Hhrg 117 Go24 Ttf Millerl 20220331 25d2e79120a9

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Truth in Testimony Disclosure Form

In accordance with Rule XI, clause 2(g)(5)* of the Rules of the House of Representatives, witnesses are asked
to disclose the following information. Please complete this form electronically by filling in the provided blanks,

Committee: House Ovevsi git ond Refovm

Subcommittee: _ GOVevmMent Opevatiows

Hearing Date: __ 9 | 3| {022

Hearing Title

Follow the Money Tacklivy lwapropa Paywrevrt s

Witness Name: Landa Mi lle~%

Position/Title: Parcs pal _ Gave Thorton , LP?

Witness Type: © Governmental @ Non-governmental
Are you representing yourself or an organization? @ Self O Organization

If you are representing an organization, please list what entity or entities you are representing:

FOR WITNESSES APPEARING IN A NON-GOVERNMENTAL CAPACITY

Please complete the following fields. If necessary, attach additional sheet(s) to provide more information.

Are you a fiduciary—including, but not limited to, a director, officer, advisor, or resident agent—of any
organization or entity that has an interest in the subject matter of the hearing? If so, please list the name of

the organization(s) or entities.

No

Please list any federal grants or contracts (including subgrants or subcontracts) related to the hearing’s
subject matter that you or the organization(s) you represent have received in the past thirty-six months
from the date of the hearing. Include the source and amount of each grant or contract.

Dept of State $2.2 million /2 Yeas
Dept of Labor Fil million l4 Heo
USAC gtlanlhon

GSA Login. gov $7100) 000

Please list any contracts, grants, or payments originating with a foreign government and related to
the hearing’s subject that you or the organization(s) you represent have received in the past thirty-six
months from the date of the hearing. Include the amount and country of origin of each contract

or payment.

Please complete the following fields. If necessary, attach additional sheet(s) to provide more information.
cA have attached a written statement of proposed testimony.

oY Thave attached my curriculum vitae or biography.

*Rule XI, clause 2(g)(5), of the U.S. House of Representatives provides:
(5)(A) Each committee shall, to the greatest extent practicable, require witnesses who appear before it to submit in advance

written statements of proposed testimony and to limit their initial presentations to the committee to brief summaries thereof.

(B) In the case of a witness appearing in a non-governmental capacity, a written statement of proposed testimony shall include—
(i) a curriculum vitae; (ii) a disclosure of any Federal grants or contracts, or contracts, grants, or payments originating with a foreign
government, received during the past 36 months by the witness or by an entity represented by the witness and related to the subject matter
of the hearing; and (iii) a disclosure of whether the witness is a fiduciary (including, but not limited to, a director, officer, advisor, or
resident agent) of any organization or entity that has an interest in the subject matter of the hearing.

(C) The disclosure referred to in subdivision (B)(ii) shall include— (i) the amount and source of each Federal grant (or subgrant
thereof) or contract (or subcontract thereof) related to the subject matter of the hearing; and (ii) the amount and country of origin of any
payment or contract related to the subject matter of the hearing originating with a foreign government.

(D) Such statements, with appropriate redactions to protect the privacy or security of the witness, shall be made publicly available
in electronic form 24 hours before the witness appears to the extent practicable, but not later than one day after the witness appears.

False Statements Certification

Knowingly providing material false information to this committee/subcommittee, or knowingly concealing
material information from this committee/subcommittee, is a crime (18 U.S.C. § 1001). This form will be
m art of the hearing record.

3 | 30/2299

CY S :

Witness signature Date

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