Beruflich Dokumente
Kultur Dokumente
SF L78 tRev. 03/ 2000) Executive Branch Personnel PUBLIC FINANCIAL DISCLOSURE REPORT Form Approved:
OMB No. 3209- 000 1
5 C.F.R. Part 2 634
U.S. Office of Government Ethics
Reporting
1 Status
Incumb en t New Entrant,
Nominee, or I'X1
Termination
:L~ti~iliW~
1 v ii '( U Jlllll d~ • ou {JYJ l)jjll J,uttY .
D Any ifl~lfilllJ;il UHIJ.':ts>Jl ired to file
J.~ ·~~!.
Filer [ ]
Candidate ~
this reptfrfaM'.c!Qfs $fDA EfMtn 30 d ays
' I ._, _. I · ..., I after the date as ~'JP§~ t s required tO be
1 :::.=...::::==-----:-:~-----::-----:-:--------------P:.=.:;,~!!!.:+~~
Reporting
t- than~~ifay~,IJ.ftef the last day of the 7~~:::=-~777:;:-::-:-:-:;:;;::j filed , or, if an exten sion is granted, m ore
Individual's Name
. - .· . ,,·, .-.. . - filin8$UH: f·$~ wr}d, ~lll!f~ ~t11fct
20de0Ii
~-----------~~=;~~~~~_:_:_:~~_z~~~~~~~~~~~::.::~~;:~~~~~~~~~~--~~to a ee.
Position for Which
Filing Reporting Periods
Incumbents: The reporting period is
~-------------------------4~--~~~~~--~--~~--~--~~~~--~~~~~~~~~~~~~~~~~~~~~~~~ th eprecedingcalenda r year exceptPart
Location of II of Schedule C and Part I of Schedule D
Present Office .. . .. · << . , · i __,_·.. where you must also include the filing
(or fo rward in g address) · 5-85 '-Commercial· year up to the date you file. Part II of
Schedule D is not applicable.
Position(s) Held with the Federal
Governmen t During the Preceding Termination Filers: The rep orting
12 Months (If No t Same as Above} period begins at the e nd of the period
covered by your previous fi ling and en ds
~------------------------~~----------------~~--~~----~~--~~~~~----~~~~~~~~~~~~~~~~~-4 at the
Sch d a teD oftermination.
edule Partll of
is not applicable.
Pr esi d e n tia l . Nom in e e s S ub j ect~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~==~----------------~
t o Se n ate Co n firm a ti o n I Not Applicable
DYes [] No Nominees, New Entrants and
Candidates for President and
, . Vice President:
Cen ificauon Signa ture of Report ing l.lldividual Date (Month, Day, Year }
I CERTll'Y that the state men ts l have l ~
madeonthisformandull attached / ,-- ·' Schedule A--The r ep orting period
schedulesareu·ue, complete and correct /'-;/"/, ,, / / l C.J!-!l4-<- t"l. jl 4 .. for incom e (BLOCK C) is the preced in g 7
to the best or my knowledge. _ v-XA •. / r r · -.. <&.- calendar year and the current calendar ,
-- - year up to the date of filing. Value assets
:: Signat ure of Other Reviewer I Date (Month, Day, Year) as of any date you ch oose th at is within
Other Revie w 31 d ays of the date of filin g.
(lf desired by
agency)
Schedule B·-Notapplicable.
OG E Us e Onl y
(Check box if comments are continued on the reverse side} D
Supersedes Prior Editions. Which Cannot Re Used. 278-112 NSN 7540-01 -070-8444
OGE/Adobe Acrobot version 1.0.2 ( 11 /0 1/ 2004)
SF 27 8 (Rev. 03 / 2000)
5 C.F.R. Part 2634
U.S. Office of Government Ethics
~
Page Number
w. Mitt Romney - SCHEDULE A of
Assets and Income Valuation of Assets Income: t ype and amount. If "None (or less than $201)" is
at close of r e porting p e rio d checked, no o ther entry is needed in Block C for that item.
...... 0
ing period, or which generated more than 200 ;:l
q o. a·
o. 0 0
in income d uring the reporting period, together ......
0
0 0 0
f.J... 0
N
0
0
0 Other Date
with such income. ~
0
0
0
0
0 0 0 0 0 'i:: ~
0 0 0 Income (Mo., Day,
0 0 o. 0 Cl)
0 ...0
0
o0 . 0
<l)
~ 0 0 0 0 ... o. If) If) 0 Q) ~ 0 (Specify Yr.)
0 § ... ...
0 0 0
For yourself, also report the source and actual
amount of earned income exceeding $200 (other .s"'
0
0
0
q
q 0 0
0 0 o_
N
0
0
,...., If)
0
0
0
ll"l.
~
N
~
~
0
0
,...., 00
I
<I)
<l) Cl) Cl)
•.j
c; .s"' 0
0
0
0
0
0 0
q 0 0,...., ...... 0 ~
o. 0
0
0
0
If) 0 Type&
Actual Only if
0
""!. q ,....,
If)
;:...
<I)
...... ;:l
2 <I)
.s ~
<I)
0 If) If) I
~
I I
0 0 ~
0
"" ~
"".....
If) If)
than from the U .S-Go'irernment ). For your spouse, <I)
,...., ...... ....... ..... 0 <I)
o. ~ ...... Amount) Honoraria
"" "" "" ......' ""...... ..... o. 00 q
report the source but .not the amount of earned
Q.J ~ ~ I I I 0 0 q f-< f-< 0:: ,....,
N lJ")
0 0I
0. s ] ..."'
income of more than $1,000 (except report the ..... ...... 0 0 0 ...... 0 0 0 I I I
....
I
q If) 0 0 ·a 0 0 o.<l)
Q.J .....
yo ur spouse). c;j "d
""!. q ..... 0 0 o.
aa j
<l) <l)
~
~
,...., ,...., I f ) ,...., N If) ~ ,...., If) N
0 0 Q.J
u u '!> s:: .....
If)
...... ~ ....... ~
0 .... 0
> .....
None O z
0
~ ~ ~
"" ~ .... 0
"" "" "" 0 ~ ~
Q)
0:: u"' z
N
~
N lJ")
1--
- - - :---- - -
- - -
j_l_l_ -
X I I
X
-
1-
1-
·- ·- ·-
·- ·- ·-
X
-,-,- "-
1-- 1-
1- -
-
1--
1--
·- Law-Partnership
- - ----
Income $130,000
- - - - ----
1 - - - - - - - - - - - - - - - =~=~ X 1-- 1- 1-
Kempstone Equiry Fund
1-- - - ·- :---- - - 1- ·- ·- ·- xj=j= 1-- 1- - 1-- ·- - - - ----
<-
IRA; Heartland 500 Index Fund X X X
l
see at t .ach e d an d Note 1
'
2
" 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 spouse or dependent children, mark the other higher categories of value, as appropriate. _
Valuation of Assets Income Type and Amount. If "None (or Jess than $201)" is checked, no
Assets and Income at close of other entry is needed in block C for that item.
- reporting period
i
~
"' 0 0 0 0 6 •0 0
0
0 o·
_.,., 0
13" ~ 0 0 6 •0 0
0 (Specify Type
·-
0
0
0
0
o. ·6 6 0
o. N
""'
0
Kl 0 a
0
a
0
a
0
6
0
a 0 v:i
....
0
a
"'"'... .,., 0 V) 0 0 0
~ <;; <;;
., "' aV) 0 a a· & Actual
---- 6V)
""' .,"" ....
""' ~ a .,.,· .....
0 0 0
a N V) 0 6 ~ 0 Only if
.--· > 2 2 ."'c 0
6 6
"".
;;;; 6 ' a >. ...J 0
,....· lrl
;;;; ' Amount)
00 0a 00 6 "0
.El v:i ;;;;
"".
;;;; a
...J
. 0 a E-< E-<
~
0
""' 0
a 0a a Honoraria
-.,.,
a "' c:l 0 ""'
0
... 0a 0a 0a·
~
' 0 o · 0
a a
""I; 00
6 lrl
0a a .!l
""u ...c.
"0
.!l 1l
..-:::
"0
c;
0 ~ 3 <a 0 "" 00 ~
. 0 a
' 0a 00 0a ........ 00 v:i
""~
...>
-
a 0 a flo
- !1 ·g. 0 0 0
0lrl 0a "0
a a ~ ·;;:d... a .,.; 0
""
;;;; .... ....
N lrl
0
"" "" ""
N
0 Ul
X
Ul
:I
0' .
N•
"" "" ;;;; .... ;;;; 0 .... 0
B OF A BANK DEPOSIT ACCOUNT !NT CHECK #2 X X
I_
Rll)()(l..inglndividual's Name Page Nwnber
W. M itt Romney 2
SCHEDULE A
[W. M itt Romney Blind T rust]
., Valuation of Assets Income Type and Amount If "None (or less than S201)" is checked, no
Assets and Income at close of other entry is needed in block C for that item.
reporting period
BLOCK A BLOCKB BLOCKC
T 'Pe Amount
~
0 "<:I Date
~ 0
0
0
0
0
0
0
0
6 ~
§
..."'0!ij 0
0
0
0
(Mo., Day,
!ij 0 0 0
0 ~ 6
0 8 c 0
0 6 Other Income Yr.)
.,..... .,..
0 0 0 0 0
6 0 0
" 6
6 ~
..."' ..."''
0 0 (SpecifY Type
~ q
0 0 0
~
0
*00 0 .§ *0
"'"'
0
0
.,..
0
0
6.,.,
0
6 .,.., 8.,.,
... ...
0
0
0
0
""'>
-.;
"'
.!!
"'"'
0
.,.,
0
0
0
0
.,..
0
0
0
0
6
0
0
... 8 ..."'' 0
0
& Actual
..."''
0
~ ~
.s
0
... 0
.... 0 6 ,., .0 6 0 0
Only if
.."' -"
:l ~ "'' 6 ' 0 c ~ :l 0
.......
.... ...~' ~ 6 6 Amount)
8 ...
0
-
0
~ 0
~ ' ' 8 00 0 0
~
0
0 0 00 .,..
0 Honoraria
...
0
6
8 00
' 00
.,..
00
' 0 0.
0
00 ... 6 8 .,..6
0
0
0
"<:I
.!!
Q.
"£g.
"<:I
"
u:: c0
"<:I
~
"d
es ~
' 0o . 0 00 8.,.. 0
0
0
0 ~
8q
.,.. ... ..."' ...-
6 6.,.., 60 60
....,.. ~
0
~ :E c
0
c ~
0 0 I; -~ "c0 0 6 I; ~
0
z ... ~ ..."'
6 0
;;; "' ..."'
.... 0
"> ... ...
"'
>
0
0
"
U.l
0
~ "
0' 0
0
~
.!!
,9 u z ..."'
.......
..."' ~
>
0 ... ">
0
US DOLLAR X X X
GO LDMAN SACHS FINANCIA L SQUARE (SOLD) X X X X
GO LDMAN SACHS INSTITtffiONAL L1 (SO LD ) - X X X X
GOLDMAN SACHS BANK DEPOSIT X X
AB SVENSK EXPORT KREDIT 0% DUE 12115/2006 (SOLD} X X X
AB SVENSK EXPORTKRED IT 0% DUE 01106/2009 X X
AB SVENSK EXPORTKRED IT 0% DUE 0911 1108 X X
AB SYENSK EXPORTKREDIT 0% DUE .09(2812008 X X
AB SVENSK EXPORTKREDIT 0% DUE 11112107 X X
EKSPORTFINANS ASA 0% DUE 11 /30/2007 ...- X X
FFCB CA 4. 180000"/o 1212212009-06 JD (SOLD} ·. X X X
FFCB CA 5.25% 12127/20 10-07 JD : X X X
l
FHLB 2.250000% 051 15/2006 MN (SOLD} X X X
FHLB 2.45% OJnJ/2007 SER 459 (SO LD} X X X
FH LB 2.625"/o 02116/2007 SER 447 (SO LD} X X X
FHLB 3.5 00000% 11115/2007 MN X X X
FHLB 3.875000o/, 0 1/1512010 JJ X X X
FHLB 4.375000%03117/20 10 MS X X X
'LB 4.3 75000%09117/2010 MS X X X
. ,LB 4.500000%08/14/2009 FA X X X
FHLB 4.500000%0911612013 MS X X X
FHLO 4.625000%021 181201 1 FA X X X
FHLB 4.75%05115/2006 MN (SOLD) X X X
FH LB 4.75"/o l 21 16/2016 JD X X X
FHLB 4.H75% 0511512007 SER IH,9007 (SOLD} X X X
FHLB 4.875%05117120 17 MN X X
FH LB 5.250000%06118120 14 JD X X X
FHLB :; . .375% 05118/1016 MN X X X
FHL!l S.H% 0910212008 MS X X X
FHLB CA 2.000000%0212712006-04 FA (SOLD} X X X
FHLB CA 2.300000%07124/2007-03 JJ X X X
FHLB CA 2.490000%04113/2007-04 AO (SOLD} X X X
FHLB CA 3.250000% 1011912007-05 AO X X X
fHLB CA 3.500000% 1211212008-03 JD X X X
FHLB CA 3.625000%0113012009-03 JJ X X X
FHLB CA 4.125000%0912512009-04 MS X X X
Rt:portin~ Inc.LiviLlual's Nam~ Page Number
W. Mitt Romney 3
- SCHEDULE A
-
[W. Mitt Romney Blind Trust] -
Val uation of Assets Jncome .Type and Amount. If "None (or less than S201)" is checked, no
Assets and Income at close of other entry is needed in block C for that item.
reporting period
BLOCK A BLOCKB BLOCKC
T 'PC Amount
00 0 Date
"'" 0
---------
0 0
.... 0
0
0
0
8
0
0
0 ~ " ....
