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 Hargan, Eric David Deputy Secretary, Department of Health & Human Services Other Federal Government Positions Held During the Preceding 12 Months: None Names of Congressional Committees Considering Nomination: ● Committee on Finance 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/ Hargan, Eric David [electronically signed on 02/17/2017 by Hargan, Eric David 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/ Fischmann, Elizabeth, Certifying Official [electronically signed on 04/10/2017 by Fischmann, Elizabeth in Integrity.gov] Other review conducted by /s/ Hall, Randall, Ethics Official [electronically signed on 04/10/2017 by Hall, Randall in Integrity.gov] U.S. Office of Government Ethics Certification /s/ Apol, David, Certifying Official [electronically signed on 04/11/2017 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 Greenberg Traurig, LLP Chicago, Illinois Law Firm Shareholder 6/2010 Present 2 Loyola University Law School Chicago, Illinois University/Colle ge Adjunct Professor 1/2012 1/2017 3 The Center for Biologic Policy Evaluation Warrenton, Virginia Non-Profit President 10/2013 2/2017 VALUE INCOME TYPE INCOME AMOUNT 2. Filer's Employment Assets & Income and Retirement Accounts # DESCRIPTION EIF 1 Greenberg Traurig, LLP (law firm) Salary/Bonus $250,747 2 Loyola University Law School Salary $15,000 3 Greenberg Traurig, LLP Defined Contribution Plan 3.1 Wells Fargo Stable Value Fund Q 3.2 Greenberg Traurig, LLP (Pending 401(k) contribution for 2016) 4 Greenberg Traurig, LLP Capital Account See Endnote See Endnote 3. Filer's Employment Agreements and Arrangements Yes $100,001 $250,000 None (or less than $201) N/A $1,001 - $15,000 None (or less than $201) N/A $15,001 $50,000 None (or less than $201) # EMPLOYER OR PARTY 1 Greenberg Traurig, LLP 2 Greenberg Traurig, LLP See Endnote CITY, STATE STATUS AND TERMS DATE Chicago, Illinois I will retain my defined contribution plan. I will be entitled to receive a final contribution into the plan based on my work in 2016. Other than this fixed amount payment, neither I nor my former employer will make further contributions to this plan after my separation. 6/2010 Chicago, Illinois Pursuant to my shareholder agreement, I am entitled to the return of my capital account through the sale of my shares back to the firm. The firm has agreed to purchase the shares upon my departure. 6/2010 4. Filer's Sources of Compensation Exceeding $5,000 in a Year # SOURCE NAME CITY, STATE BRIEF DESCRIPTION OF DUTIES 1 Greenberg Traurig, LLP Chicago, Illinois Shareholder providing legal services 2 Loyola University Law School Chicago, Illinois Adjunct Professor 3 4G Clinical, LLC Dover, Massachusetts Legal Services 4 Acer Capital Group, LLC Irvine, California Legal Services 5 AHG Group, LLC Maitland, Florida Legal Services 6 Alvogen, Inc. Pine Brook, New York Legal Services 7 American Renal Associates, Inc. Beverly, Massachusetts Legal Services 8 Athletico Physical Therapy Oak Brook, Illinois Legal Services 9 Aon Hewitt Lincolnshire, Illinois Legal Services 10 Bank of the West San Francisco, California Legal Services 11 Centerbridge Capital Partners, LP New York, New York Legal Services # SOURCE NAME CITY, STATE BRIEF DESCRIPTION OF DUTIES 12 Centrex Revenue Solutions Jupiter, Florida Legal Services 13 Cerebro Solutions, Inc. Los Angeles, California Legal Services 14 EON Clinics Chicago, Illinois Legal