moony | @ be ZA op — = Ue O ruc OF Destretion Fovotue we devcbed as follows: 5 Original Notes, & Original FD.302%, © aon andor Technical Reports 3 Wircessus Docunets Zakery a ¢60. . PRESIDENTIAL EXPEDITE LEAD SHEET - 1 FILE numpER: LB-He- a3aae asstexeo 70: / DATE ASSIGNED: Al 6 BUDED: B/9/4 CASE NAME: = SST@U, poe FToRBS LEAD CLERK: | DATE AND TIME RECEIVED: 2-2!-4y : DATE ANO TIME LEAD SET: 2-e2|-V DATE COPIED AND DISSEMINATED: _@QL-2/~ 9/ go COPY TO INDICES: APPOINTEE INTERVIEW: uh PRESIDENTIAL’ EXPEDITE: (Revised 11/20/90]riz: HQ 2390 ASSIGNED TO: 0 LEADS COVERED BY DEPARTMENT OF ENERGY (IG & S¥) DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT ae DEPARTMENT OF INTERIOR SUBSTITUTE DEPARTMENT OF JUST! as Se AS —_—_ DEPARTMENT OF LABOR (IG/S¥/OPF) DEPARTMENT OF MOTOR VEHICLES {D.c.) (MARYLAND) DEPARTMENT OF THE NAVY (MILITARY FILES) DEPARTMENT OF STATE (1G/S¥/OPF/BACKGROUND INVEST/FILE REVIEWS) DEPARTMENT OF TRANSPORTATION DEPARTMENT OF TREASURY DEPARTMENT OF TREASURY (PUBLIC DEBT) DEPARTMENT OF VETERANS ADMINISTRATION D.C. BAR ASSOCIATION D.C. BAR COUNSEL/GRIEVANCES D.C. MARRIAGE BUREAU D.C. RECORDER OF DEEDS D.C. SUPERIOR COURT DRUG ENFORCEMENT ADMINISTRATION RECORD CHECKS/OPF TRAINING OPERATIONS ACADEMY OPERATIONS (FILE REVIEWS) xT _] ENVIRONMENTAL PROTECTION AGENCY —_—= FAIRFAX CITY GENERAL DISTRICT COURT FAIRFAX CITY POLICE DEPARTMENT FAIRFAX COUNTY CIRCUIT COURT FAIRFAX COUNTY GENERAL DISTRICT COURT FAIRFAX COUNTY POLICE DEPARTMENT FALLS CHURCH GENERAL DISTRICT COURT FALLS CHURCH POLICE DEPARTMENT FAUQUIER COUNTY CIRCUIT couRT FAUQUIER COUNTY GENERAL DISTRICT COURT FAUQUIER COUNTY POLICE DEPARTMENT FEDERAL AVIATION ADMINISTRATION FEDERAL COMMUNICATIONS COMMISSION FEDERAL ELECTION COMMISSION FEDERAL RECORDS CENTER FEDERAL TRADE COMMISSION (Revised 11/20/90) eTLEAD SHEET - 6 Fite. HQ. 2.300 ASSIGNED TO: CASE NAME? os STAFFORD COUNTY CIRCUIT COURT STAFFORD COUNTY GENERAL DISTRICT COURT STAFFORD COUNTY SHERIFF'S DEPARTMENT U.S. ATTORNEY'S OFFICE (0.C, CRIMINAL/CIVIL FILES) (D.C. EXECUTIVE OFFICE) (EASTERN DISTRICT OF VIRGINIA) U.S. BANKRUPTCY COURT U.S. COAST GUARD U.S. CONGRESS SENATE DISBURSING OFFICE HOUSE OF REPRESENTATIVES DISBURSING OFFICE INTERVIEWS (TELEPHONE EXCHANGES 224 - 226) . CUSTOMS DISTRICT COURT (D.C.) + INFORMATION AGENCY + MAGISTRATES COURT + MAGISTRATES OFFICE (MD) MARSHAL'S OFFICE + MINT NATURALIZATION COURT U.s. TAX COURT TAKOMA PARK POLICE DEPARTMENT TRINITY COLLEGE UNIVERSITY OF MARYLAND UNIVERSITY OF D.C. VIENNA POLICE DEPARTMENT VOICE OF AMERICA WARRENTON POLICE DEPARTMENT WHITE HOUSE, WOODWARD & LOTHROP MPD VCIN DMV (vA) CRIMINAL CHECKS ON ALL D.C. RESIDENCE ADDRESSES : DISTRICT COURT (EASTERN DISTRICT OF VIRGINIA) COVERED By SuBSTITLTE IL EVEN) ODD) OPERATIONS CENTER OPERATIONS CENTER OPERATIONS CENTER OPERATIONS CENTER (Revised 11/20/90) |FOR APPLICATION D INVESTIGATION ONLY APPLICANT'S NAME: Steven ful eps be ALL DATE OF BIRTH: é PLACE OF BIRTH: isco, CA CURRENT ADDRESS: FORMER ADDRESS: soctat secunrry accounr semper: _ 49-94-3245 RELATIVES: NAME DOR RELATLONSH=2 ALEX PD = 1 ARL PD = 1 FAIRFAX CITY PD = 1 FAIRFAX CO PD = 1 FAUQUIER CO SO -1 REQUESTING AUTHORITY, PR WIL CO PD = 1 VIENNA PD = 1 THOMAS BE. DU HADWAY FALLS CHURCH - 1 SPECIAL AGENT IN CHARGE HERNDON PD = 1 LOUDON CO SHRF'S OFC - 1 LEESBURG PD - 1 MANASSAS CITY PD - 1 SUPERVISOR SQUAD HANASSAS