12
SF278 (Rev. 03/2000) 5 C.F .R Pan 2634 Fonn Approved: Executive Branch Personnel PUBLIC FINANCIAL DISCLOSURE REPORT OMB No. 3209-000 I U.S. Office of Government Ethics DateQi:A. PIlOmtlnent,GanIlidacy, Ej!>(:tion . Repurting Status Calendar Year' . ' : '. . .cTe.rm . iiiationDateHf . :, " , . ·' Fee . for · Late orNominatiOn(Month; Doy,Year) .' ::;::rlatebam) Covered by Report Nominee, . ,Cable}(Month;Uay,r.a rr . ':. ' .... . . .... . .. . .. :. ' . . . ' .: .. .. :. .. :: .. ' .•.. : .: .. :•. ,: . ..... ,::;0.:. :.": .. •. ,. : .. pL:::8S";t:..!N.,,,am=e::.. .. :... · __ --' __ -'-_________ -'-'--'-+F"'i"'rs:.:.t.:..N"'ru::.:.n"'e"'a"'n:::.d.:.;M"'i:::.ddJ=e.!:lru"'·"'tia"'I'- · __ __' __ '- · ,, _ ··_ · _·_ · .. :... ·. :... .- .-·..: ' --· :. -- .• .. -- · .. . '. '." Blair Dennis C, .. '.. .. ' . . . . __ filing, eX\E msion pe'iiod ... . ' .. .• a-ij- ' o-n-a-1 -In-te-I-lig-e-n-c-e-----'----....pD''''e''''PEart=m''''eo:.:.nt:..;o'''T.!.oA''''.e::.:n'''cy ..... ''''' ) .. ---- -'---""-- .;" .. - ... --,-,- ' -' " fee'; · · ." __ I': :' .. . . ' . . . . o...:.St=at:.:: ._ . · ___ -'-___ --: ____ 0 is .. :. The National Bureau of Asian Research, 1301 Pennsylvania Ave, NW, 202 3479767 the . (or . ... '".. .• . Suite 305, Washington, DC 20004 .• must also. ' .: Title ofPosition(s)and'Date(s)Held· ." :., ... . ." . ; . '" .' .. .. . , OovemmclltPuririg.. thePreceding· .·. , Special Government Employee - Department of Defense: Chainnan, MissileDefense Advisory Committee; Member, y.a ... . . ... art.: ..•... ..•. . not. 12,Months:(Ifl'-lotSameaSAl1.oileJ .•. "''''' .f·(' · .. .. '. , . .. .... ,• .' .. . .. , .. .. Strategic Command Advisory Committee .,..-- ..... .. :...... . - .......... ":""" .................... ," ." .', Name. ofCongressionaJ'Committee ConsideriwzNomination . Do¥ou lnte nd to 'Create a ualifiedDiversi led TrustJ ' .: .: ...... ' '" Senate Committee on Intelligence I. DYes . ... . . ·:·: ': i.: .. ' cem lcauon .. · ,. · .... . . . ' ... .. " ·· 1.)a e {Moncn • .uay, ear ... .. ,. ""'. ' ," ... . ' .' " .. .. .. .... ,, ', ;lnll Vice . '0" . . . .... , . .. , ... madeOlithis fOllIlaIldaJlattaCJled. ::· : . ·. V . schequlefliret.r:\le, co.rppleteand corre\:t > . , ' I' I .. <: <' ,. . .... 1 ___ perlqd for· 1<: .' .': ' 0 . VUler Date (Jt1onth Day. Year) ." ' . " . .. •. . . " > .• (If . .. .... ag 4ese .. . rc .. eyd) ·. ... b .•. asSct5 as of any . date you ·choose that is wi thm31dayso(the date offiling. . .. On: thebasis' ofillformatiQn cQntained"" '" .- . I {Liabilities}:- .. i)l . comjllia.nce witlt applicable laws and . k/' " \ 2- The !eportiilg periodi$.the preceding. re gulations (subjec\ to anycom\llents . I / ·1 calendar , :r .ear: and the cUrIe.nt<;alelld\ll' in the' box below). . .. ..... '... ,J year· up to any date you choose thatjs F :;:.;:...::.:;::..:.::.:::.::£..,-,-___ .• -----+. ' IS""'ii-l!l1a"".ttur-e"'"· __ -f ,-\,-----/-:::1'''';- ... -: . .• \ 1. 1 /1 _ / /> 2. / C' 7" 'V=j-:-:/:; __ __ -,--::-__ -,-__ ____ :7'- ......... --:-.....-__ = ." J\.rrapgementS)-- . shOWll,lly,agreements' _ . ___ __' ___________ --!(:......, .. ___ --' _ _____ . filing, '., . . . . . (Ch eck box if filing atension granted & indicate number of days ____ ) CJ (Check box if comm.nts are continu. d on the reverse side) 0 js . ' aJl,d . '. to the •.•. . ' .' .. .... . . ,. , .' . .. ... . ·Al!encv· Use·OnIv' . ... ' OGEUseOrily JAN 1 2 2009 .: Supersedes Prior Editions, Which Cannot Be Used. 278- 112 Form DeSIgned In MIcrosoft Exce12000 NSN 7540-01-070-8444

