New Entrant Report U.S. Office of Government Ethics; 5 C.F.R. part 2634 Form Approved: OMB No. (3209-0001) (March 2014) Executive Branch Personnel Public Financial Disclosure Report (OGE Form 278e) Filer's Information Singh, Vanila M Chief Medical Officer, OASH, Department of Health & Human Services Date of Appointment: 06/12/2017 Other Federal Government Positions Held During the Preceding 12 Months: None Electronic Signature - I certify that the statements I have made in this form are true, complete and correct to the best of my knowledge. /s/ Singh, Vanila M [electronically signed on 04/23/2017 by Singh, Vanila M 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/ Olesh, Stanley, Certifying Official [electronically signed on 09/25/2017 by Olesh, Stanley in Integrity.gov] Other review conducted by /s/ Olesh, Stanley, Ethics Official [electronically signed on 09/25/2017 by Olesh, Stanley in Integrity.gov] U.S. Office of Government Ethics Certification Data Revised 09/25/2017 Data Revised 04/27/2017 Data Revised 04/26/2017 Comments of Reviewing Officials (public annotations): PART # REFERENCE COMMENT N/A N/A General (09/25/2017, Olesh, Stanley): 9/25/17 -- rec'd signed Ethics Agreement -- SO 1. Filer's Positions Held Outside United States Government # ORGANIZATION NAME CITY, STATE ORGANIZATION TYPE POSITION HELD FROM TO 1 Stanford University Medical Center Stanford, California Teaching Hospital Clinical Associate ProfessorPhysician 1/2004 6/2017 VALUE INCOME TYPE INCOME AMOUNT Salary/Bonus $270,000 2. Filer's Employment Assets & Income and Retirement Accounts # DESCRIPTION EIF 1 Stanford University N/A 2 Stanford 403(b) No 2.1 Vanguard Institutional Index Yes $50,001 $100,000 None (or less than $201) 2.2 Vanguard Institutional TR 2035 Yes $100,001 $250,000 None (or less than $201) 2.3 Vanguard Institutional TR 2015 Yes $50,001 $100,000 None (or less than $201) 2.4 Buffalo Emerging Yes $1,001 - $15,000 None (or less than $201) 2.5 Fidelity Contrafund Yes $15,001 $50,000 None (or less than $201) 2.6 Fidelity Diversified Yes $1,001 - $15,000 None (or less than $201) 2.7 Fidelity Freedom 2035 Yes $100,001 $250,000 None (or less than $201) 2.8 Fidelity International Small Cap Yes $1,001 - $15,000 None (or less than $201) 2.9 Fidelity International Value Yes $1,001 - $15,000 None (or less than $201) # DESCRIPTION EIF VALUE INCOME TYPE INCOME AMOUNT 2.10 Fidelity Natural Select Resources Yes $1,001 - $15,000 None (or less than $201) 2.11 Fidelity OTC Port Yes $1,001 - $15,000 None (or less than $201) 2.12 Fidelity Small Cap Discovery Fund Yes $1,001 - $15,000 None (or less than $201) 2.13 Fidelity International Index Investor Yes $1,001 - $15,000 None (or less than $201) 2.14 Fidelity Value Strategies Yes $1,001 - $15,000 None (or less than $201) 2.15 Fidelity Strategic Real Return Yes $1,001 - $15,000 None (or less than $201) 2.16 Fidelity Value Discovery Yes $1,001 - $15,000 None (or less than $201) 2.17 Putnam Equity Spectrum Fund Yes $1,001 - $15,000 None (or less than $201) 2.18 Fidelity Money Market Yes $15,001 $50,000 None (or less than $201) 3 Stanford 457(b) No 3.1 Fidelity Contrafund Yes $1,001 - $15,000 None (or less than $201) 3.2 Fidelity Freedom 2040 Yes $1,001 - $15,000 None (or less than $201) 3.3 Fidelity Freedom 2045 Yes $15,001 $50,000 None (or less than $201) 3.4 Fidelity Monet Market Trust Ret (FRTXX) Yes $15,001 $50,000 None (or less than $201) 3.5 Fidelity 500 Index Yes $50,001 $100,000 None (or less than $201) 3.6 Vanguard Institution TR 2045 Yes $15,001 $50,000 None (or less than $201) # DESCRIPTION EIF VALUE INCOME TYPE INCOME AMOUNT 4 VIP Fidelity Fund, fixed annuity N/A $15,001 $50,000 5 Axiom N/A 6 rollover IRA No 6.1 Fidelity Government Income Yes None (or less than $1,001) None (or less than $201) 6.2 Apple Inc. - Common Stock N/A $1,001 - $15,000 None (or less than $201) 6.3 Exxon Mobil Corp N/A None (or less than $1,001) None (or less than $201) 7 Roth IRA No 7.1 Fidelity Contrafund Yes $1,001 - $15,000 None (or less than $201) 7.2 Fidelity Capital Appreciation Yes $1,001 - $15,000 None (or less than $201) None (or less than $201) consulting fees $17,500 3. Filer's Employment Agreements and Arrangements # EMPLOYER OR PARTY CITY, STATE STATUS AND TERMS DATE 1 Stanford University Medical Center Stanford, California Participation in clinical sub specialty medical care, physician education to maintain clinical competence, medical society standards, and licensure. Academic medical faculty. 