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OGE Form 278 (Rev.

09/2010)
5 C:F:R. Part 2634
U.S. Office of Government Ethics
Date of Appointment, Candidacy, Election,
or Nomination (Month, Day, Year)
3/21/2011
Executive Branch Personnel PUBLIC FINANCIAL DISCLOSURE REPORT
Reporting Status Incumbent Calendar Year New Entrant, Termination Termination Date (If Appli-
(Check Appropriate
D
Covered by Report Nominee, or
m
FilerO
(Month, Day, Year)
Boxes)
I I
Candidate
r r_ L., t .. l v t '.
1
Last Name First Name and Middle Initial
n"
Form Approved:
OMB No. 3209-0001
Fee for Late
Any individual who is required to file
this report and does so more than 30
days after the date the report is required
to be filed, or, if an extension is
Reporting Individual's Name
Pawlenty TimothyJ.
LUll A!Jb I!) PH 2: 29
granted, more than 30 days after the
last day of the filing extension period,
Title of Position
Deoartment or A11:enc · ( lf'Armlicable) t- f M A ll r• ..- '" - · - .,. shall be subiect to a $200 fee.
Position for Which Filing
Candidate for President
....... v .... ,, i .... n
Reporting Periods
'
Incumbents: The reporting is
Address (Number. Street Citv. State and ZIP Code) Telephone No. {/nclude Area Code) the preceding calendar year except Part
Location of Present Office II of Schedule C and Part I of Schedule
(or forwarding address) PO Box 385340, Minneapolis, MN 55438-5340 (612) 284-8250 D where you must also include the filin11:
year up to the date you file. Part II of
Position(s) Held with the Federal Title of Position(s) and Date(s) Held Schedule D is not applicable.
Government During the Preceding
Termination Filers: The reporting
12 Months (If Not Same as Above) Member, National Infrastructure Advisory Council (N,I.A.C)
period be11:ins at the end of the period
covered by your previous filin11: and ends
Presidential Nominees Subject to Senate
Name of Congressional Committee Considering Nomination Do You Intend to Create a Qualified Diversified Trust? at the date of termination. Part II
Confirmation
DYes DNa
of Schedule D is not applicable.
Nominees. New Entrants and ,
Certification Signature of Reporting Individual Date (Mol!th Dav. Year) 1 Candidates for President and
I CERTIFY that the statements I have
"

\\
Vice President:
made on this form and all attached
.

1)
I I I
Schedule A-The reporting period
schedules are true, complete and correct
to the best of my knowledge.
---'
for income (BLOCK C) is the precedin11:
calendar year and the current calendar
Other Review
Signature of Other Reviewer
"-·
Date (Momh Dav. Year) year up to the date of filing. Value
assets as of any date you choose that is
(If desired by
within 31 days of the date of filinl!;.
agency)
Schedule B--Not applicable.
A2encv Ethics Official's Opinion Si11:nature of Desi11.nated Agency Ethics Official/Reviewinl!. Official
I Date (Mnnth. Dnv. Yenrl
On the basis of information contained Schedule C, Part I (Liabilities)-
in this report, I conclude that the filer is
The reportinl!: period is the preceding
in compliance with applicable laws and
calendar year and the current calendar
regulations (subject to any comments
year up to any date you choose that is
in the box below).
within 31 days of the date of filin11:.
Signature
Date (Mol!th Dav. Year)
Schedule. C, Part ll (Agreements or
Office of Government Ethics
Use Only
Arranl!;ements)--Show any aj!;reements
or arranj!;ements as of the date of filinj!;.
Comments of Reviewin!! Officials (If additional snace is required use the reverse side of this sheet J ScheduleD--The reporting period is
c;o
Jl:tl
the orecedin!! two calendar vears and
(Check box if filing extension gral!ted & indicate number of days the current calendar year up to the
date of filinl!;.
A2encv Use Onlv
(Check box if comments are col!tinued on the reverse side) D
OGEUseOnlv
Supersedes SF 278 Editions.
OGE Form 278 (Rev. 09/2010)
5 C,F.R. Part 2634
U.S. Office of Government Ethics
Reporting Individual's Name
Timothy J. Pawlenty
Page Number
SCHEDULE A
2
Assets and Income Valuation of Assets Income: type and amount. If "None (or less than $201)" is checked,
at close of reporting period no other entry is needed in Block C for that item.
BLOCK A BLOCKB BLOCKC
For you, your spouse, and dependent children,
Type Amount
report each asset held for investment or the
pro,duction of income which had a fair market
value exceeding $1,000 at the close of the report-
ing period, or which generated more than $200
,-..
"0
Other
in income during the reporting period, together
s
= §
Income
= ·=
,-..
with such income.