PARK PD - 1 QUANTICO PHO + 1 STAFFORD CO PD = 1 Neen ee EERIEFEDERAL BUREAU OF INVESTIGATION FOIPA DELETED PAGE INFORMATION SHEET No Duplication Fees are charged for Deleted Page Information Sheet(s). Total Deleted Page(s) ~ 16 Page 2 ~ Duplicate Page 3 ~ Duplicate Page 4 ~ Duplicate Page 5 ~ Duplicate Page 6 ~ Duplicate Page 7 ~ Duplicate Page 8 ~ Duplicate Page 9 ~ Duplicate Page 10 ~ Duplicate Page 11 ~ Duplicate Page 12 ~ Duplicate Page 13 ~ Duplicate Page 14 ~ Duplicate Page 15 ~ Duplicate Page 16 ~ Duplicate Page 17 ~ DuplicateFer om THE WHITE HOUSE WASHINGTON February 15, 1991 (Date) mnt, tuassn (s) 6 Subject's Name JOBS, STEVEN PAUL SSN: 549-94-3295 mn Date of Birth _02/24/55 Place of Birth San Francisco, CA nS ve reget con of revtowe nore — roses ane ce Full Field Invest: ation : Level I__ Level I1__ Level 111 X_ Limited Update Other The person named above is being considered for: Lol 1A 2390p White House Staff Posi ay Presidential Appointment APA = NOT FOR SENATE CONFIRMATION Attachments: “FEB 19 1991 ~ 2 ENCLOSURE__X____sF ar co fobtow SF 87, Fingerprint Card seaf)zto x SF 86, Supplement bs Remarks/Special Instruct tons: to follow on items #12 and #17) President's Export Council (Additional information “Deir Lut Hig, BLY,‘Standard Form 86 evsed October 1987 US. Gries of Personne! Management FEM Chaoter 796 8 ENSITIVE POSITIONS CUUNSEL'S OFFICE, UESTIONNAIRE FOR & beats 19t fcc Case ore IF ones Moar Yew Gweaapne poston) |D PoseeDATE: 12-13-2011 - tocaton | code Tio CLASSIFIED BY UC 60322 LP/PI/S2. J Location of Ot None Ofte AdGWSS REASON: 1.4 (C) 2 Cao Pa aro He | DECLASSIFY oW: 12-13-2036 fol sou PER OGA LETTER DATED 11/22/2011... | Cc ‘cana none OB FERRE Gea ‘ ‘ot Secusity ‘MSOF Al INFORMATION CONTAINED Foe ne HEREIN If UNCLASSIFIED EXCEPT = ecierg O WHERE SHOW OTHERUTSE Nem) [Ozma Tie ard a 2 Tsfoe Taba“ P ‘Requesting oe (including Area Code) ore lene ; (earns cma is Tor ina Ciao wih cs quests Iban ese ypooe pra por ani, = T BALA © tevin eta npurnara ten © nyo a9, ener sttevatcninte [2 OATE OF boeater yourmele nae 3 Le \cistoneas | Si colists Halse 2319.05] ‘B SELEE ove cew nares you vst ate ered tne ose en fr ae) ales) ovnekamefsp me oernare your malden name, MRIS? © tinge yourmasonrane, rans byaemermarage fom pn nto “ fae Tara asa ae rae F Z pa 2 i= a © Boag pn eras Ta Sr Star rommation | 6" 0! 160 | Brown [Brown Treanor Wor rai ies an anes Tone eT — NUMBERS | 415-366-0900 Bacmzensite | Marc tho doxat ho gh tat appesoyouans | aT2US SEREDMERSTS ————__ follow the instructions next o the box you marked. m. alaus. . Sb wren eres Leva US Gi a wnerean SEIS, epepogates nae nan gay Moose esa | Pts te Rams Sree ny aes AS ition tens Wis ner yu aan oot oy aa ae! Litig inh Ceci iar wa ein am) ow Sin Cori ar era ed ‘State Department Form 240-Report o! Birth Abroad of « Citizen of the United States: _ Ske te ae Fy br Monibayrear Balaton Se me HagEes rash 8 espe asa isan se "Wis may beter acurenor proves US. pastor. BC oun ciraensue you are (or wore) dul etizen of he United States and another County, pve he ae al coat sac oxi _ Bd eYouknoe ar eect IPE Cig a TG N . the United Stats: “SEER ‘ow | “ENCLOSURE Page 1SECRET 9 wmene You Have LIVED Your Address. In this column, gve the information requested for ‘every place you have lived forthe past 15 years. Begin with where you live now and