DEPARTMENT OF HEALTH & HUMAN SERVICES Office of the Secretary Assistant Secretary for Public Affairs Washington, D.C. 20201 Case No. 2018-00318-FOIA-OS Legal Case No. 1:18-cv-00656 August 20, 2018 Mr. Austin R Evers Executive Director American Oversight 1030 15th Street, N.W., Suite B255 Washington, DC 20005 Dear Mr. Evers: This letter is the final response to your November 28, 2017, Freedom of Information Act (FOIA) request. Specifically, you requested the following records: 1. Records sufficient to identify all employees who entered into a position at the agency as “political appointees” since July 12, 2017 and the title or position of each employee (to the extent that such individuals have held multiple titles or positions since July 12, 2017 identify each title or position). For purposes of this request, please consider any employee in a PAS position, a presidentially-appointed position, a non-career SES position, a Schedule C position, or any administratively-determined position to be a “political appointee. 2. Records sufficient to identify all career employees who have been detailed into a leadership office or component front office since July 12, 2017; the title or position of each employee while on detail; and each employee’s originating agency or component, and prior title (to the extent that such individuals have held multiple titles or positions since July 12, 2017, identify each title or position). 3. Names and resumes of anyone from the transition teams or beachhead teams who have joined the agency in full-time capacity, either as career, political, or administratively determined positions since July 12, 2017. For the purposes of this request, please include any employee who previously had a temporary or provisional appointment at HHS before July 12, 2017, and took on a permanent appoint after that date. 4. For each individual identified in response to requests 1 to 3: a. The resume provided by the individual to the agency in connection with determining the appropriate salary for the individual, or, if that is not available, a recent resume contained within the agency’s records. b. Any conflicts or ethics waivers or authorizations for the individual, including authorizations pursuant to 5 C.F.R. § 2635.502. c. Records reflecting any recusal determination made or issued for the individual. d. Copies of any SF-50 forms for the individual reflecting any change in position or title, including when the employee enters or leaves a position. We have no objection to the redaction of home addresses, telephone numbers, or social security numbers from the SF-50s. Page 2 of 2 Case No. 2018-00318-FOIA-OS Legal Case No. 1:18-cv-00656 The Office of the Assistant Secretary for Administration (ASA) conducted a search and located 170 pages of responsive records. After a careful review of these pages, I have determined to release 86 pages to you in their entirety, and I am further releasing 84 pages in part, with portions redacted, pursuant to Exemption (b)(6) of the FOIA (5 U.S.C. §552 (b)(6)). FOIA exemption (b)(6) permits a Federal agency to withhold information and records about individuals in “personnel and medical files and similar files, the disclosure of which would constitute a clearly unwarranted invasion of personal privacy.” The definition of “similar files” has historically been broadly interpreted to include a wide variety of files, and the United States Supreme Court has held that Congress intended the term "similar files" to be interpreted broadly, rather than narrowly. I have analyzed these records and find they meet the threshold requirement of this exemption. Additionally, I have reviewed and weighed the public interest in disclosure of this information against the privacy interest in nondisclosure, and found that the privacy interest outweighs the public’s interest in disclosure. Should you have questions or concerns regarding the Department’s response and\or the processing of your request, any such issues should be communicated to your legal counsel and Department of Justice Attorney representing the Department in this matter. Sincerely yours, Michael S. Marquis Director FOI/Privacy Acts Division Enclosure(s) 2018 - 00318 -FOIA -OS Question #1 Position Title(s) for all political appoi ntees onboarded after 7/12/20178 Political Appointee Eric D. Hargan Position Title(s) Deputy Secretary HHS (Acting) Secretary HHS Laura Pen ce Emi ly Newman Arthur Kleinschmidt Robert Kadlec Matthew Lin HHS 2018-00318--000001 Lance Robers ton William Wubb enhorst Jenifer Heal y Mia Palmeri Heck Gavin Smith William Kahrs Al bert Alexander Jr. Ximena Barreto-Rice Robert Jaeger Paul Howard Mark Vafiades Policy Advisor for Pub lic Health & Science Sr. Advisor to the Director of Indian Health Service Sr, Advisor on Substance Abuse Date of Appointment 10/05/2 017 10/10/201 7 07/17/2 017 07/24/2 017 8/6/ 2017 Assistant Secretary for Prepar edness & Response Deputy Assista nt Secretary for Minority Health Administrator, Administration for Community Livi ng and Assistant Secretary for Agi ng. Associate Commi ssioner, Fami ly & Youth Services Chief of Staff Sr. Advisor to the Admi nistrator 9/17/2017 9/17/2017 Policy Adviso r 10/15/2 017 Regional Directo r, Reg ion VII 11/6/20 17 Deput y Administrator and Directo r, Centers for Program Integrity Deputy Dir ector of Communication 12/4/2017 8/18/2 017 8/20/2017 8/11/2 0 17 9/5/2017 12/4/2017 Directo r, National Institute on Di sab ility, Independent Living, and Rehabi litation Research Sr. Advisor to the Commissioner 12/10/20 17 12/10/2 017 Director of Communications 7/17/20 17 Agency & Op/Staff Division Imm ediate Office of the Secretary (IOS) Imm ediate Office of the Secretary (IOS) Indian Health Service (HIS) Substance Abuse & Mental Health Service Admini strat ion (SAM HSA) Office of the Assistant Secretary for Preparedness & Res ponse (ASPR) Office of the Ass istant Secretary for Health (OASH) Administration for Communit y Living (ACL) Admini strat ion for Children & Families (ACF) Office of Global Affairs (OGA) Centers for Medica re and Medicaid Serv ice (CMS) Office of the Assistant Secretary for Pub lic Affairs (ASPA) Offic e of Intergovernmental and Externa l Affair s (IEA) Centers for Medicare and Medicaid Service (CMS) Office of the Assistant Secretary for Pub lic Affairs (ASPA) Administration for Co mmunity Living (ACL) Food and Dru g Administration (FDA) Office of the Ass istant Secretary for Health (OASH) HHS-17-0560-A-000001 Edwin Simcox Jr Scott Lekan Kimberly Brandt Carolyn Olson Elinore McCance-Katz Gary Beck Jacob Ashendorf Sery Kim HHS 2018-00318--000002 Brian LeClair Kimberley Womack Dougla s O'Brien Peter Nelson Brian Shiozawa Whitney Bailey Ronald Holden II Beth Tignor (Conversion to Permanent Appointment) Deputy Director, Office of Technology 7/17/2017 Deputy Director , Office of Child Support Enforcement and Directo r of the Federal Parent Locator Service Principal Deputy Administrator for Operations Deputy Director of Advance 7/24/2017 Assistant Secretary for Substance Abuse and Mental Health Advisor for External Affairs 8/20/2017 8/6/2017 8/20/2017 8/28/2017 Special Assistant to the White Hou se Liaison Sr. Advisor 9/25/2017 Principal Deputy Administrator 9/17/2017 Polic y Advisor, Office of Refugee Settlement Regional Director, Region V 10/23/20 17 Sr. Advisor, Center for Consumer Information and Insurance Oversight Regional Director, Region Vill Deput y Administrator for Regional Operation and Partnership Development Special Assistant to the Secretary of Advance Advisor, Scheduling and Advance 9/12/2017 11/12/2017 12/4/2017 12/10/2017 12/10/2017 12/18/2017 8/6/2017 Immediate Office of the Secretary (!OS) Administration for Children & Fami lies (ACF) Centers for Medicare and Medicaid Service (CMS) Immediate Office of the Secretary (IOS) Substance Abuse and Mental Health Services Administration (SAMHSA) Office of Intergovernmental and External Affairs (IEA) Immediat e Office of the Secretary (IOS) Office of the Assistant Secretary for Public Affairs (ASPA) Health Resources and Services Administration (HRSA) Administration for Children & Families (ACF) Office of Intergovernmental and External Affairs (IEA) Centers for Medicare and Medicaid Service (CMS) Office of Intergovernmental and External Affairs (IEA) Administration for Community Living (ACL) Immediate Office of the Secretary (IOS) Immediate Office of the Secretary (IOS) HHS-17-0560-A-000002 lffi~, - -L: _____________ __J L Attorney I Litigator I Executiv e Nationally recognized expert In fraud/waste/abuse law, healthcare compliance and the False Claims Act, with 20+ years of experience fitlgatlng and defending state and federal cases ••• Offering experience In Judicial,executive and legislative branches of US government ••• Achieved Martlndale-Hubbell's "AV Preeminent Peer Review Rating" (5,0) for "Highest Level of Professional Excellence and Ethical Standing" Award-wlnl'l!!!gjormer Assistant US Attorney who served as lead prosecutor on complex federal False Cla,ms Act qui tam fraud 1nvest1ga11ons . resulting 1n record-setting lmanc1al recoveries for US. Successfully defended a • sitting federal judge sued for actions taken w1thrn the scope of off1c1al duties • S,E!!SOnedCor_porateExecutive / Attorney / Co,npJ!~nce Officer who led senror execut ve team or large hospital system to revise and operaltonal ·ze its corporate complance program Trained system leaders to proac!lvely address and prevent fraud and abuse exposure • • • • • • Core Compe tencies Legal WrlUngExpertise Multl•JurlsdlctlonalCases Multi-stateCases ExecutiveLeadership Public Speaking Training & Development Team Building Cllent Relations/ Retention Prl't,.atePractlce_Hea_lthcare Attorney skilled at negot,allng resolutions and obtaining criminal and cIv1Idechnat ons for healthcare organizat ons Secured numerous favorable False Claims Act settlements m federal and state fraud 1nvestIgatIons and self-d isclosures Accomplished A~mlr@UY an9 Maf!tlm.e. Litigator who defended corporate maritime and land-based clients m contract insurance and casualty cases Obtained numerous favorable summary judgments negotiated settlements and litigated d1Smissals Legal Experience I Accomplishments BREAZEALE, SACHSE & WILSON LLP-Baton Rouge, Louisiana 2015-Present One of the largest law t,rms in Louisiana. with approx imatefy 70 lawyers and diverse prac/lce areas that include healthcar e insurance. l1t1g ation and bankruptcy. The firm serves individuals. business startups, Fortune 500 corpora/tons government entities and not-for-profit orgam;:a/.'ons. Partner- Health Law Section Recruited to leverage healthcare executive and operational experience compliance expertise and background prosecuting healthcare fraud as former Assistant US Attorney Represent healthcare providers including hospitals health systems , pharmacists dental providers . multi-specialty phys1c1angroup practices and C-su1te leaders in administrative, civil and white-collar crim·nal matters . Craft proactive and effective corporate compliance programs Frequent speaker at national compliance, legal and fraud seminars Section leader with respect to administrative civil and criminal fraud matters . Select Client Engagements & Recent Accomplishments • Currently representing three hosp tal systems 1n connec tion with separate False Claims Act mvest1gat1ons involving outpatient sleep stud es a large mul1t-spec1alty physician practice before the US Department of Justice and US Attorneys Office in connection with a self-disclosure matter and a large, nat,onal non-profit hospital system m connection with invest gal ons of and poss ble voluntary disclosures mvolv1ng phys1c1an ptactrce relationships • Recently obta ined federal criminal declinat ion durmg representation of behavioral hospital system m federal criminal and False Claims Act Invest1gat on False Cla ms Act declination in potential Stark I AKS matter on behalf of large regional not-for-profit health system and administrative civil and criminal (slate and federal ) dechnal10nsm connection with invesllgat on of pediatric dental provider. HHS 2018-00318--000003 HHS-17-0560-A-000003 A.G. (Alec) Alexander 1111 l(bl(5l 2 Select Presentations & Publications • Representing Hospitals and Health Systems Handbook. Chapter 17, Compliance With Fraud and Abuse Laws. Amer ican Health Lawyers Association, A.G . (Alec) AleKander Ill and Samuel Cohen. 2016. • An Interactive Case Study: How to Respond to Complaints of Unnecessary Medical Procedures in the Hospital, Parts I and II, Amencan Health Lawyers Associat ion Webmar. June 6 and 14 2016 • Navigating the Perilous Waters of the False Claims Act From Medical Necessity to the Anti-Kickback Statute and Beyond, American Bar Assoc1at1onHealth Law Section Physici an Legal Is sues Conference . Ch cage , IL June 11, 2015. • The Government Enforcement Official and Chief Comphance Officer: Learned Experiences on Proactive Initiatives to Mitigate and Minimize Risk. Health Care Compliance Association 's Enforcement Compliance Institute , Washington DC October 2015 and October 2016 CHRISTUS HEALTH-lrvlng, Texas 2010-2014 One of the largest Catholic health system s ,n the US. with 40+ hospJtals and taa /11 1es in seven US states Chrle and six st:Jtes Mexico and S4.6B+ in assets. 111 Chief Compliance Officer I CHRISTUS Health Louisiana I Alexandria-Louisiana Directed corporate compliance program for seven facilities in L ouisiana Reported to CEO reg onal boards and CHRISTUS system board . Managed three direc t reports anctappr o x1mately 40 complian ce team members . Key Contributions • Created and implemented inter-regional review program to promote quality and patient safety while preventing False Claims Act exposure . As a result, no FCA exposures arose du ring this period • Designed and introduced stringent aod effective comphance process improvements aimed at ensuring co mprehens ive mon,tonng and integr ity ol phys1c1an relat1onsh1ps meaningful Board reporting and executive accountab hty • Devised and taught advanced False Claims Act educational programs for senior leaders, departmental managers and directors to ensure that compliance operational efforts and resources were focused on early 1dent11Jcat1on, assessment and resolution of concerns • Led legal and operations team. mcludmg outside counsel , through compleK internal investigation and sell · disclosure to US Department of Justice related to potential mu1t1m1lhon-dollareKposure involving physici an relat1onsh1ps.Obtained both civil and criminal declinattons UNITED STATES ATTORNEY'S OFFICE-Lafayette, Assistant United States Attorney-Western Louisiana "As a leader, Alec projects a mature yet disarming leadership presence and exhibits strong intellectual capacity. He is confident and assertive, yet also willing to UH subtle powers of influence and persuasion to achieve positive results," - From the Leadership Assessment Report commissioned by CHRISTUS Health 2002-2010 District of Louisiana Investigated I prosecuted dozens of False Claims Act qui tam fraud cases. including mult1-junsdict1onal and multi· state cases, resulting in S100M+ in recoveries for US and multiple related criminal convic11ons/pleas Tratned to prosecute both civil fraud and criminal cases as a line AUSA and also served in leadership capacities as the d1stnct's Civil Healthcare Fraud Coordinator and Af11rmattveC1v1IEnforcement Coordinator . Oversaw drstnct-w1de enforcement of the False Claims Act, Medicare Secondary Payment Act and Medical Care Recovery Act Select Prosecutions & Recoveries • United Stales v. Shell Oil Company, $49M False Claims Act recovery related to company's illegal offshore venting and flaring of natural gas and related false and fraudulent reporting • United States ex rel. Cashi and Scullin v. KOS Pharmaceuticals, $41M False Claims Act and criminal recovery (1ncoordination with criminal AUSA) for nationwide illegal kickback and off-label promotion scheme . • United States v, Amedisvs Home Health, $1 2M False Claims Act recovery from publicly traded home health provider for defrauding federal programs and making materially false statements 1n a sell-disclosure • U.S. ex rel. Ma/lavarapu v. Lafayette General Medical Center, S1.9M False Claims Act recovery for fraud on Medicare program related to claims for unnece~sary cardiac interventions HHS 2018-00318--000004 HHS-17-0560-A-000004 5 A.G. (Alec) Alexander Ill 1i Mobile....,: l..,,... -------r--~ (b)(6) H EALTH INFORMATION T ECHNOLOGY EXECUTI VE Tireless healthcare IT exec utive dedicated to improving the US healthcare throu gh advancement of health IT and sharing of electronic health information in supp ort of an interoperable, nationwide, health information infrastructure . Keen ability to cast vision, create strategy, impro ve operations, and meas ure success with data. Particularly effective at synthesizing large amounts of complex information, summarizing it, explaining it to laypersons, and crea ting value from it. Adept at bridgin g comm unica tion gaps between technical, clini cal, and admin istrative exec utives . T hrives on deal-making, nego tiation and building consensus. An empowering team leader who motivates others to take ownership and pride in important business initiatives. PROFESSIONAL HIGHLI GHTS LOGICALIS , New York, NY Multinational IT firm with operations in the United States, Europe, Latin Ame rica, and Asia . Over 300 United States healthcare customers including providers such as Cleveland Clinic, Ascension Health, and Trinity Health; and software companies such as Epic Systems, Xerox/ACS, GE, and Agfa Healthcare. Healthcare Practice Leader 1/2014-Present Accomplishments: Created the fir st healthcare-focu sed practice at company and developed/launched multiple new healthcare IT solutions. $110MM in revenue and 18% subsequent year-ov er-year revenue growth. Exceeding