FEDERAL ELECTION COMMISSION

WASHINGTON, D.C. 20463

Don W.Fox
Acting Director
Office of Government Ethics
1201 New York Avenue, N.W.
Suite 500
Washington, D.C. 20005
Dear Mr. Fox:
September 6, 2011
Enclosed are copies of the initial financial disclosure reports filed by 2012
Presidential candidates Newton L. Gingrich, Timothy J. Pawlenty, and W. Mitt Romney
pursuant to the Ethics in Government Act of 1978, as amended. These reports have been
reviewed by this office for apparent compliance with the Federal Election Campaign Act
of 1971, as amended. We understand that final review will be undertaken by your o f f i c e ~
If you have any questions or need additional information, please contact Kate
Higginbothom, Acting Deputy Ethics Official, at (202) 694-1594.
Enclosure
a ence vert, r.
Ass . ciate General Counsel for General Law & Advice
Altei:nate Designated Agency Ethics Official
OGE Form 278 (Rev. 09/2010)
5 C.F:R. Part 2634
U.S. Office of Government Ethics
Date of Appointment, Candidacy, Election,
lor Nomination (Month, Day, Year)
3/21/2011
Executive Branch Personnel PUBLIC FINANCIAL DISCLOSURE REPORT
Reporting Status Incumbent Calendar Year New Entrant, Termination Termination Date (If Appli-
(Check Appropriate
D
Covered by Report
Nominee, or
GJ
FilerO
cabW (,Month, Day, Year)
noxes)
I I
Candidate
.. IVt :_1
Last Name First Name and Middle Initial
""
Form Approved:
OMB No. 3209-0001
Fee for Late Filing
Any individual who is required to file
this report and does so more than 30
davs after the date the report is reQuired
to be filed, or, if an extension is
Reporting Individual's Name
Pawlenty TimothyJ.
lUll AU{, 10 PM
2: 29
granted, more than 30 days after the
last day of the filing extension period,
Title of Position Department or Al'encv (lf"Annlicable) t _ f M A I rr:-_,,, . - .. shall be subject to a $200 fee.
Position for Which Filing
Candidate for President
.. ._ """" 1 c.n Reporting Periods
'
Incumbents: The reporting period is
Address (Number Street Citv. State and ZIP Code) Telenhone No._ (Include Area Code) the preceding calendar year except Part
Location of Present Office II of Schedule C and Part I of Schedule
(or forwarding address) PO Box 385340, Minneapolis, MN 55438-5340 (612) 284-8250 D where you must also include the filing
year up to the date you file. Part II of
Position(s) Held with the Federal Title of Position(s) and Date(s) Held Schedule D is not applicable.
Government During the Preceding
12 Months (If Not Same as Above)
Member, National Infrastructure Advisory Council (N,J.A.C)
Termination Filers: The reporting
period begins at the end of the period
covered by your previous filing and ends
Name of Congressional Committee Considering Nomination Do You Intend to Create a Qualified Diversified Trust? at the date of termination. Part II
Presidential Nominees Subject to Senate
DYes DNo
of Schedule D is not applicable.
Confirmation
Nominees. New Entrants and .
Certification Signature of Reporting Individual Date_(Month Dav. Year) 1 Candidates for President and
I CERTIFY that the statements I have
"""
=?