DYes · 2016. 4. 28. · 9 ·D " plan; 2 ' ~: 4 5 SF 278 (Rev. 0312000) 5 C.F:R Port 2634 US Office of Govemnlcnt Ethics Reportmg IndivIdual's Name Dennis C. Blair 1 . 2 3 " This

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Page 1: DYes · 2016. 4. 28. · 9 ·D " plan; 2 ' ~: 4 5 SF 278 (Rev. 0312000) 5 C.F:R Port 2634 US Office of Govemnlcnt Ethics Reportmg IndivIdual's Name Dennis C. Blair 1 . 2 3 " This

SF278 (Rev. 03/2000)

5 C.F .R Pan 2634

Fonn Approved:

Executive Branch Personnel PUBLIC FINANCIAL DISCLOSURE REPORT OMB No. 3209-000 I U.S. Office of Government Ethics

DateQi:A.PIlOmtlnent,GanIlidacy, Ej!>(:tion . Repurting Status Calendar Year' . ' : '. ..cTe.rm. iiiationDateHf Applr~ ··· .. :, " , . ·' Fee . for· Late J()lill~

orNominatiOn(Month;Doy,Year) .' ::;::rlatebam) ' ClInCUin~~i' ;'1 Covered by Report GJ~e¢~~:: Nominee, . DT;~;~a[ion . · ,Cable}(Month;Uay,r.arr. ':. ' ~r:Jt;:~!~::te;'::~:r~t~:U . . . .. . . ..... .. . .. :. ' . • 30 ,d~ys. afterthe.. da[eili~repprtis . ' . . '

. : .. .. : ... :: .. ' .•. . : .: .. : •. ,: ...... ,::;0.:. :.": .. ~ •. ,. : .. pL:::8S";t:..!N.,,,am=e::.. .. :...· __ --' __ -'-_________ -'-'--'-+F"'i"'rs:.:.t.:..N"'ru::.:.n"'e"'a"'n:::.d.:.;M"'i:::.ddJ=e.!:lru"'·"'tia"'I'-· __ __' __ '-·,,_··_· _·_· .. :...··.:....- . -·'·..:' --·:.--.• ~-.. --· .. -4.~;.~. i?:;.;,!~ft~d;.a.no~.'~~a;.y7.':.s. :~t ·· J,<epol'tiIlJ?; lndiY~~).la1'~NaT-e .'. '." Blair Dennis C, .. ' . . .. ' . . . .

r.".,..~=:7'===7---:7'-.....;f-;;:,::;:_===::-:7':7'..,.,..------,-=~=~---,.~=::;::-::::-:::_;_=====3:~~:7'~-_..."":'"""'C'"= __ :7'.,,.,......,.tlast~~Y Ortlle filing, eX\Emsion pe'iiod 1?9~iti()hiO~ Whi~hFiJi~g ... . ' ...• I-'~o!:i~::'::r::..:~,,-f o.:..P;",:::.:i;""i~o:.:.n a-ij-' o-n-a-1 -In-te-I-lig-e-n-c-e-----'----....pD''''e''''PEart=m''''eo:.:.nt:..;o'''T.!.oA''''.e::.:n'''cy ..... ''''' ~(If'-"A-"'jp=pllic""a"'b:.::le..l-) .. -----'---""--• .;" .. -... --,-,-' -'" -l· ~~all,~~~~bjectt~a$,tqo fee'; · · . "

1-=,..--,.._-,..--.-,.._..,....,.....-,,..-,,...,......,,.j,.,,.,.:----::',-.,.-=---:=~,.._-_._::;~~;'7",,...,..._-.,.......L,..-__ -----,-=-:~--=-.,....,,,-,;-....,,-..,.....-::-.,,,..,---,,..,..,,,_,--,..,j. I': :' .~epol1i~~:~erjod8 . .. . . ' . . . . ::·I"'A~d~d!!:res"'S2.s:,J;l,lJN~u~m~b~.:!.~...,·S~t~re:;:e!o.t ..;C'"'·it~v. o...:.St=at:.:: • ...,a~n~d~Z<!I;l..P.;lC=.l· o~d~"..1.1· ._. · ___ -'-___ --: ____ +-'T"e"'l~""'l1!h"'on"'e"'N=o.c1· 0 !!.711~c!!.l!!!:'d:.::e_"A!!.r!'.!ea~C"'od:!le:..)t:..·: ~_-'-_,..,j' Illc\lJl1,benfs~The·.!eP9rtingperiod is LocationofPies~nt Offi~~ .... :. The National Bureau of Asian Research, 1301 Pennsylvania Ave, NW, 202 3479767 the precedjng.·c~l~dar.yeaiexcept. . (or fOryrardingag<lres~)," .... '" ...• . Suite 305, Washington, DC 20004 P.artJlofS,i:hedule.C~d. Pllrtlo.t · .• k--=,.-'"""';-;-:-:-""""'=-;o:--';'--'".,.......,.....,..-1=.,-..".,:--",..-,-,.-~"....,..,...=..,..,--:---".,.-."......",.....,..----:------:-...,-L------.:...,..,..,-,,_,.....,..."..,=.,--....,....,.,=..",-=,..jS!:hegu1e p.whereyo1.\ must also. ' P~$.ili9n(s)HeJdwitlltheFedc;ral · .: Title ofPosition(s)and'Date(s)Held· ." :., ... . ." . ; . '" .' .... . , fucludelJlefilingye~lJPIOihedate