revenue forecasts in 8 of the last 10 fi scal quarters. • Advocating for improveme nt in the usability of electronic health record syste ms, the liberation of patient data, and disruptive use of technology to improve the US healthcare syste m and public health. • Leadi ng stra tegy, solution deve lopment, business development, and sales support for healthcare IT solutions, services, and co nsulting for healthcare providers . • Co nsulting with customers on public policy, telehealth, health IT optimization, reimbursement, clinical data interopera bility/porta bility, and health information exchange. • Directing creatio n of marketing co llateral, brand, sales training, and sales tools. AT&T, Bedminster , NJ Multinational telecommunications and IT company with 201 I annual revenue of $126 Billion, healthcare provide r revenue of $5 Billion, and 250,000 employees. Director, Healthcare Solutions 7/2010-12/2013 Accompli shments: Director of first A T&T healthcare solution development team focu sed on telehealth, health information exchange, remote patient monitoring, and health record interoperability. Six sales of new solution s in first six months valued in the millions of dollars. Prop elled AT&T to market leader in telehealth, mobile health, and health data exchange. Won 2013 AT&T Intellectual Property A ward for healthcare brand and trademark developm ent. HHS 2018-00318--000036 HHS-17-0560-A-000036 EDWIN J. SIMCOX, JR. 1PAGE 2 • Advocated for state and federal public policy favo rable to telehealth and increased interoperability and healthcare data exc hange. • Responsi ble for strategy, offer deve lopm ent, and sales enab lement for new healthcare IT solution s. • Exceeded all per sonal quarterly reve nue forecas ts and goals. • Member of AT&T speake rs bureau as healthcare " key opin ion leader." Conducted public relations. • Collaborated with major industry and trade association s includin g American Hospital Assoc iation, American Heart As sociation , Amer ican Academy of Family Ph ysicians, Indi ana Broadband and Techno logy Association, and Indi ana Rural Health Association. INDIANA UNIVERSITY HEAL TH, Indianapolis, IN Largest Indiana-based healthcare system. Operates 17 hospitals and 50 physician groups with 2016 revenue of $6 Billion. Chief Technology Officer and Director, Information Services 1/2006 to 7/2010 Accomplishments: Received Computerworld laureate medal for achieving $5 Million of savings through the design and implementation of innovative IT solutions. Reduced support staff 13% while increasing efficiency. Directed project that led to an increase in clinician satisfaction with IT from 57% to 89%. Received an Indianapolis Business Journal's "Forty Under 40" award in 2009 for professional accomplishments. Received Junior Achievement's "Best and Brightest" finalist award two consecutive years for accomplishments healthcare IT. Team recognized by Accenture as having one of the best IT service management implementations in healthcare. • Instituted administrative roundi ng for IT to better und ersta nd need s, concerns and wants of clinicians. • Served as executive sponsor for e nterprise-w ide technology initiat ives . • Co llaborate d with senio r leadership , authorin g the IT strateg ic plan to matc h the corporate business plan. • Dir ected IT infrastructure and operations improv ement. • Directed IT operations teams and large IT infrastruc ture capital projects. • Chaired tech nology stan dards and Web commi ttees compr ised of clinicians and senior administra tors. • Served on the Malc olm Baldri ge National Quality Award team, Studer Group leader ship team, Fujit su's US Technology Council, and the JU Kelly School of Busin ess Info rmat ion Management Affiliates. • Desig ned IT portfolio management strategy and enterprise architecture. • Mana ged strategic relationship s with all key IT vendor s. Consultant, Business Innovations 8/2004 to 12/2005 Accomplishments: Reduced health system's annual operating costs by approximately $1 Million by completing several operations improvement projects. • Worked under the directio n of chief financia l officer as an internal business consultant to increas e physician satisfactio n, decrease costs, and increase patient satisfaction. • Recommended and led the implement atio n of an elec tronic corporate travel booking system, yielding a $100, 000/ yea r sav ings in lower agency fees and trave l costs. System yie lded transparency, audit trail and policy enforcement. • Led the implementa tion of an elec tronic comp uter equipment ordering system, red ucing proc urement time from four weeks to four days, decreas ing IT service costs by $500 ,000 , and reducing IT computer technician perso nnel by 11%. HHS 2018-00318--000037 HHS-17-0560-A-000037 EDWIN J. SIMCOX, JR. 1PAGE 3 • Directed team that des igned and deve loped a surgical patient management and work-flow application in partnership with Microsof t Corporation. S AURIAN T ECHNOLOGIES, INC., Indianapolis , IN Consulting firm with customers in 12 states . Included tele-radiology and digital enablement of health practices and service lines. CEO 7/1997 to 7/2004 Accomplishm ents: Operated a profitable IT consulting firm. $8 Million total revenue from profes sional services, telecommunications, and IT solution s. • Led consulting engagements with government and commercial clients. • Negotiated and managed all strategic relationships. • Managed the creation of over 100 Websites and twenty Internet-based applications for healthcare billing, credit card process ing, security, e-commerce, on-line collaboration and shipping/logistics. INDIANA STATE D EPARTMENT OF REVENUE, Indianapolis , IN State taxing authority. First state department to publish all public documents on Internet. Second to put major business functions on the Internet. 5/1995 TO 7/1997 Webm ast e r a nd IT Man ager • Led creation of agency's first on-line presence and first electron ic publication of all tax forms, rulings, and regulations. Fourteen thousand documents. • Directed the creation of the agency ' s first Internet -based tax filing system. PR ESENTATIONS, P UBLICATIONS, AND ACHIEVEMENTS • Author - "Do Your Physicians See Telehealth as a Primary Way to Practice Medicine? (Integrat ing Teleheal th into Clinicians' Daily Workflow)," PRNewswire, 2016. • Interviewee - "Is big data too big for your healthcare organization?" Healthcare TechTalk (http://healthcaretechtalk.net/htt -50-is-big-data -too-big-for-your-healthcare -organization/), 2016. • Co-author - "How to Design and Implement a Successfu l Telehealth Program for Your Organization: Nine Key Tactics" Logicalis White Paper, 2016. • Author - "T he Success of Your Telehealth Solution Involves Much More than Technology," Healthcare Scene News, 2016 . • Author - "The Future of Connected Healthcare Systems: Now That You've Rolled Out Your EHR System, Wha t' s Ne xt?" PRNewswire, 2015. • Quoted in - "Logical is US to Healthcare CIOs: Meaningfu l Use Stage 3 Planning Starts Now," WN.com and others, 20 15. • Author - "New Online Communication Tools Show Promise for ACOs," Healthcare Executive Insight magaz ine, 2013. • Presenter, Board Member - American Telemedicine Association, ATA Industry Advisory Board 200820 14. Presentation: "Telehealt h: Back to the Future ... Now!" 201 1. • Panelist - "What Does Telehealth Say about Tec hnology Adoption?" MIT/Harva rd Medica l School, 2011. • Recipient - Indianapolis Business Jo urnal's "Forty Under 40" Award, 2009 . HHS 2018-00318--000038 HHS-17-0560-A-000038 EDWIN J. SIMCOX, JR. 1PAGE 4 • Recipient - Junior Achievement 's "Indy's Best and Brightest" Finalist Award, 2008 and 2009. crea ted b y Junior Achi eve me nt to " recog ni ze up a nd co min g ta le nt a nd the next ge nera tio n of lea d e rs in our co mmuni ty ." Indi anapol is, Ind iana . • Member - City of Indianapolis High Performa nce Governme nt Team, 10/2008 -7/20 10. • Member - Fujitsu Healthcare IT Advisory Counci l - 1/2007-6/20 10 . • Member -Ga rtner, Inc.'s Emerging Technology Counc il, 2005-2007. • Paneli st - "Managing Corporate and Consumer Collaborative Services," JU Kelly Schoo l of Business ' s IM Affiliates, 2009 . • Presenter and Memb er - Healthcare Informat ion and Manage ment Systems Soc iety (HIMSS) - Microsoft Healthcare User Group: Taming the Healthcare PC , 2008. • Presenter - "The Past, Present, and Future of Enterprise Cloud Computing ," Society for Information Manage ment - IT Symposium , 2008. • Presenter - "Appl ication Virtualization for Health IT Advantage ," InfoWorld Virtual ization Exec utive Foru m, 2008 . • Presenter - "Real World Solutions for Improving the Healthcare Comput ing Enviro nment," Society for Informatio n Management - IT Sympos ium, 2007 . • Laureat e Recipient - Computerworld Hono rs Program - Computerworld Informat ion Technology Awar ds Foundatio n. Medal awardee on be half of India na University Health . The award recogn ized innovation for reduce d expense and increased clinicia n satisfactio n in healthca re comput ing, 2006 . POLITI CAL AND VOLUNT EER E XPERIENCE • Republican National Convention -Alte rnate Delegate, 20 16 . Clevela nd, Ohio. • Office of the Vice President of the United States - Intern, 1992. Vice Pres idential Advance Team for Vice President Dan Quayle . Washington, D.C. • U.S. Senators Lu gar and Coats, Indianapoli s Mayor Stephen Goldsmith , Ike Randolph for CityCounty Coun cil, John Mutz for Governor , M itch Dani els for Go vernor - Camp aign volunteer, IT and voter data co nsultant, 1987-20 16. India na . • Pike Township Board - Appo inted to fill vaca ncy in local, legislative, elected office, 2004-20 05. India napolis, Indiana. • Office of Indianapoli s Mayor Stephen Goldsmith - Policy/Fisca l Impact Analyst Intern, 1992. Analyzed city departme nts for appropr iateness of privatizatio n. Created p1i vatizat ion bluepr ints to reduce departmental budgets and increase eff iciency . Engaged in strategic plannin g initiatives for eli minating waste and modernizing business processes. Projec ts yielded approximate ly $250,000 operat ional savings . • Indi anapoli s High Perform ance Government Team - Co mmittee Chair, 2008-20 10. Appointed by India napolis GOP mayor, Greg Ballard . U sed Lean Six Sigma concepts to improve opera tions and custome r satisfa ction for the Department of Metropolitan De velopment. Indi anapolis, Indiana. • Indiana Leader ship Forum - Gradua te, 2009. State republican party sanctione d organization educat ing India na's young business and commun ity leade rs about government, politics and public policy to prepare them for greater civ ic involveme nt and leadership roles in their communities. Indianapolis, Indiana. • Indi anapoli s Bar Association 's Bar Leader Serie s - Grad uate, 2004. Steering commit tee, 2004 -2005. The Bar Leade r Series develo ps lawyers for future opportunities in leaders hip roles in the business and legal communi ties. Indianapolis, Indiana. HHS 2018-00318--000039 HHS-17-0560-A-000039 EDWIN J. SIMCOX, JR. 1PAGE 5 • U.S. Senators Lugar and Coats - Intern, 1990 in j oint office of Indiana ' s two U.S . Senators. Indianapolis , Indian a. • Employlndy (Indianapolis Private Industry Council) - Board Chairman & Member, 2008-20 15. Employlndy is the Central Indiana Workforce Investment Board, and partners with businesses and nonprofits to create a more skilled workforce and helped structurally transform the regional economy. Indianapolis, Indiana. Central Indiana Council on Aging (CICOA) - Board Member, 2004- Present. Indianapoli s, Indiana. CICOA empowers older adults to achieve the grea test possible indepen dence , dignity and quality of life by helping them remain in their homes instead of being placed in institutions such as nursing homes. Indy Partnership-Vol unteer, 2005-2006- Central Indiana economic development organization. Led effort to update the computer and communications network. Indianapolis, Indiana. • • • Healthcare Information and Management Systems Society (HIMSS) - Member and presen ter. 2004 Present. United States. • American Telemedicine Association - Member, 2010-present. Industry Council Board, 2011-2014. United States • Evangelica l Association for the Promotion of Education - Program Director, 1990. Directed summer camp for underprivileged youth in Philadelphia public housing. Philadelphia, Pennsylvan ia. • DePauw University Chaplain's Council - President , 1990-199 1. Organization received President George Bush 's "Point s of Light" award , 199 1. Greencastle, Indiana . EDUCATION Doctor of Jurisprudence -M ay, 1997 Indiana Unive rsity School of Law - Indianapol is • • Admitted to Indiana and Southern District of Indiana federal bar - Novem ber, 1997 Federalist Society Bachelor of Arts, Political Science - May, 1993 DePauw Unive rsity - Greencastle, Indian a • • • • Bachelor of Arts , Political Science; Minor, Philosophy President, DePauw University Chaplain ' s Council - DePauw received Preside nt George Bush Points of Light Award in 199 1for Chaplain's Council philanthropy Alpha Kappa Delta Academic Honor Society Member, Officeholder, Scholarship Chairperson - Phi Gamma Delta Fraternity HHS 2018-00318--000040 HHS-17-0560-A-000040 Elinore F. McCance-Katz , MD, PhD Address Telephone: E-m ail: Curr ent Pos ition: I(b)(6) 5 (o) 4014621525, (ci~(b-)(- )---~ l(b)(6) Chief Medical Officer Rhode Island Department of Behavioral Healthcare , Deve lopmental Disabilities , and Hospitals Chief Medical Officer/Acting Chief Executive Officer Eleanor Slater Hospital Professor of Psychiatry and Behav ioral Sciences Alpert School of Medicine Brown University EDUCATION Undergraduate Eastern Connecticut State University Biology , B.A. 1978 Magna Cum Laude Medical Schoo l University of Connecticut School of Medicine 1983-1987 1987 Other Advanced Degrees Yale University Graduate School 1979-1984 Ph.D. 1984 Infectious Disease Epidemiology POSTGRADUATE TRAINING Duke University Medical Center , Durham, NC Institute of Living, Hartford , CT Yale University, New Haven, CT Intern, Psychiatry 1987-1988 Resident , Psychiatry 1988-1990 PGY-4/Fellow , Psychiatry 1990-1991 PROFESSIONAL LICENSES AND BOARD CERTIFICATION Medica l Licens ure California #G83443, 1996- Connecticut #030382, 1988- 1998, 2015Rhode Island #MD 14974, 2015Drug Enforcement Administration (DEA) Registration #BM2106981, 1989, #XM2106981 , 2003 American Board of Psychiatry and Neurology (ABPN), General Psychiatry certificate #38301, 1993 ABPN Added Qualifications in Addiction Psychiatry, Certificate #929, 1996 ABPN, Addiction Psychiatry (recertified: 2006, 2015) EXPERIENCE • Psychiatrist with 28 years of experience; board certified in General Psychiatry and in Addiction Psychiatry; Executive administrative experience in clinical settings • Clinical experience in treatment of mental disorders , substance use disorders, co-occurring disorders particu larly as they affect individuals living with HIV/ AIDS and viral hepatitis , extensive experience in medication assisted treatment for substance use disorders , as well as in consultation to primary care for issues related to pain and addiction • Twenty-two years of experience in clinical research including medications development for substance use disorders , clinical pharmacology of abused substances, drug-drug interaction studies and clinical trials. Extensive experience in the clinical care of the seriously mentally ill population in the state hospita l system • Experience in state and federal governn1ent settings HHS 2018-00318--000041 HHS-17-0560-A-000041 Current Position: 2015-present: I currently serve as the Chief Medical Officer for Rhode Island Behavioral Healthcare . In this role l advise and help to develop policy on issues related to substance use and mental disorders. I have had a prominent role in addressing Rhode Island's opioid epidemic through development of a Center of Excellence for the Treatment of Opioid Use Disorder progra m. I am also the Chief Medical Officer for the state hospital system and am responsible for clinical care of those with serious mental illness requir ing inpatient hospitalization and administrative oversight of the hospital system. Imm ediate Previou s Po sition : 2013-2015: Chief Medical Officer , U.S. Substance Abuse and Menta l Health Services Administration (SAMHSA), Department of Health and Human Services. In this position, my primary responsibilities were to provide psychiatric and medical input into SAMHSA programs and policy for the various divisions within the agency. A significant part of my work included a focus on the integration of behavioral health (substance use and menta l disorders) and primary care which extended to a leadership role in SAMHSA's HIV and hepatitis programs (a grant portfolio of approximately 177 million dollars/year). Under my leadership, SAMHSA moved to funding programs that focus on integrating HIV and viral hepatitis care into behavioral health programs . Coming to SAMHSA after having been the Medica l Director for 3 years of two national, SAMHSA-funded programs (the Physicians ' Clinical Support System for Buprenorphine and the Providers ' Clinical Support System for Opioid Therapies), I was able to extend the work of these programs. I focused on providing training and implementation tools for treatment of substance use disorders through collaboration with the Dept. of Defense (DoD), HRSA , CDC and ONDCP. I have led national initiatives in training and education for clinicians and for the public on diverse topics including , for example, addiction treatment , neonatal abstinence syndrome, and overdose prevention . Other roles included working collaboratively within SAMHSA and with other federal and outside agenc ies on a variety of issues. Selected examp les include work on Medicare Part D formulary for drugs in protected classes (antidepressants and antipsychotics) with the Centers for Medicare and Medicaid Services (CMS), review of guidelines on use of chronic opioid therapies (Federation of State Medical Boards), an initiat ive to develop guidel ines for treatment of chronic pain with CDC , work with HRSA on integration of substance use disorder treatment into FQHCs, collaboration with FDA staff on revisions to requirements for approva l of pain medications , assisting Indian Health Service with determination of resources and training needs related to prescription opioid misuse/abuse, planning the deve lopment of a clinical support system for treatment of serious mental disorders, and a liaison role at the U.S . Preventive Services Task Force on prevention interventions in behaviora l health. Previous Positions: 2007- 13: Professor of Psychiatry , University of California San Francisco/State Medical Director , California Dept. of Alcohol and Drug Program s. In this position I establ ished a fully NIH-funded research program that examined drug-drug interactions between opioids and frequently co-prescribed medications including antiretroviral therapies and tuberculosis medications . I was also appointed State Medical Director for the California Dept. of Alcoho l and Drug Programs (ADP). In this position, I was responsible for providing medica l input to ADP activ ities, providing legislative analysis, and training of staff and of county substance use disorders treatment staff throughout the state. 