WPCA 5B)Ym*usBNTTw2˱yYU߬49s ,Y Q"y9yu:dl*ph khTUUd۶[f5.3 / <;+a$s:p a~F+ lSd7R{Y"m1"~$`s۩= ((cO3vq0,k0#[P =ܝXwvs]H9A| )Sz&n*u&B*#&;΢NR /MK-*"rȬrdq),9V~Ӗ4bh߄ve~3EqzqI>T4L %ML뙔$Sz f4 N7}kv8w~ xxR<(etӤ&BUc_R}θJr9Z J]d >G) %> 0DTU< &,n<N 0e w@Q 4 UN 0 0K #!R ^ s 0/ m1H 1u> 0c  B$ X<jj:Footnote RefQ\  `$Times NewRomanQQ\  `$Times NewRomanQ'  trng .Information Center 0 .   %\  `$Times NewRomanH3|n<6X9`(CourierXx6X@`7X@%\  `$Times NewRomanXXj\  P6G;XP'4  .Times New RomanBold4  pG;<6X9`(CourieromanldH6X@`7H@(=6$   P7OX X UPE5M(&(@ Z 6Times New Roman Regular<jj:Footnote TexQ\  `$Times NewRomanQQ\  `$Times NewRomanQ(r$  0  /HP LaserJet 5/5M - Standard0:&(Y/2 $  6!   POX X      0  /U   $ POX X    1  /  _Ԁ JPO PTheolderStandardForm(SF)450isobsoleteandmaynotbeaccepted.Pleasedonotuseitorwewill  havetoaskyoutoresubmityourinformationonthecorrect_form._____# PO JP###37=CIQYag1.a.i.(1)(a)(i)1)a)(;3$2#  0  .3  0   ȁ d  6!   POX X  _@   INSTRUCTIONTOSPECIALGOVERNMENTEMPLOYEES  @X X !FORCOMPLETINGOGEFORM450    1.GENERALINFORMATION  q   The InstructionsforOGEForm450,ConfidentialFinancialDisclosureReport,whichareattachedtotheblankReport,containinformationanddefinitionsnecessaryforproperlycompletingtheform. Pleasereadtheseinstructionscarefully.   m   EachpartoftheOGEForm450containspertinentinformationonwhattoreport,appearingtotheleftofthepart.  Usethe SampleOGEForm450forSGEs, whichshouldhavebeenprovidedwith   thisInstruction,forguidanceincompletingyourentriesaccurately.Themostcommontypesofentriesareincludedandhavebeensetoutinanaccurateformat.Pleasefollowtheformattoensurethatyoudonotomitnecessaryinformation.Weknowthatitcanbeveryannoyingifwehavetocontactyouforadditionalinformation,sowearetryingtohelpyousubmitcompleteandaccuratereportsthefirsttime.  IfyouhavenothingtoreportinanyPartoftheReport,pleasecheckthe NONE boxto !q theleftofthePart.Writing "N/A" intheblanksisnotacceptable.Ifyoudonotcheck NONE ,  \ yourreportmustbereturnedasincomplete.(Sorry,buttheregulationsgiveusnolatitudeonthis.)  UseanOGEForm450. r  1  /    ׀Printlegiblyortype,oneitemperline.    SubmityourcompletedandsignedOGEForm450toyoursupervisor,pointof  contact,orAdministrativeOfficerpriortoyourperforminganyworkfortheGovernment.Pleasesubmititassoonaspossiblesothatyoursupervisorcanreviewitandsendittothe%  beforeyoudoanywork.Ifyoudontknowtheaddressofanyoftheabove,pleasesenditdirectlyto(youroffice&address)SOCOatOfficeofGeneralCounsel,1600DefensePentagon,Washington,DC20301-1600.  :    Ifyouhavequestionsorwantadditionalinformation,pleasecontact(yourname),(youroffice)(Yyournumber)GailMasonorJohannahEubanks,DoDSOCO,(703)6975305,oremailatsoco@osdgc.osd.mil. 2.TOPSECTION  % !$   Completeeachblankinthefirstfourlinesofthetopsectionofthereport.  Position/Titleis consultantandatitleifyouhaveoneinyourGovernmentposition. S*%)   Reportyourseriesandgradeas SGE.  Under ReportingStatus,check newentrant.  AgencyistheofficeorcommitteeinDoDtowhichyouareappointed,asalsoshowninblock2on_DD_ԀForm2292,theRequestforAppointmentorRenewalofConsultant.  G     For Branch/UnitandAddress,includeyourGovernmentofficesymbol,ifknown,andlocation.Forexample, SOCO,3D941,ThePentagon,or _DTSA_,CrystalGatewayNorth/Ste303,111JeffersonDavisHighway,Arlington,VA22202.  PleaseincludeyournonDoDbusinessorhomephonenumbersothatyoucanbecontactedifadditionalinformationisneeded.  