Professional Documents
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Richard Griffin Financial Disclosure
Richard Griffin Financial Disclosure
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th"n ,Mhlavs aner {!ie 1,lq dav of the fHrn}; (lxt'f<J1SJOll Pl!! ilUi. ·;tl:JU i,-(~~iJtd~l_"l to a $200 fee.
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Schedule
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~('~;Jrup to the dan- ,,1' filing, Value assets as of ;"'lUY I._~atl..~ tJ',f.HY:i-t! that h lvilhin .ViJ'~l ,\) Jays Qf \.he date 01 [;lin)!,.
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Schedule C, P a r t I nj.. JHh·~·I'-·l1w h reporting period j, t he pn-'n'dm,~ r.ih-nd.u V\:,'.f d111.1 the current calendar vear 1Ip to :lDV d.HpvOU chnn:~-;':' i.;HI P1 \\'3l1un ~~ dri'~"" of ihe <hie [;l1n14. -
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SCHEDULE A
Valuation of Assets at close of reporting period
BLOCKB
Page Number
2 of 6
Income: type and amount. If "None (or less than $201)" is checked, no other entry is needed in Block C for that item.
BLOCK C
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Type
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r----------------Examples KempstoneEquityFund
CentralAirlinesCommon
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DoeJones&Smith, Hometown, State IRA: eartland 500 IndexFund H
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International Union of Operating Engineers (IUOE) AFL-CIO Employees Federal Credit Union Savings account Wachovia Bank (joint account with spouse) Savings Account IUOE HQ Pension Plan-Defined Benefit Plan Value Not Readily Ascertainable
X X
Eligible 55 for at monthly
retirement
Ix
$9,395 6
* 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
by the filer with the spouse or dependent children, mark 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
Name
SCHEDULE
Valuationof Assets at close of reporting period
BLOCKB
A continued
Page Number 3 of
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Date
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Central Pension Fund of IUOE - Defined Benefit Plan - Value Not Readily Ascertainable
Salary
Maret School 403(B) DC Plan S TIAA CREF Equity Index Fund Maret School 403(B) DC Plan TIAA CREF Bond Market Fund Maret School 403(B) TDA Plan TIAA CREF Equity Index Fund Maret School 403(8) TDA Plan TIAA CREF Bond Market Fund Maret School 403(B) TDA Plan TIAA CREF Money Market Fund
X X X X X
X X X X X
Income Not Readily Ascertainable Income Not Readily Ascertainable Income Not Readily Ascertainable Income Not Readily Ascertainable Income Not Readily Ascertainable
This category applies only if the asset/income is solely that of the filer's spouse or dependent children. If the asset/income by the filer with the spouse or dependent children, mark the other higher categories of value, as appropriate.
is either
held
OGE Form278 (Rev. 09/2010) 5 C.F.R Part 2634 US. Office of Government Ethics
Do not complete Schedule B if you are a new entrant, nominee, or Vice Presidential or Presidential Candidate
Griffin r Richard
SCHEDULE B
Do not report a transaction involving property used solely as your personal residence, or a transaction solely between you, your spouse, or dependent child. Check the "Certificate of divestiture" block to indicate sales made pursuant to a certificate of divestiture from OGE. None
Page Number
4
of
Part I: Transactions
Report any purchase, sale, or exchange by you, your spouse, or dependent children during the reporting period of any real property, stocks, bonds, commodity futures, and other securities when the amount of the transaction exceeded $1,000. Include transactions that resulted in a loss. Example!CentralAirlinesCommon
1 2 3 4 5
D
Date
(Mo., Day, Yr.)
Q)
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o
2/1/99
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*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 by the filer or jointly held by the filer with the spouse or dependent children, use the other higher categories of value, as appropriate.