= =
.=:, f,;J;j .....
=
(Specify
!

=
g
....

=
=
=
=
g
Type&
-<19-

=
= =·
4>'
lfl
=
For yourself, also report the source and actual

= g =
*
=:,
=
=
1l

=

Actual g
=


':1
= =
* amount of earned income exceeding $200 (other = =


=


=
tl tl
i.
=

=

=
= ..
= Amount)
=
=
=
=

.lfl
= g =
=
=
Ill
=
than from the U.S. Government). For your spouse,
"'
=

..... = I


·e

=

-<19-
=
.]
tri

-<19-
=
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.-I
=
..:! "'
=· Ill

=
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=
report the source but not the amount of earned
= =
E-4
]

Ill Ill ..... -<19-.
I
..... -<19- .-I .....
=

=
-<19-
I· I I
=
=

·ttl
r;!l
..... -<19- -<19- I
=
.-I
income of more than $1,000 (except report the

•·
I
.-I ..... .....
...1'

=

l
"0
]
"d 00 I I =:,
=
= I ......
.....
= g =· =

l

....

S,
I
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.....

tri 00
=

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00
g
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actual acount of any honoraria over $200 of
'-' .....
=· = =

=
I···
..... .-I . .....
=
00 00

=

Q


= =


....
j
= = =
!

·=·
"" your spouse).
=
=

=



'!>= ·=

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f

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..... ......



·=
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...1' tri

00 0 0 0 0

0

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0
NoneO
0.
00 00 -<19- 0 -<19- -<19-
Central Airlines Common
X X X
----------------
1-- -
,...;._
-- - -- 1- ·- - 1-- 1--
- -
.. ....,
-
1-- 1--
- ·- -·-
1-- 1---
-
--
-
--
-- - --
- -
Examples Doe Jones & Smith, Hometown, State
X
....;:.
----------------
t--
-
,.....;
-- - --
f.-
- ·--
r-- f--
- - -.- -- -- r- - ·- -- - f--
- - - -- - --
• __
Kempstone Equity Fund
X x·
X
----------------
r-- - ·-:-

,__
f.-
- ·-- - f--
- - -- - -- r-
- ·-
--· - 1--- - - - 1-- -- - ----------
IRA: Heartland 500 Index Fund
X x·. x·
1
State of Minnesota - Governor's Office,
$121,260-
State Capitol, St. Paul, MN 55155
X
salary
2
I···· .. ..
Children's Heartlink- Spousal Income
' ..··

.
3 Tyndale House Publishers, Inc.- 351
J
' ..
$342,000-
Executive Drive
: X royalty
Carol Stream, IL 60188
: : payments
4
Gilbert Mediation Center, Ltd. - Spousal
:
'
' ..
Income
.·:
; :'
:
s Leading Authorities, Inc. - 1990 M Street,
·· ..
(,A
·I ;
'
NW, Suite 800, Washington, DC 20036
. 1···.
X
speaking fees -
'
:·.
$24,000