work backwards. For any address within the past ‘3 years that consisted of “General Delivery’, a Rural Rute, or Star Route, with no designated street address, don’ ive that as your address; give where you actually ved and then provide in’ the space avalable on page 6 general directions for locating it. People Who iKnew You. Use this column only for these resi- ences you show onthe ia that you oocpied ring the ast 3 years. Across from each such residence, give the name address of someone who knew you in that neighborhood; prefer- ‘ably someone who sil ives there, peers Ti = HOI9ON pre si 1] ___bic Si a i TR Fa i aa ea co aaa RTGS] ea ROS NOTTS TIT a IPs p50] 10 Mountain Hone Rosa ae a Woodside abies Country it outsido the United States) City ~ Ea ae as II/Bu| 15900 vest. Kone | et a Rar TART [Lasso oe Say Tom RT co i Ta Te 2066 Crist Drive EET Los Altos ciao Cy ei ida [a] Steet Faso (pcuee BIPTEM PARDO Tay) “Coy fest he Unie Sites) Bae aro Bret Ades foc apartment nuréer ary) iy 10 wiene vou went 70 schoo. Schools You Attended. In this column, give the information requested below for all schools you have attended beyond junior high school. Begin with the most recent school and work ack- Wards. Use the folowing codes to indicate the type of schoo! you altended ‘High School 2-College/University 3-Vocational Trade School People Who Knew You. Use this column only for these schools you show on the loft that you attended inthe last 3 years. Across trom each such school, give the name and addrest of someone (such as an instructor or student) wine knew you atthe school. Reed College aa Tare are sedan oe) eae [sae acai Fa 3203 Eastwood Stock Blvd. ony San moe cy etand a RRR Caml Tans Tan ae ET 9/68 )6/78011 | Homestead High Schoo! Soothes SistnaORe OSes Ds pT AFB 21370 Honestead Road ____| Prentice 2) ~ a er Cupertina bya lsys0i 8 Enter your Social Security Number Se to the next page. Page2 SECRET mh ebeckwarde 15 years. incude © a priods of unemploymont A imamowarnaret has Memo poserrererers <2 alluine wo pa acer al parttime work © allvluniary wok © so-empoyment you woron the itary, St each duty sation 38a separate period of employment. I you worked under a contact wh the Federal Government, name your empoyer, not the Goverment agency. + ltyou were self-employed or unemployed, name someone who can vey +f ou stan employer or actual place of employment a afocation outside the U.S., show city and county inthe space fo lly. Use the otowing codes fc each segment of your employment itor 11 Active mitary duty 3-USPLHS. Comnissioned Comps 2-National Guard Resewe 4 Other Foderal employmont 5- State employer 6- Seemployment 7 - Unemployment 8-Oner Immediate Supervisor OR Person to Verify ‘Self-employment or Unemployment. Across ‘rom each employment on the left, provide the Employment. Provide the information requested for each period of employment. Give the name of your employer. Enter “self-employed” in the Box for employer's name when, appropriate, and “unompioyedt for periods of unemployment infomation requested below. oe You Po SRaNSaTR aT Rare ——] Toa Tar President ) Tigran Nombar | Set os ar a pe) 2 L415 1366 0900 Employers Sweet Ares ‘iy (County ejarcee low 900 Chesapeake Drive Redwood city levdlsns046 3 ‘eal oeaon Heterent tom | Bea Ans ‘ry (Coury trnployers dens : aa Postar paar CPST Tans —— Tea Chairman 