N
0
0
80
Other Income
(Mo., Day,
"
0 0 0
0 0 0
0
0 c :;j 0 0 00 Yr.)
~"
0
0
0
0
0
0
0 00
*00
0
0
0
. .,.; 0 0
s.," ., ~ 0 0 0
*00 0 (SpecifY Type
.....,.; .., ...."'
0 0 0 0 0 0 .,.; 0
80, 0 0 0
0 00 0 N 0 .!! 0 0 0 0 0 0
.... 0
& Actual
.3"'
'in 'in
rl"' 0 ..,"' ...."'0 ....
N o · 0 "> '";
.5 0 0 0
.,.;
0
..."'0. 0
iA
0 0
Only if
~
0
..J "' ....
;;;; "' ;;;; 00 ' 0 0
.5 ~ :>, "'
8. .... .,.; ;;;;
N" .... ;;;; 0
0
' 0
0 Amount)
£ ' 00 0 0 00 00
0
...
00 00
g
0
00
0
0
....
"'
"0
.!! "'.!!r:>.
"0
"
~
0
~
" o:g ":<9 " 0 .... ' '
8 0
' 00 .... 8
q
.,;
....
0 Honoraria
·;;:" c £~ ·a
0 ..: ~
0
8 0 8
~ .,.; 00 fr 0 0 0
-
u 0 0
00 0 0 ...,.. ~ "' 1!0 ~ ~
.,.; .,.; 0
~ ~
o, "u ...0 iA
u o.
- :z:" iA .... ....
0
"' iA
.on
...
N
0
....
"' 0
u
>
0
.... .....,.; ...
N
0
"> ~
u
~ "
Ct 0 0! .5 u" :z: N "'
....
N" ....
iA ....
"'
0
iA 0
>
iA 0"
>
FHLB CA 4.875000%0610912009-05 MS X X X
FHLB CA 5 . 33~. 0310612012 MS· X X
FHLB CA 5.375000%02123/201 1-07 FA (SOLD)" X X X X
V aluation of Assets Income Type and Amount. If " None (or less than $201)" is checked, no
Assets and Income at close of other entry is needed in block C for that item.
r eporting period
BLOCK A BLOCKB BLOCK C
T pe Amount
.
~
~
~
0q 0 Date
~c ...0:a
0
0 0 8 N 0
(Mo., Day,
.... 0
0
0
0
0
0
0
0
0
0 8
0 Other Income
0 0 0 0 Yr.)
" 0 0 0 0 0 0
., § 0
~"'
0
s"
0 0
~
...' ... ..."''
0 0 0 0 00 _ .,.,.. 0 0 (SpecifY Type
*00 0
*0 0
0
0
0
0
0
0 0 0 0
..."' ..."' ...
0
.,.,.. N
0
0 t; B
., 0 0
0
0
0
0 0
0
0
.... 8o "
...'
.,.,.. 0
0
& Actual
" 0~
0 ~
~ q
...0"''
0 0
] ,.,
-;;; 0 0 0 0
.,.,.. 0 0 0
Only if
00 §.,.,.. 0
0
' 0
00
00
0
00
0
0
;;;
....
0
0 0
0
0
0
0
.,.,..
0
..."'.... -o
B
a.
-o
B
a.
-o
...~" :g
0:
~
0
"" allc t;e ·c. ~
'0 0 0
' ' ' 0
0
'
.,.,..
0
0
00
0
;;
....
0
0
.......
.,.,..
""0 " q
tlj" ...0 ... ..."' ....,.,..
q "~ 0
... ...
C>
.
0
.... "' "' 0" .... ...
0 0
.,.,..
0"
u :l
i5 ~ .!3 u"' z"
> B 0 N' ;;;
0
..."' 0
;; "> .... ">
"' ;;; ....
-
;;; ;;; c<o N
z N
~ 0 0 0
BAKER: HUGHES INC CMN. X X X X
BALLY TECHNOLOGIES INC CMN (SOLD) X X X
BANCO SANTANDER CENTRAL HISPANO SA (SOLD) X X X X
BANK FUKUOKA LTO ADR CMN (SOLD] X X X X
Val uation of Assets - Income Type and Amount. If "None (or less than $201)" is checked, no
Assets and Income at close of other entry is needed in block C for that item.
reporting period
BLOCK A BLOCKB BLOCKC
T •pe Amount
~
~
00 0 '0 Date
;;;; 0
0
0
0
80
0
0
0
0 "
"'""
...0
N
0
0
80
Olher Income
(Mo., Day,
.,c:: 0 0
~ 00
~
0
0
0
0
0
0
0
0
0
0
0
*0
0
0
0
0
.,.,..
0
0 0 ""
§ ., ~ 0 80
0
0
*00 .,.,..
0
...
(SpecifY Type
Yr.)
.... ...."'.
0
0 0 0 .,.,.. 0 0 0 0
0 0
.,.,
0
0 0 00 0 .., N
0
£ 0
8q 8.,.,.. 0 0 o. 0 0 0
..."' 0
.., ... 8. 0
:l ~
~
0 0 0 & Actual
""'
'0
>.
0
<:>:
<>'!! ., 5
e
"'
c.?
~
0
~
·a.., "c0
.. 00 0
'
8
0
.
.,.,..
0
0 00 0
00
00
0
...
~
00
0
~
...
.,.,..
0
....
Amount)
Honoraria
"c0 ..,
o. .,.,.. 0 ~
">< u
'> 0N
;z "' ;;;; ...
;;;; ...
0
"' ...
0
"
>
"' 0 ..,
0
N
0
... ...
.,.,.. N
0
>
u
~
u
~ "
Cl i:5 "0
<:>: ~ u ;z .... ... ..."' ..,.,.,.. ;;;;
"' ..."'
0
;;;; c ... >
0
"
COCA-COLA AMATIL LIMIT ED (SO LD) X X X
. Valuation of Assets - Income Type and Amount. If "None (or less than $201)'' is checked, no
Assets and Income at close of other entry is needed in block C for tbat item.
reporting period
BLOCK A BLOCKB BLOCKC
T rpe Amount
...&
.. 0 "0 Date
0
0
0
0
0
8
0
0
ci
c
::1
""
...0
N
0 80
Other Income
(Mo., Day,
~
0 0 0
0 ci § 0
0
= ~
80
0
0 ci Yr.)
~-
0 0 0
ci 0 ci " ci
F: (Specify Type
..."' ..."'' ..."' 80
0 0 0
F: 0
*00 0
*00 ~ ..."''
0
0 0 0 ci 0 0 "'
.!l 0
0
0 ci
0
0
0
0 0 ci 0 N
8 ...
0
& Actual
... ...
0
Vl 0
:.; ~ 0 0 ci 0
~
0
0 ci 0 ci
~ 2 Only if
"' ...0 .s.,"
0 0 0
N
-~
-~ ...N" .· ..."' ;;;;"'' ...."'
> 0
Vl
;;;; ci 0 j 0 Vl
;;;; ci ci Amount)
;;;; 8 0 0 f- ~ o. 0
00 0
Honoraria
' § 00 0 ci .;g 0 ;;;; 0 0
0 ' '
0a 0 ·o
0
00 .... g ci ci ...I;
Vl £
g.
"0
.!!
"0
u::" c
1:>::
o<l t;
(.?
s "c ~
-' '' 0 0 00 § 00 ;;;; ci ..,
"'"
]"
~
0
0 0 0 ci ci 0 0
""' e ·g. ' 0 0 0 ~
""0
~
;;; 0 q .,..; I; o•
! ... ... . ... ..."'
0 0Vl
... ;;;;"' ... ..."' ..."'"'
0 0 Vl
ci 0
z ...."'
0
;;;; ..."'
N
0
....
"' 6
" 0
>
u
&l w
u
>< ::1
0' Cl
£
.s u z0 N N•
;;;; ... 0
;;;; >
0 ;;;; >
0
GROUPE DANONE SPONS CMN (SOLD) X X X X
Valuation of Assets Income Type and Amount. If "None (or less than $201)" is checked, no
Assets a nd Income at close of other entry is needed in block C for that item.
reporting period
BLOCK A BLOCKB BLOCKC
T •pe Amount
-~ 0q
0
0
0
0
8 ""~ 0
.... 0
Date
.... q "' 0 (Mo., Day,
.
0 0 00 0
0 0
0 0 0 Other Income
0
" 0
s=
80 0 0 Yr.)
"
~"'
0 0 0 0
0
0
~'"
0
0 0
.,"
0 0 0 0 0.,., 0 0 (Specify Type
0 0 .,.;
.... 8
0
q *0 0
0
8.,.;
0
0
0
ci
0.,., 0
....., ....,.,
0
0
0
...
80 ...' ...'
.,.; N
~
.~
....,., j"'
0
0
0
0
0
0
0
0
0
8
0
.... 8 ....
q
8
.,.; 0
0
0 & Actual
.!!"' ...0"' 0 N ci
~
.s"> .5
0 0 .,.;
...0"' Only if
...' ...0'
<:;; ci 0 0
"' .,.; <:;; 0 Amount)
<:;; 00 0 1- 0 N' <:;; 0
0
0 00 ~ 0'" 0 Honoraria
0 ' 00 00 0 00 00
0
... 0
ci 8
ci ci
"' ~ ""a.
....
'0
~
'0
"
0:::
~
"" olJ Vi s
0
~
""' 00 00 0
0
0
<:;;
0
00 ...
0
.,.;
....,.
~
0
00 0 0
u a· .,.,
ci 00 0 0
....:::1 '0 !! ·g. 0
""0
~ ~
.,.; I; ...; ~
" .,.; q
..."'0 ...
c :~
= .s 0 0 0.,.,
... c" ...
0 0 Q)
0
;z: <:;; <:;;
0
..."' 0
<:;; ..."' .... >
.... ...
on"
.... 0"
N >
()
~
()
>< u ~
u ;z: "'
....N' <:;;
0
;;;; >
"' 0 U.l 0' 0 ~ 0
L'OREA L CO (ADR) ADR CMN (SO Lor X X X X
LOWES COMPAN IES INC CMN (SOLD) X X X X
- Income Type and Amount. If "None (or less than $201)" is checked, no
Valuation of Assets
"
Assets and Income at close of other entry is needed in block C for that item.
reporting period
BLOCK A BLOCKS BLOCKC
T pe Amount
.. 0
o_ 0
0
0
'0
0
Date
....""
0
;;; 80 0 0
....c
N 0 (Mo., Day,
. .
0 0 0 0 0
c 0 0 0 0 0
c 0
0 Other Income
0 0 0 0 0 Yr.)
0 0 0 "' 0 0
~"' .5"
0 0 c)
0 0 0 0 0 .,.; 0 0 ~ 0 0 0 (Specify Type
0
0
0
0
0
c)
c)
"' -"'
c)
0
0
0
0
0
0
....
v;'
...
N ...."' 0
0
v> t; 2"'
::l
0 0
0
0
0
0
0
0
0
0
...
0
0
...
.,.; 0
0
& Actual
·c.. "c0 § 00
.,.;
00 00
c)
q
....
~
c)
0
q
0
...,.,..;
...>
~
~
~
00 80 Date
80
0
0 ""'c
.... ...
0
N 0
;; 0 0
0
0 " 0
0
0
0
Other Income
(Mo. , Day,
.,c · 0 0
~ 00
F=
0
0
0
0
0
0
80 0
8 *00
00
0
0
0
vi
0
0on
.... 8
0 "~
u
F= 0
0
0
0
0 •00
...
0 (Specify Type
Yr.)
...vi ... 0 0 0
0 0 0 0on 0 I! 0
8,,., q vi 80
...0 ...-' ...'
0 0 0 0 0 0 0
...' ...
0 N
0 ::! & Actual
.,.,. ,.,
~ - 0 0 0
~
[:! 0 Only if
...0' 0
....
N on 0 00
..s"> ~ ...cg ..3
0 on .,.,.
0 · on
0
0 0
... ...0' ....0' ;;0'
on ;; 00 0 '
..3 ;; 00 00 00 0 0 c-i
~ 00 8 Amount) Honoraria
' 0 49 ~ 0
0 '
~
00 00 0 00 80 ... 00 0 0
0
0
...."' ""'~il- ""'.!lc. ""'ta" " ~
\:l
~ ·a
] ~ 0 00 00 ;; 0 ....vi...
""'"
0 00 0 0 0 0 0 0 ~ 0
"c0 0 ~ ~
Valuation of Assets Income .Type and Amount. If "None (or less than S20l)" is checked, no
Assets and Income at close of other entry is needed in block C for that item.
reporting period
BLOCK A BLOCKS BLOCKC
Tvpe Amount
~-------- I
~
~
0o. 0
...c 0
0
0
0
0
0
0
ci
"""
:;l
0
..."'c 0
8
Date
(Mo., Day,
0
0
8
0 ci 0
"' 0
0
ci Other Income Yr.)
