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OGEForm278(Rev.

09/2olo) Executive Branch Personnel PUBLIC FINANCIAL DISCLOSURE REPORT


Form Approved:
OMB No. 3209 - 000 1 5 C.F .R. Pan 2634
U.S. Offire ofGovem.m.ont Ethics
Dace of Appointment, candidacy, Election,
Reporting Incumbent
Calendar \.'ear
New Entrant, Termination Termination Dare (IfAppli-
or Nomination (Month. Da..,-. YeaTJ
Status
0
Covered by Report
Nominee, or [B Filer 0
cable)(Monch,Day,Year)
( Oleck Appropriate
I I
Candidate
I I
Boxes)
Last Name
First Name and Middle Initial
Reporting
Individual's Name
Romney . W. Mitt
Title of Position Department or Agency (If Applicable)
Position for Which
FlUng
Candidate for President N/A
Location of
Address (Number, Street, City, State. and ZIP Code)
Telephone No. (Include Area Code)
- - '""'''"' ------..----
1 Present Office
585 Commercial Street, Boston, MA 02109 85 7-288-3553
I (or forwarding address)
--
Position(s) Held with the Federal
Title of Position(s) and Date(s) Held
Government During the Preceding
N/A lZ Months (If Not Same as Above)
-
Presidential Nominees Subject
Name of Congressional Committee Considering Nomination Do You Intend to Create a Q!lalified Diversified Trust?
to Senate Confirmation
Ai)piicable
DYes 0No
Certlflcaiion Signature of Reponing Jnd Date (Month, Day, Year)
I CERTIFY that the statements'[ have
fi: { /
made on this form and all attached
August 12, 2011
schedulesaretrue.rompleteandcorrec't
to the best of my knowledge.
Other Review
Signature of Other Reviewer
/
Date (!Ionth, Day, Year)
(Jf desired by
/
agency)
Agency Etblcs Official's Opinion Signature of Agency Ethics Official/Reviewing Official Date (Month, Day, Year)
Oa the basis of information oontained in this
report, I <ODC!nde that the filer is in compliance
with applicabl Jaws and regulations (subject !!l
any comments in the box. below).
Office of Government Ethics
Signature Date (Month, Day, Year)
Use Only
Comments of Reviewing Officials (Jf additional space is required, use the reverse of this sheet)
ip
-]"J (' ).] n 0 J (Check box if riling extension granted & indicate number of days---) 0
l ,,_J ,)f'J ,
\I tj3 .. 38 l.:l.:JO
:S
Hd
21
fllW 1/DZ
\ rr, t ...... ,
"'' "
T1i HJU3:J
c; 3 .. ! _, : -:n.r
.
(Check box if comments are conrinuf!d on the reverse side) 0
Fee for Late Filing
Any individual who is required to file
this report and does so more than 30 days
af1:er the date the report is required to be
filed, or, if an extension is granted, more
than 30 days after the last day of the
filing extension period, shall be subject
to a $200 fee.
Reporting Periods
Incumbents: The reporting period is
the preceding calendar year except Part
11 of Scheduie C and Part 1 of Scb.edule D
where you must also indude the filing
year up to the date you file. Part ll of
Scb.edule Dis not applicable.
Termination Filers: The reporting
period begins at the end of the period
covered by your previous filing and ends
at the date of termination. Part II of
Scb.edule D is not applicable.
Nominees, New Entrants and
Candidates for President and
Vice President:
Schedule A-The reporting period
for income (BLOCK C) is the preceding
calendar year and the current calendar
year up to the date of ruing. Value assets
as of any date you choose that iS within
31 days of the date of filing.
Schedule B-Not applicable.
Schedule C, Part I (Liabilities)-The
reporting period is the preceding calendar
year and the current calendar year up to
any date you cb.oose that is v.i.thin 31 days
of the date of filing.
Schedule C, Part II or
Arrangementsl-Show any agreements or
arrangements as of the date of filing.
ScheduleD -'The reporting period iS
the preceding two calendar years and
the current calendar year up to the date
of Tiling.
Agency Use Only
OGE Use Only
i
!
R.:partina Name Page Number
W. Min Romney SCHEDULE A
(W.Mhl & Ann Romney( 1 0 f 11
Valuation of Assets lncome Type and Amount. If
11
None (or less than SlOt)" is checked, no
Assets and Income at close of reporting period other en tTy is needed in block C for that item.
BLOCK A BLOCK B BLOCK C
T1pe Amount
g og "g 0 o
""' o gq,o" o g Date
;
0
g g g * g fj ]
0
g g"' Other. Income (Mo . Day. Yr.)
f5 g g g g"' g g .. ... _ f-
0 0
g g 6 g g g (Spec1fyType
&t tA _ g' 2 fl ] g S1. 8.. d- & Actual Only if Honoraria
..J - fA , o - o a ..S f-' i-
0
;; o M Vl fA fA o - o Amount)
0 f-'l .. g .. _ o 0 __ ;;:: g ..
cno;..._.. t--- 0 0 0 1iA 0 (A
.. .. 5 g " 5
z (A (;4(A(A(A(AQ(A(A{AQU.lUl Ct 0".:: u z (A (AliA (,4 (,4 fA (A 0 liA 0
B OF A CASH ACCOUNTS X x x !
NO APOLOGY: THE CASE FOR AMERICAN GREATNESS, ST.
MARTIN'S PRESS. VALUE NOT ASCERTAINABLE (PROFITS
DONATED TO CHARITY) x x
MARRIOTT INTERNATIONAL (FOR BOARD SERVICE UNTIL $113,880.73 -
RESIGNATION JAN. 21111) Directors Fee
ABBOTT LABORATORIES X x
FEDERATED GOVERNMENT OBLIGATION FUND X X X X
CSl ROB ROM. LLC. MOORPARK. CA (OWNS HORSES) x x
Prize for
(Sl 22nd DISTRICT ASS'N. MAR. CA Horse
GOLD X x
$35,771.37 -
QUEST EDUCATIONAL FOUNDATION, NAPLES, FL Sneaker's Fee Februarv26, 2010
$20,000.00 -
RIVERSIDE THEATRE. VERO BEACH. FL Sneaker's Fee AnnlS,
2010
$11,475.00 -
CLAREMONT McKENNA CA Speaker's Fee Anril 15, 20 I 0
$29,750.00 -
GET MOTIVATED SEMINARS . .-io SAT LINK. BOSTON. MA Speaker's Fee Mav 20, 20 I 0
$32,831.25 -
HP HEALTHCARE SERVICES, DALLAS. TX Sneaker's Fee Mav 25, 20 I 0
$66,000.00 -
CONSULTING, HALF MOON BAY, CA Speaker's Fee September 23, 20 I 0
$68,000.00 -
GOLDENTREE ASSET MGT. NEW YORK. NY Speaker's Fee November 4, 20 I 0
$68,000.00 -
INTERNATIONAL FRANCHISE ASSOC . LAS VEGAS, NV Speaker's Fee Februarv 16, 20 II
$42;500.00 -
BARCLAY'S BANK. WASHINGTON. DC Speaker's Fee Februarv 20 20 II
- -- -
huJi,iduars
Page Number
W. Mitt Romney
SCHEDULE A
fW. Mitt Romney Blind Trust! 2 of 11
Valuation of Assets
Income Type and Amount If "None (or less than $201)" is checked, no
Assets and Income
at close of reporting period
other entry is needed in block C for that item.
BLOCK A
BLOCKB
BLOCKC
I
T 'Jle Amount
0 0 "0
Date
o.
0 0
"
0
0 0 o.
"
N 0
(Mo., Day, .... 0
0 o. 0
"" ""
0
0
0
0
0 0
'C
"
0
0
Other Income 0 0
0
0 Yr.)

