Document XO4Jbq61vgq0z91Zw408aEXny

The White House Presidential Personnel Office ______________________________ SKC/SES BIO SHEET________________________ This information is necessary to begin the clearance process. Return to White House Liaison when completed. PART I: PERSONAL INFORMATION (TO BE COMPLETED BY THE CANDIDATE) 1. FULL NAME (Last, First, Middle): 2. SOCIAL SECURITY NUMBER: Kelly, Jr. Albert, Charles Ex 6 3. CURRENT RESIDENTIAL ADDRESS (Number, Street, City, State, ZIP Code) Ex. 6 4. VOTING ADDRESS IN 2016 (Number, Street, City, State, ZIP Code, if different than current address) Ex. 6 5. PLACE OF BIRTH (City, State; if not U.S., state, country) Tulsa, Ok 6. GENDER Male I 7. DATE OF BIRTH Ex. 6 8. ETHNIC HERITAGE Ex. 6 9. RACE White 10. POLITICAL PARTY Ex. 6 | 11. HOME PHONE Ex. 6 | 12. CELL PHONE Ex. 6 13. WORK PHONE 918 2957242 14. PERSONAL EMAIL 15. WORK EMAIL akelly@spiritbank.com 16. CURRENT POSITION (Title, Company) Chairman, SpiritBank 17. WORK ADDRESS (Number, Street, City, State, Zip) 1800 S. Baltimore, Tulsa, Ok 74119 18. PLEASE LIST ALL SOCIAL MEDIA ACCOUNTS (Or say none if you have none) Facebook, Linkedin, Twitter 19. EDUCATION (Degree, Institution, Year) BBA Univ of Okla 1977 JD Univ of Okla 1980 20. AWARDS Several regular awards for involvement and leadership 21. MILITARY SERVICE (Rank, Branch, Years) 22. PREVIOUS PRESIDENTIAL APPOINTMENTS Captain, USAR, 1988-1996 None PART II: POSITION INFORMATION (TO BE COMPLETED BY WHITE HOUSE LIAISON) 1. POSITION TITLE 2. AGENCY Environmental Protection Agency 2. APPOINTMENT TYPE 3. GRADE 4. OPM NUMBER 5. WH LIAISON NAME Charles Munoz 6. WH LIAISON PHONE 202-564-3097 7. WH LIAISON EMAIL Munoz.Charles@epa.gov Sierra Club v. EPA 18cv3472 NDCA Tier 1 ED 002061 00146323-00001