F:"'
0 0 80 ci
ci
0
0
0 ci
0
..
0 0 0
*00 0
*00 0
..."'
0
0
0
0
0
0
ci ci 0 0
q 0 "'
.~ 0 0 8 0
0
0
ci
0
0
0
0
..."'"'
0 & Actual
"' 0 .,..,
0 ~ ~ 0 0 0 ci
ci .... .... 0 0
"' ... ~ 2
0 Only if
...r-i' ..,"'' ;;;;"'' ..."''
-;;;
.,.., 0
I
0 0 0
.3 ."'
> V'l 0
;;;; ci j ;;;; ci o"
;;;; 0
0 0 0
' 0
0 .E 1- ;>,
0
!3
"' §
0 ...
0
00 0 Amount) Honoraria
""" """'c
0 0
0 0 0 c.:: (!)
8 00 00 0 0
o.
0 ;;;; 0
0
0
0 ci ...."' ""0." ""B dd
e~ § 0o. 00 00 ;;;; 0 ...."'
..
~
0 0 I<=
0q
""" ~ 0r-i
0. 0
£ ·o.
"c0 0 00 0 0 0
~ "c0 ci
-
.,..,
0 ~
t ·:;: ~
q t;
0
..."'"' 0> Jj" "
" 0
.... ... ..,
ci
c
0 0
"' 0
"' "' 0" .... ..."' w">< ..,"' "' 0
"> ..,
"' ;;;;"'
>
z .... ;;;; ....
"' ;;;; .... :;l
0 Ci c.::" .E u"' z ....
"' ;;;; 0
WACHOVIA CORP CMN X X X
WAL MART STORES INC CMN X X X I I X
WA LGREEN CO CMN (SOLD) - xl 1 1 I X X X
WA L-MART DE MEXICO SAB xl X X 1 I I X
WALT DISNEY COMPANY (THE) CMN X X X I I 1 X
WASH IN GTO N MUTUAL, INC. CMN X X X 1 1 X
WEBSTER FINAN C IAL COKP CMN (SOLD) X X X X
WEIGHT WATCHERS INTERNAT IONAL (SOLD) X X X X
WESTERN UN ION COM PANY (THE) CMN (SOLD) X X I X
WHITN EY HLDG CORP CMN (SOLD) X X X X
WILEY JOHN & SO NS CL-A CMN CLASS A (SOLD) X X X I X
WILLIAM BLA IR: NON-US EQU ITY LLC (huldings listed below)
(No<c 3)
ABB LTD.
<- X X X X I X
~
~
~
0 0 "0 Date
8N
q
~
c 0 0
0
0
80
c)
0
0
0
0
0
0
0
0
c
""
u. ...
c
0
0
0
0
0
0 Other Income
(Mo., Day,
0 0 0
"' 0 0 Yr.)
"'
~
0
0
0
0
0
0
0 0
*8
0 0
....; 0 0 g.," ., ~ 0 0 00
*0
0
0 (Specify Type
0
0
0
0
0
c)
0 0
..."' ..."'
0
0
0
0
... §
0 0
8 0q 80 80
' 8 80 80 ... § c)
c)
0
c)
..."' "0
.!l
Q,
"0
.!!
Q,
"0
"
u::
"0
::a"
c
0
cu £~ ·a. 0"c
olJ 5 ~
.,., 00
' 80 00 80 0 ...;
.....
...8 ...- ......;
u 0
.... ...
0 0
~
c) c) c)
c ....;
~
., ~ u u q ....;
~
u
~
0
;z; ... ;;;
0
..."' 0
;;; ..."'
N
0
...."' 0
"
>
0
....;
...
N
0
u
> u
&l
u
&l Ct
-~
0 c.:: .5 u"' ;z; N ...;
.... ~
c)
.....
"'
0
;;; 0
>
~ c"
'KUEHNE & NAGEL.INTERN KfiONAL AG
MACQUARIE BANK LTD.
MAN GROUP PLC
M ICI-!AEL PAGE INTERNATIONAL PLC
NASPERS LTD.
NESTLE S.A.
NORTHERN ROCK PLC
ORIXCORP.
RECK ITI' llENCKISER PLC
ROCHE HOLD ING AG
VEDANTA RESOURCES PLC
VEOL!A ENVIRONNEMENT S.A.
WILLIS GROUP HOLDINGS LTD CMN (SOLD) X X X X
WINDSTREAM CORPQRATION (SOLD) X X X X
Z IMMER HLDGS INC ~MN (SOLD): X l X X
,. Valuation of Assets - Income Type and Amount. If "None (or less than $201)" is checked, no
Assets and Income at close of other entry is needed in block C for that item.
reporting period
BLOCK A BLOCKB BLOCKC
TIPe Amount
0q 0
....c
0
0
0
0
0 ""
&
0
....
N 0
0
Date
(Mo., Day,
0 8 0 0 0
..
F: 00 000 8
0
8 0 c:i
0
0
0
0 g 0
0
0
0
0
0
c
13"
~
F: 0
0
0
0
0
c:i
*00
0
§ Other Income
{Specify Type
Yr.)
00
c:i c:i 0
0
*0
8
0
v-i' "'
.... .... N ...."'
0
0
0 !l
...>. ::!... 0 0
0
8 ,.. 8 0
c:i
0
0
...
v-i' 0
0
">"'
- & Actual
0
"' 0v-i' .... "'
.... ..., a 0 0 0 ....
~ ~
0 0 0
N
"'
.3 ;;;; "' ..... ' ' ' 00 0 0'.... 0 80 N' o. 0 Only if
0 ;;;; .... ...
0 "' "' .... ....
"' ;;;; 0 c:i
...,..
0 ...l
00 .E ·; 0 Amount)
0
c:i
0
"'c ex: \.'j '
' 8 00 0 Honoraria
Q ' 0' §' ' 0 00 00 .... 00 00 00 ...."'...
'0 '0 '0 '0
' 00 ;;;; g
,.. ..." """ ,.. ,..
~ ~ 00
ol:! 'E §
..
~
......> q0 00
lC
~ 0q 0 00 ...
"0c:: 00 0v-i' 0 c:i
0. 0. ' 0
c:i 0 0
"u "u c ·g. "0c:: 0 0 0
~
v
;z ... ;;;; ... .... 0"> " ~ "' "> ...
0 0 B 0
"' ....
"' ;;;; ....N
"' 0 ..... .... v-i' N
~ &l 0' ex:" .E u ;z .... ....
N N' .... ;;;; ...."' ;;;; 0 0
>
c 0 0 0 6 0 0 c:u c 0
0
8 Other Income Yr.)
~"'
0 0 0 0
~"'
0
"'"'...
0
0
0
0
0
0
0
0
0
6.,..,
0
00
... ..."'' ...
60
0
*00
0
0
0
.,.;
.... ....
.,.; N ..."'
0 0
0
0
s"'
u
2"'
...,., ~
0
0
0
0
0
0
.,·
8
0
0
0
60
0
0
*00
0
0
...'
.,.; 0
8
(SpecifY Type
& Actual
~ ~ ...0"'
0
..." ·;;:"'""
~ (;)
s ' '
§ ;;
.
c .,;~ 0">
;; 6 6 0 ~ oll ~
;; 0
0 0 6 0.,.., 6 :; 0 0 0 fr fr cu £i'i ·;;. u
;;
' § .,.., § 0 0
"" q ... ....
.,.; .,.; c: .,.; u
0
;z: .,; .,;
0
..."' 0
.,; N
"'
0
0
>
...
0 0
.,.;
.... .....
N
0
"
>
u
tll tll
u
"
Cl 0 ~ .5 u"'
0
;z: ...
N
.... ..."' .,.;
..... .,;
0
..."' 0
.,;
DRESSER-RAND GROUP INC.....- ---
E. W. SCRIPPS CO. (CL A)
ENSCO INTERNATIONAL INC.
FIN ISH LINE INC. (C L A)
FOOT LOCKER INC.
GENEI\AL ELECTRIC C:O.
JO-ANN STORES INC.
L-3 COMMUN ICATIONS HOLD INGS INC.
li!lEKTY GLOBAL INC. (CL A) ..
LlUEKTY GLOBAL INC:. SERIES C
LIUERTY MEDIA HOLD ING COKP. CAP ITAL SERIES A
LIUERTY MEDIA HOLDING CORP. INTERACTIVE SERIES A
MERCURY GJiliERAL CORP.
MICROSOFT COI\P.
MILLI I'ORE CQRI'.
NATIONAL IN:frRUMENTS'C:ORP.
NATIONAL OIL WE LL VARCO INC.
NEWF IELD EXPLORATION CO.
NIKE IN C. (CL B)
PATTERSON-UTI ENERGY INC.
PAYGHEX INC.
PEABODY ENERGY CORP.
PI<AXAIR INC.
Pl{OGRESSIVE CORP.
'l
. RADIOS HACK CORP.
RENT-A-C:I::NTER INC.
ROSETTA RESOURCES INC.
ROWAN COS. INC.
S,\NOFI-AVENTIS (Al>S)
SCHLUMUERGEI\ LTL>.
SEALEL> AIR CORP.
ST. PAUL Tl\AVELEI\S COMPAN IES INC.
STI\ YKER CORP.
TR INITY INDUSTRIES INC.
UN ITEDHEALTH GROUP INC.
V IACOM INC. (CL U)
-
~ODAFONE GROUP PLC (ADS)
R~rti n glnilividual 's Name Page Number
W. Mitt Romney 14
- SCHEDULE A
-
(Ann R omney Blind Trust] -
Valuation of Assets Income Type and Amount. If "None (or less than $201)" is checked, no
Assets a nd Income at close of other entry is needed in block C for that item.
reporting period
BLOCK A BLOC KB BLOCKC
T 'Pe Amount
sq
."'
~
0
Date
0 0
"'"' 0N
---------
0 0 0 0
"'""'
.... 0
0
0
0
0
0
c)
0
0
0
0
0
0 Other Income
(Mo., Day,
~
"'"' 0
0
0
0
0
0
0
0
0
0
00
*00
0
0
0
0
0
.,.;
0
0
.,.., 0 "g" ~"' 0
0
0
0
00
*00
0
0
....,.;
(Specify T ype
Yr.)
]
0
::l 0
.,c) 0
.... .... ;;;;
N 0 00 -;; 0 0 0
.,.; 0 0
.... 0 0
Only if
.,.;
-"'"
0
~ ;;;; .... ;;;;
0
0
00 s 00 0 ~
0
q "' ....
....N' .,.;
;;;; ...."' ;;;; 0
0
00
0
0 Amount) Honoraria
0 c) ~ p:: "' 0 .....
0 s o_ 0
.,.;
Q ' 00 00 0 00 00 .... c)
0
0
0
...."' fl. "''5." "'to::" :"S!"" ~ e s ' ' 00 00 ;;;; 0 ....
..
0 ~ ~ 0
""0 s 0q 0N' 00
0 0 0 0 0 ' 0 0
" .,.; ., c)
c) I; .,.; ~
"u>< .,.; 0 q I; ~
..--- ~
.. z"'
0
o.
... ., ;;;;
c)
;;;; ....
0 0
.... ....
"'N
0
>
0
....
0
.,.; N "
>
.... 0 "'-1
u
><
~ '0""' q " ..s ~ z .... .... .... .... ...."' ;;;; 0" ;;;; 0>
"
- ~ p:: .!! "'
N .,.; ;;;; 0
WACHOV IA CORP.
WAL-MART STORES INC.
WASTE MANAGEMENTJNC.
WATERS CORP.
WELLS FARGO & CO.
WI LLIS GROUP HOLD INGS LTD.
ZALECOIW
Valuation of Assets
- Income Type and Amount. If "None (or less than $201)" is checked, no
Assets and Income at close of other entry is needed in block C for that item.
reporting period
BLOCK A BLOCK B BLOCKC
T •oe Amount
..."'-
~
0 0
0
0
'0 Date
o. 0
~
0 0 0 0
;;; 0 8 0
o"
o" 0 0
0 (Mo., Day,
"' g 8 0
0
0
0 o" 0
0
0 c !ii 0
0
0 8" Other Income Yr.)
~"' ... 1l"
•00 00.,)' 0.,.,· o" 000 o"
0
0
0 0
0
o"
0
o"
o"
0
" ~ 0
0
0
0
0 0 *00 0 0 (Specit)' Type
0 0 o"
"' ...
q .... .... "'' o"
N ,\! 0 0 0 0 0 0
....
.,)'
8
~ ~
0
~ & Actual
3"'
0
.,)'
;;;
o" 0
....
"' .... ....
N
"' .... g
0
00 0 >
.E
:;, "'
.!3 l 0
0
0
0 0 0
..."'~
00 00 ]., ~ c:>"'
0 ;;; 0 00 0 Honoraria
0
~
0q 00
'
§ ' 0o" 000 0o"
0
0
.... g o" 0
0
0
0
'0
£
fr
'0
£p.,
'0
..::"
:2
~
~ ·a
3 ~
' 00 0 § §
'
00 00
o"
... § ...., .,)'
"0 0
~
""0
~
~ ~
;;;
" c
o" 0
" 0 "
.,)' 0 0 .,)' V'l
.,)'
... "' 0" .... ... ... 0"
0
V'l 0 0
.:!: £ 0
> > > >
:z: ;;; ....