0 0 0 o. 0 0
"
..
0 o
0 0 o. o. 0 4
0 0
0 0
F
0 0 0
*
0
(SpecifY Type 0 0 0
0 0
0 0

"'
"'
0


0 0 0 0 0

0
"'
0 o. 0
"'
0 o. 0
"'
....
o. 7;; 7;;
"'
0 0 0 o. 0 o. 0 0
&Actual 0
o.
.... ....
' f!
0 0 o. o.
.... 0
Only if f!
"'
0 0 N
"'
0
> 2 =
-;;
"'
0
"'
0 0
'
"'
;;;;
""
.... .... 0
0
0
..5
s "
....l
0
,..;
"' "'
;;;;
.... 0 0
Amount) ....l
;;;;
....
' ' '
0
- 0
o. !-<
"'
;;; o.
;;;;
...
'
0
0
0
Honomria
e_
-
o. 0 o. 0 "0 "0 "0 t>:: 0 0
.... .... 0 0
0 0
0 0
"0
.... 0
o.
0 0
0 0
"'
.ll .ll
"
"
0 0 "' o. o. .... 0 0 0
"'
!E
1
d1l
I
:

0 0 0
o .... 0 ....
"
0 o. 0
0 0 0
!;
0 0 o.
i>
fr fr
-;;
ii
a
l
0
0
0

0

g o.
"'
0 0 VI 0
0 o.
"'
0 0 0
"'
o. 0 0 o.
"' "' "'
>
"'
.... >

><
"
"'
N ,..;
"' "'
z
;;;; ;;;; .... ;;;;
.... .... 0 ....
"' ""
0 Ill 0' Ci t>:: .E u
"" ""
....
""
... ... ;;;;
0 ...
GS PRIVATE CLIENT PORTFOLIO (NOTE I AND ATTACHMENT
PAGES 12) X X X X
FORD MOTOR COMPANY X X
BNP PARIBAS LNK TO BRIC +IT VS JPY (FX) 0% COUPON DUE
'l/2212011 STRUCTURED NOTE X X
BNP PARI BAS LNKD TO BASKET OF 6 COMMOD FUT 0%
COUPON DUE NOV 21,2014 STRUCTURED NOTE X X
BNP PARI BAS LNKD TO EUROSTOXX 50 DIV PTS 0% COUPON
DUE 12129/2014 STRUCTURED NOTE X X
FFCB 4.M75000% 12116/2015 JD X X X
FHLB 1.0% 12128/2011 JD X X X
FHLB 1.5%01/1(,12013 JJ X X X
FHLB 1.625% 09/2(,}2012 MS X X X
FHLB I, 75% OH/22/20 12 FA X X
FHLB I.M75% OM21/2013 JD X X
FHLB 3.625%05/2912013 MN X X X
FHLB 3.61S
0
A, 09/1612011 MS X X X
FHLB 4.500000% OIJ/I(J2013 MS X X X
FHLB4.625% 10/lll/2012 AO X X X
FHLB 4.75% 12116/2016 JD X X X
FHLB4.K75%0S/1712017 MN X X X
FHLB 5.25!Hlll0% llMIM/2014 JD X X X
FHLB 5.375%05/18/2016 MN X X X
FHLB5.5%08113/2ll14 FA X X X
FHLB SER: 312 5.750000%05/15/2012 MN X X X
FHLB SER: 421 3.875otKl%0(JI4/2013 JD X X X
GOLDMAN SACHS SMALL CAP VALUE CLASS I X X X X
GOLDMAN SACHS TRUST GS INFLATION PROTECTED
SECURITIES FUND -INSTL SHS X X X X
GS STRATEGIC INCOME FUND CLASS I X X X X
!SHARES TR-ISHARES MSCI EAFE INDEX FUND ETF X X X X
RABOBANK NEDERLAND, UTRECHT LNKD TO !SHARES
FTSE/CHINA 0% COUPON DUE5ni20I2 STRUCTURED NOTE X X
SPDR S&P 500 ETF TRUST SPOR X X X X
TV A (, 19% 0512312012 MN X X X
CASH GS ACCOUNT X X
Nam..:: Page Number
W. Mitt Romney
SCHEDULE A
tW. Mitt Romney Blind Trust!
3 of 11
Valuation of Assets
Income Type and Amount. If "None (or less than $201)" is checked, no
I
Assets and Income
at close of reporting period
other entry is needed in block C for that item.
I
BLOCK A
BLOCKB
BLOCKC
T pj> Amount
a
a
a
""
0
Date a a
&
a a a.
"'
a
<A a
a a
a ...
a
0 (Mo., Day,
a a
0 o. 0 a
c
"
0
a
Other Income
"
0 0 a o. 0 a o.
"'
0
a o"
Yr.)
"'
0 0
"
0
F
a 0 a
o. a
*
0 a

F
0 a 0
*
(Specify Type
0 a a. o" a
a a
a.
"'
"'
0
.
0 0
:3-
a 0
a
a
"'
a a. 0
"'
a a. a
"' "' ""
a.


"'
0 0 a a. a a
"'
a
& Actual
l:i
a. 0 0
"' "'
;;:;
o.
... ...
a -;;
"'
l:i
a
a a q
0 0
a
""
o.
Only if
"' "'
;;:;
... ... 0 0 >

a
"'
a
"'
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... 0 a
..J ... 0 ,:; b
,.,
..J ,..;
"'
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Amount)
;;:;
a
0 0
:3- &!
a.
;;:;
... 0
0
0
Honoraria

'
. o. o.
"" "" ""
{)
0 0 ;;:;
... ...
o o.
0 0 0 o. 0
0
0 0 0
0
.,...
i
.
" "


0 0
;;:;
o. .,...
0
o. o. ... 0 0 ...
0.
"'
.g 1'i 0 0 0
o. 0 ...
"
o. o. 0 0 0 !;
0 0