I>.'·. :·.·.
·.·.
6 Leading Authorities, Inc.- 1990 M Street, ..
"
NW, Suite 800, Washington, DC 20036
. X
speaking fees -
. '·.·
' $24,000
,•:
..
* This category applies only if the asset/income is solely that of the filer's spouse or dependent children. If the asset/income is either that of the filer or jomtly held
bv the filer with the spouse or dependent childreJh.mark the other higher categories of value, as appropriate.
Date
(Mo., Dav.
Yr.)
Only if
Honoraria
------
------
------
01/19/2011
01/23/2011
OGE Form 278 (Rev. 0912010)
5 C.F.R. Part 2634
U.S. Office of Government Ethics
Reporting Individual's Name
Timothy J. Pawlenty
SCHEDULE A continued
Page Number
(Use only if needed)
3
Assets and Income Valuation of Assets Income: type and amount. If "None (or less than $201)" is checked,
at close of reporting period no other entry is needed in Block C for that item.
BLOt:;KA BLOCKB BLOCKC
Type Amount
'
,_._ 'CI'
Other
..... 0
§· 0 0 0
;:;- Income
0 0 0 0
0
,...t ·o
0

g
.....
I,

0 (Specify
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0

g
0

0

.·· 0

Type& 0 0
0
g
.....
I··'··

=

0

0
*
0
1:::1

0
'*
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0 0·
0
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a



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g

g
0 0
0


0

0

0 0 Amount) 0 I#) 0
<:S


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0
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...... 0

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·25·•
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•··
' I·•;
\
1 Leading Authorities, Inc. - 1990 M Street,
I , '.
speaking fees
NW, Suite 800, Washington, DC 20036
'
I
·.-
X
$24,000 , ...
I
·.·.·
2 Leading Authorities, Inc. - 1990 M Street,
1·..· •.. .
speaking fees
NW, Suite 800, Washington, DC 20036·
I i
X
$24,000
.
.
3 Leading Authorities, Inc.- 1990 M Street,
'
speaking fees
NW, Suite 800, Washington, DC 20036
'
X
$24,000
.
4 Leading Authorities, Inc .. - 1990 M Street,
.'
.
speaking fees
NW, Suite 800, Washington, DC 20036
..
..
X
I
$24,000
s Leading Authorities, Inc. - 1990 M Street, .
speaking fees
NW, Suite 800, Washington, DC 20036
·.·
.
X
'.
$24,000
'
I
6 Leading Authorities, Inc. - 1990 M Street,
speaking ·fees
NW, Suite 800, Washington, DC 20036
....
X
$9,375
7 Leading Authorities, Inc. - 1990 M Street,
.
.,
speaking .fees
NW, Suite 800, Washington, DC 20036 ' ..·. X · ..
$24,000
"
I>''
I:· .. '
; .
a Leading Authorities, Inc.- 1990 M Street,
........
. .
I
. J·
speaking fees
NW, Suite 800, Washington, DC 20036
.•·
X
· ... $30;000
..
9 Leading Authorities, Inc. - 1990 M Street,
speaking fees
NW, Suite 800, Washington, DC 20036
.
.
X
, .
....... .
.L $20,000
'
....::_
* This category applies only if the asset/income is Solely that of the filer's spouse or dependent children. If the asset/income is either that of the filer or jointly held
bv the filer with the spouse or dependent children . mark the other higher categories of value as
-- ·-
Date
(Mo .. Dav.
Yr.)
Onlvif
Honoraria
03/18/2011
03/21/2011
03/22/2011
04/07/2011
04/19/2011
Cancelled
05/25/2011
06/02/2011'
06/09/2011
·- -
OGE Form 278 (Rev. 09/2010)
5 C.F.R. Part 2634
U.S. Office of Government Eth'
·--
Reporting Individual's Name
Timothy J. Pawlenty
SCHEDULE A continued
Page Number
(Use only if needed)
Assets and Income Valuation of Assets Income: type and amount. If "None (or less than $201)" is checked,
at close of reporting period no other entry is needed in Block C for that item.
BLOCK A BLOCKB BLOCKC
Type Amount
'
·•
·.·
,-., '1:1
Other