"' ;;; .... ....
N .,)' N
~ "
w
:::>
Ct 0
0
~
N' ....
.E u"' z .... .... ....
N .,)'
;;; ....
"' ;;; 0 .... 0
ECHOSTAR COMMUNICATIONS CORP. (CL A) -
ERESEARCH TEC HNOLOGY INC.
fAIRFAX FINANCIAL HOLDINGS LTD. -
FEDERATED INVESTORS INC.
flllELITY NATIONAL FINANCIAL INC.
FOR WAI(l) AIR CORP.
GRUPO TELEVISA ~ . A. DE C.V. (AOS)
HARLEY-DAV IDSON INC.
HEALTHEXTRAS INC.
,_ --
HEARTLAND EXPRE~S INC.
IDEARC INC.
INTERNATIONAL SPEEDWAY CORP. (CI, A)
JOHN WILEY & SONS INC. (CL A) i
JOURNAL REG ISTER CO.
K.EY ENERGY ~ERV ICES INC.
KRONOS IN C.
LAMAR ADVERTIS ING CO. (CL A)
LI BERTY GLOBAL INC. (CL A)
LlliERTY GLOBAL INC. SER.IES C
Lll. CLA IUORNE INC.
MARKEL CORP.
MARS H & MCLENNAN COS.
MASSeY ENERGY CO.
MERED ITH CORP.
MG I PHAKMA INC.
MI DeVELOPMENTS INC. (CL A)
M tCKOS SYSTEMS INC.
M(JHAWK INDUSTR IES INC.
NCR CORP.
NUCOZINC.
I
ODYSSEY KE HOLDINGS COKP. I
-
[Ann Romney Blind Trust] -
Valuation of Assets Income Type and Amount. If " None (or less than $201 )" is checked, no
Assets a nd Income at close of other entry is needed in block C for that item.
r eporting period
BLOC K A BLOC KB BLOCKC
T 'De Amount
0q 0 ..,c ~
0N Date
0 0
...
---------
0 0 0 0
.... 0
0
0
0
0
0 00
"'" 0
0
0
0
Other Income
(Mo., Day,
@ 0 0 0 0 0 0
" " 0 0 Yr.)
~"'
0 0 0 0 0
0
J§"
00 0 0 0
0 0 0 0 .,., 0 0
*00 (SpecifY Type
~
::l
0
0
0
0
0
0
0
.,.; 0.,., ;;;
0 N
.,.,
0
...
0
0.,.,
....
0
*8 0
.... 000 ."' "'
... .....
N ....
0
0
0
00 ""'> ~ ~
B
~
,., .s ~
"' 00 0
0 0
8.,.;
0
8.,.;
0
0
0
0
0
0
0
0
.... 0 ..."'
0
0
0
0 &Actual
Only if
"
-I ;;; .... . 0 00 00 0
0
.E
0.,., ..,
0
'"
.., .;g ..:0 0"' 0
0
....
"'
....,..; .... ;;; ....
"' ;;; '
0
0
o. 0
6
0
...,,.,
0
Amount) Honoraria
0
~
' 0
0 0.,.; 0 0 0 08 00
0 .,.,
0 0
.... 0
0
0
0
0
0
0
... B "" <;:;
c
fr u0. ;;;" """ ~ I! ·g.
.!! ~
5 uc ~
' 00
' '
8.,., 00 00 00 00
0
....
:;
0
0
0
I;
0"
~ ~
.,.; > o.
z
c
...
o. 0.,., 0
. ..
0
>
0 0
;;; .... ;;; .... "' 0" ;;; .... .... 0" ~ &1 Cl
0 0
:~ u
"
" 0 ..: ..s u z ... ....
.!! 0 0 N
...
,...; .,.;
.... "'
;;;
0
...."'
0
;;; >
;;; >
.- ·-
N V"O N
0 0
.PROTECTIVE LIF E CORP.
.
RADIO ONE INC.
SAGA COMM UN ICATIQNS INC. (CL A)
SC iENTIFIC GAMES CORP.
SPRINT NEXTEL CORP.
SYMANTEC COIU'.
TALISMAN ENERGY INC.
TCF FINANCIAL CORP.
TliE HANOVER INSURANCE GROUP INC.
TiUARC COS. INC. tCL ll)
TYCO INTERNAT IONAL LTD.
VERIZON COMMUNICATIONS INC.
WESTMIERICA IJANCORP
W!iJTE MOUN'j:AINS INSURANCE GROUP LTD.
WJNNEIJAGO i['IOUSTRIES INC.
YNJOO! INC ."-
ZcllRA TECHNOLOG IES CORP. (CL A)
ALT RlJo.GROUP INC CMN (SOLD) X X X X
·''1ERJCAN EAGLE OUTFITTERS INC (SOLO) X X X X
cRJCAN FINL RLTY TR CMN (SOLD) X X X
... .!ERJCAN HOME MTG INVT COKP CMN (SOLD) X X X X
AMEK JCAN POWER CONVERS ION CORP CMN (SOLD) X X X X
AMEIUCIUOD IT CORP CMN (SOLD) X X X
------ q8
.... 0
0
0
0
0
g
0
d
0
g
d
0
...,.
""
""'.
-
..."'
0
0
0
0
0
q Other Income
Date
(Mo., Day, ,
" 0
0
0
0
0 0 0 0 0
""' ""' 0
g
o_ 0
0 Yr.)
~"'
0 0
~
...d
0 0 0
0 0 0 (Specify Type
0 § 0 dV) 0 0 *00 0
vi
vi V)
0
0 .§ " 80 0 0 *00 0
....vi 8q
0 0 0 0
.... ....."' 0 1;j
B
~ 8.,., 0 0
.,.,
0 0
... & Actual
.5"' .s
0
... ...-
0
~
0 0
...d' "' ....
....
-"""" .
0
0 V)
~ d "iii 0 0 Only if
c>
0
~ j vi
vi V)
~ 0
80 0 >. 0
0
....
c-i vi .... ~ 0 ' 0
Amount)
~ 8
0 0
~ 0
8 (}. .... Honoraria
0 ' 0
....... 8 ci
........ ~
.." 0 0 ~ ' 0
...t;
.. .. 0
~
. 00 00 8 80 00 0
0
§
0
0
V)
!! !! """
g. """"' s
.. " "'!!
~ ·a
'3 ~
' ' ' 8q 8 8 .... 0
vi
80 0.,., '
8 8.,.,c-i §vi .,., 0
~ ,.:""
ci
....,.,0 ~8 0 "'
0 0 0
c -; t;
u ;z" ...
0
Valuation of Assets
- Income Type and Amount. If "None (or less than $201)" is checked, no
Assets and Income at close of other entry is needed in block C for that item.
reporting period
BLOCK A BLOCKB BLOCKC
T •pe Amount
8q 0
;;;
0
0
0
0
0
0
0
00
""§ 8N
.... 0
0
0
Date
(Mo., Day,
§ 0 0 "'c" @ 0 0
Other Income
@ 0
0
0
0
0 0 0 0
. 0 0 00 Yr.)
.·ra 3..
0
..
~ 0
0
0
8
0
0
0
0
0
0
0
0
8 *00
0
0
...."'
0
..."''
N
0
...."'
0
0 s." .!l
~
0 0
0
0
0
0
0
0
0
0
0
0
*00 0
..."'' g
0
o .
(SpecifY Type
s "'8
....
"' .... 0 ' 80 0 0
N' "' Amount)
;;;
' 8· 8 80 80
0
0
...
80 80
0
0
..."'
0 "0 ~
c
& (!) 0
0 0
0
0 C!. Honoraria
80 0 0 0 .!l
fr
.!l
Q, "
0.:: u "d 1;;
~
~
8q 8.,., 8 0
Valuation of Assets Income Type and Amount. If "None (or less than 5201)" is checked, no
.Assets and Income at close of otber entry is needed in block C for that item .
reporting period
BLOCK A BLOCKS BLOCKC
T pe Amount
~
-------
0 0 '0
...o. 80
0
0
0
0 =
:l
...0
N 0
Date
. 8
0 0 ~ (Mo., Day,
0
0
... 80
= 0
0
0
0
0
0
0 0 0
0
0 Ci c
0 g Other Income Yr.)
~"'
00 8 0
.§" p o"
.... ....,.,
0
0 0 0 0 0 0 (Specity Type
.,;- *0
....,;-'
0 0
0 "' 0 0 o_ 0
0
8 0
.,., 0 0 ·
.....,;- 0
.~ 0 0 o_ 80
8.,., 8.,;-
-
0 0
...
00 N
.,., 8
...' ...'
0 0
">"'
1;;
...>. "' 0
~
0 &Actual
"' ~ .,.,
0
.3
0 N
.... 0 00
~ a .3 0 0 .,.,
0 0
g Only if
.... ....' v;' .... ....
- 0 0 .,;- 00
' .s
0 .... .... ....'
0 00 0 'Cii 0 f'i v; 00 Amount)
0o _ .... 0~ 0 00
' 0 0 0.,., ~ <i! 0 0 Honoraria
0 00 0 00 .... £c. £g. :§" '0"= 0 '0 '0 '0 (;)
' 00 00 § .... .....,;-
"0" 00 8
~
0 0
~ g
~ ·a '
~
0 .,.,
0 00 0
00
-
0 0.,., 0
.,;- .,., 0 ~ ~
"
= q .,;- 0 ~
o_ ~
0 0
z ;;;; ;;;; .... ;;;;
0
"' "
>
0
.,.,
0
...
..... 0 .... .... .... 0"> &l"u &lu CY"' :E0
.,;-
N N :l
Ci
~
0 0
.s J z .... .... .... .... ;;;; ...
£ N N. .,;-
"'
0
v; 0
u
>
;;;; 0
>"
. CHUBB CORPORATION
CIGNA CORPORATION
--·
CISCO SYSTEMS INC ·
ClTIGROUP INC
CITY NATIONAL CORP.
COACH INC
COCA COLA COrniE
. COCA-COLA ENTERPRISES
COLGATE-PALMOLIVE CO ..
COMCAST CORP-CL A
COM CAST CORP-SPECIAL CL A
COMMERCE BANCOJU' INC NJ
COMPASS BANCSHARES .
CONAGRA FOODS INC
CONEXANT SVSTEMS INC
CONOCOPHILLIPS
CORN ING INC
COSTCO WHOLESALE CORP
CROSS TiMBERS ROYALTY TRUST
CSS !NOS INC
CURTISS-WRIGHT CORP
CVS/CNlEMARK CORP
CYTEC INDUSTRIES INC
DANA CORP
DELL INC
DELITSCHE TELEKOM AG -REG
llEUTSCHE TELEKOM AG -SPON ADR
DIEllO LD INC
DOLLAR TREE STORES INC
DONALDSON CO INC
DR HORTON INC
DUPONT (E. I.) DE NEMOURS
DUKE REALTY CORP
DUN & BKADSTREET CORPORATION
DYCOM IND -
DYNEGY INC -CL A
EIJAYINC . .. - - ·- .. . ..L...
RlpOrtina i.Jklh·hJu.al's N;~mt Page Number
W. Mitt Romney 20
SCHEDULE A
[Ann Romney Blind TruSI]
- Income Type and Amount. If "None (or less than $201)" is checked, no
,. Valuation of Assets
Assets and Income at close of other entry is needed in block C for that item.
r eporting period
BLOCK A BLOCKB BLOCKC I
T 1pe Amount
00 0
;;; 0 80
0
0
0
0
0
00
""3 0N
.... 0
0
0
Date
(Mo., Day,
0 0 0
g 0 'c"" c 0 0
0 Other Income
"
~"'
80 8 0 0 0 0
~"'
0 0 Yr.)
....,.,0 80 s""' a" 8
a" 0 0
0 0
*00 q 0
*00 (Specify Type
0
0
0
0
0.,., 0
0.,.,
.,.,
0 0
o. .,.,
... ...."' -~ "' 0 0
8 0.,., 00
0
8. 0 0
0
..."' 0
0
!l"'
0
... 0 N
0
0
"> ~ ~
0 n;
.5 ~ o.
~ 0 .,.,
0 0
0
"' ..... ;;; ... 0 0 &Actual Only if
"' ;;;
8 0 0 o · 00 00 00
0
0
0
8 0 0
0.,.,
0 -"".£" ""£ "" .;g ~ l?"' 0 .... .... ...."'
0
0
.,.,
0 0
EXPEDIA INC I
EXXON MOBIL CORPORATION -- --
EZENIA INC.
