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oGEForm21s(Rev.

1212011)
5 C.F.R, Part 2634
Executive Branch Personnel PUBLIC FINANCIAL DISCLOSURE REPORT Form Approved:
OMB No. 3209 - 0001
U.s·. Office ofGovernment Ethics
f I
'Oateof1\ppointri1ent,Candidacy,,l'10.><tlori, Reporting
~Y.......... D Incumbent Calendar Year New Entrant,
DQ/JJ Termination TerminatlonDate Ofr'.\ppl/-.
le)IMoritiijDay.J~1
1
..o...r_.N.. 1a..tl0
'o,,..in...11... ...-n...
f;,v....ro.·n..,,.11.,.1..-...
o.. Yt._!.tr..,'.i .__--1 Status covered by Report Nominee, or 15(1 Filer Fee or Late Fi ing
(Check Appropriate
Boxes)
I I Candidate ~ Any individual who is required to file
this report and does so more than 30 days
1-------------..,....L-a-st-N-am_e_ _ _..__ _ _ _.....,_ _ _ _ __._.....___,,__-----_._------'------_.___,... after the date the report is required to be
Rep Orting ~----------------------+F::..;l::.:rs::..;tc..:N.;.;a;;;:m::.e;:...;;;an"'d::...:.M.:.:lc:dc:dl::.:e;..;I;:;n:.:.it:.:'ia::.:1;..;__ _..,.,__..,...-----! filed, or, If an extension Is granted, more
Individual's Name Slavitt Andrew than30daysafterthelastdayofthe
filing extension period, shall be subje(."t
t----------------+------'---------'---------+---------~----------..-...----1 toa$200fee.
Title of Position Department or Agency (If Applicable)
Position for Which
Filing Administrator HHS, CMS Reporting Periods
Incumbents: The reporting period is
t-------------+A-d_d_r-es_s_(_N_u_m_b_e_r_,-St-r-ee-1-,-C-it-y-,-St-a-te-,-an_d_Z-lP_C_o_d_e...;.)_ ___,..___ _ _ _ _--rT-e-le_p_h_o_n_e_N_o___(_In_c_J_u_de_Ar
_ e_a_ C_
o _de_)-l the preceding calendar year except Part
Loe a ti on of ------------------------------+---''------'---'---'--'-:.:...:.~"'-j II of Schedule C and Part I of Schedule D
Present Office 200 Independence Ave., SW Washington, DC 20201 202-690-6726 where you must also include the filing
(or forwarding address) year up to the date you file. Pan Il of
t--------------+T-it_l_e_o_f_P_os-i-ti-o-n(_s_)_a_n_d_D_a-te_(_s_)_ H _ e _ l d - - - - - - - - - - - - - - - - ' - - - - - - - - - - - - - - - l Schedule Dis not applicable.
Posltion(s) Held with the Federal
Government During the Preceding Acting Administrator, CMS, HHS: 03/03/15-Present Termination Filers: The reporting
12 Months (If Not Same as Above) Principal Deputy Administrator, CMS, HHS: 07/08114- 03/02/15 period begins at the end of the period
covered by your previous filing and ends
1 - - - - - - - - - - - - - - - , t . ._________..........._______________......._ _ _ _ _ __ ______ _ _ _ _ atthedateoftennination.PartITof ~------1

Presidential Nominees Subject Name of Congressional Committee Considering Nomination Do You Intend to Create a Qµalified Diversified Trust7 Schedule D Is not applicable.
to Senate Confirmation 0Yes
Committee on Finance 'X1
.,_____________. . ____________..___________._-c..:=""---------==:........-------------i Nominees, New
Candidates for President bell
Entrants and
and
No

1----Certlfl---ca-t-to_n_________,~S-lg_n_a-tu_r_e_o_f_R_e_p_o_r_tl_A_~ln_d_i-v1-.d-u_a_l_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ___,_D_a_te-(M-o-n-th-.-.D-ay-,-Y.-e_ar_J_____--l Vice President:


I CERTIFY that the statements I have
made on this form and all attached
schedules are true, complete and correct
. V/t;
f. ~t; ----
IIi, J
Schedule A-Thereportlngperiod
for income (BLOCK C) is the preceding
~
0-- ' "") _1 ~)
· Ir
to the bestof my knowledge. /? · £=-:-..,
__-_- . calendar year and the current calendar O , f7-T If?-(/ .)
-~ year up to the date of filing. Value assets
1-------------ot-S-ig•n·a-tu•r•e•o•f•O•t•h""~e._R.ev_i.. ear_)_ _ _- l as of any date you choose that is vo.ithin
ew-er...;;;.,;,....__ _ _ _ _ _ _ _ _ _ _ _ _ _ _+-D·a-te..(•M•o•n•th·,·D-a;.,y,.....Y...
~; ~----~~~~~~~~.----L-,~,~-A------------~~-----------~31ct~~~~re~m~

Agency Ethics Official's Opinion


/L.,,...,f/_.,I;(
1 / ./"' V'l ·-
Signature of Designate9 .<\!k'ni=)l"~thfcs Official/Reviewing Official
'J/ ,_ / / 5"" Schedule B-Not applicable.
Schedule C, Part I (Llabilities)-The
1-0_n_lli_e_b~-i-s-of-int<_o_rm
__ ab-
.o-n-co-ntaJ-.-ne-d-in_ili_i_s--1i------:l'
-· -.i'
..,,..
~ -...rr--->".,.._-_..,..._ _____________ --+-------------1
Date (J6Ionrh, Day, Year) reporting period is the preceding calendar
yearandthecurrentcalendaryearupto
report,lccncludethatilie filerisincompliance ~~ - . , . . ~- ,• / o~!Z)J .r-" anydateyouchoosethatlswithin3ldays
wi~>i applicable laws and regulations (subject to
any comments in the box belov-.•_),
·• ~ · • , ~
; ·
-
,, ...
~ . _'. ; 'i,.
..r'L ·'
/ l. /, -~-:J- ·_ . of the date of filing.

. t_u_re_ _--:,
F::::------:..,.·-'""'.::--,..........,..'--------:::;~----....,..+Da-l..,.e_(,_r.i_on_th.;.,_D_ay,"",-Y._ear_.;.)_ _ _ _-i
1
Office of Government Ethics t-S_i_gn_a... ~!~~~!~t~~-::o~ ~;~fr!=:~~~~
Use Only u4-=: ~d ~ ·'J/~//..S-- arrangements as of the date of filing.
Schedule D--The reporting period is
Comments of Reviewing Offlc!als (lf additional space is required, ~ e re~de of this sheet) the preceding two calendar years and
1---------------------------'-------------------------------------.,....----------l thecurrentcalendaryearuptothedate
of filing.
(Check box if filing extension granted & indicate number of days---)
D
Agency Use Only

OGE Use Only


(Check box if comments are continued on the reverse side) D
Super;edes Prior Editions.
OGE Fonn 278 (Rev, 12120 1 l)
5 C.F.R. Part 2634
U.S. Office of Government Ethics

Reporting Individual's Name I• Page Number


Slavitt, Andrew SCHEDULE A 2 of 34
·-

Ass e ts and Income Valuation of Ass ets Income : type and amount. If "None (or less than $201)" is
at close of reporting period checked, no other entry is needed in Block C for that item.

BLOCK A BLOCK B BLOCKC


c.
For you·, yot.i.r spouse, and dependent children, T yp e Amount
r(.\port each as.~et h~l d for investment or .the
production of !.hcome which had a .fair market :g
ya!Ut! exceeding $~,000 at the close of che rc~on- ....
~

0 io
mg pedpd, or wht~h generated more than 100 o. 0 0
0
0
0
0
0
§ .....
~
: 0
0
irt income qurln g the 'reporting pi:!rlod, together
with such income.
.... 0
o .
0 80 0 0
0 0
0
0
I.I.. •
c~
0
N
(I}
0
0
0
0
0
Other
Income
Date
(Mo., Day,
(I} : 0 0 0 q 0
la 0 0 q 0 0 0 .,, o
.,, ' 00 Q)

~ ~
0 0 ... o. 0 0
(Specify Yr.)
For yourself, also report the source and actual 0 0 0
.,,0 00.,, 0 00 ~
....
0 0 0 0 If) 0 0
....
:.Q 0 0 q
"' 0 0 q 0 (,") Type&
N {,'! 0 0 0
0 ..... -£l
-.
0
amou nt of earned income exceeding $200 (other 0 0.,, 0
N ...... 0
..., (I} ~
' . 00 ~ ·"' 8
.... "' ta
·c "' 00 N' 8
0 q 0 0 0 .... 0
0
0 ...,. Actual Only if
.... ..., {,'! iA
>.
v) ...... ..., ~ . I 0 .....
v) Cll ·
tr) ......

.s ~ f-t
tr)
tbaiifi-om.ilieU:S;Govcrnmen~). Foryour$pou~ .
~"' (,") (I}.
0
' . 0 r0 l 0
, I I
..... 0
ti)

..., ...,
If)
' ' 0 Amount) Honoraria
reporl ~ne· sourc_e buL not the amoum of earn .
'
I
·.-1 ...... ....... 0
I

.... 0 0 8 :0 0 i:.:: -~ ~
... ...,. ....
v;
' ' .......
0
q 00 q
0
g ..., "d... _§ '"' <a .9. , - .... ,....,' ......' 0.... ......
~

fr ~ s ~
income·or more than $1,000 (e.xcept report Lhe
act\lilJ amoµ.nL •of-a.uy honoraria over sico of
I-<
.9. .... 0...... .....
I
0 0 0
0 q iA o~ 0
If) Q)
"d 'O
~
'O I
0 ....
-
If)
0 0
... q0 q0 .... Q) .... 0 0tr) q0 0 00 00 {,'!I-< 00 Ell
0 .,, 0 ~ ...
0 q 0 0 0
c 8
Q) 0
your sp ouse). :!ii
....- v) .,,0
.... Q) v) u
';;;
~ ~ :o.- §. 0 0 v) 0 0
N'' .,, .... If) .... Q) q

None O ~ ..., ......


~ {,'! ...,
I/') N
{,'!
...... I/')
(I} b ..., "" ...,
N
6 ><-
J.l.l ~ a i:i i:.:: .s u z ...,, v; ...,
<1S N i
""
..,.. ...... 0> ...... 0~
~ ..., ..., I:

____
- ' --
Central Airlines Common
~ --- ~ - -- - - -- -
.......
-
x
....._- - x
,_I,,,,;. ,__ ......., -- ..:. ......
- ~,~[ .._...._ . .... ..,_ ... _ ........ _._
x .._

=1--
!--. I-; . ~ - l.......; 1--
~ :
...... ..... .. _ "-
.· ~ -: -. - ~
Law Pa rtnership
Examples DoeJones&Smlth, Hometown, Seate
L---- - - - - - ·- - - -
.._::e~stone~ulty Fund_. _ _ _ -'- _
- - 'r R '"'-- ,._ 1--. I>- .. ~-

...... ..... . ., _ .....


- 1.-
.X
.......,_
- 7" -[-.._ ,__ . . . .. ...---_ _" i.--·- -
...... """:": -
Income Sl 30.000

IRA: Heartland 500 Index Fune!


;......
- ,__ ~
x
- :-
x
,__ I. • _;.. _;..;,.;.
·-
:......,
-- - ·
x
L;o;.. ',; '-............ - - - ·· ..,.-.,...,.

- . --
1 sehritlge.r Harvard Opportunity Red I Inc (REIT) "·

J
x ;. x x :
;

2 eetirlnger Haf'Vard Short-Term Qpp Liq Trusl '


J
(REIT) x x x
- - --
"
3 Behringer Tier Reit (REIT)
x x x
4 Bessemer Venture Partners BE 2001 Q
(Partnership) x x x
5 Capella (CPLA) held at E-Trade (Stock)
x x x :
·-
6 Collimbla Property Trust (Stock)
'
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 flier 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 , 12/2011)
5 C.F ,R. Part 2634
U.S. Office of Government Ethics
Reporting Individual's Name Page Number
Slavitt, Andrew SCHEDULE A continued
(Use only if needed) 3 of 34
-···- .- . .

Assets and Income Valuation of Assets Income: type and amount. If"None (or less than $201)" is
at close of reporting period checked, no other entry .is needed in Block C for that item.

BLOCK A BLOCKB BLOCKC


"' Type Amount
I' - '"'
;:::;-
0
,, 0
0
0
0
0
'O
s:; " " '
I',
,...,
..... I<
,. ;

0..
,....,
0 0
0
0
0
0
0
0
0
0
0
0
...
:;I

,
0
N
0
0
0
0
0 Other Date
~ 0 0 0 ~ ~ o, 0 Income (Mo., Day,
a 0
0
0
0
0
0
0 0 .. ,,., ,,., 0
0
0
0
V'l, 0
Q)
"' i:: 0
0
0 ,0 .. ,,., 0
(Specify Yr.)

- ... --
0 0 Q)
0 0 0
'5 q0 0q 00 N 00 q c0
0 V) N
., ~
0 £1 'P .c:
....
<IS
0 0
0
0
0
0
0 0
0 0
0
8 1
Type&
q Q.6
0 +-' ' +-' . 0
""' ""' "' 'iii 0 0

.,,~
U')
..... V)
0 Q)
~ 0 ,....j, q 0 Actual Only if
~
Ci> ·
(/) V) V)
..... ""'; V)
ii')

·-:•
<"7 (',t 0 ..... I
0
0
0 ~
...... f::
';>.
~
(/)
"' 0
~ ~"'.... q.....
V)
N' ,,.,
0 Vl
0
.....
V)
<"7
.....
ii') ""'' ·' ' 00 . ....:.
I
0
0
Amount) Honoraria
...... ,....,' & ·oq
I
ti) 1: ,....,. ti)
0 § 0 "'
.s.... 0,...., qO.....; ....q0
' 0 -~
'O ·'O . .
'O 'O L!l.
ti)
' ......' ...... q 0 0
I
0
0
0
0
0
0
.-;
0 6 o
V)
0 ' ti) .s: 'O5 ~
....0. ..,CJ
QJ.. .... a .s
.;....
f>')
.....' ~F-1:
:- 1 I ;..,
...... 0 0 00 - ...... 0
0 vi'

~
~· I.
(1J
s:; q 6 0 c5 ....
Q) .q
.0 0 , 0. Q) ,....,
-..... s:; 0 'O 0 0 0 a · ""'
.... 0 ""'
q tn"' ~ u 'ii! ·;;: q vi 6 0 . Q) o, ~
,,.,
6 Jl x & i5 ~
Q) Q)
0 0
...... "'?.
V)
0 0 0
..... ..... ..... V)
_tn > ...... ~ 0.
~
V)
N V) N .
.E '' C'<!
w ~ (;) .
N N .-; ..... > ...... 6 V)
(I)
""'" ""' (ii; ti)

""' 0
""' "" ~. µ.j
"" .~
""' ·""' "" ""'. 0
.
ti)
'
1 DCT Industrial Trust Inc (OCT) (REIT)
'
x I<
x ' X: . ,, '
. '· .
2 Fidelity Contrafund (FCNTX) (Mutual Fund) ' ..

x x x '
- . ··-· ·-·····
.. . .. ....
3 Ffdell!y Growth & Income Portfolio (FGRIX) . I

(Mutual Fund) x x x
.
...
..
4 Goldmarrnachs Group Inc (GS) (Stock) c '·
J x x x x
..
5 Goldman Sachs Strategic Income Institutional
J' Fund (GSZIX) (Mutual Fund) x
J_ x x '
I'

Hines Reit (REil)


6 h
J x x x
'··
.
7 IRA at Citibank (IRA)

ii - Western Asset Liquid Reserves (CIRXX) - ..

(Money Market) x x x
.
·· ·-·
. ...
John Hancock Balanced Fund Class I (SVBIX)
qJ
(Mutual Fund) x ' x x 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
by the filer with the spouse or dependent children, mark the other higher categories of value, as appropriate.
-
OOE Fonn 278 (Rev. 1212011)
5 C F.R. Part 2634
U.S. Office of Government Ethics
Reporting Individual's Name Page Number
Slavitt, Andrew SCHEDULE A continued
(Use only if needed) 4 of 34

Assets and Income ValuationofAssets Income: type and amount. lf "None (or less than $201)" is
at close of reporting period checked, no other entry is needed in Block C for that item.

