oGEForm278(Rev.

o9t2oto) Executive Branch Personnel PUBLIC FINANCIAL DISCLOSURE REPORT

S C.F.R. Part 2634
Form Approved:
OMB No. 3209 OOOJ
U.S. Office of Government Ethics
Date of CandidaL-y;
1
EieL"<ion,
Reporting Incumbent
Clcndar Yoar New Entrant,
Termination Date { U Appli-
Fee for Late Filing
or Nomination i'1tlnth Day,
Status
0
Covered by Report
Nominee, or [gj
Filer 0 cable) (Month, Day, Y""r)
Any individual who is required to rile
(Check Appropriate
I I
Candidate
r 1
this report and docs so more than 30 days
Boxe.<)
after the date the report is required to be
Last Name First Name and Middle Initial
ftled, or, if an extension Is granted, more
Reporting
Michele M.
than 30 days after the day of the
Individual's Name Bachmann
filing extension period. shall be suhjec:t
Title of Position
Department or Agency Iff Applicable)
to a $200 fcc.
Position for Which
Candidate for President N/A Reporting Periods
Filing
Incumbents: The reporting period is
Address (Number, Street, Cily, srare , and liP Code) Telephone No. 1/ncludc Area Code)
the preceding calendar year except Part
Location of II of Schedule C and Part I of Schedule D
Present Office P.O. Box 251310, Woodbury, MN 55125 (202) 457-6561
where you must also Include the filing
(or forwarding address) year up to the date you file. Part II of
Title of Position(s) and Date(sl Held
Schedule D is not applicable.
Position(s} Held with the Federal
Government During the Precedlng
Member of Congress (2007 to present)
Termination Filers: The reporting
12 Months (lf Nm Same as Above)
period begins at the end of the period
covered by your previous filing and ends
at rhe date of termination. Part ll of
Presidential Nominees Subje<;t
Name of Congressional Committee Considering Nomination Do You Intend ro Create a Qualified Diversified Tl'ust? Schedule D is not applicable.
to Senate Confirmation
Not Applicable
DYes 0No
Nominees, New Entrants and
......
Candidates for President and
Certification Signature of Reporting lndivic!ual /) Date (Month, Day, Year)
Vlce President:
I CERTIFY that the statements I have


Schedule A-The reporting period
made on this form and all attached
/O-Lf-11
for income (BLOCK C) is the preceding
sChedules are true, complete and correct

calendar year and the current calendar
to the best of my knowledge.
year up to the date of filing. Value assets
Signature of Other Reviewer Date (Month, Day, Year)
as of any date you that within
Other Review
31 days of the date of filing.
(If desired by
agency)
Schedule B-Not applicable .
.
'
Signature of Designated Agency Ethics Official/Reviewing Official
Schedule C, Part l (Llabillties)-The
Agency Ethics Official's Opinion Dare (Month, Day, Year)
reporting period is the preceding calendar
On the basis ofinfonn"1ion conujned in lhis
year and the current calendar year up to
report, f conclude that the tilet is In compliance any date you choose that is within 3 1 days
with apphcab1e l11ws and regulatinn, (suhject to
>ny commonu in tho box below).
of the date of filing.
Signature Date (Month, Day. Year) Schedule C, Part IJ (Agreements or
Office of Government Ethics
Arrangements)-Show any agreements or
Use Only arrangements as of the date of filing.
Comments of Reviewing Officials (lf addirinna/ space is required. usc the reverse side of this sheet)
Schedu Ie D-The reporting period is
the preceding two calendar years and
..
the current calendar year up to the date
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OGE Form 278 (Rev. 09/2010)
S C.F.R. Pa112634
U.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 the
production of income which had a fair market
value exceeding $1,000 at the close of the report-
ing period, or which generated more than $200
in income during the reporting period, together
with such income.
For yourself, also report the source and actual
amount of earned income exceeding $200 (other
than from the U.S. Government). For your spouse,
report the source but not the amount of earned
Income of more than $1,000 (except report the
actual amount of any honoraria over S200 of
spouse).
NoneO
Airlines Common
Kempstone EqUity Fund
IRA: Heartland 500 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 Accounts
Stilwater, MN
Wells Fargo Bank-Bank Accounts
Stillwater, MN
ValuationofAssets
at close of reporting period
SCHEDULE A
Page Number
2 of 7
Income: type and amount. If "None (or less than $201)" is
checked, no other entry is needed in Block C for that item.
Other
Income
(Specify
Type&
Actual
Amount)
and
Spousa Salary
and Farm
Partn.nhlp
Income, 14,896
Date
Day,
Yr.)
Only if
Honoraria
* 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 the filer or jointly held
by the filer with the spouse or dependent children, mark the other higher categories of value, as appropriate.
*-2011 Income estimated-K-1 not available
-------- - .....
OGE Fonn 278 (Rev. 09/2010)
S C.F .R. Part 2634
U.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 continued
if needed)
Page Number
3 of 7
Income: type and amount. If "None (or less than $201)" is
checked, no other entry is needed in Block C for that item.
Other
Income
(Specify
Type&
Actual
Amount)
Date
(Mo., Day,
Yr.)
Only if
Honoraria
* 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 the filer or jointly held
by the flier with the spouse or dependent children, mark the other higher categories of value, as appropriate.
(S)
OGE Fonn 278 (Rev. 09/2010)
S C.F.R. Part 2634
U.S. Office ofGoverrunent Ethics
Reporting Individual's Name
Bachmann, Michele M.
SCHEDULE[ A continued
(Use onlYi if needed)
Page Number
4 of 7
Assets and Income
. ValuationofAssets
at close of reporting period
Income: type and amount. If ''None (or less than $201)" is
cll.ecked. no other entry is needed in Block C for that item.
BLOCK A
11, American Funds: (cont.)
Washington Mutual
lz
Capital Income Builder
3
Bond Fund of America
4
Sentinel/Penguin Group USA,Inc-agreement to
write book\Core of Conviction")-not yet publishd
BLOCK B I I BLOCK C
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s Fidelity Investments (Simple IRA) 1 ..:
Cincinnati, OH f2-:
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Fidelity ADV UtilitiesCL T