2003-2007: Medical Director and Chief Operati ng Officer, Virginia Healt h Practitio ners' Intervention Program. In this position I was responsible for developing and running the state's program for the monito ring of impaired health professio nals. In addition, as Professor of Psychiatry and Division Chair, Addiction Psychiatry at Virginia Commonwealth University , I established a NTHfunded research program examining drug-drug interaction s between buprenorphine and antiretroviral medicat ions. I999-2002: Associate Professor , Albert Einste in College of Medicine. In this position I served as Director of the Addiction Psychiatry Residency Training Program and developed a NIH -funded research program addressing the medication needs of those with co-occurri ng opio id addiction and HIV infection . 1998-1999: Professor of Psychiatry; Psychiatry Residency Tra ining Director, University of Texas Medical Branch. 1991-1998: Assistant/ Associate Professor of Psychiatry , Yale University. Responsibilities included provid ing psychiatric care to individuals admitted to Yale Psychiatric Institute for inpatient treatment of major mental disorders, serving as Medical Director of the Cocaine Treatment Unit and as Medica l Director of the West Haven Veterans Administration Medical Center Methadone Maintenance Program . I also served as Medical Director of several NIH-funded psychiatric research programs in addition to clinical responsibilities. HHS 2018-00318--000042 HHS-17-0560-A-000042 E; Newman l(b)(6) V1rg1rua Bar License No .26 5 l~l(b_ )_(6_) __________ ~ - Ex ecut ive Summary - • • • • Highly focused attorn ey with expertise in a range of areas, including health law and policy, Indian affairs, border secur ity, immigratio n policy and congr essional overs ight and investigatio ns. D eep and current know ledge of Ind ian health policy, Indian Health Service operations and related challenges around healthcare financing, recrui tm ent and retention, management and technology. Exper ienced at working with senior federal, state, local and triba l leaders, as well as private and non-profit secto r leaders, on highly complex and sensitive legislative, regulatory and legal matters. Known for building unlikely coalitions, identifying fresh and practic al solutions an d emp loying a high degree of discretion and tact to successfully navigate delicate relationsh ips. - Law & Policy Experience D epartm ent of Hom eland Security Director, Office of Legi slative Affairs, Jun e 2017 - Pre se nt - Facilitating interdepartmental, interagency and congressional deliberation on special issues and projects. - Adva ncing pres identia l nomine es through the Senate confirmation proc ess . - Ensuri ng legislative proposals, technic al assista nce, corresponde nce and testimony is accurate and appropr iate. - Identifying opportunities to improve operations and proc esses across the D epartment. Pres id ential Tran sition Homeland Security Bea chhead Team-Advisor, U.S. Customs and Border Protection, Jan. 2017 - June 2017 - Advised the Com missioner of U.S. Customs and Border Prot ection on executive order implementation, internal and external messaging, congress iona l engagement and other sens itive matters . - Worked with agency leadership, the D omestic Policy Cou ncil and federa l, state, local and triba l par tners to advanc e admin istration priorities and improve coordination on key immigration, trade, law enforcement and public health issues. - Represente d the Office of the Commis sioner on congressional and White Hous e delegation trips to the border. Policy Impl ementation Team, Just ice and Federal Law Enforceme nt Polic y, Dec. 2016 - Jan. 2017 - Co-autho red policy plans and related impleme nting document s for the D epartment of Justic e. Senate Committee on Indian Affairs Counsel, Chairm en John Barrasso (R-WY) and John Ho even (R-ND), March 2015 - Jan. 2017 - Led oversight and legislative initiatives to overcome lon gstanding policy and operational deficiencies at the Departments of Interior, Justice, Tr easury and Health and Human Services. - Forged consensus to reform the Indian Health Service and federal land acquisition processes; combat drug trafficking, substance abuse and suicide; and to support public safety, eco nom ic developme nt and regulatory red uction . - Rep resented the Chairman in negotia tions and meetings with adm inistration, industr y, state, tribal and advocac y leaders. - A dvanced the Committ ee's agenda throu gh directed research, pres s calls, roundtables, presentations and site visits. Hous e Committ ee on En ergy and Comm erce Counsel, Ove rsight and Invest igation s Subcommittee , Chairman Fred Upton (R-MI), May 2014 - March 2015 - D rove high -profil e investigations on Obamacare, detention and resettlement of alien children and families, drug abuse, vaccine efficacy, emergency prepa redness and response planning, critical infrastructure and ben efits eligibility. - Exposed seve re waste, fraud and abus e in welfare, grant and other federal programs . - Conducted meetings and negotiations with the administration, whistleblowers , subject experts and press outlets. L egal Extern, Health Subcommittee, Chairman Fred Upton (R-MI), May - Dec. 2011 - Helped draft a U .S. Supreme Court amicus brief suppo rting a legal ch allenge to Obamacare . - D evelop ed letters, talking po int s and hearing questions on Obamacare, drug shortages, Medicare, Medicaid, medical device and drug regulation, physic ian payment refo rm and emerge ncy preparedness legislation. Sidley Au stin LLP A ttorney , Gove rnment Strategies, March 2013 - Ma y 2014 - Co-authored a U.S. Supr eme Court amicus brief, advancing the winning argument in a political free speech case. - Advised multi -billion dollar corporations, startups and trade assoc iations from the Healthcare, Food and Dru g, Energy, T elecom and Agriculture industries on matters of law, policy and po litics. - Guided client participation in congres sional investigations . Advanced client interests in legislatio n and regulations on intellect ual property, cyber securi ty, mental health treatment, physician payments and drug an d medical device regulation. HHS 2018-00318--000043 HHS-17-0560-A-000043 - Education Th e Catholi c Univer sity of Am erica, Columbu s School of Law Juris Doctor w ith academic and pro bono honor s, 2012 Teaching F ellow and Research Assistant, Profe ss or Rob ert A. De stro, Apr. 2010 - May 2013: - Helped draft a determinative U.S. Supreme Court amic us brief on taxpayer stanrung and school choice, design and teach unconventiona l constitutional law courses and revise a legal textbook o n religious liberty . Co-Curricular : The Journal of Contemporary Health Law and Policy; Innocence Project Clinic; Federa list Society Dickinson Colleg e Bachelor of Arts in Sociology with Wom en' s Studi es minor and academic, lead er ship and pro bono honors, 2009 Chief of Staff, Office of Religiou s Life and Communi ty Service, Ma y 2008 - 2009: - Managed all college service programs, supervising 15 budgets, program staff and over 100 volunteers. - Served as the primary liaison between college and community partners. D esigned and delivered training modules to support staff skill deve lopment. Co-Curricular: Alpha Phi Omega; Boy Scouts of America; The Bonner Foundation; Habitat for Humanity - Civic Engagement 2016 El ec tion: Philad elphia 72 Hour Task Force, Republican Natio nal Lawyers Associatio n (RNLA); County and State D elegate, Republican Par ty of Virginia; Member, Fairfax County Republican Committee Profe ss ional Ass ociations : Virginia Bar Association; Virginia State Bar; Federalist Society; Heritage Foundation; RNLA HHS 2018-00318--000044 HHS-17-0560-A-000044 ERIC D. HARGAN (b)(6) Telephone: (b)(6 ) Email: home): ( cell) (b)(6) (b)(6) Work Experience Greenberg Traurig, LLP Chicago, Illinois Sllareliolder, Health & FDA Business and Corporate Departmeuls, June 20 I 0-present. Member of bars of Illinois, 1993; and United States Supreme Court. 2006. Work concentrated in transactional, healthcare regulatory and government affairs areas. Broad practice within the healthcare industry, with clients ranging from private equity funds and commercial lenders to clinic chains, hospitals, medical device companies and pharmaceutical manufacturers. Also have served as an expert witness on Stark and anti-kickback issues. Co-Chair and Convener, Health Care and Human Services Committee, Illinois Governor Bruce Rauner·s Transition Team, 2014-2015. Member, Illinois State Health Improvement Plan Planning Council, 20 IS-present. Member, Illinois State Innovation Model (SIM) Workgroup, 2015-present. Listed, LMG Life Sciences, "Lite Science Star." 2012-2016. Member, Winning Team. 2015 Turnaround Atlas Awards, "Turnaround of the Year - Small Markets" for the restructuring and sale of ATLS Acquisition. LLC (dba Liberty Medical), 2015, Member, Winning Team, 2012 Turnaround Atlas Award for" Private Equity Turnaround of the Y car" for 1hc Chapter 11 rcorganizalion and acquisition of American Laser Skincare LLC. Member of Government Affairs team awarded "Government Relations Law Finn of the Year" for 2014 by U.S. News Best Lawyers, and listed as Tier I for Chicago Metropolitan Area. Adjunct Professor of Law, Loyola University School of Law, 20 l 2-present Course: Adminislratire Law and llealth Care Regulation. McDermott, Will & Emery LLP Chicago, Illinois Partner, Health Law Department, January 2008-June 20 I 0. Work concentrated in healthcare transactional and regulatory areas. Practice areas similar to current practice, as detailed above. L".S. Department of Health and Human Services Official serving HHS in various capacities from 2003-2007. \Vashington, D.C. Positions as follows: Acting Deputy Secretary. Served as the chief operating officer of the largest civilian department in the federal government, with a budget at the time ofS640 billion and more than 67,000 employees. Oversaw ail operations on hehalf of 1hc Secretary, including Medicare, Medicaid, food and drug regulation, medical research, public health and other activities. Regulatory Policy Officer,. Chief regulatory officer of HHS, responsible for overseeing 1he development and approval of all HHS, FDA and CMS regulations and significant guidances. Principal Associate Deputy Secretary. Served as chief of staff for Deputy Secretary. Responsible for review and approval of regulations and policy direction for over a dozen agencies. Initiated and led the Departmental team which developed the first responses to the food safety and importation issues in 2006. Led the Departmental team in restructuring bioterrorism programs and developing new legislation in this area. Deputy General Counsel. Primary responsibility; serve as in-house counsel to HHS, assisting the General Counsel in managing a team of over 400 attorneys advising numerous HHS agencies on a wide range of litigation, regulatory, contract and legislative matters. Oversaw significant litigation on behalf of the Department, including a case argued before the Supreme Court in November 2004. Member of HHS team which implemented the Medicare Part D drug benefit. HHS 2018-00318--000045 HHS-17-0560-A-000045 Co-Chair, HHS Perfonnance Review Board (2006). Co-Chair, HHS Budget Council (2007). Member, Risk Management Financial Oversight Board (2006-07). Member, Sccretary·s Council on Perfonrnmce and Evaluation (2006-07). Clearance when in government: Top Secret/SCI. Member. Senior Executive Service. Recipient, HHS Secretary's Award for Distinguished Service. Winston & Strawn Chicago, Illinois Partner, Corporate Department, 1997-2003 (elected partner, 200 I). Member, Cotporate Opinion Committee. Social Chair, Summer Committee. Primary focus on mergers & acquisitions and finance transactions. Managed teams of attorneys and staff on transactions of up to S4.2 billion in value. and in over 20 countnes, including all major jurisdictions in Western Europe, East Asia and North America. Transaction industry sectors included healthcare, real estate and technology. Skadden, Arps, Slate, Meagher & Flom Associute. Corporate Department, 1993-1996. Jakarta, Indonesia workspace. Chicago, lllinois/Hong Kong During I 996, acted as the sole representative of the firm in its Education Columbia University School of Law NewYork,NcwYork J.D. n:ecived, 1993. Senior Editor, Columbia Law Review. Certificate of Recognition in International Law, Parker School of Foreign and Comparative Law. 0.\/iml Unfrersity, Summer Term 199 I, courses included: British constitutional law and EC law. Harvard University Cambridge, :'\-lassachusetts R.A. cum laude in Philosophy received. 1990. Eliot Thesis Prize for Bachelor's Thesis in morn\ philosophy. John Harvard Scholar. Harvard College Scholar. Dean's List. Taipei, Taiwan, Summer 1988, courses in Mandarin Chinese. Languages Conversant in Mandarin Chinese. Some training in Jndoncsian, Gcnnan and French. 2 HHS 2018-00318--000046 HHS-17-0560-A-000046 ~I· 5 6 Phone: l~ <_> ------~I Ph.D., Psychology , 1985 page 18 HHS 2018-00318--000104 HHS-17-0560-A-000104 Confi de nti al Full CV Robert J. Jaeger , Ph.D. "The Effect of Supplemental Sensory Feedback on Postural Stability During Quiet Standing" Partial support grants 3,4 5) l(b)( IMS, EE, 1985 "Characterization of Muscle Response to Functional Neuromuscular Stimulation." Partial support grants 3,4 (see full -length paper 21) IMS, ME, 1986 l(b)(5) "Biomechanics of Human Postural Sway" (see conference paper 16) IPhD, CS , 1992 l(b)(6) "Termination of Rhythmic Movements. " Supported by Royal Thai Government and partially by grant 12 (see full-length paper 31 ; conference papers 32,33 ,36) 5 (b)< > PhD, Bioengineering, 1992 "Postural Stabilization at the Ankle 01nt Joint research program with University of lllinois)Supported by grant 12 (see conference papers 34 ,35 ,37) Post-Doctoral Fellows Supervised at IIT: l(b)(6) IM . D . Senior Research Associate, 1983 Supported by Rush Medical College (see fulllength papers 14,17,29,30; conference papers 1O; abstracts 12) IM.D. l(b)(6) Senior Research Associate, 1986-1987 Supported by Deutsche Forschungsgemeinschaft (see full -length papers 26; conference papers 21,22 ,23 ,24) M.D. enior esearc Associate , 1988 -1989 Supported by French Government (see conference papers 35 ,37) (b)(6) Medical Residents Supervised at NUMS/RIC l R.Loca lity Adj. $155 ,500.00 14. Name and Location of Positi on 's Orga nization 0 I 20C. Adj. Basie Pay $0 PA 2(>D~~th cr Pay $155 ,500.00 22. Name and Loca tion of Pos ition's Or ga niza tion Administration For C ommunit y Livin g W ASlllNGTON DC USA EMPLOYEEDATA 23. Veterans Preference ~ 27 •• I - Nooe 2 - 5- Polnl 24. Tenure 10 (b)(6) 5 - IO- Po int/Oth tr J- 10- Poiol/D;,,b;t;l y 4 - 10- Polnt/Compe nsa l)le None I - Pe.rmane.nl 6 - IO~Poi.nt/ Co mpi:-nsab ll-/30% ~o. ,- nnmtanl Ind icator (b)(6) .I I (b)(6) 30. Retir ement Plan (b)(6) 31. Sen'ice Comp. Date (Leave) 32. Work Schedule (b)(6) (b)(6) I I POSITIONDATA 34. Position Occupied 35. FLSA Category ~ I - C om1,elit h·e Servic e 2- i£l:<'l"pt ed ~ 3 - SF.S Gene.r:.11 4 - SES Can-n R~trvcd Senk<' 2 - Co ndilio na l J- lnddinill' £ - Eu rupt N - Nontxempl I 1;AR umber: I 46. Emplo)'ing Dcparhnent or Agency Depa r tment of HHS - Administration HE12 I 8888 143. I 33. Par t-Tim e Hours Per Biweekly Pay Period 72995210 Iti)(~t·~"· 5-Par t 50-316 I C<\ 29. Pav Rate Determinant (b)(6) 37. Barga ining Unit Status WASHIN GTON Dist Columbia DC USA 47. Agency Code ~YES~NO I 36. Appropriation Code 110010001 142. I I 39. Duty Station (City - County - State or Overseas L-Ocation) 14 1. 26. Veterans Preference for RIF I 38. Duty Station Code 40. Agency Data 125. Agency Use SO.Signature /Authentication and Title of Appro ving Official Fo r Co mmunity LhR.Loca lity Adj. 20A. Basic l' ay $117,496.00 14. Name and Location of Positi on 's Orga nization or Level 119.;t• p or Rate 2~;~~:;;;_;~Award sis I 20C. Adj. Basie Pay $31,841.00 121;~Ba . 