New Entrant Report US. Office of Government Ethics; 5 CPR. part 2634 Form Approved: OMB No. (3209?0001 (March 2014} Executive Branch Personnel Public Financial Disclosure Report (OGE Form 278e) Filer's information Principal Deputy Assistant Secretary, Department of Education Date of Appointment: 01/20/2017 Other EederaluOovernm-ent Positions?Held During-the Preceding 12 Months None Electronic Signature I certify that the statements have made in this form are true, complete and correct to the best of my knowledge. ls/ [electronically signed on 05/04/2017 by BOTEL, JASON in lntegrity.gov] - Filer received a 45 day filing extension. 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). ls/ Shields, Michael L, Certifying Official [electronically signed on 06/14/2017 by Shields, Michael in lntegrity.gov] Other review conducted by Shields, Michael L, Ethics Official [electronically signed on 06/14/2017 by Shields, Michael in Integritygov] US. Office of Government Ethics Certification Data Revised 06/14/2017 1. Filer's Positions Held Outside United States Government ORGANIZATION NAME CITY, STATE ORGANIZATION POSITION HELD FROM TO TYPE 1 50CAN Washington, Non-Profit Executive 7/2013 1/2017 District of Director Columbia 2 KIPP Baltimore Baltimore, Non-Profit Volunteer Board 7/2013 1/2017 Maryland Member 2. Filer's Employment Assets income and Retirement Accounts DESCRIPTION EIF VALUE INCOME TYPE INCOME AMOUNT 1 50CAN Salary $172,305 2 50CAN Bonus $2,000 3. Filer's Employment Agreements and Arrangements None 4. Filer's Sources of Compensation Exceeding $5,000 in a Year SOURCE NAME CITY, STATE BRIEF DESCRIPTION OF DUTIES 1 50CAN Washington, Executive Director District of Columbia 5. Spouse's Employment Assets Income and Retirement Accounts CREDITOR NAME TYPE AMOUNT YEAR RATE TERM INCURRED 2 Bank of America Credit Card $15,001 2017 6.65% on demand $50,000 3 Coiiege Loan Corporation Student Loan $10,001 1997 5.875% 20 years $15,000 9. Gifts and Travel Reimbursements Not required for this type of report Endnotes PART ENDNOTE 5. 1 This 529 is in my name FBO my children The filer discloses payments both from employers and from any clients to whom the filer personaily provided services. The filer discloses a source even ifthe 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 Part5 discloses the following: 0 Sources of earned income (excluding honoraria) for the filer's spouse totaling more than $1,000 during the reporting period salary, consulting fees, and partnership share) 0 Sources of honoraria for the filer's spouse greater than $200 during the reporting period 0 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 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 assets purchased through a brokerage account). Note: The type of income is not required if the amount of income is $0 $200 or ifthe asset qualifies as an excepted investment fund 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 ofassets: (1) a personal residence (unless it was rented out during the reporting period); (2) income or retirement benefits associated with United States Government employment Thrift Savings Plan); and (3) cash accounts 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 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. Privacy Act Statement Title ofthe 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. 112-1 05) (STOCK Act), and C.F.R. Part 2634 of the U. S. Office of Government Ethics regulations require the reporting of this information. The primary use ofthe 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) ofthe Act or as otherwise authorized by law. You may inspect applications for public access ofyour 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; (S) 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 oflustice 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 ofthe 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 (1 1) 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 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, US. Office ofGovernment 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 ofthe first page of this OGE Form 278e).