1/2004 2 Stanford University Stanford, California I will continue to participate in both (401(k) and 457(b)) defined contribution plans. The plan sponsor will not make further contributions after my separation 1/2004 4. Filer's Sources of Compensation Exceeding $5,000 in a Year # SOURCE NAME CITY, STATE BRIEF DESCRIPTION OF DUTIES 1 Stanford University Stanford, California Associate professor, Dept of Anesthesiology and Perioperative Medicine. Duties include seeing patients, performing specialized medical procedures, and administering anesthesia. As a professor, I also teach and supervise medical residents, fellows, and students. 2 Axiom Kansas, Missouri Healthcare consulting services 5. Spouse's Employment Assets & Income and Retirement Accounts # DESCRIPTION EIF VALUE INCOME TYPE INCOME AMOUNT 1 Medical Group - physician N/A 2 Radiological Associates Medical Group 401(k) No 2.1 Fidelity Freedom 2040 Yes $100,001 $250,000 None (or less than $201) 2.2 Fidelity Leveraged Company Stock Yes $100,001 $250,000 None (or less than $201) 2.3 Fidelity 500 Index PR Yes $250,001 $500,000 None (or less than $201) 2.4 Brokerage Account No 2.4.1 Apple Inc. - Common Stock N/A $15,001 $50,000 None (or less than $201) 2.4.2 Dell N/A $1,001 - $15,000 None (or less than $201) 2.4.3 Fidelity Government Income Yes $15,001 $50,000 None (or less than $201) 3 Roth IRA No 3.1 Fidelity Government Yes None (or less than $1,001) None (or less than $201) 3.2 Fidelity Contrafund Yes $1,001 - $15,000 None (or less than $201) salary # DESCRIPTION EIF VALUE INCOME TYPE INCOME AMOUNT 3.3 Fidelity International Cap Appreciation Yes $1,001 - $15,000 None (or less than $201) 4 Rollover IRA No 4.1 Fidelity Government Yes $1,001 - $15,000 None (or less than $201) 4.2 Fidelity Capital Appreciation Yes $1,001 - $15,000 None (or less than $201) 4.3 Fidelity Freedom 2040 Yes $1,001 - $15,000 $201 - $1,000 VALUE INCOME TYPE INCOME AMOUNT Dividends $1,001 - $2,500 6. Other Assets and Income # DESCRIPTION EIF 1 Brokerage account No 1.1 Apple Stock N/A $250,001 $500,000 1.2 American Intl Group Inc N/A $1,001 - $15,000 1.3 Amazon N/A $15,001 $50,000 Dividends Capital Gains None (or less than $201) 1.4 Bank of America Corp N/A $1,001 - $15,000 Dividends Capital Gains None (or less than $201) 1.5 Axsome Therapeutics Inc N/A $15,001 $50,000 None (or less than $201) 1.6 Citigroup Inc N/A None (or less than $1,001) None (or less than $201) 1.7 California ishares ETF Yes $1,001 - $15,000 None (or less than $201) 1.8 Cisco N/A $1,001 - $15,000 None (or less than $201) Dividends Capital Gains None (or less than $201) # DESCRIPTION EIF VALUE INCOME TYPE INCOME AMOUNT 1.9 Gilead Sciences Inc N/A $1,001 - $15,000 Dividends Capital Gains None (or less than $201) 1.10 Google Inc. - Class C Capital Stock N/A $15,001 $50,000 Dividends Capital Gains None (or less than $201) 1.11 Google Inc. - Class A Common Stock N/A $15,001 $50,000 None (or less than $201) 1.12 GoPro, Inc. - Class A Common Stock N/A None (or less than $1,001) None (or less than $201) 1.13 Intel Corporation - Common Stock N/A $1,001 - $15,000 None (or less than $201) 1.14 Johnson and Johnson N/A $15,001 $50,000 $201 - $1,000 1.15 Mcdonalds N/A $1,001 - $15,000 Dividends $201 - $1,000 1.16 Altria Group Inc N/A $1,001 - $15,000 Dividends $201 - $1,000 1.17 Microsoft Corporation - Common Stock N/A $1,001 - $15,000 None (or less than $201) 1.18 Nuance Communications, Inc. - Common Stock N/A $1,001 - $15,000 None (or less than $201) 1.19 Nuskin N/A $1,001 - $15,000 None (or less than $201) 1.20 Philip Morris International N/A $1,001 - $15,000 1.21 PowerShares QQQ Trust, Series 1 ETF Yes $1,001 - $15,000 None (or less than $201) 1.22 Transocean N/A $1,001 - $15,000 None (or less than $201) 1.23 Splunk Inc. - Common Stock N/A $1,001 - $15,000 None (or less than $201) 1.24 Target N/A $1,001 - $15,000 1.25 Verizon Communications Inc N/A $1,001 - $15,000 Dividends Dividends $201 - $1,000 $201 - $1,000 None (or less than $201) # DESCRIPTION EIF VALUE INCOME TYPE INCOME AMOUNT 1.26 Walmart N/A $1,001 - $15,000 Dividends None (or less than $201) 2 U.S. Bank Account (Cash account) N/A $1,001 - $15,000 3 Residential real estate, Fremont, CA N/A $1,000,001 $5,000,000 4 SPR Therapeutics N/A None (or less than $1,001) None (or less than $201) 5 Radial Medical N/A None (or less than $1,001) None (or less than $201) 6 Residential real estate, Vienna, VA N/A $250,001 $500,000 Rent or Royalties None (or less than $201) None (or less than $201) Rent or Royalties $50,001 $100,000 7. Transactions (N/A) - Not required for this type of report 8. Liabilities # CREDITOR NAME TYPE AMOUNT YEAR INCURRED RATE TERM 1 chase Mortgage (investment/ren tal property) $1,000,001 $5,000,000 2004 3.35 7/1 2 wells fargo Mortgage (investment/ren tal property) $250,001 $500,000 2005 4 variable 9. Gifts and Travel Reimbursements - Not required for this type of report Endnotes Summary of Contents 1. Filer's Positions Held Outside United States Government Part 1 discloses positions that the filer held at any time during the reporting period (excluding positions with the United States Government). Positions are reportable even if the filer did not receive compensation. This section does not include the following: (1) positions with religious, social, fraternal, or political organizations; (2) positions solely of an honorary nature; (3) positions held as part of the filer's official duties with the United States Government; (4) mere membership in an organization; and (5) passive investment interests as a limited partner or non-managing member of a limited liability company. 2. Filer's Employment Assets & Income and Retirement Accounts Part 2 discloses the following: ● ● Sources of earned and other non-investment income of the filer totaling more than $200 during the reporting period (e.g., salary, fees, partnership share, honoraria, scholarships, and prizes) Assets related to the filer's business, employment, or other income-generating activities that (1) ended the reporting period with a value greater than $1,000 or (2) produced more than $200 in income during the reporting period (e.g., equity in business or partnership, stock options, retirement plans/accounts and their underlying holdings as appropriate, deferred compensation, and intellectual property, such as book deals and patents) This section does not include assets or income from United States Government employment or assets that were acquired separately from the filer's business, employment, or other income-generating activities (e.g., assets purchased through a brokerage account). Note: The type of income is not required if the amount of income is $0 - $200 or if the asset qualifies as an excepted investment fund (EIF). 3. Filer's Employment Agreements and Arrangements Part 3 discloses agreements or arrangements that the filer had during the reporting period with an employer or former employer (except the United States Government), such as the following: ● ● ● ● ● Future employment Leave of absence Continuing payments from an employer, including severance and payments not yet received for previous work (excluding ordinary salary from a current employer) Continuing participation in an employee welfare, retirement, or other benefit plan, such as pensions or a deferred compensation plan Retention or disposition of employer-awarded equity, sharing in profits or carried interests (e.g., vested and unvested stock options, restricted stock, future share of a company's profits, etc.) 4. Filer's Sources of Compensation Exceeding $5,000 in a Year Part 4 discloses sources (except the United States Government) that paid more than $5,000 in a calendar year for the filer's services during any year of the reporting period. The filer discloses payments both from employers and from any clients to whom the filer personally provided services. The filer discloses a source even if the source made its payment to the filer's employer and not to the filer. The filer does not disclose a client's payment to the filer's employer if the filer did not provide the services for which the client is paying. 