BLOCK A BLOCKB BLOCKC


Type Amount
I
i ' •'

,...., g
..... 0 'O ,....,
0 0 0 o · § ..... 0
q
...... 0
0
8 0
0
o0 1 ...
µ.. 0
N g 0
q Other Date
0 0 0
fl) 0 0 0 fl)
0 0 Income (Mo., Day,
s~ ... ...
0 0
~ 0 8o... 0
0
0 0 ii
0
0
vi fl)
0 0 g 0
"'
Q)
~ 0
0
0 0 ... 0
q (Specify Yr.)
0 0
:0: 0 q0 0 vi
Vl 0
.'P 0
0 0 0 0
o· 0 0
Type&
'5 tr)' 0 0 N q ;,; .Q
.,,. .... 0 "'!. 80 q0 00 6 0 Vl 0

~ "' ~-g
6') . fl)
0 0 0
..... N Vl ..... 0 I
::3 .
0
0 ...; 0 "-1 0 Actual Only if
"'"' .....vi ..... 0 I >o
"' .....
~ ....
~
Vl 6'.I 0~
..... ..... 0 I
..... Vl Vl 0 ..... 00
6'.I I
Amount) Honorar ia
~ ·~ ~"'.... ..... vi ..... 6'I
fl) fl) N
~ I
0 I I 0
8 £-1 fl)
0
..... .....
I
fl) 0
I I
q 0 "' ,
(o't
. fl)
..... q o0 . o_
....o.- v ~· ~ i::ell ...
~ .....
I ...... 0
; .,..;
0 3: ..... 0 0 g 6
Vl al
"Cl "Cl "d .~ :
-S ~,·. ,....; ..... .....
I I
I I
..... 0 .....
2 · ~ ..... .....
tr)
0 0 ·O q 0
0 0 0 fl)
'O ... "'
0 0 0
0 0 8
fl) Q)
0 0 0 6'.I
0 0. 0 q 0 6'I 0 ....
~ q vi 0 0
Q)
0Lr) 0 .... 0
q vi .... Q) .... q ll'l 0 vi
0 Q)

J ·;; '>"' q..... ~


~ 6'I
0
..... ..... Vl .....
fl)
.
N
6'I
-
6'I

-
fl)
0
.ll'l.
c.?' 0
v ...;
> 6'.I fl)
Vl N
6'.I,
u u
b &S JS ~· 0 ~ .E - ~ f'>
Q)
J!l
3 0
N ..... N " vi .....
. .... (/,) fl) ~
0
6'I
0
V) ......
Q)

'6'1 .
.--
0 0
.~
'

1 Landmark Apartment Trust REIT (REIT)


x '
x x ·.
- - -
2 Lotillard (L0) (Stoel<.)
J x x x x
3 Merck (MRK) (Stock)
J x x x x
. '..
4 Merrill Lynch 1 (Joint Trust) (Brokerage Acol.) · '

r '
'
5 - BlackRock Investor funds Money Fund :
J (Cash Accounts) x x
6 - Memll Lynch Winton Futures Access LLC
. -
J (Hedge Fund) x x x
. , ..
7 - UnitedHealth Group (UNH) (Stock)
J x ! x x x
8 Merrill Lynch 529 Savings Plan (DC1) (529
Saving)
.I

q -- ME NextG.eri Gollej'je Investing Pl.an Franklin

s
Templeton Age-Based 13-1 6 Years (Portfolio) x x x
• This category applies only if the asset/income is solely that of the flier's spouse or dependent children. If the asset/income is either that of the filer or j ointly held
by the filer with the spou se or dependent children, mark the other higher categories of value, as appropriate.
OGEForm278(Rev.12/20ll)
5 C.F.R Part 2634
U.S. Office of Government Ethics
Reporting Individual's Name Page Number
Slavitt, Andrew SCHEDULE A continued
(Use only if needed} 5 of 34

Assets and Income Valuation of Assets Income: type and amount. If "None (or less than $201)" is
at dose of reporting period checked, no other entry is needed in Block C for that item.

BLOCK A BLOCKB BLOCKC


- Type Amount
. .
~ 0
..... 0 0 "d
0
q
.....
-8 0
0
0
8~ §
Po< ,
·'
..--
.....
o · -
0
.o
0
Other Date
(;')- 0 0 .0 0 0 0 0 .... N
·~
0
q
0
o· Income (Mo., Day,
~ §1
0 0 I·
a
'5
0
0
0
q0
0
~ .,,
c5
0
0
0
d
00
0 "'00
0
q
II')
l/)
N
o'·
l/)
~
0
0 .§ ....
£ 0 00 60 00 'O
0 0
:"'
p
Q)
"'0
c5 o,.:.;-· 8 vi 00
a 0
0
·o
0
0
0
0
0
0
0 o · (Specify
Type&
Yr.)

~ % "'
0 0 ~
.,.,- .,.,
0 0 ·-4 0 "' vi ti) ..... .&'} 0 -·*' o'
. Actual
0 ...... "'
..... N
' 0 "' Q) Only if
~· .....
l/)
..... ::s .Vl 0 0
~ ~ "'"' 8
(;')- I

"'
I
{,")
..... 00 00 ..... :N• .n .....
~. Y'l
"' I
{>';
..... 0I
' 0 ..... ..... q 0 0
I
Q 0
I· ~ ~ ~
c5 -g · "d "d .rj· 'O ..... t.!I' I-< (;')- "' "' "' "'
.....< "' 0
q 8 q
..... 0: I
Amount) Honoraria
I-< I r l .....
.3. r l 0 0 0 0 0 ·VI> 0 g 0 0 ..... g, .... ~ i:: ~ ..... ' ;rl
..... :o ......
c5 ..,,,
I I I
I

o • Y'l 0. P. ~
Ll'l. tn:
r l .r l ..... 0 .
!i1 "' <3 ..... 0 .O '
Q) I VI)

~ Z; d ~
0 0 0
q vi 0 c5 c5 0 0
~
0
i:: 0 0 Ill 0 vi a· 'o
0 0 0 0 0
j ~ I-< Q)
0
,...., .-f· Ill .-f
N .,,0 ~ -,0....- 0tn' .viN . ~
U')
OJ Q)

~ 0 N .....< ~.r tn' ......


~ ~ a 0
· ri··
Cl) _
.E
o.
>
z "' ~
Q)

"' b .·"-' ""'


.--l tr:
"' ~ {,")
-
(I)
.
VI) (;')- • 0 Q ~ u
.. ,....
-(,'>

"'
VI)
"' ""'
VI) ·(;')- 0
1 Merrill Lynch 529 Savings Plan (DC2) (529 .: - .. ~ 1· ..•· - c . ·;_ - '---·

--
,. -
Saving)
-- ·
'
'· • ..
.~t .. -- ..

i l"
2 . -- ME NextGen Coliege Investing PfanFranklfn : 1:;·· , ···-
.

_s
Templeton Age-Based 17-20 Years (Portfolio)
. . -
x x
_,
3 Merrill.Lynch Account 3 (Brokerage Acct) · '

.. ' 1,,

4 -- Dow Jones Global Titans Capped Leverage


Index Return Notes Issuer HSBC (MLGXU) x x x :
-· INnlRs\
.. -
5 -- S&P 500 Capped Leveraged Index Return .· ·:
J Notes Issuer Deutsche Bank (MLHJP) (Notes) x x Ii
' -
6 -- S&P 500 Capped Leveraged Index Return
J Notes Issuer HSBC (MLZLS) (Notes) x ·:
x
.. •c ···-
-- S&P 500 Stepup Issuer HSBC (MLZLU) - . '
7
J (Notes) x ' x .

I"
8 -· S&P 500 Stepup Notes - Issuer HSBC
J (MLZGV) (Notes) x :
x
..
q Merrill Lynch Account Joint 1 (Brokerage Acct) I··
c

* This category applies only if the asset/income is solely that of the filer's spouse or dependent children.
If the asset/income js 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.
•---·•w---• •---•-•w•---W-WOW_ •_W_ _ _ ,_ - - -·---~ -~••wwo- ••·-

OGEForm278 (Rev. 1212011)


5 C.F R. Part 2634
U.S. Office of Government Ethics
Reporting Individual's Name
. Page Number
Slavitt, Andrew SCHEDULE A continued
(Use only if n eeded) 6 of 34

Assets and Income Valuationof As s ets Income: type and amount. If "None (or less than $201)" is
at close of reporting period checked, no other entry is needed in Block C for that item.
.
BLOCK A BLOCK B BLOCK C
Type Amount
.. .
.....
~

0
g "d
c
~

0 0 0 0 ~
...... .0
0 0 0 0 g :l
µ, 0 0 O f
Other Date
...... 0 0 :o·
~ 0 0 N . :o 0
~ 0 0 ' 0 9.: 0
0
q 0 5 ""l;j a: 0
:o
0
0
Income (Mo., Day,
0
s
<I)
0 0
~ 0 0 0
0 0 -I< q
.... 0 QI 0 0
o . ,g. 0 (Sp ecify Yr.)
'5 0 0
g...... 0 0
Vl 0 ~ 0
0 .., Vl

.. .... .......
Vl N
Vl 0
0 .... -P.
'5 0 0
0
0 8 0 8 vi 8o, Type&
~....
0 0 If.I '(;! 0
..... <I)
0....... : ~ ~
N
.... 0 0 0
8, 0
..,~ Actual Only if
8 ~
V'l ;:..., 0
~
"'
If.I tri'
......
""......' ..........
Vl fA
I
fA 0
0
......
I
...... 0
0 E-< ~ 0
~
c "'
"'
~
'<\!
If.I 0
0
"!.
....
N
.., ....
V'l
tri'
...... ~-
:"" g ......'· 0
0 Amount) Honoraria
...... ......' ......
I : I
~ 0 ~
Cl)
.... 0 q
......- 0 g ,,.,0 'd....
I
0 q 'O 'O 'O !;.!) .... ' ......' ...... q 0
c<11 .... <ii -9. (f),
0 'O
..... ..... ...... ...... 0
I
0 0 cu '
-9. ...... 0 0
.... 0
QI QI .
....0. al ......
1 I
8. Vl

'O ...
0 0
~ .., ..
0
~ ·s:
Cl)
0 0 0 ~
Q)
i:: ~ ,,;:
0 0
0 0
0 0 .... 0
q 0
0
0
vi' ""....
~ Q) c ....5J ·~ 0c
Q)
...... Q) 0
0
0
vi 0
"!.
0
0
0 0 ""
o· .... ·oq ~
.., u 0
Q)
0
~ ..... vi'
a
Vl
...... .....
~....
fA fA .... ·"......"
V'l

...
N
(A
Vl

"" 0 .... .... N > ~


0 ~ ~
Q)
i5 .~ .E u z N .......
"" .... .... .... "" "" ..,
vi ......
N Vl ~! ~ ......
0 .., >
0
l -- BlackRock Investor Funds Money Fund ·. . ..

J (Cash Accounts) x - x
•-.Call .opt on .Bank of Am~rica Merrill Lynch .. - . • .·
2
J Gtbl Fin Stress Index Hi at.ia1 Div Yid Strat Index x x ·. x
fMimiM ~ii,p !;00\ THrm .4/1 ?/.16 (r,;dl notion) -- l
3 -- Call opt on Bani< of-America Merrill Lynch
..
- ;

J Glbl Financial stress. Index Higo Oual Dividend


v1P.111 ~tr.Rf ·1nrll:!lt TArm 4JAr1r. m,.11
nntinnr
x x. x;
4 Merrill Lynch Bank Deposit Program (Cash -
J Accounts) x x
"
Merrill Lynch Bank. E:leposit RASP (IRA) {Ca~tr -
5
Accounts) x x
..
6 Merrill Lynch Family ~evocabteTrust 1 (Jolnl
Trust) (Brokerage Acct.) ;

7 -- GSO fYle,zzanin.e Finance Trust Class A


J (Private Equity Fund} x x x
8 -- Monarch Debt Recovery Participation Fund
J LLC (Hedge Fund) x x: x
-- OZl,)PJI Access. LLC Class A (Hedge Fund)
'IJ
x x x ;

* This category applies only if the asset/income is solely that of the fil er's spouse or dependent children.
If the asset/income Is either that of the filer or jointly held
by the filer with the sp ouse or dependent children, mark the other higher categories of value, as appropr iate.
OGE Fonn 278 (Rev..121201 1)
5 C.F .R. Part 2634
U .S. Office of Government Ethics
Reporting Individual's Name Page Number
Slavitt, Andrew SCHEDULE A continued
(Use only if needed) 7 of 34

Assets and Inc ome Valuati on o f As sets Incom e : type and amount. If "None (or less than $201)" is
at close of reporting period checked, no other entry is needed in Block C for th at item.

BLOCK A BLOCKB BLOCKC


Type Amount
,....... 0 '.,
.... 0 0 ~
0
q
0
0
0
0
0
g §
µ..
....0
~
·.o

..... 0
0
0
0
0 0 ..... N :8 0 Other Date
Y) '
0 0 8 .0 0
~ ~-
(I')
0
;~
0 Income (Mo., Day,
a
-B o_
0
0
0
0
0
0
0
g.....
0 0
0V) 0
0
0
q
0
:g vi
0
q
V) Vl 0
0 Jl ..., ...
~
•zj I a
-s 0
0
0
0
0
0 ·o
q
-I<
0
0
q
8
(Specify
Type&
Yr.)
0 N V) .... 0 "'.. ..... 8 "'QJ ;:l
0 N
v.> "" I
q
8
Cl) Cl)
o_ 0 00 ..... 00
~ ..... .(I') 0 "' 0
0
0
0
0
0 0 Vl
Actual Only if
~
Vl
"' .....
Ji
V) ll'l
"' 0 .... ..... 0 0 ~ -
"" "'
I I
"' "'
"' N' .... V)
0 V) I
Amount) Honoraria
(I')
v.>
0 I
0
I ~
"' ..... ......0 ..... ..... q 0 00 q0 cS "d "d 'C ~ 'O c.!l I-<
I
~ ·~ ~ 0
,....;: (I')
vi'
v.>
v.> &'9 · . · o ...... 0
o_ 00 q
I

£ "' ...... "'


I I
...,. ..... ......
I

£ ..... .....
I

o · 0 0 00 00 .... 0 0 0 1 (I') !!l


I-<
.... ..... o"
a
I I I I
·CU 0
~
V) V)
.....
QI 0 0
a q vi' o" 0
0
0
0 0 "' 0
I-< 0
0 o .· I-< 0.
q vi. QJ
.!fi
·(;!
"O .... ~
~
·:::: :~ dQJ ....
v.> v.l · ~ ~ ~ .CJ Q ~
]
~ i
-~ 0 0N r l N •
......
..... q0 0 00 ~ 0 c5 "' 0
0 0
.o I

I-<
0
q ii V)
(I')

-
Q)
0 ...... ...... Vl .-1 N 0Vl > ,....;:
V) V) Q)

z N · V)
c vi ..... ..... > ..... '0>
u z v.> v.> v.> . v.> v.>
V)

"' "' ·"" "' "' 0


"'
(I')
.v.> 0
"' "'
l -- OZDPll Access LLC Class C (Hedge Fund)
J x x ' x ..
-

2 -- Partners Group Private Equity,'LLC (Private


.. ,. ..

J Equity Fund ) x x x
J

3 -- S&P 500 Stepup Issuer Bank cif America


J (MLPKP) (Notes) x x
.
4 Merrill Lynch Family Revocable Trust 2 (Joint)
(Brokerage Acct.) 1
i
;
s -- Ascend' Access LlC Class A (Hedge Fund)
J x x x
---
6 -- Blackstone Capital Hoidlngs Trust (Private
:
J Equity Fund) x x x
- -
7 - Brevan Howard Multi-Strategy Participation
J Fund LLC (Hedge Fund) x x x
8 - Carlson Double BlackDiamond Participation
J Fund LLC (Hedge Fund) x x x-
-- Euro Stoxx 50 Index A utocallable Stepup
'IJ : Issuer Credit Suisse (MLZKF) (Notes) x x
* This category applies only if the asset/income is solely that ofthe fil er's spouse or depen dent children . If the asset/income is either that of the filer or jointly hel d
by t he filer with the spouse or dependent children, mark t he other higher categories of value, as appropriate.
---- --·----

OGE Form 278 (Rev. 12/20\ I)


5 C.F .R. Part 2634
U.S. Office ofGovernment Ethics
Reporting Individual's Name Page Number
Slavitt, Andrew SCHEDULE A continued
(Use only if needed) 8 Of 34

Assets and Income Valuation of Assets Income: type and amount. If "None (or less than $201)" is
at close of reporting period checked, no other entry is needed in Block C for that item.

