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( s )

OGE Form 278 (Rev. 09/2010)S C.F.R. Pa112634U.S. Office of Government Ethics

Reporting Individual's Name

Bachmann, Michele M.

Assets and Income

BLOCK A

For you, your spouse, and dependent children,report each asset held for investment or theproduction of income which had a fair marketvalue exceeding $1,000 at heclose of the repor t-ing period, or which generated more than $200in income during the reporting period, togetherwith such income.

For yourself, also report the source and actualamount ofearned income exceeding$200 (otherthan from theU.S.Government). For your spouse,report the source but not the amount of earnedIncome of more than $1,000 (except report theactual amount of any honoraria over S200 of

spouse).

NoneO

Airlines Common

Kempstone EqUity Fund

IRA: Heartland 50 0 Index Fund

Bachmann & Associates, Inc.Lake Elmo, MN Psychotherapist

Bachmann Clinic Property,U.C (Cmrcl Rental)Lake Elmo, MN

Bachmann Farm Family, L.P.Independence, WI {livestock),(cash lease)

U.S. Savings Bonds

TCF Bank-Bank AccountsStilwater, MN

Wells Fargo Bank-Bank AccountsStillwater, MN

ValuationofAssetsat close of reporting period

SCHEDULE APage Number

2 of 7

Income: type and amount. I f "None (or less than $201)" ischecked, no other entry is needed in Block C for that item.

OtherIncome(Specify

Type&Actual

Amount)

andSpousa Salary

and FarmPartn.nhlpIncome, 14,896

DateDay,

Yr.)

Only ifHonoraria

* This category applies only if the asset/income Is solely that of the filer's spouse or dependent children. I f the asset/income is either that of the filer or jointly heldby the filer with the spouse or dependent children, mark the other higher categories of value, as appropriate.

*-2011 Income es t imated-K-1 not ava i l ab le

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OGE Fonn 278 (Rev. 09/2010)S C.F .R. Part 2634U.S. Office ofGovcnuncnt Ethics

Reporting Individual' s Name

Bachmann. Michele M,

Assets and Income

BLOCK A

American Funds:Euro Pacific Growth Fund

New Economy Fund

New World Fund

Small Cap World Fund

Fundamental Investors

Income Fund of America

Capital World Growth & Income

Growth Fund of America

American Balanced Fund

SCHED(Use

ValuationofAssets ·at dose of reporting period

A continuedi f needed)

Page Number

3 of 7

Income: type and amount. I f "None (or less than $201)" ischecked, no other entry is needed in Block C for that item.

Other

Income(SpecifyType&Actual

Amount)

Date

(Mo., Day,Yr.)

Only ifHonoraria

* 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 th e filer or jointly held

by the flier with the spouse or dependent children, mark the other higher categories of value, as appropriate.

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OGE Fonn 278 (Rev. 09/201 0)SClF.R. Part 2634U.S. Offic;e of Government Ethics

ReiJortlng lndMdual's Name I Page Number

Bachmann, Michele M. SCHE1PULED 7 of 7I

Partl: Posit ions Held Outside U.S. Government IReport any positions held during the applicable reporting period, whether compen- orga: ltization or educational institution. Exclude positions with religious,sated or not. Positions indude but are not limited to those of an officer, director, s o d ~ , fraternal, or political entities and those solely of an honorarytrustee, general partner , proprietor, representative, employee, or consultant of natu

re. I None 0any corporation, firm, partnership, or other business enterprise or any non-profitOrganiZation (N11me and Address) TvDe ofOiianizatlon Position Held From (Mo., rr.) To (Mo..Yr.)

• ~ a t ' l Assn. of Rock Collectors, NY, NY Noll1'l'Ofited\ICill:lon ~ - J . . . . _____ President 6/92 PresentExamples -------------------- ~ - - - - - - - - - - - - - - ----- I - li"oo- -oe jones & Smith, Hometown, State Law firm I Partner 7/85

1Bachmann COnic Property, LLC Real Estate lnvesbne t

IMember

Lake Elmo, MN Vic:e-President/Secretery09/2004 Present

2Bachmann Farm Family Umited Partnership Farm Partnership

ILimited Partner

Independence, WI01/2001 Present

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Part II: Compensation in Excess of $5,000 Paid by One Source Do not complete ~ h i s par t _if you are anJ Incumbent, Term1Dation F1ler, or ViceReport sources of more than $5,000 compensation received by you or your non- ~ ~ f i t rganization when Presidential or Presidential Candidate.bUsiness affiliation for services provided directly by you during any one year of you · ectl}f provided thethe reporting period. This indudes the names of clients and customers of any serv ces gederating a fee or payment of more than $5,000. Youcorporation, firm, partnership, or other business enterprise, or any other neec not r e ~ o r t the U.S. Government as a source. None D

Source (Name 11ndAddress) I Brief Description of Duties

1 ; IZ ones & Smith, Hometown, State Legalservices

Examples -------------------- - - - - - - I

. Metro University (dient of Doe Jones & Smith), Moneytown. State !.ega! services In co ~ ~ n ~ ~ ~ ~ ~ o o - - - - - - - - - - - - - - - -1 NIA

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