=
!
Income = = =
;:::;-

0
=

g
(Specify =
g. =
=

.....
0
= ....
g =
g .
0
=
·g

Type&
= =
=
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0
:=

= §

= = g = =
*
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g =
g
*
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0
I
..
.
,.
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I
1
;
Wells Fargo Checking and Savings X
·,
X
2
1;
U.S. Bank Checking Account X
.·.
X
'.· .
..
3
Affinity Plus Federal Credit Union Savings
.
.·,·
Account
X
X
4
TCF Bank - Dependent Cf:lildren's
.,
Savings Accounts
X
X
5
TIAA-CREF Minnesota College Savings
'
Plan- Managed Allocation Age-18+
X X X
6
TIAA-CREF Minnesota College Savings
X
X X
Plan- Managed Allocation Age 12-14
7
403B: Franklin International Growth Fund
.
Class A
X
.
X
..
X
'
·:
8 I . , ..
403B Franklin Balanced Fund - Class A X
X x·
'.·
..
',
9
403B: Franklin Templeton CoreFolio
X
*
X
Allocation Fund - Class A '· ·'
: ...
* This category applies only if the asset/income is solely that of the filer's spouse or dependent children. If the asset/income is either that of the filer or jointly held
bv the filer with the soouse or dependent children mark the other higher categories of value as appropriate.
4
Date
(Mo .. Dav.
Yr.)
Onlvif
Honoraria
OGE Form 278 (Rev. 09/2010)
5 C.P.R. Part 2634
U.S. Office of Government Ethi,
Reporting Individual's Name
Timothy J. Pawlenty
SCHEDULE A continued
Page Number
(Use only if needed)
Assets and Income Valuation of Assets Income: type and amount. If "None (or less than $201)" is checked,
at close of reporting period no other entry is needed in Block C for that item.
BLOCK A BLOCKB BLOCKC
Type Amount
"Cl'
I Other ;:::;-
= §
= =
Q
.......
Income
= =

l'lo· ....
g

= = ...

(Specify ....

=
= fh
§
=
g g
·= =
=
Type& Q
=
=



=
g


g-. ..§• = g = =
*
=

g
Q
*
=· Actual
.s
=
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=
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=

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fh

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.
= = =
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=

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a
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0 0 Cf
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fh <il3- fh, fh.
fh <il3- fh fh fh 0 fh 0
...
1
403B: Franklin Money Fund X
I
x.
·'
X
2
IRA: Vanguard Growth Index Fund
··.
. '
X X X
Investor-Shares
·.
, I }
3
IRA: Vanguard Pacific Stock Index Fund
.
X
·,
X ·X
Investor Shares
.
I
1
4
-
.
IRA: Vanguard Mid-Cap Growth Fund X X X
5
IRA: Vanguard Target Retirement 2025
Fund
X X X
'
6
IRA: Vanguard Large-Cap Index Fund
Investor Shares
X X X
7
IRA: Vanguard Small-Cap Growth Index
.
Fund
X X X
..
I"
8
IRA: Vanguard Intermediate-Term Bond
X
X X
Index Fund Admiral Shares
.
''•
9 HSA: Minnesota State Retirement System .
Health Care Savings Plan Bond Market X
X
Account '•
-
* This category applies only if the asset/income is solely that of the filer's spouse or dependent children. If the asset/income is either that of the filer or jointly held
by the filer with the or children mark the other higher of value as appropriate.
5
Date
(Mo., Dav.
Yr.)
Onlvif
Honoraria
'
OGE Form 278 (Rev. 09/2010)
5 C.P.R. Part 2634
U.S. Office of Government Ethics
Reporting Individual's Name
Timothy J. Pawlenty
SCHEDULE A. continued
Page Number
·(use only if needed)
Assets and Income Valuation of Assets Income: type and amount. If "None (or less than $201)" is checked,
at close of reporting period no other entry is needed in Block C for that item.
BLOCK A BLOCKB BLOCKC
Type Amount
,_..,
.,
Other
=
!
,..;
= = Income =
= = =·
,_..,
g
,...,
=
= =

