ernment ethics certification of ethics agreement ...index... · certification of ethics agreement...

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U.S. OFFICE OF GO\"ERNMENT ETHICS Certification of Ethics Agreement Compliance 0 une 2017 ,·ersion) CERTIFICATION OF ETHICS AGREEMENT COMPLIANCE Senate Confirmed Presidential Appointee to be completed by OGE a. Appointee's Name: Ryan McCarthy to be completed by OGE b. Position Title: Secretary of the Army to be completed by OGE 1. c. Agency: Department of Defense Appointee's to be completed by OGE Information d. Date Ethics Agreement Signed: September 10, 2019 to be completed by OGE e. Date Confirmed: September 26, 2019 f. Due Date for Certification of Ethics to be completed by OGE Agreement Compliance: January 2, 2020 I completed all of the resignations indicated in 2. my ethics agreement before I assumed the duties QYes QNo of my current government position. Resignations a. I have completed all of the divestitures indicated in my ethics agreement. I also QYes QNo understand that I mqy not repurchase these assets during my appointment without 3. OGE 's prior approval. Divestitures b. I have filed a periodic transaction report, QYes QNo or periodic transaction reports, (OGE Form-T) to disclose the completion of these @NIA {!)NIA {!)NIA agreed upon divestitures. Filing Date(s) of OGE Form 278-T Report(s): 4. lf I have a managed account or use the services of an investment professional I have notified the Managed manager or professional of the limitations {!)Yes QNo QNIA Accounts indicated in my ethics agreement. In addition, I am continuing to monitor purchases. 5. I complied with my interim recusal obligations pending the divestitures required I?)! my ethics Interim agreement. QYes QNo @NIA Re cusals THIS CERTIFICATION WILL BE POSTED FOR PUBLIC VIEWING ON OGE'S WEBSITE. 1

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Page 1: ERNMENT ETHICS Certification of Ethics Agreement ...Index... · Certification of Ethics Agreement Compliance (I une 2017 Yersion) 6, a. I am recusingfrom particular matters in which

U.S. OFFICE OF GO\"ERNMENT ETHICS

Certification of Ethics Agreement Compliance 0 une 2017 ,·ersion)

CERTIFICATION OF ETHICS AGREEMENT COMPLIANCE

Senate Confirmed Presidential Appointee

to be completed by OGE

a. Appointee's Name: Ryan McCarthy to be completed by OGE

b. Position Title: Secretary of the Army to be completed by OGE

1. c. Agency: Department of Defense Appointee's to be completed by OGE Information d. Date Ethics Agreement Signed: September 10, 2019

to be completed by OGE

e. Date Confirmed: September 26, 2019

f. Due Date for Certification of Ethics to be completed by OGE

Agreement Compliance: January 2, 2020

I completed all of the resignations indicated in

2. my ethics agreement before I assumed the duties

QYes QNo of my current government position. Resignations

a. I have completed all of the divestitures indicated in my ethics agreement. I also

QYes QNo understand that I mqy not repurchase these assets during my appointment without

3. OGE 's prior approval.

Divestitures b. I have filed a periodic transaction report, QYes QNo or periodic transaction reports, (OGE

Form-T) to disclose the completion of these

@NIA

{!)NIA

{!)NIA

agreed upon divestitures. Filing Date(s) of OGE Form 278-T Report(s) :

4. lf I have a managed account or use the services of an investment professional I have notified the

Managed manager or professional of the limitations {!)Yes QNo QNIA Accounts indicated in my ethics agreement. In addition,

I am continuing to monitor purchases.