FAM ILY DOLLAR STORES
FANN IE MAE i
FEDERATED DEPARTMEN T STORES
FEDERATED INVESTOKS INC-C L B
FEDEX CORP
FI FTH THI RD BANCORP
FI RST DATA CORPORAT ION
FLEXTRONICS INTL LTD
FLOWSERVE CORPORATION
FOOTSTARINC
FOUNDRY NETWORKS INC
FRANKLIN RESOURCES INC
FREDD IE MAC
FREEPORT-MCMORAN COPPER
GATEWAY INC
GENERAL DYNAM ICS
GENERAL ELECTRIC COM PANY
GENU INE PARTS CO MPAN Y
GLENAYRE TECHNOLOGIES INC
GO LDMAN SAC HS GROUP INC
GOGGLE INC-CL A
GRACOINC ·-
GI\EATBATCH INC
GI\OUP I AUTOMOTIVE INC
H&R HLllCK INC
HA IN CELESTIAL GROUP INC
Rqx.m.in~ lndividUKI's Name Page Number
W. Mitt Romney 21
- SCHEDULE A
-
[Ann Romney Blind Trust] -
Valuation of Assets Income Type and Amount. If "None (or less than 5201)" is checked, no
Assets and Income at close of other entry is needed in block C for that item.
reporting period
BLOCK A BLOCK S BLOCKC
T •pe Amount
I
.,
------ 0
o.
;;;;
.
~
c
0
0
0
0
0
0
0.,.,
0
0
0
0
0
0
8.,., § *00
0
g
0
0
0
0
0
0
0
0
~
c
.... 0
0
0
0
0
0
6
0 *0
g
0
0
0
...
0
Other Income
(Specify Type
Date
(Mo., Day,
Yr.)
....,.,~'
0 0 0 0 0 0
.,.;- .~ q g .,.;-
8
' g
'
0
o. 0
6
0
6
...
0
60
0
.!l
c. " .,
.!l ..:
~
"" o1! ~ ·a
T9
0~
;;;;
00 8 80 0 0 00 ....... 6 ...ll
0
.,.;-
HAIUJINGE INC
HARLEY-DAVIDSON INC
HARRAH'S ENTERTAINMENT INC
HARRIS CORPORAT ION
HARTFORD FI NANCIAL SVCS GRP
HEALTH MGMT ASSOCIATES -C L A
HEALTH NET INC
HEALTHSOUTH CORP ...
HEARST-ARGYLE TELEV ISION INC
HENRY SCHEIN, INC.
HEWITT ASSOCIATES INC-C L A
HEWLETT-PACKARD CO -
HOLLY CORP?
HOME DEPOT jNC ;
,.. Valuation of Assets - Income Type and Amount. If "None (or less than $201)" is checked, no
Assets and Income at close of other entry is needed ln block C for tbat item.
reporting period
BLOCK A BLOC K B BLOCKC
T •pe Amount
::;: ~
0 0
-g
...8"'
0 Date
80
...5
I
0 0 0
""" ..
0 (Mo., Day,
8 6
.
c 0
0
0
0
0
0
8
60
6
0
6
0
0
0
0
"~"
c
0
0
0
0
6
0
6
0
Other Income Y r.) I
F 0
0
0
0
0
0
6.,..,
0
6 *
0
0
..."'
v)
...6
V)
0
0
-~"'
F 0
0
0
0
0 0 *0 0
0 (Specify Type
"'... ....v)
0
v)
;;; ...6.,.., 0
;;;
80
0
6
0 Amount)
Only if
Honoraria
0 ;;; 0 0
-
0 6.,.., --
.....,..,-
0
8 0 00 8· 0
' 80 00 ;;; 6 6 60
....
'0
2
c.
'0
£
fr
'0
IC
c
" '0" olj ~ 3 '
~
0
'
.,.., 0 80 00 80 ;;; 6
"0c q
0 6 6V) 6 i; 0 0 0
t "u>< ;;; ·g. "c 8 o.
0 6 ~ 0
q i;
" "' ...
0 u
" :~Q " .s u z0 ...
v)
... 6V) 6.,..,
... c
0 0 v)
z ;;;;
0
.... ;;; .... N
...
0
V)
0
>
;;;
v)
....v) ....
N
c w
u
~ 0'
2
~
N
;;; ... v)
;;; ... 0
;;; 0
>
------
~
0q 0
0
0
'0
c 0N Date
;;;;
0 0 0 ::l
....c 0
0
.
¢::"
0
0
0 § §0
0
0
§
0
ci
0
ci
0
0 ""= . 0
0
0
0
0
0
0
0
Other Income
(Mo., Day,
Yr.)
£"
0 ci
0 0 0
* v) 0
F 0 0
*00 0 {Specify Type
0
0
0
0
0
0 0oro 0 0
...' ...
0
o·
0
...
v)
... ....oro
-"'
0
0 .~ ~ 0 0
0
8
0
0
0
0
0
0
....v)
0
0
& Actual
.s ~ '0~ {)
~ 0 11> 0oro
.. 50 ... ... ... ;;;;"' ... ;;;; ....
0 0 0 0 0
0oro
5 ;;;; .... ;;;;
v)
0
....
N oro 0
ci
00
ci
0
-;
>. .5 0
0
0
oro
N'
o.
oro
0
0
0
' g Amount)
Only if
0
00 00 0
~ 0 00 o• Honoraria
"'" ]c.. ..," :g" ...
0 0
0 0 00
~
0 0 0 00 00 ;;;; ci ci
ci
....
oro
... g. ~
~ 5 ~ ' 0 0' ' 0 .......
oro
..
"0 00 .,., ci 00 0oro 00
0 0
...
0
0
N
q
.,., 0
~
::l
=
~
.£
.s ..u z" ...0 ;;;;§ ...0 ...0 ;;;; ....,.,
·o. c
0 N
'
oro
N'
0
v)
0
v)
0
ci
ci
0
;;;; 0
~
>
8
;;;; 0">
• MERCK & CO. INC. ....-·
MERRILL LYNCH & CO INC
MICREL IN C
MICROSOFT CORP
MICROSTKATEGY INC -CL A·
MOODY'S CORP
MOTOROLA INC
.MRV COMMUN ICATIONS INC
MYLAN LABORATORIES ·· -
NATIONAL CITY CORP
NATIONAL OIL WELL VARCO INC
NllTY INC
NCR CORPOR:ATION
NEENAH PAPER INC
NETWORK AJiPLIANCE INC
NEW YORK TIMES CO -CL A
NEWELL RUBBERMAID INC
NEWS CORP· CLASS B
NEWS CORP INC · CL A WHEN ISS
NOBEL BlOC ARE HOLD ING AG
NORSK HYDRO AS -SPONS ADR
NORTHERN TRUST CORP
NORTHROP GRUMMAN COI\P
NOVELL US SYST EMS lNC
NUCORCORP
NVR INC
OGE ENERGY CORP
OMN ICAI\E INC
OMN ICOM GROUP
OKACLE CORP
I'ALM INC
l'ANERA BREAD COMPANY
l'Al'AJOHN'S INTL INC
PArrERSON-UT I ENERGY INC
P EPS ICO INC -
P ERl'ORMANCE FOOD GROUP CO
PEROT SYSTEMS CORP -CL A
- '-- -
R~1'10rtlnlf lndhidual's Name Page Number
W. Mitt Romney 24
SCHEDULE A
(Ann R omney Blin,d Trust] ---
,, Valuation of Assets
- Income Type and Amo un t. If "None (or less than $201)" is checked, no
Assets and Income at close of other entry is needed in block C for that item.
reporti ng period
BLOCK A llLOCKll BLOCKC
T roe Amount
;; 0 '0 ;; Date
q 0 0 c
....c § 0 0
g " ....c
N 0
0 (Mo., Day,
.
0
0
0
c)
~
. 0
0 0
Other Income
"
0 0 0 c) 0 0 c)
0 0 0 Yr.)
0 0 8c) 00c) c) 0 0
.,., c)
g" F: 0 0 c)
*00 8v) (Specify Type
F: *00 0 v) 0
..
0
0 0 0
.,., .,., 0 0
8q 8c) ..., 0
:::
0
0
0
.,.,
c)
c) 0 0
...
v) N 0
"'>
~ E-<2
..
B
:.=
~
0
0
0
0
.....,.,
c) 0
;;; 0
0
0 & Actual
-"
0
v) 0
.... ....
N c)
"'
c
0
o.
.,.,
0 Only if
"
-I ;;; ;;; c)
0 ' 00 0
0 c >. ·;;;
0
q ...N'"' .... ;;;"' ;;; c)
0 ;;
c)
0 Amount)
s ' 0 Honoraria
0 00 00 .:g 0 .... 0 0
;; ;; ;;· ;; ;; ;; ;;; c) c) g c)
.....
V'l
'0
B
'0 '0
fr :.;" ·:;
£ c <>:
oll
t:l
e ·g.s ~
;; ;;
' ;; ;; 0 .... c)
' ;; 0
...
v)
..
0 0 tj:;
"c0 0 0 c)
.,.,
c) c) ~ 0
q
0 0 ..,
~ fr "
'0 '
"c0 ;; o. N'.,., § 0vi c) 0 c) .., q0 ~ ~
-
z
0
.....
v)
;;; .,., ;;;
c)
.....
0
N ...,.,., 0">
0
...
0 v)
....v) .....
N
0
>
u
~
u
~ " a
Cl "
~
B
.E u
v)
z ..... ;;; .... .....
N ;;;
0 >
"' ;;; 0 ;;;
..... ">
0
PF IZER INC
PHARMACEUT ICAL PRODUCT DEVEL
PHH CORr - I
rJrER JAFFRA Y COS
rLA YT EX rRODUCTS INC
rooo PRODUC ING CO
r OLARJ S INDUSTRI ES INC
- rPL COIU'ORAT ION
I'RIMEDIA INC
riUMUS TELECOMMUNICATIONS Gr
- - . -
PIUVATEBANCORP INC
·-
PROCTER & GAMBLE CO
RADIAN GROUP INC .
RARE HOSPITALITY INTL INC
REALNETWORKS INC
REALOGY COJ<.r
REG IONS FINANCIAL CORP
ltENAISSANCE LEAI<.N ING INC
I<.EYNOLDS AMERICAN INC
ltOC K WELL AUTOMATION INC
ROCKWELL COLLIN S INC.
ROYAL DUTCH SHELL PLC-ADR A
RUDD ICK CORP
SAFECO COJtPORA TION
SAFEWAY INC
SAKS INCORPORATED
SAP IENT COIO'ORAT ION
SAltA LEE COJtr
SC HEI\ING-rLOUGH COI\P
SCOTfS MIRACLE-GKO CO-CL A
SEARS HOLDIN GS CORP
ScM PitA ENEKGY
S ErRACOR INC
S ERV ICE CORP INTERNATIONAL
SERV ICf.MASTEK COM r ANY
SM ITH INTEKNATIONAL INC
SOLECTilON COlt!'
R~o110rth1j: lndh·idual'5 Nam" Page Number
W. Mitt Romney 25
SCHEDULE A
[Ann Romney Blind Trust]
,.
- Income Type and Amount. If "None (or Jess than $201)" is checked, no
Valuation of Assets
Assets and Income at close of other entry is needed in block C for that item. i
reporting period !
T •pe Amount
....-
~
~
0o . 0
....""""'
0 0 0 0
Date
0 0 0
.... 0
0 8 0
0
0
0
c
N
0
0 8 Other Income
(Mo., Day,
§ 0
0
0
0
0 0 00 0 0 ~ 0 0 0 Yr.)
~
0 0 0 0 g. * 0
0
,.; 0 0
slj"' ~ 0 0 0
*00 8.,· (SpecifY Type
§ "" .... ...."' 80
~ 0 0
...-
0 0 0 0 0
0 0 0
0 0 0 ,.; N B 0 0 0 0 0 0
.... 80
~ 0
,.;
...0"' 0 N
0
...."' ...."' ... >
~ ~ ....,., "' .3"' 0 0
"' o .
0 0
,.; 0
....
0 0 & Actual
Only if
""'>...
00
0
8
00
0
0
·a
0
0
0
0
"' "" ""i5. ..:::"" "u <ld~
~ u
""'> ufr u .... ·;: c
... u
"0
'0
'0 ~
" 0
C)
5 uc
.
·a
~
0
0
,.;
'
00 00
00
0
;;;;
...u
00
g
0
..."'...
Honoraria
SOUTHWEST AIRLINES
SOVEI(EIGN BANCORP INC -
ST JUDE MED ICAL INC
STMARY LAND & EXP LORATION
STAR WOOD HOTELS & RESORTS
ST EELCASE INC
- STRIDE lUT E CORP
SUNTRUST BANKS INC
SUSQUEHANNA BANCSHARES INC
SWISS RE·REG
,
·-
~
SYBASE INC
SYMYX TECHNOLOG IES INC i
SYNOVUS FINANCIAL CORP
SYSCO CORP
T ANOX INC
T EKTRONIX INC
TENET HEALTHCARECORP
T ERADYNE INC
TEVA PHARMACEUTICAL- SP ADR
TEXAS INSTRUMENTS INC
TEXAS ROADH OUSE INC-CLASS A
THE WALT DISNEY CO.
THORATEC LAUS COIU'
TI FFANY & CO
TlMll ERLAND CO.
l'IME W'\ l(NEI\ .lNC
TO LL HllOT HEl(S IN C.
