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_ United States House of Representatives ames Committee on Ethics Lop Notification of Negotiations or Agreement for Future Employment 1. Pursuant to House Rule XXVI, clauses 1-3, I am required to notify the Connittee ‘on Ethics within 3 business days after the edmmencement of negotiations or the formalization of an agreement regarding future employment or compensation, 2. This is to notify you that my negotiations or agreement for futurs.cmployment commenced on Joan. 7 __, 29/Fwiti the following private entity iC . 3. Lunderstand and acknowledge that, pursuant to this rule, { must recuse mySelf from any official matter involving fhe above-named entity thet would create a conflict of interest or the appearance of sich a conflict, and that I must notify the Committee im ‘writing of such recusal. 4, For Members only: Lunderstand that, if I recuse mnyself from officiel matters related to the above-named private entity, Tam additionally required to provide a copy of this, ‘completed form to the Clerk for public disclosure. Signature: Print Dates _/ For stuff, name of employing Memberfcommittee: Submit ORIGINAL Comtsittee on Ettaica Office of Advice and Education 1015 Longworth House Office Building NOTE: Form may nat be filed by fax. : ey JON CEC -3 PHiyaaea States House of Representatives “i 0EC ~3 pry co a; Committee on Ethies eos ees eat. SAPITTEE OF Notification of Negotiations or Agreement for Future Employment 1. Pursuant to House Rule XXVI, clauses 1-3, 1 am required to notify the Committee fon Ethics within 3 business days after the commencement of negotiations or the formalization of an agreement regarding future employment or compensation, 2. This is to notify you that my negotiations or agrecment for future employment commenced on poecenvber Yul. 2yLfoith the following private entity any official matter involving the above-named entity that would create a conflict of interest or the appearance of such a conflict, and that I must notify the Committee in writing of such recusal. 4, For Members only: I understand that, if [recuse myself from official matters related 1 the above-named private entity, l am additionally required to provide a copy of this completed form to the Clerk for public disclos Signat Print per Ames @ Moran Date: “A ZL ght as For staff, name of employing Member/commitiee: Submit ORIGINAL to: ‘Comuittes on Ethics Office of Advice and Education 1015 Longworth House Office Building NOTE: Form may not be filed by fix. [9 United States House of Representatives a Committee on Ethics Shiba Notification of Negotiations or Agreement for Future Employment 1, Pursuant to House Rule XVII, clauses 1-3, {gm required to notify the Committee on Ethics within 3 business days after the commencement of negotiations or the formalization of an agreement regarding future employment or compensation. 2. This is to notify you that my negotiations or agreement for future.employment commenced on. JB. ¥ Keats the fltowing privete entity: 2221 LES 3. Lnderstand and acknowledge that, pursuant to this rale, 1 must recuse myself from any official matter involving the above-named entity that would create a conflict of interest or the appearance of such a conflict, and that I must notify the Committee in ‘writing of such recusal 4, For Members only: Lunderstand that, if recuse myself from official matters related to the above-named private entity, I am auditionally required to provide a copy of this completed form to the Clerk for publie disclosure, Signa Print Date Zi For staff, name of employing Member/oommitter: ‘Submit ORIGINAL to: ° Committee on Ethics Office of Advice and Education 1015 Longworth House Office Building ‘NOTE: Form may not be filed by fix.