APPENDIXES APPENDIX I Informational Statements UNITED STATES SENATE COMMITTEE ON ENERGY AND NATURAL RESOURCES Employment record: Institution Dates attended Degrees Dates of degrees List below all positions held since college, including the title and description of job, name of employer, location, and dates. Honors and awards: List below all scholarships, fellowships, honorary degrees, military medals, honorary society Numerous Special Act and Performance Awards Memberships: 1993 1994 1996 Department of Energy Distinguished Service Award List below all memberships and offices held in professional, fraternal, business, scholarly, civic, charitable and other organizations. Published writings: Financial statement: Additional questions: List the titles, publishers and dates of any books, articles, or reports you have written. 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, professional 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. 1. Will you sever all connections with your present employer, business firm, association or organization if you are confirmed by the Senate? Not applicable. 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? The Inspector General position does not carry with it a fixed term. (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. No. 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, please 8. Has the Internal Revenue Service ever audited your Federal tax return? If so, what resulted from the audit? No. 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 buen 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. Neither my spouse nor I have ever represented in any capacity a foreign government or any entity controlled by a foreign governmer. 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 associates represented, in any capacity, with or without compensation, a foreign government or an entity controlled by a foreign government? If so, please fully describe such relationship. There have been no such associations by my spouse or me. 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 government or an entity controlled by a foreign government? If so, please furnish details. No |