2(>D~~th cr Pay $149,337.00 22. Name and Loca tion of Pos ition's Or ga niza tion Office of the Secretary of Health and Human Services OFFICE OF ASSISTA NT SECRETARY FOR PUBLIC WASHING TON DC USA EMPLOYEE DATA 23. Veterans Preference ~ • ~ e~~ I - Nooe 2 - 5- Polnl 24. Tenure 0(b)(6) I- 5 - IO- Point/Othtr J- 10- Poiol/D;,,b;t;l y 4 - 10- Polnt/Compe nsa l)le 6 - IO~Poi.nt/Compi:-nsabll-/30 % 1 I 125. Agency Use None Permanenl 2 - Condilio na l J- lnddinill' Annuita nt Ind icator (b)(6) I I L~. (b)(6) I I 31. Sen'ice Comp. Date (Leave) 32. Work Schedule 30. Retir ement Plan (b)(6) I I l R.Loca lity Adj. 121Pa)' . Basis I 20C. Adj. Basie Pay 2(}D. Other Pay $0 14. Name and Location of Positi on 's Orga nization 22. Name and Loca tion of Pos ition's Or ga niza tion Office of the Secre tary of Health an d Human Services OFFICE OF ASSISTANT SECRETARY FOR PUBLIC WASHINGTON DC USA EMPLOYEE DATA 23. Veterans Preference ~ I - Nooe 2 - 5- Polnl 27. FEGLI (b)(6) I 125. Agency Use 24. Tenure 0(b)(6) 5 - IO- Po int/Othtr J- 10- Poiol/D;,,b;t;l y 4 - 10- Polnt/Compe nsa l)le None I - Pe.rmane.nl 6 - IO~Poi.nt/ Co mpi:-nsabll-/30 % 2 - Co ndilio na l J- lnddinill' 28. Annuita nt Ind icator (b)(6) I 30. Retir ement Plan I I I 31. Sen'ice Comp. Date (Leave) 32. Work Schedule I (b)(6) I (b)(6) ~ESE]No 29. Pav Rate Determinant (b)(6) I 33. Par t-Tim e Honrs Per Biweekly Pay Period I I (b)(6) 26. Veterans Preference for RIF POSITION DATA 34. Position Occupied 35. FLSA Category ~ I - C om1,elith·e Servic e 2- i£l:<'l"pted ~ 3 - SF.S Gene.r:.11 4 - SES Can-n R~trvcd Senk<' £ - Eu rupt N - Nontxempl 36. Appropriation Code 37. Barga ining Unit Status 81990385 8888 38. Duty Sta tion Code 39. Duty Station (City - County - State or Overseas L-Ocation) 110010001 WASHINGTON Dist Columbia DC USA 40. Agency Data ,., ~ 14 1. 142. 143. 1;AR umber: .. (b)(6) 46. Emplo)'ing Dcparhnent or Agency SO.Signature /Authentication and Title of Appro ving Official Depa r tment of HHS - Office of the Sec retary of Hea lt h and Human Se rvices 47. Agency Code HElO 5-Par t 50-316 48. Person nel Office ID 1704 49. Appr oval Date E lectronica lly Signed by: TONY A M JOHN SON Dir ect or , Nat ional Capital Regi on HR Center 10/10/2017 HHS 2018-00318--000138 2 - OPF Copy · Lon g-Term Record · DO NOT DE STROY Editions Prior to 7/9 1 Are No t Usab le After 6/30/93 NSN 7540-01-333-6238 HHS-17-0560-A-000138 Standard Form 50 Rev 7/9 1 U.S. Office of Perso nnel Managemen t Gu ide to Processi ne: Person nel Actions Chaoter 4 I. Name (Last. First. Middle) NOTIFICATION OF PERSONNEL ACTION ? c;:,,....,.; ...J A l' IKl'IJ 5-A. Code I 3. Date of Birth l, I11n,.h £>r I :oNu 6-A. Code 6-C. Code 6-D. Legal Authority 6-E. Code 6-F. Legal Authority A 1 4. Effective Date I (b)(6) J 11_1.N 6-B. Nature of Action SI ( ( J II tN 5-B. Nature of Action 170 c;:i.,.,.. ., rih/ l(b)(6) SH1OZA WA BRIAN E 12-10-2017 I Exe Appt 5-C. Code 5-D. Legal Authority Y7M SCH C, 213.330 1a Afhncy unique Schedule C aut . 5-E. Code 5-F. Legal Authority ZLM OPM Fonn l 0 19 Dated Sentember 29 2017 7. FROM: Position T itle and Number 15. TO: Position Title and Number Regional Director, Denver, Col PD:HHS252 8.Pay Plan 1 9.0cc. CD 12A. Basic Pay IO.Grd/Lvl I I I .Step/Ra te 1 12.Tot. Salary I 12C. Adj. Basic Pay 12B. Locality Adj. 1 13.Pay Basis 16.Pay Plan l 17.0cc . CD 1 18.Grd/Lvl GS 1 12D. Other Pay 0301 $134,776.00 14. Name and Location of Position's Organization 002744 39 1 19.Step/Rate 1 20.Tot. Salary/Award 1 2 1.Pay Basis 15 20A. Basic Pay Position: 10 1 20B. Locality Adj. $27, 124.00 $161,900.00 PA I 20C. Adj. Basic Pay fl 20D. Other Pay $161,900.00 $0 22. Name and Location of Position's Organization Office of the Secretary of Health and Human Services Office Of The Regional Director , Region DENYER CO USA l{ Ml'Ll,rt <:I <: IJATA 23. Veterans Preference ~ I-None 3-IO Point/Disab ility (6) 2-5 Point 4- 10 Point/Comoensable 27. FEGLT (b)(6) I 3 1. Service Comp. Date (Leave) irement Plan I j (b)(6) c,11'111 n "~ ll 2-Co nditiona l 0-None In\ I-Permanent 3-lndefinile 28. Annuitant Indicator I (b)(6) ~t 24. Ten ure ~ 5- IO Point/Other 6- 10 Point/Comoensable/30% (b)(6) I l(b)(6) I I.I A.la 36. Appropriation Code 34. Position Occupied ~S A Category I-Competitive Service 3-SES Genera l E-Exen1pt 2-Exceoted Service 4-SES Career Reserved E N-Nonexemot 81080560 38. Duty Station Code 1 39. Duty Station (City-County-State or Overseas Location) ~ terans Prefer!ITT 6\ YES 29. Pay Rate Dctcnnina nt I 32. Work Sched ule encyUse 0R0600011. 7 33. Part-Time Hours Per Biweekly PayPe riod 37. Bargaining Unit Status 8888 DENVER Denver CO USA 1 42. 1 4 1. 1 43. 1 44. PAR Number: 45. Re mark s l~X6) I 46. Employ ing D epart me nt or Agency 50. Signatu re/ Authenticaiion Defiartment of HHS Of ice of the Secretarv of Health and Human Services 47. Agency Code 1 48. Per so nnel Offi ce ID RE IO 1704 and Title of Ap p roving Offici al TONY A M JOHNSON Director , National Capital Region HR Center 1 49. Approval Date 12-13-2017 Edmons Pn or to 7/91 Are Not U sab le After 6/30/93 1• NO (b)(6) r-;-i 40. Agency Data RIF Employee Co py HHS 2018-00318--000139 HHS-17-0560-A-000139 I Standard F'orm 50 Re v. 7/91 U.S. Office of Personnel Management FPM Supp 296- 33 Subch 4 NOTIFICATION OF PERSONNEL ACTION 1. Name (Last, First, Middle) 2. Social Security Number FIRST ACTION 5-A. Code 3. Date of Birth l (b)(6) I(b)(6) SIMCO X JR. ,EDWIN J 4. Effective Date I 07/17/2017 SECOND ACTION 5- B. Nature of Action 6- A. Code 6- B. Nature of Action 5- D. Legal Authority 5 U.S.C. 3394 (a). Non- career. SES noncar. appt 6-C . Code 6- D. Lcgal Author ity 5- F. Legal Authority OPM Form 1652 Dated 6/6/2017 6- E. Code 6- F. Legal Authority SES Non ca reer Appt 146 5- C. Code V4L 5-E. Code AWM 7. FROM: Position Title and Number 15. TO: Position Title and Numbcr Deputy Director, Office o£Tcchnology PD:E S7050 Position:00384609 ro.Grade or Luellll. 8. Pay P lan 19. 0cc. Code Ste p or Rat 'l1 2. Total Salary 113. Pay Basis 16. Pay Plan 1 17. 0cc. Code ES 12A. Basi c Pa)' I 128. Localit y Adj. 12c. Adj. Basic Pay 112D. Other Pay 18. Grade or Le.vel 119.Step or Rate 20. Total Salary/Award 0301 00 20A. Basic l'a y 121Pa)' . Basis $179,700.00 I 2(>R.Localit y Adj. $179,700.0 0 14. Name and Location of Position 's Organization 0 I 20C. Adj. Basie Pay $0 PA 2(>D~~thcr Pay $179 ,700.00 22. Name and Location of Pos ition's Organization Office of the Secretary of Health and Human Services Immediat e Office Of The Secretary W ASlllNGTON DC USA EMPLOYEE DATA 23. Veterans Preference (b)(6) I 125. Agency Use 24. Tenure J- 10- Poiot/Disabilil y 4 - 10- Polnt/Compensal)le I - Nooe 2 - 5- Polnt 5 - IO- Point/Othtr (b)(6) 6 - IO~Poi.nt/ Co mpen sable/30 % F- Pe.rmane.nl 2 - Co ndili ona l J- lndefinill' 28. Annuitan t Indicator (b)(6) l1. ~t,;l;LI I (b)(6) None I I I I l (b)(6) fil7vESITTF7 (RI '~' NO 29. Pav Rate Determinant (b)(6) I 31. Sen'ice Comp. Date (Leave) 32. Work Schedule 30. Retirement Plan (b)(6) 26. Veterans Preference for RIF (b)(6) 33. Part-Time Honrs Per Biweekly Pay Period 36. Appropriation Code 37. Bargaining Unit Status 7199SA2T 8888 I I POSITION DATA 34. Position Occupied 35. FLSA Category ----;---i I - C om1,elith·e Servic e 3 - SF.S Gene.r:.11 2 - Kul"pted Scn-iel" 4 - SES Caren Resuvcd ~ ,., N - Nontxempl 39. Duty Station (City - County - State or Overseas L-Ocation) WASHINGTON Dist Columbia DC USA 38. Duty Stat ion Code 110010001 40. Agency Data £ - Eu rupt 141. 142. 143. 1;AR umber: ~ (b)(6) 46. Employing Dcparhnent or Agency SO.Signature/Authentication and Title of Approving Official Depa rt ment of HHS - Office of the Sec retar y of Hea lt h and Human Services 47. Agency Code HEl0 5-Part 50-316 48. Personnel Office ID 1704 49. Approval Date E lectronica lly Signed by: TONY A M JOHN SON Director , National Capital Region HR Center 07/2 0/2017 HHS 2018-00318--000140 DO NOT DE STROY 2 • OPF Copy· Long-Term Record· Editions Prior to 7/9 1 Are No t Usable After 6/30/93 NSN 7540-01-333-6238 HHS-17-0560-A-000140 Standard F'orm 50 Rev. 7/91 U.S. Office of Personnel Management FPM Supp 296- 33 Subch 4 NOTIFICATION OF PERSONNEL ACTION 1. Name (Last, Firs t, Middle) 2. Social Securit y Number FIRST ACTION 5-A. Code 3. Date of Birth (b)(6) I l (b)(6) VAFIADES,MARK B 4. Effective Date I 07/17/2017 SECOND ACTION 5- B. Nature of Action 6- A. Code 6- B. Nature of Action 6-C . Code 6- D. Lcgal Author ity 6- E. Code 6- F. Legal Author ity Exe Appt 170 5- C. Code 5- D. Legal Authority SCH C, 213.3301a Agency- unique Schedule C auth. Y7M 5-E . Code ZLM 5- F. Legal Authority OPM Form 1019 Dated 07/07/2017 7. FROM: Position Title and Number ro.Grade or Luellll. 8. Pay Plan 19. 0cc. Code 12A. Basic Pa)' 15. TO: Position Title and Numbcr DIRE CTOR OF COMMUNICATIONS PD:HHS485 Posit ion:00323146 Step or Rat 'l1 2. Total Salary I 128. Locality Adj. 12c. Adj. Basic Pay 113. Pay Basis 112D. Other Pay 16. Pay Plan 1 17. 0cc. Code GS 0301 18. :;de I 2(>R.Loca lity Adj. 20A. Basic l' ay $134 ,776.00 14. Name and Location of Positi on 's Orga nization or Level 119.~: p or Rate 2~;;~:::.;~Award sis I 20C. Adj. Basie Pay $27,124.00 121;~Ba . 2(>D~~th cr Pay $161 ,900.00 22. Name and Loca tion of Pos ition's Or ga niza tion Office of the Secretary of Health and Human Services OFFICE OF THE ASSISTANT SEC RET ARY FOR HE Imm ediate Office WASHING TON DC USA EMPLOYEE DATA 23. Veterans Preference I - Nooe (b)(6) I 2 - 5- Polnt J- 10- Poiot/Disabilil y 4 - 10- Polnt/Compe nsa l)le 27. FEGLI (b)(6) 24. Tenure O - None (b)(6) Permanenl 5 - IO- Point/Othtr I,- 6 - IO~Poi.nt/Compensable/30 % 28. Annuita nt Ind icator (b)(6) I 30. Retir ement Plan (b)(6) 2 - Condilio na l J- lndefinill' 31. Sen'ice Comp. Date (Leave) 32. Work Schedule (b)(6) (b)(6) POSITION DATA 34. Position Occupied 35. FLSA Category ~ I - Com1,elith·e Service ~ 3 - SF.S Gener:.11 4 - SES Can-n Resuvcd 2 - Kul"pted Scn-iel" ,., ~ I F}ES~NO I 29. Pav Rate Determinant (b)(6) I 33. Par t-Tim e Honrs Per Biweekly Pay Period I 36. Appropriation Code 37. Barga ining Unit Status 71990136 8888 39. Duty Station (City - County - State or Overseas L-Ocation) 38. Duty Sta tion Code 110010001 40. Agency Data £ - Eu rupt N - Nonexempt 26. Veterans Preference for RIF I I I 125. Agency Use WA S HIN GTON Di st C olumbi a DC USA 14 1. 142. 143. 1;AR umber: .. (b)(6) 46. Emplo)'ing Dcparhnent or Agency SO.Signature /Authentication and Title of Appro ving Official Depa r tment of HH S - Office of the Sec retar y of Hea lt h and Human Se rvices 47. Agency Code HElO 5-Par t 50-316 48. Person nel Office ID 1704 49. Appr oval Date E lectronica lly Signed by: TONY A M JOHN SON Director , Nat ional Capital Regi on HR Center 07/19/2017 HHS 2018-00318--000141 2 - OPF Copy · Lon g-Term Record · DO NOT DE STROY Editio ns Prior to 7/9 1 Are Not Usab le After 6/30/93 NSN 7540-01-333-6238 HHS-17-0560-A-000141 Standard F'orm 50 Re v. 7/91 U.S. Office of Personnel Management FPM Supp 296- 33 Subch 4 NOTIFICATION OF PERSONNEL ACTION 2. Social Securit y Number 1. Name (Last, Firs t, Middle) WOM ACK,KIMBERL Y LORRAI NE FIRST ACTION 5-A. Code 3. Date of Birth 4. Effective Date I l (b)(6) l (b)(6) 10/23/2017 SECOND ACTION 5- B. Nat ure of Action 6- A. Code 6- B. Nature of Action 6-C . Code 6- D. Lcgal Author ity 6- E. Code 6- F. Legal Author ity Exe Appt 170 5- C. Code 5- D. Legal Authority SCH C, 213.331a. Agency- uniqu e Schedu le C auth. Y7M 5-E . Code 5- F. Legal Authority OPM Form 1019 Dated 10/17/2017 ZLM 7. FRO M: Position Title and Number 15. TO: Position Title and Numbcr Policy Advisor PD:GS0S00 Position:00388080 ro.Grade or Luellll. 8. Pay Plan 19. 0cc. Code 12A. Basic Pa)' Ste p or Rat 'l1 2. Total Salary I 128. Localit y Adj. 12c. Adj. Basic Pay 113. Pay Basis 112D. Other Pay 16. Pay Plan 1 17. 0cc. Code GS 0301 18. Grade or Le.vel 119.Step or Rate 20. To tal Salary/Award 12 20A. Basic l' ay 121Pa)' . Basis $79,720.00 I 2(>R.Loca lity Adj. $62 ,722.00 14. Name and Location of Positi on 's Orga nization 1 PA I 20C. Adj. Basie Pay 2(>D~~th cr Pay $79,720.00 $16,998.00 22. Name and Loca tion of Pos ition's Or ga niza tion Administration for Children and Families Ofc Of Refugee Rese ttlement Ofc Of The Director WASHING TON DC USA EMPLOYEE DATA 23. Veterans Pr eference I - Nooe (b)(6) I 2 - 5- Polnt 27.F EGLI (b)(6) I 24. Tenure 0 - None (b)(6) 5 - IO- Point/Othtr J- 10- Poiot/Disabilil y 4 - 10- Polnt/Compe nsa l)le 6 - IO~Poi.nt/Compensable/30 % I - Permanenl 28. Annuita nt Ind icator (b)(6) I 30. Retir ement Plan (b)(6) 2 - Condilio na l J- lndefinill' 125. Agency Use 26. Veterans Preference for RIF I ~ESITT§'lNo I I 3 1. Sen'ice Comp. Date (Leave) 32. Wor k Schedule (b)(6) (b)(6) IFuU Time I 29. Pav Rat e Determinant (b)(6) I 33. Par t-Tim e Hours Per Biweekly Pay Period I I POSITION DATA 34. Position Occupied 35. FLSA Category ~ I - C om1,elith·e Servic e ~ 3 - SF.S Gener:.11 4 - SES Can-n Resuvcd 2 - Kul"pted Scniel" £ - Eu rupt N - Nontxempl 36. Appropriation Code 37. Barga ining Unit Statu s 8G996413 8888 38. Dut y Sta tion Code 39. Duty Station (City - County - State or Over seas L-Ocation) 110010001 WASHIN GTON Dist Columbi a DC USA 40. Agency Data 14 1. 142. 143. 1;AR umber: 45. Remark s (b)(6) 46. Emplo)'ing Dcparhnent or Agency SO.Signature /Authentication and Title of Appro vin g Official Depa rtment of HHS - Administration for Children and Families 47. Agency Code HE90 5-Par t 50-316 48. Person nel Office ID 1704 49. Appr oval Date E lectronica Uy Signed by: TONY A M JOHN SON Dir ector, Nat ional Capital Region HR Center 10/25/2017 HHS 2018-00318--000142 2 • OPF Copy · Long-Term Record · DO NOT DESTROY Editions Prior to 7/9 1 Are No t Usab le After 6/30/93 NSN 7540-01-333--6238 HHS-17-0560-A-000142 Standard F'orm 50 Rev. 7/91 U.S. Office of Personnel Management FPM Supp 296- 33 Subch 4 NOTIFICATION OF PERSONNEL ACTION 1. Name (Last, Firs t, Middle) 2. Social Securit y Number I SECOND ACTION FIRST ACTION 5-A. Code 5- B. Nature of Action 6- A. Code Correction 002 5- C. Code 5- F. Legal Authority 09/0 5/2 017 6- D. Lcgal Author ity S U.S. C. 339 4(a). Non- career. 6- E. Code SES noncar. appt 6- F. Legal Author ity OPM Form 1652 Dated 08/30 /17 AWM 7. FRO M: Position Title and Number I SES Noncareer Appl 6-C . Code 5- D. Legal Authority 4. Effective Date l D~~thcr Pay 2(>R.Locality Adj. 20A. Basic l' ay $ 179 ,700.00 14. Name and Location of Positi on 's Orga nization 0 $0 $179 ,700.00 22. Name and Loca tion of Pos ition's Organization Administration for C hild ren and Fami lies Admin On Chlldren, Yo uth, And F amilies Ofc Of Th e Commi ssion er WASHING TON DC USA EMPLOYEE DATA 23. Veterans Pr eference ~ I • Nooe 2 - 5- Polnl 24. Tenure J • 10- Poiol/D;,,b;t;l y 5 - IO- Point/Oth tr 4 - 10- Polnt/Compe nsa l)le 6 - IO~Poi.nt/Compi:-nsab ll-/30% 27.F EGLI (b)(6) (b)(6) I •- Permanenl 2 - Condilio na l J- lnddinill' 28. Annuita nt Ind icator (b)(6) I 30. Retir ement Plan (b)(6) O - None 3 1. Sen'ice Comp. Date (Leave) I (b)(6) I .l ,! . 125. Agency Use 26. Veterans Preference for RIF I m I _YES~NO 29. Pav Rate Determinant (b)(6) I work :,cneau1e I 33. Par t-Tim e Honrs Per Biweekly Pay Period I (b)(6) POSITION DATA 34. Position Occupied 35. FLSA Category ----;---i I - C om1,elit h·e Servic e 3 - SF.S Gener:.11 2 - i£l:<'l"pt ed Scn-il"l" 4 - SES Can-n R~trvcd ~ £ - Eu rupt N - Nontxempl 36. Appr opriati on Code 37. Barga ining Unit Status 7G996416 8888 38. Duty Station Code 39. Duty Station (City - County - State or Overseas L-Ocation) 110010001 WA S HIN GTON 40. Agency Data ,., 142. 14 1. Di st C olumbi a DC USA 143. 1;AR umber: ~ I l (b)(6) 46. Emplo)'ing Dcparhnent or Agency Depa r tment of HHS - Administration 47. Agency Code HE90 5-Par t 50-316 SO.Signat ure/Authentication and Title of Appro ving Official for Children 48. Person nel Office ID 1704 and Families 49. Appr oval Date E lectronica lly Signed by: TONY A M JOHN SON Director , National Capital Regi on HR Center 09/ 15/2017 HHS 2018-00318--000143 2 • OPF Copy · Lon g-Term Record · DO NOT DE STROY Editions Prior to 7/9 1 Are Not Usab le After 6/30/93 NSN 7540-01-333-6238 HHS-17-0560-A-000143 Standard F'orm 50 Re v. 7/91 U.S. Office of Personnel Management FPM Supp 296- 33 Subch 4 NOTIFICATION OF PERSONNEL ACTION 1. Name (Last, First, Middle) 2. Social Security Number ALEXANDERJR.,ALBERT G l R.Loca lity Adj. $179 ,700.00 14. Name and Location of Positi on 's Orga nization 0 I 20C. Adj. Basie Pay $0 PA 2(}D~~thcr Pay $179 ,700.00 22. Name and Loca tion of Pos ition's Organization Center s for Medicare & Medicaid Services OFFICE OF THE ADMIN IST RATOR CENTER FOR PROGRAM INTEGRITY BALTIMORE MD USA EMPLOYEE DATA 23. Veterans Preference ~ I - Nooe 2 - 5- Polnl J- 10- Poiol/D;,,b;t; ly 4 - 10- Polnt/Compe nsa l)le 27. FEGLI (b)(6) 24. Tenure 0 - None (b)(6) 5 - IO- Point/Oth tr 6 - IO~Poi.nt/Compi:-nsab ll-/30% I - Permanenl 1 28. Annuita nt Indicator (b)(6) I 30. Retir ement Plan (b)(6) 125. Agency Use 2 - Condilio na l J- lnddinill' I I 31. Sen'ice Comp. Date (Leave) 32. Work Schedule (b)(6) (b)(6) I I I 26. Veterans Preference for RIF ml YES_~(P.\ NO 29. Pay Rate Determinant (b)(6) I 33. Par t-Tim e Honrs Per Biweekly Pay Period I I YUMT lU N U ATA 34. Position Occupied 35. FLSA Category ----;---i I - C om1,elit h·e Servic e 3 - SF.S Gener:.11 2 - i£l:<'l"pt ed Scn-il"l" 4 - SES Can-n R~trvcd ~ d<; D ,-.,- 36. Appropriation Code 37. Bargaining Unit Status 85990737 8888 39. Duty Station (City - County - State or Overseas L-Ocatio n) BALTIMORE Ba ltimore MD USA 38. Duty Station Code 240050510 40. Agency Data £ - Eu rupt N - Nontxempl 14 1. 142. 143. 