For you, your spouse and dependent children, report the source, a brief descripttion, and the value of: (1) gifts (such as tangible items, transportation, lodging, food, or entertainment) received from one source totaling more than $335 and (2) travel-related cash reimbursements received from one source totaling more than $335. For conflicts analysis, it is helpful to indicate a basis for receipt, such as personal friend, agency approval under 5 U.S.C. § 4111 or other statutory 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) NY
0
Value
$500
----------------------------_-----Airline ticket, hotel room & meals incident to national conference 6/15/99 (personal activity unrelated to duty) Leatherbriefcase(personalfriend)
---$350
SF 278 (Rev. 0312000) 5 C.F.R.Part 2634 US Office of Government Ethics .. Reporting Individual's Griffin, Richard Name
F.
SCHEDULE C
a mortgage on your personal residence unless it is rented out; loans secured by automobiles, household furniture or appliances; and liabilities owed to certain relatives listed in instructions. See instructions for revolving charge accounts. Type of Liability ~o.!!IP~ o..!!..!:e.!:!:!J .E.!:.0perty,Delaw:!!!. ___ Promissory note • None~
Page Number
5 of 6
Part I: Liabilities
Report liabilities over $10,000 owed to anyone creditor at any time during the reporting period by you, your spouse, or dependent children. Check the highest amount owed during the reporting period. Exclude Creditors Examples
1 (Name and Address)
Date Incurred
Term if applicable
1-1999
1991
---- e_ on demand
25 yrs.
t~
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*This category applies only if the liability is solely that of the filer's spouse or dependent with the spouse or dependent children, mark the other higher categories, as appropriate.
children.
If the liability
of the filer
or Arrangements
of absence; and (4) future employment. See instructions regarding ing of negotiations for any of these arrangements or benefits. the reportNoneD Date
7/85
Report your agreements or arrangements for: (1) continuing participation in an employee benefit plan (e.g. pension, 401k, deferred compensation); (2) continuation of payment by a former employer (including severance payments); (3) leaves Status and Terms of any Agreement Example
1 2
or Arrangement share
Parties Doe jones & Smith, Hometown, State International Union of Operating Engineers IUOE Headquarters Pension and Benficiaries Plan Central Pension Fund of the IUOE and Pa[lcipating Employers
Pursuant to pre-existing severance plan, willreceive lump sum payment of one week of pay for every year of service up to a maximum of 30 weeks upon separation from employment (date indicated is initial partcipation date) Pursuant to defined benefit pension plan, willbe entitled to annual benefit upon retirement (date indicated is initial participation date) Pursuant to defined benefit pension plan, willbe entitled to annual benefit upon retirement (date indicated is initial participation date)
Pursuant to partnership agreement, will receive lump sum payment of capital account & partnership calculated on service performed through 1/00.
3 4
OGE/Adobe
SF 278 (Rev. 03/2000) 5 C.F.R. Part 2634 U.S. Office of Government Reporting Individual's
Ethics Name
Griffin, Richard
F.
SCHEDULED
Page Number
6 of 6
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 consultant of any corporation, firm, partnership, or other business enterprise or any non-profit
Organization Examples 1 ~~t'l (Name and Address) Assn. of Rock Collectors, NY, NY -------------------oe Jones & Smith, Hometown, State
organization or educational institution. Excl ude positions with religious, social, fraternal, or political entities and those solely of an honorary nature. None
Type of Organization Position :.::.sident ________ Partner Held
I From
!_3~_
7/85
(Mo., Yr.)
---Present 1100
To (Mo.,Yr.)
09/1983 09/1994
present present
Report sources of more than $5,000 compensation received by you or your business affiliation for services provided directly by you during anyone year of the reporting period. This includes the names of clients and customers of any corporation, firm, partnership, or other business enterprise, or any other
Source Examples : ~e 1 (Name and Address) Legal services --Jones & Smith, Hometown, State __________________ tro University (client of Doe Jones & Smith), Money town, State
non-profit organization when you directly provided the services generating a fee or payment of more than $5,000. You need not report the U.S. Government as a source.
Brief Description of Duties
Do not complete this part if you are an Incumbent, Termination Filer, or Vice Presidential or Presidential Candidate. None
Prior Editions
Cannot
Be Used.
OGE/Adobe