Vice President:
made on this form and all attached

1:)
I t I
Schedule A-The reporting period
schedules are true, complete and correct
to the best of my knowledge.
__.j
for income (BLOCK C) is the preceding
calendar year and the current calendar
Signature of Other Reviewer
'\ Date.(Month Dav. Year) year up to the date of filing. Value
Other Review
assets as of any date you choose that is
(If desired by within 31 days of the date of filing.
agency)
Schedule B-Not applicable.
Aeencv Ethics Official's Opinion Signature of De.siilioated Agency Ethics Official/Reviewing Official n.rP. fMnnth YPnrl
Schedule C, Part I (Liabilities)-
On the basis of information contained
,/_/
in this report, I conclude that the filer is
,0 7C1_
2/30/l
(
The reporting period is the preceding
in compliance with applicable laws any calendar vear and the current calendar
regulations (subject to any comments year up to anv date vou choose that is
in the box below). within 31 days of the date of filing.
Office of Government
Sighature
v
/
f-(. L/
Date (Month Dav.1'ear)
/
Schedule_ C, Part IT (Agreements or
Use Only
,Arranp;ements)--Show any agreements
or arrangements as of the date of filing.
Comments of Reviewin!! Officials (If additional snace is reQuired use the reverse side Q[Jhis sheet)_ Schedule D-The reporting period is
'10 ;cj
the orecedin!! two calendar vears and
(Check box if filing extension granted & indicate number of days the current calendar year up to the
date of filing.
for Apparent 'Compliance
wtth the Federal Election Campaign Act
Aeencv Use Onlv
(Check box if comments are continued on the reverse side) D
OGEUseOnlv
Supersedes SF 278 Editions.
I
I
i
OGE Form 278 (Rev. 09/2010)
5 C,F.R. Part 2634
U.S. Office of Government Ethics . . -. ---- .
Reporting Individual's Name
Timothy J. Pawlenty
Page Number
SCHEDULE A
2
Assets and Income Valuation of Assets Income: type and amount. If "None (or less than $201)" is checked,
at close of reporting period no other entry is needed in Block C for that item.
BLOCK A BLOCKB BLOCKC
For you, your spouse, and dependent children, Type Amount
report each asset held for investment or the
pro,duction of income which had a fair market
value exceeding $1,000 at the close of the report-
ing period, or which generated more than $200
l
Other
in income during the reporting period, together
;::;-
=
Income
= = =
,.-._
with such income. = = = =
....
=
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amount of earned income exceeding $200 (other = =
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X
----------------

- -


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-
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X
----------------
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-- - - - -