=

(Specify
,...,

0
=
"'
g =
=
=

Type&
g
= =
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= =

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= = =·
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= :1:3

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= = = 0
=
=

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=
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= = = = 0 = =
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1 HSA: Minnesota State Retirement System
Health Care Savings Plan Fixed Interest X X
Account
2
UTMA: American Century Vista X X X
I'
3 HSA: Minnesota State Retirement System

Health Care Savings Plan Money Market X X
Account
4
IRA: Fidelity Four-in-One Index X X X
5
MN State Retirement System Unclassified_
(
Retirement Plan: Money Market Account
X X
6
MN State Retirement System Deferred
X X X x
Comp: Vanguard Mid Cap Index lnst
7
Minn Life Advantus Index 500 Fund X
X .. X
,.
I····
.
8
MN State Retirement System: TDAM
.X
X X
Money Market Portfolio
.
9
Minn Life AdvAntus Index 400 Mid-Cap
I
Fund
X
.. •
X X
i'-
* This category applies only if the asset/income is solely that of the filer's spouse or dependent children. If the asset/income is either that of the filer or jointly held
bv the filer with the snouse or dependent children mark the other higher cate<>ories of value as annrooriate. .
6
Date
(Mo .• Dav.
Yr.)
Onlvif
Honoraria
OGE Form 278 (Rev. 0912010)
5 C.P.R. Part 2634 '
U.S. n=-· ·• ~ - - · · ·
J. Pawlenty
Assets and Income
BLOCK A
Fidelty - Cash in Brokerage Account
SCHEDULE A continued
Valuation of Assets
at close of reporting period
(Use if needed)
11.m:umt:: type and amount. If "None (or less than $201)" is checked,
other entry is needed in Block C for that item.
Other
Income
(Specify
Type&
Actual
Amount)
7
Date
(Mo., Day,
Yr.)
Only if
Honoraria
5 C.F.R: Part 2634.
U.S. Office Ethics
ing Individual's Name
!Timothy J. Pawlenty
T
SCHEDULE A continued
(Use only if needed)
I Page Number
Assets and Income
BLOCK A
1
RA: Powershares DB Agriculture Trust
-
2
IRA: Vanguard Energy ETF
3
1MN State Retirement System Deferred
Comp: T Rowe Price Small Cap Stock
4
1MN State Retirement System Deferred
Comp: Vanguard Total Inti Stock Index
I
MN State Retirement System Deferred
Comp: Fidelity Diversified Inti
Is IMN State Retirement System Deferred
Comp: Vanguard Mid Cap Index lnst
I?IMN State Retirement System Deferred
Comp: Janus Twenty
8
1MN State Retirement System Deferred
Comp: Vanguard lnst Index Plus
-
9
1MN State Retirement System Deferred
Comp: SIF Money Market
Valuation of Assets
at close of reporting period
BLOCKB
,: 1 lli'
;z,r o
I
j\
X
X lli,

x l·!:c:
'!·::•'!•' i:i:li:
' : ? i i ' ,..;: ' ' li ' ' ;
1
;1"'
H''

--II

.

.
1
;;:1 •
[;d X i''.:
X li'i;::1:1 I· II
X

.
.
.


.
.

'
{")-"


tX


fhis category applies only ir the asset/income is solely that of the fHer's spouse or dependent cl:iHoren.
I bv the filer with the spouse or dePendent children, mark the other higher categories of value, as



IL
'
Income: type and amount. If "None (or less than $201)" is checked,
no other entry is needed in Block C for that item.
lx
X


•:!:,:

!i\


1
,,,;
I
X J:j.
:! ..,
II

X

X


1 1 A
lx
lx
X
1:: ..
BLOCKC
A._._i"'. .........
Other

Income
(Specify
Type&
Actual
Amount)
-
I
•·
.