DateofAppointmentforSGEsisthefirstdateyouperformGovernmentworkintheposition.  ChecktheboxtoindicatethatyouareanSGE.0  Youmust SIGNANDDATE yourOGEForm450oritmustbereturnedasincomplete.!q(#(#  3.COMPLETINGPARTSITHROUGHV  2   The SampleOGEForm450forSGEsprovidesexamplesofwhatshouldbereportedandhowitshouldbereportedonyourform.  Thereportmustcontainfinancialinterestsforthe 12monthperiodprecedingthefiling y date . d   Donot reportthe value ofanyasset,income,liability,etc. :    DonotreportanythinginPartV. Yourarenotrequiredtocompletethatpart. "`   4.PARTI:ASSETSANDINCOME  $! #   Reportinformationaboutyourself,yourspouse,andanydependentchildren.  Providethecompletenameofeachassetorsourceofincome. Ifyouarereportinga }(#' publiclytradedmutualfund,includeitscompletefamilyandspecificfundname,e.g., h)$(  VanguardWindsorIIFundor _MFS_ԀTotalReturnFund. Seeexampleonpage1,line S*%) 10,oftheSampleOGEForm.  ),y'+   Ifyouarereportinganemployersponsoredpension,reportthenameofthesponsoring employerandthefactthatyouhavenocontroloverinvestments.Ifyoudohavetheabilitytocontrolorselectspecificholdingsoftheplan,youmustreportthesponsoringemployer,thatitisacontributionplan,andlisttheplansholdings.Seeexamplesonpage1,lines3&10,oftheSampleOGEForm.&  5.PartII:LIABILITIES   m   Reportinformationaboutyourself,yourspouseandanydependentchildren.' B  6.PartIII:OUTSIDEPOSITIONS      Reportonly your ownpositions.     Otherthanthelistedexclusions,whichappeartotheleftofPartIII,anypositionheldduringtheyear,otherthanaGovernmentposition,mustbereported,whetherornotyoureceivecompensation.Theseincludeyourcurrentemployment,Directorships,andconsultancies.  Pleasewrite compinthelastcolumnifyoureceivedcompensation,and notcompifyoudidnot.  Ifyoureceivedover$200incompensation,alsoreportitunderPartI.JustbecauseyoureportedthecompensationunderPartI,dontforgettoreportyourpositionhere!& . 7.PartIV:AGREEMENTSANDARRANGEMENTS  y   Reportonly your ownagreementsandarrangements. O   Providethetermsandconditionsofanyagreementorarrangementthatyouhaveregardingfutureemployment,paymentsfromaformeremployer,orparticipationinanemployeebenefitplan. Partiesarethepersonsorcompanieswithwhomyouhaveagreementsorarrangements.Forexample,ifyouhaveapension,reportithere,aswellasinPartI.'. y 8.PartV:GIFTSANDTRAVELREIMBURSEMENT  &!%   Donotcomplete.  }(#'  9. Pleasesigntheenclosed DisqualificationStatementandforwarditwithyourreport.  >+&*      `     h     Date:     p      x   q MEMORANDUMFORSUBJECT:0 ` DisqualificationStatement X` (#` (# 1.IunderstandthatmyemploymentbytheDepartmentofDefenseisapublictrustthatplacesethicalstandardsandthelawaboveprivategain.2.Inconnectionwithmydutiesasaconsultanttothe p      x  OfficeoftheUnderSecretaryofDefense(Acquisition),   Iamdisqualifiedfromparticipatinginanyparticularmattersthatwillhaveadirectandpredictableeffectonthefollowingentitiesincludingtheirsubsidiaries,affiliatesorjointventures,inwhichIhaveafinancialinterest.3.Theentitiesare:%  8  8`   Allentitiesidentifiedasfinancialinterestsontheattachedfinancialdisclosurereport,exceptforanyorganizationforwhichawaiverhasbengrantedpursuanttotitle18,UnitedStatesCode208(b)(3). ` x` x    `     h   Signature p      x   y    `     h   PrintedName     x    O      @(ATTACHMENT2       @>>)ENCLOSUREA