!;
"
c
'Q.
0
o. a
a !;
0

"
a. .,...
0 a
"'
0
0 0 0 0 ;;
B
0
.,...
o. .,...
0 0 o.
0
;;:;
.,...
;;:;
"' "'
>
"'
"'
> X
" i5 "
,:;
"'
"'
;;:;
d
"'
;;:;
"'
;;:;
>
;;:; z ... ... ... ... 0 ... ... ... 0 Ill Cf u z ... ... ... 0 0
THORNBURG INVESTMENT MANAGEMENT (NOTE 2 AND
ATTACHMENT PAGES 3-4) X X X X
EKSPORTFINANS ASA LNK TO KRW VS. EUR 0% COUPON DUE
1121281201 I STRUCTURED NOTE (SOLD) X X X
FHLB 3.K7Stl00% ())/15/21110 JJ (SOLD) X X X X
FHLB4.375000%03/171201tl MS (SOLD) X X X X
FHLB 4.375tltltl% 09/17/2010 MS (SOLD) X X X X
FHLB 4.625000% 02/IK/201 I FA (SOLD) X X X X
GOLDMAN SACHS GROUP, INC. (THE) CMN (SOLD) X X X X
GOLDMAN SACHS INVESTMENT GRADE CREDIT FUND INST
(SOLD) X X X X X
BNP PARI BAS LINKED TO EUROSTOXX 50 DIV PTS 0% COUPON
DUE 1213112012STRUCTUREDNOTE (SOLD) X X X
GS GLOBAL EQUITY PARTNERS I, LLC (SOLD) X X X X X X
GS EMERGING MARKETS OPPORTUNITIES FUND LLC X X X
SELECT COMMODITIES STRATEGIES, LLC (NOTE 3) X X X X X
SUN VENTURE CAPITAL PARTNERS I, L.P. (NOTE 4) X X
ARGO DIGITAL SOLUTIONS. INC. X X
_l.YNl)XWORKS, __ _ _ _ _ _ X X
- - ---
Rq'IOI'lil'lg lndi\iduol's Ntnne Page Number
W. Mitt Romney
SCHEDULE A
[Ann Romney Blind TruSl]
4 of 11
Valuation of Assets
Income Type and Amount. If "None (or less than $201)" is checked, no
Assets and Income
at close of reporting period
other entry is needed in block C for that item.
BLOCK A
BLOCKB
BLOCKC
Tpe Amount
~
0
0
0
"'
Date
::-
0
=
0
i
0 0 o.
" "'
0
""
0
0 0
0 .....
""
0
0
(Mo., Day,
=
0 0
0
o. 6 0
c la
0 o.
Other Income
0 o. 0 0 o. 0 0
Yr.)
"'
0
0 0
0 o.
"
.<:
0
6
0
I
t::
0 0 o. 0
*
o.
0 0
E f-o
0 0
* o. (Specify Type
0 0 o,
0 0
0 0
"' "'
0
- ~
0 0 o. 0 0 0
0 o. 0 o. 0
"'
.....
""
o.
v;
~
Ill
0 0 0 0 0 0
"'
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~
0,
"'
0
0 ...
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~
0 0
~
0
0
... & Actual 0 0
"'
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' '
0 -.; m
"
0
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0
0
;;;;
o. 0,
Only if
"' "'
;;;;
... ...
0
0
=
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0
.,..
;;;;
0 0
..l
;;;;
...
'
0
0 0
d
.s f-o
m 15'
;; o.
"' "'
...
'
0
0
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Honoraria
e_
o. o.
"' "' "'
00:: 0 0
... .... ...
'
o, o.
0 0 0
d d
"'
;;;;
'
0 o.
0 0
;;;;
0
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~
a "
!i 0 0
;;;;
.,..
0
o. o, 0
""
tC <>0:1
E
1
~
0 0 0
0 0 ...
" ~ -
q
0 0 0 I;
0 0
~
I;
8 ~
"' c " 0
o. o. 0 :;
0
:; c 0,
0 0
.,.,
0 o.
~ -
"
s: c 0
.,.,
~
.,.,
0 0
0
~
;;;;
.,..
;;;;
M
.,., >
;;;;
M
>
61 61 " i5 " .s
.. 0
"'
"'
;;;;
.,.,
;;;;
> >
.... .... .... .... 0 ... .... 0 Cl 00:: u z ... ... ... .... ... 0 .... 0
GS FINANCIAL SQUARE FEDERAL FUND FST SHARES X X X X
CASH GS ACCOUNT X X
BNP PARIBAS LNKD TO BASKET OF 6 COMMOD FUT 0% COUPON DUE
NOV 21,2014 STRUCTURED NOTE X X
THE GOLDMAN SACHS GROUP,INC. LINKED TO SP GSCI AGRICULTURE
0% DUE 09/07/2012 STRUCTURED NOTE X X
FFCB U75000% 12116/2015 JD X X X
FHLB 1.0% 1212812011 JO X X X
FHLB 1.625%03/20/2013 MS X X X
FHLB 3.625%05129/2013 MN X X X
FHLB 3.625%07/01/2011 JJ X X X
FHLB 3.625% 10/18/2013 AO SR LIEN X X X
FHLB 4.500000% 11/1512012 MN X X X
FHLB4.625% 1011012012 AO X X X
FHLB4.875%05/17!2017 MN X X X
FHLB 4.875% 11/1812011 MN X X X
FHLB 5.250000%06/18/2014 ID X X X
FHLB5.375%05/18!2016 MN X X X
FHLB5.375%08119!2011 FA X X X
GOLDMAN SACHS TRUST GS INFLATION PROTECTED SECURITlES
FUND INSTL SHS X X X X
BNP PARIBAS LNKD TO EUROSTOXX 50 DIY PTS 0% COUPON DUE
12129/2014 STRUCTURED NOTE X X
RABOBANK NEDERLAND, UTRECHT LINKED TO MSCI TAIWAN INDX 0%
DUE 07111/2013 STRUCTURED NOTE X X
RABOBANK NEDERJ.AND, UTRECHT LNKD TO !SHARES FTSE/CHINA 0%
COUPON DUE Sn/2012 STRUCTURED NOTE X X
THE GOLDMAN SACHS GROUP, INC. LINKED TO MSCI EAFE Wo DUE
07/03/2013 STRUCTURED NOTE X X
GS LOCAL EMERGING MKTS DEBT FD MUTUAL FUND CL I X X X X
OS STRATEGIC INCOME FUND CLASS I X X X X
BNP PARI BAS LNK TO BRIC +IT VS JPY (FX) 0% COUPON DUE 9/2212011
STRUCTURED NOTE X X
EKSPORTFINANS ASA LINKED TO ASIAN FX BASK VS USD 0% COUPON
DUE JAN 2012 STRUCTURED NOTE X X
EKSPORTFINANS ASA LINKED TO GLOBAL BASKET VS USD 0%
COUPON DUE 'MAY 2012 STRUCTURED NOTE X X
SPDR S&P 500 ETF TRUST SPDR X X X X X
THE GOLDMAN SACHS GROUP, INC. LINKED TO DJIA 0% COUPON DUE
0712912013 STRUCTURED NOTE X ... - ~ - --- -- - _)(
,_
- --- -
'-
'---
!{1:pnnin):!. Nome
Page Number
W. Mitt Romney
SCHEDULE A
[Ann Romney Blind Trust) 5 of 11
Valuation of Assets
Income Type and Amount. If "None (or less than $201)" is checked, no
Assets and Income
at close of reporting period
other entry is needed in block C for that item.
BLOCK A
BLOCKB
BLOCKC
T pe Amount
0 0 "tl

0 0 0
"
0 Date
0 0 0 ::l N 0
... 0
0 0
ci "-
...
0
0
(Mo., Day, o,
g
0
iii
0 0
0 0
1:
"
0
ci
Other Income
0 0 0
o, 0
0.
"
"'
0

Yr.) 0 0 0
.<:
0
0 0 0,
0.
0
*

.n
0 0
e

t:
0 0
*

(SpecifY Type
E-
0 0
0 0
0 0
"'
0 0 0 0, 0 0 0
0 o, o"
.,.,
0
0 0 N ...
o.


0 0 0 0,
0
o, 0 0
&Actual

o. 0 0 N
.,.,
;;;;
0 ... ...
'
0

"'

0
0 0

0 0
;;;;
o, ..
o.
Only if
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0
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"
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;;;;
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"

M' Amount) ...l
;;;;
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0
- -
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...
. 0
0
0
Honoraria 0 0

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8
0
-
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0
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;;;;
o. o,
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;;;;
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15.
l;:::

u;
;
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0

ci ....