-
[TI
.

I"
he asset/income is either that of the filer or jointly held
B
Date
(Mo., Day,
Yr.)
Only if
Honoraria
OGE Form 278 (Rev. 0912010)
5 C.F.R. Part 2634
Timothy J. Pawlenty
Assets and Income
BLOCK A
State Retirement System Deferred
Vanguard Total Bond Index lnst
MN State Retirement System Unclassified
Retirement Plan: Growth Share Account
MN State Retirement System Unclassified
Retirement Plan: Common Stock Account
MN State Retirement System Unclassified
Retirement Plan: International Share
I I M ~ - 4 - 4 o l l & Reed Growth Fund
& Reed International Two Fund
& Reed Small-Cap Growth Fund
11Ai<>-4noll & Reed Value Fund
SCHEDULE A continued
(Use only if needed)
Valuation of Assets
at close of reporting period
IJ.Dcume: type and amount. If"None (or less than $201)" is checked,
other entry is needed in Block C for that item.
0
0
0
0
0
0
~
..
..
>
0
Other
Income
(Specify
Type&
Actual
Amount)
9
Date
(Mo., Day,
Yr.)
Only if
Honoraria
OGE Form 278 (Rev. 09/2010)
5 C.F.R. Part 2634
Do not complete Schedule .S if you are a new entrant, nominee, or Vice Presidential or: Presidential Candidate
U.S. Office of Government Ethics
Reporting Individual's Name Page Number
Timothy J. Pawlenty
SCHEDULEB
Part 1: Transactions
None
D
Report any purchase, sale, or exchange by you, Do not report a transaction involving property Transaction
Amount of Transaction (x)
your spouse, or dependent children during the reporting used solely as your personal residence, or a Type (x)
period of any real property, stocks, bonds, commodity transaction solely between you, your spouse, or Date
futures, and other securities when the amount of the dependent child. Check the "Certificate of (Mo.,
'
*
.,
' '
,o 0 -0
transaction exceeded $1,000. Include transactions that divestiture" block to indicate sales made pursuant
.,
on Day, Yr.)
'
'O -o -o
_o 0
88 gj
§ 'O -o -0 0 0 0 0 0 o.
0
resulted in a loss. to a certificate of divestiture from OGE. .<:: -0 0 0 gq o .. q 00 qg 6 gg
8
.<::
8 a ..
0 0
dO
... 0 .,
"
tOO
• 0 0 0
8 o .. q o .. o ..
0 ';;!

.......
00 oon ono
Identification of Assets
p.. (/)
-"' "'- -"'
"'"'
"'- o<i> -"' <I>. <I> <I> <I> <I> <I> <I> <I>
<I> ...,.
<I> <I> <I> <I>
Example: !Central Airlines Common X 2/1199. X
1
2
3
4
5
* This category applies only if the underlying asset is solely that of the filer's spouse or dependent children. If the underlying asset is either held
bv the filer or iointlv held bv the filer with the soouse or deoendent children use the other higher categories of value as aoorooriate.
Part ll: Gifts, Reimbursements, and Travel Expenses
For you, your spouse and dependent children, report the source, a brief descrip· the U.S. Government; given to your agency in connection with official travel;
tion, and the value of: (1) gifts (such as tangible items, transportation, lodging, received from relatives; received by your spouse or dependent child totally
food, or entertainment) received from one source totaling more than $335 and independent of their relationship to you; or provided as personal hospitality at
(2) travel-related cash reimbursements received from one source totaling more the donor's residence. Also, for purposes of aggregating gifts to determine the
than $335. For conflicts analysis, it is helpful to indicate a basis for receipt, such total value from one source, exclude items worth $134 or less. See instructions
as personal friend, agency approval under 5 U.S.C. § 4111 or other statutory for other exclusions.
authority, etc. For travel-related gifts and reimbursements, include travel itinerary,
dates, and the nature of expenses provided. Exclude anything given to you by
Source (Name and Address) Brief Description
Airline ticket, hotel room & meals incident to national conference 6/15/99 (personal activity unrelated to duty)
10
'
'Cl 'o -0
§
-0
8 8· gq
e