Services 15 Falconhead Capital, LLC New York, New York Legal Services 16 Forest Health Services, Inc. Ypsilanti, Michigan Legal Services 17 Global MedChoices, LLC Memphis, Tennessee Legal Services 18 Guidewell Sanitas 1, LLC Miami, Florida Legal Services 19 Healthcare Billing Systems, Inc. Ormond Beach, Florida Legal Services 20 HealthEngine, LLC Chicago, Illinois Legal Services 21 Hoya Medical Singapore Singapore, Outside U.S. Legal Services 22 Hoya Vision Care Lewisville, Texas Legal Services 23 Ironshore International Bermuda, Outside U.S. Legal Services 24 Kelso Investment Associates IX, LP New York, New York Legal Services 25 Lifestyle Lift, Inc. Fayetteville, Arkansas Legal Services 26 Linden LLC Chicago, Illinois Legal Services 27 Lipp, Michael Miami, Florida Legal Services 28 Moon, Dr. Eric Cedar Lake, Indiana Legal Services 29 National Hemophilia Foundation New York, New York Legal Services 30 OSF Healthcare System Peoria, Illinois Legal Services # SOURCE NAME CITY, STATE BRIEF DESCRIPTION OF DUTIES 31 Partnership HealthPlan of California Fairfield, California Legal Services 32 Roundtable Investment Partners, LLC New York, New York Legal Services 33 Sanitas Health Care, LLC Dallas, Texas Legal Services 34 SCL Health System Broomfield, Colorado Legal Services 35 St. Anthony's Nursing & Rehab Service Carroll, Iowa Legal Services 36 Superior Ambulance Elmhurst, Illinois Legal Services 37 Tempus Chicago, Illinois Legal Services 38 TriHealth Inc. Cincinnati, Ohio Legal Services 39 Workday.com Pleasanton, California Legal Services 40 Home Access Health Corp. Hoffman Estates, Illinois Legal Services 41 Hill, Dr. Client Paducah, Kentucky Legal Services 42 Illinois State Ambulance Association Altamont, Illinois Legal Services 43 United Healthcare Services Minnetonka, Minnesota Legal Services 44 Virtus Pharmaceuticals Tampa, Florida Legal Services 5. Spouse's Employment Assets & Income and Retirement Accounts None 6. Other Assets and Income # DESCRIPTION EIF VALUE INCOME TYPE INCOME AMOUNT 1 Farm, Mounds, IL (Leased for share of cash from crops) N/A $250,001 $500,000 Rent or Royalties $15,001 $50,000 2 US Bank Account (Cash Account) N/A $1,001 - $15,000 None (or less than $201) 3 Country Life Insurance Company (Whole Life Policies) N/A $1,001 - $15,000 None (or less than $201) 7. Transactions (N/A) - Not required for this type of report 8. Liabilities # CREDITOR NAME TYPE AMOUNT YEAR INCURRED RATE TERM 1 Citibank Personal Loan $10,001 $15,000 2010 3.27% 8 years 2 Bank of America Credit Card $15,001 $50,000 2014 19.49% Revolving 3 Citibank Credit Card $15,001 $50,000 2014 25.74% Revolving 4 Capaha Bank Mortgage (investment/ren tal property) $15,001 $50,000 2014 4.75% 5 years 5 Chase Bank Credit Card $10,001 $15,000 2014 15.74% Revolving 6 Fifth Third Bank Mortgage on Personal Residence $500,001 $1,000,000 2013 3.25% 30 years # CREDITOR NAME TYPE AMOUNT YEAR INCURRED RATE TERM 7 Fifth Third Bank Home Equity Loan on Personal Residence $50,001 $100,000 2013 5.24% 8/25/2043 9. Gifts and Travel Reimbursements (N/A) - Not required for this type of report Endnotes PART # ENDNOTE 2. 3.1 Entire balance transferred to the State Street S&P 500 Fund Class N (SVSPX) in March 2017. 2. 4 The Capital Account consists of shares in Greenberg Traurig, LLC. 3. 1 The payment due is for my work in 2016, is a fixed amount, and should be deposited in April 2017. 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).