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0 0

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e
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0
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8
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;;;;
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;;;; ;;;; z .... .... ... ... .... ... 0 .. ... ... 0 t.tl Cl z
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... ... ... ... 0 0
THE GOLDMAN SACHS GROUP, INC. LINKED TO DJIA 0% COUPON DUE
07/2912013 STRUCTURED NOTE X X
THE GOLDMAN SACHS GROUP. INC. LNKD TO THE RUSSELL 2000
INDEX 0% COUPON DUE 07/1912013 STRUCTURED NOTE X X
GS 2002 EXCHANGE PLACE FUND LP (NOTES AND ATTACHMENT
PAGES 512) X X X X X
GS CAPITAL PARTNERS Ill LP X X X
GS CAPITAL PARTNERS FUND2000. L.P. X X X X X X
WHITEHALL STREET REAL ESTATE FUND I XIX X X X X X X
WHITEHALL STREET REAL ESTATE FUND XIIXII X X X
WHITEHALL STREET REAL ESTATE L.P. XIIIIXIV X X X X X X
WHITEHALL STREET GLOBAL REAL ESTATE LIMITED PARTNERSHIP
2007 X X X X X
GOLDMAN SACHS GLOBAL OPPORTUNITIES FUND, LLC X X X X X X
GOLDMAN SACHS HEDGE FUND PARTNERS, LLC X X X X X X
GOLDMAN SACHS HEDGE FUND PARTNERS II, LLC X X X X X X
LOAN SECURED BY REAL PROPERTY IN MISSOURI CITY, TX X X X
D3 FAMILY BULLDOG fUND, LP X X X X X
ELLIOTT ASSOCIATES, L.P. (NOTE 6) X X X X X
SOLAMERE FOUNDERS FUND 1-B. L.P. (NOTE6) X X X X X
ABRY BROADCAST PARTNERS II, L.P. (NOTE 7) X X
CCG INVESTMENT FUND, L.P. (NOTE 8) X X X X X
CCG INVESTMENTS (BVl), L.P. (NOTE 8) X X X X X
CCG INVESTMENTS LLC (NOTE 8) X X
GGC INVESTMENT FUND 11-A. L.P. (NOTE 8) X X X X X
GGC INVESTMENTS IIA ADJUNCT (BVI), L.P. (NOTE 8) X X X X X
GGC INVESTMENT ANNEX FUND II, L.P. (NOTE 8) X X X X X
GGC INVESTMENT FUND II, L.P. (NOTE 8) X X X X X
GGC INVESTMENTS II (BVI), L.P. (NOTE 8) X X X X X
GGC INVESTMENTS II, LLC (NOTE 8) X X
GOLDEN GATE CAPITAL OPPORTUNITY FUND, LP (NOTE 8) X X
ABSOLUTE RETURN CAPITAL PARTNERS (NOTE 9) X X X X X
BAIN CAPITAL V MEZZANINE PARTNERS (NOTE 9) X X X X
BAIN CAPITAL PARTNERS IV (NOTE 9) X X X
BAIN CAPITAL PARTNERS V (NOTE 9) X X X
BAIN CAPITAL FUND VI (NOTE 9) X X X X X
BAIN CAPITAL FUND VII (NOTE 9) X X X X X
BAIN CAPITAL VII COJNVESTMENT FUND (NOTE 9) X X X X X
lndhidlllll':O Name Page Number
W. Mitt Romney
SCHEDULE A
[Ann Romney Blind Trust)
6 of 11
Valuation of Assets
Income Type and Amount. If "None (or less than $201)" is checked, no
Assets and Income
at close of reporting period
other entry is needed in block C for that item.
BLOCK A
BLOCKS
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BAIN CAPITAL VIII CO!NVESTMENT FUND (NOTE 9) X X X X
BAIN CAPITAL FUND VIIIE (NOTE 9) X X X X X
BAIN CAPITAL FUND IX (NOTE 9) X X X X X
BAIN CAPITAL IX CO INVESTMENT FUND (NOTE 9) X X X X X
BAIN CAPITAL FUND X (NOTE 9) X X X X
BAIN CAPITAL ASIA FUND (NOTE 9) X X X X X
BAIN CAPITAL EUROPE FUND Ill (NOTE 9) X X X X
BAIN CAPITAL VENTURE FUND 200 I (NOTE 9) X X X X
BAIN CAPITAL VENTURE FUND 2005 (NOTE 9) X X X X X
BAIN CAPITAL VENTURE FUND 2007 (NOTE 9) X X X X X
BROOKSIDE CAPITAL PARTNERS FUND (NOTE 9) X X X X X
BROOKSIDE CAPITAL PARTNERS FUND II (NOTE 9) X X X X X
PROSPECT HARBOR CREDIT PARTNERS (NOTE 9) X X X X X
SANKATY HIGH YIELD ASSET GRANTOR TRUST (NOTE 9) X X X X X
SANKATY HIGH YIELD PARTNERS Ill (NOTE 9) X X X
SANKATY CREDIT OPPORTUNITIES (NOTE 9) X X X X X X
SANKATY CREDIT OPPORTUNITIES IV (NOTE 9) X X X X X
SANKATY SPECIAL SITUATIONS I (NOTE 9) X X X X X
Ill CAPITAL (NOTE 9) X X X X
BCIPASSOCIATES (NOTE 9) X X X
BCIP ASSOCIATES I (NOTE 9) X X X
BCIP ASSOCIATES II (NOTE 9) X X X X X
BCIP ASSOCIATES Ill (NOTE 9) X X X X X
BCIP ASSOCIATES IIIB (NOTE 9) X X
BCIP ASSOCIATES IV (NOTE 9) X X X
BCIP VENTURE ASSOCIATES (NOTE 9) X
-
X
- --
c_X _!
--- - - -
_!__
- - -- ---- ---
Name Page Number
W. Mitt Romney
SCHEDULE A
7 of 11
IW. Miu Romney IRAI
Valuation of Assets
Income Type and Amount. If "None (or less than $201)" is checked, no
Assets and Income
at close of reporting period
other entry is needed in block C for that item.
BLOCK A
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GS FINANCIAL SQUARE FEDERAL FUND FST SHARES X X X X
CASH - GS ACCOUNT X X
FHLB 1.0% 12/21!12011 JD X X X
FHLB 1.625%03/20/2013 MS X X X
FHLB 1.75%08/22/2012 FA X X X
FHLB3.625% 10/18/2013 AOSRLIEN X X X
FHLMC4.625% 10/25/2012 AO X X X
FNMA 3.25%04/09/2013 AO X X X
MARRIOTT INTERNATIONAL. INC. CMN CLASS A X X X
GOLDMAN SACHS ULTRA-SHORT DURATION GOVERNMENT FD
(SOLD) X X X
GOLDMAN SACHS SHORT DURATION GOVERNMENT FUND
(SOLD) X X X X
FHLB 4.375% 10122/2010 AO- (MATURED) X X
ABSOLUTE RETURN CAPITAL PARTNERS (NOTE 9) X X X X X
BROOKSIDE CAPITAL PARTNERS FUND (NOTE 9) X X X X X
PROSPECT HARBOR CREDIT PARTNERS (NOTE 9) X X X X X
SANKATV HIGH YIELD ASSET GRANTOR TRUST (NOTE 9) X X X X X
SANKATV HIGH YIELD PARTNERS II (NOTE 9) X X X
SANKATV CREDIT OPPORTUNITIES (NOTE 9) X X X X X X
SANKATV CREDIT OPPORTUNITIES II (NOTE 9) X X X
SANKATV CREDIT OPPORTUNITIES Ill (NOTE 9) X X
SANKATV CReDIT OPPORTUNITIES IV (NOTe 9) X X X X X
SANKATV SPECIAL SITUATIONS I (NOTE 9) X X X X X
Ill CAPITAL (NOTE 9) X X X X
BCIP TRUST ASSOCIATES II (NOTE 9) X X X X
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OGE Fonn 278 (Rev. 09i2010)
5 C.F.R. Part 2634
U.S. Office of Government Eth.ics
Reporting Individual's Name
Do not complete Schedule B if you are a new entrant, nominee, or Vice Presidential or Presidential Candidate
Page Number
,W. Mitt Romney
I
SCHEDULE B
9 of 11
Part I: Transactions
Report any purchase, sale, or exchange Do not report a transaction involving NoneO
by you, your spouse, or dependent
property used solely as your personal
children during the reporting period of any residence, or a transaction solely between Transaction
Amount of Transaction (x)
real property, stocks, bonds, commodity you, your spouse, or dependent child.
Type (x)
'

futures, and other serurities when the Check the "Certificate of divestiture" block Date .o
8
....,o
..-<0
g
. .
gg
amount of the transaction exceeded $1,000. to indicate sales made pursuant to a
(Mo., o .-<0

..... o 00 00 0
"'
..
o ,...,0 .... 0 00
oq 0 qq qo
co g
.,
certificate of divestiture from OGE.
"' "'
Day, Yr.) .-<O 00 00 00 00

00 co
00
Include transactions that resulted in a loss.

