~ (If (tDc)~

Report 1 Downloads 32 Views
SI'278tlWv. o.l'2(lO.11

I'Om',\pp;nvcd.

Executive Branch Personnel PUBLIC FINANCIAL DISCLOSURE REPORT

~26l(

OM8 No, 3209-00DI

u.s. Olllcc ~raO""",lIlC1l1l)bl\:S

f)lIle or l\imUialllll>1l. Candidoev. I!Icclil'll Inr N~mhl.lillll (Mimlh. IJuy, Ycur)

~por!lIIlt Slatus

1,'I,d

o

"""_'''-.rI

;

.asfNlimc

Reporting Individual's Name Position for Whloh FilinA

Incumbent

C'alOlldur YCIlf Covered' bY'RCJI(lrt

TcnninaliM ItnlJllnl. Nominet. [EJorCondilla1e Ol'iler ~w

I

1,.11'1111\10 linG MIddle nlla

Puchala

lindaA.

'rille or Posilfon

DelMlrtmcnl or AileftC'( IfIIuDilcahlt

Board Member

Location ofPreselit Office

c."olMI

ReDorhne Periods

l'e1C11hone Nfl. (1lft:IUih Ana CiNfe

nrpMlli enmt.1l0D

:;anatureo

t

0

,Indlvidua

[C7~4/ ~-..."

ElNo

ves ~

~L~L

-1-4-"

ITermlnation Film: The rtIIOI1iM period bcldns at the end orlhc period covCRd bY \'OUr previous filillA and cnd~ at the dale oftcnninQtion. I'Ilrlll ot·Sch..'dutc D is not applicable.

r.......,

uu In !Mil to Cralic a

0

:senate \,;()mmlttee on HBaltn. t:aucauon. Laoor ~ Pensions

fCF.RTIFY thai the slaterncllU IMYC mOllo on Ihis (oml and aU allachcd ~hcdulos are true. coIIIDleco and eorrec\ to lib: bust of my kJlowlcdae.

UB." rMCJntn.lJIfljT,7C1at

Nominees. Ncw Entnulla .ad Candidates for rraid~nt and Vke

"...-

President;

2122/09

l:>lunalure Ql'OthU Rc:ylC\YCr

Sthcdulc A-The rePOrtina oeriod for income (BLOCK Cl!stlle l)RCed;n~ celend.r year and lhe CUlTllllt cal4:Trdar ~r UJI to the dale oftilinll- Value · IISSCtS lIS oranv date you ehoose thet is within 31 days ot'1hc da~oflilinR.

Dale (Molt/h Dau. Yllar

/

Otber RevIew (lFdHl... dbv

A.'ri""

I

31Te~;JvJ tAlt{~iil@n')c 'J.D67~ t~·",,) ~q.~ -51)(0?

l:jO.{ J(.

(or fnrwardinl! addr_)

Any individual who is required 10 l1Ie this report and docs 10 nlOr. than 30 dll~ after Ii1c da~ Ihc I'I:POrt is requircli tn be tUtd. or, iran ext_ion is 81'8111ed. mornthan 30 d!ly3 oller lhe I.st day nflhe tiling eXl4lnslon period shall beslIbiUCI toaS200 fee.

National Medlalfon Board

~r. Slrll~l Cill·. Slale DJtd ZIP

d

I1'Ailfor LAIc "lIInlJ'

l'cnnir1l1oll ~ CI(A/Hl/tcab/I! (MalII/4tJuy. r ...Urj

Il!ellty}

ElhI~1 Orne ai'. ()l1l11lon On the baslJ orinftlrmalion ~nIalned In lhis RIPOn, I conclude th~t the filet is in compliance with IPplicable bi\\'$ and q;ulations (aubi~ In any _ncnlS in the bo.'I below).

;ianaturc or DesianalCd Aacncv Ethics OfliciAlIlley;""';nll Official

#~ ~

I!ll""'i"~

Office ofOovemment EthIcs

UseOnlv

Dole

.J

Mtln/h

Dt2t' rear}

Schedule B-NOIaPDIicablc.

~ (If (tDc)~

/

Dale

Sdledule C. Part I (Liabilities).. 1$ the precellinjl, calenclaryear and Ihc cumntcalcndar \'I!IIr lIP to any date YOII choose that is wllhin 31 day» or the dille nftilirut.