6 Founder ens Nort’ — Bo Fos Oo a ae) Apple Computer 4408 1996-1010 Eppes Se Raise ‘ir Camry cea 20525 Marian Cuvertino ial \ ‘eval ob location eiterent irom | SHBEL AOSISS (iy (Conney) | soon | Sed [Hevea Oo You Poston SapercorePoaans Name "Telephone Nunber Lazu Tuas GS Employes Nar ee Atari, Inc. (408) 745-2900] per Se ia iy ory ss a Come | "1196 Borregas Ave. Cupertino 151.410; 8,6) Jul bacon taerst rom | Boe Boss Cy cout) ples ern: = ea ase Yar Poen pavsoraoaar Rare ——|Tatone Rrer fa | - a Ely s None ee ET ST ey ary os ‘Actua obocton tameren rom | Sot es Gx (com smloyer saree: Ef incre Cos] Yoo ane aaTearaP aT Rae | Tota Wor eh ie: ! co Erplyrs Ra ee Eagar Seen ay (Cony ea Ts Boe an a ‘Actual job location it itferent trom | Steet Acdress Cota (rtoyersessres Enter your Social Security Number before going to the next page. SERA=] Se noe OE eS Ts T7 Your RELATIVES. Give full names and enter the corect code forall relatives, lving or dead, spectied below: Tne “Stepan 7 Sophie f0-Siepboter 18-Halsier 18-Guaan 2oFane Fost pare abate 1 -Sopsste 14 Faberiniaw 2 Swpmaber _—_—_6-Chisadopdao) Sit faMabobe ——_18-Mothersn am Falome Gearon eo ob ow Ala ac, cle) aa comnytorm | Cary iwy Cxtat Sint SEY | ae ee) ro fen be Clara Hagopian Jobs 1 08/03/24 | us. u.s. ri 2 | us. u.s. cA ol ] us. us. Pd leva q L3 us. us. Nyy — 6 us. v.s. cia t | | i o- L Oo L oO \ JB voonwanrnsTaTve Wah on a loving Dna o how your exon hal sae 1 Never marie (ot question 19) 2+ Saparatos Mares 4 gal separated Country fCzoranp I Sepa, Die of Separation o,DayFr) | Wega Saparane, ‘ein Caen Spa Seo Gy ardent Tats US) Former Spouses) Conse a elwig dou your ome spouses) Fae ewer Cosy tics Ga Hered ‘Gian Oe, Ten Ge Dasa] Lovo [1] wont Aizen of Fone! Spake (Stet, ae county Wousa ie US) te TQ Doos tne citizen of another country, ora United States citizen by other than bith, Ive at your residence? "Yes", provide the information [Yes Ne] required below. if United States citizen by other than bith ives wih you, show both “United States” and prior country of citzenship below. |S (Don st Your spouse or oer elves you prone in question 17. Name of Perton ‘Coury of hisnahip etaionship SEGRE Enter your Social Security Number before going to the next page. 549.19 43 295 Page 5CONTINUATION SPACE: Use the continuation shees(s} (SF 8A) for additonal answers lo questions 9,10, nd 11. Use te space below to continue answors toallcther questions. more space is needed than what is provided below, oto page 9. Before each answa, identity th numberof the question. Tis trcae Pat ftsterm, Wyeu ave ied Pane covinaionsheds bark teeaio um complote any ofthe questions in Part 1. ive the number or those questions inthe space to he right: + ‘Enter your Social Security enter i going to the next page. &= 5,4,9]-19,4/913,2.95 Page 6| aerate Sonindron 86 -SEGRET gq QUESTIONNAIRE FOR rouge _ SB occ toca owsee eNsiTive Positions Eee Ta 90 10 208. "No", got023 20b tive youretredwintna Select Senice Sysom? "Yer voyeur egetaton number QE you answered "No, o 200 are you legal exempt? Ves" sale the reason for the exemption 21a. Have you ever ecaved cher than an honaabe dschags rom the mtr? i*Yes", poe: Dale of Discharge (Month and Year) ‘Type of Discharg Have you ever been subject to court marl or ater disspinaryprozesdings under the Unflorm Code of Miltary Jusics? "Wes", Asipinary