BLOCK A BLOCKB BLQC::KC


Type Amount
~ 0
...... 0 0 'O
0 0 0 § ~

& ;e;; 0
0
0
0 0 µ;
......
0 0
o0 , Other Date
...... 0 0 o· 00 0 N 0 0
0 ·g
I 0 Income
(I)
0 0 0 Vt 0 (Mo., Day,
o :
c: 8 0 .a
0
0 0g
0 0 0
0 "'
•QJ c: 0 0 0 0 (Specify Yr.)
.s
j<
0 9. 00 vi Nvi Vt
j<
<II 0 I/')
0 0 0 o· 0 0 0
'5 0 - ~ 0 N 0 ...... 0 V> ""l
0 0 VJ' 0 .... .... '.:l 0 0 o . 0 0 .,q 00 vi 0 Type&
...... {;'} V> ..., 0 "' ~ q 0 o · ....... 0
0 0
I/') .I
00 QJ
~ "' 0 <>') 0 Actual Only if
~
"' vi ...... "'"'
I/')
0 .....
.....~ ~ ~
I
0
·""'·
I/') I 0 I
"' ""l ' 0q0
I/') I/')
~
...... {;'} Vt I
0I ...... ...... 0
I 0
0
i:.: ~ q N•
vi ..... Vt Vt ...... 0
Amount) llonor aria
I I...... ..... .-1. o. 0 0 0 0I/') -d "' 'O ...... Vt Vt <-') ....... 0
.s....
I I 0
...... q
'ti "O
8 ...... .-1 ......
I
8 00 ·oo .· Vt 0 0
.... . "O..... c: ; ....
I;.!) Vt I
..... .... ..... O ·
g
I I
.......
0 & 0
0 0 0 a ....
0
0 8 Vt
....
QJ

g. 0.
Q) QJ
~
Q)
'd .... "'!;:J
QJ ] I
.....
...... ...... ......
0 0 0 & 0 0~-:
0 Vt g IJ'l
Vt
Q)
c: q
..... ..... 0 .....
..,,
I/') 0 q q vi v.
Q) (;!
~ ·a QJ
§ 0 . q. I/') 0
0 .... q ~
~ .s a z
0 Q)
I/') QJ
..... ~
~ 6 ..... vi ..,
I/')
...... >
~ I/')· >
..... >
·~ (I) ......
I/') N N ......
~.
N I/') I/') .-1
Vt Vt Vt ~ 0 ~ 0 Cl 0
.. (I) . Vl (I) Vt v.> {A 0 {;'}
;
l -- Fundamental Credit Opportunities II Fund ·- -- -
J (Hedge Fund) x - x x
2 - PH_LX..HQuSing ·Sector (HGX) $tepup Notes
J Issuer Bank of America (Notes) · .. x x
- ..
...
3 - UnitedHe'allh Group (UlljH) (Stock) - > ..
J x x ' x
4 - Wal-Mart:Stores (WMJ) (Stock)
J x X - x x
- --
5 Merrill Lynch IRA AXA Accumulator Select WQ4 -
#1 (Annuity Var.)

-AXA 400·Managed Volallllty Portlol!o -·


6
s
(Mutual Fund) x ' '
x x
·- I
7 - AXA lnfe.rni:itiona! Value Managed Volatility
Portfolio (Mutual Fund) x x x
s - . , __

8 -- AXA Large Cap Growth Managed Volatility -


Portfolio (Mutual Fund) x x- x
s -·
q - AXA Large Cap Value Managed VolalilJly
s
(Mutual Fund) x x x
* This cate~ory applies only if the asset/income is solely that of the fller 's spouse or dependent childr en. If the asset/income ls either that of the filer or Jointly held
by the fi er with the spouse or dependent children, mark the other higher categories of value, as appropriate.
=
----------------------·-·-······-··

OGE Form 278 (Rev. 12no11)


5 CIR. Part 2634
U.S. Office of Government Ethics

Reporting lndlvldual 's Name Page Number


Slavitt, Andrew SCHEDULE A continued
(Use only if needed) .. .
9 of 34

Assets and Income ValuationofAssets Income: type and amount. If "None (or less than $201)" is
at close of reporting period checked, no other entry is needed in Block C for that item.

BLOCK A BLOCKB BLOCKC .....


.
Type Amount
,..._
. . • .....
0 ~
rl 0 0
I• ,..... -
0
o_
0
0
0 0 § rl 0
...... 0 0
0 0 0 0 0
o_ Other Date
0 0 0
0 c5 0
"'"'
..
N 0

I
(I)
0 0 0 o_ 0 0 (I)
0 0 Income (Mo., Day,
c: 0 00 0 0 0 0
~

'5 o_
0 0 c5 c5 0o_
0 i<
0
0
o_
Vl
0 0
l/l- l/l 0
0
.... ....
"'
Q)
'D . a
..:: 0
·-
0 0g 0
0
0
o_ 00
0 i<
0
o_ 0
(Specify
Type&
Yr.)
cS 0c5 NEl') 0V1 ,...., ....
N (I)
0 0 .0
0 "c5 c5
l/l 0 0 Vl 0
,. ~
l
El') 0
(I)
"' o·
I
c5 > "' a 0 &'I 0 Only if

-
0 ' rl 0 Actual
...... v) ll") 0r l (I)"
~
"'~ 0
fll


If)
......
V1
{;.>';_ (I)
....0
I
(I) El')
c5 ....0 ....0 I rl
o· 0
0 c: E--<
"'c: ~"'"' o_
·;
0
N .,..,- .... &'I El')
c5 ....
I
0
0
Amount) Honoraria
(I) I I0
~
....
... (I)
....
I 0
...... ...... o_
]"' 'o .... o_
&'I
.... ' ' c5 'O &'I I I 0 0
.3 .....' rl rl 0 0 0 0 'O 'O (.!)
.£,
(I) '
....
I I .... ·o ...... 0 l/l~
~
s·a
Cl)
0 0 0 0 0
ri
c5 cS 0 l/l
....
. <!)
~ ~ ...... rl
c5
..... .., "'
(I) (I) Q) I rl 0 0 0 (I)
<!)" 0 q 0 c5 c5 0 ... 0 0 o_ P. P. 'O ~ s:: ......
0 o_
(I)
....
~
0 0
~ .2:· c:. .....
Cl) 0
o_ c5 .... o_ o_ 1-o
o_ c5
~
Q) 1-o

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


l/l 0 0 0 'l/l 0 c5
If) Q) V) - Q)
u Q)
....
If)
....
0
~ ....
Q) •

. ...... .N.
l/l > N
~
N - v) >
(I) (I) (I) (I)
N
(I)
l/l
(I) 0 (I)
..
l/l
(I) iA.• b &l BJ Q)
0 ~ .E
- ~ ·
•U (I) (I) (I) (I) (I)
V)
(I) (I) 0 (I) 0
. ··-~ ,... . ·--
.1 -- N<A Mid Cap Value Managed Volatility I ·." · "

s
Portfolio (Mutual Fund) x :
..
x x .,.,

... . •

2. •• EQiCore Bond Index PortroHo (MutuaffUnd) -· -·


s
x x x
..... .. •
3 -- EQ/M!d Cap.Index Portfolio (Mutual Fund) - ·--~ ·-··- ···-· !

s x x x _;
' ···· -"
•4 -- EQ/Quality Bond Plus Portfolio (Mutual .
s
Fund) x . x x . -
• . ·- ·
5 Merrill Lynch IRA AAA Accumulator Select 2004
#2 (Annuity Var.) '
6 -- AAA Aggressive Allocation Portfolio (Mutual
Fund)
.
x x I•
x
...
7 Merr!ll Lynch Joint 2 (Brokerage Acct.)
,,
8 -- S&P Oil & Gas Exploration and Production I•
I•
L
J Select Industry Index Set-up Issuer Credit x x
S11i~~P. /Ml 7KF\ INntA<\\ -·
.. .
.

-- 3M Company (MMM) (Stock) .


'lJ
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
by the flier with the spouse or dependent children, mark t he other higher categories of value, as appropriate.
OGEForm278 (Rev, 12120 11 )
S CF .R. Part 2634
U.S. Office of Government Ethics

Reporting Individual's Name Page Number


Slavitt, Andrew SCHEDULE A continued
(Use only if needed) 10 of 34

Assets and Income ValuationofAssets Income: type and amount. If "None (or less than $201)" is
at close of reporting period checked, no other entry is needed in Block C for that item.

BLOCK A BLOCK B BLOCK C


Type Amount
.-. 0
...... 0 0 "O
.-.
0
o.
......
·O
0
8
0
q 0
0
]..., '
......
0 0
0
o.
q Other Date
~
.o' 0 0
0 0 0 N g Income (Mo., Day,
~
0 0 {I')
0 0
; 0
0
0
0
0
0
0
0 0
0
0 .d
.8
.. 0
q q
V)
0
§
5 "'
QI d
t.s
0
0
0
0
O '
0 .. o:
o· (Specify Yr.)
-s
V)

cS 8 0 vi 00
0 0 0 0
0 0 0 .... .... 'l:I ..q 0 Type&
"'
V) 0
N 0 0
~
V)
q cS 0 N 0 .....; 0 al 0 </) , µ
.....
~
$ ....
V) .... LI)
0
"'
{I')
I/')
{I')......
0 .... ..... 0 0
cS
lo'} ~ "'
:J
~
I"' {I')
I
I
·;:.., 8·
"' ~"'"' 0 N
0
in_ o.
0 0
vi V) ......
....
0 0
0 ...... 0o" ~lo'} .
{I')
I
Actual Only if
~
.E ~ ~ ·~ Amount) Honoraria
{I')
I V) lo'} {I').
0 I I0 (1 0
.... "' ...... .... ...... q q 0
0 0 ..... ti'}

] "O...,<lJ -tiQI "O"'t1 ·1§' .... l.!1 -3.... (>!) ...... ..... ...... ....... ......
I I 0
0 ....... q 0 0 ~ lo'} I
..... I

2. ..... ...... 0 00 00 q0 ...... 0 0 cS .... 00 vi ·


I I I, I
V) 0
QI 0 8 0 0 0 0 ... 00 q0 0 .... a.· a.OJ $iii ~ .... ....<lJ"' ~ · ...... q0 0 0 8 : 0 cS .... 0
0 {I') {I') 0 .o Q)
I <I} lo'}

.n .......n· 0VJ 0Vt: ~


t1 0 vi cS 0 - <lJ q
~
rl .... VJ ...... N 0 "'
Et)
~ {I'),(I') 0
> I,...<
{I')
V)

{I')
vi
N V) "' 8 u
>
0 ~ · p;.:i
~~ 5 ~ ·~ 0t1 N0 ...... "?.
V)
Q ~ .E u
{I') , z )(
eN
0
......
b ...... 0>
Et) {I')

-- Abbot (ABT) (Stock)


'{I') {I')
"' {I')
"' {I')

..
{I')

I -
J x ,_
x x x
2 ·- ABBVIE Inc SH$ (ABBV) (Stock) i
J x x x x '

3 - A berdeen Emerging Markets (ABEMX) I

(Mutual Fund) x x x 1.
l I
...
4 --Aberdeen Emerging Markets Fund. (Mutual
J Fund) x x x
5 -- Alaska Municipal Bond Bahl< Alas~11 Munl
J Bond Refunding-Series Three Bk Auth GO for x -x x
l!<!<llP.i. tioi.tM nrint tn 10111::10?0 /Rnnrll
& - Alliance-Ber:nsleln High Income Municipal
Advisor Fund (ABTYX) #1 (Mutual Fund) x ' x x
.; '
...
7 -- Alliance' B ~m ste1n· High Income .Municipal -
J Advisor Fund (ABTYx) #2. (Mutual Fund) f x x x
8 -- American Express (AXP) (Stock)
... x x x x
·' .. [

q - Ang.el Oak Mulll-Strategy Income Fund


(ANGIX) (Mutual Fund) I x x x
* This category applies only if the asset/income is solely rhaL of the filer's spouse or dependent children.
If the asset/income is either that of the filer or j ointly held
by the filer with the spouse or dependent children, mark the ot.her higher categories of value, as appropriat e.
OGE Form 278 (Rev_ J2/20 ! I)
5 C.F.R. Part 2634
U.S. Office of Government Ethics

Reporting Individual's Name Page Number


Slavitt, Andrew SCHEDULE A continued
(Use only if needed) --·-
11 of 34

Assets and Income Valuation of Assets Income: type and anfount. If "None (or less than $20 I)" is
at close of reporting period checked, no other entry Js needed in Block C for that item.

BLOCK A BLOCKB ~LOCK C --

Type :
Amount
i. c• -,-
'
....
~;
0
0
0 -d
0
o:
0
0
0
0
0
0
§
µ.,
....0
,.-...
0
0
...... 0
0
0 .0 , 0 0 N
0
0 q Other Date
0
y; 0 . 0 0 d y;
o, Income (Mo. , Day,
~ i i< q
0 0 0 0 0 0
~- 0 0 .o 8
...,,,_ ~
0 0 0
0
0
-B. o_
0
0 0 _1') 0 0 0
0
0
0 0
o · 'V)
vi' .{anI) --
N
0
0 .§ ......
·.::i : ~
..<::
..... 0 0 0 q.
0
0
0 -
0
o,
q 0~
0 -ll'l'
0
• (Specify
Type&
Yr.)

~ : Vl ,,,, ....
0 ,,- 0 c;! : 0
0 ......
·II)
"' .... ..... 00 ....I 0 .,., q0 0vi' .,.,
0 0 y;
e (/)""
0 N {I}
0 Only if
00 .... .....I ....
0 0 U)
0 Actual
~
llY 0 0
~-
......
~ {I} 1 ~ I
~ {I}
{I)
,. {I} {I}
o · 00 ~
;:l j '
0 "' - -9:!"'"'
-~
0
0 N' I/') .... _{I} ~-
Amount) Honoraria
8.
.
I I {I} I 0
!-.
...... .....
..... ..... ..... q 'O 0 0 0 0
0 'O - ... {I) ...... {l)l I
....
I ..... & 0 o_ y; (A

2- ..... 0 0 0 :o 0 {I} _ 0 0 0 {I} ~ .... ~ ....


.... 0
I
0 0 0 0 -0
Cl)

!fl
] ~ "' .....c;! .£Cl) 1 ,, 0.... . ..... ..... g 0 o, (A :0·o Vl
..... l/') I I ..... 0 0 -

.,,
(A
(l) 0 0 0
i::: q -.,.,-- 0 0
0 0 0 .... c..
o,. q vi' ~ ~ - ·u ;;! "Cl .... ~ :.a i::: .-1
0 0 0
2' .
q 0 q 0 0 0
vi 0 0 1i1 q 1i>1
0 ..... ..... , Vl ..... N ~ ..... .,., N :€ ....
Vl 0 0
z {>')'
<I} {I} {I)
Vl
{I}_ {I} 0 ~
---
{I} ~ 6 ~- IL! & l'.:l
><
.. .s ~ N ' ..... N' Vl .-1 on ..... > ......
II) ' {,II} &'l {I} {I} ~- 0 ~ -{I) 0 -a (A
_

1 - Anheuser Busch (BUD) (Stock) ·•"- - -- ,-- -- - -- j


_.
--
J x
1----
x x: --
1,
'
I:
'

2 -- Apple (AAPL) (Stock) -- -- --. ,.. -·- .

J x x ,X x
··-· -' -- --- -

-- AQR Managed Futures Strategy Fund #1 •' · - ,, ,:, 1-'~c - -:- c


3 '
J (AQMIX) (Mutual Fund) x x x 1.
,.
4 -- AQR Managed Futures Strategy Fund #2
J (AQMIX) (Mutual Fund) x x x '

- ..
5 - Arkansas State Federal Hfghway and Grant
J Anticipation (Bond) x x x
6 -- Artisan Global Opportunities Investment I•
J Fund (ARTRX) (Mutual Fund) x x •' x
-- '
7 -- AsflmoreEmergfng Markets T otal Return '
'
J Fund Institutional Class (EMKIX) (Mutual Fund) x x x
'-- · -- --
8 --Avago Technologies (AVGO) (Stock)
J x I x x '
·--· - - -- '
' ······
-- Baidu Inc Span Adr (BIDU) (Stock)
qJ
x x ;x
* This category applies only if the asset/lncome 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 Fonn 278 (Rev. 1212011)


S C.F .R. Part 2634
U,S. Office ofGovernment Ethics
Reporting Individual's Name Page Number
Slavitt, Andrew SCHEDULE A continued
(Use o nly if needed) 12 of 34

Assets and Income ValuationofAssets Income: type and amount. lf"None (or less than $201)" is
at close of reporting period checked, no other entry is needed in Block C for that item.