..
go. 00
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00 gq 00 .... :::. .s::
er.o
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Identification of Assets
a. f/)
"'"''
..... ..... ...... .... ...
....,..,
o;;;i ... ...
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ExampleT CenrralAirlinesCommon X 2/1/99 X
1
Not applicable
2
3
4
5
*This category applies only if the underlying asset is solely that of the filer's spouse or dependent children. lf the underlying asset is either held
by the tner or jointly held by the filer with the spouse or dependent children, use the other higher categories of value, as appropriate.
Part II: 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,
None 0
dates, and the nature of expenses provided. .. omtytlting given to you by
Source (Name and Address) Brief Description Value
Airline ticket, hotel room & meals incident to national conference 6/1 S/99 (personal activity unrelated to duty) $500
.....
0

"'"


8=a
I
Examples ------------

ofRock Collectors, NY ,NY


-----------------------------------
----
ankjones, San Francisco, CA Leather briefcase (personal friend) $350
1
Not applicable
2
3
4
5
OGE Form 278 (Re..-. 0912010)
5 C .F .R. Part 2634
U.S. Office of Government Ethics
Reporting Individual's Name Page Number
. W. Mitt Romney SCHEDULE C
10 of 11
Part I: Liabilities
a mortgage on your personal residence NoneD
Report liabilities over $10,000 owed unless it is rented out; loans secured by
Category of Amount or Value (x)
to any one creditor at any time automobiles, household furniture
during the reporting period by you,
or appliances; and liabilities owed to
.
your spouse, or dependent children.
certain relatives listed in instructions.
. 'C .... o
0 . 0 0
08
gg
Check the highest amount owed
See instructions for revolving charge
o
.
88

co 0
-o
--10
00
0
00 0 .-<0
08
co .o
during the reporting period. Exclude
accounts.
co co 00 qq 00 eSC oo 00
g
co qq
0
00 00

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qq
0 .
u-10 t)o
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tr.O 00 01.1'; VIC
"' -".-<
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Creditors (Name and Address) Type of Liability Incurred Rate applicable ...... \:1) V) ......
""""
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Examples ___ ___ 1991 _ _!%_ 1-25 yrs .. _

