Employment record—Continued Assistant Director, Protective Operations, Washington D.C. 8/93 12/93 Director, Washington D.C., 12/93 5/97 Military service: Describe any military service not listed above, including dates, rank, and type discharge. NONE Honors and awards: List below all scholarships, fellowships, honorary degrees, military medals, honorary socie memberships, and any other special recognitions for outstanding servic or achievement. Full Scholarship (Athletic), Michigan State University Senior Executive Service Performance Awards, 1993, 1994, 1995 Memberships: Marine Corps Law Enforcement Foundation, Semper Fidelis Award-19 List below all memberships and offices held in professional, fraternal, busine scholarly, civic, charitable and other organizations. Published writings: List the titles. publishers and dates of any books, articles, or reports you have written. MEDICARE Improper Activities by Mid-Delta Home Health - 3/98 TELECOMMUNICATIONS · Telephone Slamming and Its Harmful Effects-4/ INSPECTORS GENERAL Financial statement: 1. Attach a copy of your Executive Personnel Financial Disclosure Report (SF 278). 2. List sources, amounts and dates of all anticipated receipts from deferred income arrangements, stock options, uncompleted contracts and other future benefits which you expect to derive from previous business relationships, professiona services and firm memberships or from former employers. clients, and customers. Amounts should be indicated by the categories established for reporting income on Form SF 278, Schedule A. NONE Additional questions: 1. Will you sever all connections with your present employer. business firm, associatior or organization if you are confirmed by the Senate? YES Additional questions-Continued 2. Do you have any plans after completing government service to resume employment. affiliation or practice with your current or any previous employer. business firm. association or organization? NO 3. Has a commitment for employment after you leave government been made to you by anyone? Have you made any such commitment? NO 4. (a) If you have been appointed for a fixed term, do you expect to serve the full term? N/A (b) If you have been appointed for an indefinite term, are there any known limitations on your willingness or ability to serve for the foreseeable future? NO 5. Are you currently a party to any legal action? If so, describe its nature and status. NONE KNOWN 6. Have you ever declared bankruptcy? If so, describe the circumstances. NO 7. Have you filed a Federal income tax return for each of the last 10 years? If not, pleas explain. YES 8. Has the Internal Revenue Service ever audited your Federal tax return? If so, whi resulted from the audit? NO Additional questions -Continued 9. Have you ever been investigated, arrested, charged or held by any Federal, State or other law enforcement authority for violation of any Federal, State, county or municipal law, regulation, or ordinance. other than a minor traffic offense? If so, please explain. NO 10. Have you ever been convicted (including a plea of guilty or nolo contendre) of any criminal violation other than a minor traffic offense? NO 11. Have you ever been disciplined or cited for a breach of ethics for unprofessional conduct by, or been the subject of a complaint to any court. administrative agency, professional association, disciplinary committee, or other professional group? If so, provide details. NO 12. Have you or your spouse ever represented in any capacity (e.g., employee, attorney. business, or political adviser or consultant), with or without compensation, a foreign government or an entity controlled by a foreign government? If so, please fully describe such relationship. NO 13. If you or your spouse have ever been formally associated with a law, accounting, public relations firm or other service organization, have any of your or your spouse's as sociates represented, in any capacity, with or without compensation, a foreign govern ment or an entity controlled by a foreign government? If so, please fully describe suc! relationship. NO 14. During the past 10 years, have you or your spouse received any compensation from or been involved in any financial or business transactions with, a foreign governmer or an entity controlled by a foreign government? If so, please furnish details. NO 15. Have you or your spouse ever registered under the Foreign Agent Registration Act? If so, please furnish details. NO 16. Were all your taxes (Federal, State, and local) current (filed and paid) as of the date of your nomination hearing? If not, please explain. YES 17. Have all your Federal, State, and local taxes always been paid on time? If not, please explain. Virginia Personal Property tax for boat was paid late due to my administrative error. 18. If confirmed, are there any known limitations on your willingness or ability to serve for 19. Please advise the Committee of any additional information, favorable or unfavorable which you think the Committee would want to be aware of in considering your nomi nation. NONE 20. If you are a partner in a law firm or other organization, provide the Committee wit a list of all clients which you have personally represented, and all clients the firm ha represented within the past 5 years and a brief description of the nature of the represer tation. If you wish the list to be kept confidential so indicate. N/A 21. List any investments, obligations, liabilities, or other relationships which might involv potential conflicts of interest with the position to which you have been nominate NONE |