g g. g
" E
'<' qq
d
0 • i3
. "'
"'0
a
"'"' "'"'
<I> <I> <I> <I>
'
None CJ
Value
Examplesl _____ ___ j
Frank Jones, San Francisco, CA
Liather briefcase-c'Personal friefl'd)- -.-----------------------------------------------
$350 '
1
2
3
4
5
OGE Form 278 (Rev. 0912010)
5 C.F.R. Part 2634
U.S. Office of Government Ethi
Do not complete Schedule 8 if·you are a new entrant, nominee, or Vice Presidential or Presidential Candidate

Reporting Individual's Name SCHEDULE B continued Page Number
Timothy J. Pawlenty (Use only if needed)
11
Part I: Transactions
Transaction Amount of Transaction (x)
Type (x)
Date *, •o-o
0
t;
v ~ (Mo., , ,
0
~
0
,.:
0
- 8 8 8 8 8 8 8 8 8 ~ ~
~ § Day,· Yr.) ..: 8 0 8 0 8 8 8 8 8 8 ~ ~ ~ ~ ~ ·g g g g ~ ~ E
u Q} ~ 8 q q q q c5 0 0 0 cS c5 8 ~ g 8 g 8 q q q !i3 q "€ · ~
• • ~ ~ !>< ~ ~ ~ ~ ~ ~ ~ ~ :q ~ ~ ~ > _....:- .....:- v) v) :q i:Q ~ > ~ Cl) .:::
Identification of Assets A. Cll ~ .,. .,. .,. .,. .,. .,. · .,. .,. .,. .,. .,. .,. o .,. .,. .,. .,. .,. .,. .,. o .,. u -c
1
2
3
.4
5
6
7
8 '
9
10
11
12
13
14 1
15
16
* This category applies only if the underlying asset is solely that of the filer's spouse or dependent children. If the underlying asset is either held
bv the filer or iointlv held bv the filer with the soouse or dependent children use the other higher categories of value as appropriate.
OGE Form 278 (Rev. 09/2010)
5 C.F.R. Part 2634
U.S. Office of Government Ethics .
Reporting Individual's Name
Timothy J. Pawlenty
Part 1: Liabilities
Report liabilities over $10,000 owed to any one
creditor at any time during the reporting period
by you, your spouse, or dependent children.
Check the highest amount owed during the reporting
reporting period. Exclude a mortgage on your
Creditors (Name and Address)
SCHEDULEC
personal residence unless it is rented out;
None IIJ
loans secured by automobiles, household
furniture or appliances; and liabilities owed to
certain relatives listed in instructions.
' '
See instructions for revolving charge accounts.
-0 -a
8 ..
Date Interest Term if
011")
"'0
Type of Liability Incurred Rate applicable
-"'
"' "'
Page Number
!
12
Category of Amount or Value (x)
*
'
'O
'0 0 -0 -0
'O -0 -a
$.
0 0
-0 0 0 0 0
qq
gq qq qq

0 00 00
• 0 0 0 0 0
.... 0

8 o ..
00 011")
"'0 0 •
. "'
"'- -"'
"'"'
"'- o;;;; -"'
"'"'
"' "' "' "' "' "' "' "' "' "' "' "'
Examples: DC ______
________