T RAVELERS COS INC/THE
TKIAD llOSPITALS IN C
TRIBUNE CO
TYCO INTERNATIONAL LTD
UBS AG-NEW
UllS AG -REG
U N ITEU COM MUN ITY llANKS/GA
UN ITED NATUJ(AL FOODS INC
UN ITED ONLINE INC. '---
Rl.'pUnin J!IIIllivi\IUoll':sNamc: Page Number
W. Mitt Ronmey 26
- SCHEDULE A
-
[Ann R omney Blind Trusr) -
Valuation of Assets Income Type and Amount. If "None (or less than $201)" is checked, no
Assets and Income at close of other entry is needed in block C for that item.
reporting period
BLOCK A BLOCKS BLOCKC
T ·oe Amount
~
...-§
0q 0
0
0
't:l
~
0 Date
... 0
0
0
0
0
0
0
0 ""
I.L.
N
0
0
0
0 (Mo., Day,
0 0 0 0
0 Other Income
"g"'
0 0
=
~"'
0 0 0 0
§ 0 0
u 0 0
0 0 Yr.)
... ...
0
0 0 0 0 0 .,., 0.,., ~ 0 0 (Specify Type
80 8*
0
*0
0
0
0
0
0
0
0
.,., 0
0.,.,
0
0
... 8
.,;
.... -N
"'
.~ 0
.,.,
0 80 0
0
0
0
0
0
...'
.,; 80 & Actual
::l
::l
0
.,;
;;;;
0
.....,.,
0
;;; ....
N
.... 00
0 00 00 00
00
0
0
..:> 2 ~
I-
{j ~
,.,
-;;;
.5 3 0
0
0
UN ITEDHEALTH GROUP IN C
US BANCORP
UST INC
VECTOR GROUP LTD
VERISIGN INC
VER IZON COMMUN ICATIONS INC
VIACOM INC-C LASS B
VIVEND I SA
VODAFONE GH.O UP PLC-SP ADH.
VULCAN MATERIALS CO
WACHOVIA COIU'
WALGREEN CO
WAL-MART S'rQI(ES INC
WASH INGTOI'fMUTUAL INC
WATSON PHN\MACEUTICALS INC
WELLS fARGO & CO
WESTERN UNION
WESTWOOD ONE, INC
WHITNEY HOLDIN G CORP
WILD OATS MARKETS INC
WILEY (JOHN) & SONS -CLA
WIND H.IVER SYSTEMS
WH.IGLEY WM JH. CO
WYETH
WYNDHAM WORLDW IDE CORP-W/1
XL CAP ITAL LTD-C LASS A
X-R ITE INC
XTO ENERGY INC
YA HOO! INC
ZIONS llANCORPORATION
ZORANCORP
HIGHLAND HOSI' ITALITY CORP CMN (SOLD) X X X X
HOMEIJANC COI\P . CMN (SOLD) X X X
HOR IZON: ALPHA+ (holdings listt:d below) (Note 10) X X - X X X
ALLEGHENY ENERGY INC.
ANGLO AMER ICAN PLC (ADS)
Rc.portin t!l lndiddual's Name Page Nwnber
W. M i tt Romney
- 27
SCHEDULE A
-
[Ann Romney Blind Trust] -
Valuation of Assets Income Type and Amount. If "None (or less than $201)" is checked, no
Asse.ts and Income at close of other entry is needed in block C for tbat item.
r eporting period
BLOCK A BLOCKB BLOCKC
T •pe Amount
-
0q 0 ., ~
-------- ...
"
~"'
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
""
~
c
..
0N
....
c
~"'
0
0
0
0
0
0
0
0
0
0
Other Income
Date
(Mo., Day,
Yr.)
... ...
0
o· 0
0
B 0 0
0
0
0
0
0
0
0
0
...' ..."' 0
0
- ...
0 0 0 N 0 00 2 0 0 Only if
... -e-
V">
0 00 00
0
0
...
0 00 00 0
0
0
0 .," .., I- 1-
"0 -g 0
~ "' 0
.. "·a
0
0 N-
V">
00
0
0
...
0
0
0
Amount)
Honoraria
"'
0
00 B B
-=" .., ~c 00
V)
0 00 00
~
0 0 0 ] ~ 0
u 0 0 0 ~ 0
_q0 0 ~ fr ~
"
0 0 ~ 0
q :;
...0 ... ...N" ..."' ;;;"'
o_
"" ~ u
0 0
..."' ...
V"> 0V"o
0V">
...
0
">
z"
0
"' ... 0
...
V1
""- 0"
0
> "0> C-1.1" C-1.1" Cl
0 0
B
J z0"
0
>
- .... ....
;;; ;;; ;;; N V"o V"o N
~ .E N ;;; 0 0
- AQUILA INC.
BEUING CAP ITAL INTERNATIONAL l\IRPORT CO. LT D.
CACI INTERNATIONAL INC . (CLA)
CALPINE CORP 4.75% 15-NOV-20"23
CATHAY GENERAL BAN CORP
CBOT HOLD INGS INC. CL A
CENTER FINANC IAL COR P.
CENTERPOINT ENERG Y INC.
··-
CHICAGO MERCANTI LE EXCHANGE HOLD INGS INC. (CL A)
CHiNA LI FE INSURANCE CO. LTD. (ADS)
CMS ENERGY CORP .
CNOOC LTD.J.ADS)
DYNEGY INC.{CL A)
EAST WEST B~NCORP INC.
EL PASO COJ\fr.
FOREST CITY ENTERPRISES INC. (CL A)
FOREST CITY ENTERPRISES INC. (CL B)
GAZPROM 0 A 0 SPON ADR
HANM I FINANC IAL CORP.
HONG KONG EXCHANGES & CLEAR ING LTD.
HUANENG POW ER INTERNATIONAL INC. (ADS)
INTERCONT INENTALEXCHANGE INC.
INT ERNATIONAL SECURITIES EXCHANGE HOLDINGS INC.
JS E LTD.
KOREA ELECTR IC POWER CORP . (ADS)
LAB RANC HE & CO. INC.
LEGG MASON IN C.
LEUCAD IA NATIONA L CORP.
LONDON STOCK EXCHANGE GROUP PLC
NARA UAN CORP INC .
NASDAQ STOCK MAllKET INC .
NYSE Gl\OU P INC
OSAKA SECUK IT IES EXCHANGE CO. LTD.
PAKGESA HO LUING S.A.
PREFEKRED UANK LOS ANGELES
QUANT A SERVICES IN C.
RqxJrting bll.!ividual's N;unc Page Number
W. M itt Romney 28
SCHEDULE A
[Ann R oumey Blivrt Trust]
.. - Income Type and Amount. If "None (or less than $201)" is checked, no
Valuation of Assets
Assets and Income at close of other entry is needed in block C for that item.
reporting period
BLOCK A BLOCKB BLOCKC
T ·pe Amount
0 0
q
...., 0
0
0
0
0
0
0
0
"""
::1
...0.,
N
0
0
0
Date
(Mo. , Day,
80 0 0 0
""' 0 0
Other Income
" 0
0
0
0
0
0
0
0 0
0
0
0
"'J3""' ~
" 0 0
d
d
0 Yr.)
... ...
0 0 0 0 0 0 0 0 d 0 0 0
V) 0 0 N 0
... "' & Actual
.3"' ~ ~ ;g 0::,.,
0 0 0 0 0 0
"' ...0
0 0
0 N V)
.... d "> "' 0 0 Only if
·;;;"'
0
" .....l" ... "'
V)
;;;;
V)
;;;; 00
o. 00 00 50 0
0
0
.E 0
0
0
o_ ...
N' ,.; ;;;;
V)
u 0 0
0
0
0 00 00 ;;;; 0 0 0
0 ...t;
V)
'0
£
Q,
""£c. ..:""" .,"c ~ "'
~
0
5 ~
0 0
0
0
0
,.; 0 0 d ~ 0 0 0
,.; " """
-;;; ·:; ·g. 0"" ,.; d q ~ ~
" .... E
...0 ... ...N' ...,.; ;;;; ...0 ;;;; " ... "
0 0 0 0 0 0
ABilY BH..QADCAST PARTNERS II, L.P . (ho ldings listtd below) (Not< 12) X X X
CQMMERCECONNECT MEDIA HOLD INGS, INC
Rl:por11 tl llndividual's Nam~
- -· - Page Number
W. Mitt Romney 29
- SCHEDULE A
[Ann R omney Blind Trust]
- -
Valuation of Assets Income Type and Amount. If "None (or less than $201)" is checked, no
Assets and Income at close of other entry is needed in block C for that item.
reporting p eriod
BLOCK A BLOCKB BLOCKC
T e Amount
-------
~
0 0
...."'::1 ..."'0
o. 0 0 c Date
...c 0
0
0
0
0
0
0
ci
0
ci
0
c :a
0
0
80
Other Income
(Mo., Day,
~
"' 0
0
0
0
8
0
8
0
ci . ci
0
0
0
0
0
' 8 00
0
00
' 0 0
0 C\
">c
- 2
!-
.{9 ~
2
!- .5 j o.
0"' 0
"' ...
N'
.... v)
0 v)
;;;;
0
.....
"'
0
;; .....
0
ci
0
o. 00
0
ci
0
0
Amount)
Only if
Honoraria
~ 0' 00 ' 00 0 00 00 ... ci .... ...
" ...
"'" '0"" ~ e '§
0
ci .... "'
"0
., ' 0 .... v)
"' 0. 0. ~ 0ci
ci .\! ci
.. . ..
0 ~ 0
"c0 C\ ,; ci ci ci ci 0 0
~ 0
"0> ~"u ~"u 0::1 :~A ~c" ] ·a
~
-;;; "c0 0 00 0N' ,., 00 0 ci ~ 0
o.
~
.. z ... ;; ..."' 0
;; ... ...... 0
"'
N
0
">
0
;;;;
V)
0
...
·v)
v)
...
N
u"' z ...
"' ...
v)
;; ...
"' "' ;; c
" 0
">
0
· MEM CO-INVESTMENT, LLc-- -
NEXSTAR BROADCASTING GROUP INC .
Valuation of Assets Income Type and Amount. If "None (or less than $201)" is checked, no
Assets and Income at close of other entry is needed in block C for that item.
reporting period
BLOCK A BLOCKB BLOCKC
T ·pe Amount
-
~
------- 8q ~
0
0
0
0 8_ "'~c ...8§
N 0
Da te
.... 0
0
0
0
0
0 0
0
0
0
0
0
Other Income
(Mo., Day,
0
.,...... .,.. ....0.,.. § """
c 0 0 0 0 0 0 0
0 0 0 0 Yr.)
¢::"'
0
0
0
0
0
0
0
0.,..
0
0
0
0 :S·
0
0
0
"'
¢:: 0 80 8 0
0
8*0 .,..
0
0 (Specify Type
0 0
.,.. ....0.,.. 0
... .....,.. ....
0 0 0 -N
....
0
~
.!!
::l 0
.,..
0
.,.. ....
0 0 o. .... 0
& Actual
g >c
~'0 ~'0 -g ...,.,0
0
"' 0 0
....
...8.,..
0 N 0
' 0 0.,.. 0 0
Only if
... -
j"' .9 j
...-
;; 0 ;; 0 ;; 0 ' 0
;; 8 0 ;;' ;;' 0"' 0
0
....N' ;; 0
80 0
.,..
Amount)
Honoraria
8 ;;' ;;0 ;;0 0;; ;;00 ;;00 "" c)0 000 000 .,.. "'~a. ~a. IJ::" " <ol:l 1;;e
0 0
..-
' 0 0
.
~
;; 0;;
' ;; ;;
... 00 ....
..
--
'Ei ~
;; .,.. 0
"c0 0 .,.. 0oro 0 .,.. 0oro. > ~ ·~-- .,.. "> ">< ">< ';;j "' c. B .,.. c)
0 0 c)
~ ~
·a "c0 ;; 0 N' .,..
0
~
o.
~
5 15 PARK AVEN UE, Sin •le Fami ly residence in New York City, NY
CHARTWELL LEISURE·U.S., Hotel in the Pacific U.S.
LPC SOUTH, Land in Charlotte, NC
MET U FE MALLS, H.etaillucation in PA
ONE NORTH S'fATE, Otrlce Uuildi11g il1 Chicago IL
STRATEG IC HOTEL CAP ITAL, J)rupt:rty is the Hyatt Rt:gcncy in San
Francisco, CA
WHITEHALL STREET REAL ESTATE FUND X VX II (holdings listed below)
(Not< 15) X X X X X
ALLIANCE/FRAN BEL, Hotds in Bt:lgi um and f rance
00 0 '0
Date
... 0
0
80
0
0
0
0
0
0
0
0
c
:::>
"'
...0
N
c
0
0
0
8 Other Income
(Mo., Day,
s"""'
c 0 0 0 ci 0 0 0 00 Yr.)
g ~"'
0 0
~"'
0 § 80 0
*00
0
0
0
.,.; 0 0 0 0 0
*00 0 (SpecifY Type
0
0
0
0 0
0 0
...
.,.;
.... ...."'
N
0
0, 8 "' 0 0
0
0
0
0 0
0 0
0
.... .,.; 0
0
~ ~
0 &Actual
"' ....
3"'
0 0 0 0
~ .,.; 0 0 0
,., ..3"' ..."'' ;;;0 ;;;' g0 00'
0
...0:g
0
.... "' ....
0) 0
.,.; 0 . N 0 > 0 ci Only if
...."' ;;; 0 "' .,.; ;;;
.. 8. ....
0
Q.
;;;
00
'
~- 0
'
0 0
0
0 0
0
ci
00
ci
00
ci
0
e- fr -;;; ·;:"
'0 '0
0)
"'
'0
0
Q:;
~ g
0 .., "'0
'
....