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X X X
----------------
1-- -
-
1--
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-.
1-- r- - -
_..;
- 1--
- - - -
--
- ----------
IRA: Heartland 500 Index Fund
X X X
1
State of Minnesota - Governor's Office,
$121,260-
State Capitol, St. Paul, MN 55155
X
salary
2
Children's Heartlink- Spousal Income
'
3 Tyndale House Publishers, Inc.- 351 .
$342,000-
Executive Drive
X royalty
Carol Stream, IL 60188
payments
4
Gilbert Mediation Center, Ltd. - Spousal
. I .
'
Income
I
;
..
5 Leading Authorities, Inc.- 1990 M Street,
speaking fees -
NW, Suite 800, Washington, DC 20036
X
$24,000
6 Leading Authorities, Inc. - 1990 M Street,
speaking fees -
NW, Suite 800, Washington, DC 20036
X
$24,000
* This category applies only if the asset/income is solely that of the filer's spouse or dependent children. If the asset/income is either that of the filer or jointly held
bv the filer with the spouse or dependent children mark the other higher categories of value as (!pprOJlriate.
Date
(Mo .. Dav.
Yr.)
Only if
Honoraria
_____ .....;..
------
------
01/19/2011
01/23/2011
OGE Form 278 (Rev. 09/2010)
5 C.F.R. Part 2634
U.S. Office of Government Ethics ----- -- - ~ --------------- --
Reporting Individual's Name
Timothy J. Pawlenty
SCHEDULE A continued
Page Number
(Use only if needed)
Assets and Income Valuation of Assets Income: type and amount. If "None (or less than $201)" is checked,
at close of reporting period no other entry is needed in Block C for that item.
BLOGKA BLOCKB BLOCKC
Type Amount
'
'
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Other
0 0 0 ,.....
Income
~
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1 Leading Authorities, Inc. - 1990 M Street,
speaking fees
NW, Suite 800, Washington, DC 20036
'
X
$24,000 I
2 Leading Authorities, Inc.- 1990 M Street,
speaking fees
NW, Suite 800, Washington, DC 20036
X
I
$24,000
3 Leading Authorities, Inc. - 1990 M Street,
..
speaking fees
NW, Suite 800, Washington, DC 20036
X
$24,000
4 Leading Authorities, Inc. - 1990 M Street,
speaking fees
NW, Suite 800, Washington, DC 20036
X
$24,000
s Leading Authorities, Inc. - 1990 M Street,
speaking fees
NW, Suite 800, Washington, DC 20036
X
$24,000
6 Leading Authorities, Inc. - 1990 M Street,
speaking fees
NW, Suite 800, Washington, DC 20036
X
$9,375
7 Leading Authorities, Inc. - 1990 M Street,
speaking .fees
NW, Suite 800, Washington, DC 20036
\
X
'! $24;oob
s Leading Authorities, Inc.- 1990 M Street,
' speaking fees
NW, Suite 800, Washington, DC 20036
'r X
$30,000
'
9 Leading Authorities, Inc. - 1990 M Street,
'
'
speaking fees
NW, Suite 800, Washington, DC 20036
. ' X
! $20,000
'
I
* This category applies only if the asset/income is solely that of the filer's spouse or dependent children. If the asset/income is either that of the filer or jointly held
bv the filer with the snouse or dependent children mark the other higher categories of value as aonronriate. .
--
3
Date
(Mo .. Dav.
Yr.)
Onlv if
Honoraria
03/18/201.1
03/21/2011
03/22/2011
04/07/2011
04/19/2011
Cancelled
05/25/2011
06/02/2011'
06/09/2011
OGE Form 278 (Rev. 0912010)
5 C.F.R. Part 2634
U.S. Office of Government Eth' J.o>.
'v"
Reporting Individual's Name
Timothy J. Pawlenty
SCHEDULE A continued
Page Number
(Use only if needed)
Assets and Income Valuation of Assets Income: type and amount. If "None (or less than $201)" is checked,
at close of reporting period no other entry is needed in Block C for that item.
BLOCK A BLOCKB BLOCKC
Type Amount
"CC
Other ~ 0
!
0
0 0
--.
Income
~
0 0
~ ....
.0
(Specify
0
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1
Wells Fargo Checking and Savings X X :
2
U.S. Bank Checking Account X X
:
3
Affinity Plus Federal Credit Union Savings
Account
X
X
4
TCF Bank - Dependent Cllildren's
X
X
Savings Accounts
5
TIAA-CREF Minnesota College Savings
X X X
Plan- Managed Allocation Age-18+
6
TIAA-CREF Minnesota College Savings
X X X
Plan- Managed Allocation Age 12-14
7
403B: Franklin International Growth Fund
X
X X
Class A
I.
'
8
I
403B Franklin Balanced Fund - Class A X
X x
..
9
403B: Franklin Templeton CoreFolio
:
Allocation Fund - Class A
X
X.
'
X,_'
.
* This category applies only if the asset/income is solely that of the filer's spouse or dependent children. If the asset/income is either that of the filer or jointly held
