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
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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
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ves ~
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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.
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uu In !Mil to Cralic a
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: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
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I!ll""'i"~
Office ofOovemment EthIcs
UseOnlv
Dole
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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/~,
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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 "' ....
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.....
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I:orm ~iJUitd in MiClosalll!xe~1 :WOO
~ ..- - - - - - . - - - - - - - - - - - - - - - - - - - - - - - - -
OGE U.e Onlv f'/ zuu~
APR
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NSN 7S4()'ot-4l7o.8444
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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
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.'. "" 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
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3 4
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