proceedings inthe last 15 yeare and al courts marta Die Moni Yeay|- Charge or Speciation Pee ‘22, Has any of he olowing happened io youn the last 15 years?. "Yes", eoin wis the most resent occurence and go backwares, provid | Yes) No red, qui ort, and other information oquosted. Use the folowing codes to explain the reason your employment was ended istany ounieounry ute he Unies Stata) 11+ Fed rom oo '3-Letta job by mutual agreement olowing alagtions of msconduét_ 5 Ll ob for other easons under 2. Quitajb alter boing old 4 Lettajob by mutual agreement folowing allegations of unsatisfactory unfavorable croumstances you'd bores performance Date onthe Cade - Employers Name and Address ‘Sine] 2 Cove 09/85 S| Apple Computer CA 95 0,1 4 Hyousrswer “Yes bitsy Bape ‘been artested, charged. of convicted ofa felony ofense? {’ r ben arsted, tae, oconete ofa fears or oxsves chara 23¢ Are inere ourenty any charges pending against you for any criminal ofense? Bd Have vou. meron arsed, chard or conan oF any tense led aloha occas? 23e Have you ever been arrested, charged, oF convicted of any other type of offense? Leave out trafic fnes of less than $100- nie (lontVYow)_Oferee | Action Token Law Ercan hry or Cour (yan nunyeouty oie Si 2, , 6,4, or below, explain your answers) in the space provided. De not incuge anyting that happerad bofoe your 16h Bekeed| ‘24 Ths tom cones the wie of dconole bverapes, andthe suplg or using wihout a prseplon of vans coc, hashish rarcote (opm ‘monte cosore, hero, ec) bmn (cocano, anpetanes ee) pecans (its metas, Fangltes,ohalucnagencs (18D, POP, oi) coher dangerous o legal ge Tres] tel 200 you now use or wit te last yeas have you used, aah bovegoshabhalywoxceae? iL ‘Do youron use o sno, o wine at Soars ave you std o Supa ara coca, TAFSER MDenS, oF OTA 2AD carpe chop! ne? x Dike 100 answered "Yes" to cueston orb above, provide atthe topo page infomation rlaing tthe iypet Of eubstancele) uEed. he periods and raquency a use for each, and anyother datas or expanaton alain o your use of hese substances. Enter your Social'Security Number before going to the nex« page. mmm) 5 1. 9/-\9.4/+[3,2.9,5 —SEeRET ° Page 7vr oubetance Uneg Exlentln (you comments be ur fo gh he equenyof our use dng ech pared yu Usted, (aertneer) _contvvear)_| T¥P® ot Substnce Including the period of mast recent vse) | 25 Have you evernad a nerius breakdown o have you ever had madieal weatmentfora menfalconon? H"¥es", prowe information| Ye] No below Give pariado treatment urcer"From/TO" sang rom the present. x ‘Nae! Aaeress of Person. Hosa o lon Proving Treatment (etc county i outside to Unie States) sae (J (28. _tinie vos, your spouse, or a company eftctvly controled by yu fled for bankrupt? Have ou Yor spouse, ta company etlecielyconoted by you been dedatd bakin? {Gave you. your spouce of a company afecivelyconroledy you been subject ax anor tern? copay elecvelycontoledby you Tad epel judge enced aginst youora Gab 2Bd Have you. your spouse. you answored Vos, 10a, ¢ ord above, o/de dato of ia action and other infomation requesied blow. Type ot ton ame Action ocurred Under Nameinaress of Court or Agen Hancing Case State ate (Monniear Qe yu now over nsiy (9) days deinquent ona twodby the Federal Goverment. (if your answer ate Typecottoen iouniYeey | _ ot igaton ‘oar or financial abigaion? Ineude