1;AR umber: 1 .. (b)(6) 46. Emplo)'ing Dcparhnent or Agency SO.Signature /Authentication and Title of Approving Official Depa r tment of HHS - Cente r s for Medicare & Medicaid Servic es 47. Agency Code HE70 5-Par t 50-316 48. Personnel Office ID 4222 49. Approval Date E lectronica lly Signed by: A NGELA K. PORT E R Director Tal ent Ac quisit ion Gronp (TAG) 12/06/2017 HHS 2018-00318--000144 2 - OPF Copy - Lon g-Term Record - DO NOT DE STROY Editions Prior to 7/9 1 Are No t Usab le After 6/30/93 NSN 7540-01-333-6238 HHS-17-0560-A-000144 Standard F'orm 50 Re v. 7/91 U.S. Office of Personnel Management FPM Supp 296- 33 Sub ch 4 NOTIFICATION OF PERSONNEL ACTIO N 1. Name (Last, Firs t, Middle) 2. Social Secur ity Number FIRST ACTION 5- A. Code 3. Date of Birth I l R. Loca lity Adj . $52,329.00 14. Name and Locat ion of Positi on ' s Orga niza tion 1 I PA I 20C. Adj. Basie Pay $14, 181.00 121Pa. )' Basis $66,510 .00 2(>D~~t hcr Pay $66,5 10.00 22. Na me an d Loca tion of Pos ition' s Or ga niza tion Office of the Secretary of Health and Human Services Immediate Office Of The Secretary WASHINGTON DC USA EMPLOYEE DATA 23. Veteran s Preference ~ I - Nooe 2 - 5- Polnl 125. Agency Use 24. Tenu re J- 10- Poiol/D;,,bm lv 4 - 10- Polnt/Co mpe nsa l)le 27. FEGLI (b)(6) 5 - IO- Point/ Othtr (b)(6) 6 - IO~Poi.nt/Comp i:-nsabll-/30% I•- O - None Per ma nenl 2 - Condiliona l J- l ndd inill' 28. Annuita nt Indicator I 31. Sen'ice Comp. Date (Leave) 32. Work Schedule (b)(6) (b)(6) I l (b)(6) POSITION DATA I 34. Position Occupied 35. FLSA Category ~ I - C om1,elit h·e Serv ice ~ 3 - SF.S Gener:.11 4 - SES Can-n R~trv cd 2 - i£l:<'l"pt ed Scn-il" l" £ - Eu rupt N - Nont xempl 7199TWLV 8888 WASHINGTON Dist Columbi a DC USA ,,c D ,-, 143. 1; AR I I 37. Barga ining Unit Status 1100100 01 14 2. NO 29. Pav Rate Determinant (b)(6) 36. Appropriation Code 39. Duty Station (City - Count y - State or Overseas L-Oca tion) 14 1. flvES ~ 33. Par t- Time Honrs Per Biweekly Pay Period I 38. Duty Station Code 40. Agency Data I I (b)(6) 30. Retir ement Plan I 26. Veteran s Preference for RIF umber: , - 1 .. (b)(6) 46. Emplo)'ing Dcparhn ent or Agency SO.Signat ure/Authentication and Title of Appro ving Official De pa r tm ent of HHS - O ffice of th e Sec r etar y of H ea lt h and Human Se rvices 47. Agency Code H E lO 5- Part 50-316 48. Personnel Office ID 1704 49. Appr oval Date E lect ro nica lly Signed by: TONY A M JOH NSON Dir ect or , Na tional Ca pi ta l Region HR Ce nt er 09/13/2017 HHS 2018-00318--000145 2 - OPF Copy · Long-T erm Reco rd · DO NOT DESTRO Y Edit ions Pr ior to 7/9 1 Are Not Usab le After 6/30/93 NSN 7540-01-3 33-6 238 HHS-17-0560-A-000145 Standard F'orm 50 Rev. 7/91 U.S. Office of Personnel Management FPM Supp 296- 33 Sub ch 4 NOTIFICATION OF PERSONNEL ACTIO N 1. Name (Last, Firs t, Middle) 2. Social Secur ity Number TI GN OR,BETH B I(b)(6) FIRST ACTION SECOND ACTION 5- A. Code 5- B. Nature of Action 570 Conv to Exe Appt 5- C. Code 5- D. Legal Auth ority 5- E. Code ZLM 5- F. Legal Authori ty OP M F orm 1019 Dat ed Au gus t 2, 2017 7. FROM: Position Title and Numb er Specia l Assistant PD :HHS753 Pos iti on :00378952 t I 4. Effective Date I 6- A. Code 6- B. Natur e of Action 6- C. Code 6- D. Lcgal Authority 6- E. Code 6- F. Legal Authority 08/06/2017 SC H C, 213.3301a Age n cy- uniqu e Sc hedul e C autb. Y7M 8. :ta 3. Date of Birth l (b)(6) · 15. TO : Position T itle and Numbcr Ad viso r , Sc hedulin g Op er at ion s PD:GS2706 Posit ion :00385 143 ro. ;;~;od• 12A. Bas ic Pa)' I13~:yBasis Grad e or Lue l lll . Step or Rat 'l1 2. Total Salar y 12 1 I 128. Locality Adj. $6 2,72 2.00 $79,720.00 12c. Adj. Basic Pay 112D. Ot her Pay $79,720.00 $16,998 .00 $0 16. Pay Plan 1 17. 0cc. Code GS 030 1 18. Grad e or Le.vel 119.Step or Rate 20. Total Salary /A ward 12 1 2(>R.Loca lity Adj . 20A. Basic l' ay $6 2,722. 00 121Pa . )' Basis $79,720.00 I PA I 20C. Adj. Basie Pay 2(>D~~t hcr Pay $79,720.00 $16,998.00 14. Name and Locat ion of Positi on ' s Orga niza tion 22. Na me an d Loca tion of Pos ition' s O rga niza tion Offi ce of the Secre tar y of Health an d Human Se r vices Imm ediat e Office Of The Sec retary Offi ce of th e Sec r eta r y of Health and Human Ser vices Imm ediat e Office Of The Sec retary WAS HIN GT ON D C USA WAS HI NG TO N D C USA EMPLOYEE DATA 23. Veteran s Preference I - Nooe (b)(6) I 2 - 5- Polnl J- 10- Poio t/Disabili ly 4 - 10- Polnt/Co mpe nsa l)le 27. FEGLI (b)(6) 24. Tenu re 0 - None (b)(6) I - Per ma nenl 5 - IO- Point/ Other 6 - IO~Po i.nt/ Comp ensable/30% 1 2 - Co ndilio na l J- l ndefinill' 28. Annuita nt Indicator (b)(6) I 125. Agency Use 26. Veteran s Preference for RIF I ~Y I 31. Sen'ice Comp. Date (Leave) 32. Work Schedule 30. Retir ement Plan (b)(6) I I (b)(6) ES ~ / R\ NO I 33. Par t- Time Honrs Per Biweekly Pay Period I I l (b)(6) t R\ 29. Pay Rate Determinant (b)(6) POSITION DATA 34. Position Occupied 35. FLSA Category ~ I - C om1,elit h·e Serv ice 2 - Ku l"pt ed Scn-ie l" ~ 3 - SF.S Ge ner:.11 4 - SES Can-n Resu vcd N - Nonexem pl 36. Appropriation Code 37. Barga ining Unit Status 71990362 8888 39. Duty Station (City - Count y - State or Overseas L-Oca tion) 38. Duty Station Code 1100100 01 40. Agency Data £ - Eurupt W AS HI NGTON 14 1. 14 2. Di st C olumbi a DC USA 143. 1; AR umb er : d <; D ,-. , - 1.. (b)(6) 46. Employing Dcparhn ent or Agency SO.Signat ure/Authentication and Title of App roving Official De pa r tm ent of HHS - O ffice of th e Sec r etar y of H ea lt h and Human Se rvices 47. Agency Code H E lO 5- Part 50-316 48. Personnel Office ID 1704 49. Appr oval Date E lect ro nica lly Signed by: TONY A M JOH NSON D ir ecto r , Na tional Ca pi ta l Region HR Ce nt er 10/04/2017 HHS 2018-00318--000146 2 - OPF Copy · Long-T erm Reco rd · DO NOT DESTRO Y Edit ions Pr ior to 7/9 1 Are Not Usab le After 6/30/93 NSN 7540-01- 333-6 238 HHS-17-0560-A-000146 Standard F'orm 50 Re v. 7/91 U.S. Office of Personnel Management FPM Supp 296- 33 Subch 4 NOTIFICATION OF PERSONNEL ACTION 1. Name (Last, Firs t, Middle) 2. Social Secur ity Number l R.Loca lity Adj . $62 ,722.00 14. Name and Loca tion of Positi on 's Orga nization 18. Grade or Le.vel 119.Step or Rate 20. To tal Salary/Award 121Pa)' . Basis $79,72 0.00 I I 20C. Adj. Basie Pay $16,998. 00 PA 2(>D~~th cr Pay $79,720. 00 22. Na me and Loca tion of Pos ition's Or ga niza tion Office of the Secre tary of Health and Human Se r vices Imm ediat e Office Of T he Secreta r y W ASlllNGTON DC USA EMPLOYEE DATA 23. Veterans Preference I - Nooe (b)(6) I 2 - 5- Polnt J- 10- Poiot/Disabilily 4 - 10- Polnt/Compe nsa l)le 24. Tenure (b)(6) I- r- None Permanenl 5 - IO- Point/Othtr 6 - IO~Poi.nt/Compensable/30 % 28. Annuita nt Indicator (b)(6) 27 FFr. 1.1 (b)(6) I 30. Retir ement Plan (b)(6) 125. Agency Use 2 - Condilio na l J- lndefinill' I I I 31. Sen'ice Comp. Date (Leave) 32. Work Schedule (b)(6) (b)(6) I 26. Veterans Prefere nce for RIF ~YES~NO 29. Pav Rate Determinant (b)(6) I 33. Par t-Tim e Honrs Per Biweekly Pay Period I I POSITION DATA 34. Position Occupied 35. FLSA Category ~ I - C om1,elith·e Servic e ~ 3 - SF.S Gener:.11 4 - SES Can-n Resuvcd 2 - Kul"pted Scn-iel" d<; D ,-.,- 36. Appropriation Code 37. Bargaining Unit Status 7199SCJA 8888 39. Duty Station (City - County - State or Overseas L-Oca tion) WASHINGTON Dist Colum bia DC USA 38. Duty Station Code 1100100 01 40. Agency Data £ - Eu rupt N - Nontxempl 141. 14 2. 143. 1; AR umb er: 1 .. (b)(6) 46. Employing Dcparhnent or Agency SO.Signature /Authentication and Title of Appro ving Official Depa r tment of HHS - Office of th e Sec r eta r y of Hea lt h and Human Se rvices 47. Agency Code H E l0 5-Par t 50-316 48. Person nel Office ID 1704 49. Approval Date E lectro nicall y Signed by: TONY A M JOH NSON D ir ect or , Na tional Capita l Regi on HR Ce nt er 01/26/2017 HHS 2018-00318--000147 2 - OPF Copy · Lon g-T erm Record · DO NOT DESTRO Y Editio ns Prior to 7/9 1 Are No t Usab le After 6/30/93 NSN 7540-01-333-6238 HHS-17-0560-A-000147 Standard Form 50 Rev 7/9 1 U.S. Office of Perso nnel Management G uide to Processi ne: Person nel Actio ns Chaoter 4 I. Name (Last. First. Middle) NOTIFICATION OF PERSONNEL ACTION 5-C. Code :oNu A I 6-A. Code J H_l.N 6-B. Nature of Action 6-C. Code 6-D. Legal Authority 6-E. Code 6-F. Legal Authority 4. Effective Date II 12-11-2017 FEOLI Change 5-D. Legal Authority 5 U.S.C., Chapter 87. Life Insurance. DPM 5-E. Code SI ( ( nF J> ; n J, l(b )(6) I l (b)(6) l' IK~J A J II tN 5-A. Code 5-B. Nature of Action 881 I a r, 2. Socia l Securilv Number BAILEY.WHITNEY A 5-F. Legal Authority 7. FROM: Position T itle and Number 15. TO: Position Title and Number DeputS Administrator for Regiona l Ops an PD: E 9999 Position: 00389660 PD: E 9999 I 'I.S teb/Ra te I $i43,4o'? of3.PA Basis 8.PJI S lan 1 9.~ QlD IO.Goov l 12A. Basic Pay 12B. Locality Adj. $143,409.00 DeputS Admini strator for Reg io $0 I 12C. Adj. Basic Pay ii 12D. Other Pay $0 $143,409.00 14. Name and Location of Position's Organization Position: 16.Pay Plan l 17.0cc . CD 1 18.Grd/Lvl ES 0301 1 19.Step/Rate 1 20.Tot. Salary/Award 1 2 1.Pay Basis 00 20A. Basic Pay $143,409.00 0 1 20B. Locality Adj. $0 ii 20D. Other Pay $0 I 20C. Adj. Basic Pay $143,409.00 22. Name and Location of Position's Organization Administration For Community Living OFC OF THE ADMlNlSTRA TOR OFC OF REGNL OPERANS (ORO) OFC OF THE ADMlNlSTRA TOR OFC OF REGNL OPERANS (ORO) WASHINGTO N DC USA WASHINGTO N DC USA 24. Ten ure 5- IO Point/Other 6- 10 Point/Comoensable/30% I r,Jsn ll 2-Conditiona l 0-None 6) I-Permanent 3-lndefinile 28. Annuitant Indicator ~ I (b)(6) I 3 1. Service Comp. Date (Leave) 30. Retirement Plan (b )(6) I (b)(6) I l (b)(6) encyUse 26. Veterans Preference for RIF ~ (6) YES ~ NO 29. Pay Rate Dctcnninant (b)(6) 32. Work Sched ule ll.J l"I IJ A.TA 36. Appropriation Code 34. Position Occupied ~SA Category I-Competitive Service 3-SES Genera l E-Exen1pt 1312 -Exceoted Service 4-SES Career Reserved E N-Nonexemot 82995210 38. Duty Station Code 1 39. Duty Station (City-County-State or Overseas Location) I 7 33. Part-Time Hours Per Biweekly PayPeriod 37. Bargaining Unit Status 8888 W ASHTNGTON Dist Columbia DC USA I lO0I000I. 40 . Agency Data PA $143,409.00 Administration For Community Living l{ Ml'Ll,rt <:I <: IJATA 23. Veterans Preference ~ I-None 3-IO Point/Disability 2-5 Point 4- 10 Point/Comoensable 27. FEGLT (b)(6) 00389660 1 42. 1 4 1. 1 43. 1 44. PAR Number: 45. Remarks 46. Employing Department or Agency 50. Signatu re/ Authenticaiion Department of HHS Administration For Communitv Livin!! 47. Agency Code 1 48. Personnel Office ID HE l2 1704 and Title of Approving Official TONY A M JOHNSON Director , National Capital Region HR Center 1 49. Approval Date 12-12-20 17 Edmons Pn or to 7/91 Are Not U sab le After 6/30/93 1• Em ployee Copy HHS 2018-00318--000148 HHS-17-0560-A-000148 I Standard F'orm 50 Re v. 7/91 U.S. Office of Personnel Management FPM Supp 296- 33 Sub ch 4 NOTIFICATION OF PERSONNEL ACTIO N 1. Name (Last, Firs t, Middle) 2. Social Secur ity Number 4. Effective Date I I SECOND ACTION FIRST ACTION 5- B. Nature of Action 5- A. Code 3. Date of Birth l (b)(6) BARRE TO-RICE,XIMENA A I (b )(6) 6- A. Code 6- B. Natur e of Action 6- C. Code 6- D. Lcgal Authority 6- E. Code 6- F. Legal Authority 12/04/2017 Exe Appt 170 5- C. Code 5- D. Legal Auth ority SC H C, 213.3301a Age n cy- uniqu e Sc hedul e C auth. Y7M 5- E. Code 5- F. Legal Authori ty OPM Form 1019 Dated November 29, 2017 ZLM 7. FROM: Position Title and Numb er 15. TO : Position T itle and Numbcr Deput y Dir ect or or Communi cat ion s PD:GS7380 Position :00389408 ro.G rad e or Lue l lll . Ste p or Rat 'l1 2. Total Salar y 8. Pay P lan 19. 0cc. Code 12A. Bas ic Pa)' I 128. Loca lity Adj. 12c. Adj. Basic Pay 113. Pay Basis 112D. Ot her Pay 16. Pay Plan 1 17. 0cc. Code GS 030 1 18. G rad e or Le.vel 119.S tep or Rate 20. To tal Salary /A ward 20A. Basic l' ay 2(>R. Loca lity Adj . $74,584.00 14. Name and Locat ion of Positi on ' s Orga niza tion 1 13 I PA I 20C. Adj. Basie Pay $20,212.00 121Pa. )' Basis $94,796.00 2(>D~~t hcr Pay $94,796.00 22. Na me an d Loca tion of Pos ition' s Or ga niza tion Offi ce of th e Sec r eta r y of Health and Human Ser vices OFFICE OF ASSISTANT SECRETA RY FOR PUBLI C PRINCIPAL DEPUTY ASST SEC WASHINGTON DC USA EMPLOYEE DATA 23. Veteran s Preference (b)(6) 1 l -No o, 2 - 5- Polnt J- 10- Poiot/Disabili ly 4 - 10- Polnt/Co mpe nsa l)le 27. FEGLI (b)(6) ,o- 24. Tenu re 0(b)(6) I- 5 - IO- Point/ Othtr 6 - IO~Poi.nt/Comp i:-nsabll-/30% 1 I I 34. Position Occupied 35. FLSA Category ~ I - C om1,elit h·e Serv ice ~ 3 - SF.S Gener:.11 4 - SES Can-n Resu vcd 2 - i£l:<'l"pt ed Scn-il" l" £ - Eu rupt N - Nont xempl NO I 8888 143. 1; AR I 33. Par t- Time Honrs Per Biweekly Pay Period 81990385 WASHINGTON Dist Columbi a DC USA ,., f C" 37. Barga ining Unit Status 1100100 01 14 2. IITTY ES ~ 36. Appropriation Code 39. Duty Station (City - Count y - State or Overseas L-Oca tion) 14 1. 26. Veteran s Preference for RIF 29. Pay Rate Determinant (b)(6) I 38. Duty Station Code 40. Agency Data I I 3 I. Sen'ice Comp. Date (Leave) 32. Work Schedule (b)(6) (b)(6) I POSITION DATA Per ma nenl 2 - Condiliona l J- l ndd inill' 28. Annu itant Indicator (b)(6) Di nn (b )(6) 25. Agency Use None umber: ~ (b)(6) 46. Emplo)'ing Dcparhn ent or Agency SO.Signat ure/Authentication and Title of App roving Official De pa r tm ent of HHS - O ffice of th e Sec r etar y of H ea lt h and Human Se rvices 47. Agency Code H E lO 5- Part 50-316 48. Personnel Office ID 1704 49. Appr oval Date E lect ro nica lly Signed by: TONY A M JOH NSON D ir ect or , Na tional Ca pi ta l Region HR Ce nt er 12/06/2017 HHS 2018-00318--000149 2 - OPF Copy · Long-T erm Reco rd · DO NOT DESTRO Y Edit ions Pr ior to 7/9 1 Are Not Usab le After 6/30/93 NSN 7540-01-3 33--6238 HHS-17-0560-A-000149 Standard F'orm 50 Re v. 7/91 U.S. Office of Personnel Management FPM Supp 296- 33 Sub ch 4 NOTIFICATION OF PERSONNEL ACTIO N 1. Name (Last, Firs t, Middle) 2. Social Secur ity Number FIRST ACTION 5- A. Code 3. Date of Birth 4. Effective Date I(b)(6) I l (b)(6) BEC K,GARYM I 08/28/2 017 SECOND ACTION 5- B. Nature of Action 6- A. Code 6- B. Natur e of Action 6- C. Code 6- D. Lcgal Authority 6- E. Code 6- F. Legal Authority Exe Appt 170 5- C. Code 5- D. Legal Auth ority Y7M SC H C, 2 13.3301a Age n cy- uniqu e Sc hedul e C auth. 5- E. Code 5- F. Legal Authori ty OPM Form 1019 Dated Augus t 25, 2017 ZLM 7. FROM: Position Title and Numb er 15. TO : Position T itle and Numbcr Adviso r for External Affairs PD:GS8480 Position :00385 633 ro.G rad e or Lue l lll . Ste p or Rat 'l1 2. Total Salar y 8. Pay P lan 19. 0cc. Code 12A. Bas ic Pa)' I 128. Loca lity Adj. 12C. Adj. Basic Pay 113. Pay Basis 112D. Ot her Pay 16. Pay Plan 1 17. 0cc. Code GS 030 1 18. G rad e or Le.vel 119.S tep or Rate 20. To tal Salary /A ward 11 20A. Basic l' ay 2(>R. Loca lity Adj . $52,329.00 14. Name and Locat ion of Positi on ' s Orga niza tion 1 I PA I 20C. Adj. Basie Pay $14, 181.00 121Pa. )' Basis $66,510 .00 2(>D~~t hcr Pay $66,5 10.00 22. Na me an d Loca tion of Pos ition' s Or ga niza tion Office of the Secretary of Health and Human Services Deputy Secretary OFC FOR INTERG OVERNMEN TAL & EXTERNAL AFF WASHINGTON DC USA EMPLOYEE DATA 23. Veteran s Preference ~ I - Nooe 2 - 5- Polnl J- 10- Poiol/D;,,b;t; ly 4 - 10- Polnt/Co mpe nsa l)le 27. FEGLI (b)(6) 24. Tenu re 0(b)(6) I- 5 - IO- Point/ Othtr 6 - IO~Poi.nt/Comp i:-nsabll-/30% 1 None Per ma nenl 2 - Condiliona l J- l ndd inill' 28. Annuita nt Indicator (b)(6) I 125. Agency Use 26. Veteran s Preference for RIF I ~Y I I (b)(6) I (b)(6) I r"' I (b)(6) 31. Sen'ice Comp. Date (Leave) 32. Work Schedule 30. Retir ement Plan ES [NflN o l!R\ 29. Pav Rate Determinant (b)(6) 33. Par t- Time Honrs Per Biweekly Pay Period 36. Appropriation Code 37. Barga ining Unit Status 71990571 8888 I POSITION DATA 34. Position Occupied 35. FLSA Category ~ I - C om1,elit h·e Serv ice ~ 3 - SF.S Gener:.11 4 - SES Can-n R~trv cd 2 - i£l:<'l"pt ed Scn-il" l" £ - Eu rupt N - Nont xempl 38. Duty Station Code 39. Duty Station (City - Count y - State or Overseas L-Oca tion) 1100100 01 W AS HI NGTON 40. Agency Data ,,c D ,-, 14 1. 14 2. Di st C olumbi a DC USA 143. 1; AR umb er : , - 1 .. (b)(6) 46. Emplo)'ing Dcparhn ent or Agency SO.Signat ure/Authentication and Title of Appro ving Official De pa r tm ent of HHS - O ffice of th e Sec r etar y of H ea lt h and Human Se rvices 47. Agency Code H E lO 5- Part 50-316 48. Personnel Office ID 1704 49. Appr oval Date E lect ro nica lly Signed by: TONY A M JOH NSON D ir ect or , Na tional Ca pi ta l Region HR Ce nt er 08/28/2017 HHS 2018-00318--000150 2 - OPF Copy · Long-T erm Reco rd · DO NOT DESTRO Y Edit ions Pr ior to 7/9 1 Are Not Usab le After 6/30/93 NSN 7540-01-3 33-6 238 HHS-17-0560-A-000150 Standard F'orm 50 Re v. 7/91 U.S. Office of Personnel Management FPM Supp 296- 33 Sub ch 4 NOTIFICATION OF PERSONNEL ACTIO N 1. Name (Last, First, Middle) 2. Social Secur ity Number 1(b )(6) FIRST ACTION SECOND ACTION 5- A. Code 3. Date of Birth I BRANDT,KIMBERLY L 6- A. Code 6- B. Natur e of Action 5- D. Legal Authority 5 U.S.C. 3394(a). Non- caree r . SES non ca r. appt 6- C. Code 6- D. Lcgal Authority 5- F. Legal Authority OP M Form 152 dated 05/04/2017 6- E. Code 6- F. Legal Authority 5- B. Nature of Action 4. Effective Date I l (b)(6) 08/06/2 017 SES Non ca r eer Appt 146 5- C. Code V4L 5- E. Code AWM 7. FROM: Position Title and Number ro.G rad e or Lue l lll . Ste p or Rat 'l1 2. Total Salar y 8. Pay P lan 19. 0cc. Code 12A. Bas ic Pa)' 15. TO: Position Title and Numbcr Pr in cip al Dep Admin for Op er at ions PD : ES2060 Posit ion :00385102 128. Loca lity Adj. I 113. Pay Basis 1 11. :td 16. ;tan • 18. G rad e or Le.vel 119.S tep or Rate 20. To tal Salary /A ward 00 0 12c. Adj. Basic Pay 112D. Ot her Pay 20A. Basic l' ay 121Pa. )' Basis $179,700 .00 I 2(>R. Loca lity Adj . $179,700.00 14. Name and Locat ion of Positi on ' s Orga niza tion 0 I 20C. Adj. Basie Pay $0 PA 2(}D~~t hcr Pay $179,700.00 22. Na me an d Loca tion of Pos ition' s Or ga niza tion C ent ers for Medic a r e & Me dicaid Ser vices OFF I CE O F THE ADMIN IST RAT OR WOODLAWN MD USA EMPLOYEE DATA 23. Veterans Preference (b)(6) I J- 10- Po io t/Disabili ly 4 - 10- Poln t/Co mpe nsa l)le I - Nooe 2 - 5- Polnt 27. FEGLI (b)(6) 24. Tenure l (b)(6) 0I -- I 5 - IO- Point/ Othtr 6 - IO~Po i.nt/ Comp ensable/30% N• "' Pe.rma ne.nl 2 - Co ndiliona l J- l ndefinill' 28. Annuita nt Indicator (b)(6) I 125. Agency Use 26. Veterans Preference for RIF I ~ YES [ffbif6il NO I I 31. Sen'ice Comp. Date (Leave) 32. Work Schedule 30. Retir ement Plan (b)(6) I I (b)(6) I 33. Par t- Time Honrs Per Biweekly Pay Period I I (b)(6) ''" 29. Pav Rate Determinant (b)(6) POSITION DATA 34. Position Occupied 35. FLSA Category ----;---i I - C om1,elit h·e Serv ice 3 - SF.S Ge ne.r:.11 2 - Ku l"pt ed Scn-ie l" 4 - SES Caren Resu vcd ~ N - Nont xem pl 36. Appropriation Code 37. Bargaining Unit Status 7599072 1 8888 39. Duty Station (City - County - State or Overseas L-Oca tion) WO ODL AWN Ba ltim or e MD USA 38. Duty Station Code 241698005 40. Agency Data £ - Eurupt 14 1. 