BLOCK A BLOCKB BLOCKC


Type Amount
'
.-.
.....
l
0 'd
0 0
~
0
&
~

8..... 0 0 ..... 0

.., 0
0
0
0
c5
g. .._, , 0 I 0 0
0 Other Date
0
0
0
0
0
0
0
0
0
0
cS
g 0
q cS c
0
5 V)
c:<I! '
N
(;'}
0
g ...
0
c5
0
Income (Mo., Day,
iii 0 0 0 0 c5
0
0
-I<
0
q
tn
tn tn 0 g ... .... 'O Q)
0
0
0
0
0 0
0
. vi 0
(Specify
Type&
Yr.)
£ q0 0 0 tn
N . 0
0 0 N
""..... cS
0 £ 0 00 8 0 0 o' 0 0 0
..,.....
~ 'd"' t:<:~~ ·~ ~"'"'.... 8..... N" qtn ..... ..... 0 ..... <5
o' 0
.., ..... tn 0
""..... (;'} I
"'~ 2 lr>
0 0 0 ~ 0 0 Actual Only if
"'"' .....
V)
I
vi
lr>
"" ""
l/)
c5 I I
0
"" 0
l/)

8 00 .s 'd
(;'} ...... ..... Amount) Honoraria
~
.... ""
I
...... I I 0
q 0 0
~ _(;'}
""..... "" I 0

..... ""
I I
...... (;'}
..... 0 0
£ ...... o ·
0
I ..-<
0
.....
0
0
:g.
o· c5 cS
..-<
0
0
0
0
.......
(;'}
,0
00
0
o'
cS Vl ·~
.., al Q) ~'
8 "".... .0. ....0. !El~ 'd5 ..,<I!c: ...."' ~.., -9.i:: ""
+-'
Q)
..... 0
....
I .
I I I
....... 0
I

0
I
..-<
8
0
-
..... ·o
(;'}'
0 Vi'
!;')
Q) 0 Q) 0 0 0 0 cS ....Q) qO • ....
i:: 0 vi cS 0 l/) [l 0 q vi' .CJ Q)
:~ ..., ·a o _q l/) 0 vi c5 0......
z 0 ..-<
(;'}
..... (;'}
""
tn - ......., N l/)0 > ...... tn 0 .., ..,
N
Q)

0
>
~
u
x
~ 6 0
c:J

~ ..s ·U"' 0
..,_
N
z
..... !'f .., vi ....
tn ..., 0
> ......
""- 0
~

l - Banco Saniander SA Adr (SAN) (Stock)"


"" "" "" "" (;'} Ell
""
J X:, x :
x, '
I,

-- ' '
2 - Blackroci< (BL~ (Stock) --
J x 'i x x
-- ..
3 -- BlackRock Allocation Target Shares Series --
J P Fund (BATPX) (Mutual Fund} x ~ x x
4 -- BlackRock'M ulll•As\let Income lnsututional
J Fund (BllCX) (Mutual Fund) x x x
5 - BlackRock Strategic Income Opporttinllles
'
J Institutional Fund (6S11X) (Mutual Fund} x x ; x I

- Blackstone Grou·p LP. (BX) (Stock) ·.


6
J x
I
x x ,x
- BP PLC Spon Adr (BP) (Stock) -
7
J x x x
8 -- Broadcom Corp (BRCM) (Stock)
J x x x
,!

- Oanadian Nalur<!I Res (CNQ) (Slock) ;


" J x x x
* This catego.cy applies only if the asset/income is solely that of the filer's spouse or dependent children. If the asset/in come is either that of the filer or jointly held
by the filer with th e spouse or dependent children, mark the other higher categories of val ue, as appropriate.
0GEFonn278(Rev. 12/20J l )
5 C.F.R Part 2634
U.S. Office of Government Ethics

Reporting Individual's Name Page Number


Slavilt, Andrew S CHBDULE A continued
({Jse only if needed) 13 of 34

Assets and Income Valuation of Assets Income: type and ainot}llt. If "None (or less than $201)" is
at close of reporting period checked, no other entry is needed in Block C for that item.

BLOCK A BLOCKB BLOCKC


-- ·,
Type Amount
~ 0 't;S
....; 0 0
0 0 0 o· i::
rl :
I••
0
q
...... 0
0
0
0
0
o:
o; ii! . 0 .o' 0
0 Other Date
'o 0 N 0
~
' 0 0 0 ~ 0 Income (Mo., Day,
°"; 0
0
0
0
0 0
0 0
0
0
0 r:5
"'
0 0
·o' ... 0
0 0 q0 0... vi Nvi l.l!I
0 0 V): 00 @ 0 0
q (Specify Yr.)
.s
0 0 0
ilQJ .... ..,
QJ
'.::l
.s 0 0 0 0 0 0
0
0
'•~
0
0
.....
V)
N
0
. ......
V)
0
0
~
"9
. ....
'
.• 0
6 "' "'
' (I)

~ i 0 0 0
0 0 0
q 0
0 6
....
0
0
,...;- 0
0
V)
~
0
0
Type&
Actual Only if

.. -
::l I/")

"'"'..... ......
J:l
Vl' I/")
~ v;
~ V7 ~
6 ..... ....' 0 0 i; ....
p::
"' ~"'"'
(9 O · N' 0
0 vi ,...,
V) lrl
{;')
~
6 ....0
I
6
0
Amount) Honoraria
V> :
.... .
I
....
,...,' 0 ....
' ....
' • 0
....
0 0
q 0 0 o : 0 'Tj ·
0
0 f-o
rd 't;S "'
"d "Cl ..,
' <ti
-~ .... ,...;- (,")
~ "9 I °"....' ....0'
,...;- 0 (>")
0
0 .0

a ...... .-'i • ....' ...... vi


~ · I
0
~. .... 0 0 0
0
0
0
0 V7 0 0 0 2l V) •QJ
..... QJ
~-
i::
"' ~ ~ I
I
0 0 0 0
QJ
i:: q '
o : q 0 0 0 0 .... q 0 0 0
""
.... 0. :o.
~
QJ QJ .....
.... .... ·a i:: QJ .-'i 0 0 0
o · q V)•. o . vi 0 0
0 0 o- """ 0 ....
...... N" .vi i-< V) ...... ~ ....... >
q ';;! q QJ
~ ~
.... .... V7 Y'l...... N 6'30 0> ...... Y'l N~ ~ -~
V)

~
V)
0 0 I/") QJ
I/")
(>")
vi
V)
QJ
u
)(
>LI & .\'.:
Q
QJ
i:: .....
i:i:; .E '"'
QJ
u z
0 N
0 0
°"'' """ ~
(>") ·~ ~ ~

.
°" ·"""
1 -- Canadian Pacific Rail (GP) (Stock) -
J x I• x x
- -- · -
.
2 -- Cemex (CX) (Stock)
J x I•
x· x.
3 -- Charles County Maryland Consolidated
x
: ..

x
-
x
.
J Public Improvement (Bond)
.
,
.. .
4 -- Chevron (CVX) (Stock)
J x ..
x x x
_,,
s -- China Unltom Hong Kong (CHU) (Stock) ,.
J x . . -· . .....;
x x
-- Cisco Systems Inc (CSCO) (Stock)
.
6
J x x x x
7 - Citigroup (C) (Stock)
J x x x x
8 - Colgate Palmolive (CL) (Stock)
J x x x
-- Companhia D Snmtnt (SBS) (Stock)
qJ
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
by the filer with the spouse or dependent children, mark the other higher categories of value, as appropriate.
..
---- ------

OGE Form 278 (Rev_12/2011)


5 C.F .R. Part 2634
U.S. Office ofGt>vemment Ethics
Reporting Indi vidual's Name Page ·Number
Stavitt, Andrew SCHEDULE A continued
(Use only if needed) 14 of 34
.

Assets and Income Valuation of Assets Income : type and amount. If "None (or less than $201)" is
at close of reporting period checked, no other entry is needed in Block C for that item.
'
I

. BLOCK A BLOCK B BLOCKC


Type Amount
....0
~

0
0
0
0
0
'd
c: ......
q 0
0 ;:l ...... 0
0: 0 0 µ., _o 0
..... 0 0 O·
0
0 0 .., " 0
N
8:
·o Other Date
V)
0 0 0 0
o~ § 0 0
q 0
Q V)

c: 0 0 Income (Mo., Day,


0 0 0
s .... c5 0
Q)
§ 0
•n 00 "'
Q) 0 0
q (Specify Yr.)
q b
0 0 0
-s 0 0 0
0 0 •O
0 vi
I/')
N V)
0 .,.; ';:l
ctS
-5 O i 0
0
0 8 0
0
'0
lO
b I/)
0
0 Type&
,,,
II)
0 ~ 0
0 0 0 (/)
..... V) 0 ~- q 0 0 ....... 0
"' 0 (/).
0
..."' $ Only if
N Acrual
vi ..... I/') 0
80 ":
.....' 0 ,>,
~
"'"' ......
V)
I/')
~
I
~
I
(/)
I
V)
I
V)
0
.....' ..... q
I
0 .....
-~
"'
~....
"'
0
I
0
q
N0
V)
0 :::>
..,.,
il:i .....
;:l
.....
a0 ..... 0
... ...... ..... .....0 0 0 ..... 00 0 0 0 ~ - 't:l "Cl "ClQ "Cl .... t!) .._,0... .(/)....< ' (/) ..... Vl..... ..... . .....~ 00 00vi
0 (/)
£-o
"'
(I)
I/')

(/)
I/') ·

I I
•(I) :
I
I
Amount) Honoraria

0 0 0
I
£. .... 0 0 0 0 0
g ...
g c50 8 o.- 2:l i.:: <II f,i "'<II ~ <II ....., .....
fr
V)
0
I/')
V)
0
"'
.....' .....
8 0
Q)
g
0 ... q
c5
0 ...
I
V) V)
' Ir
~ 0 0 ~ ~ q . 8 ~a t:: 0
0
0
q q q
vi q
~ o_
Q) l.J

0 .... .....
0 vi .... v) 0 I/')

e
Q)
..... 0 u u
I/') Q)
;> ..... ..... 0 Q)

z V) V) V) V) N I/')
0 ,VJ
N
V) 0 JS-: ~
V) V) 0 ~ .s u z V)
I/') ctS 0 N
I/')
V)
N"
V)
.....
&'}
.....
(/) 0
;> .....
&'}
;>
0 V)
I/')
V)
I/')
V)

·- ...
- Cornpanla Brasilefra de Distribulcao (CBD)
~

l
J (Stock) x x ' x 11

2 - Conc;ho R~sources (CXQ) (Stock)


. - . ·.
J x X· x !

- Conneclicul State Special Tax Obligations ·- -


3
J Transportation Infrastructure - Series A (Bond) x x x
-- .. ·-
4 -- Consumer Discretionary Select Sector --
J SPDR (Mutual Fund) x x x
-·- ... - ~

'
s -- Continental Resources (CLR) (Stock)
J x x x
6 - Covidien pLC (COV) (Stock)
J x x x
7 -- Crane Co Delaware (OR) (Stock) ,~·
!
J x ·x x x
8 -- Credicorp (BAP) (Stock)
J x x x
" ·-
-- Denver Colorado City and County Board
'lJ
Series A Water Commission Master Resolution
.\f\/lr 6,,,v fl:ln~..i,
x x x
' · ·- -

* This category applies only if the asset/ income i s solely that of


the filer's spouse or dependent children. If the asset/ income is either that of the filer or joint ly held
by the filer With the spouse or dependent children, mark the other h igher categories of value, as appropriat e.
OGE Fonn 278 (Rev. 1212011)
5 C.F.R. Part 2634
U.S. Office of Government Ethics
Reporting Individual's Name Page Number
Slavitt, Andrew SCHEDULE A continued
(Use only if needed) 15 nf 34
-

Assets and Income Valuationof Assets Income: type and amount. If "None (or less than $201)" is
at close of reporting period checked, no other entry is needed in Block C for that item.

BLOCK A BLOCKB BLOCKC


Type Amount
•. ·· ... .
~ .' 0
"d
T .

.-t 0 0 ,....,
~
0 0 o · ......
q
...... 0
0
0
0
q cS 0 0 80 Other Date
0 e 0 0 0 N 0
M 0 0
q
80 ·o ·
ci 0
0
o_ 0
0
§ V}
0 o. 0
0
Income (Mo., Day,
~ 0 8: 0
0 0 cS g ;;, q l/lII') ,
0
0 s .... "'
Q) ,
·.:::i fJ 0
0
0
0
0
0
0 •0 0 0
(Specify Yr.)
o~ M .... 0 q q
. Type&
0 t.r)-
'5 cS .V l
,. fl 0 0
q ·O cS
I()
0 0 N 0 0 0
cS "' ~
0 ~ - V} 0
l/l ' ~
"'2 0 0 ....... Only if
{;')- 0
0 · 0 N 0 0 Actual
~
"'"' vi
......
vi '
M :
......
~
~
I
V} (I}
I
cS •'
0 ..... ......I 0...... q0
<IJ

.s 2
E-i f-< ~
"' "'
~ ~"'...
0
q
"l
N
0
vi'
t.r) l/l ...... {;')-
...... (I} (i'l I
0
cS
0 .... 60 Amount) Honoraria
... •' ..... ......'
~ ~
0 0 o~ ......
11"' 'OfJ .... . .....
...... ......' ~: 0 0 ]
(I} ~ I I ...... q 8 0
.3.
I
...... 0 0 g q ......- § 0 0 o" o · l/l ~
'd
J:l
~
-; .3.
~ I
......'
...... ...... ·o
......' 0 0 0 ......
cS
vi
q 8
0 ~
.... "'
(ti <IJ
0
~ ......
q I() 6 cS 0 · g V}
0 0 o·
.,;
(i'l
fr 0.
:;; :9 ~ .!:::· Q) ...... q
0 0 0 q q
q t.r) 0 0
~
... 0 ...
~ ~
Q)
l/l o · 9. 0 Cl 0 Vl 0 Q)

1:.:4 ~
~
.-t! l/l ...... N ...... vi N
~ ~ ·a 0.E:; 5· 0.
<II
~
N ...... .N ' t.r) ...... l/l
0
....... g! ......
6
~ ~ V} V} (i'l
0' 0 ~ {;'lo ~- u &o!t (I}

"" (I} &o!t


--
t;'j ~ 0 ~
'

1 -- Deutsche CROCI International S Fund


(SCINX) (Mutual Fund) x
. .,
x x -
2 -- Deutsche X-Trackers MSCI Europe Hedged
J Equity ETF (DBEU) (Mutual Fund) 'X : .
..
x x
.. .. -
3 - Digital Realty (DLR) (Stock) . ., ...

J x .~
1
I
x x .
4 - Dreyfus Natural Resources Fund Class I i
J (DLDRX) (MutuillFund) x '
x x
s -- Eaton Vance Floating (EIBLX) (Mutual
Fund) x x x
6 - Eaton Vance Floating Rate Advantage I
J Fund (EIFAX) (Mutual Fund) x x x
~

7 - Eaton Vance High Yield Municipal Income


J Fund (EIHYX) (Mutual Fund) x x x
...
8 - Ell Lilly & Co (LLY) (Stock)
J x x x
~
x
"
'I -- Equlnlx (EQIX) (Stock)
J 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 l s either that of the filer or jointly held
by the fil er with the spouse or dependent children, mark the other higher categories of value, as appropriate.
OGEForm278(Rev.1212011)
5 C.F,R, Part 2634
U.S, Office of Government Ethics

Reporting Indlvidual's Name Page Number


Slavitt, Andrew SCHEDULE A continued
(Use only if needed) 16 of 34

Assets and Income Valuation of Assets Income: type and amount. If "None (or less than $201)" is
at close of reporting period checked, no other entry is needed in Block C for that item.
'
BLOCK A BLOCKB BLOCK<;;
. Type Amount
;
.
.......
~ o: "O
I• 0 0
,"Q 0 0 q r::l ~

...... 0
q 0 0
o_ 0 0 0 &! · O 0 0
Other Date
I ...... 0 0 ·o . O · N I• 0 0
&'I

a 0
0
0
0
o· 0 ~q
·O
0
0
0
0
0
0Vl 5 "'<11
&'I
"1
0 0
0
o"
0
Income (Mo., Day,

i3 o_ 0
0
0
0
0
0
g. ci :c;y~.; ~
0

0 0
0
vi Nvi &'I 00 § - ..., ...
...,,
0
p
~
. -s<IS
0
0
o _ 00 00 c5 q
0
0 0 0
i<

0 . vi 0
0 0
(Specify
Type&
Yr.)
ci 0 "' b 0ll') 0 o_ c5 0 ...... 0 &'I 0
E; £-<...~ ~"'
0 &'I Only if
N ll') 0 ! <11 Actual

-- ""' "'"' o_. N- vi ......


Vl ...... >.
"'
"' &'I
ll')
.....
&'I {,<) "<A' ci ......' ......' ...... 0 0 0 ' Vl ll') ...... {.I)
ci .-< c5
I
Amount) Honorarla
fl. '~
{.I) ~
~ ' ' 0 0 0 ~ ...,.._ &'I ...,, &'I Y> &'I 0 0
' q 00 00 o_ c5 "d ' . I 0r'l o_ O0 · If)
s.:i ... ...,,. '
.... I I .-< "' 'O ..., o_
....... ...... ..~ oo_. .-< c5 ti "d
rl ,-i . 'O
e I
...... 0 0
0 ·
0 ~ .cf (fl 0 c5
0
0 <n ...,
Q) If) <11 Q)
t: ;
Si .~ ., ~.... '<d e rl '
..... 'l rol . ......
c 0
..... 0 fl')
q o_ ·o" ... 0 o_ fr ' : o, r (fl
c5 ~ q0 ...
<11 0
o_ .Vl 0 0 0 .... 0.
;"> ... ·s. ~ .-<
0 0 0 q 0

~- J1 ~
t: 0 .0 vi' "1 <11 0 Vl 0
in 0 <11

~ ~
0 ...... 'rl in If) O· ,....;- ...... N' If)- ..... 0 ....... :>
<n ~ <n ~ ··~· N 0 N ...... :> ...,,:
...,,
u. z
Cl!.
:z N
Y.I <n
in
(fi <n 0 Ci i§l .E ffl {,<)
<n {I'} .; ; } EA
U')
0 0
1 -- Exxon Mobll Corp Com (XOM) (Stock) ·- i. ·
J x x x x
-- Federated fnstitlrtfonal High Yield Bond Fund
... .,
2
J Institutional Shares {FIHBX) {Mutual Fund) x. I: x x : '·
......
3 --Financial Select Sector SPDR Fund (XLF)
J (Mutual Fund) x x x
...
4 -- First Eagle Global Fund Class I (SGLIX)
J {Mutual Fund) x x ~
x -

s -- Fluor Corporation (FLR) (Stock)


J x
.. x x x
;

-- Ford Motor Co (F) (Stock)


....
6
J x I• x x x
-. - ; .. - - '
7 -- Franklin High Yielo Tax-Free Income Funo
x x x
J (FHYVX) (Portfolio)
.... . .. .
8 -- Freeport-McMoran Copper & Gold (FCX)
J (Stock) x · ·.
x
CjJ

*
-- General Electric {GE) (Stock)
x
This cat egory .applfo$ only if the asset/income is solely that of the flier's spouse or dependent children. If the asset/income is either that of the filer or jointly held
x x
fx1
by the 111.er with the spo_use or dependent children, mark the other higher categories of value, as appropriate.
OGE Fonn 278 (Rev. 12/201 1)
5 C.F.R. Part 2634
U .S. Office of Government Ethics

Reporting Individual's Name. Page Number


Slavitt, Andrew SCHEDULE A continued
(lJS.E! only if needed) 17 of 34

Assets and Income Valuation of Assets Income: type and amount. If "None (or less than $201)" is
at close of reporting period checked, no other entry is needed in Block C for that item.

