,000

None (or less
than $201)
Dividends

Dividends

Dividends

$201 - $1,000

$201 - $1,000

$201 - $1,000

 #

DESCRIPTION

EIF

VALUE

INCOME TYPE

INCOME
AMOUNT

10.164

Pfizer Inc

N/A

$1,001 - $15,000

Dividends

$201 - $1,000

10.165

Procter & Gamble

N/A

$1,001 - $15,000

Dividends

$201 - $1,000

10.166

ProLogis Inc

N/A

$1,001 - $15,000

10.167

Phillip Morris Intl

N/A

$1,001 - $15,000

10.168

PNC Financial Services Group

N/A

$1,001 - $15,000

None (or less
than $201)

10.169

PPG Industries Inc

N/A

$1,001 - $15,000

None (or less
than $201)

10.170

Prudential Financial Inc

N/A

$1,001 - $15,000

None (or less
than $201)

10.171

Public Storage

N/A

$1,001 - $15,000

None (or less
than $201)

10.172

Phillips 66

N/A

$1,001 - $15,000

None (or less
than $201)

10.173

Praxair Inc

N/A

$1,001 - $15,000

None (or less
than $201)

10.174

Pioneer Natural Resources

N/A

$1,001 - $15,000

None (or less
than $201)

10.175

Paypal

N/A

$1,001 - $15,000

None (or less
than $201)

10.176

QUALCOMM Inc

N/A

$1,001 - $15,000

None (or less
than $201)

10.177

Raytheon Co

N/A

$1,001 - $15,000

None (or less
than $201)

10.178

Starbucks Co

N/A

$1,001 - $15,000

None (or less
than $201)

10.179

Charles Schwab Corp

N/A

$1,001 - $15,000

None (or less
than $201)

10.180

Schlumberger Ltd

N/A

$1,001 - $15,000

None (or less
than $201)

None (or less
than $201)
Dividends

$201 - $1,000

 #

DESCRIPTION

EIF

VALUE

INCOME TYPE

10.181

Southern Co

N/A

$1,001 - $15,000

None (or less
than $201)

10.182

Simon Property Group

N/A

$1,001 - $15,000

None (or less
than $201)

10.183

S&P Global Inc

N/A

$1,001 - $15,000

None (or less
than $201)

10.184

SunTrust Banks Inc (GA)

N/A

$1,001 - $15,000

None (or less
than $201)

10.185

State Street Corp

N/A

$1,001 - $15,000

None (or less
than $201)

10.186

Constellation Brands Inc A

N/A

$1,001 - $15,000

None (or less
than $201)

10.187

Stryker Corp

N/A

$1,001 - $15,000

None (or less
than $201)

10.188

Sysco Corp

N/A

$1,001 - $15,000

None (or less
than $201)

10.189

AT&T Inc.

N/A

$1,001 - $15,000

10.190

TE Connectivity Ltd

N/A

$1,001 - $15,000

None (or less
than $201)

10.191

Target Corp

N/A

$1,001 - $15,000

None (or less
than $201)

10.192

TJX Cos Inc

N/A

$1,001 - $15,000

None (or less
than $201)

10.193

Thermo Fisher Scientific

N/A

$1,001 - $15,000

None (or less
than $201)

10.194

Travelers Cos Inc

N/A

$1,001 - $15,000

None (or less
than $201)

10.195

Time Warner Inc

N/A

$1,001 - $15,000

None (or less
than $201)

10.196

Texas Instruments Inc

N/A

$1,001 - $15,000

None (or less
than $201)

Dividends

INCOME
AMOUNT

$201 - $1,000

 #

DESCRIPTION

EIF

VALUE

INCOME TYPE

10.197

United Health Group

N/A

$1,001 - $15,000

None (or less
than $201)

10.198

Union Pacific Corp

N/A

$1,001 - $15,000

None (or less
than $201)

10.199

United Parcel Service Inc B

N/A

$1,001 - $15,000

None (or less
than $201)

10.200

US Bancorp

N/A

$1,001 - $15,000

None (or less
than $201)

10.201

United Technologies Corp

N/A

$1,001 - $15,000

None (or less
than $201)