bv the filer with the snouse or denendent children mark the other hie:her categories of value as annronriate.
4
Date
(Mo., Dav.
Yr.)
Onlvif
Honoraria
OGE Form 278 (Rev. 09/2010)
5 C.F.R. Part 2634
U.S. Office of Government Ethics
Reporting Individual's Name
Timothy J. Pawlenty
SCHEDULE A continued
Page Number
(Use only if needed)
Assets and Income Valuation of Assets Income: type and amount. If "None (or less than $201)" is checked,
at close of reporting period no other entry is needed in Block C for that item.
BLOCK A BLOCKB BLOCKC
Type Amount
;:::;-
'"0'
Other
=
= = =
;:::;-
Income
= = = =
l'rol
=
.....
=
= =!. Q ...
~
=
(Specify
~
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I
2
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X X X
Investor Shares
.
3
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..
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X X X
'
4
IRA: Vanguard Mid-Cap Growth Fund X X X
5
IRA: Vanguard Target Retirement 2025
X X X
Fund
'
6
IRA: Vanguard Large-Cap Index Fund
X X X
Investor Shares
7
IRA: Vanguard Small-Cap Growth Index
X X X
Fund
,
:
8
IRA: Vanguard Intermediate-Term Bond
Index Fund Admiral Shares
X X X
g HSA: Minnesota State Retirement System
Health Care Savings Plan Bond Market X X
Account .
-
* This category applies only if the asset/income is solely that of the filer's spouse or dependent children. If the asset/income is either that of the filer or jointly held
bv the filer with the spouse or dependent children mark the other higher categories of value as appropriate.
5
Date
(Mo., Dav.
Yr.)
Onlvif
Honoraria
'
I
OGE f'onn278 (Rev. 09/2010)
5 C.F.R. Part 2634
U.S. Office of Government Ethics
Reporting Individual's Name
Timothy J. Pawlenty
SCHEDULE A. continued
Page Number
(use only if needed)
Assets and Income Valuation of Assets Income: type and amount. If "None (or less than $201)" is checked,
at close of reporting period no other entry is needed in Block C for that item.
BLOCK A BLOCKB BLOCKC
Type Amount
;::;
=
!
Other
=
= =
,......
Income
~ = =
~ ;
.....
,
=
g
= ~
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=
(Specify .....
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1 HSA: Minnesota State Retirement System
Health Care Savings Plan Fixed Interest X X
..
Account
2
UTMA: American Century Vista X X X
s HSA: Minnesota State Retirement System
Health Care Savings Plan Money Market X X
Account
4 '
IRA: Fidelity Four-in-One Index X X X
5
MN State Retirement System Unclassified_
X X
Retirement Plan: Money Market Account
6
MN State Retirement System Deferred
X X X X
Comp: Vanguard Mid Cap Index lnst
7
Minn Life Advantus Index 500 Fund X X X
8
MN State Retirement System: TDAM
X X X
Money Market Portfolio
9
Minn Life AdvAntus Index 400 Mid-Cap
X
X X
Fund
' * This category applies only if the asset/income is solely that of the filer's spouse or dependent children. If the asset/income is either that of the filer or jointly held
bv the filer with the spouse or dependent children mark the other hill:her catell:ories of value as !\Jlpropriate.
--
6
Date
(Mo., Dav.
Yr.)
Onlv if
Honoraria
Assets and Income
BLOCK A
Fidelty - Cash in Brokerage Account
SCHEDULE A continued
(Use only if needed)
Valuation of Assets
at close of reporting period
!Income: type and amount. If "None (or less than $201)" is checked,
other entry is needed in Block C for that item.
Other
Income
(Specify
Type&
Actual
Amount)
7
Date
(Mo., Day,
Yr.)
Only if
Honoraria
5 C.P.R. Part 2634'
U.S. Office of Government Ethics
Repqrting Individual's Name
Timothy J. Pawlenty
1
Assets and Income
BLOCK A
IRA: Powershares DB Agriculture Trust
2
IRA: Vanguard Energy ETF
3
'MN State Retirement System Deferred
Comp: T Rowe Price Small Cap Stock
4
1MN State Retirement System Deferred
Comp: Vanguard Total Inti Stock Index
sl
MN State Retirement System Deferred
Comp: Fidelity Diversified Inti
6
1MN State Retirement System Deferred
Comp: Vanguard Mid Cap Index lnst
7
1MN State Retirement System Deferred
Comp: Janus Twenty
siMN State Retirement System Deferred
Comp: Vanguard lnst Index Plus
9
1MN State Retirement System Deferred
Comp: SIF Money Market
SCHEDULE A continued
(Use only if needed)
Page Numtier
8
Valuation of Assets
at close of reporting period
Income: type and amount. If "None (or less than $201)" is checked,
no other entry is needed in Block C for that item.
BLOCKB
';' ''!
)F
!