14 2. 143. 1; AR umb er : d <; D ,-. , - 1.. (b)(6) 46. Emplo)'ing Dcparhn ent or Agency SO.Signat ure/Authentication and Title of Approving Official De pa r tm ent of HHS - Ce nt er s for M edicar e & Me dicaid Ser vices 47. Agency Code H E7 0 5- Part 50-316 48. Personnel Office ID 4222 49. Approval Date E lect ro nica lly Signed by: A NG ELA K. P ORTE R D irect or Talent Ac qui sit ion Gr onp (TAG ) 08/09/2017 HHS 2018-00318--000151 2 • OPF Copy · Long-Term Record · DO NOT DESTRO Y Edit ions Pr ior to 7/9 1 Are Not Usab le After 6/30/93 NSN 7540-01-3 33-6 238 HHS-17-0560-A-000151 Standard F'orm 50 Rev. 7/91 U.S. Office of Personnel Management FPM Supp 296- 33 Subch 4 NOTIFICATION OF PERSONNEL ACTIO N 1. Name (Last, Firs t, Middle) 2. Social Secur ity Number BUTT ERFIELD,JU STIN E (b)(6) FIRST ACTION SECOND ACTION 5- A. Code 5- B. Nature of Action 3. Date of Birth 4. Effective Date I (b )(6) 6- A. Code 6- B. Natur e of Action 6- C. Code 6- D. Lcgal Authority 6- E. Code 6- F. Legal Authority 10/29/2017 Exe Appt 170 5- C. Code 5- D. Legal Auth ority SC H C, 2 13.3301a Age n cy- uniqu e Sc hedul e C auth. Y7M 5- E. Code 5- F. Legal Authori ty OPM Form 1019 Dated October 24, 2017 ZLM 7. FROM: Position Title and Numb er 15. TO : Position T itle and Numbcr Senior Advisor (HIPAA) PD:GS1480 Position :003883 24 ro.Grad e or Lue l lll . Step or Rat 'l1 2. Total Salar y 8. Pay Plan 19. 0cc. Code 12A. Bas ic Pa)' I 128. Locality Adj. 12c. Adj. Basic Pay 113. Pay Basis 112D. Ot her Pay 16. Pay Plan 1 17. 0cc. Code GS 030 1 18. :;d 2(>R.Loca lity Adj . 20A. Basic l' ay $134,776.0 0 14. Name and Locat ion of Positi on ' s Orga niza tion e or Level 119.~: p or Rate 2~ ; ; ~:: : .;~ Award I sis I 20C. Adj. Basie Pay $27, 124.00 121;~Ba . 2(>D~~t hcr Pay $161,900 .00 22. Na me an d Loca tion of Pos ition' s Or ga niza tion Office of the Secretary of Health and Human Services IMME DIATE OFFICE OFFICE OF THE DEPUT Y DIRECTOR FOR PLNG & WASHINGTON DC USA EMPLOYEE DATA 23. Veteran s Preference I - Nooe (b)(6) I 2 - 5- Polnt J- 10- Poiot/Disabili ly 4 - 10- Polnt/Co mpe nsa l)le 27. FEGLI (b)(6) 24. Tenu re (b)(6) I- r- No ne Per ma nenl 5 - IO- Point/ Othtr 6 - IO~Poi.nt/Comp ensable/30% 2 - Condiliona l J- l ndefinill' 28. Annuita nt Indicator (b)(6) I 125. Agency Use 26. Veteran s Preference for RIF I flv I 31. Sen'ice Comp. Date (Leave) 32. Work Schedule 30. Retir ement Plan (b)(6) I I (b)(6) O I 33. Par t- Time Honrs Per Biweekly Pay Period I I (b)(6) ES ~N 29. Pav Rate Determinant (b)(6) POSITION DATA 34. Position Occupied 35. FLSA Category ~ I - C om1,elit h·e Serv ice 2 - Ku l"pted Scnie l" ~ 3 - SF.S Gener:.11 4 - SES Can-n Resu vcd £ - Eu rupt N - Nont xempl 36. Appropriation Code 37. Barga ining Unit Status 81994281 8888 38. Duty Station Code 39. Duty Station (City - Count y - State or Overseas L-Oca tion) 1100100 01 W AS HI NGTON 40. Agency Data ,., 14 1. 14 2. Di st C olumbi a DC USA 143. 1; AR umber: ~ (b)(6) 46. Emplo)'ing Dcparhn ent or Agency SO.Signat ure/Authentication and Title of App roving Official De pa r tm ent of HHS - O ffice of th e Sec r etar y of H ea lt h and Human Se rvices 47. Agency Code H E lO 5- Part 50-316 48. Personnel Office ID 1704 49. Appr oval Date E lect ro nica lly Signed by: TONY A M JOH NSON Dir ect or , Na tional Ca pi ta l Region HR Ce nt er 10/30/2017 HHS 2018-00318--000152 2 - OPF Copy · Long-T erm Reco rd · DO NOT DESTRO Y Edit ions Pr ior to 7/9 1 Are Not Usab le After 6/30/93 NSN 7540-01-3 33-6 238 HHS-17-0560-A-000152 Standard F'orm 50 Re v. 7/91 U.S. Office of Personnel Management FPM Supp 296- 33 Sub ch 4 NOTIFICATION OF PERSONNEL ACTIO N 1. Name (Last, Firs t, Middle) 2. Social Secur i(l• Number l (b)(6) FIRST ACTION 4. Effective Date I l (b)(6) 10/15/2017 SECOND ACTION 5- B. Nature of Action 5- A. Code 3. Date of Birth I SMI TH,GA VIN J 6- A. Code 6- B. Natur e of Action 6- C. Code 6- D. Lcgal Authority 6- E. Code 6- F. Legal Authority Exe Appt 170 5- C. Code 5- D. Legal Auth ority SC H C, 2 13.3301a A gen cy- uniqu e Sc hedul e C auth. Y7M 5- E. Code 5- F. Legal Authori ty OPM Form 1019 Dated October 13, 2017 ZLM 7. FROM: Position Title and Numb er 15. TO : Position T itle and Numbcr Policy Advisor PD:GS9306 Position :00387773 ro.G rad e or Lue l lll . Ste p or Rat 'l1 2. Total Salar y 8. Pay P lan 19. 0cc. Code 12A. Bas ic Pa)' 128. Loca lity Adj. I 12c. Adj. Basic Pay 113. Pay Basis 112D. O th er Pay 16. Pay Plan 1 17. 0cc. Code GS 030 1 18. G rade or Le.vel 119.Step or Rate 20. To tal Salary /A ward 12 20A. Basic l' ay 2(>R. Loca lity Adj . $66,904.00 14. Name and Locat ion of Positi on ' s Orga niza tion 3 121Pa. )' Basis $85,035.00 I I 20C. Adj. Basie Pay $18, 131.00 PA 2(>D~~t hcr Pay $85,035.00 22. Na me an d Loca tion of Pos ition' s Or ga niza tion Office of the Secretary of Health and Human Services OFFICE OF ASSISTANT SECRETA RY FOR PUBLI C WASHINGTON DC USA EMPLOYEE DATA 23. Veteran s Preference ~ I - Nooe 2 - 5- Polnl ~LI J- 10- Poiol/D;,,bml y 4 - 10- Poln t/Co mpe nsa l)le 24. Tenu re 0 - None (b)(6) 5 - IO- Point/ Othtr 6 - IO~Po i.nt/ Comp i:-nsabll-/30% 1I - Pe.rma ne.nl 2 - Co ndiliona l J- l ndd inill' 28. Annuita nt Indicator (b)(6) Not App licabl e lzs. Agency Use 26. Veteran s Preference for RIF I m-lY I I Bas ic On ly 30. Retir ement Plan I I (b)(6) ~ NO I 31. Sen'ice Comp. Date (Leave) 32. Work Schedule (b)(6) ES 29. Pav Rate Determinant (b)(6) Re gular Rate l (b)(6) 33. Par t- Time Honrs Per Biweekly Pay Period 36. Appropriation Code 37. Barga ining Unit Status 81990385 8888 I POSITION DATA 34. Position Occupied 35. FLSA Category ~ I - C om1,elit h·e Serv ice 2- i£l:<'l"pt ed Senk <' ~ 3 - SF.S Ge ne.r:.11 4 - SES Can-n R~trv cd £ - Eu rupt N - Nont xempl 38. Duty Station Code 39. Duty Station (City - County - State or Overseas L-Oca tion) 1100100 01 WASHINGTON Dist Columbi a DC USA 40. Agency Data .tc D ,-,,- 14 1. 14 2. 143. 1; AR umber: 1 .. (b)(6) 46. Emplo)'ing Dcparhn ent or Agency SO.Signat ure/Authentication and Title of Appro ving Official De pa r tm ent of HHS - O ffice of th e Sec r etar y of H ea lt h and Human Se rvices 47. Agency Code H E lO 5- Part 50-316 48. Personnel Office ID 1704 49. Appr oval Date E lect ro nica lly Signed by: TONY A M JOH NSON D ir ect or , Na tional Ca pi ta l Region HR Ce nt er 10/18/2017 HHS 2018-00318--000153 2 - OPF Copy · Long-T erm Reco rd · DO NOT DESTROY Edit ions Pr ior to 7/9 1 Are Not Usab le After 6/30/93 NSN 7540-01-3 33-6 238 HHS-17-0560-A-000153 Standard F'orm 50 Re v. 7/91 U.S. Office of Personnel Management FPM Supp 296- 33 Subch 4 NOTIFICATION OF PERSONNEL ACTION HARGAN,E RIC D 1. Name (Last, First, Middle) 2. Social Securi(l•Number l (b)(6) FIRST ACTION SECOND ACTION I 5-A. Code 570 5- B. Nature of Action 5- C. Code 6- A. Code 6- B. Nature of Action 5- D. Legal Authority Approved by th e Pr esid en t Senat e Confirmed 10/04/17 6-C . Code 6- D. Lcgal Authority 5- F. Legal Authority 6- E. Code 6- F. Legal Authority 4. Effective Date I 10/05/2 017 Conv to Exe Appt ZNM 5-E . Code 7. FROM: Position Title and Number Sr Advisor to t he Secretar y PD :ES0721 Pos ition :00384655 ro.Grade or Luellll. 8. Pay Plan 19. 0cc. Code ES 3. Date of Birth l (b)(6) 00 0301 12A. Basic Pa)' I13~:yBasis Ste p or Rat 'l1 2. Total Salary 0 128. Localit y Adj. $179,700.00 15. TO: Position Title and Numbcr DEPUTY SECRETARY PD:EX0024 Posit ion:00056 563 I $0 $179,700 .00 12c. Adj. Basic Pay 112D. Other Pay $179,700.00 $0 16. Pay Plan 1 17. 0cc. Code EX 0301 18. Grade or Le.vel 119.Step or Rate 20. To tal Salary/Award 02 20A. Basic l' ay 0 I 2(>R.Loca lity Adj. $179,700.00 121Pa)' . Basis $179,700.00 I 20C. Adj. Basie Pay $0 PA 2(}D~~thcr Pay $179,700.00 14. Name and Location of Positi on 's Orga nization 22. Name and Loca tion of Pos ition's Or ga niza tion Office of the Secre tary of Health an d Unman Services Offi ce Of The Genera l Coun sel Office of the Secretary of Health and Unman Services Deput y Secretary WA SHINGTON DC USA WASHING TON DC USA EMPLOYEE DATA 23. Veterans Preference I - Nooe (b)(6) I 2 - 5- Polnt 27.F EGLI ~Basic J- 10- Poiot/Disabilil y 4 - 10- Polnt/Compe nsa l)le 24. Tenure 0 - None (b)(6) 5 - IO- Point/Othtr 6 - IO~Poi.nt/Compensable/30 % 1I - Permanenl 2 - Condilio na l J- lndefinill' 28. Annuitant Indicator (b)(6) !Not App licab le On ly 30. Retir ement Plan lzs.Agency Use 26. Veterans Preference for RIF I ~YES~NO I 31. Sen'ice Comp. Date (Leave) 32. Work Schedule I (b)(6) l (b)(6) (b)(6) I {C,.\ 29. Pav Rate Determinant (b)(6) !Below the minimum ra te 33. Par t-Tim e Honrs Per Biweekly Pay Period I I POSITION DATA 34. Position Occupied 35. FLSA Category ~ I - C om1,elith·e Servic e ~ 3 - SF.S Gener:.11 4 - SES Can-n Resuvcd 2 - Kul"pted Scniel" 36. Appropriation Code 37. Bargaining Unit Status 81990362 8888 39. Duty Station (City - County - State or Overseas L-Ocatio n) WA SHIN GTON Dist Columbi a DC USA 38. Duty Station Code 110010001 40. Agency Data £ - Eu rupt N - Nonexempt 14 1. 142. 143. 1;AR umber: 4,.Remark~ (b)(6) 46. Emplo)'ing Dcparhnent or Agency SO.Signature/Authentication and Title of Approving Official Depa r tment of HHS - Office of the Sec retary of Hea lt h and Homan Se rvices 47. Agency Code HEl0 5-Par t 50-316 48. Personnel Office ID 1704 49. Approval Date E lectronica lly Signed by: TONY A M JOHN SON Dir ector , Nat ional Capital Regi on HR Center 10/06/2017 HHS 2018-00318--000154 2 - OPF Copy · Lon g-Term Record · DO NOT DE STROY Editio ns Prior to 7/9 1 Are Not Usab le After 6/30/93 NSN 7540-01-333-6238 HHS-17-0560-A-000154 Standard F'orm 50 Re v. 7/91 U.S. Office of Personnel Management FPM Supp 296- 33 Subch 4 NOTIFICATION OF PERSONNEL ACTION 1. Name (Last, First, Middle) 2. Social Security Number l (b)(6) FIRST ACTION SECOND ACTION 5-A. Code 002 5- B. Nature of Action 5- C. Code 5- D. Legal Authority 6- A. Code 6-C . Code ro.Grade or Luellll. 6- F. Legal Authority 15. TO: Position Title and Numbcr Sr Adv isor to th e Secretary PD:E S0721 Posit ion:00384655 7. FROM: Position Title and Number 8. Pay Plan 19. 0cc. Code Ste p or Rat 'l1 2. Total Salary 113. Pay Basis 1 17. 0cc. Code 16. Pay Plan ES 12A. Basic Pa)' 128. Localit y Adj. 07/17/2017 6- D. Lcgal Author ity 5 U.S .C. 3394(a) Limit ed Term. SES ltd t erm appt. 6- E. Code 5- F. Legal Authority I Provisional Appt NTE 16/JAN/2019 V4M 5-E . Code 4. Effective Date l (b)(6) 6- B. Nature of Action 190 Correction 3. Date of Birth I HARGAN,ERIC D I 12c. Adj. Basic Pay 112D. Other Pay 18. Grade or Le.vel 119.Step or Rate 20. To tal Salary/Awa rd 0301 00 20A. Basic l' ay 121Pa)' . Basis $179,700.00 I 2(>R.Loca lity Adj. $179 ,700.00 14. Name and Location of Positi on 's Orga nization 0 I 20C. Adj. Basie Pay $0 PA 2(}D~~thcr Pay $179 ,700.00 22. Name and Loca tion of Pos ition's Or ga niza tion Office of the Secretary of Health and Human Services Office Of The Genera l Counsel WASHING TON DC USA EMPLOYEE DATA 23. Veterans Preference ~ I - Nooe 2 - 5- Polnl 27.F EGLI ~Basic J- 10- Poiol/D;,,b;t;l y 4 - 10- Polnt/Compe nsa l)le 24. Tenure l°-None (b)(6) 5 - IO- Po int/Othtr 6 - IO~Poi.nt/ Co mpi:-nsabll-/30 % I - Pe.rmane.nl 125. Agency Use 2 - Co ndilio na l J- lnddinill' 28. Annuita nt Indicator (b)(6) IINot App licab le On ly 30. Retir ement Plan I I I (b)(6) I ~YES~NO (6) 29. Pav Rate Determinant (b)(6) Re gular Rate I 31. Sen'ice Comp. Date (Leave) 32. Work Schedule (b)(6) 26. Veterans Preference for RIF (b)(6) 33. Par t-Tim e Hours Per Biweekly Pay Period 36. Appropriation Code 37. Bargaining Unit Status 71990580 8888 I POSITION DATA 34. Position Occupied 35. FLSA Category ----;---i I - C om1,elith·e Servic e 3 - SF.S Gene.r:.11 2 - i£l:<'l"pted Scnil"l" 4 - SES Can-n R~trvcd ~ 110010001 ,., N - Nontxempl 39. Duty Station (City - County - State or Overseas L-Ocatio n) WASHIN GTON Dist Columbi a DC USA 38. Duty Station Code 40. Agency Data £ - Eu rupt 14 1. 142. 143. 1;AR umber: ~ I (b)(6) 46. Emplo)'ing Dcparhnent or Agency SO.Signature /Authentication and Title of Approving Official Depa r tment of HHS - Office of the Sec retary of Hea lt h and Human Se rvices 47. Agency Code HEl0 5-Par t 50-316 48. Personnel Office ID 1704 49. Approval Date E lectronica lly Signed by: TONY A M JOHN SON Dir ect or , Nat ional Capital Regi on HR Center 08/14/2017 HHS 2018-00318--000155 2 - OPF Copy · Lon g-Term Record · DO NOT DE STROY Editions Prior to 7/9 1 Are No t Usab le After 6/30/93 NSN 7540-01-333-6238 HHS-17-0560-A-000155 Standard F'orm 50 Rev. 7/91 U.S. Office of Personnel Management FPM Supp 296- 33 Subch 4 NOTIFICATION OF PERSONNEL ACTION 1. Name (Last, Firs t, Middle) 2. Social Securit y Number HEALY ,JENIFER l (b)(6) FIRST ACTION 5-A. Code 6- A. Code Correction 5- C. Code I 5- F. Legal Authority 6- D. Lcgal Author ity SC H C , 213.33 1a. Age nc y- unique Schedule C auth. 6- E. Code ZLM 7. FROM: Position Title and Number 12A. Basic Pa)' 09/17/2017 Exe Appt 6-C . Code 5- D. Legal Authority ro.Gra de or Luellll. 8. Pay Plan 19. 0cc. Code I 6- B. Nature of Action 170 Y7M 5-E . Code 4. Effective Date l (b)(6) SECOND ACTION 5- B. Nature of Action 002 3. Date of Birth 128. Loca lity Adj. 6- F. Legal Author ity OPM Form 1019 Dated 08/14/2017 15. TO: Position Title and Numbcr C hief of Staff PD:G S014 Posit ion:00386988 Step or Rat 'l1 2. Total Salar y I 12c. Adj. Basic Pay 113. Pay Basis 112D. Other Pay 16. Pay Plan 1 17. 0cc. Code GS 0301 18. :;de Award I 2(>R.Loca lity Adj. 20A. Basic l' ay $134 ,776.00 14. Name and Location of Positi on 's Orga nization or Level 119.~: p or Rate 2~;;~:::.;~ sis I 20C. Adj. Basie Pay $27 , 124.00 121;~Ba . 2(}D~~thcr Pay $161 ,900.00 22. Name and Loca tion of Pos ition's Organization Office of the Secretary of Health and Human Services OFFICE OF GLOBAL AFFAIRS WASHING TON DC USA EMPLOYEE DATA 23. Veterans Preference (b)(6) I I - Nooe 2 - 5- Polnt J- 10- Poiot/Disabilil y 4 - 10- Polnt/Compe nsa l)le 27.F EGLI (b)(6) 24. Tenure (b)(6) 0- I 5 - IO- Point/Othtr 6 - IO~Poi.nt/Compensable/30 % 125. Agency Use N•"' I - Permanenl 2 - Condilio na l J- lndefinill' 28. Annuita nt Ind icator (b)(6) I I I I 31. Sen'ice Comp. Date (Leave) 32. Work Schedule 30. Retir ement Plan I (b)(6) I (b)(6) 26. Veterans Preference for RIF ITTvES~ f l>.\ NO 29. Pav Rate Determinant (b)(6) I 33. Par t-Tim e Honrs Per Biweekly Pay Period I (b)(6) POSITION DATA 34. Position Occupied 35. FLSA Category ~ I - C om1,elit h·e Servic e ~ 3 - SF.S Gener:.11 4 - SES Can-n Resuvcd 2 - Kul" pted Scniel" 14 1. "s H£Dl3J:b's 142. 8888 1;AR umber: I SO.Signat ure/Authentication and Title of Appro ving Official Depa r tment of HH S - Office of the Sec retar y of Hea lt h and Human Se rvices HElO 71990063 143. 46. Employing Dcparhnent or Agency 5-Par t 50-316 37. Barga ining Unit Status WA S HIN GTON Di st C olumbi a DC USA l R. Loca lity Adj . $74,584.00 14. Name and Locat ion of Positi on ' s Orga niza tion 18. G rad e or Le.vel 119.S tep or Rate 20. To tal Salary /A ward I 20C. Adj. Basie Pay $20 ,212.00 PA 2(}D~~t hcr Pay $94,796. 00 22. Na me an d Loca tion of Pos ition' s Or ga niza tion C ent ers for Medic a r e & Me dicaid Ser vices OFF I CE O F THE ADMIN IST RAT OR WOOD LAWN MD USA EMPLOYEE DATA 23. Veterans Preference (b)(6) I 24. Tenure J- 10- Po io t/Disabili ly 4 - 10- Poln t/Co mpe nsa l)le I - Nooe 2 - 5- Polnt 5 - IO- Point/ Othtr (b)(6) 6 - IO~Po i.nt/ Comp ensable/30% 27. FEGLI 0 - None 1I - Pe.rma ne.nl 2 - Co ndiliona l J- l ndefinill' 28. Annuita nt Indicator I (b)(6) I I (b)(6) 26. Veterans Preference for RIF I F7v I I (b)(6) 30. Retir ement Plan 125. Agency Use I o I (b)(6) 31. Sen'ice Comp. Date (Leave) 32. Work Schedule (b )(6) ES IE§[]N 29. Pav Rate Determinant (b)(6) 33. Par t- Time Honrs Per Biweekly Pay Period 36. Appropriation Code 37. Bargaining Unit Status 859 9072 1 8888 I POSITION DATA 34. Position Occupied 35. FLSA Category ~ I - C om1,elit h·e Serv ice 2 - Ku l"pt ed Scn-ie l" ~ 3 - SF.S Ge ne.r:.11 4 - SES Caren Resu vcd ,., N - Nont xem pl 39. Duty Station (City - County - State or Overseas L-Oca tion) WO ODL AWN Ba ltim or e MD USA 38. Duty Station Code 241698005 40. Agency Data £ - Eu rupt 14 1. 14 2. 143. 