OovemmclltPuririg .. thePreceding·.·. , Special Government Employee - Department of Defense: Chainnan, MissileDefense Advisory Committee; Member, y.a .... pPp·iI;l.fil.~.i. eL,.· .I:.·eP.: ..... art.:.· ..•... ..•. . H:of.~c~i.dllleI?is not. 12,Months:(Ifl'-lotSameaSAl1.oileJ .•. "''''' .:·.·f·(' · .. .. '. , ... .... , • .' .. . .. , .. .. Strategic Command Advisory Committee

.,..--..... ,....;;..~.~-.. .. : ....... '-'"~''--''''''''''~''''''''--''''''''''--''''''''''-'''''--'''''''''''''''---'''''---'''''~----'--'''''-''''''-''''''''''--''''''''''''''~'''''''' ' - .......... ":""" .................... --t.~ r~~~~ti~~ ·Fil~~{'1:he ~~~r~ing: ·,· .: ," Pr~denti~l.N.omil!.e~ '~ul?te~fto, ." .' , Name. ofCongressionaJ'Committee ConsideriwzNomination . Do¥ou lntend to 'Create a ualifiedDiversi led TrustJ ' .:.: p~iQgtieg~aith~endofth~period .

senateCo~fir~~tion " .' > _' ...... ' '" Senate Se~ct Committee on Intelligence I . • DYes ..... . ··· 0~o ·:·: ': i.: .. '::' .:, <' .:· ~?~·~~;;j$1i:~~~~E~;;:::'I~~dends ' cem lcauon .. ·,. ·.... . . . ' ... .. " Sii1.nature · ofRelJortin~'Individual · ··1.)a e {Moncn • .uay, ear ... .. ,. ""'. '," .... ' .'" .. .. .. .... ,, ' ,

NQmili~e,s~ N~wEntrants .and . Cllndidat~sfO,tPr~sident ;lnll Vice . pr:esid~~t: . '0" . . . .... , . .. , ...

r CER',I'IF.Yth.atthe:~ate~leIiISJ.:have' ::" .·· .·. ~ madeOlithis fOllIlaIldaJlattaCJled.::·: . · . V

. schequlefliret.r:\le, co.rppleteand corre\:t :· > . , ~Ja..(A 'I' I to !hebest:tifmy:kll~¥il~ge .. <: <' , . . .... 1 b.,.,...~"..-,...,.....,....,.,...,...,..,,..,.,.-,,-,,.--=-,,..,.,:...;--hr.===M"t=:-!r.==:---------___ :-:--,.,,.....,...--,------t~-:--;;-;--:';-;;::---;';'--,,,.--=.,,.,...,...,..~-:-",..,."...,.",.;Scl1edide· A';'Thei:eportinii perlqd for· 1<: ·· ·· · ·· ~~h~;tvie'Y . ~. .. · · · .' . ':' ~gnalure 0 . VUler ~e~ewer Date (Jt1onth Day. Year) ." ' . " . .. •. . r1~~~~a;e~i~~i~i~~~!ar :

. " > .• (If . ........ ag4ese .. ~.' .. rc .. eyd)· .... b .•.. Y~ asSct5 as of any. date you ·choose that is ~ withm31dayso(the date offiling. .

.. A""~I-!:!e-n-c...,v'-=E"'th"'i:-c,...s-::O"'m=,c..;i-al".'s-O"')-:-piin-.io-n":'.-. ":'. · ,-,-,,-I-::S""ign-,a""tur-e-of"'D::O-es"":ig-ln-a""te'"'d-A:-"'g,e-n-cy-E"'th""'-jcs-,O""f"'fi-c,-·al/R=-ev..,i-ew-l-' n-,gO""ffi:-;:-'c,-·al,..,.·'-------t--oD""a-,te-;-;M"'o,...n-l-;"h-D:O:-:>q)I,-""y:-ea-I'-.'},.---,....,,.,..,--...,-C""'"-lS~~ed.!1., ,le·n,...~ot ap~li~able~ On: thebasis'ofillformatiQn cQntained"" '" .-i~thl$report;l co~c.lU4eth8ttheriler is . So:hell)il~C; Ji'~rt I {Liabilities}:- .. i)l.comjllia.nce witlt applicable laws and . C.J.c~/ k/'" f'...~ -f'\c.-...0\.:~'J-. \ 2- '\k\11'\.U.Z~'. 2m~ The !eportiilg periodi$.the preceding. regulations (subjec\ to anycom\llents . I ~ ~ / ·1 calendar, :r.ear: and the cUrIe.nt<;alelld\ll' in the' box below). . . .. ..... '... ,J year· up to any date you choose thatjs

F :;:.;:...::.:;::..:.::.:::.::£..,-,-___ ----. ~.--.• -----+. ' IS""'ii-l!l1a"".ttur-e"'"· --A//L--~L.~ __ -f ,-\,-----/-:::1'''';-... -: ..,....:~----------hD""a-:-te-(;-;M<ro-n-:;th;-;;D:--av,'"'Y7'Je-ar"""----'----..,..j· . witl1,i.n314aysQf~Il~~~ie~fft1ing:

.· .• Officeof~~6~pyYeIl~ :B¢ics /'l~:Z7' \ 1. ~ 1 /1 _ / /> 2. / C' 7" SclieduJeC;:partIl(A~cemen~or . ~=============~':-:;==~/~ 'V=j-:-:/:; __ ~~~t:rr=:-:-::7.'-~~C-:1'/=;i" \...~= __ -,--::-__ -,-__ -L.-,:,,/~ j..!/:......,.....---jLc,-_-~~ ____ :7'-......... --:-.....-__ = ."J\.rrapgementS)-- .shOWll,lly,agreements' p::o~mm~·:::!en~ts~of~R~e~"':!·e~\~vi~n~gO.:!ffi~l=cl~'al!:;s~I!/..!!a.:::dd!:!i"-!(i~on~a:!!l.!.spat:.:::!,c~e~is~re:!f.!!q'u!!.ir.:::e7i!!,.!u~se::,.!!;lh:!Ce.!..r~ey::::e:!.!rs!.:::e:.::s:!!jd:::e~o:L.:;flh.:.:is::..s:::h~e:::C/~F·_· _. _· ___ __' ___________ --!(:......, .. ___ --' _ _____ ·_· ....,.t· · ()r arr~gemc:ntsas.of.thedateoL . · .

filing, '., . . . . . (Check box if filing atension granted & indicate number of days ____ ) CJ

(Check box if comm.nts are continu. d on the reverse side) 0

~chedldel)-T~e r~l'ortjng .p.mod js .' thepfiedillg~o·.~endaryears aJl,d . '. th~cuiTent.;;ar~ndaiye:irup to the •.•. d;;te'O{fili;;~ '>· ·· . ' .' .. .... .

. ,. ,.'. .. ... . ·Al!encv·Use·OnIv' . ...

' OGEUseOrily

JAN 1 2 2009

.:

Supersedes Prior Editions, Which Cannot Be Used. 278-112 Form DeSIgned In MIcrosoft Exce12000 NSN 7540-01-070-8444

Page 2: DYes · 2016. 4. 28. · 9 ·D " plan; 2 ' ~: 4 5 SF 278 (Rev. 0312000) 5 C.F:R Port 2634 US Office of Govemnlcnt Ethics Reportmg IndivIdual's Name Dennis C. Blair 1 . 2 3 " This

SF278 (Rev. 0312000)

S C.F.R Part 2634

Assets and Income

BLOCK A

Valuation of Assets . at c~ose of

reporting period BLOCKB

2

Date (Mo., pay.

Yr) .

Page 3: DYes · 2016. 4. 28. · 9 ·D " plan; 2 ' ~: 4 5 SF 278 (Rev. 0312000) 5 C.F:R Port 2634 US Office of Govemnlcnt Ethics Reportmg IndivIdual's Name Dennis C. Blair 1 . 2 3 " This

SF278 (Rov. 0312000)

5 C.F.R Part 2634

Assets ~d]ncome

.. BLOCK A

and Johnson Common

3

Date . (Mo., Dew; .

Yr.) .

Page 4: DYes · 2016. 4. 28. · 9 ·D " plan; 2 ' ~: 4 5 SF 278 (Rev. 0312000) 5 C.F:R Port 2634 US Office of Govemnlcnt Ethics Reportmg IndivIdual's Name Dennis C. Blair 1 . 2 3 " This

SF278 (Rev. 03/2000) S C.F.RPart2634 U.S.

Assets andhlcome

BLOCK A

Natural Alternatives Inc Common

Technologies Inc Common

.' ...•. SCHEDULE Acoptjnlled: 4

fUlc.01m,e: type and amOWlt If!'None (or less thaJl$20l)" is ~hecked; nO entry is needed in BlockC forthat.item. · · '. .

Other' Date ... Income (lvlo., Day, .·

·E) ··· · ·· H~~:.

Page 5: DYes · 2016. 4. 28. · 9 ·D " plan; 2 ' ~: 4 5 SF 278 (Rev. 0312000) 5 C.F:R Port 2634 US Office of Govemnlcnt Ethics Reportmg IndivIdual's Name Dennis C. Blair 1 . 2 3 " This

SF278 (Rev. 03/2000)

S C.F.R Part 2634

,Assets andInco~e

A

"' . ' , ' "

', . : :. ,- ', '

..... :.

Rowe Price New Asia Fund

Rowe Price Tax Free High Yield Fund

Rowe Price Tax Free Income Fund

Communications Common

",- .

Valuation of Assets atc1o~eof .....

. reporting period .

UIJL"!!111.,,·typeahd amount Jf'.'None (or less ,than.$20l)!' is checked,no entry is needed in BlockC for that i tem.' . . . .

5

Date ': (Mo.; Day.

' .. Yr.j.

. Only if . ' ... l;Ionoraria .

Page 6: DYes · 2016. 4. 28. · 9 ·D " plan; 2 ' ~: 4 5 SF 278 (Rev. 0312000) 5 C.F:R Port 2634 US Office of Govemnlcnt Ethics Reportmg IndivIdual's Name Dennis C. Blair 1 . 2 3 " This

SF27& (Rev. 03(2000)

S C.F.R Part 2634

Assetsand Tn~om~ .