1'h~ rcportinR period

n;;UY~

f/2/~,

-~(~Z/~

Schedule C. Part III Aruecments or ArrunRCmcnlS)- Show 1lIIY 8AtOements

Cnmmcnts ot'!tOVICWlnaO lellls l(addfllatwz sllllCf (s NCIUI,~d, fJlfJllhfl ,"usuldeDfiltiuhul) (Ch~clr. ba.~ iffiling a/ens/on granled If illdJcQ/~ 1I11/11MrDfdQ)'S ..__ _ •• .1

Cl

or Orrall$lllmCftlS tlSofth~ dale of fitini

Schedule D-The rcPOrtina llCI'iod is lhe preceding two calendar years and lh~ cucccnt alcndar year up 10 the ItlomnffiUno

A...""" U"'Odlv

., Supenedes PliO, Ifdiilons. Which Cnnnnl Be Used

_.' ." . ~;~ _ -.:I't:..'t:.'!':.-:z.t.n..... _ ....\o.-....oU,(o.. f~.·.:J.ct! :~.:::-... · ,I'::\1E~·....::......

(Check bQ.~ ffcmHIII~1I1S al? ccmllnu~ on the nver.!11 sllit)

278-112 "' ....

I

.....

t::I

I:orm ~iJUitd in MiClosalll!xe~1 :WOO

~ ..- - - - - - . - - - - - - - - - - - - - - - - - - - - - - - - -

OGE U.e Onlv f'/ zuu~

APR

1

NSN 7S4()'ot-4l7o.8444

~l

SF278 (Rev. 0312000) 5 C.F.R Pari 2634

2

Assets and Income BLOCK A

your spouse, and dependent children, eh asset held for invesunent or the Iproduction of income which had a fair market exceedinla $1,000 at the close of the report" . . . or which generated more than $200 durinR the reporting veriod, tOlaether '. such income. ..' . . . . .' . '.

Valuation of Assets · . . . at close of .'..... . . reporting period '

and amount. If "None (or less !han $201)" is checked, no l "'II"'V~IICi.tYPe other.entry is needed in Block C for that item .

BLOCKB

Date (Mo.. Dav. Yr.)

Only if .' Honoraria

Fund IRA (JANSX)

M & T Bank Checking/Savings

SF 278 (Rev. 0312000) 5 c.r.R Part 2634

Do not Complete Schedule B if you are a new entrant, nominee, Vice Presidential or Presidential Candidate

U.S. Office of Government Ethics

Rcporung IndlviOUal'sl'lame Linda A. Puchala

:". : ; :~ .

'"

-......

. . . . • . . . ;. ·.·.··.·i·.:(; . (.~q~~yJ!~~ :Jl:::. :.

.'. "" lllXample, ICeittral·AirlinesCommoi{'C::;F.'··:{

§~¥rrigi~:~;: ~~.~~::1~~g~1?:tas~~on~£~6(;~2·:.:.;. ;i::;:'~,7;:;{~~ ~~t~;o~~:.~Jf~i:~:€,~~~·t;5(.+::·.: , g-4t·;f.;·'/::t'#t~: ':T~;~§,· : ·H~T~ . ; :~((21e~f~~' 1 2

3 4

5

'"Tliis category applieson!:ytftheliability is solely tbat 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 hill:her catell:ories. as aoorooriate,

.. :-,· ...:. ",c.:'·~·.: •.•. '. ':".,' ., .... ,c:'.'.•.:';/:. ;. . . ,.,.} .St.a(us·and-TenIlI;-"of'any'A· 'eement: of-Amin"emen' ·':i. ' . ,:-..-,' ··,,·:.:,:c·.;X;.;.;i:i'/::"",- ·c:c.::, "";··.• ,·c:••-', \ >I!'-:""~.;/:,;: FiolrtcMo:;:YtS;:';;hTO' (Mo:)yr.); 1

Obama-Biden Transition Project's Agency Review Working Group Washington, DC

Non-profit

National Mediation Board Agency Review Team Lead

11/08

12108

2

3 4

5 6

", .::.:.::'):; .: : . ·?Sou'i(£lName ·CitidAddress:')·:':,··'i:::://;;':'