délinquentioans or obigatione uided or qlaan: [es No "Yes", provide date loan or abigaton was mado and othe infomation requested below) |_| X Namaitddrons of Creditor or Obigee sae) 21 cade ———_—__ sera Page 8 . “Exder your Social Security Number be} ‘going to the next page. =30d Have you ever baer a member, otcu. or Myon o the Communist Pry? | 3Ob Haveyou everbeen amember, oer, or empiojee of ary ogaaton, soca oF fun WE a +) sovoctestreovrtow oo Goverment 2) abvoets or approves of arming acl ffs or voles ody chester | Constutenal ight or 3) wane change ou lm of Goverment unorsunal reas? 3De Have you ever made a nancial or other material contrbution to any organizaton of the type described in Questions Gda or 906? you answered "Yes" on, 30 oe, answer 904, 908 and 2 ‘30d Ai tne ot yourmenbersti, pristine conten es you now oe uriaw aims of he organization)? 3De dayeuinende prome te unawll aims o te orpanzaions? BOF _Ust enc organization and provide an explanation of yourivlvenent and cis wih ea ow corinuationshoet(s) (SF 8A) for addtional answers te questions 9, 10, and 11. Use the space below to continue answors toa other questions and any inlrmation you woul ks oad. more spaces needed han what's proved balou, use a bank shet(s) of papar Start each sheet with your name ard Social Security Number. Bole each answer, ident the number ofthe queson ‘Rrer comprng Pais 1 and of is orm, you SHOU review your anewors fo A questions To make Sure The Torm is complete and accurae, and then sign and ¢ate the following certification and sign and date the release on page 10. Certification That My Answers Are True .ctions explaining the purpose of this form and the Federal Government's authority for asking the questions, | 1d understood each question. | understand that it! did not tell the ruth on tis form or didnot list all relevant {| Government may fire me, may not hire me, may dari or revoke my clearance, or may prosecute me. | ‘my being fined up to $10,000, imprisoned up to § years, or both read and undorstood the it read each question asked of ma or material facts or events, the Feé understand that prosecution may ro Enter your Social Security NUrkber before going to the next page. Ft Page 9SEGRE Standard Form 86 fam pee Revised October 1987 Sie en “US. Otice of Personne! Management Nenana PM Chapter 738 UNITED STATES OF AMERICA Carefully read this authorization to release information about you, then sign and date it in ink. AUTHORITY FOR RELEASE OF INFORMATION 1 Authorize any duly accredited representative of the Federal Government, including those from the U.S. Office of Personnel Management, the Federal Bureau of Investigation, and the Department of Defense, to obtain any informa- tion relating to my activities from schools, residential management agents, employers, criminal justice agencies, financial or lending institutions, credit bureaus, consumer reporting agencies, retail business establishments, medi- cal institutions, hospitals or other repositories of medical records, or individuals. This information may include, but is not limited to, my academic, residential, achievement, performance, attendance, personal history, disciplinary, criminal history record, arrest, conviction, medical, psychiatrie/psychological, and financial and credit information. 