X

- -- - ---- -
,--
--
- i--
John Jones, Washington, DC l'romissory note
1999 10% on demand X
1
Please see Attachment page 13 lfor Schedule C Part I
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 mer or a joint liability of the flier
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 report-
employee benefit plan (e.g. pension, 401k, deferred compensation); (2) continua- ing of negotiations for any of these arrangements or benefits.
None[2g
tion of payment by a former employer (inducting severance payments); (3) leaves
Status and Terms of any Agreement or Arrangement Parties Date
Example
r
Pursuant co partnership agreement, will receive lump sum payment of capital account & partnership share Doe Jones & Smith, Hometown, State 7/85
calculated on service performed through 1/00.
1
2
3
4
5
6
I
I
OGE Form 278 (Rev. 09i2010)
5 C.F.R. Part 2634
U.S. Office of Government Ethics
Reporting IndiVidual's Name
. W. Mitt Romney SCHEDULED
Part I: Positions Held Outside U.S. Government
Page Number
11
of 11
Report any positions held during the applicable reporting period, whether compen- organization or educational institution. Exclude positions with religious,
sated or not. Positions include but are not limited to those of an officer, director, social, fraternal, or political entities and those solely of an honorary
trustee, general partner, proprietor, representative, employee, or consultant of nature.
None D
any corporation, firm, partnership, or other business enterprise or any non-profit
Organization (Name and Type of Organization Position Held From (Mo., l'r.) To (Mo.,Yr.)
Assn. of Rock Collectors, NY, NY Non-profit education President 6/92 Present
E.xamples --------------------
1-:--------------
----------
---- ----
oe & Smith, Hometown, State Law firm Partner 7185 1/00
1
Irrevocable trust
1 rust established to hold
Trustee 12/91
Present
extended family vacation property
2
Marriott International
Hotel company Director
1/09 1/11
3
4
5
6
Part II: Compensation in Excess of $5,000 Paid by One Source
Do not complete this part if you are an
Incumbent, Termination Filer, or Vice
Report sources of more than $5,000 compensation received by you or your non-profit organization when Presidential or Presidential Candidate.
business affiliation for services provided directly by you during any one year of you directly provided the
the reporting period This includes the names of clients and customers of any services generating a fee or payment of more than $5,000. You
None 0 corporation, finn, partnership, or other business enterprise, or any other need not report the U.S. Government as a source.
Source (Name and Address) Brief Description of Duties
legal services
I
I
.
Jones & Smith, Hometown, State
Examples etr-;;-u-;tlversity Do-;,l;;:s&s;;;Lt"h), M;;;;;.,'ll, St;;-----
1
Not applicable
z
3
4
5
6
W.Mitt Romney
Financial Disclosure Report Attachment Page 1 of 13
Valuation T pe Amount
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AMERICAN EXPRESS CO. CMN X X
AMERICAN TOWER CORPORATION CMN CLASS A X X
APPLE, INC. CMN X X X
BANK OF AMERICA CORP CMN X X
BOEING COMPANY CMN X X X X
CHARLES SCHWAB CORPORATION CMN X X X
CONOCOPHlLLIPS CMN X X
COSTCO WHOLESALE CORPORATION CMN X X X X
DEVON ENERGY CORPORATION (NEW) CMN X X
EMC CORPORATION MASS CMN X X
EMERSON ELECTRIC CO. CMN X X X X
GENERAL ELECTRIC CO Cl'viN X X X
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GOOGLE, INC. CMN CLASS A X X
JOHNSON & JOHNSON CMN X X X
JPMORGAN CHASE & CO CMN X X X X
LOWES COMPANIES INC CMN X X X X
MCDONALDS CORP CMN X X X X
MICROSOFT CORPORATION CMN X X X
NTKE CLASS-B CMN CLASS B X X X X
OCCIDENTAL PETROLEUM CORP CMN X X X X
ORACLE CORPORATION CMN X X X X
PEPSICO INC CMN X X X X
PRAXA!R. INC CMN SERIES X X X X
QUALCOMM INC CMN X X X X
SOUTHWESTERN ENERGY CO. CMN X X
STAPLES, INC. CMN X X X
THE BANK OF NY MELLON CORP CMN X X X
THE TRAVELERS COMPANIES, INC CMN X X X
THERMO FISHER SCIENTIFIC INC CMN X X
VISA INC. CMN CLASS A X X X X
AFLAC INCORPORATED CMN (SOLD) X X X X
AT&T INC CMN (SOLD) X X X X
BAXTER INTERNATIONAL INC CMN (SOLD) X X X X
BIOGEN !DEC INC. CMN (SOLD) X X X X
OSCO SYSTEMS, INC. CMN (SOLD) X X X X
EOG RESOURCES INC CMN (SOLD) X
- ~ ~ - - -- - - - _X- - -- -
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-- - -- -- -- '------
W.Mitt Romney
Financial Disclosure Report
Attachment Page 2 of 13
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EXXON MOBIL CORPORATION CMN (SOLD) X X X X
FRANKLIN RESOURCES INC CMN (SOLD) X X X X
FREEPORT-MCMORAN COPPER & GOLD CMN (SOLO) X X X X
HEWLETT-PACKARD CO. CMN (SOLD) X X X X
HONEYWELL INTL INC CMN (SOLD) X X X X
PROCTER & GAMBLE COMPANY {THE) CMN (SOLD) X X X X
RESEARCH IN MOTION LIMITED CMN (SOLD) X X X X
SCHLUMBERGER LTD CMN (SOLD) X X X X
TARGET CORPORATION Cf\.IN (SOLD) X X X X
UN!LEVER N.V. NY SHS (NEW) ADR CMN (SOLD) X X X X
EXXON MOBIL. CMN (SOLD)
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X
W.Mitt Romney
Financial Disclosure Report Attachment Page 3 of 13
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z
AD!DAS AG ADR CMN X X X
ARM HOLDINGS PLC SPON ADR SPONSORED ADR CMN X X X X
ASSA ABLOY AB UNSPONSORED ADR (SWEDEN) X X X
BG GROUP PLC SPON ADR ADR CMN X X X
BNP PARIBAS SPONSORED ADR CMN X X X
CANADIAN NATIONAL RAILWAY CO. CMN X X X
CANADIAN NATURAL RESOURCES CMN X X X X
CANON INC ADR ADR CMN X X X
CARNIVAL CORPORATION CMN X X X
CHINA MERCHANTS HOLDINGS (INTE UNSPONOSRED ADR
CMN X X X
DASSAULT SYSTEMES SA SPONSORED ADR CMN X X X
EMBRAER SA ADR CMN X X X
FANUC LIMITED UNSPONSORED ADR CMN X X X X
FRESEN!US MEDICAL CARE AG & CO KGAA SPONSORED
ADRCMN X X X X
GOLDMAN SACHS BANK DEPOSIT (BDA) X X X
HANG LUNG PPTYS LTD SPONSORED ADR CMN X X X X
HENNES & MAURITZ AB ADR CMN X X X
HONG KONG EXCHANGES & CLEARING UNSPONSORED
ADRCMN X X X
INDUSTRIAL & COMM'L BANK OF CHINA ADR CMN X X X X
IT AU UN!BANCO BANCO HLDNG S.A SPONSORED ADR
CMN X X X
KDDI CORP UNSPONSORED ADR CMN X X
KINGFISHER PLC SPONSORED ADR CMN X X X
LOGITECH INTERNATIONAL SA ORO CMN X X X
L VMH MOET HENNESSY LOUIS VUITTON S.A. ADR CMN X X X X
MAN GROUP PLC UNSPONSORED ADR CMN X X X X
NESTLE SA SPONSORED ADR (REP 1/20 CHF I 0 REGD SHS) X X X X
NEW ORIENTAL ED & TECH GRP SPONSORED ADR CMN X X
POTASH CORP OF SASKATCHEWAN INC X X X X
PUBLICIS GROUPE SA SPONSORED ADR CMN X X X
RECK ITT BENCKISER GROUP PLC SLOUGH UNSPONSORED
ADR(UK) X X X
'--- SABMILLER PLC SPONSORED ADR X
-- -- -- -
X_ L.............._ X X
W.Mitt Romney
Financial Disclosure Report
Attachment Page 4 of 13
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ALL SECURITIES REPORTED ON THIS PAGE ARE MANAGE?
BY THORNBURG INVESTMENT MANAGEMENT SEE NOTE!
2 I
I
SAP AG (SPON ADR) I X X X X
SIEMENS AKTIENGESELLSCHAFT SPONSORED ADR CMN I X X X
TELEFONICA S.A. ADR SPONSORED ADR CMN I X X X
TESCO PLC (SPONSORED) AD!!, SPONSORED ADR CMN I X X X
TOYOTA MOTOR CORPORATION SPON ADR
I
X X X X ;
TURKIYE GARANT! BANKASI AS GDS CMN
i
X X X
CASH i X X
VOLKSWAGEN AG, WOLFS BURG SPONSORED ADR PFD
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USD0.4941 X X X
WAL-MART DE MEXICO SAB DE CV SPONSORED ADR
I REPSTG SER V SHS X X X X
YANDEXN.V.CMN ! X X
BRITISH SKY BROADCASTING GROUP PLC AMERICAN
I
DEPOSITARY SHARES (I ADS =4 ORDS) (SOLD) I X X X X
COCA-COLA HELLENIC BOTTLING co SPONSORED ADR I