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BLOCKC
Other I Date
Income (Mo., Day,
(Specify Yr.)
... Type&
.; : ', .. :: Actual I Only if
::_": =:
o: ._co.: Amount) Honoraria
g *
= g = _g., =

8
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* This category applies only if the asset/income is solely that ofthe filer's spouse or dependent children. If the asset/income is either that of the filer or jointly held
bv the filer with the soouse or deoendent children. mark the other higher categories of value. as aoorooriate.
OGE Form 278 (Rev. 0912010)
5 C.F.R. Part 2634
J. Pawlenty
Assets and Income
BLOCK A
MN State Retirement System Deferred
Comp: Vanguard Total Bond Index Ins!
MN State Retirement System Unclassified
Retirement Plan: Growth Share Account
State Retirement System Unclassified
Retirement Plan: Common Stock Account
MN State Retirement System Unclassified
Retirement Plan: International Share
& Reed Growth Fund
& Reed International Two Fund
& Reed Small-Cap Growth Fund
& Reed Value Fund
SCHEDULE A continued
Valuation of Assets
at close of reporting period
IJ.m:ume: type and amount. If"None (or less than $201)" is checked,
other entry is needed in Block C for that item.
Q
Q
Q
= Q
Q
"' "" ....
..
>
0
Other
Income
(SpecifY
Type&
Actual
Amount)
9
Date
(Mo., Day,
Yr.)
Only if
Honoraria
OGE Form 278 (Rev. 09/2010)
5 C.F.R. Part 2634
Do not complete Schedule 8 if you are a new entrant, nominee, or Vice Presidential or Presidential Candidate
U.S. Office of Government Ethics
Reporting Individual's Name Page Number
Timothy J. Pawlenty
SCHEDULER
Part 1: Transactions
None
D
Report any purchase, sale, or exchange by you, Do not report a transaction involving property Transaction
Amount of Transaction (x)
your spouse, or dependent children during the reporting used solely as your personal residence, or a
Type (x)
period of any real property, stocks, bonds, commodity transaction solely between you, your spouse, or Date
futures, and other securities when the amount of the dependent child. Check the "Certificate of (Mo., .
*
"
. . 0 0 -o
transaction exceeded $1,000. Include transactions that divestiture" block to indicate sales made pursuant
"
Oil Day, Yr.) .
'O -o -o
o&
8
&&
lii
'o -o -0 00 00
resulted in a loss. to a certificate of divestiture from OGE.
"@
..c::
-o 0 0 00 00 00

0

"
gq 0 0 o .. c5 00 dd
... 0
"
vid "0
"
Ol
&'l

00 0V) V)0 0
> ....;'ar)
Identification of Assets
"'
-,., ,., -
-"'
C'I,.,
,., -
o;;>
"'. "'
"' "' "'"' "' "' "' "' "' "' "' "'
Example: !Central Airlines Common X 2/1199. X
1
2
3
4
5
* This category applies only if the underlying asset is solely that of the filer's spouse or dependent children. If the underlying asset is either held
bv the filer or iointlv held bv the filer with the spouse or dependent children use the other higher categories of value as appropriate.
Part II: Gifts, Reimbursements, and Travel Expenses
For you, your spouse and dependent children, report the source, a brief descrip the U.S. Government; given to your agency in connection with bfficial travel;
tion, and the value of: (I) gifts (such as tangible items, transportation, lodging, received from relatives; received by your spouse or dependent child totally
food, or entertainment) received from one source totaling more than $335 and independent of their relationship to you; or provided as personal hospitality at
(2) travel-related cash reimbursements received from one source totaling more the donor's residence. Also, for purposes of aggregating gifts to determine the
than $335. For conflicts analysis, it is helpful to indicate a basis for receipt, such total value from one source, exclude items worth $134 or less. See instructions
as personal friend, agency approval under 5 U.S.C. 4111 or other statutory for other exclusions.
authority, etc. For travel-related gifts and reimbursements, include travel itinerary,
dates, and the nature of expenses provided. Exclude anything given to you by
Source (Name and Address) Brief Description
Airline ticket, hotel room & meals incident to national conference 6/15/99 (personal activity unrelated to duty)
10
.
'E
o -o 0
-o
8 .. 8
8 ..