BLOCK A BLOCKB BLOCKC


., ... Type Amount
. .
~ 0 J
..... 0 0 'O · .;

0 0 0 0 § :
~

...... 0
:
0
......< .o 0
0 -~ 0 µ., 0 0 0 .
o• Other Date
(;fl

0 g
0
0
·o
0
0
0
.q 0
0
0
0
0
0
ci
:5 N
V'}
0
0
0
0 ...
:o
0
Income (Mo., Day,
-~ 0 0 .0 0 0 "'
QJ § 80 0 o · (Specify Yr.)
b ;~ ....
;p
'S 0
0
0
0
0
0
vi
0 §
0 ·.;;.;
vi Non' l£l
~
0
0 -5 0
cS q 0 vi
0
0 0
0
0 0 0
0 Type&
~-
0
~
0 cS ...... ~
o. 0 0 ~

0 ......' 0~ Amount)
0 N 0 :bl?
' 0 ' QJ
"' 0
v:.. c5 0 : ...... 0 Actual Only if

. ,...., .
l£l
.[/)
If)~ vi > ::l 0
~
...... ~ V'}
"' (;I}
(;fl

'
~ ~ o'
0
......
......' .-<' 0 00 .s
~ E-<
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·i:x;
O •"' "'"'
o c N V)• l£l
.5<'1 .;!! ...... .vi
io"} (;I}
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0
Honoraria
... I ' ......' q 0 00 0 0 'Cl 'O 'ClQ) '' 'O"' 'O
.....' ;o...... ..... ... :r;"' :bl? ~ w ' o. ·o o.
..... .....
I I

·E , ...... ..... 0 ....


Q) 0
0 0 .o 0 ·o (;fl ~ cS 0 &')
q q 0 0 :o ... 0 0 0
c 0. vi 0 0 Vl :0 Q) ...... 0 vi
0

q
0 l£l QJ QJ
..... $ : c
o.·
P.
Q)
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~ Q) -~ c
QJ 'f"""1
"
§ W3 ~ E, I ......' .......
~

0
q 0
:o ...... c-i-
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0
0
o~ 0
0
0 ..... 0
0
cS
(;I} 0
... :o ""'
·o
l£l

...
~
Q) Q)
~ Vl q
~ ::l :~ -~ ..... 0 0 Q)> .....< Q)
u
...... ..... Vl
-
V)
in ,...., V'l ,....,
z0 (;fl &') (;I} - ~ (;fl
N ·vi
6
rt') ~ -EA
vi N.
II'}
-~
ll.l J.1-l c( ~
c u
0 N
z -~
&') Y), ~ :bl? ~ 0
-~
_t."l 6
..
1 -- Goldman Sachs Multi Manager Alternatives
Fund Institutional CL (GSMMX) (Mutual Fund) x x
:.

x ...
- .. ·- ~·
- Goldman Sachs Strategic Income Fund
2
J Class I (Mutual Fund) x
. .
x x .. :
. ..

3 -- Gotham Absolute Return Fund (GARIX)


J (Mutual Fund) x 'x x
. . ·--
4 - Gotham Neutral Fund Institutional Class
J (GONIX) (Mutual Fund) - x x x
-- Hatteras Long I Short Debt Institutional ...
s
(HFINX) (Mutual Fund) x x·.,, : x
•. - .
6 - Hess Corp (HES} (Stock}
J x x x x
7 - Honolulu Hawaii City & County SER A GO
J (Bond) x
1:
x x
8 -\CICI Bank Ltd (IBN} (Stock}
J x i' x x
<) -- Industrial SelecrSector SPDR Fund (XU)
J (Mutual Fund) 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 ls 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 Fonn 278 (Rev. 12/201 1)


5 C.F.R. Part 2634
U.S. Office of Government Ethics
Ri=portlng Individual 's Name Page Number
Slavitt, Andrew SCHEDULE A continued
('(Jse only if needed) 18 of 34

Assets and Income Valuation of Assets Income: type and amoutit. lf"None (or less than $201)" is
at close of reporting period checked, no other entry i~ needed in Block C for that item.

BLOCK A BLOCKB BLOtKc


! Type Amount
'
-o8
~
...... 0 'O
0
q
0
0
0
0 c5
,§ ~
...... 0
0
...... 0 0 -~
.....
0 0 Other Date
c5 00
0 0 N 0
0 0 0 - 0
q o· Income (Mo., Day,
""i::<.s 0 0
0
0 0
c5 .. 0 q c5
,i::
§ ~
Gl9
0
.. 0

:&8c5 ,,,,
0 q 0 i:: 0 0 0 (Specify Yr.)
0 ·o c5 8
. If)
If) <.s 0 0 0 0 0 0

-. . .... -
0 0 +:I 0
-!3 q0 0 q vi Type&
""
.' q0 .,, -5
If)

0 0 N
0
V)
..... 0
0
N
....
"".......' ....' ..... "'~ ::1"'
+-'
"' nl 0 0
0
0
0
q c5
0 00 ...... 0
0 {fl
0
0 Actual Only if
~ ~-
-.
V)

J!..."' i:: "'


0 0 ...... o· -.-.' c5
V)
......
_If)
~ .""...... .... ""....' qc5
{A
0
.s ?: (ii 1l q ....
v). .... N• V) U)

"".... ....""
Amount ) Honoraria
. ""
{A
0 0 0 ~
{A
i 0
... 8. q
.s ""....0
0
I
' 0 0
c5 "O 'O "' 'O .... c "" ......•
I 0

8 .... c5
...... ...... 0 0 'O 'O
I 0 c5 .3. ""' ...... .... ....
I
I
...... 0
q 0 0 8
0
0 0 0 o• 0
V)
....
~- i::
0.- p. s 'O ...
Ill
la
Ill
0
If)

Ill
q c5 0 "" 0 0 q 'B
"" V : nl ·> ....1il 0. c 0 $_ 00 Ill
....
(I)
G> 0 Ill
0
q
0
0
0
0 1il
~
0 ""ti!
1il q,...., ,,.,.
"" "" "" "" 0 "" ..... ""--- ~ as-- 6-- Ci ~ .s a z "" ""
0 ....... q Ill Ill

~ ...."" ....
V) 0
V)
...... V)
0 V)
N
0
II> >
V)
N ~ 0 ...... N' v) N
If)
......
0If) ......
0
>
Ul {;<)
6 0
""
·(A
"" ""
(I) {fl

_,
1 - Intel {INTC) (Stock)
J x x x -

2 - Invesco Convertible Securities Fund --


J (CNSDX) (Mutual Fund) x x x
3 -- iShares MSCI EAFE ETF (Mutual Fund)
J x x x
.
-- :

4 - lshares S&P Global Timber & Forestry Index


J Fund (WOOD) (Mutual Fund) x x x
5 -- IVY Hlgh Income Fund (IVH) (Mutual Fund) -
J x x x
6 -- Ivy Municipal High lncomeJ Fund (WYMHX)
J (Mutual Fund) x x x
7 -- J Hancock Venture Ill (Annuity Var.)

- - - --
8 - --JHancock Lifestyle Conservailve Fund
J (Mutual Fund) x x x
-- -- -
·~. . ..
..: ,
Q - --JHancock Lifestyle Moderate Fund (Mutual
J Fund) x I 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
by the filer with the spouse or dependent children, mark the other higher categories of value, as appropriate.

- --
OGE Form 278 (Rev. 12/2011 )
5 C.F.R. Part 2634
U.S. Office of Government Ethics
Reporting Individual's Name Page Number
Slavitt, Andrew SCHEDULE A continued
(Use only if needed) 19 of 34

Assets and Income ValuationofAssets Income: type and amount. If "None (or less than $201)" is
at close of reporting period checked, no other entry is needed in Block C for that item.

BLOCK A BLOCKll BLOCKC


...
Type Amount
;
~ 0
......
0
0 0
0 ~ ,...,
.....
~
0
...... 0
0
0

0
. :I
..,
.u:.
0 o. 8o. Other Date
0 0 0
c5 c5 0
0
N
-. 0
Income (Mo., Day,
"'; 0 :
0 (;') .0
0
0
0 8 0 0
c5 0 o. o· :fil 0
a ... 0
0
0
~
·o . 0
J§ .... .... "'
Q)
~ 0
o· 0 0 (Sp ecify Yr.)
£ q0 8
0 0 c5 l/')
0
g 8.--i' If')
If')
N ~
0 '.Cl
....
.cl 0 0
0
0
0
0 o· q 00 .vi' 80 Type&
~ "'
V')
0 0 <;j
0 ~ ~
O c 0 0 q c5 0 -~

~
N 0 ' 0 "' Q) M ;- 0 Actual Only if
O • "'!. q If') V') .....
If')

~
-.e
......
"'"' c5 ......I ......I ......
~ "' "' ...... {,l!f (,I'} I • o· "'' ...... c5
ll')
CIJ
If')
..... (,I'} (,I'}
'
"''0
~ (,I'}
I 0
o . 0 .9 "' ~
.s "' 0 N
~ .--i' v.> ll') ~ Q
I
0
Amount) Honoraria

"' .e.... ...,


(,I'}
......
.... I ....' ...... 0 ...... ...... q q 0 0 0 ;:, ...... q
8 o.
..... "'
I
c5
g.
I I

5 .....~ t.!:J

i a1 ie ~
...... 0 0 q 00 00 (;') .-<
0 c5 0 v.> ~
If')
'B .... I I I ...... .....
...... ..... 0 0 00 ...... o· (;')
If')

~
s. ...,
0 0
vi' c5 0 c5 c5
0 .... 0
0 q vi' ....
0
~ "O
i
~.s u ~ ...,.....
Q)
I

q 0V') 0 qV) c5
0 0 . 0 "'
8.--i' ....CIJ>
> ......· ..... N • o. .......
~
0 .o
~
0 Q) u
...... ...... If') ...... N V')
~
If')
N If') fil N If') .....
If') '
..., 0
"'
(;') (,/'}
(;') (,I'} 0 iii)
i:i: (,I'} {'.! ~ (,I'} ~- (,I'}
"""
J - John Hancock Global Absolute Return
J Strategies Fund Class I (JHAIX) (Mutual Fund) 1X X' x
2 -- Kimberly Clark (KMB) (Stock)
J x x x x
3 -- Knoxville Tennessee Waste Water System
J (Bond) x x x .
- . .. ;
4 -- LAM Research (LRCX) (Stock)
J x x x
..
I•
s -- Loomis Sayles Strategic Income Fund Class
J Y (NEZYX) (Mutual Fund) x I x x .i
... -
--
6 -- Lord Abbett Intermediate Tax Free F Fund '
J (LISFX) (Mutual Fund) x x x
7 - Lord Abbett Short Duration Income F Fund
(LDLFX) (Mutual Fund) x x x
. --
8 -- Lord Abbett Short Duration Income F Fund
J (LDLFX) (Mutual Fund) x x x
- Lyondell Basell lndustrie (LYB) (Stock)
qJ
x 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/In come is either that of the filer or jointly h eld
by the filer with the spouse or dependent children, mark the other higher categories of value, as appropriate.
OGE Fonn 278 (Re v. 1212011)
5 C.F.R. Part 2634
U.S. Office of Government Etnics
Reporting Indivldual's Name Page Number
Slavitt, Andrew SCHEDULE A continued
('(,Is~ only if needed) 20 of 34

Assets and Income ValuationofAssets Income: type and amount. If "None (or less than $201)"is
at close of reporting period checked, no other ei1try is needed in Block C for that item.

BLOCK A BLOCKB BLOCK c


Type Amount


....0
~

0
0
0 "d

~..,
~
0 0 0 .--< 0
0 0 c5
....
{I'!
o· 0
0
0
0
0
0
0
00 0
0
I 0
N
v;
0
0
0
0
o :
ci-
Other
Income
Date
(Mo., Day,
0 0 0 0 0 6 , Sl 0
.6 0
~ 0
{3 q
0
0
0
0
0
0
c5
0
II) '
0
00
c5 c5 q
0

....
i<
0
0
0
v) vi'
N "'· 80
(>') s ..., "'
Q)
'.-:!
~
• d
o$
{3 0 0
0
0
0
0
0
0
0 0 .
c5 .o......
i<
0
0
0
v) 00
(Specify
Type&
Yr.)
0 ....0 N . II) 0
{l'l

...
(A 1_:.
g "' Q) tl "' s 0 0 0 0 c5 0
.... 0 Y.>. 0 Actual Only if
~
;:I II) 0 ·. 1: 6
.s
' ti) ti)

"'"' ....
I 0 V)•

"'
II)
c5 ..... ..... ,...j 0
{I'! (A I
"' q ,,.; 0 :-N
"",...
(A Lf)
.!3 Amount) Honoraria
~ {I'!
(>')
....
{l'l

...:.
0I
0
I g I E-< c:i:: o$ ~ .-!
... (t'>
II).
~
.-! (A (A , I 0 , :o
:o
I
.--<
I
q
....0 .....0 00 00 00 {l'l.... q0 c5 0
c5 0 'O 'O "''O 'O
(A

....' 0....
I q
..... ·6'
O ·

~ .-i
0
I

0 . 0
~ q vi' 0 0 II) c5
0

~-
c5 6 ... 0 0 II) • Q) Q) fr
0 0
(A
... C4
'd
2l Q) lf)
µ
Q)
5 d tl
..i Q) "
.:::. .<A 0....
~ 'O·;;: ....,d ...,... 'B·~ d0 ....N0 ....q
Q)
I
I

...:.
0
I I
.-i
0
0
0 0
·o
0
6 ...
{l'l
... O i
v)
{l'l

0 .... ...... V) ....


z
0
N II)
g ...."'
u
vi' N •
0~ :.<:
1!J a c:i::, .s U · z
Q)
Q)
"l.
N
0
v)
v)
..... 6
II) ....0 0g: ·o.
...... g:
0
"' ~
"'
(A (A &'l- {I'! {I'! '{I'!'

"' "'
{l'l (A (t'> {I'! (A {I'!
..,.:

1
J
-- Magna International Inc (MGA) (Stock)
x . ,, ..
I• .
x X;.
··- - .

-- Mainstay Marketfield Fund (MFLDX) (Mutual .'·


2
Fund) x x x
-- ··- .
-· ...
·- ...
3 -- Massachuseffs State Refunding Service A
J General Obligation Bond (Bond) x x x ...
.. . ..
.. . .
-·-- .,
'
4 -- Materials Select Sector SPDR (XLB) (Mutual -

J Fund) x ,...
x x
s -- Mathews Asia Dividend'Fund lnvestorClass
J (MAPIX) (Mutual Fund) x ' - x ' X '
6 -- McDonalds (MCD) (Stock)
J x ' x x x
-
..
7 -- Merck and Co lnc SHS (Stock)
J x . ... .
x ,.
x
8 -- Nevada State Highway Improvement
_, ~.;
,.. '
x x .
J Revenue Reform Motor Vehicle Fuel Tax Bond
'
. x
. ..
IRnnrl) . ,

q - New Mexico Finance Authority State


J Transportation Reri,indiog'Subordinate Lien x x x x
s,..;.,.,, A-? RnnrHRnntt\
* 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 Fonn 278 (Rev. 1212011)
5 C.F.R. Part 2634
U.S. Office ofGovernment Ethics
Reporting lndividual's Name l'age Number
Slavitt, Andrew SCHEDULE A continued
(Use only if needed) 21 of 34

Assets and Income ValuationofAssets Income: type and amoi1nt. If "None (or less than $201)" is
at close of reporting period checked, no other entry is needed in Block C for that item.