' 00 00 00 ...- ci
0
...
0
.,.;
Amount) Honoraria
..
~
00 8 g ci 0 0
ci 0 0
0
0 '0 !! ·a 0 00 ci 0
"c ~
0) ~
c .,.; ~ .,.; ~
;: 0N o. .,.; ci o.
..."' ....,· ;;;; ..."'
0 0 0
0"
0)
.
X X X X
230 CONGRESS , OIT!ce Building in Boston, MA
Valuation of Assets Income Type and Amount. If "None (or less than S201)" is.checked, no
Assets and Income at close of other entry is needed in block C for that item.
reporting period
BLOCK A BLOCKS BLOCKC
T 1pe Amount
-
.,
------- 00 ~
0
0 0 0N Date
.... 0
0
0
0
0
0
0
0 &" .... 0
0
0
0 (Mo., Day,
0 0 0
c 0 Other Income
"'"'
c: 0
0
0
0 0 0 0 0 0 0 0 Y r.)
"' 0 0 0 8 0 0 0 0 .§" ~ 0 0 0 0
(Specify Type
~ *00
0
*o0 · 0 v) 0
...,v) .... "'.... .~
0 0 0 0 0 0 0 0 0 0 0 0
o_ v)
....
..
0 0 0
0 0 .N 0
., 0
80 0 0 0
& Actual
"'
.3"'
q 0 ~
.3"' ...."' ...."' .... 0
.,..5 ~ .,~
0 0 0 0 0
....
0
;;;;
N 0
0 0 "> ';;j
c
0
"' v)
...."'
0
;;;; .... g ' 0 Only if
.. ..
"' "' ' ;; 0
~
0
;;;;
'
0
0 ;; ;; 0
0
0 .,'g IX
·;;;
0 ....
0 N'
....v) ;;;; 0 00 8.,.; A mount)
Honoraria
8 00 00 0 00 00 .... 0
0
0
0
0 ...."' £
'tJ
£ " .," c
" § 00 0 00
' 00
.. .. 5
0 II: ~
~
a. <><!
0q Q, ' 0 0 00
--·
- WILLIAM SIMON, Multi-fa.mirfi)roperty in Texas
.. "c:
z0 .. v)
;;;;
0 00
"' ;;;; "'
....
0
N
0
0
"'-
~
0
"> ;;;;
0
0
0
0
.,.;
....v) ....
0
N
0
~
0
~
">
------ 8
o.
....
~
." 0
0
0
0
0
8
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0 8*0
0
8
00
.."'
0
0
0
0
0
0
0
..."'
.N
0
0
0
00
0
0
...."'
0
0
"'"
::1
""c
§" !l
8N
....
"
~"' 0 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
q
*00
0
0
0
0
0
...
0
.,· 0
0
Other Income
(Specify Type
Date
(Mo., Day,
Yr.)
.§ 0 0
"' 0
..
0 0
0
0 0 0
...' 0 0 & Actual Only if
0
;;;
80 80 8 80 80
00
.... 8
0 80 80
00
8
0
..."'
.5
"'B B s., ~.,c
'0 '0
....
~
g
0 0
0
0
...
"'
N' .... "'
"' ;;;' ....8"'' 8 80 8;;;
;;; 0
80
' 0
0
0
...vill
Amount) Honoraria
~
., 80 0 0 oil
~
~ 0
.. .. .. ' 00 0 § 0 .,
0. 0. 0 a· 0
0 0 6 ~ 0 0 0 ~
-;;; '0
c £ ·g. "c0 ~
GOLDEN GATE CAP ITAL INVESTMENT5- II-A ADJUNCT BVI, L.P. (Note 18) X X
GO LDEN GATE CAP ITAL INVESTMENT FUND 11-A, L.P. (Note 18) X X X X X
GOLDEN GATE CAPITAL INVESTMENTS II (JJV I), L.P. (Note 18) X X
GO LDEN GATE CAP ITAL INVESTMENT FU"D II, L.P. (Note 18) X X X X X
GOLDc"N GATE CAP ITAL INVESTMENTS II , LLC (Note IK) '!'.. X
CCG INVESTMENTS JJV I, L.P. (Note 18) X X X X X
CCG INVESTMENTS FUND, L.l'. (Note 18) X X
CCG INVESTMENTS , LLC (Note IK) X X X
GOLDEN GATE CAI'I,JAL ANNEXJ'UND II, LP. (Note IR) X X
-=-
R"'(lUrtiug lt11.li\·K.Iual's Nnmc Page Number
W. Mitt Ro nmey 34
SCHEDULE A
[W. Mill RomneyJ RA] ---
,.
-
Valuation of Assets Income Type and Amount. If "None (or less than $201)" is checked, no
Assets and Income at close of other eotry is needed in block C for that item.
reporting period
BLOCK A BLOCKS BLOCKC
T •pe Amount
& 0
0
0
0
8 ""c 0N
... 0
Date
;;;;
""c"
(M o., Day,
.
0 0 0
8 0 0 0 0
00 0 Other Income
c 0 80 0 q g 0
0 ·~ 0 0 Yr.)
8 § 000 •00 8.,.,-
0
!5"'
... ... ... "
0 0.,., (Specil)r Type
0 0 0
80 .,.; 80 ~ !5
...
0
0 0 0 0.,., 0 0 .,.,- £ 0 0
3"'
s
0
0
.,.;
;;;;
0
...,0.,.,
0
0
;;;; ...
N
;;
.,.,0
<A ...,
'
0
0
0
0
00
N
00 00
00
0
.,.,
">
..5 ~ ~ "'
,.,
~
0
c::
.s"'
0"' 0
"'
3 0
0
0
0
0.,.,
...'
N' .,.; ;;;;
....
0
0
..
80 .,.; 00.,., 00 ;;;;
;;;;
0
g '
0
0
0
00
0
& Actual
Amount)
Only if
Hono raria
I
....,.,-
0 0
' ' 00 00 .... 00
0
....
'0 '0 '0 '0
" '0"= ol:! "'e
;;;; ' 0 ... 0
0.,.,
... ....,.; ... .,., 0
" ...
0
z0 ;;;; ;;;;
0
;;;; .... ...
N
0
">
0 .... N
0
>
u
~
u
~ 0" i5 c::" .s u"' z
0
N ;;;; .... 0
>
0
">
GO LDMAN SACHS FINANCIA L SQUARE FEDERA L FUN D X X X X
US DOLLAR - X X X
y· Valuation of Assets
- Income Type and Amount. If "None (or less than $201)" is checked, no
Assets and Income at close of other entry is needed in block C for that item.
reporting period
BLOCK A BLOCKB BLOCKC
T 'PC Amount
....... .......
0q 0 Date
....c 0
0
0
0
0
0
0
00
""§ 0N
.... 80 (Mo., Day,
"' 0
0
8 80
80
0
0
g 00
0
0 "";::
v la 0
0
0
0
0
g Other Income
Yr.)
... ...""
0 ~ (Specify Type
8 s.,"' ...
0 0 0 0
~ *00 0 ,.; 0
* 0
~
0
0
0
0
0
0
0
0 .
...""
0
0
0
0
...,.,· N
g ,s> 2
"'
\~
... ~
0
0
0
0
80 0
0
0
0
0
0
o.
... § ...
,.; 0
0
&Actual
~
,.; 0 0 N ;;;; 0 0 ,.; 0 0
Only if
"""' "'c ~ g
0
...."'N' ...,.;' ;;;; ....
"' ;;;;
~ .... ;;;; 0 ' 0 0
;;;; "" 0
00 00 0 0 t- >.
0 ·c; 0
00 0 Amount)
Honornria
a0 0 0 0 "'c c 0 ;;;; 0 0
.,.,·
0
~
a 00
' 0 · a.
0 ... 0 0
0
0 "'£.,c. "'£c. ..."'" ""
....
"'
I>:
,:g 'E .,c ' 00
~
a a,.; a0
'
' ' 00 ....., 0 ....
0
"'" i! 0
~
0 0 0 0 0 0 0
"c0 ,.; ·a 0 0 0 ~ ,.; ~ v ~ ·;: ;:: ·c. ~
~
;z
0
.... ... "'
"'
0
;;;; "'
....
N
...""
0
0
>
0 0
N
u
.... ....,.; .... 0"> &) &) 0" Q
u
v
I>:
B
.s u"'
0
;z
0N
... ;;;; "' ....
....N'
0
,.,· ;;;; ....
"'
0
;;;; 0
>
.... 0
>
..,
·--
..._:_
PRAXA IR INC CMN (SOLD) X X X X
-
X X X X
-
WASHINGTON MUTUAL, INC. CMN (SOLD) X X X X
Valuation of Assets Income Type and Amount. If "None (or less than $201)" is checked, no
Assets and Income at close of other entry is needed in block C for that item.
reporting period
BLOCK A BLOCKB BLOCKC
T 'PC Amount
~----- 8q
....
0
0
80
0
0
0 "<:
"
0N
....c 0
0
Date
(Mo. , Day,
.." 0
0
0
0
0
0
8
0
00
0
0
0
0
0
~
E .. 0
0
0
0
0
0
0
Other Income
Yr.)
s" 0
0 0 0
~
0 0 0 0
.,.; 0
~ 0 0
*0 {Specify Type
8*
0 0
0
0
0
0
0
0
0 0 0
0 .,.;
.... .... ...."'
N
0
v; .!l 0 0
0
0
0
0
0
0
0
o. 8
.,.;
....
0
0
3"'
0
.,.; 0 0
..."'
N
0
....
"' ....
0
0
2 ~
00 ""'> ....>. "'
"'<: 3 q "' 0 0 0
0
0
.,.;
...0"'' 0
iA
0 & Actual
Only if
0 .... ....' ...
...."' iA 0 C'i .,.;
0
iA 0 0 Amount)
iA 80
0 80 0 ..5 E-
0 ·;;; iA 0
80 0
0 Honoraria
~ 0
...
0 0
0 8 8 ... 0 0 '
0
~
8
' '
8 g 0 0 0 0
0 0 0
... "
g. .,.; "''- c.
0 0 " " c
t>::
" c." " " o'IJ e s v;
\;:: ~ 8 8 80 0
.,.;
....
"u>< "u>< .... " c £ ·s.. ;z:"0c 0 8 ....C'i
I) 80 0 0 ~ 0 ' 8 00 0 0 0 '-
q
0 '-
" .,.; 0
.,· .,.; 0 "> .... ">
~ "' ..."'
0
0
... "' ....
0
"
->
.... .,.;
.... .... "
>
" " "' .... ... 0
----
N
--· ;z: iA .....
"' iA .....N
"' 0 0 wN
w CY t>:: ..5 u iA iA iA 0 0
0 0
.......
o. 0
0
0
0
0 ""c 0
...."'c 0 Date
....c 0 0 o"
:;:l
0
- ·a :1
0
....,.,·
0 V) v) 0 0
;;;;
-l 0
0 ;; ;;' ;;
' 0
0
"'
>.
0
0 ....
0
0
...N'' ;;; ' 0
o. ;;
' 0
0
Amount) Honoraria
.....,.,·....
0 0
0
~
'
;; ;;
'
'
;; ;; 0;; ;; 0
0 0
........ 00 00 00 0 V) 0
"0
........ ""0.." ""0.. ..:" """c
~
~ "'
0
s ~
' 00 ;;
'
;; ;; ;;
' ;;
0 ... 0
0 I
0.,., 0 ~
0 0 u 0
o. .,.,· 0 0
0 "0 0 0 0
-
"> 0 0v) ,.,N · "> c ;;
c "u "u -;;; ·a t;
....,.,
c 0 0 o.
v)
">
0 V)
z
0 V)
0
.... <A .... <A ....
0
"' .....
V)
0 ;;; .... ...
>
0 ~
)(
JJ.l
:l
0' i5 "
p:: .s u"' z0 .... N
... ..."'" ....v) ;;;
0
;;;; 0
>
.... 0
GOLDMAN SACHS FINANCIAL SQUARE FEDERAL FUNii X X X X i
I
GOLDMAN SACHS CORE FIXED-INC 1MUTUAL FUND X X X X
""'!: ;-- ~· -
..
;-
Sl' 271l (Rev. 03/2000)
5 C. F. R. Part 2 634 Do not complete Schedule B if you are a new entrant, nominee, or Vice Presidential or Presidential Candidate
U.S. Office of Government Ethics
Reporting Individual's Name
w. Mitt Romney I ---
-
SCHEDULE B Page Number
of
Part I: Transactions
Report any purchase, sale , or exchan ge Do not report a transaction involving None O Not Applicable
by yo u , your spo use, or dependent property used solely as your personal
child ren during the reporting period of any residence, or a transac tion solely between Transaction Amount of Transaction (x)
you , your spouse, or dependent child. Type (x)
real property, stocks, bonds, commodity '
'O .-<0 .....
' 0 0
futures, and other securities wh e n the
am ount of the transaction exceeded $1,000.