1 Further Authorize the U.S. Office of Personnel Management, the Federal Bureau of Investigation, the Depart- ment of Defense, and any other authorized agency, to request criminal history record information about me from criminal justice agencies for the purpose of determining my eligibility for access to classified information, or assignment to, or retention in, sensitive national security duties, in accordance with 5 U.S.C. 9101 I Direct You To Release such information upon request of the duly accredited representative of any authorized agency regardless of any agreement I may have made with you previously to the contrary. I Understand that the information you release is for official use by the Federal Government, and that these users ‘may redisclose the information you release as authorized by law. 1 Release any individual, including records custodians, from all liability for damages that may result to me on account of compliance or any attempts to comply with this authorization. This release is binding, now and in the future, on my heirs, assigns, associates, and personal representative(s) of any nature. Copies of this authorization that show my signature are as valid as the original release signed by me. Fula Typed) Steveri P. Jobs ‘Social Seu Number 549. [=| 94 =| 3295 Date, Parent’Guardian Signature (N Required) iT i" 26/9] Page 1 oO “SEEREL : e. eSUPPLEMENT TO STANDARD FORM 86 (SF-86) L (Attach additional pages If necessary) 18, Please list names of all corporations. firms, partnerships or other business enterprites, and all nonproft ‘organizations and other insttuions with which you are now, or during the past five years hava been, affiliated as an officer, owner, director, tustee, partner, advisor, attorney or consultant. In additon, ple amas of any other organizations with which you were affliated prior t0 the past fWve years that mi 2 potential conflict or appearance of contict of intarest with your prospective appointment. Please note the case of an attorney's client isting, it is only necessary to provide the names of major clients and those ‘might present a potential contict or appearance of confit of interest mith the prospective appoiniment). 1) Pixar 2) Next, Inc. 1001 W. Cutting Blvd. 900 Chesapeake Drive Richmond, CA. 94804 Redwood City, CA 94063 2S. Please lst all your interests in real propery, other than a personal residence, setting forth the nature of your intorest the type of property and the address. . +1) Apartment (owner) 2) House (vacant) diner 146 Central Park West 460 Mountain Home Road New York, NY 10023 Woodside, CA 94062 38. Have you oF any firm, company oF other entity with which you have been associated aver bean convicted of olahon of any Federal, sate, county or municipal law, regulation or ordinances? if 30, plaase provide hil Sotais. No ‘4S. Have you oF any firm, company or other entity with which you have been associated ever been the subject of Federal. stato oF local investigation for possible violation ofa criminal statute? I so, please give full datas. No ‘5S. Have you ever been involved in cil Or ceminal Iigation, oF 19 administrative or legislative proceedings of any sind, either as 2 plant, defendant, cespondent, witness Or party in ntorast? it s0, please give full detals ddenttying cates, issues ligated and the location whara the civil acton is recorded. See arracHED Mes fas) Letom / ENCLOSURE