1; AR umb er : ~ (b)(6) 46. Emplo)'ing Dcparhn ent or Agency SO.Signat ure/Authentication and Title of Approving Official De pa r tm ent of HHS - Ce nt er s for M edicar e & Me dicaid Ser vices 47. Agency Code H E7 0 5- Part 50-316 48. Personnel Office ID 4222 49. Approval Date E lect ro nica lly Signed by: A NG ELA K. P ORTE R D ir ect or Talent Ac qui sit ion G roup (TAG ) 10/ 10/20 17 HHS 2018-00318--000157 2 • OPF Copy · Long-Term Record · DO NOT DESTRO Y Edit ions Pr ior to 7/9 1 Are Not Usab le After 6/30/93 NSN 7540-01-3 33--6238 HHS-17-0560-A-000157 Standard Form 50 Rev 7/9 1 U.S. Office of Perso nnel Managemen t Guide to Processine: Personnel Actions Chaoter 4 I. Name (Last. First. Middle) JAEGER.ROBERT J l' I K~J A J II tN 5-A. Code 5-B. Nature of Action 146 SES Noncareer Appt NOTIFICATION OF PERSONNEL ACTION l (b)(6) I SI ( ( :o Nu A J II_JN 6-B. Nature of Action 6-A. Code 5-C. Code 5-D. Legal Authority 5 U.S.C. 3394(a) . Non career. SES noncar. aoot 5-F. Legal Authority 5-E. Code OPM Fonn Dat ed ZLM 12/05/201 7 7. FROM: PositionT itle and Number 6-C. Code 6-D. Legal Authority 6-E. Code 6-F. Legal Authority I 1 4. Effective Date 12-10 -2017 V4L 8.Pay Plan 1 9.0cc. CD 12A. Basic Pay IO.Grd/Lvl 15. TO: Position Title and Number Dir ec to r, Nat In sti tute on Di s PD:ES115O I I I .Step/Rate 1 12.Tot. Salary 12B. Locality Adj. I 1 13.PayBasis 12C. Adj. Basic Pay 1 12D.Other Pay I 00 0 1 20B. Locality Adj. $0 PA $1 70 ,000.00 I 20C. Adj. Basic Pay ,I 20D. Other Pay $17 0 ,000.00 1 $0 22. Name and Location of Position's Organization Administration For Communi ty Li vi n g NA TlONAL INSTITUTE ON DISAB , INDEPENDENT OFC OF THE DIR OF DISAB, INDEPENDENT LIV 14. Name and Location of Position's Organization WAS H INGTON l{ Ml'Ll,rt 0 0339986 I 18.Grd/Lvl I 19.Step/Rate 1 20.Tot. Salary/Award 1 21.Pay Basis 16.PayPlanl 17.0cc . CD ES 0301 20A. Basic Pay $ 170 ,000.00 P osition: DC USA <:I <: IJATA 23. Veterans Preference (b)(6) I-None 3-IO Point/Disability 2-5 Point 4- 10 Point/Comoensable 24. Tenure ~ 0-None 2-Con ditiona l )~( 11-Permanenl 3-lndefinile 28. Annuitant Indicator 5- IOPoint/Other 6- 10 Point/Comoensable/30% 30. Retirement Plan 7 38. Duty Station Code L .,.,_r art- 1 11n e nours rer tuweeKJy I (b)(6) PayPe riod 37. Bargaining Unit Status 36. Appropriation Code r7 1 lOOI 000 I. 40. Agency Data 29. Pay Rate Dctcnninant 32. Work Schedule POsn IO N D ATA 34. Position Occupied lel 5. FLSA Category I-Competitive Service 3-SES General E-Exen1pt I 3 I 2-Exceoted Service 4-SES Career Reserved E N-Nonexemot l(b)(6)l ,-"-, IYES I'_"_' I NO (b)(6) r---, (b)(6) 26. Veterans Preference for RIF /h\lR\l I (b)(6) I (b)(6) 25. A ency Use 82995210 8888 1 39w. DAUt )s' S Htalt1N ·onGT (O CiNty-County-State or Overseas Location) Di st Columbia 1 42. 1 41. 1 43. DC USA 1 44. PAR Number: 45. Remarks (b)(6) 46. Employ ing Depart me nt or Agency D epar tm ent of H H S Li vin!! Administration For C ommunitv 47. Agency Code 148. Personnel Offi ce ID HE l2 1704 50. Signatu re/ Authentication and Title of Approving Offici al TONY A M JOHNSON Director , National Cap ital R eg i on 49. Approval Date 1 HR Center 12 -1 1- 2017 Edmons Pn or to 7/91 Are Not Usab le After 6/30/93 1• Em ployee Co py HHS 2018-00318--000158 HHS-17-0560-A-000158 Standard F'orm 50 Re v. 7/91 U.S. Office of Personnel Management FPM Supp 296- 33 Sub ch 4 NOTIFICATION OF PERSONNEL ACTIO N 1. Name (Last, Firs t, Middle) 2. Social Secur ity Number I(b)(6) KA DLEC ,ROB E RT P FIRST ACTION 6- A. Code 6- B. Natur e of Action 5- D. Legal Authority A pp r oved by th e Pr esid en t Se nat e Confirm ed 8/03/ 17 6- C. Code 6- D. Lcgal Authority 5- F. Legal Authori ty 6- E. Code 6- F. Legal Authority 5- B. Nature of Action 5- C. Code 5- E. Code I 08/ 18/2 017 Exe Appt 7. FROM: Position Title and Number 15. TO: Position T itle and Numbcr Assis tan t Sec r eta r y for P r epa r edne ss and Res ponse PD:EX0012 Po sit ion :0038S3 11 ro.G rad e or Lue l lll . Ste p or Rat 'l1 2. Total Salar y 8. Pay P lan 19. 0cc. Code 12A. Bas ic Pa)' I 4. Effective Date l (b)(6) SECOND ACTION 5- A. Code 170 ZNM 3. Date of Birth I 128. Loca lity Adj. 12c. Adj. Basic Pay 113. Pay Basis 112D. Ot her Pay 16. Pay Plan 1 17. 0cc. Code EX 030 1 18. G rad e or Le.vel 119.S tep or Rate 20. To tal Salary /A ward 04 20A. Basic l' ay 2(>R. Loca lity Adj . $15S,SOO.0O 14. Name and Locat ion of Positi on ' s Orga niza tion 0 121Pa. )' Basis $15S,SOO.00 I I 20C. Adj. Basie Pay $0 PA 2(}D~~t hcr Pay $1S5,S00.O0 22. Na me an d Loca tion of Pos ition' s Or ga niza tion Offi ce of th e Sec r eta r y of Health and Unman Ser vices OFC OF THE ASST SEC R E TARY FO R PR E P ARED NE IM ME DI AT E OFFIC E/ CHIE F OP ERA TI NG O FF I CE R WAS HI NG TO N D C USA EMPLOYEE DATA 23. Veterans Preference (b)(6) I I - Nooe 2 - 5- Polnt 125. Agency Use 24. Tenu re J- 10- Poiot/Disabili ly 4 - 10- Polnt/Co mpe nsa l)le 27. FEGLI (b )(6) 5 - IO- Point/ Othtr (b)(6) 6 - IO~Poi.nt/Comp ensable/30% I O - None 1 - Per ma nenl 2 - Condiliona l J- l ndefinill' 28. Annuita nt Indicator (b)(6) I I I I 31. Sen'ice Comp. Date (Leave) 32. Work Schedule 30. Retir ement Plan I (b)(6) I(b)(6) I (b)(6) 26. Veterans Preference for RIF m-lv E~S { C,.\ NO 29. Pay Rate Determinant (b)(6) I 33. Par t- Time Honrs Per Biweekly Pay Period I I POSITION DATA 34. Position Occupied 35. FLSA Category ~ I - C om1,elit h·e Serv ice 2 - Ku l"pt ed Scn-ie l" ~ 3 - SF.S Gener:.11 4 - SES Can-n Resu vcd 36. Appropriation Code 37. Bargaining Unit Status 71991004 8888 39. Duty Station (City - County - State or Overseas L-Oca tion) WAS HINGTON Dist Columbi a DC USA 38. Duty Station Code 1100100 01 40. Agency Data £ - Eu rupt N - Nont xempl 14 1. 14 2. 143. 1; AR umber: d <; D ,-. , - 1.. (b)(6) 46. Employing Dcparhn ent or Agency SO.Signat ure/Authentication and Title of App roving Official De pa r tm ent of HHS - O ffice of th e Sec r etar y of H ea lt h and Homan Se rvices 47. Agency Code H E l0 5- Part 50-316 48. Personnel Office ID 1704 49. Approval Date E lect ro nica lly Signed by: TONY A M JOH NSON D ir ect or , Na tional Ca pi ta l Region HR Ce nt er 08/ 18/2017 HHS 2018-00318--000159 2 - OPF Copy · Long-T erm Reco rd · DO NOT DESTRO Y Edit ions Pr ior to 7/9 1 Are Not Usab le After 6/30/93 NSN 7540-01-3 33-6 238 HHS-17-0560-A-000159 Standard F'orm 50 Re v. 7/91 U.S. Office of Personnel Management FPM Supp 296- 33 Subch 4 NOTIFICATION OF PERSONNEL ACTION 1. Name (Last, Firs t, Middle) 2. Social Securit y Number I(b)(6) KAHRS,WILLIAMJ FIRST ACTION 5-A. Code 3. Date of Birth 4. Effective Date I(b)(6) I I W06/2017 SECOND ACTION 5- B. Nature of Action 6- A. Code 6- B. Nature of Action 6-C . Code 6- D. Lcgal Author ity 6- E. Code 6- F. Legal Author ity Exe Appt 170 5- C. Code 5- D. Legal Authority SCH C, 213.3301a Agency- unique Schedule C auth. Y7M 5-E . Code 5- F. Legal Authority OPM Form 1019 Dtaed October 20, 2017 ZLM 7. FROM: Position Title and Number 15. TO: Position Title and Numbcr REGIONAL DffiECTOR-R EGION VII PD:HHS417 Position:00307 518 ro.Grade or Luellll. 8. Pay Plan 19. 0cc. Code 12A. Basic Pa)' 128. Localit y Adj. Ste p or Rat 'l1 2. Total Salary I 12c. Adj. Basic Pay 113. Pay Basis 112D. Other Pay 16. Pay Plan 1 17. 0cc. Code GS 0301 18. Grade or Le.vel 119.Step or Rate 20. To tal Salary /Awa rd 15 20A. Basic l' ay PA I 20C. Adj. Basie Pay $21,012.00 121Pa)' . Basis $155,788.00 I 2(>R.Loca lity Adj. $134,776.00 14. Name and Location of Positi on 's Orga nization 10 2(>D~~th cr Pay $155,788.00 22. Name and Loca tion of Pos ition's Or ga niza tion Office of the Secretary of Health and Human Services Office Of The Regio nal Director , Region KANSAS CITY KS USA EMPLOYEE DATA 23. Veterans Preference f (b)(6) l I - Nooe 2 - 5- Polnt J- 10- Poiot/Disabilil y 4 - 10- Polnt/Compe nsa l)le 27. FEGLI (b)(6) 24. Tenure 0(b)(6) 5 - IO- Point/Othtr 6 - IO~Poi.nt/Compensable/30 % I - Permanenl 1 2 - Condilio na l J- lndefinill' 28. Annuita nt Ind icator (b)(6) I I 125. Agency Use 26. Veterans Preference for RIF I W>! I I 31. Sen'ice Comp. Date (Leave) 32. Work Schedule (b)(6) l (b)(6) 30. Retir ement Plan (b)(6) None I 33. Par t-Tim e Honrs Per Biweekly Pay Period I I I YES~NO 29. Pay Rate Determinant (b)(6) POSITION DATA 34. Position Occupied 35. FLSA Category ~ I - C om1,elith·e Servic e ~ 3 - SF.S Gener:.11 4 - SES Can-n Resuvcd 2 - Kul"pted Scniel" £ - Eu rupt N - Nontxempl 36. Appropriation Code 37. Barga ining Unit Status 81070560 8888 38. Duty Sta tion Code 39. Duty Station (City - County - State or Overseas L-Ocation) 202820209 KANS AS CITY Wyandotte 40. Agency Data d<; D ,-.,- 14 1. 142. KS USA 143. 1;AR umber: 1 .. (b)(6) 46. Employing Dcparhnent or Agency SO.Signature /Authentication and Title of Appro ving Official Depa r tment of HHS - Office of the Sec retary of Hea lt h and Human Se rvices 47. Agency Code HElO 5-Par t 50-316 48. Person nel Office ID 1704 49. Appr oval Date E lectronica lly Signed by: TONY A M JOHN SON Director , National Capital Regi on HR Center 11/09/2017 HHS 2018-00318--000160 2 - OPF Copy · Lon g-Term Record · DO NOT DE STROY Editio ns Prior to 7/9 1 Are No t Usab le After 6/30/93 NSN 7540-01-333-6238 HHS-17-0560-A-000160 Standard F'orm 50 Re v. 7/91 U.S. Office of Personnel Management FPM Supp 296- 33 Subch 4 NOTIFICATION OF PERSONNEL ACTION 1. Name (Last, Firs t, Middle) 2. Social Securit y Number l (b)(6) FIRST ACTION SECOND ACTION 5-A. Code 5- B. Nature of Action 3. Date of Birth (b)(6) I KLEINSCHMIDT ,ARTHUR G 6- A. Code 6- B. Nature of Action 6-C . Code 6- D. Lcgal Author ity 6- E. Code 6- F. Legal Author ity 4. Effective Date I 08/06/2017 Exe Appt 170 5- C. Code 5- D. Legal Authority Y7M SCH C, 213.3301A Agency- uni()u e Sch edu le C auth. 5-E . Code ZLM 5- F. Legal Authority OPM Form 1019 Dated Ju ly 28, 2017 7. FROM: Position Title and Number 15. TO: Position Title and Numbcr Senior Advisor (Substance Abuse ) PD:GS9750 Position:00385197 ro.Grade or Luellll. 8. Pay Plan 19. 0cc. Code 12A. Basic Pa)' Ste p or Rat 'l1 2. Total Salary I 128. Localit y Adj. 113. Pay Basis 12c. Adj. Basic Pay 112D. Other Pay 16. Pay Plan 1 17. 0cc. Code GS 0301 18. Grade or Le.vel 119.Step or Rate 20. To tal Salary/Award 14 20A. Basic l' ay 121Pa)' . Basis $115,755.00 I 2(>R.Loca lity Adj. $91 ,074.00 14. Name and Location of Positi on 's Orga nization 2 I 20C. Adj. Basie Pay $24,681.00 PA 2(>D~~th cr Pay $115 ,755.00 22. Name and Loca tion of Pos ition's Or ga niza tion Substance Abuse and Mental Hea lt h Services Admini stration Ofc Of The Administrator ROCKVILL E MD USA EMPLOYEE DATA 23. Veterans Preference ~ I • Nooe 2 - 5- Polnl J • 10- Poiol/D;,,bml v 5 - IO- Point/Othtr 4 - 10- Polnt/Compe nsa l)le 6 - IO~Poi.nt/Compi:-nsabll-/30 % 27. FEGLI (b)(6) 24. Tenure 0(b )(6) I- 1 None Permanenl 2 - Condilio na l J- lnddinill' 28. Annuita nt Ind icator (b)(6) I 125. Agency Use 26. Veterans Preference for RIF I ¥"7vES I~ \ I 31. Sen'ice Comp. Date (Leave) 32. Work Schedule 30. Retir ement Plan -(b)(6) (b)(6) I I [F].,..., No 29. Pav Rate Determinant (b)(6) (b)(6) 33. Par t-Tim e Honrs Per Biweekly Pay Period 36. Appropriation Code 37. Barga ining Unit Status 7C96XIOA 8888 I I POSITION DATA 34. Position Occupied 35. FLSA Category ~ I - C om1,elith·e Servic e ~ 3 - SF.S Gener:.11 4 - SES Can-n R~trvcd 2 - i£l:<'l"pted Scnil"l" £ - Eu rupt N - Nontxempl 38. Duty Sta tion Code 39. Duty Station (City - County - State or Overseas L-Ocatio n) 241360031 ROCKVILLE Montgome ry MD USA 40. Agency Data 14 1. 142. 143. 1;AR umber: 45. Remark s (b)(6) 46. Emplo)'ing Dcparhnent or Agency SO.Signature /Authentication and Title of Appro ving Official Depa r tment of HHS - Sub stance Abuse and Menta l Health Se r vices Administ 47. Agency Code HE32 5-Par t 50-316 48. Person nel Office ID 1704 49. Appr oval Date E lectronica lly Signed by: TONY A M JOHN SON Dir ect or , Nat ional Capital Regi on HR Center 08/11/2017 HHS 2018-00318--000161 2 • OPF Copy · Lon g-Term Record · DO NOT DE STROY Editio ns Prior to 7/9 1 Are No t Usab le After 6/30/93 NSN 7540-01-333-6238 HHS-17-0560-A-000161 Standard F'orm 50 Re v. 7/91 U.S. Office of Personnel Management FPM Supp 296- 33 Subch 4 NOTIFICATION OF PERSONNEL ACTION 1. Name (Last, Firs t, Middle) 2. Social Securit y Number I FIRST ACTION 5-A. Code 3. Date of Birth I (b )(6) LEC LAIR,BRIAN J 4. Effective Date I 1Cb)(6) 10/03/2017 SECOND ACTION 5- B. Nature of Action 6- A. Code 6- B. Nature of Action 6-C . Code 6- D. Lcgal Author ity 6- E. Code 6- F. Legal Author ity SES Noncareer Appt 146 5- C. Code 5- D. Legal Authority V4L 5 U.S.C. 3394 (a). Non- caree r. SES noncar. appt 5-E . Code 5- F. Legal Authority OPM Form 1652 Dated 10/03/2017 AWM 7. FROM: Position Title and Number 15. TO: Position Title and Numbcr Pr in cipal Deput y Admin istrat or PD:ESHRSA Position:00387248 ro.Gra de or Luellll. 8. Pay P lan 19. 0cc. Code 12A. Basic Pa)' 128. Loca lity Adj. Ste p or Rat 'l1 2. Total Salar y I 12c. Adj. Basic Pay 113. Pay Basis 112D. Other Pay 16. Pay Plan 1 17. 0cc. Code ES 0301 18. Grade or Le.vel 119.Step or Rate 20. To tal Salary /Awa rd 00 20A. Basic l' ay 121Pa. )' Basis $124 ,406 .00 I 2(>R.Loca lity Adj. $124,406.00 14. Name and Location of Positi on 's Orga nization 0 I 20C. Adj. Basie Pay $0 PA 2(}D~~thcr Pay $124,406.00 22. Name and Loca tion of Pos ition's Organization Health Reso urces and Services Administration Immediat e Office Of The Administrator ROCKVILLE MD USA EMPLOYEE DATA 23. Veterans Preference l (b)(6) I I - Nooe 2 - 5- Polnt J- 10- Poiot/Disabili ly 4 - 10- Polnt/Compe nsa l)le 27.F EGLI (b )(6) 24. Tenure 0(b)(6) 5 - IO- Point/Othtr 6 - IO~Poi.nt/Compensable/30 % 1I - None Permanenl 2 - Condilio na l J- lndefinill' 28. Annuita nt Ind icator (b)(6) I 125. Agency Use 26. Veterans Preference for RIF I FlvESIT§flNO I 29. Pav Rate Determinant (b)(6) I 31. Sen'ice Comp. Date (Leave) 32. Work Schedule 30. Retir ement Plan -(b)(6) (b)(6) I I I I (b)(6) I 33. Part -Tim e Honrs Per Biweekly Pay Period POSITION DATA 34. Position Occupied 35. FLSA Category ----;---i I - C om1,elit h·e Servic e 3 - SF.S Gener:.11 2 - Kul" pt ed Scn-iel" 4 - SES Can-n Resuvcd ~ £ - Eu rupt N - Nontxempl 36. Appr opriati on Code 37. Barga ining Unit Status 83708011 8888 38. Duty Station Code 39. Duty Station (City - Count y - State or Overseas L-Ocation) 110010001 WA S HIN GTON Di st C olumbi a DC USA 40. Agency Data d<; D ,-.,- 14 1. 142. 143. 1;AR umber: 1 .. (b)(6) 46. Employing Dcparhnent or Agency SO.Signat ure/Authentication and Title of Appro ving Official Depa r tment of HH S - Health Resource s and Services Administration 47. Agency Code HE34 5-Par t 50-316 48. Person nel Office ID 4184 49. Appr oval Date E lectronica lly Signed by: CATHERINE M GANEY Director , Human Re sources Ce nt er 10/06/2017 HHS 2018-00318--000162 2 • OPF Copy · Lon g-Term Record · DO NOT DE STROY Editions Prior to 7/9 1 Are No t Usab le After 6/30/93 NSN 7540-01-333-6238 HHS-17-0560-A-000162 Standard F'orm 50 Re v. 7/91 U.S. Office of Personnel Management FPM Supp 296- 33 Subch 4 NOTIFICATION OF PERSONNEL ACTION 1. Name (Last, Firs t, Middle) 2. Social Securi(l • Number l (b)(6) FIRST ACTION SECOND ACTION 5-A. Code 5- B. Nature of Action SES Noncareer 146 5- C. Code 4. Effective Date I l (b)(6) 6- A. Code 6- B. Nature of Action 6-C . Code 6- D. Lcgal Author ity 6- E. Code 6- F. Legal Author ity 07/24/2017 Appt 5- D. Legal Authority V4L 3. Date of Birth I L EKAN,SC OTT M 5 U.S.C. 3394 (a). Non- caree r. SES noncar. appt 5-E . Code ZLM 5- F. Legal Authority OPM FORM DA TED 07/05 / 17 7. FROM: Position Title and Number 15. TO: Position Title and Numbcr Deput y Dir ect or, Office or C hild S upport Enforcement & D ir ecto r FPLS PD:ES0302 Position:00384491 ro.Gra de or Luellll. 8. Pay Plan 19. 0cc. Code 12A. Basic Pa)' 128. Loca lity Adj. Ste p or Rat 'l1 2. Total Salar y I 12c. Adj. Basic Pay 113. Pay Basis 112D. Other Pay 16. Pay Plan 1 17. 0cc. Code ES 0301 18. Gra de or Le.vel 119.Step or Rate 20. To tal Salary /Awa rd 00 20A. Basic l' ay 121Pa. )' Basis $142,800.00 I 2(>R.Loca lity Adj. $142,800.00 14. Name and Location of Positi on 's Orga nization 0 I 20C. Adj. Basie Pay $0 PA 2(>D~~th cr Pay $142,800.00 22. Name and Loca tion of Pos ition's Or ga niza tion Administration for Children and Families Office or Child Support Enforcement WASlllNGTON DC USA EMPLOYEE DATA 23. Veterans Preference ~ I - Nooe 2 - 5- Polnl 27.F EGLI (b)(6) 24. Tenure 0 - None (b)(6) I - Permanenl 5 - IO- Point/Othtr J- 10- Poiol/D;,,bm ly 4 - 10- Polnt/Compe nsa l)le 1 6 - IO~Poi.nt/Compi:-nsab ll-/30% 2 - Condilio na l J- lnddinill' 28. Annuita nt Ind icator (b)(6) I lzs.Agency Use 26. Veterans Preference for RIF I FJvES[\§flNO I 31. Sen'ice Comp. Date (Leave) 32. Work Schedule 30. Retir ement Plan -(b)(6) (b)(6) I I 29. Pay Rate Determinant (b)(6) (b)(6) 33. Par t-Tim e Honrs Per Biweekly Pay Period 36. Appropriation Code 37. Barga ining Unit Status 7G996401 8888 I I POSITION DATA 34. Position Occupied 35. FLSA Category ----;---i I - C om1,elit h·e Servic e 3 - SF.S Gener:.11 2 - i£l:<'l"pt ed Scn-il"l" 4 - SES Can-n R~trvcd ~ £ - Eu rupt N - Nontxempl 38. Duty Station Code 39. Duty Station (City - Count y - State or Overseas L-Ocatio n) 110010001 WA S HIN GTON Di st C olumbi a DC USA 40. Agency Data d<; D ,-.,- 142. 14 1. 143. 1;AR umber: 1 .. (b)(6) 46. Employing Dcparhnent or Agency Depa r tment of HHS - Administration 47. Agency Code HE90 5-Par t 50-316 SO.Signature /Authentication and Title of Appro ving Official for Children and Families 48. Person nel Office ID 1704 49. Appr oval Date E lectronica lly Signed by: TONY A M JOHN SON Director , Nat ional Capital Regi on HR Center 07/25 /2017 HHS 2018-00318--000163 2 • OPF Copy · Lon g-Term Record · DO NOT DE STROY Editions Prior to 7/9 1 Are No t Usab le After 6/30/93 NSN 7540-01-333-6238 HHS-17-0560-A-000163 Standard F'orm 50 Re v. 7/91 U.S. Office of Personnel Management FPM Supp 296- 33 Subch 4 NOTIFICATION OF PERSONNEL ACTION 1. Name (Last, First, Middle) 2. Social Security Number FIRST ACTION 4. Effective Date I 08/20/2017 SECOND ACTION 5-A. Code 146 5- B. Nature of Action 5- C. Code V4L 5-E . Code AWM 6- A. Code 6- B. Nature of Action 5- D. Legal Authority 5 U.S.C. 3394 (a). Non- caree r. SES noncar. appt 6-C . Code 6- D. Lcgal Author ity 5- F. Legal Authority OPM Form 1652 or OPM Letter dated 06/13/ 17 6- E. Code 6- F. Legal Authority SES Noncareer Appt 7. FROM: Position Title and Number 15. TO: Position Title and Numbcr DAS for Minor ity Health PD:ES0328 Position:00116895 ro.Gra de or Luellll. 8. Pay P lan 19. 0cc. Code 12A. Basic Pa)' 3. Date of Birth l (b)(6) I j( b)(6) LIN,MATTHEW YUAN-CHING Ste p or Rat 'l1 2. Total Salar y I 128. Loca lity Adj. 12c. Adj. Basic Pay 113. Pay Basis 112D. Other Pay 16. Pay Plan 1 17. 