BLOCK A

.' Valuation of Assets ·· ' . . . ·at CloSIl of ' .

reporting period ··. BLOCKB

6

$20,000

'. Pate (Mo., Dcl'o . . · Yr.), .

wargame

June/OS

Page 7: DYes · 2016. 4. 28. · 9 ·D " plan; 2 ' ~: 4 5 SF 278 (Rev. 0312000) 5 C.F:R Port 2634 US Office of Govemnlcnt Ethics Reportmg IndivIdual's Name Dennis C. Blair 1 . 2 3 " This

SF278 (Rev. 03f2000)

5 C.F.R Part 263. U.S.

Assets and Income

BLOCK A

National Intelligence Council

Pennsylvania Psychological Association

Dickinson College, Carlisle PA

7

IU.\Ov.,II,;; type and amount. If "None (Qr less than $201)" is checked; no entryis needed ill alock C for ihatitl;m.. . . ' .

. , Other . . ··:Income· . .

, ~r · Date

. (Mo., Day, . Yr.)

OniV if . . Honqraria

Jan/De

Mar/08

May/08

July/DB

Page 8: DYes · 2016. 4. 28. · 9 ·D " plan; 2 ' ~: 4 5 SF 278 (Rev. 0312000) 5 C.F:R Port 2634 US Office of Govemnlcnt Ethics Reportmg IndivIdual's Name Dennis C. Blair 1 . 2 3 " This

SF 278 (Rev- 0312000) 5 Cl'_R Part 2634 US Officc of Government Ethics IReportlng IndIVIdual's Name

Dennis C. Blair

Do not Complete Schedule B if you are a new entrant; nominee, Vice Presidential or Presidential Candidate

- . Page Number

8

'. ... ...... - < _.:.... . ... . ... . . "' ........ ': '. : - _.:_.'-." .-.: .......•. ' ... _ ... ' c' "'." _ '-; '. -- ,:>. '.' . -:: ...... . : .".;-: ' . .. _,<' _'_: •• , •.. > .-. '_.:_ . . , .•. .. _ .. _ . . . . .-... •.. ' .. _:" · PartI~Tr~n·sacii~~ ·- '.':': >: : ·· ·c,'.· ·:' -..... , .• :" ., .•. -. . ,', "None:' q >c: ,.-' _.-... . . , <, :'

!:~~~~~~~~~~S:i~~~~~:~i~~~~I~O~~i~~ ·::'·' ~ye.eop.rus.Ort .• r·.·-_o.s·.npo: ... I1):ur~se~e· .. I,S~o' ~rn_t".·dl.~Oe •... e:.· •. -.• e~ .. n.n',vd~o.,e: _hn·_v.·t.a.l.'._nCn.·h:.a.1~·1~.d •. t.f ... o.· •. p,.C.n.e.h·fYeco ... )._'eku._.i ..•.. ~th,e. he.d~_ .•.•. ' •. ~.,_.Oc •. ·.le~.~ ... ~._.'.fi •. ~ .. cao.·.·.y.Ute .... ·Olol.rf·.·_.. ',', ... ___ :, ... T .... Tr":7(t\~ .- _ ... ;:: .. , .... .. /:::. ::';i .:AmOl\l1::. ofTransa~ti~.(X) ,:,:,:,~ :: , !.p.·.·~ .. ) ... _-~.vount.· ·_·oe.,rtyo···.i.es .•.• Iri'.' .~c· .. t.·.jo.-.h.uc.e.·d· .. ~.e •. s.· .• ,ttr:.h_b._an~.· · .~ ..•.. !~. ~.··.~.:·_:, .. ~.-o· •. ~:··P.t.·~.:.o .•• t:.f .•. ·ha:.~ ... t_%r.ity.·es)tan.· ... -·.··.·.·.u·fu.·_ .. 'I •. :ts.·.te'.·.:.·._d.,.c .. ,:.es.t.)Il.i.·.9 .. -_'.il.··1l-an .• ·.,.pXl' .. ·.~.·.· .• __ cee.o •..• th,·.·.Dd.er.eo·.· .• :.d ... · •. ·n .... ·'.'.o-.:.·".t'.--... · .. __ '. '_'. '. __ .... -: .•. :dc· ..... ei .. y.·r.le.ifis. ,t1citura-.. t·c·.·;·. ·O-. ·fb •. :dl .. 01.yc:.· ... :Ke .... ·.' .• t .. tJ..o ...• tur,:· .. I.·.-,h.·.-ed .• -..... l.:fr.ca.·_·.o.-.t ..• m.e._· ....... s.p .. a .. -.l.·Oes .. ·,E .. ·m:.: · .. a .. _ .. a . .... e .. _ .. _.p_ iJ!:sl.l~ftpa ;:..:_-... _: .. ~.:. .: ..• _ ... _. ~. ~:. ~~ , .. ' .. " .' . . . '.' ., " , '8 ~ " ~~~~~~~~~¥~-~~·~~~~~~-~----~~~~~~~~-~~~~~~~~~~~~~~~ ~i if i .•. ~.I.". ~II .. ~.:.j~I .. -I .. ~.~-i t!~ .... ~.I. II;.!.III ... ·o~. t~1 i;': ' , ' . ' . . ' ---;"; .. -, .:', ' ·· Identification-of.Assets ·':':':·.· ":-- :'.'·:: "; .• '" .,-.. ,_ •. , ,, .. . . , / "-' "- .' , ... ,:'- .. '. ',.- <:. ',.":'. ~ '" 'Ill ~ ~ ~ '" _ _ _ _ _ 0 __ ...... _r ;.; :;~ l)l u 'i3

> Example:·ICentJalAirlinesCommon -- ,-- '.', .'" '" ..- .. ,, ' .: i<. 211199 .. . ,')C''- ::' .... -.. .... -

2

3

4

5

* This category applies only if the underlying asset is solely that of the filer's spouse or dependent children. Ifthe underlying asset is either held by the filer or jointly held by the filer with the soouse or dependent children, use the other higher cate£ories ofvalue as appropriate.