BLOCK A BLOCKB Bl.OCKC


' Type Amount
..-.. o. .
...... 0 O• "d
........
0
q
0
0
0 0
.,,.§ ...... '• • 0
o. 0
0 6 0 o· 0
.o Other Date
...... 0 0 cS 0 N 0
0 0
~ 0 Income
v.i · (Mo., Day,
<;·o . ...
·0 ' 0 {A '.
0 0 0 0 0
0 0
0 0 0 cY ... 0
"' o ' 0

-s~
!ii 0 0 0 0 (Specify Yr.)
... ... •O
Q)
v) in
0 0 0 0 0 13
-·~
0 ·in 0 ,
·p 0 0 0 0
-B 0 0 cS in 0 0 N 6'}
0 0 0 0 0 0. R 0 {A
0 vi 0 Type&
....... ~
0 cS 0 N 0
-IA
""' I
...... 0 "'~ ~
ti)
6 . in 0 0 0 6 o. Actual Only if

-~
Vl 0 '.-I · 0
....
"'"' ~-
0
-~
ti)
in" •In v) Ir) :oo
...... .-t Ii'! {A {A
cS ......I 1
0 (/) 0 cS ......I cS Amount) Honoraria
~
.-IA {A
......' ......
I
.....' q 00 0 0 0 .E; ~ ~ ~ 0 N' in ...... ~
.-I {AI ~ {A I ~-
I : Q 0
{A (/)
..... . g q
-
.....' .-;' q
0
~
I
0 0 o . .-; 0
q {A 0
0
cS
cS
Vl
"d "d "d
...,
Q) , QJ
1!l
'O "d
1::1 - ~ ....., CJ
~ -IA I I
I

...... ...... .-; ..... H . ·:o


o .-; Vl

.....' 0o, 0Vl 00 00 00 ,6 {A... 000


0 0 0 0
Ill 0 q 0 6 cS o :
0
... 0 0
{A
... fru . p,
~
QJ
~ '3 {A

a.. 0~ ~ .E
Ill
c: q I/') o· ~
z0 ..... ..... in
0 q v) QJ
~ :.~
1:
{A 6'} {A
....YI
0 VJ
N
0
:U'l
';,>)
g:
0
.-I
~
Vl N
QJ
;>
0
~
~ ~ ~ -
rd
u
1::1

0
N
~
.-; N' v) ......
{A
in 0 •,..;
in
'O
;> .......
QJ

6
-IA {A 60'} , {A {A {A {A •.v.i 0 -IA
- ,,_.. .. - ,--.,-. ·-,,
l -- New York Sales Tax Asset Receivable Fiscal "

J 2015 -Series A Bond (Bond) x 0


-- x x '
- ..
2 ~- Northern Tier Energy Class A Ltd (NTI)
.,, .. _, ,,,
·- ',

J (Limited Partnership) x x x
3 -- NXP Semiconductors (NXPI) (Stock)
J x x x
·-
4 -- Occidental Pete Corp (OXY) (Stock)
J x x x ><
,.

5 ·- Ohio State Common School - Series B Bond ._


J (Bond) x ..
x x
,.

6 -- Oklahoma State Capital Improvement - i•


J Authority State Refunding Series C Bond (Bond) x x
-····--
x
,

7 - Oppenheimer Developing Markets Fund .


J Class Y (,ODvYX) (Mutual Fund) x 1- ,
x x
il -- Oracle Corp (Stock)
'J x ,
x x
-- Pfizer Inc (PFE) (Stock)
qJ
x 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
by the filer with the spouse or dependent children, mark the other higher categories of value, as appropriate.
OGE Fonn 278 ( Rev. 1212011 )
5 C.F.R. Part 2634
U.S. Office of Government Ethics
Reporting Individual's Name Page Number
Slavitt, Andrew SCHEDULE A continued
(Use only if needed) 22 of 34

Assets and Income ValuationofAssets Income: type and amount. If "None {or less than $201 )" is
at close of reporting period checked, no other entry is needed in Block C for that item.

BLOCK A BLOCK B BLOCKC


' Type Amount
I• ·'
~ 0
...... 0 0 'O

. 0
q
0
0
0
q c:5
0
u..
§ ....
~

0
0
0
.... 0
0
0
o· 0 0 .... N
0
0 0 Other Date
IA
i::: 0
0
0
0
·0
0
0
0 0
c:5 ... 0
0
0
0
c:5
i::
Q)
IA
0 0
g g Income (Mo., Day,
ro 0 0 0
0
0I/') c:5 q
0
0
Vl .Vl 80 13 "'
Q) i::
ro 0 0 ...0 0 (Specify Yr.)
8 .,,
0 v) ·p 0 0 0 0
£ q0 c:5 0c:5 0
0
.,, .,,
N IA .... t;; -5 0 0 :o 0 c:5 q...... 0 .,,v) 0 Type&
' 0c:5 "' :l
(;jq c:5 0 .,, 0 0
"' ......
~
Vl
"' .,,IA
......
.
I/')
IA
N Vl ......
I
IA
' ......
o·0
I
;....,
q
IA

~ f-
0
..."' E-<E· i:x: ·;;;"'r::: ~"'"' & IA
Q)
Vl
N e
v) ...... .,, .,,
.,,
V) rl
c:5
0
0 V)
......'
0
c:5
0
Actual
Amount)
Only if
Honor arla
.,,
I I. 0 .-1
0
......
I
..... .... o. 0 0 0
0 : · ; ! "' ...... -IA'. ..... o_
I

~
0
..... ..... ' · ..... .... . .....0 8 · .,,...... I
I-< 0 "C "O 'O CJ I-< '
c:5
.... ! al ·V - G i::: ....
I
0 0 ...... c:5 0 I
v)
.3 ..... 0 0 0 0 00 IA c:5 0 .... 5 V) QJ
'@ .3 ' ..... ....
I

'O .... ~
ge
ro 0 0 IA
q 0 •o c:5 o' I-< 0 0 0 VJ
QJ
QJ0 .o.. 0
...... q 0 0 0 0 o· :u. 0
~
QJ
o· q I-< ·v I-< I-<
c:: o. ii! ·:;: c:: q
z IA
Vl
0 ..... .,,
...... 0
...... V)
V) N
IA IA IA IA 0
0
V) >
0 QJ
...... .,,
IA
v)
IA ~ ~
v) 'N
u .
i5 i:x: ·S u z
..
i::: 0
0 N ..... N
"?. 0v) v) V)
IA IA IA
QJ
QJ
..... 0
.,, .,, ~ .,, s 6 .,,...... >
0
QJ

··-· ... - ' .


1 -- PHLX Housing Sector (HGX) Stepup Issuer ·- - 11
J Bank of America (Notes) x x
2 - PHLX Housing Sector Index (HGXJ -- -
Autocallable Stepup Notes Issuer Bank of x "
x x
Amli'rir.;i fMI Pl H) fNntP.~) --- ·- ·
3 -- PIMCO All Asset All Authority Fund (PAUPX)
J (Mutual Fund) x I' x ·' x
I' -
···· -
4 -- PIMCO Emerging Local Bond Fund (PELPX)
J (Mutual Fund) x x· x
5 - Plains All-American Pipeline LP
J (Partnership) x x x
I

-- Po\verShares· FTSE RAFI Dvelopment


6
.
J Markel.s·exUS Small Mid Portfolio - ETF (PON)
IM11h1~I Fttnrl\
,, x x

x
7 -- PowerShares FTSE RAFI US 1000 Portfolio ·-··
J (PRF) (Mutual Fund) x x !
x
8 -- Powershares FTSE RAFI US 1500 Small-
J Mid Portfolio (PRFZ) (Mutual Fund) x x x
, - -

q -- Principal Global Multi-Strategy P Fund


(PMSPX) (Mutual Fund) 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 ls either that of the filer or jolntly held
by the filer with the spouse or dependent children, mark the other higher categories of value, as appr opriate.
OGE Form278 (Rev. 1212011)
5 C.F.R. Part2634
U.S. Office of Government Ethics
Reporting Individual's Name Page Number
Slavitt, Andrew SCHEDBLEA continued
(Use only if needed) 23 of 34

Assets and Income Valuation of Assets Income: type and amount. If "None (or less than $201)" is
at close of reporting period checked, no other ehtry is needed in Block C for that item.

BLOCK A BLOCKB UtQCKC


,. I•"
·- -
Type Amount
.
....._ 0
,...; 0 o, 't:l ,....
g . 0
-
0
0
0
.0
0
o"· µ..
§,
.
,...;
0
' :O l
0
0
Other Date
,..;
~
0 0 0 N :o 0
0 0 0 Income

]
{I)
0 0 0 0.. 0 0 {I'}
o· 0 (Mo., Day,
g 0
0
0
0
0
0
o" o"
0 0
0
0
...0 0.. l/")
o"·
0.. l/') 0
0 "'
Q)
-::l ~ 0
0
0
0
0 0
0
'o" ... .o
0
(Specify Yr.)
fl 0 0 0 l/') 0.. 0
II)
N fJ')
0 to; t;
..c:
.... 0 0 0 0 o" .q
0
0
v) 0 Type &
o_ ·o 0 ~
~
0 0 61}

e 0 0 0 Only if
fJ')
0 N l/") ,..; 0 I
0 .0 0 ' ,..; 0 Actual
....... ::l o . "?. 0 .....
"'"'
-~
Vl
v) ll'l" 0
""'q0 ' 00 ....
V) II) . 61} I
fJ') {,<)
o" I
"' ..... .. ,
{I)
0 ' Amount) Honoraria
119
~ vi 61}
...... v;
""
fJ') N
~ 0..
..-( ,..;
~ ~
,...; 0
I 0 £-- E-< 0
.....' q
I
&; i -. ..... 0 er. {I'>
q
1--< ,...;
I
..-( 0
0
o - V) "Ci :'d "Ci "O (.!)_ .... v; fol!
--. - '
I .
..... q 0
.s. ......0
I
0 0
,..; ·o
0
0
0
·o · ...... 0
q fJ') 0
0
0 o·
0 v;
....., ., ....
"O
Q). Q) CQJ
"IJ::"
s:: .g .... 'iii .s. ......' ..... .....' .....
0
..-(
0
0
0
,..;
v; o"
0 l/")
{I'>
0 0 0 0 0 0 p..
3'· u "' ....
"O ._, ....
Q)
Q)
' 0 0 0 0 0 0 0
!

:~ ....
Q)
Q)
0 .... 0.. ,...;
·a o_
§ q
1--< 1--<
v) 0 .o . V) I/').- Q)
c:
:~
0 II') 0 0
v) 0
8 ~ -- &'.i q ~
0 u El 0
~ v; 0 Q)
...... ..... .....
z ..-(
v;
..-(
El}
V)
fJ')
. .-i
·.vf
N
{I)
l/")
fJ')
•.
0
...... ·
.
v) .N
{I'> Y) • Cl M .E u
N
z0 N
~.. &;
·-
N"
fJ')
v)
v; fJ')
V)
v; (#)
-
6 ·v;,....;- 0
.
.
,.
~, .

1 -- Procter & Gamble (PG) (Stock)


J x .. /
·'· x .. x x .
. - .. . . ..
2 -- Proshares Short 7-10 Year Treasury EIF
J (Mutual Fund) x x ,.
x - 0

.. '" -
3 - Prudential Muni High Income Fund (PHIZX) " ;
J (Mutual Fund) x . x .. . 'X ,,
..... ...

----- -- -- - .... .
4 - Qualcomm (QCOM) (Stock)
J x x x x : .•

··--· --·· ·=·· , ... · ··- .. .


.. .. .,..
- RS Floating Rate Fi.Jnd (RSFYX) (Mutual ·· ··'
5
J Fund) x x x~
6 -- RS Global Natural Resources Fund
J (RSNYX) (Mutual Fund) x x x
7 - S&P 500 Accelerated Return Noles Issuer
J Bank of Amerk:a (Notes) · x .
x ,x
.. . .

8 -- S&P 500 Accelerated Return Notes Issuer


J Credit Suisse (MLHKA) (Notes) x x ..

q -- S&P 500 Capped Leveraged Index Return


J Notes Issuer Bank of America (Notes) 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 flier 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. 12n011)
5 C.F.R. Part 2634
U.S. Office of Government Ethics
Reporting Individual's Name Page Number
Slavitt. Andrew SCHEDULE A continued
(Use qnly if needed) 24 of 34

Assets and Income ValuationofAssets Income: type and amount. If "None (or less than $201)" is
at close of reporting period checked, no other entry is needed in Block C for that item.

BLOCK A BLOCKB BLOCKC


i Type Amount
; •.·
,...., 0
...... i 0 0 "O ,....,
0
q
0
0
0
0
0
cS
§ .-i 0
0
0 0 Other Date
..... 0
cS ci
0 ..,
ri.
N 80 0
(fl
0
0 0 8 0 0
5
(fl
ci Income (Mo., Day,
c: 0 0
0
0 .. vi'
0
0 cS 0
0
q o· 0
§· .., .... "'
QJ ; 0
0
0 g ..0 0
0 (Specify Yr.)
"' q00 600 ci
'5
cS
VJ 0
0
ci o.
0 0
0
..... 0
I/)
N
VJ
(fl
0
0
"' "'
·.:i
;9 0 0
0
0
0
0
q cS ci
0
q 0 : vi'
0
0 Type&

} 0
(fl

~
0 (fl 0
N
...... (fl
I/) I
ci QJ 0 0 ...... 0 (fl 0 Actual Only if
"' I/)

$"' ..... (fl


I/)
(fl
(fl
cS (fl
......
I I .-i 0
~ ~ '"'
.s ] 0
q
I/)
N'
0 I/) ...... (fl
VJ
..,) ...... (fl ci ...... ci
I
Amount) Honor aria
§8
I (fl
0 I I 0 I 0 0
...... ...... 0 ..... ..... q 0
(t)
......
·~
0 (fl
i-.
I ...... I
0 'O
<ll
"O 'd .... (fl (fl
I I
...... q 0 q
~ "O
c: ~ · .... 'c;j ,£ ii')I ......I ......I .......I .....
g ci ...... 0 ...... 0 I/)
I
,£ ..... 0 0 0 ...... 0 VJ
~
QJ

o.
0
0
0
0 0 0 (fl
0
0 (fl .....
0. s ~ ...,
~
<I)
..., QI ..... 0 0 0 o0 . 00 00 (fl 00 (fl
~
0 .
q I/) cS 0 ci cS .....
QI
c: i-. q vi' ~ ·a s:: 0 o. VJ 0I/). vi' ci 0 q ~

<IJ.

z (fl (fl
0
0 ..... ...... I/) ..... N
(fl
I/) 0
(fl (fl
II')
V)
0
...... I/) N >
(fl (fl (fl
---
0 ~· ~ § .~ 5
Cl i:=:
..., .
.s 0 N ...... N'
u"' z (fl ( f l ( f l (fl (fl (fl
...... VJ .-i
{,I'} ~ ...... >
(fl 0
l -- S&P 500 Capped Leveraged Index Return
J Notes Issuer Deutsche Bank (MLHJP) (Notes) x x 0

. - ·-
2 - S&P 500 Capped Leveraged Index Return
Notes Linked Issuer HSBC (Notes) x .-
x x
·-·
3 -- S&P 500 Lookback Accelerated Return -·
Notes Issuer Bank of America (MLGVL) (Notes) x x x
'.
4 -- S&P 500 Lookback Accelerated Return "
Notes Issuer Bank of America (MLGVU) x x x
(NnlP!>\
5 - · S&P· Oil & Gas Exploration and Pr!l'duction
JSelect Industry Index Stepup Notes Issuer Bank x x
, nf Aml'>rii'..::i IMI 7HN\ INnf P.¢\
6 - Salt River Project Arizona - Agricultural
J Serles B Bond (Bond) x x x
7 -- Sarasota County Florida Infrastructure Sales
J Surtax Revenue Refunding Bonds (Bond) x x x

8 - Schlumberger Lld.(SLB) (Stock) - ..
J x x x x
- Schwab Fundamental International Large
qJ
Company Fund (FNDF) (Mutual Fund) x x ' x
* This category applies only if the asset/income i s solely that of the filer's sp ouse or dependent children. If the asset/income Is either that of the filer or jointly held
b y the filer with the spouse or dependent children, mark t he other higher cat egories of val ue, as appr opriate.
-··
OGE Form 278 (Rev. 1212011 )
5 C F .R Part 2634
U.S. Office of Government Ethics
Reponing Individual's Name Page Number
.Slavitt, Andrew SCHEDULE A continued
;
(Use only if needed) 25 of 34

Assets and Income ValuationofAssets Income: type and amount. If "None (or less than $201)" is
at close of reporting period checked, no other entry is needed in Block C for that item.