0cc. Code ES 0301 18. Grade or Le.vel 119.Step or Rate 20. To tal Salary /Awa rd 00 20A. Basic l' ay 121Pa)' . Basis $179,700.00 I 2(>R.Loca lity Adj. $179 ,700.00 14. Name and Location of Positi on 's Orga nization 0 I 20C. Adj. Basie Pay $0 PA 2(>D~~th cr Pay $179 ,700.00 22. Name and Loca tion of Pos ition's Organization Office of the Secretary of Health and Human Services OFFICE OF THE ASSISTANT SEC RET ARY FOR HE Offic e Of Minority Healt h ROCKVILL E MD USA EMPLOYEEDATA 23. Veterans Preference ~ I - Nooe 2 - 5- Polnl J. 10- Poiol/D;,,bml v 4 - 10- Polnt/Compe nsa l)le 27.F EGLI (b )(6) 6 - IO~Poi.nt/Compi:-nsab ll-/30% 1 I Permanenl 2 - Condilio na l J- lnddinill' 125. Agency Use 26. Veterans Preference for RIF I VJvESIT§flNo I I 31. Sen'ice Comp. Date (Leave) 32. Work Schedule -(b)(6) I (b)(6) I POSITIONDATA 34. Position Occupied 35. FLSA Category ----;---i I - C om1,elit h·e Servic e 3 - SF.S Gener:.11 2 - i£l:<'l"pt ed Scnil"l" 4 - SES Can-n R~trvcd ~ £ - Eu rupt N - Nontxempl la" 29. Pav Rate Determinant (b)(6) (b)(6) 33. Par t-Tim e Honrs Per Biweekly Pay Period 36. Appropriation Code 37. Bargaining Unit Status 71990123 8888 I I 39. Duty Station (City - County - State or Overseas L-Ocation) ROCKVILLE Montgome r y MD USA 38. Duty Station Code 241360031 40. Agency Data None 28. Annuita nt Indicator (b)(6) 30. Retir ement Plan d<:; D ,-.,- 24. Tenure 0(b)(6) I- 5 - IO- Point/Othtr 14 1. 142. 143. 1;AR umber: 1 .. (b)(6) 46. Emplo)'ing Dcparhnent or Agency SO.Signature /Authentication and Title of Approving Official Depa r tment of HHS - Office of the Sec retary of Hea lt h and Human Se rvices 47. Agency Code HEl0 5-Par t 50-316 48. Personnel Office ID 1704 49. Approval Date E lectronica lly Signed by: TONY A M JOHN SON Dir ect or , Nat ional Capital Regi on HR Center 08/28/2017 HHS 2018-00318--000164 2 • OPF Copy · Lon g-Term Record · DO NOT DE STROY Editions Prior to 7/9 1 Are No t Usab le After 6/30/93 NSN 7540-01-333-6238 HHS-17-0560-A-000164 Standard F'orm 50 Re v. 7/91 U.S. Office of Personnel Management FPM Supp 296- 33 Subch 4 NOTIFICATION OF PERSONNEL ACTION 1. Name (Last, Firs t, Middle) MCCANCE-KATZ,ELINORE 2. Social Securit y Number FIRST ACTION 5- B. Nature of Action 5- C. Code 5-E . Code 4. Effective Date I 08/18/2017 SECOND ACTION 5-A. Code 170 ZNM 3. Date of Birth l (b)(6) I l (b)(6) F 6- A. Code 6- B. Nature of Action 5- D. Legal Authority A pproved by th e Pr esid ent Se nat e Confirmed 8/03 / 17 6-C . Code 6- D. Lcgal Author ity 5- F. Legal Authority 6- E. Code 6- F. Legal Authority Exe Appt 7. FROM: Position Title and Number 15. TO: Position Title and Numbcr Assis tant Secretary for Me ntal Health and Substance Use PD:EXOOtt Po sit ion: 0038S 196 ro.Grade or Luellll. 8. Pay Plan 19. 0cc. Code 12A. Basic Pa)' 128. Localit y Adj. Ste p or Rat 'l1 2. Total Salary I 12c. Adj. Basic Pay 113. Pay Basis 112D. Other Pay 16. Pay Plan 1 17. 0cc. Code EX 0180 18. Grade or Le.vel 119.Step or Rate 20. To tal Salary/Award 04 20A. Basic l' ay 121Pa)' . Basis $15S,SOO.00 I 2(>R.Loca lity Adj. $15S,SOO.0O 14. Name and Location of Positi on 's Orga nization 0 I 20C. Adj. Basie Pay $0 PA 2(}D~~thcr Pay $1S5,S00.O0 22. Name and Loca tion of Pos ition's Or ga niza tion Substance Abuse and Mental Hea lth Services Admini stration Ofc Of The Administrator OFFICE OF THE ADMIN ISTRATOR (OA) ROCKVILL E MD USA EMPLOYEE DATA 23. Veterans Preference (b)(6) I I - Nooe 2 - 5- Polnt 25. Agency Use 24. Tenure J- 10- Poiot/Disabilil y 4 - 10- Polnt/Compe nsa l)le 5 - IO- Point/Othtr l (b)(6) 6 - IO~Poi.nt/Compensable/30 % 27. FEGLI (b )(6) O - None I•- Permanenl 2 - Condilio na l J- lndefinill' 28. Annuita nt Indicator (b)(6) I I I 31. Sen'ice Comp. Date (Leave) 32. Work Schedule 30. Retir ement Plan -(b)(6) (b)(6) I I F7vES~No 29. Pav Rate Determinant (b)(6) 33. Par t-Tim e Honrs Per Biweekly Pay Period I I l (b)(6) 26. Veterans Preference for RIF YUMT lU N DATA 34. Position Occupied 35. FLSA Category ~ I - Com1,elith·e Service ~ 3 - SF.S Gener:.11 4 - SES Can-n Resuvcd 2 - Kul"pted Scniel" ,., ~ 36. Appropriation Code 37. Bargaining Unit Status 7C96XIOA 8888 39. Duty Station (City - County - State or Overseas L-Ocation) ROCKVILLE Montgome ry MD USA 38. Duty Station Code 241360031 40. Agency Data £ - Eu rupt N - Nontxempl 14 1. 142. 143. 1;AR umber: .. (b)(6) 46. Emplo)'ing Dcparhnent or Agency SO.Signature /Authentication and Title of Appro ving Official Depa r tment of HH S - Sub stance Abuse and Menta l Health Se r vices Administ 47. Agency Code HE32 5-Par t 50-316 48. Person nel Office ID 1704 49. Approval Date E lectronica lly Signed by: TONY A M JOHN SON Director , National Capital Regi on HR Center 08/18 /2017 HHS 2018-00318--000165 2 • OPF Copy · Lon g-Term Record · DO NOT DE STROY Editio ns Prior to 7/9 1 Are No t Usab le After 6/30/93 NSN 7540-01-333-6238 HHS-17-0560-A-000165 Standard F'orm 50 Re v. 7/91 U.S. Office of Personnel Management FPM Supp 296- 33 Subch 4 NOTIFICATION OF PERSONNEL ACTION 1. Name (Last, Firs t, Middle) 2. Social Securit y Number NE WMAN ,EMILY P l (b)(6) FIRST ACTION 5-A. Code 3. Date of Birth I 4. Effective Date I l (b)(6) SECOND ACTION 5- B. Nature of Action 6- A. Code 6- B. Nature of Action 6-C . Code 6- D. Lcgal Author ity 6- E. Code 6- F. Legal Author ity 07/24 /2 017 Exe Appt 170 5- C. Code 5- D. Legal Authority Y7M SCH C, 213.3301A Agency- uni()u e Sch edu le C auth. 5-E . Code ZLM 5- F. Legal Authority OPM Form 1019 dated 7/20/17 7. FROM: Position Title and Number 15. TO: Position Title and Numbcr SR Adv to the Director PD:GS0728 Position:00384825 ro.Grade or Luellll. 8. Pay P lan 19. 0cc. Code 12A. Basic Pa)' Ste p or Rat 'l1 2. Total Salary I 128. Localit y Adj. 12c. Adj. Basic Pay 113. Pay Basis 112D. Other Pay 16. Pay Plan 1 17. 0cc. Code GS 0301 18. Grade or Le.vel 119.Step or Rate 20. To tal Salary /Awa rd 14 20A. Basic l' ay PA I 20C. Adj. Basie Pay $23,885.00 121Pa)' . Basis $112,021.00 I 2(>R.Loca lity Adj. $88,136.00 14. Name and Location of Positi on 's Orga nization 1 2(>D~~th cr Pay $112,021.00 22. Name and Loca tion of Pos ition's Organization Indian Health Service Indian Health Se rvice Office Of The Direclor DISTRI CT OF COLUMBIA DC USA EMPLOYEE DATA 23. Veterans Preference (b)(6) I I - Nooe 2 - 5- Polnt 24. Tenure J- 10- Poiot/Disabilil y 4 - 10- Polnt/Compe nsa l)le 27.F EGLI (b)(6) 5 - IO- Point/Othtr (b)(6) 6 - IO~Poi.nt/Compensable/30 % O - None I 1 - Permanenl 2 - Condilio na l J- lndefinill' 28. Annuita nt Ind icator (b)(6) I 125. Agency Use 26. Veterans Preference for RIF I ~YES~NO I I 31. Sen'ice Comp. Date (Leave) 32. Work Schedule 30. Retir ement Plan (b)(6) (b)(6) I I (b)(6) 29. Pav Rate Determinant (b)(6) I 33. Par t-Tim e Honrs Per Biweekly Pay Period I I POSITION DATA 34. Position Occupied 35. FLSA Category ~ I - C om1,elith·e Servic e ~ 3 - SF.S Gener:.11 4 - SES Can-n Resuvcd 2 - Kul"pted Scniel" £ - Eu rupt N - Nontxempl 36. Appr opriati on Code 37. Barga ining Unit Status 7J942000 8888 38. Duty Sta tion Code 39. Duty Station (City - County - State or Overseas L-Ocatio n) 110000001 DI STRI CT OF COLUMBIA 40. Agency Data ,., ~ 14 1. 142. Di st Columbia DC USA 143. 1;AR umber: .. (b)(6) 46. Emplo)'ing Dcparhnent or Agency SO.Signat ure/Authentication and Title of Appro ving Official Depa r tment of HHS - Indian Health Service 47. Agency Code HE37 5-Par t 50-316 48. Person nel Office ID 1704 E lectronica lly Signed by: TONY A M JOHN SON 49. Appr oval Date Dir ecto r , Nat ional Capital Regi on HR Center 08/04 /2017 HHS 2018-00318--000166 2 • OPF Copy · Lon g-Term Record · DO NOT DE STROY Editions Prior to 7/9 1 Are No t Usab le After 6/30/93 NSN 7540-01-333--6238 HHS-17-0560-A-000166 Standard F'orm 50 Rev. 7/91 U.S. Office of Personnel Management FPM Supp 296- 33 Subch 4 NOTIFICATION OF PERSONNEL ACTION 1. Name (Last, Firs t, Middle) 2. Social Securit y Number I SECOND ACTION FIRST ACTION 5-A. Code 3. Date of Birth 5- B. Nature of Action 4. Effective Date I l (b)(6) l (b)(6) O 'BRIE N,DOUGL AS S 6- A. Code 6- B. Nature of Action 6-C . Code 6- D. Lcgal Author ity 6- E. Code 6- F. Legal Author ity Wl2/2017 Exe Appt 170 5- C. Code 5- D. Legal Authority SCH C, 213.3301a Agency- unique Schedule C auth. Y7M 5-E . Code ZLM 5- F. Legal Authority OPM Form 1019 Dtaed November 7, 2017 7. FROM: Position Title and Number 15. TO: Position Title and Numbcr REGIONAL DffiECTOR , Region V PD:HHS255 Position:00055 337 ro.Grade or Luellll. 8. Pay Plan 19. 0cc. Code 12A. Basic Pa)' 128. Locality Adj. Step or Rat 'l1 2. Total Salary I 113. Pay Basis 12c. Adj. Basic Pay 112D. Other Pay 16. Pay Plan 1 17. 0cc. Code GS 0301 18. :;de I 2(>R.Loca lity Adj. 20A. Basic l' ay $134,776.00 14. Name and Location of Positi on 's Orga nization or Level 119.~: p or Rate 2~;;~:::.;~Award sis I 20C. Adj. Basie Pay $27,124.00 121;~Ba . 2(>D~~th cr Pay $161,900.00 22. Name and Loca tion of Pos ition's Or ga niza tion Office of the Secretary of Health and Human Services Office Of The Regio nal Director , Region CHICAGO IL USA EMPLOYEE DATA 23. Veterans Preference I - Nooe (b)(6) I 2 - 5- Polnt J- 10- Poiot/Disabilil y 4 - 10- Polnt/Compe nsa l)le 27. FEGLI (b)(6) 24. Tenure 0 - None (b)(6) I - Permanenl 5 - IO- Point/Othtr 6 - IO~Poi.nt/Compensable/30 % 1 125. Agency Use 2 - Condilio na l J- lndefinill' 28. Annuita nt Ind icator (b)(6) I I I I 31. Sen'ice Comp. Date (Leave) 32. Work Schedule 30. Retir ement Plan (b)(6) I (b)(6) I illl I R\ YES_~ NO 29. Pav Rate Determinant (b)(6) I 33. Par t-Tim e Honrs Per Biweekly Pay Period I (b)(6) 26. Veterans Preference for RIF POSITION DATA 34. Position Occupied 35. FLSA Category ~ I - C om1,elith·e Servic e ~ 3 - SF.S Gener:.11 4 - SES Can-n Resuvcd 2 - Kul"pted Scn-iel" £ - Eu rupt N - Nonexempt 36. Appropriation Code 37. Barga ining Unit Status 81050560 8888 38. Duty Sta tion Code 39. Duty Station (City - County - State or Overseas L-Ocation) 171670031 CHICAGO 40. Agency Data d<; D ,-.,- 14 1. Cook IL USA 142. 143. 1;AR umber: 1 .. (b)(6) 46. Employing Dcparhnent or Agency SO.Signature /Authentication and Title of Appro ving Official Depa r tment of HHS - Office of the Sec retary of Hea lt h and Human Se rvices 47. Agency Code HEl0 5-Par t 50-316 48. Person nel Office ID 1704 49. Appr oval Date E lectronica lly Signed by: TONY A M JOHN SON Director , National Capital Regi on HR Center 11/20/2017 HHS 2018-00318--000167 2 - OPF Copy · Lon g-Term Record · DO NOT DE STROY Editions Prior to 7/9 1 Are Not Usab le After 6/30/93 NSN 7540-01-333-6238 HHS-17-0560-A-000167 Standard F'orm 50 Re v. 7/91 U.S. Office of Personnel Management FPM Supp 296- 33 Sub ch 4 NOTIFICATION OF PERSONNEL ACTIO N 1. Name (Last, Firs t, Middle) 2. Social Secur ity Number FIRST ACTION 5- A. Code 3. Date of Birth 4. Effective Date I(b)(6) I l (b)(6) OLSON,CA ROLY N F I 08/20/2017 SECOND ACTION 5- B. Nature of Action 6- A. Code 6- B. Natur e of Action 6- C. Code 6- D. Lcgal Authority 6- E. Code 6- F. Legal Authority Exe Appt 170 5- C. Code 5- D. Legal Auth ority SC H C, 2 13.3301a Age n cy- uniqu e Sc hedul e C auth. Y7M 5- E. Code ZLM 5- F. Legal Authori ty OP M F orm 1019 Dat ed Au gus t 9, 2017 7. FROM: Position Title and Numb er ro.G rad e or Lue l lll . Ste p or Rat 'l1 2. Total Salar y 8. Pay P lan 19. 0cc. Code 12A. Bas ic Pa)' 15. TO : Position T itle and Numbcr Deput y Dir ector or Advan ce PD:GS8100 Posit ion :0038 780 1 128. Loca lity Adj. I 12c. Adj. Basic Pay 113. Pay Basis 112D. O th er Pay 16. Pay Plan 1 17. 0cc. Code GS 030 1 18. G rad e or Le.vel 119.S tep or Rate 20. To tal Salary /A ward 14 20A. Basic l' ay 2(>R. Loca lity Adj . $8 8,136.00 14. Name and Locat ion of Positi on ' s Orga niza tion 1 121Pa. )' Basis $112,021.00 I I 20C. Adj. Basie Pay $23 ,885. 00 PA 2(>D~~t hcr Pay $112,021.0 0 22. Na me an d Loca tion of Pos ition' s Or ga niza tion Offi ce of the Sec retary of Health and Human Services Imm ediat e Office Of The Sec retary WAS HI NG TO N D C USA EMPLOYEE DATA 23. Veteran s Preference I - Nooe (b)(6) I 2 - 5- Polnt J- 10- Poio t/Disabili ly 4 - 10- Polnt/Co mpe nsa l)le 27. FEGLI (b)(6) 24. Tenu re O(b)(6) 5 - IO- Point/ Othtr Pe.rma ne.nl 2 - Co ndilio na l J- l ndefinill' 28. Annuita nt Indicator (b)(6) I 3 I. Sen'ice Comp. Date (Leave) 32. Work Schedule (b)(6) (b)(6) 30. Retir ement Plan I I (b)(6) None I,- 6 - IO~Po i.nt/ Comp ensable/30% 125. Agency Use 26. Veteran s Preference for RIF I F]v I / R\ ES ~N O 29. Pay Rate Determinant (b)(6) I 33. Par t- Time Honrs Per Biweekly Pay Period I I POSITION DATA 34. Position Occupied 35. FLSA Category ~ I - C om1,elit h·e Serv ice 2 - Ku l"pt ed Scn-ie l" ~ 3 - SF.S Ge ne.r:.11 4 - SES Caren Resu vcd N - Nont xem pl 36. Appropriation Code 37. Barga ining Unit Status 71990362 8888 39. Duty Station (City - Count y - State or Overseas L-Oca tion) 38. Duty Station Code 1100100 01 40. Agency Data £ - Eu rupt W AS HI NGTON 14 1. 14 2. Di st C olumbi a DC USA 143. 1; AR umb er : d <; D ,-. , - 1.. (b)(6) 46. Employing Dcparhn ent or Agency SO.Signat ure/Authentication and Title of Appro ving Official De pa r tm ent of HHS - O ffice of th e Sec r etar y of H ea lt h and Human Se rvices 47. Agency Code H E lO 5- Part 50-316 48. Personnel Office ID 1704 49. Appr oval Date E lect ro nica lly Signed by: TONY A M JOH NSON D ir ect or , Na tional Ca pi ta l Region HR Ce nt er 10/19/2017 HHS 2018-00318--000168 2 - OPF Copy · Long-T erm Reco rd · DO NOT DESTRO Y Edit ions Pr ior to 7/9 1 Are Not Usab le After 6/30/93 NSN 7540-01- 333-6 238 HHS-17-0560-A-000168 Standard F'orm 50 Re v. 7/91 U.S. Office of Personnel Management FPM Supp 296- 33 Subch 4 NOTIFICATION OF PERSONNEL ACTION 2. Social Securit y Number 1. Name (Last, Firs t, Middle) I SECOND ACTION FIRST ACTION 5-A. Code 3. Date of Birth l (b)(6) NELSON, PETER J 5- B. Nat ure of Action 4. Effective Date I l (b)(6) 6- A. Code 6- B. Nature of Action 6-C . Code 6- D. Lcgal Author ity 6- E. Code 6- F. Legal Author ity 12/04/2017 Exe Appt 170 5- C. Code 5- D. Legal Authority Y7M SCH C, 213.3301a Agency- unique Schedule C autb. 5-E . Code 5- F. Legal Authority OPM Form 1019 dated 10-30-2017 ZLM 7. FRO M: Position Title and Number 15. TO: Position Title and Numbcr ro.Grade or Luellll. 8. Pay Plan 19. 0cc. Code 12A. Basic Pa)' Senior Advisor PD:DH0835 Position:00389453 Ste p or Rat 'l1 2. Total Salary I 128. Localit y Adj. 12c. Adj. Basic Pay 113. Pay Basis 112D. Other Pay 16. Pay Plan 1 17. 0cc. Code GS 0301 18. Grade or Le.vel 119.Step or Rate 20. To tal Salary /Awa rd 14 20A. Basic l' ay PA I 20C. Adj. Basie Pay $23,885.00 121Pa)' . Basis $112,021.00 I 2(>R.Loca lity Adj. $88 ,136.00 14. Name and Location of Positi on 's Orga nization 1 2(>D~~th cr Pay $112,021.00 22. Name and Loca tion of Pos ition's Or ga niza tion & Medicaid Services OFFICE OF THE ADMINISTRATOR Center s for Medicare WOODLAWN MD USA EMPLOYEE DATA 23. Veterans Pr eference ~ I - Nooe 2 - 5- Polnl J- 10- Poiol/D;,,bml v 4 - 10- Polnt/Compe nsa l)le 27.F EGLI (b)(6) I 24. Tenure 0(b)(6) 5 - IO- Po int/Othtr 6 - IO~Poi.nt/ Co mpi:-nsabll-/30 % 2 - Co ndilio na l J- lnddinill' 28. Annuita nt Ind icator (b)(6) I .,u. n.enr emem nan (b)(6) None I - Pe.rmane.nl 3 1. Sen'ice Comp. Date (Leave) 32. Wor k Schedule (b)(6) (b)(6) I I 125. Agency Use 26. Veterans Preference for RIF I F]vES~NO I / R\ 29. Pav Rat e Determinant (b)(6) I I 33. Par t-Tim e Honrs Per Biweekly Pay Period I POSITION DATA 34. Position Occupied 35. FLSA Category ~ I - C om1,elith·e Servic e ~ 3 - SF.S Gene.r:.11 4 - SES Can-n R~trvcd 2 - i£l:<'l"pted Scnil"l" £ - Eu rupt N - Nontxempl 36. Appropriation Code 37. Barga ining Unit Statu s 85990732 8888 38. Dut y Sta tion Code 39. Duty Station (City - County - State or Over seas L-Ocation) 241698005 WOODLAWN 40. Agency Data ,,c D ,-,,- 14 1. Baltimor e MD USA 142. 143. 1;AR umber: 1 .. (b)(6) 46. Emplo)'ing Dcparhnent or Agency Depa r tment of HHS - Cente r s fo r Medicare 47. Agency Code HE70 5-Par t 50-316 48. Person nel Office ID 4222 SO.Signature /Authentication and Title of Appro vin g Official & Me d icaid Se rvic es 49. Appr oval Date E lectronica lly Signed b y: A NGELA K. PORT E R Director Tal ent Ac quisit ion Group (T AG) 12/06/2017 HHS 2018-00318--000169 2 - OPF Copy - Lon g- Term Record - DO NOT DE STROY Editio ns Prior to 7/9 1 Are No t Usab le After 6/30/93 NSN 7540-01-333-6238 HHS-17-0560-A-000169 Standard F'orm 50 Re v. 7/91 U.S. Office of Personnel Management FPM Supp 296- 33 Subch 4 NOTIFICATION OF PERSONNEL ACTION 1. Name (Last, First, Middle) 2. Social Security Number PE N CE ,LAURA C l R.Loca lity Adj. $74,584.00 14. Name and Location of Positi on 's Orga nization 1 I 20C. Adj. Basie Pay $20,212.00 PA 2(>D~~th cr Pay $94,796.00 22. Name and Loca tion of Pos ition's Or ga niza tion Office of the Secretary of Health and Human Services Immediate Office Of The Secretary WASHING TON DC USA EMPLOYEE DATA 23. Veterans Preference ~ I • Nooe 2 - 5- Polnl 125. Agency Use 24. Tenure J- 10- Poiol/D;,,b;t;l y 4 - 10- Polnt/Compe nsa l)le 5 - IO- Point/Othtr (b)(6) 6 - IO~Poi.nt/Compi:-nsabll-/30 % 27. FEGLI 1 0 - None I - Permanenl 2 - Condilio na l J- lnddinill' 28. Annuita nt Indicator I (b )(6) POSITION DATA 34. Position Occupied 35. FLSA Category ~ I - C om1,elith·e Servic e ~ 3 - SF.S Gener:.11 4 - SES Can-n R~trvcd 2 - i£l:<'l"pted Scnil"l" I 36. Appropriation Code 37. Bargaining Unit Status 7199 TW LV 8888 39. Duty Station (City - County - State or Overseas L-Ocation) WASHINGTON Dist Columbi a DC USA 38. Duty Station Code 110010001 ~ £ - Eu rupt N - Nontxempl I 33. Par t-Tim e Honrs Per Biweekly Pay Period I (b)(6) I (b)(6) I ITT ~ES NO (6) 29. Pav Rate Determinant (b)(6) 31. Sen'ice Comp. Date (Leave) 32. Work Schedule -(b)(6) ,., I (b)(6) 30. Retir ement Plan 40. Agency Data I 26. Veterans Preference for RIF 14 1. 142. 143. 1;AR umber: .. (b)(6) 46. Emplo)'ing Dcparhnent or Agency SO.Signature /Authentication and Title of Approving Official Depa r tment of HH S - Office of the Sec retar y of Hea lt h and Human Se rvices 47. Agency Code HEl0 5-Par t 50-316 48. Personnel Office ID 1704 49. Approval Date E lectronica lly Signed by: TONY A M JOHN SON Dir ect or , National Capital Regi on HR Center 07/20/2017 HHS 2018-00318--000170 2 • OPF Copy · Lon g-Term Record · DO NOT DE STROY Editio ns Prior to 7/9 1 Are No t Usab le After 6/30/93 NSN 7540-01-333--6238 HHS-17-0560-A-000170