g
&
. .,
6
' . ,., ,., 0
8 :a
'
None CJ
Value
$500 _____
Frank Jones, San Francisco, CA
briefc-;;;e-(persooai frie;d)------------- ------------------------------------
---$350 ____
1
2
3
4
5
------------------- --- ---- ---
OGE Form 278 (Rev. 09/2010)
5 C.F.R. Part 2634
U.S. Office of Government Ethi -- .......
Do not complete Schedule B ifyou are a new entrant, nominee, or Vice Presidential or Presidential Candidate
Reporting Individual's Name SCHEDULE B continued Page Number
Timothy J. Pawlenty (Use only if needed) 11
Part 1: Transactions
Amount of Transaction (x)
Date *,

0
t)
v r?n (Mo., ,
0
_
0

0
_ 8 8 0 8 8 8 8 8 8 B e
_a Day, Yr.) 8 8 8 8 8 8 8 8 8 8 g g g g ] E
u o .g 8 q q q q o o o o o o 8 8 g g g o.. q q !U q t: .
. . ca x 8 > ....: ....: v) an :q > <1) .e;
IdenttficatJOn of Assets A< rJ:l "" "" "" "" "" "" "" "" "" "" "" "" 0 "" "" "" "" "" "" "" 0 "" u "O
1
2
3
4
5
6
7
8 '
9
10
11
12
13
14
15
16
*This category applies only if the underlying asset is solely that of the filer's spouse or dependent children. If the underlying asset is either held
bv the filer or iointlv held bv the filer with or dependent children, use the other higher categories of value, as appropriate.
OGE Form 278 (Rev. 09/2010)
5 C.F.R. Part 2634
U.S. Office of Government Ethics
Reporting Individual's Name
Timothy J. Pawlenty
Part 1: Liabilities
Report liabilities over $10,000 owed to any one
creditor at anv time during the reporting period
by you, your spouse, or dependent children.
Check the highest amount owed during the reporting
reporting period. Exclude a mortgage on your
Creditors (Name and Address)
SCHEDULEC
personal residence unless it is rented out;
None WU
loans secured by automobiles, household
furniture or appliances; and liabilities owed to
certain relatives listed in instructions.
See instructions for revolving charge accounts.
Date Interest Term if
Type of Liability Incurred Rate applicable
'
a
-0 -a -0
0 0 0 0

qo .. qq

V)Q 0 0
-.,... .,... -
"""" """"
......
Page Number
'
12
Category of Amount or Value (x)
*
' 'a
'
'0 0 -0 -0
-0 -0
_a