BLOCK A BLOCK'B BLOCKC


Type Amount
,...... 0 1:
...... 0 0 'tl ,......
~
0 0 0 0 ...... 0
q g 0 0 cS 0 0
Other Date
......
O:
0 0
0
cS cS
0
0
0 ~
N
{ti)
:8' q
Income (Mo., Day,
t

"'; 0
0 0.
0 0 0 0 cS
i::
80
0 · 0
~
0
s .... c:: c5
0 QJ
0 0 . 0 o' c5
0
·8 8•
0 V')- Vl 0 0
..., "'
Q) 0
•8 (Specify Yr.)
'5 q 0 0 c5 IJ'l
c5 0 N 0Vl ~ 0
v)
61')
N
(A
{I)
' - 0c5 ~
'.P
~
.9 0
0
0
0
0
0
q .,.,
0
0
c5 0......
0
c5 q...... Vl
0
0 Type&
"' ~- c5 "'
0 0 0 Actual Only If
"'"' ..... Vl 0
..,
~
:I
Vl
......
Vl · ~ &o lo')'
c5 ......' ' ...... 0
~ ~ 0 "'
Cl) 0
N" v)
Vl ' 61') c5
I
Amount) Honoraria
' q0 q0 0...... ......
61') . 61')
~ 0 q ...... ~ 0 ...... 0
.... 61')
......'
I
,....; ..-, 0 .cl. "O
p:;
..,..... (I)
(I) I 0

..s I ......' '


,....; 0 0
o" V') 'O "O
.... C!)
..s ......' . ......
.... "' (I)

......' ......'
...... o. 0
~
0

a
0 I
0 0 ......
......' ....' 0 ...... vi
~
~
"fil OJ
o . 0 ·o : 61') 0 c5 "' ...
,....; 0 0 0 ";
~
0
0 0 0
g 0 0 0
61')
.... p;
fr OJ 0
.,., 0 v) 8 0 ~
(I)'

....
~
c5 . .
q
......
v).
....
iL')
c5
V') .... IJ'l
N
8
V') ~
q 0
...... vi
vi"
N ~ ~ ...., g. §
~
&S . ~ a ~ ~ .E u z
q
..,.... 0
N
0
N'
0
.,.,- ...... c5
Vl
0 c5 ....
....
0
0
0
~ ....;- ;;..
OJ
61') {ti)
0 0
""
61') 61') {>? 0 {A {A {I) 61') {,,<} 61') &o, {I;) 0 61')

l -- Scripps Network (SNI) (Stock) t

J x x x x
2 -- SK Telekom (SKM) (Stock) '
.J x x x
3 -- SPDR S&P 500 ETF Trust (SPY) (Mutual
J Fund) x t
x t
x
4 -- Templeton Global Bond Fund (TGBAX) It
J (Mutual Fund) x x x
-- The Oakmark International Fund (OAKIX)
..
5
J (Mutual Fund) x x x
-
6 -- Third Avenue Focused Credit Fund (TFCIX)
.J (Mutual Fund)
... ,...
x x x
7 --Third Avenue Focused Credit Fund
Institutional Class (TFCIX) (Mutual Fund) x x x
8 -- United Parcel Svc CL B (Stock)
J x x x x
-- United Rentals (URI) (Stock)
"J x x x
* This category applies only if the asset/income is sol ely that of the filer's spouse or dependent
children. If the asset/income is either that of the filer or join tly held
by the flier with the spouse or dependent children, mark the other higher categories of value, as appropriate.
OGE form 278 (Rev. 121201 I)
5 C.F.R. Pan 2634
U.S. Office ofGovemment Ethics --

Reporting Individual's Name Page Number


Slavitt, Andrew SCHEDULE A continued
{Use on.l y if needed) 26 of 34

Assets and Income ValuationofAssets Income: type and am:ottht. If "None (or less than $201)" is
at close of reporting period checked, no other entry fs· needed in Block C for that item.

BLOCK A BLOCKB llLOCKC


Type Amount
0
.....
~

0 0 "CJ
0 0 § ~

~ .....
0 0
0 0 0 µ.. 0
..... 0 0 0 0 Other Date
""'
0 0 g c5 0
0
0
0
....c: N 0 0
0 Income (Mo., Day,
0
0 - 0
0
0
0
cS 0 q 0 Q) ""'c: c5
0 0
.. 0

~
0 0 0 o'
0
g !:, 0 0 "'
Q) 0 0 (Specify
0 Yr.)
~
Vl Vl
0 0 0 Vl -~ 0 vi N (I), _. 0
0 13 .... .... •.::j
.... 0
0
0
0
0
0
q 0 ,q 00 ,,..,-
0 0
vi 0 Type&
0 c5 0 N II) ..... 0 ""'I ' ..... 00 "'~ ~ q 0 o - ..... 0
0 0
c5 ..... ""'
~ ~-
0 0 Actu al Only if
vi II) .....
"' .....
- "' ]"' 00 II'?. Vl II) ..... {,") 0
0
""' ,_., ft) Vl : I . 0 ' ' 0
.... ""'
~
~ ft) ...... 0 0 c: Amount) Honoraria
.0
""'
. ,_.,I ""'' 0 ......0 8 0 00 00 c5
' I I 0 ~ lN vi ,,..,
.....; b? ""' I I I '.-< 0 8o -: 0vi'. 0
~ "'
.
0
,£ ..... 0 ....
c5 .... b')
M
.... "CJ "CJ
0 1f) ,_, ....
"CJ
c: .... ~ ,£
~ ,. .....' ;...;' r l :r"""1 ...... .......
..... . q0 0l/") 0 00 q0 8
l/") Q) Cl)
0 0 0 Vl 0 c5 Cl) ,'§
c5 Vl
0. 0. ~- - "CJ
0
Qi 0 0 0 0 0 ctr. 0 0 0 ....
Q)
.... "' Cl)
0 0
""'
....
c: q ~-
~ ·a c:
~
0 vi 0 0 Vl .O · q vi Q)
> ..,, q ~ q
;@ ~....... ..... Vl N ....
II') ..... l/") N ~
Cl)

0 ~ l.tl CJ Q ~
~ er -i::
Cl)
u z
0
.s vi 0 - 0
0 N , ..... N' Vl ..... Vl l ..... > -.i .: >
v.1 : ,,,.., 0 0
Cl)

""' ""'
(A (I) fl')

""'
{;}
"'
6').: {;}
-- ""' ""' ""' """"
.,
1 -- UnitedHealth Group Inc (Stock) '
J x x x
-
2 - Utah State Recapitalization Revenue Bonds
J Series 201 OB (Water Resources) (Bond) · x x x
-
3 -- Vanguard Emerging Markets Stock Index
J Fund tyWO) (Mutual Fund) x •·, .x 1:
1:
x i

4 -- Vanguard Intermediate-Term Bond Fund


J (BIV) (Mutual Fund) X. x x
5 -· Vanguard Small Cap Growth ETF (VBK) - -
J (Mutual Fund) x x x
6 - Vanguard Tota! World Stock ETF (VT)
J (Mutual Fund) x x x
-·Verizon Communications COM (Stock) -·
7
J x x x '
- ..

8 -- Wells Fargo Absolute Return Fund (WABIX)


-- --
J (Mutual Fund) x x x
q _ -- Western Asset Adjustable Rate Income Fund
J (SBAYX) (Mutual Fund) x x x
* This category applies only if the asset/income ls solely that of the filer's spouse or dependent children. If the asset/income Is either that of the filer or joint ly h eld
by the flier with the sp ouse or dependent _c hlldren, mark the other higher categories of value, as appropriate.
OGE Form 278 (Rev. 1212011)
5 C.F.R. Part 2634
U.S , Office of Government Ethics
.. .
Reporting Individual's Name Page Number
Slavitt, Andrew SCHEDULE A continued
(Use only if needed) 27 of 34

i Assets and Income Valuation ofAssets Income: type and am.ount. If "None (or less than $201)" is
at close of reporting period checked, no other entry is needed in Block C for that item.

BLOCK A .. BLOCK_B J3LOCKC


Type Amount
-- .
:
~ 0
...... 0 0 'd :

~
~
0 : 0 0 0 ...... 0
q 0 :l
...... 0 0
0
0
0
6
0
0 8 ..
0
N
'o
0
0
0 Other Date
v; 0
80 0 0
0 ... 0
0
0
0
0 5 &;-
0 0
Jo
0
0
Income (Mo., Day,'
s"' ....
0 0 II)
~ 0 0 q 0
0
q vl v;
V) 0 Q) . ~ 0
O · 0
0 ·o·- i<0 :o 0 (Specify Yr.)
fl q0 0 0 0 V) ' 8,....;- 0
0
V) N
0
q ·.::i
.s .. :
0 0 0
0
0 0 0 :vi· 0 Type&

~
0 v; 0

l q ql() If) ....... :,....;-


v; 0
0 .N
...... v; If) 0 0 ~ ·· "'
I o .· 0 0 0 q v;I 0 Actual Only If
"'"' 0 ~I ......I ......
-.9.
"'"'Q) Oq • ('V), f V»
::1
v;
.s"' v;'. 0 6
V) If)
......
~ v;
v;
I
(;')
t
.......
I ""'......
I 0 0
0
0
0
q 0.. 00 o .. 6 'd 'd
.Et ~ <I)
~ .:
v; v; v; ...... v; &;- t 0 ...... 0 Amount)
q 0 q
Honoraria
...... ......' 0 .-< H .. I I
'd "O 'd .H
.9. ......0 I
0 0 :0
0
0
0
0
,....,
0
0 V)
0
Q)
0 v; ~
Q)

!El al ......~ "'.... .....


Ci!
....
...... v; ' I
, .. :o...... ......I ......' ......
0
...... 0 ...-< 0 V)
o . O ' v; 0 v;
""'....
l
0 0 0 Q)
o. 0 ....Q) 00 ....
Q)
i::l 0 vl 0 0 08 0
0
0
0
vl ..... °' a 15
<I)·
td ] l'1
Q) ~
1:1 0 :. q V). o :
0 0 0


<l)

°'
Q) C)
...... V) 0If)
~
,....;- 0 0
b ~.
,....;- ...... ...... 0 N _ ...... N' If)": ...... l.l"l ...... ,....;-
~ b
in" N <'l .
v;
V)
v; v; .·w N (;') {l.f 00 v; v; ~ .s r..J z <>'t:: v; v; v;
-·-
v;

v; !.') , 6 v;

. . .. ..
1 -- William Blair Macro Allocation Fund ; . .
(WMCIX) (Mutual Fund) x x x '

··-
2 - Zimmer Holdings Inc Com (ZMH) (Stock) .
J x : x x x . __.
..
.. , -· : .. ·- ·, ··- ··-
3 Merrili"Lynch CMAM Pledged Acct (Brokerage
Acct.) --
' ..
.·. I'
••
--- ,,
4 - Merrill Lynch Winton Futures Access LLC .
J (Hedge Fund) x x ,: x
..
'
5 PowerShares QQQ Trust Units ETF (QQQ)
J (Mutual Fund) x x :, x
6 Promissory Notes - EnerAIHes (Convertible ..
Notes) x x ..

·- ,,
7 Reta il Properties of America REIT (REID
J x x , X
8 Stlfel Investments (Brokerage Acct.) ·' · .

. ·.. .. . ·- 1:
-- Enterprise Products Partners Limited :·
·'
qJ
(Partnership) x x x .-

* This category applies only if the asset/income ls solely that of the filer's spouse or dependent chlldren.
If the asset/income ls 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 Fonn 278 (Rev. 1212011)
S C.F.R. Part 2634
U.S. Office of Government Ethics
Reporting Individual's Name Page Number
Slavitt. Andrew SCHEDULE A continued
(Use only if needed) 28 of 34

=
Assets and Income Valua tion of Assets Income: type and amount. If "None (or less than $201)" is
at close of reporting period checked, no other entry is needed in Block C for that item.

BLOCK A BLOCKB BLOCKC


Type .... Amount
I . ·- · ··· -

....
~

0
0
0 'O
0
q
0
0
0
q c5
0 § I
::i' 8!
""'...
0 0 0 0 Other Date
...... 0 0 0 0 N 0 O '
8 c5
I>'}

a<U 0 g 0
0
0
O ·

c5
0
0
c5
Ci
0
0
0
0
111·
0
·o· 0
s!
1ii
"'
Q)
~

~ 0
0
0
0
c5 § 0 (Specify
•00 ..,.
Income (Mo., Day,
Yr.)
-s B. 0 0 V)
0 0
0 0 vi N
' V)

.:"9,
0
0 .,,. ...
. 'l:l
f3 0 0
0
0
0
0
0
0
0
q vi 0 Type&
0
~ .... 0
.E - ~ ~
q 0
·~ ...... 0 I ....
6') 0
0 N
~
0 0 0 Actual Only if
Q)
0 >-
' ,D 0 .
V) 0
"' ...... "' "!.
·~"' ~"'
~ o· 0
0
c5 ....' c5 Amount)
V) I>'}
...... .... ....
~ .--<
~"' rl ~ ~
' 0
0 0 N vi
V)
.Vl
ii') f;I'}
ii')
Honoraria

....0 ....00' q 00c5 &


I I 0 i::i::
... I
I>'}

,£ ..... .... ....


I ...... ..... ..... q 00 0 oO
I

0 .... 0 c5 l/l 'O 'O c5 "d "'a


'O -0
... <!! ...
......
~
6')
.,
ii') Eol"I I I
0

s'(;! •;> ...~ ~ ... c ...... ....q


I

0 8 0
0
8. 0
q 0 ~ c5 0
fl ~
c5 ·o0 ~ ·O. 0.
Q)
Q)
"d
(;! ,£ I
0
..... ......
0
I .--<
0
rl
~
...
V)
~

~
q vi c5 00 l/l 0 q 00 vi 1il · Q) QJ 0
Q) 0 0 0 0
&- a ~ .E... u~ z
0
..... .... .... ' 0 1il ....... c QJ 0 V) 0
.,.,· vi c5 1il 0 Q)
~ ~
l/l
&<) ii')
N l/l >
~
..,
~ 0
vi >·
~~ J,.q~
~ 0
0 N
~-
rl
~
N'
~
-
V)
...... lJ")
~
-
~
~ > ...... >
ii') 0 f;I'} 0
l - Goldman Sachs Depositary Shares Floai '. '. ..
J Rate Non-cumulative Preferred Stock Series D x ' x x x
m~·m l~tnr.k\ --
.
-- Marf<West Energy Partners (MWE) ·'
2
J (Partnership) x x ' x
3 -- Morgan Stanley Dep Shares Preferred
J Series A (MS'A) (Stock) x 'x x
-

4 -- Starwood Property Trust (S1WD) (REIT) I

J x x x
5 -- Vascular Solutions Inc (Stock)
J x x .X
6 -- Williams Cos Inc. Del (WMS) (Stock)
J x x x x
- - -
Strategic Storage Trust, Inc. (REIT) - · -- ' -·
7 !

J x x -: X
8 The Oakmark Select Fund (OAKLX) (Mutual
J Fund) x x x
'
United Techs Corp Com (UTX) (Stock)
qJ
x x x x !

* Thls category applies only if the asset/income ls solely that of the filer's spouse or dependent children . If the asset/Income ls either that of the flier or jointly held
by the filer with the spouse or dependent children, mark the other higher ·categories of value, as appropriate.
OGE Fonn 278 (Rev. 12/201 l)
5 C.F .R, Part 2634
U.S. Office of Government Ethics
Reporting lndivl duai's Name Page Number
Slavitt, Andrew SCHEDULE A continued :

(Use only if needed) 29 Of 34

·- ·

Assets and Income Valuation of Assets Income: type a~d amo9nt. If "None (or less than $201)" is
at close of reporting period checked, no othe1~ entry fa needed in Block C for that item.

BLOCK A BLOCK B BLQC_K C


..
Type Amount
..
,...,
~ o· "O
0 0

~...
0 0 0 o - ~

...... . 0
: q o: 0
0
0 cS 0 0 0
Other Date
...... o· 0
~
0 0 ·q; cS cS 0
0 o ·
N
~I :
0
q c:5 Income (Mo., Day,
0 0 0 0 q 0 .0 .,, . al 0 0
o: ...

-
0 0 0
. ~ o·
0 0 0 c:5 cS
0
O• 0
0 11) 0 !3 I "'
Q)
';:l 2 0
0
0
0
0
.0
0 ...0
·.0,,- 0
(Specify Yr.)
fl
"'"'
,,.,
0
0
0 ......
0
.Vl
cS 11)
N
~
0
11)
&')
0
Ji
0
0 ~
'° N
~

0 .....I ......'
~
I
..... cS
0
0
"' ;"'j "'
~ · ~ .ee.
Q)
.... ';;l
~
: £
"' ~"'"'
0
0
O · 1/)
o :
0
0
.,,- ......
0
0
q 0
11) 1/)
0 o' q
....
0 ......
0
.,
0
0
0 ......, :06
~
.. 0
0
Type&
Actual
Amount)
Only if
Honorarla I•

·~ ...
~
...... ffl ~·
.I I ·I 0 0 0 ,.. P:: 0 N' 0 .&')
0
.... ~
.......' ......' ...... .-1 ·o
~ 0
q 00 o'
0 0
6 "'a ~ &')
~ &'l ·
.-1 q
......' 0 ...... 0
I 0
,,.,
0

fr ~ "> .....
'ti 'd

Ill
a
0
I
.£ ...... 0 0 00 q0 ·q,,
0 0 0
o · 011) ;o
.....<' 0
0
0
o · .... 0 00 11)'•
6 g
1/)
&') 2:l
fr
] "O
Q)
Q)
'd
"'
.... ';;l .£
~ ..... '
..... p .....
<!)
. 0

0 - q u,: 0
0
I
...... ...... ......' ......
I

0
0
0
0
0
0
0 ... q
ffl 0
0
{,I')
...Q)
- '° c:5
~
0 &S . J1 ~. Q ~
....~ ·R,
0
6 0
u
'°{,',) ~ ·0
......
Q)

z
0 ...... ...... II') r l
~ ~ ~ ~
N
{,I')
.....<' 1/)-
1/)
:~
:>
0 ~ &')
N
0
i
:m
.E .u ~ ffl ~ ,.,.
N : ...... N' vi' .....
~ ~ ffl
...... If)
0
:>
. .