..... ...... ,,' ' .. -- .-:

"': :. : -.

: . . . . I . .... . ..

:rartn:Gi(ts,R.~~~~r~~W~nts·;aJld:r~aV~l:¥;xpeJlses : .. •.. '.: ....... :. . . ,.. .. ., . For you;yoti sPQuse;inddep~li~n(<;hildr~ report thesou~ce;a bfjefdescrip~thelJ.S. Govemmel)t~ ~v@ to ;your ageiilcYipconn.ectiOn with ciffiqialtravel: .... tion. and the vahieof: (I).gifts (such as-tangible items;tninsP.ortation;:lodgirig.. .' ..... . . '.' '. received from relatives; re~~ve..d by y9t.gspouseior (tep~riden): ,childitotallY. food, ore!lteriai!1ll1ent ),eceiyeMiom: onesouice. toti!ling...m6ie~than$260; and .'. ... .. . . " . '. . independentoftheirreh\ti9nShipto Y<i~; ol"provided. as. personal hospitali ty lI1 (2) travei"relilted c/ish reimbillsements.i:eceivedfrom. 01)£ source totaling more ' ....•....... ' . .thedonor'siesi4eilc~. AlSo;; fi)r. p;Ill1?_os~·Qf aAAr~gating-: i9.fis. to: determine the '.

>: : . . .

. ........

than $260, For ¢onfliCts' l!il!ilysj~;it is help fulto 'indicate--aJ:ia$isforreceipt; such •• ' ••..•. totalvaJuefrom one.s ()urc~;e)(~b,ld~jteni~ »,0$:$:1 04odess;' .See'insml.di6ns. ~s. person~'frien,d;;agencya·pprovaJuriderS'U;S.C;§ 41110rother,Stl\tutori.:,> ,:±,or>otherex:-clusions: .. ~ ' ' .;. '.' . . ,; - . . - -·d .. · dalithprityd~ ethtQ. , F0tur.tra'lef· l'related'IDfts~ndddreiEmblllr SderriePtsth· <inclu~e.trllveli\inber~i . '., ...... :.. ...... . ..... <:'" .•• .. .. , ...... '; .'." ., .. ' ";,>... . N_ .••.• on_:' :~ . . at!:S~lI1l '. e na re'oexpenseSPfOVle: : ,. X\!,_I,I.!l:ap,Ylnggnrel1toY9u. Y" . . . .' . .. , . ' ''' , __

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Page 9: DYes · 2016. 4. 28. · 9 ·D " plan; 2 ' ~: 4 5 SF 278 (Rev. 0312000) 5 C.F:R Port 2634 US Office of Govemnlcnt Ethics Reportmg IndivIdual's Name Dennis C. Blair 1 . 2 3 " This

SF 278 (Rev. 0312000)

5 C.F:R Port 2634 U S Office of Govemnlcnt Ethics Reportmg IndivIdual's Name

Dennis C. Blair

1 .

2

3

4

5

9

" 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.

~artII.:Agre~lit~"~s9r.Arr~Jige~ent~ · ..... . R~P9,rt ypur :ag;eein~ntso;'aITangein~~ts for:eoutinUb)i parUcipation. iri 1!Il' emploYee Penefit plane e;g;AO lk,:deferred cQmm~,QslltipD;(2}Continulltio.n paYlllent l;>y afo~m~r employer (iricluding ~eyeril!lCe paymentS );(3) leaves . ' ' . .. . .. . . '"." . " "' :': ' ".:,:) :- " . ... ~: ' : '~' " '- :' :.". ," . , " ," , ", .... . - ," '" , .

. . " ' :'",'

... . ... " "/'Stat1!Sand Teimsof any Agreement or Arrangement ... . :

' . '.'

. of a~sen~e;an.cl(~)fut1lre: empl~Y;i1e~~~ Seej~tr~~tio~tegar~ili the reporting ofl1,egotialiQDS for any.of theSe atnUlgements;or1{epefits> ' .. ' " ':"-. _. . " . . " . . , , " . _ . . '0 . . " _ , ....... ; . .... .. :. : .. '. " • _ .

.. : .... . . : . • : . . . • . " " ; : .. '" .. . . . .. . ' •.·.· .. ·.·. · .. ··N··.· .. o· .. :n·e ·D· :- .. : ." ." .. ... : : ",> ' .. .. . :.:;.:.: . -

' .-.': ."'" " ... : .. .. '. -

: Example::: 1. : Pursuantto~ItI\ersbipagreemenr;:wiJlieceivelumi>surrii>~ymel1tofcapital . ac~unt&o, p .. art .. ners.hip share :.' , ..

. . '. ". . . .. .. . '. ;.:7/85 :. '."" .' .' J calculated on servlce'llerfonned throucl11/00: · .... .. ' .... " '".". ,.- . "." '. .