_JJO __ 25 yrs.
-- ---
X
-- --- ---- --
John Jones, Washmgton, DC 1999 10%

Promissory note .. X
1
2
3
4
5
* 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.
Part II: Agreements or Arrangements
Report your agreements or arrangements for: (1) continuing participation in an of absence; and (4) future employment. See instructions regarding the reporting
employee benefit plan (e.g. pension, 40lk, deferred compensation); (2) continuation of negotiations for any of these arrangements or benefits.
of payment by a former employer (including severance payments); (3) leaves
None CJ
Status and Terms of any Agreement or Arrangement Parties
E
1
. I Pursuant to partnership agreement, will receive lump sum payment of capital account & partnership share
xamp e. calculated on service performed through 1/00.
Doe Jones & Smith, Hometown, State
1
Defined contribution retirement accounts {also listed on Schedule A) Minnesota State Retirement System, Saint Paul, MN
2
Defined benefit pension plan with various options for payment frequency and amounts Minnesota State Retirement System, Saint Paul, MN
3
Pursuant to Letter of Agreement, may receive payment for speaking engagements, to be negotiated on an individual.basis Leading Authorities, Inc., Washington, DC
4
Contracted for a speaking engagement for a net honoraria of $22,000 on 10/27/11 Leading Authorities, Inc., Washington, DC
5
Contracted for a speaking engagement for a net honoraria of $12,000 on 11/29/11 Leading Authorities, Inc., Washington, DC
6 Publishing agreement(Courage to Stand) with Tyndale House Publishers, Inc. Will receive potential royalty payments
Tyndale House Publishers, Inc., Carol Stream, IL
'--
Q_ustoma.ry in trade from Tyndale House Publishers Inc.
'
-a 0
0 0 0
qq q
0 0 0
0 0 0
qo.,

1/")Q
"'"'

"' "'
-- --
Date
7/85
1/93
1/93
9/10
5!11
6/11
5/10
·--- ----
OGS Form 278 (Rev. 09/2010)
5 C.F.R. Part 2634
U.S. Office of Government Ethics ----- ------- -- -- -----------------
Reportmg lnOtvi(Juars Name
Timothy J. Pawlenty
Part I: Positions Held Outside U.S. Government
Report any positions held during the applicable reporting period, whether
compensated or not. Positions include but are not limited to those of an officer,
director, trustee, general partner, proprietor, representative, employee, or
Organization (Name and Address)
Examples: lfat'l f::!Y, N_Y_ ;;. _______________
Doe Jones & Smtth, Hometown, State
1 State of Minnesota (includes state boards and State Exec Council) - St.
Paul, MN
2
National Governor's Association- Washington DC
3
Hunt Institute - Durham, NC
4
Achieve - Washington DC
5
Education Commission of the States - Denver, CO
6
Strategic Management of Human Capital Task Force- Madison, WI
SCHEDULED
consultant of any corporation, firm, partnership, or other business enterprise or any
non-orofit organization or educational institution. Exclude oositions with reli!.tious.
social, fraternal, or political entities and those solely of an honorary nature.
Type of Organization Position Held

_ ____________
Law firm Partner
Governmental Governor
Non-Profit VariOI,JS positions including chair
Non-Profit Board Member
Non-Profit
Various positions including co-
chair
Non-Profit Chair
Non-Profit Task Force Chair
PageNumoer
13
NoneCJ
From (Mo., Yr.) To (Mo., Yr.)
6/92 Present
------- 1-------
7/85 1/00
1/03 1/11
7/03 7110
5/06 Present
1/05 11/09
7/08 1111
1/08 12/09
Part II: Compensation in Excess of $5,000 Paid by One Source

Do not complete this part if you are an
Report sources of more than $5,000 compensation received by you or your non-profit organization when you
Incumbent, Termination Filer, or Vice
business affiliation for services provided directly by you during any one year of directly provided the services generating
Presidential or Presidential Candidate.
the reporting period. This includes the names of clients and customers of any a fee or payment of more than $5,000.
corporation, firm, partnership, or other business enterprise, or any other You need not report the U.S. Government as a source.
NoneD
Source (Name and Address J Brief Description of Duties
I Foe Jones & Smith, Hometown, State
Examples: Metro University (client o(Doe
Legal services .
Legal services with university c"O;;striictiOil- - - - - - - - - - - - - - - - - - - - - - - - - - - .
1
2
3
4
5
6

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