5. Spouse's Employment Assets & Income and Retirement Accounts Part 5 discloses the following: ● ● ● Sources of earned income (excluding honoraria) for the filer's spouse totaling more than $1,000 during the reporting period (e.g., salary, consulting fees, and partnership share) Sources of honoraria for the filer's spouse greater than $200 during the reporting period Assets related to the filer's spouse's employment, business activities, other income-generating activities that (1) ended the reporting period with a value greater than $1,000 or (2) produced more than $200 in income during the reporting period (e.g., equity in business or partnership, stock options, retirement plans/accounts and their underlying holdings as appropriate, deferred compensation, and intellectual property, such as book deals and patents) This section does not include assets or income from United States Government employment or assets that were acquired separately from the filer's spouse's business, employment, or other income-generating activities (e.g., assets purchased through a brokerage account). Note: The type of income is not required if the amount of income is $0 - $200 or if the asset qualifies as an excepted investment fund (EIF). Amounts of income are not required for a spouse's earned income (excluding honoraria). 6. Other Assets and Income Part 6 discloses each asset, not already reported, that (1) ended the reporting period with a value greater than $1,000 or (2) produced more than $200 in investment income during the reporting period. For purposes of the value and income thresholds, the filer aggregates the filer's interests with those of the filer's spouse and dependent children. This section does not include the following types of assets: (1) a personal residence (unless it was rented out during the reporting period); (2) income or retirement benefits associated with United States Government employment (e.g., Thrift Savings Plan); and (3) cash accounts (e.g., checking, savings, money market accounts) at a single financial institution with a value of $5,000 or less (unless more than $200 of income was produced). Additional exceptions apply. Note: The type of income is not required if the amount of income is $0 - $200 or if the asset qualifies as an excepted investment fund (EIF). 7. Transactions Part 7 discloses purchases, sales, or exchanges of real property or securities in excess of $1,000 made on behalf of the filer, the filer's spouse or dependent child during reporting period. This section does not include transactions that concern the following: (1) a personal residence, unless rented out; (2) cash accounts (e.g., checking, savings, CDs, money market accounts) and money market mutual funds; (3) Treasury bills, bonds, and notes; and (4) holdings within a federal Thrift Savings Plan account. Additional exceptions apply. 8. Liabilities Part 8 discloses liabilities over $10,000 that the filer, the filer's spouse or dependent child owed at any time during the reporting period. This section does not include the following types of liabilities: (1) mortgages on a personal residence, unless rented out (limitations apply for PAS filers); (2) loans secured by a personal motor vehicle, household furniture, or appliances, unless the loan exceeds the item's purchase price; and (3) revolving charge accounts, such as credit card balances, if the outstanding liability did not exceed $10,000 at the end of the reporting period. Additional exceptions apply. 