CMN (SOLD) I X X X X
CNOOC LTD SPONSORED ADR CMN (SOLD) i X X X X
CSL LIMITED UNSPONSORED ADR CMN (SOLD) I X X X X
DEUTSCHE BANK AG CMN (SOLD)
I X X X X
INFOSYS TECHNOLOGIES SPON ADR SPONSORED ADR
I CMN (SOLD) X X X X
CHINA LIFE INSURANCE CO LTD SPONSORED ADR CMN i
(SOLD) I X X X X
I
KOMATSU L TO ADR (NEW) SPONSORED GDS CMN (SOLD)! X X X X
LULULEMON ATHLETIC A INC. CMN (SOLD) ! X X X X
NOV ARTIS AGADR SPONSORED ADR CMN (SOLD) I X X X
SOUTHERN COPPER CORPORATION CMN (SOLD) I X X X X
SMITH & NEPHEW PLC ADR CMN (SOLD) j X X X X
TENCENT HOLDINGS LIMITED UNSPONSORED ADR CMN I
(SOLD) 1 X X X
TURKCELL ILETISIM HIZMETLERI SPONSORED ADR CMNi
(SOLD) I X X X X
W.Mitt Romney
Financial Disclosure Report
Attachment Page 5 of 13
ALL SECURITIES REPORTED ON THIS PAGE ARE MANAGED BY GS
2002 EXCHANGE PLACE FUND LP- SEE NOTE 5
99 CENTS ONLY STORES
ABBOTT LABORATORIES
'
ACCELRYS INC
ACTUATE CORP
ADOBE SYSTEMS INC
AESCORP
AFFILIATED MANAGERS GROUP INC
ALLEGHENY TECHNOLOGIES INC
ALLERGAN INC
ALTERACORP
AMBAC FINANCIAL GROUP INC
AMERICAN EXPRESS CO
AMERICAN INTERNATIONAL GROUP
AMERICAN TOWER CORP
AMERIPRISE FINANCIAL INC
AMGENINC
AMYLIN PHARMACEUTICALS INC
ANALOG DEVICES
AOLINC
AONCORP
ASSOCIATED BANCORP
AT&T INC
AUTOMATIC DATA PROCESSING
BANCO BILBAO VIZCA Y A ARGENTRIA
BANCO SANTANDER SA
BANK OF AMERICA CORP
BANK OF NEW YORK MELLON CORP
BB&TCORP
BEST BUY CO INC
BIOGEN IDEC INC
BOEING CO
BOSTON BEER CO INC -CL A
BOSTON SCIENTIFIC CORP
BPPLC
-------- - ---- -- - --- ~ - - -
W.Mitt Romney
Financial Disclosure Report
Attachment Page 6 of 13
ALL SECURITIES REPORTED ON THIS PAGE ARE MANAGED BY GS
;2002 EXCHANGE PLACE FUND- SEE NOTE 5
BRISTOL MYERS SQUIBB CO
BROADCOM CORP
BROWN FORMAN - CL A
BROWN FORMAN - CL B
CADENCE DESIGN SYSTEMS INC
CAMPBELL SOUP CO
CAPITAL ONE FINANCIAL CORP
CARNIVAL CORP
I
CASEYS GENERAL STORES INC
CBS CORP
CHARLES RIVER LABS INTL INC
CHEVRON CORP
CHUBB CORP
CISCO SYSTEMS INC
CITADEL BROADCASTING CORP
C!T!GROUP INC
CITY NATIONAL CORP
CME GROUP INC
COCA COLA CO
COLGATE-PALMOLIVE CO
COMCAST CORP
COM CAST CORP- CL A
CONAGRA FOODS INC
CONOCOPHILLIPS
CORNING INC
COSTCO WHOLESALE CORP
COVIDJEN PLC
CROSS TIMBERS ROYALTY TRUST
CSS INDUSTRIES INC
CURTISS-WRIGHT CORP
CVS CAREMARK CORP
CYTEC INDUSTRIES INC
D R HORTON INC
DELL INC
- --- - -------- ----- - --
W.Mitt Romney
Financial Disclosure Report
Attachment Page 7 of 13
ALL SECURITIES REPORTED ON THIS PAGE ARE MANAGED BY GS
2002 EXCHANGE PLACE FUND- SEE NOTE 5
DEUTSCHE TELEKOM AG - ADR
DEUTSCHE TELEKOM AG -ORO
DIEBOLD INC
DIRECTV
I
DOLLAR TREE INC !
DU PONT (E I) DE NEMOURS
DUKE REALTY CORP
DUN & BRADSTREET CORP
DYCOM INDUSTRIES INC
DYNEGYINC
EBAYINC
ELECTRONIC ARTS INC
ELl LILLY & CO
EMCCORP
EMERSON ELECTRIC CO
ENTERCOM COMMUNICATIONS CORP
EQUIFAXINC
ESTEE LAUDER CO INC
EXFOINC
EXPEDIA INC
EXXON MOBIL CORP
FAIRPOINT COMMUNICATIONS INC
FAMILY DOLLAR STORES
FANNIE MAE
FEDEXCORP
FLEXTRONICS INTL
FRANKLIN RESOURCES INC
FREDDIE MAC
FREEPORT-MCMORAN COPPPER
FRONTIER COMMUNICATIONS CORP
FURIEX PHARMACEUTICALS INC
GENERAL DYNAMICS CORP
GENERAL ELECTRIC CO
GOOGLEINC
GRACOINC
- --- -- - --- - -
W.Mitt Romney
Financial Disclosure Report
Attachment Page 8 of 13
I ALL SECURITIES REPORTED ON THIS PAGE ARE MANAGED BY GS
2002 EXCHANGE PLACE FUND -SEE NOTE 5
GREATBATCHINC
GROUP I AUTOMOTIVE INC
H & R BLOCK INC
HAIN CELESTIAL GROUP INC
HANCOCK HOLDING CO
HANESBRANDS INC
HEALTH NET INC
HENRY SCHEIN INC
HEWLETT-PACKARD CO
HOLLY CORP
HOME DEPOT INC
HOSPIRA INC
HOST HOTELS & RESORTS INC
HSBC HLDGS PLC
HUGOTON ROYAL TV TRUST
HUNTINGTON INGALLS IND INC
IDEARC INC
INFORMATICA CORP
INGRAM MICRO INC
INTEL CORP
!NTL BUSINESS MACHINES CORP
!NTL PAPER CO
INTUIT INC
IRON MOUNTAIN INC
JCPENNEY CO
JM SMUCKER CO
JOHN WILEY & SONS
JOHNSON & JOHNSON
JPMORGAN CHASE & CO
JUNIPER NETWORKS INC
KELLOGG CO
K!MBERL Y -CLARK CORP
KLA-TEN COR CORP
LADENBURG THALMANN FINL SERV
W.Mitt Romney
Financial Disclosure Report
Attachment Page 9 of 13
ALL SECURITIES REPORTED ON THIS PAGE ARE MANAGED BY GS
2002 EXCHANGE PLACE FUND -SEE NOTE 5
LEGG MASON INC
LEHMAN BROTHERS HOLDINGS INC
LIBERTY MEDIA CAPITAL GROUP
LIBERTY MEDIA STARZ GROUP
LIFE TIME FITNESS INC
LINEAR TECHNOLOGY CORP
LIVE NATION INC
LOG!TECH INTERNATIONAL SA
LSI CORP I
MAGMA DESIGN AUTOMATION INC
MANHATTAN ASSOCIATES INC
MANULIFE FINANCIAL CORP
MARLIN BUSINESS SERVICES INC
MARRIOTT INTL INC
MARSH & MCLENNAN COS
MASCOCORP
MATTELINC
MAXWELL TECHNOLOGIES INC
MCDONALD'S CORP
MEADWESTVACO CORP
MEDCO HEALTH SOLUTIONS INC
MEDTRONIC INC
MERCK&CO
MICRELINC
MICROSOFT CORP
MICROSTRATEGY INC
MOODY'S CORP
MOTOROLA MOBILITY HLDGS INC
MOTOROLA SOLUTIONS INC
MYLANINC
NATIONALOILWELL VARCO INC
NCR CORP
NEENAH PAPER INC
NETAPPINC
W.Mitt Romney
Financial Disclosure Report
Attachment Page 10 of 13
ALL SECURITIES REPORTED ON THIS PAGE ARE MANAGED BY GS
2002 EXCHANGE PLACE FUND - SEE NOTE 5
NEW YORK TIMES CO -CL A
NEWELL RUBBERMAID INC
NEWS CORP
I
NORTHERN TRUST CORP
I
NORTHROP GRUMMAN CORP
NOVELLUS SYSTEMS INC
NUCORCORP
NVRINC
OGE ENERGY CORP
OMNICARE INC
OMNICOM GROUP
ORACLE CORP
'
PANERA BREAD CO
PAPA JOHNS INTERNATIONAL INC
PATTERSON-UTI ENERGY INC
PEPSICO INC
PFIZER INC
PHARMACEUTICAL PROD DEV INC
PHHCORP
PIPER JAFFRA Y COS INC
PLAINS EXPLORATION & PROD CO
PNC FINANCIAL SVCS GROUP INC
POLARIS INDUSTRIES INC
PPLCORP
PRIMEDIA INC
PRIMUS TELECOMMUNICATIONS
PRIVATEBANCORP INC
PROCTER & GAMBLE CO
REALNETWORKS INC
REGIONS FINANCIAL CORP
REYNOLDS AMERICAN INC
ROCKWELL AUTOMATION
ROCKWELL COLLINS INC
ROYAL DUTCH SHELL PLC
W.Mitt Romney
Financial Disclosure Report
Attachment Page 11 of 13
,ALL SECURITIES REPORTED ON THIS PAGE ARE MANAGED BY GS
[2002 EXCHANGE PLACE FUND- SEE NOTE 5
RUDDICK CORP
SAFEWAYINC
SAPIENT CORP
SARA LEE CORP
SCHLUMBERGER LTD
SCOTTS MIRACLE-GRO CO
I
SEMPRA ENERGY
SMENERGYCO
SONUS NETWORKS INC
SOUTHWEST AIRLINES
ST JUDE MEDICAL INC
STEELCASE INC
SUNTRUST BANKS INC
SUSQUEHANNA BANCSHARES INC
SYNOVUS FINANCIAL CORP
SYSCOCORP
TERADATA CORP
TERADYNE INC
TEXAS INSTRUMENTS INC
TEXAS ROADHOUSE INC
THORA TEC CORP
TIMBERLAND CO
TIME WARNER CABLE INC
TIME WARNER INC
TOLL BROTHERS INC
TORONTO DOMINION BANK
TRAVELERS COS INC
US BANCORP
UBSAG
UNITED NATURAL FOODS INC
UNITED PARCEL SERVICE INC
UNITEDHEAL TH GROUP INC
VECTOR GROUP LTD
_INC--- --- ---
--
W.Mitt Romney
Financial Disclosure Report
Attachment Page 12 of 13
.ALL SECURITIES REPORTED ON THIS PAGE ARE MANAGED BY GS
2002 EXCHANGE PLACE FUND- SEE NOTE 5
VERIZON COMMUNICATIONS INC
VIACOMINC
VIVENDI SA
!
'
VODAFONE GROUP PLC
VULCAN MATERIALS CO
W ABCO HOLDINGS INC
WALGREEN CO
W AL-MART STORES INC
WALT DISNEY CO
WASHINGTON MUTUAL INC
WATSON PHARMACEUTICALS INC
WELLS FARGO & CO
WESTERN UNION CO
WESTWOOD ONE INC
WYNDHAM WORLDWIDE CORP
X-RITE INC
YAHOO INC
ZIONS BANCORPORA TION
W.Mitt Romney
Financial Disclosure Report
Attachment Page 13 of 13
Schedule C Part I Response
Some investments in private equity and similar funds disclosed on Schedule 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. The payments generally do not bear interest, and are due upon demand by the Fund. In the case of Funds for which there is
expected to be a capital call for future investments, the following table lists the Funds and the maximum expected future liability for such capital caiJs, where that liability is over $10,000:
Fund Categoa Amount
I
A. Ann Romnev Blind Trust