10.202

Visa Inc

N/A

$1,001 - $15,000

None (or less
than $201)

10.203

Valero Energy Corp

N/A

$1,001 - $15,000

None (or less
than $201)

10.204

Vertex Pharmaceuticals Inc

N/A

$1,001 - $15,000

None (or less
than $201)

10.205

Verizon Communications Inc

N/A

$1,001 - $15,000

10.206

Walgreens Co

N/A

$1,001 - $15,000

10.207

Wells Fargo & Co

N/A

$1,001 - $15,000

10.208

Wal-Mart Stores

N/A

$1,001 - $15,000

10.209

Exxon Mobil Corp

N/A

$1,001 - $15,000

10.210

Altaba Inc.

N/A

$1,001 - $15,000

None (or less
than $201)

10.211

Yum! Brands Inc

N/A

$1,001 - $15,000

None (or less
than $201)

10.212

Zimmer Biomet

N/A

$1,001 - $15,000

None (or less
than $201)

10.213

MFO Franklin Floating Rate Daily Access
Fund

Yes

$50,001 $100,000

$2,501 - $5,000

Dividends

INCOME
AMOUNT

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

Dividends

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

Dividends

$201 - $1,000

 #

DESCRIPTION

EIF

VALUE

INCOME TYPE

INCOME
AMOUNT

10.214

DXC Technology Co.

N/A

$1,001 - $15,000

None (or less
than $201)

10.215

Roper Technologies, Inc.

N/A

$1,001 - $15,000

None (or less
than $201)

10.216

Regeneron Pharmaceuticals Inc.

N/A

$1,001 - $15,000

None (or less
than $201)

10.217

Estee Lauder Cos.

N/A

$1,001 - $15,000

None (or less
than $201)

10.218

CR Bard

N/A

$1,001 - $15,000

None (or less
than $201)

10.219

Marathon Petroleum Corp.

N/A

$1,001 - $15,000

None (or less
than $201)

10.220

PPL Corp.

N/A

$1,001 - $15,000

None (or less
than $201)

10.221

Cognizant Tech Solutions Corp.

N/A

$1,001 - $15,000

None (or less
than $201)

10.222

Monster Beverage Corp.

N/A

$1,001 - $15,000

None (or less
than $201)

10.223

Freeport McMoRan Inc.

N/A

$1,001 - $15,000

None (or less
than $201)

10.224

5th 3rd Bancorp

N/A

$1,001 - $15,000

None (or less
than $201)

10.225

Skyworks Solutions Inc.

N/A

$1,001 - $15,000

None (or less
than $201)

10.226

WEC Energy Group Inc.

N/A

$1,001 - $15,000

None (or less
than $201)

10.227

Eversource Energy

N/A

$1,001 - $15,000

None (or less
than $201)

10.228

Newmont Mining Corp.

N/A

$1,001 - $15,000

None (or less
than $201)

10.229

Hartford Financial Services Group

N/A

$1,001 - $15,000

None (or less
than $201)

 #

DESCRIPTION

EIF

11

Family Partnership Bypass Trust
(discretionary trust)

N/A

VALUE

INCOME TYPE

INCOME
AMOUNT

Distribution was
discretionary
distribution to
spouse as
beneficiary of
discretionary
trust.

$146,850

7. Transactions
(N/A) - Not required for this type of report

8. Liabilities
#

CREDITOR NAME

TYPE

AMOUNT

YEAR
INCURRED

RATE

TERM

1

Justice Federal Credit Union

Exercised Line
of Credit

$100,001 $250,000

2013

4%

10 years

2

Justice Federal Credit Union

Exercised Line
of Credit

$100,001 $250,000

2017

4%

10 years

3

Northern Trust

Mortgage on
Personal
Residence

$500,001 $1,000,000

2013

3.2%

10 years

4

Shellpoint Mortage Servicing

Mortgage on
Personal
Residence

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

2016

3.6%

30 years

9. Gifts and Travel Reimbursements
(N/A) - Not required for this type of report

See Endnote

 Endnotes
PART

#

ENDNOTE

8.

3

Mortgage on personal residence that was paid off upon sale of home in May 2016.

 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).