Ch eck the "Certificate of divestiture" block
to indicate sales made pursuant to a Q)
Date
(Mo., ' 0 .-.o .-<0
'O
'
.-.o '
-<0
oO
0 0 0 0 o8~ 00
§
-<0 -<0 0 0
0 0 go_ 0 0
0
0
0 "'"'... ~
"en 0>
-o 0 00
-0 00
"'"
Include tra n sactions th at res ulted in a loss. certificate of divestitur e from OGE. "'!::!
.c
c:
..." w"'
.c
Day, Yr. ) .-<0 0 0 0 0
gq 0 0 o.o-
vi'O 0 0
·"' .... .,.,
00 00 00
00 00 Oo
OV> V>O 0 - ~8 0
0 0 0 0 0 0 ._.q ~-~
00 00
0 0 .on- v)c) 010
0
~ .
.........
...... ...... ...... ...... ...... ....... ......
.-<N NV> ..,.., >....< ,...;v; V>N Non >V> .... >
0
Identificatio n of Assets
::>
c.. (/)
K V) .... V) ....
o .... "'·-
...,..., o ... U"tl
Example I CenLral.AirlinesCommon X 2/1/99 X
2 -
3
- -
4
*This category applies only if the underlying asset is solely that of the fller's spo use or dependent children. If the underlying asset is either held
by the filer or jointly held b~ _the filer with the spouse or dependent children, use the other higher categories of val ue, as appropri ate.
~
:.
- ~~ -
3 -
-1
-
5
- - ---
1
See attached Schedule
-
c P art I Respo~se
2
-.-
----
3
5
.. .
*This category applies only if the liability is solely that of the filer's spouse or dependent children. Jf 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.
1
l Pursuant to partnership agreement, will receive lump sum payment of capital account & Portnershlp share
calculated on senoice performed through 1/ 00.
Doe jones & Smith, Hometown, State
Mr. Romney retired from Bain Capital on February 11, 1999 to head the Salt Lake ( rganizing Committee, and since that date
7/85
Mr . Romney has not had any active role with any Bain ' Capital entity. In connec ion with his retirement from Bain Capital,
2 Mr. Romney entered into an agreement with Bain Capital, LLC and certain affiliatE s imposing certain non- compete, non-hire
and confidentiality obligations on Mr . Romney through February 11, 2009, and pro1 iding for Mr. Romney to retain a passive
3 protl.t snare as a retl.red partner l.n certal.n Hal.n Capl.tal entl.tl.es tormed on orJ r1.0r to Feoruary - rr, --zmJl1 and tor Mr . J-<.omney
to have the right on or prior to February ll, 2009 to make passive investments ir certain Bain Capital en t ities . With respect
'4 to such profit shares and investments, since January 1, 2003 neither Mr. Romney r or Mrs. Romney has had any contro l oyer the
' assets acquired or disposed of, neither Mr . Romney nor Mrs . Romney has received <ny reports identifying specific assets held,
5 and the management of the assets has been deemed blind by the Massachusetts State Ethics Commission .
6 :-
The investments in private equity and simi lar funds disclosed on Exhibit A (the "Funds") are made pursuant to agreements oflimited partnership, subscription agreements and/or other similar documentation that could be characterized
as creating liabilities for capital calls or other payments to be made by investors. Such documentation is typically dated on or about the date of organization of the Fund or the date of the investment, which dates vary in the case of the
Funds disclosed on Exhibit A from 1987 through 2007. The payments generally do not bear interest, and are due upon demand by the Fund. In the case of Funds for which there are expected to be capital call for future investments, the
following table lists the Funds and t~e maximum expected fuiure liability for such capital calls:
Fund Categor:r
A. Ann Romney Blind Trust
------ Amount
GOLDEN GATE CAPITAL INVESTMENT FUND !1-A, L.P. Between $15,00 1 and $50,000
GOLDEN GATE CAPITAL INVESTMENT FUND II, LP. Between $50,00 I and $100,000
GOLDEN GATE CAP!TAL ANNEX FUND II, LP. Between $100,00 I and $250,000
GS CAPITAL PARTNERS l_U, L.P. Between $100,001 and $250,000
WHlTE~L STREErREALESTATE FUND IX/X Between $15,00 1 and $50,000
WHITEHALL STREET REAL ESTATE FUND XI/XII Between $100,00 1 and $250,000 i
WHITEHALL STREET GWBAL REAL ESTATE 2007 Over $ 1,000,000
SANKATY CREDIT OPPORTUNITIES III, L.P. Between $1 000 00 I and $5 000 000
-··
l
SF 2 7 8 (Rev. 03 / 2000)
5 C. F.R. Pan 2634
U.S. Office of Government Ethics
w. Mi t t Romn ey
--- SCHEDULED 1 of 1
-
-
6
. --·
Part II : Com,pensation in Excess of $ 5 ,0 00 Pa id by One Source Do no t comp let e this p a r t if y ou are an
Incumb e nt , T erm inatio n Fil e r , or Vic e
Report sources of mo~e than $5, 000 compensation received by you or your non-p rofit or ganization when Pres id e nt i al o r Pre siden ti al Candi da t e .
business affiliation fo r services provided directly by you during any one year of you directly provided the
the reponing period. This includes the names of clients and customers of any services generating a fee or payment of more than $5,000. You
corporation, firm , partnersh ip, or other business enterprise, or any other need not report the U.S. Government as a source. no t applicabl e None 0
Examples
t;," Sour ce (Name and Address)
j ones & Smith, Hometown, State Legal services
t-;:;;-Universi tytcli~ of Doe j .;;:;;s '&s,~J:M~y~;,5t;;; ----- - Legal Servicesin c;;nrnJ.o-;-withu~ers tt;Con"'illu'Uio ~ -
Brief Descrip tio n of Du ties
- - - - - - - - - - - - - - -
1
!5
,,
Prior Editions Canno t Be Used. OGE/Adobe Acrobat version 1.0.1 (3129/ 01)
W. Mitt Romney
SF 278
Notes
1. Other than cash and cash equivalents, all of the assets reported are held by The
W. Mitt Romney Blind Trust, The Ann D. Romney Blind Trust, Mr. Romney's
IRA, or Mrs. Romney's IRA. In each case, R. Bradford Malt, as trustee, has
complete investment discretion over the assets held by these investment vehicles.
Since January 1, 2003, neither Mr. Romney nor Mrs. Romney has__had any control
over the assets acquired or disposed ofby the vehicles, neither Mr_- R9mney nor
Mrs. Romney has received any reports identifying specific assets held, and the
management of the assets has been deemed blind by the Massachusetts State
Ethics Commission. Unless specifically noted otherwise, the assets and asset
value and income amount for each holding are reported as of June 30, 2007. In
instances where the asset is a fund, the filer has requested, and reported to the
extent available, information about the identity of underlying holdings of the fund
and value and income amounts for these underlying holdings. Value and income
amounts reported for underlying holdings are part of, and not in addition to, value
and income amounts reported for the fund. Income amounts are taken from Kl 's
unless otherwise specifically noted. In instances where value and income
amounts for a fund are reported as of dates other than June 30, 2007, such value
and income amounts are reported as of the most recent date for which they are
available.
2. The total asset value for this fund is reported as of April30, 2007. The total
income amount for this fund is reported as of December 31, 2006. The filer has
requested information about underlying holdings of the fund and value and
income amounts for these underlying holdings. However, the fund manager has
informed the filer in writing that this information is confidential and proprietary,
and has declined to provide such information.
3. The total asset value for this fund is reported as of June 30, 2007. The total
income amount for this fund is reported as ofDecember 31 , 2006. The filer has
requested information about underlying holdings of the fund and value and
income amounts for these underlying holdings. The underlying holdings of this
fund aie reported as of December 31 , 2006, the most recent date for which the
fund manager has agreed to provide the information. The value and income
amounts for the underlying holdings are not readily ascertainable.
4. The total asset values for these funds are reported as of June 30, 2007. The
total income amounts for these funds are reported as of December 31 , 2006. The
filer has requested information about underlying holdings of these funds and
value and income amounts for these underlying holdings. However, the fund
managers have informed the filer in writing that this irtfonnation is confidential
and proprietary, and have declined to provide such information.
4893452
5. The total asset values for this fund is reported as of April30, 2007. The total
income amount for this fund is reported as of April30, 2007. The filer has
requested information about underlying holdings of the fund and value and
income amounts for these underlying holdings. The underlying holdings of this
fund are reported as of April30, 2007, the most recent date for which the fund
manager has agreed to provide the information. The value and income amounts
for the underlying holdings are not readily ascertainable.
6. The total asset value for this fund is reported as of June 30, 2007. The total
income amount for this fund is reported as of December 31, 2006. The filer has
requested information about underlying holdings of the fund and value and
income amounts for these underlying holdings. The underlying holdings of this
fund are reported as of December 31, 2006, the most recent date for which the
fund manager has agreed to provide the information. The value and income
amounts for the underlying holdings are not readily ascertainable.
7. The total asset value for this fund is reported as of June 30, 2007. The total
income amount for this fund is reported as of December 31 , 2006. The filer has
requested information about underlying holdings of the fund and value and
income amounts for these underlying holdings. The underlying holdings of this
fund are reported as ofDecember 31 , 2006, the most recent date for which the
fund manager has agreed to provide the information. The value and income
amounts for the underlying holdings are not readily ascertainable.
8. The total asset value for this fund is reported as of April 30, 2007. The total
income amount for this fund is reported as of April30, 2007. The filer has
requested information about underlying holdings of the fund and value and
income amounts for these underlying holdings. The underlying holdings ofthis
fund are reported as of April30, 2007, the most recent date for which the fund
manager has agreed to provide the information. The value and income amounts
for the underlying holdings are not readily ascertainable.
9. The total asset value for this fund is reported as of June 30, 2007. The total
income amount for this fund is reported as ofDecember 31 , 2006. The filer has
requested information about underlying holdings of the fund and value and
income amounts for these underlying holdings. The underlying holdings of this
fund are reported as of March 31 , 2007, the most recent date for which the fund
manager has agreed to provide the information. The value and income amounts
for the underlying holdings are not readily ascertainable.
10. The total asset value for this fund is reported as of June 30, 2007. The total
income amount for this fund is reported as ofDecember 31 , 2006. The filer has
requested information about underlying holdings of the fund and value and
income amounts for these underlying holdings. The underlying holdings of this
fund are reported as of December 31 , 2006, the most recent date for which the
4893452
fund manager has agreed to provide the information. The value and income
amounts for the underlying holdings are not readily ascertainable.
11. The total asset values for these funds are reported as of June 30, 2007. The
total income amounts for these funds are reported as of December 31, 2006. The
filer has requested information about underlying holdings of these funds and
value and income amounts for these underlying holdings. However, the fund
managers have informed the filer in writing that this information is confidential
and proprietary, and have declined to provide such information. For GS Hedge
Fund Partners II LLC and GS Hedge Fund Partners LLC, K1 'shave not been
issued and income amounts are derived from tax estimates provided by the fund
managers.
12. The total asset value for this fund is reported as of March 31, 2007. The total
income amount for this fund is reported as of March 31, 2007. The filer has
requested information about underlying holdings of the fund and value and
income amounts for these underlying holdings. The underlying holdings of this
fund are reported as of March 31, 2007, the most recent date for which the fund
manager has agreed to provide the information. The value and income amounts .
for the underlying holdings are not readily ascertainable.
13. The total asset values for these funds are reported as of March 31, 2007. The
total income amounts for these funds are reported as ofDecember 31, 2006. The
filer has requested information about underlying holdings of the funds and values
and income amounts for these underlying holdings. The underlying holdings of
these funds are reported as of December 31, 2006, the most recent date for which
the fund managers have agreed to provide the information. The value and income
amounts for the underlying holdings are not readily ascertainable.
14. As of June 30, 2007, this newly-organized real estate partnership held only
cash and cash equivalents designated for future real estate investments.
15. The total asset values for these funds are reported as of March 31, 2007. The
total income amounts for these funds are reported as of December 31, 2006. The
filer has requested information about underlying holdings of the funds and values
and income amounts for these underlying holdings. The underlying holdings of
these funds are reported as ofDecember 31, 2006, the most recent date for which
the fund managers have agreed to provide the information. The value and income
amounts for the underlying holdings are not readily ascertainable. In addition, no
further information about the underlying holdings is available.
16. The total asset value for this fund is reported as of December 31, 2006. The
total income amounts for this fund are reported as of December 31, 2006. The
filer has requested information about underlying holdings of the fund and values
and income amounts for these underlying holdings. However, the fund manager
4893452
has informed the filer in writing that this information is confidential and
proprietary, and has declined to provide such information.
17. The value of this asset is the contractual right of the Ann D. Romney Blind
Trust to receive a distribution of profits through February 11, 2009. As a result,
the fair market value of the asset depends on indeterminate future events, and is
reported at cost as permitted by 5 CFR 2634.301(e) and the Instructions for
Completing SF 278. After receipt of a distribution of profits with respect to the
period ending February 11, 2009, this contractual right will terminate, with no
residual interest and no right to further payment.
18. The total asset values for these funds are reported as of December 31, 2006.
The total income amounts for these funds are reported as of December 31, 2006.
The filer has requested information about underlying holdings of these funds and
values and income amounts for these underlying holdings. However, the fund
managers have informed the filer in writing that this information is confidential
and proprietary, and has declined to provide such information.
19. The filer waived his salary as Massachusetts Governor during his term of
service in this position.
4893452