GGC INVESTMENTS II-A LP Between $10,001 and $15,000
GGC INVESTMENT ANNEX FUND 11 LP Between $100,001 and $250,000
GGC INVESTMENTS II (BVI) Between $15,001 and $50,000
GOLDEN GATE CAPITAL OPPORTUNITY FUND LP Between $250,001 and $500,000
GS CAPITAL PARTNERS 111 LP Between $15,001 and $50,000
WHITEHALL STREET GLOBAL REAL ESTATE LP 2007 Between $!00,001 and $250,000
WHITEHALL STREET REAL ESTATE FUND !XIX Between $15,001 and $50,000
WHITEHALL STREET REAL ESTATE FUND XIIXIl Between $! 00,00 I and $250,000
SOLAMERE FOUNDERS FUND 1-B, L.P. Over $1,000,000
B. W. Mitt Romnev IRA
SANKATY CREDIT OPPORTUNITIES IV L.P. Between $250,001 and $500 000
W. MITT ROMNEY
Notes to OGE Form 278, Schedule A
Other than assets and income sources listed on page 1 of Schedule A, all of the assets listed in
this Report are held by theW. Mitt Romney Blind Trust, the Ann D. Romney Blind Trust, Mr.
Romney's IRA or Mrs. Romney's IRA (collectively, the "Reporting Entities"). In each case, R.
Bradford Malt, as Trustee (the "Trustee"), has complete investment discretion over the assets
held by these investment vehicles, except where the Trustee has delegated that discretion to third
party investment managers.
The management of the assets of the Reporting Entities was deemed blind by the Massachusetts
State Ethics Commission. Since January 1, 2003, neither Mr. Romney nor Mrs. Romney has had
any control over any of the assets acquired or disposed of by the Reporting Entities and neither
Mr. Romney nor Mrs. Romney has previously received any reports identifying specific assets
currently held by any of the Reporting Entities.
In instances where the asset is a fund that is not an excepted investment fund, the Reporting
Entities have requested, and reported to the extent available, information about the identity of the
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.
1. The underlying positions held by GS Private Client Portfolio and their asset value and
income amounts are reported on pages 1-2 of the Attachment. The total asset value and
total income amount for the GS Private Client Portfolio holdings are reported as of May
31, 2011, which is the most recent date for which such information is available to the
Reporting Entities. This is a separately-managed account in which all investment
decisions are made by Goldman Sachs, as manager, and not by Mr. Romney, by any of
the Reporting Entities, or by the Trustee.
2. The underlying positions managed by Thornburg Investment Management are reported
on pages 3-4 of the Attachment. The total asset value for investments managed by
Thornburg and the total income amount for these investments are reported as of May 31,
2011, which is the most recent date for which such information is available to the
Reporting Entities. This is a separately-managed account in which all investment
decisions are made by Thornburg, as manager, and not by Mr. Romney, by any of the
Reporting Entities, or by the Trustee.
3. The total asset value for Select Commodity Strategies, LLC, reported on page 3, is
reported as of May 31, 2011, and the total income amount for this fund is reported as of
December 31, 2010, which are the most recent dates for which such information is
available to the Reporting Entities. The Reporting Entities have requested information
about underlying holdings of the fund and value and income amounts for these holdings.
However, the fund manager has informed the Reporting Entities that this information is
confidential and proprietary, and has declined to provide such information.
4. The total asset value and total income amount for Sun Venture Capital Partners I LP,
reported on page 3, are reported as of December 31, 2010, which is the most recent date
for which such information is available to the Reporting Entities.
5. The underlying holdings in GS 2002 Exchange Place Fund LP, reported on page 5, are
reported on pages 5-12 of the Attachment. The total asset value for this fund is reported
as of May 31, 2011, and the total income amount for this fund is reported as of December
31, 2010, which are the most recent dates for which such information is available to the
Reporting Entities. The value of and income amounts for the underlying holdings are not
readily ascertainable.
6. For the limited partnerships Elliot Associates, LP and Solamere Founders Fund 1-B, LP,
reported on page 5, the total asset value and total income amount for these limited
partnerships are reported as of March 31, 2011, which is the most recent date for which
such information is available to the Reporting Entities. The Reporting Entities have
requested information about underlying holdings of these limited partnerships and value
and income amounts for these underlying holdings. However, the managers have
informed the Reporting Entities that this information is confidential and proprietary, and
have declined to provide such information.
7. For the limited partnership ABRY Broadcast Partners II, LP (ABRY II), reported on page
5, the total asset value and total income amount are reported as of March 31, 2011, which
is the most recent date for which such information is available to the Reporting Entities.
ABRY II currently owns one investment, Nexstar Broadcasting Group, Inc.
8. For the various Golden Gate Capital limited partnerships reported on page 5 (including
the CCG investments), the total asset value for these limited partnerships is reported as of
March 31, 2011, and the total income amount for these limited partnerships is reported as
of December 31, 2010, which are the most recent dates for which such information is
available to the Reporting Entities. The Reporting Entities have requested information
about underlying holdings of these limited partnerships and value and income amounts
for these underlying holdings. However, the managers have informed the Reporting
Entities that this information is confidential and proprietary, and have declined to provide
such information.
9. Mr. Romney retired from Bain Capital on February 11, 1999 to head the Salt Lake
Organizing Committee. Since February 11, 1999, Mr. Romney has not had any active
role with any Bain Capital entity and has not been involved in the operations of any
Bain Capital entity in any way. The investments reported on pages 5-7 of Schedule A of
this Report were made pursuant to an agreement with Bain Capital regarding Mr.
Romney's retirement from Bain Capital. That agreement has expired, but the Reporting
Entities retain certain investments identified on this Report pursuant to investments made
prior to expiration of such agreement. All of such investments are passive in nature. The
total asset value and total income amount for these funds are reported as of December 31,
2010, which is the most recent date for which such information is available to the
Reporting Entities. The Reporting Entities have requested information about underlying
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holdings of these investments and value and income amounts for these underlying
holdings. However, the fund managers have informed the Reporting Entities that this
information is confidential and proprietary, and have declined to provide such
information.
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