5. I complied with my interim recusal obligations pending the divestitures required I?)! my ethics

Interim agreement. QYes QNo @NIA Recusals

THIS CERTIFICATION WILL BE POSTED FOR PUBLIC VIEWING ON OGE'S WEBSITE. 1

Page 2: ERNMENT ETHICS Certification of Ethics Agreement ...Index... · Certification of Ethics Agreement Compliance (I une 2017 Yersion) 6, a. I am recusingfrom particular matters in which

U.S. 0ff!CE 01' GO\'ERNMENT ETHICS

Certification of Ethics Agreement Compliance (I une 2017 Yersion)

6, a. I am recusingfrom particular matters in

which I know I have a ,Dersonal or imputed Recusals financial interest direct!J and predictab!J

affected f?y the matter, unless I have received a

(Note: These waiver or qualijj far a regulatory exemption.

factual statements b. I am recusingfrom particular matters in

describe the which a'!Y farmer employer or client I se11Jed in appointee's cumnt the past year is a party or represents a party, status. Thry are unless I have been authorized under 5 C.F.R not intended to § 2635.502(d). modijj ethics agreement c. I am recusingfrom particular matters in commitments or which a'!Y farmer emplqyer or client I se11Jed

create new recusal in the two years prior to my appointment is a

obligations.) parry or represents a party, unless I have received a waiver under Exec. Order 13 770.

a. I received a waiver pursuant to 18 U.S. C. § 208.

7. If yes, indicate the date of the waiver and indicate the financial interest covered by the

Waivers and waiver.

Authorizations b. I received a waiver pursuant to Executive Order 13 770.

If yes, indicate the date of the waiver and the subject of the waiver (i.e., applicable paragraph of the ethics pledge, parties, particular matters, specific issue areas, as applicable).

c. I received an authorization pursuant to 5 C.F.R § 2635.502(d).

If yes, indicate date of authorization and identify the covered person(s) as to whom you have been authorized (e.g., former employer, former client, spouse's employer, spouse's current client, etc,).

d. I received a waiver pursuant to 5 C.F.R § 2635.503(c).

If yes, indicate the date of the waiver and identify the former employer or payer.

Ryan McCarthy

@Yes Q No

QYes 0 0 @NIA

QYes 0 0 (!)N/A

QYes {!)No

-~-~----·--··--·-----~-.------·---------------------Date:

Financial interest:

QYes {!)No

-------Date:

Subject:

QYes {!)No

---····-----------~-----~-------------·----·~----· Date:

Covered person(s):

QYes (!>No

..--·••·•~-·wm-••

Date:

Former employer or payer:

THIS CERTIFICATION WILL BE POSTED FOR PUBLIC VIEWING ON OGE'S WEBSITE. 2

Page 3: ERNMENT ETHICS Certification of Ethics Agreement ...Index... · Certification of Ethics Agreement Compliance (I une 2017 Yersion) 6, a. I am recusingfrom particular matters in which

U.S. OFFICE OF GOVERNMENT ETHICS

Certification of Ethics Agreement Compliance Oune 2017 version)

8.

Payments, Accderat:ions, or Divestitures Required to be

Completed Prior to Entering

Government Service

9.

Requ.iiei:nents for Regular App0intees

10.

Additional Ethics

Agreement Requirement~

11.

Comments of Appointee

'M~~ Ji?0x.1fn~t affplic~ole:·

a. If I committed that I would farftit a financial interest or pqyment, unless it was received or accelerated prior to my assumption of the duties of the government position:

b. Financial interest or payment at issue:

I have completed my initial ethics briefing, pursuant to 5 C.F.R § 2638.305.

If you are a Special Government Employee (SGE) or career Foreign Service Officer (FSO), select N/A.

I have signed the ethics pledge pursuant to Executive Order 13770.

If you are a SCE or career FSO or previously signed the pledge, select N / A.

to be completed by OGE

0 0 0

Ryan McCarthy

I received it (or it was accelerated) prior to my assumption of the duties of the position.

I received it (or it was accelerated) qfter my assumption of the duties of the position.

I farftited it.

{!)Yes ON/A

QYes {!)NIA

to be completed by appointee

I am comp/Jing with these requirements as described in the ac!Jacent box.

QYes @NIA

Any intentionally false or misleadir\g statement or response provided in this certification is a violation of law punishable by a fine or imprisonment, or both, under 18 U.S.C. § 1001.

I certify that the information I have provided is complete and accurate.

Appointee's Signature: Date:

THIS CERTIFICATION WILL B~ POSTED F°' PUBLIC VIEWING ON OGE'S WEBSITE. 3