00
8 o ..
&&
0 0 oct o .. q
o8 qq

0

0 0 00
.... 0 0 0
o ..
0
0 .,... V)Q 0 . .,...
- N
('IV)
.,... -
o;;;;
-.,... "' N
""""
"""" """" """"
""""
Examples: DC ______ ________
- J!Jo..,-
25 yrs.
1---
X
---
1---
on demail"d-
-- -- ---- --
John Jones, Washmgton, DC Promissory note 1999 10% X
1
2 '
3
4
5
* This category applies only if the liability is solely that of the filer's spouse or dependent children. If the liability is that of the filer or a joint liability of the filer
with the spouse or dependent children mark the other higher categories as appropriate.
Part II: Agreements or Arrangements
Report your agreements or arrangements for: (1) continuing participation in an of absence; and (4) future employment. See instructions regarding the reporting
employee benefit plan (e.g. pension, 401k, deferred compensation); (2) continuation of negotiations for any of these arrangements or benefits.
of payment by a former employer (including severance payments); (3) leaves
None c:::J
Status and Terms of any Agreement or Arrangement Parties
E
1
. I Pursuant to partnership agreement, will receive lump sum payment of capital account & partnership share
xamp e. calculated on service performed through 1/00.
Doe Jones & Smith, Hometown, State
1
Defined contribution retirement accounts (also listed on Schedule A) Minnesota State Retirement System, Saint Paul, MN
2
Defined benefit pension plan with various options for payment frequency and amounts Minnesota State Retirement System, Saint Paul, MN
3
Pursuant to Letter of Agreement, may receive payment for speaking engagements, to be negotiated on an individual basis Leading Authorities, Inc., Washington, DC
4
Contracted for a speaking engagement for a net honoraria of $22,000 on 10/27/11 Leading Authorities, Inc., Washington, DC
5
Contracted for a speaking engagement for a net honoraria of $12,000 on 11/29/11 Leading Authorities, Inc., Washington, DC
6 Publishing agreement(Courage to Stand) with Tyndale House Publishers, Inc. Will receive potential royalty payments
customary from Tyndale House Publishers Inc.
Tyndale House Publishers, Inc., Carol Stream, IL
-a 0
0 0 0
ctct
g
88
o .. q

V)Q
('IV)

""""
-- --
Date
7/85
1/93
1/93
9/10
5!11
6/11
5/10
I
005 Form 278 (Rev. 09/2010)
5 C.P.R. Part 2634
U.S. Office of Government Ethics ...
Reportmg Illilivloual's-Name
Timothy J. Pawlenty
'
Part 1: Positions Held Outside U.S. Government
Report any positions held during the applicable reporting period, whether
compensated or not. Positions include but are not limited to those of an officer,
director, trustee, general partner, proprietor, representative, employee, or
Organization (Name and Address)
Examples: N_Y_;;. _______________
Doe Jones & Smtth, Hometown, State
1 State of Minnesota (includes state boards and State Exec Council) - St.
Paul, MN
2
National Governor's Association- Washington DC
3
Hunt Institute - Durham, NC
4
Achieve- Washington DC
5
Education Commission of the States - Denver, CO
6
Strategic Management of Human Capital Task Force- Madison, WI
SCHEDULED
consultant of any corporation, firm, partnership, or other business enterprise or any
non-orofit organization or educational institution. Exclude oositions with religious.
social, fraternal, or political entities and those solely of an honorary nature.
Type of Organization Position Held

1- ____________
Law firm Partner
Governmental Governor
Non-Profit Vario1,1s positions including chair
Non-Profit Board Member
Non-Profit
Various positions including co-
chair
Non-Profit Chair
Non-Profit Task Force Chair
Page Number
13
Nonec:J
From (Mo., Yr.) To (Mo., Yr.)
6/92 f- _ _
-------
7/85 1100
1/03 1/11
7/03 7/10
5/06 Present
11/05 11/09
7/08 1/11
1/08 12/09
Part II: Compensation in Excess of $5,000 Paid by One Source
Do not complete this part if you are an
Report sources of more than $5,000 compensation received by you or your non-profit organization when you
Incumbent, Termination Filer, or Vice
business affiliation for services provided directly by you during any one year of directly provided the services generating
Presidential or Presidential Candidate.
the reporting period. This includes the names of clients and customers of any a fee or payment of more than $5,000.
corporation, firm, partnership, or other business enterprise, or any other You need not report the U.S. Government as a source.
NoneD
Source (Name and Address J Brief Description of Duties
lDoe Jones & Smith, Hometown, State Legal services .
I
Examples: MetroUnive;ity (cli;nt ofDoe siiiith),-Moneyto;n:State------ legal services in coiiiiectiOn with ti"niVe;sity comtruCtion - - - - - - - - - - - - - - - - - - - - - - - - - - -
1
2
3
4
5
6