1

Will continue to participate in TIAA-CREF 403b plan; no further contributions from employer. Institute for Defense Analyses 2002 2

Will continue to participate in Vanguard defined contribution plan; no contribution from employer; see pa. 3, line 9. Institute for Defense Analyses 2003 3 . Tyco Deferred Stock Units will be conyerted to stock within 30 days of terminating from Tyco; pursuant to company plan. Tyco 2008

4 Vested stock options. Covidien Mar 03

5 Vested stock options. Tyco Electronics Mar 03

6

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Page 10: DYes · 2016. 4. 28. · 9 ·D " plan; 2 ' ~: 4 5 SF 278 (Rev. 0312000) 5 C.F:R Port 2634 US Office of Govemnlcnt Ethics Reportmg IndivIdual's Name Dennis C. Blair 1 . 2 3 " This

SF 278 (Rev. 0312000) 5 C. F.R Part 2634 U.S. Office of Government Ethics

IReporting Individual's Name

Dennis C. Blair

age ,,,umoer

10 . . .. . :'..:.'

.:: . ...

PR·.·· . · Pn.a,r. o'. rttlan' : yPpOOSSl~ttil.0·onSnhseIH~.'de.Uln~n; .. ? ';.· t·hu .••. e •. ·• •. ts .. '.·a·.· .•• ,!.·. ' ,.~.· •. ,',l·:e,'.l:,·.··.,.ca~,'.i".';U,.,·, ·.·.b;,·, •. ·.· .• '~·.':, •. ·e·.';,S.·.,: .. ':,r.', I:...,:,· :.:. '.· !~ .. ·,·o' .• ·.', ....•. _.; .. : .... .• vn:·.·.,.:rpn,en:·. ~o·.·,·de,·"n.wthether ..... ........• ,. ' . ': . . . :" . , :; " _>< '" "''' . 0"'''' w ,.. '. conS\lltantof lU1YcOrpqration~ finn. Partnership~ ~r :~¢er, h:uSln~S$~nt~I1>r1S119~ any.

2

Institute for Defense Analyses Federally funded R&D center Consultant 9/06 present 3

St. Andrew's School School Trustee 1/06 present 4

International Institute for Strategic Studies Non-profit think tank Member, Advisory Counsel 1/06 present 5

DCB Associates Consultant firm President 1/07 present 6

National Committee on US-China Relations Non-profit education Member Executive Committee 1/06 present

: ••. ... .' . :<." " ~;';:"".::.: <' : .; .' '. ' ..•.. , .••.... ;..:> . ,::....... '. " . • ... :(,:. ": . : ~.: ;. :::; .. ... , • . • ,::;, . ,:, or p~es~::iab '. I,'

. , .' Souree'(Name;lind.Adiifes:s;Y:' .... ) ;':,., ... """';,.''?.'' '' ;':"; ,. '. ... . . " ,"." '<." Y"'··· " . Brief Description of Duties·" ; . :' :: <,:/.", •• :; . , . ,,',' ,::::"."'.': ' , .. . ,:'. , ..• ...

1 Tyco Intemational Director compensation

2 Iridium, LLC

3 DCB Associates, Inc. -Bank of America

4 -Dickinson College -National Bureau of Asian Research

5 - Y Hata, Inc. -The Analysis Corporation

6

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Director compensation

Compensation for duties as president Compensation for s~eech gjven to synposium Compensation for duties as endowed chair holder Compensation for duties as endowed chair holder Compensation for consultant services Compensation for consultant services

Page 11: DYes · 2016. 4. 28. · 9 ·D " plan; 2 ' ~: 4 5 SF 278 (Rev. 0312000) 5 C.F:R Port 2634 US Office of Govemnlcnt Ethics Reportmg IndivIdual's Name Dennis C. Blair 1 . 2 3 " This

SF 278 (Rev. 0312000)

5 C.F.R Part 2634 U.S. Office of Government Ethic!

Reporting Individual's Name

Dennis C. Blair , """, '

" ,, ' .. ,' ,' ,"" , ,,', ' ," , ' ';.. "', , . ', '" ,'"

SCH.EUPLE:Q. , .', ," "" ;,; ',< ".," "'; '. >:. , 11

~~·t~:~~:!flt~fel~:Jtri~ili~~:!~li~~~~~~:-~j~j:!~~er·'·':: · ·;. .:; .... ,.;., ,' ' '". <,;.' " , . ',, ' . ','" , "'/.. . .'... '

, ~"'=~~~~~~:~,;~""~ro;!~:,,";,~::: ,?~::~~~~-;~$~a,~~tlt~1;~~ · 'N~CJ: " '" I; ,'.,:.: '·"':'," .,' Organization (Name. andAddress) ", " . ",:" .>:,';/' ,: c:' " ' TypeqfOrgatiiziitionc ,'" , ', .' '~'I1o~itioJiHiM·:-::> ' :'· Fr(jlil(Mii;·;Yr.) ;',To'(Mo.;Yr;j "

~x~~I~:~~~{lfo~~~~~~.W~fo~%Y~~;:~~+"-:S<F-' " ' .~.7-.;~,;::~:. ··:--t~~~~~ti~;:2>;.~,~ ,..~ :;.'~ ;~~~~.;-+<~~~~:":~';:\ 'P ;~~~:;.;;~; '::f~~~~,-'.--" 1

US-China Policy Foundation Non-profit education Member. Executive Board 1/06 present 2