Oldlnal)I
l UnitedHealth Group (Exercised & Sold) ' ' Income
(Restricted Stock. Units) x ' : $2,193,609
'
z UnitedHealth Group (Exercised and Sold) ' - O!ll1n•l)I
(Stock Option) x : ·. .'
I: _,
lncom~
$1 ,490,046
--
3 UnitedHealth Group (Exercised and Sofd) . Ordinary
Income
(Stock Appreciation Rights) x : I• $3,122,004

-.
4 UnitedHealth Group (UNH) (Stock) ;
II
J x ..
:
x x
. ....
:
I
..

5 Vanguard Tax~Exempt Money Market Fund .. . ·- ·- ·· ·

J (VMSXX) (Mutual Fund) x x x .:

6 Wells Fargo Account (UTMA) (DC2) (Cash •.

D
Accounts) x x ..

I•
7 Wells Fargo Account (UTMA) (DC1) (Cash .

D
Accounts) x x '

8 Wells Fargo Accounts (Cash Accounts) ·'


~

J x !:
x x
·;

Capella Education Company : \..oompen$<iuan

" -····
$252,613

* This category applies only if the asset/income is sol ely 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 Fonn 278 (Rev. 1212011)
5 C.F.R. Part 2634
U.S. Office of Government Ethics
Repor ting Individual's Name Page Number
S lavitt, Andrew SCHEDULE A continued
(Use only if needed) 30 of 34

Assets a nd Income Valuation ofAssets Income: type and amount. If "None (or less than $201)" is
at dose of reporting period checked, no other entry is needed in Block C for that item.

BLOCK A BLOCK B BLOCKC


Type Amount
,.... 0 i
..... 0 0 "O : ,....
~
0 0 0 q ..... 0
q 0
0 0 0 0 0 0 Other Date
...,..... 00 0
0
0
c5 c5 0
0
0 d
N
&')
0
0 ~ Income (Mo., Day,
·o 00 8 00 c5 ... q 0 0 c5 Q)
~
0
c5 ... . .q 0
~ 0 0 0 c5 c5 .,; ...,
l/) 0
8 ... ... -p ~ 0
0
0 0
0
0 0
(Specify Yr.)
c5 tn 0 $. 00 &')
0
€ 00 c5 0 l/) N q .... '5 0 00 00 0 0 q 0 .vi
c5 .... l/) 0 Type&
.,; ,...
0 N l/) ..... 0 &') I ~
,... 00 > ~ "' ~ 0 c5 ....
0 8 0 Accual Only If
~
.... (;') ..., 0 &')' &') c5
"'"' &')
V)

. I I
' I

0 0...... .... 00 0 .s i:: ~ ~ "' ~"'"' $. ...,


~
"l 0U'l~
N
vi'
rl &') ...,
l/) &')
,.....' c5
0 g 'O '
Amount) Honoraria
... ..... r l 0 ......0 ...... rql 0 0 c5 c5
I ...... 0 "'Q "O +-' .(,!) ... V)..... (;') &')
' q q
.... .... ·o......
I I
"O "O "O "O
I
.9. r l ~c 0 0 0 8 (,'> c5 c5 0 VJ ~ .... !fl ti) Q) Q)
~ "' ~ .9. .... .... I I
.....'
0
...... ...,
....: g ...
ti)

~ ..,
I 0 0 0
Q) 0 0 0 c5 r::5 c5 ... 0o~ 0 0 ... Q) Cl. Cl. ~ .... Q) ..... 0 0ti) 0 q 0 c5
i::: q .,; c5 0 U'l
...... ..... ti) .... N
~ &') (I'} ..., {;'t &')
0 .,,
Q) o~
..., b {;'t.... ...,
U'l ...,
N
U'l~

~
0 ~ l>.l
Q)

~
';;!
:~ ·i::
e
Q · ~ .E u
Q)
+-' ~: z0 2
i:::
V)
r-.f, 3 q
ti)
l/) c5
..... ...,
tn ....0 ~. q
..... 0~
> ...,
0
&')
""' V) {f'I I.I')

Sa1ary PIUS
1 UnitedHealth Group borMJs
$2,303,158

'
4 .

s
- -·- -·
6

' '

-
8

q I
. .. -

* This category applies only if the asset/ income is solely that of the filer's spouse or depend ent children. lf the asset/ income is either that of the flier or join tly held
by the filer with the spouse or dependent children, mark the other hlgher categories of value, as appropria te •
.. . . . .
OGE Form 278 (Rev. 12/201 1)
5 C.F.R. Part 2634 Do not complete Schedule B if you are a new entrant, nominee, or V ice Presidential or Presidential Candidate
U.S. Office of Government Ethics

Reporting Individual's Name Page Number


Slavltt, Andrew SCHEDULE B
- I -
31 of 34 I

Part I: Transactions
Report any purchase, sale, or exchange Do not report a transaction involving None O
by you, your spouse, or dependent property used solely as your personal
children during the reporting period of any residence, or a transaction solely between Transaction
real property, stocks, bonds, commodity you, your spouse, or dependent child. Type (x)
.
Amounl of Transaction (x)
.
~§: 0i'80 - 80 Ci
futures, and other securities when the
amount of the transaction exceeded $1,000.
Check the "Certificate of divestiture" block
to indicate sales made pursuant to a ...,.. .. Date
(Mo.,
'8
'
.-.Q
'0
~o
-(0
'
... 8 8~
.o
... o 8 oo
0
""0
qo_
g§ 88 t§ -.a ' 0-
.,:!!
· o ~';l
~~ ~~ og ...C).c5oo §8
a
Include transactions that resulted in a loss. certificate of divestiture from OGE.
~
<=
ta
Day, Yr .)
§o 0 ,0
.vi ~~ a8
......
g.~
qV{ qq, ~~;>.
~. ..
~ OVI V>O 0 • VlO
~vi
o~
V')t\f
~;j
"' ~ """' ~~ ;;;iCJ. $~ u:a
N II>
ldent:lflC:ntion of Alise ts a.
"'""" V>I'>
""""", YIY> '~·~, "'"'
V>;il

Example I CentralAirllnesCommon X - 211/99 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
by the flier or jointly held by 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 deh:ndent child~en, report the s-ource, a ·15rier,descriir .the U.S. Goven:ill)ent; giv1m to your ~gency in co.nn_ection with official travel; I;
ti on, and the value of: (1) gi (slich as tangible items, transportation, lodging, receivc;:d fr:om refativ(:~~ received by your spouse or-dependent child totally
food, or entertainment) receive_d from 'Me SP]Jrce totaling m'<:>~ !llan $350 and lod!ceni;lent o~ theit rel~tionship to yQ:u; or, provide~ y1s pe,rsonal ~ospit~Jity at
(2) travel-related cash reimbursements received from one source totaling more the oner's residence. Also, for purposes of aggreflltmg gifts to.detennme the
than $350. For conflicts analysis, it is helpful to indicate a basis for receipt, such :total valiiefroln .onc.soUrce,-exclude i1cm1sworth. 140 or less. See instructions
as personal friend, a$e'il.cy approval under S U.S.C. § 4111 or other statutory for other exclusions.
authority, etc. for travel-rela1ed gifts and reimbursements, include travel itinerary,
dates, and the nature of expenses provided. Exclude anything given to you by None 0
Source (Name

Examples rnnkJones,
- -- San- - - CA
and Address)

; ~at' I Assn. of Rock Collectors, NY, NY


Francisco. - --- - - ·-
._ ___ _______ ___ ____ ____ __ ____ ----
Airline ticket, hotel room & meals. incident...._
.

leather briefcase (personal friend)


Brief Description
_.. 6/ 15/99 (personal
to national conference ._...._,_activity
. unrelated
......., to
....._.duty) ........_
Value
ssoo
S38S
1

5 '
OGE Form 278 (Rev. 12/2011)
5 C.F.R. Part 2634
U.S. Office of Government Ethics
Reporting Individual's Name Page Number
Slavitt, Andraw
SCHEDULE c 32 of 34

Part I: Liabilities a mortgage on your personal residence NoneQ


Report liabilities over $10,000 owed unless it is rented out; loans secured by
to any one creditor at any time ('.ategor)' of Amount or Value .M
automobiles, household furniture
during the reporting period by you, or appliances; and liabilities owed to
your spouse, or dependent children. certain relatives listed in instructions. I
' 10
..
0 .....' o
•o
nO
'•
.rlO
00 8q
Check the highest amount owed See instructions for revolving charge '
.,...;o '
.-<O
•o
.-<O
.-<0
00
.-<0
00 8& 0
0
00
00
00
0 .
•o
00
00 0 .
during the reporting period. Exclude accounts. 00 00 00 00 oo · co
·o
0 00 o·
00 00 0
00 00 qc;; 00 00 Co ,..o 0 0 00
qq o · ui'o .... •·
00
.,q
... ...,..,
__ Ovl .,, ..... ...,..., ...... ,,,...,.,, .,.,
v)c)
Date Interest
Rate
Term if
applicable
........ .-ill)
0 0 011)
.,,.,, ..-.N
l/"lO
Ntn
0 •
.....
6~ ...,..., ·"'
NII)
"'"'
~~
...... a ...
_.--
Creditors (Name and Address) Type of Liability Incurred .9'fll

,_ 1991 ''"'' -··-

-- ...
. ·x .
Examples 1-fclrstDlstrictBank, Washington, DC
ohn Jones. Washington. DC
_M~a~o.!J..!e:J!E9.2!:.0~~Delaw~
Promissory note
___
1999
8%
r------
10%
-... --~!f.-
on demand
- : ~---'
-- .- "
'--
x . .
--~ '-- --
1 G(ia~nt¢ed Rate, iric, ChlC<1"90 JL Mortgage on Personal Residence
2015 3.62%
30 yts,
x
2 Blackstone Capital Holdings Trust Capital Call
2014 000%
On
demand
'
:x .

3 GSO Mezzanine Finance Trust Class A Capital Call


2014 0.00%
On
demand
"
x
4

5
·Merri(( Lyncn Home Loans, Jacl<sonville FL Mortgage on family residence
2012 4.25%
30y(1!,
. .
x
I· . -
*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 report-
employee benefit plan (e.g. pension, 40lk, deferred compensation); (2) continua- ing of negotiations for any of these arrangements or benefits.
tion of payment by a former employer (including severance payments); (3) leaves None jg)

Status and Terms of any Agreement or Arrangement Parties Date

Example

1
I Pursuant to partnership agreement, will receive lump sum payment of capital account & partnership share
calculated on service performed through 1/00.
Doe Jones & Smith, Hometown, State 7/85

·· ··-···- ..
2

3
'

6
.. -
OOE Fonn 278 (Rev. 12/2011 )
5 C ,F,R . Part 2634
U.S. Office of Government Ethics
Reporting Individual's Name Page Number

Slavltt, Andrew SCHEDULE D 33 of 34

Part I: Positions Held Outside U.S. Government


Report any positions held during the applicable reporting period, whether compen- organization or educational In stitution. Exclude positions with religious,
sated or not. Positions include but are not limited to those of an officer, director, social, fraternal, or political entities and those solely of an honorary
trustee, general p artner, proprietor, representative, employee, or consultant of nature.
None D
________ ----
iµiy corpor:ation, firm, partnershi.R, or other business enterprise or any non-profit
Organization (Name and Address) Type of Organization Position Held From (Mo., Yr.) To IMo.. Yr.J
Present
Kat'! Assn. of Rock Colleaors, NY, NY
----------·- --- President
Non-profit education 6/92
- ,. ":""-"

~~ -~-----~-----~------ Law firm ·


i--.--- --
.. oe Jones & Smith, Hometown, State Partner 7/85 1/00
l Capella Education Company Minneapolis MN Education provider Boaro Director
08/2007 07/2014
2 Merrill Lynch Family Revocable Trust 1 Edina MN Trust Trustee
12/2012 Present
3· Itasca Proiect Minneapolis MN Nonprofit Community service/researcti Member; Higher Education Task
Force 06/2011 07/2014
4 Hope Street Group washington DC Nonprofit social service and research Senior Advisor
06/2012 07/2014

5 J ano Jr caucauon ano uin 1ruse coma MN 1rus1 1rus1ee


07/1998 07/2015
6 Mernu Lyncn r-am11y Revocaore I rust z t:orna MN 1rus1 1rus1ee
12/2012 Present

Part II: Compensation in Excess of $5,000 Paid by One Source Do not complete this part if you are an
Incumbent, Termination Filer, or Vice
Report sources of more than $5,000 compensation received by you or your non-profit organization when Presidential or Presidential Candidate.
bushi~.ss· a.fflliatio,i'I Jor ,s~~ces 11r~videdd!l'e~tlfby you during My one year of vou directly provided the
the rep.orung.penqc\. lhis mclpi:les.the na!11es o .cHencs ~!"Id customers ofany services generating a' fe,e or payment of more than $5,000. You
corporatibn, flri:n, panliership, or other busl.ness·enterpi'ise, or any other need ht)t rep0l'Mhe,.U.S. Government as a source. None D
Source (Name and Address) Brlef Description of Duties
~~Jones & Smith, Hometown, State U!g,11 $.t!t"Vitti
Examples - Vn
tro - lverslty
- - (d lent
- of - Doe
- JonL>s
- -& Smith),
- - M-one)<town,
- - State
- - - - - - ~~-----------~----~~--~--------
Legal seJVlces ln connection ll'lt,li university construction
l 1;;ape11a touca.lion company Minneapolis Mrt Boaro of Directors

2 UniteaNealth Group M1nneapo11s MN t::xecut1ve Vrce-Freslcfent


·~·

6
OGE Fonn 278 (Rev. 1212011)
5 G.F.R. Part 2634
U.S. Office of Government E1hics
Reporung Individual's Name Page Number
Slavltt, Andrew
SCHEDULE D 34 of 34

Part I: Positions Held Outside U.S. Government


Report any positions held during the applicable reporting period, whether compen- organization or educational institution. Exclude positions with religious,
sated or not. Positions indude but are not limited to those of an officer, director, social, fraternal, or political entitles and those solely of an honorary
trustee, general partner, proprietor, representative, employee, or consultant of nature.
any corporation, firm, partnership, or other business enterprise or any non-profit None D
Or11.;u)Jzatio11 {Nnine and Add~ssJ Type of Organlzatlon Position Held From (Mo., Yr.) To (Mo.,Yr.)
Exam !es K a;!_~.~R~ ~n.::;:;o.:=_~~ _ _ _ _ _ _ _ _ _ _ -
p Doe Jones & Smith, Hometown, State
· Non·profit education
~----
law firm · ----- ·---- Partner ------- ·----
·President 6/92
- ·-~-·
7185
-·~~~
1/00
Present

1 Guthrie Theatre Minneapolis MN lheafre Member, Board of Directors


06/2007 06/2013

2 Opium (subsidiary of UnitedHealth Group) Minneapolis MN Healthcare services Group Executive Vice President
09/2003 07/2014
3 UnitedHealth Foundation Minneapolis MN- Nonprofit Foundation Member. Board of Directors
06/2013 07/201 4
... .. -
4 UnTvers1ty <if Pennsylvania Philaaelphia PA - Nonprofit education institute Member, Major Gifts committee
06/2012 07/2014

Part II: Compensation in Excess of$ 5 ,000 Paid by One Source Do not complete this part if you are an
Incumbent, Termination Filer, or Vice
Report sow;ces of more than $5,000 compensation r:eceived by you or your non-p;~fit 9rgani~ation when Presidential or Presidential Candidate.
busln~ss a:fflllation forservices provided directly by you· during any one year of you dtrectly provided the
the :reporting li>eriod. This il1cludes the names-of clleilts and t:ustomers of any services generali.ng a fee or payment of more than $5,000. You
<;OJ'.pQ~~tlo.u, non, parmeli$hip, ot other b.usiness ~pterprise, or any other ri<-:ed not report t11e l).S. Government as a source. None D
Source (Name and Address) Brief Description of Duties
~e Jones & Smith, Hometown, State ~SCr\i(~
Examples tro t,Jnlvi:rSltY ll:ll~n~ of Doe Jones & Sruith); ~!orie}~<il~•i. st;;" - - - - - -~g~~~~~~with~~fy com~~ ----------------
1

Prlor Editions Cannot Be Used.

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