9. Gifts and Travel Reimbursements This section discloses: ● ● Gifts totaling more than $375 that the filer, the filer's spouse, and dependent children received from any one source during the reporting period. Travel reimbursements totaling more than $375 that the filer, the filer's spouse, and dependent children received from any one source during the reporting period. For purposes of this section, the filer need not aggregate any gift or travel reimbursement with a value of $150 or less. Regardless of the value, this section does not include the following items: (1) anything received from relatives; (2) anything received from the United States Government or from the District of Columbia, state, or local governments; (3) bequests and other forms of inheritance; (4) gifts and travel reimbursements given to the filer's agency in connection with the filer's official travel; (5) gifts of hospitality (food, lodging, entertainment) at the donor's residence or personal premises; and (6) anything received by the filer's spouse or dependent children totally independent of their relationship to the filer. Additional exceptions apply. Privacy Act Statement Title I of the Ethics in Government Act of 1978, as amended (the Act), 5 U.S.C. app. § 101 et seq., as amended by the Stop Trading on Congressional Knowledge Act of 2012 (Pub. L. 112-105) (STOCK Act), and 5 C.F.R. Part 2634 of the U. S. Office of Government Ethics regulations require the reporting of this information. The primary use of the information on this report is for review by Government officials to determine compliance with applicable Federal laws and regulations. This report may also be disclosed upon request to any requesting person in accordance with sections 105 and 402(b)(1) of the Act or as otherwise authorized by law. You may inspect applications for public access of your own form upon request. Additional disclosures of the information on this report may be made: (1) to any requesting person, subject to the limitation contained in section 208(d)(1) of title 18, any determination granting an exemption pursuant to sections 208(b)(1) and 208(b)(3) of title 18; (2) to a Federal, State, or local law enforcement agency if the disclosing agency becomes aware of violations or potential violations of law or regulation; (3) to another Federal agency, court or party in a court or Federal administrative proceeding when the Government is a party or in order to comply with a judge-issued subpoena; (4) to a source when necessary to obtain information relevant to a conflict of interest investigation or determination; (5) to the National Archives and Records Administration or the General Services Administration in records management inspections; (6) to the Office of Management and Budget during legislative coordination on private relief legislation; (7) to the Department of Justice or in certain legal proceedings when the disclosing agency, an employee of the disclosing agency, or the United States is a party to litigation or has an interest in the litigation and the use of such records is deemed relevant and necessary to the litigation; (8) to reviewing officials in a new office, department or agency when an employee transfers or is detailed from one covered position to another; (9) to a Member of Congress or a congressional office in response to an inquiry made on behalf of an individual who is the subject of the record; (10) to contractors and other non-Government employees working on a contract, service or assignment for the Federal Government when necessary to accomplish a function related to an OGE Government-wide system of records; and (11) on the OGE Website and to any person, department or agency, any written ethics agreement filed with OGE by an individual nominated by the President to a position requiring Senate confirmation. See also the OGE/GOVT-1 executive branch-wide Privacy Act system of records. Public Burden Information This collection of information is estimated to take an average of three hours per response, including time for reviewing the instructions, gathering the data needed, and completing the form. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Program Counsel, U.S. Office of Government Ethics (OGE), Suite 500, 1201 New York Avenue, NW., Washington, DC 20005-3917. Pursuant to the Paperwork Reduction Act, as amended, an agency may not conduct or sponsor, and no person is required to respond to, a collection of information unless it displays a currently valid OMB control number (that number, 3209-0001, is displayed here and at the top of the first page of this OGE Form 278e).