3

Institute for the Study of Diplomacy Non-profit education Director 1/06 present 4

Tyco International Multi-industry corporation Director 1/06 present 5

Iridium. LLC Satellite communications company Director 5/07 present 6

Center for a New American Security Non-profit education Director 1106 present

:Part :q::Gompe~sa#op-lnExcess Of$5;OOOPai,dbyOneS()l1rc~ ....... ' ... . . . ': : '.' .. ·.Don9t 'c~n,plete this part

Report source~ofmorethrui$5;OOQc:ompeli.sation re~eiV~cl1)y Y9u ,Qr your .' .' .. . , . comoration, finn, pru,:tnership,. or other business enterprise, Qr&nY;oth~r~QniJrotit . .' .... ifyou:arfj~n Incumbent. business affiliatiorifor servi~sprovid¢d'd4ectly,byyoudl!ring -anyone year of, .. organization when you direcIlyprovidedthe servicesg~ll.el1ltfuKafee. ·o{paylll~t "',','. ;,.,.··VT .. •. ,e",cfem .. ,· , p·,',?,ra,e', " ,tis'~" .9, ", d!1, eF,n."til,;earl, ', o,:. r ..•.. ,' .•.. :, .. , '.',' the: rep()rting:pe?~~!(ThiS}?~1)'\9¢S then~l1lesofcliel1tsaridcust6111.eisof any .. "" '.",'·,' •. ,O,',fom".o.,r,e ~an, .•. '"." ,$5.QOQ, :YOlll1e,.,e,d,.', r:ot rep, ,o, .. rt",theu:s, Q()verDlll.~ft,. as,,:',', .','~,., •. ,:S,,',.,O,',.,;ur,.", , c.~:. > ............ .

. . > ' ,: . .... ....>. . . . " . >fr·:~~~~~Zdli.~'1 Cant.date,

',c" . Source (Nanle' andAddress) ' .... BriefDescriDtion ofDuiies ' .' .' .."

2

3

4 ~ ________________________________ ~ __________ ~ ________________________________________________________________ -;

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Page 12: DYes · 2016. 4. 28. · 9 ·D " plan; 2 ' ~: 4 5 SF 278 (Rev. 0312000) 5 C.F:R Port 2634 US Office of Govemnlcnt Ethics Reportmg IndivIdual's Name Dennis C. Blair 1 . 2 3 " This

SF 278 (Rev. 03/2000) 5 C.F.R Part 2634 U.S. Office ofGovemmenl Ethic<

IReportmg Individual's Name

Dennis C. Blair

. Energy Security Leadership Council 2

Project on National Security Reform 3

Asia Society Policy Board 4

5

6

Non-profit education

Non-profit education

Non-profit education

age J' umoer

12

Memtier 8106 present

Deputy Director 9/05 present

Member 3/07 present

J?art Il: ¢omp~n!ia~jQ~J.~ ·Exces(Qf$5;99Q\:p~id·· ·bJr.: ·pne.Soufee.····· Oonot6o~pletethi~: p~rt ' ; Report SOUfce:s of mor~iliilJ?, $S,OOQcompensl!tiorir¢seiy~dby youory()Uf '. '. . '. coip()ratioI), finn~ p~ership,oroth~rbusin~s enten)~se; or !lr\y:otb.~rIl.9.o,~pr9p.t if you",rean . lnculllb~nt •.

. busine~saffil~atiorifor smi~es .pr()Yided.dire~Uyby yq\i:duimgany on¢ ye1li:o[ ,organizatiOnwhen.you.directly proviiied tb.eserviceS:generatinga fe<iQ;t' payment · ". TermiriCjtii;mFiler, qr .. ' therep()tting pCr~o(j; · ·1:iii~~~lud~, th~ .ll;aniesof clieD.rs l\nd<clJSto~ersof<iny' '.. .. ' of morl;!th~ S5;Oo.Q~ yO\~ need not repoJtthe.u;~ ~, G()v~fri.n:).e.Iltas·a s()ufc:~: ': ~.· VicePr¢sidential ': ·. ·· · .....•• ', ..•. '

.. ... '., . . ~~:Q r. Pref!jd~nti?lICandic!ate : .·· •.• ·.·.·None· D ' .

'. Source (Name cmdAddress ) ,.. . . ... , .. " BriefDescriptioo:ofDuties ; . : .. ,... . ' .... ,

E' '.' I ""lQpeJones~Smith;'Hometowil; State'' ''' ': ':-~ ~ : .::" " . . , .:. .,:' :" LLee;::~aII $es' -ervrvll:cce··~s' ·I·n":c~o·nn"" ec~· · II'o"n: :"w:·· 'I,'th ;'u' n" '1··v··e·~r.·'sl·ty·-CO:···. ·n.·· · s···.tru-c·: ·t·!:·o:..n'·.'.· .. • . -..•.. . , '., ',. " " '~ ...•.. ::"",' . .. -:'. '. ' " -............ -:.:~-:.:.. - , --.' .... ~ .. - .- .-., .. ', . -... .. -....... -.,'" : ..... '.' -... '.-.. ' - - ' " .. )(~IIlP . es:.: IM~~tfn~~sltY(;;lient::-ofDoe Jories &""Snifth); Moneytowil,"'State"" "'70.7 :-.7.. .~~ ,

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