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+ This category applies only if the asset/income Is solely that of the fller's spouse or dependent 1f the asset/income is either that of the fl.ler or jointly held
by the filer with the spouse or dependent children, mark the other higher categories of value. as approoriate.
Other
Income
(Specify
Type&
Aetual
Amount)
Date
(Mo., Day,
Yr.)
Only if
Honoraria
OGE FDm1278 (Rev. 0912010)
s C.F.R. Part 2634
Do not complete Schedule B if you are a new entraa1t, nominee, or Vice Presidential or Presidential Candidate
U.S. Office of Government Ethics
Reporting Individual's Name
Bachmann, Michele M.
Part I: Transactions
t
Report anypurchase, sale, or exchange
by you, your spouse, or dependent . -
cblldren during the reporting period of any
real property, stocks, bonds, commodity
futures, and other securities when the
amount of the transaction exceeded $1,000.
Indude transactions that resulted in a loss.
SCHED
Do not report a transaction involving
property used solely !!5 your personal
residence, or a transaction solely between
you, your spouse, dependent child.
Check the "Certificate of divestiture" block
to indicate sales made pursuant to a
certificate of divestiture from OGE.
lcrrsrus
B
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Date
(Mo ..
Day, Yr.)
I
Page Number
5 of 7
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Z/1/99
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"This category applies only if the underlying asset Is solely that of the f'J.I.er's spouse or dependent children. If the underlying asset is either held
by the filer 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
I
For you, your spouse and dependent children, report the source, a brief descript-
tion, and the value of: (1) gifts (such as tangible items, transportation, lodging,
food, or entertainment) received from one source totaling more than $335 and
the tiJ.S. Government; given to your agency in connection with official travel;
rece(ved from relatives; received by your spouse or dependent child totally
independent of their relationship to you; or provided as personal hospitality at
the donor's residence. Also, for purposes of aggregating gifts to determine the
total\value from one source, exclude items worth $134 or less. See instructions
for exclusions.
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(2) travel-related cash reimbursements received from one source totaling more
than $335. For conflicts analysis, it is helpful to indicate a basis for receipt, such
as personal friend, agency approval under S U.S.C. 4111 or other statutory
authority, etc. For travel-related gifts and reimbursements, include travel itinerary,
dates, and the nature of expenses provided. Exclude anything given to you by
None 0
Source (Name and Address)
Descrlptlon
Value
IExamplesl _ _ I tick::_ _ _ _ _ _ l_s:::_o __
lfrank.Jones,SanFranclsco, CA I Leather briefcase (pen;onal friend) I l S3SO
11 IN/A
12
3
14
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OGE Fonn 278 (Rev. 09/2010)
5 C.F .R. Part 2634
U.S. Office ofGGvemment Ethics
Reponing Individual's Name
Badunann, Michele M.
Part I: Liabilities
Report liabilities over $10,000 owed
to. any one creditor. at any Um.e
during the reporting period by you,
SCHEDULE C
a mortgage on your personal residence
unless it is rented out; loans secured by
automobiles, household furniture

I
Category of

your spouse, or dependent children.
Check the highest amount owed
during the reporting period. Exclude
or appliances; and liabilities owed to
certain relatives listed in inStructions.
See instructions for revolving charge
accounts.
'
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Date I Interest Term If .,., o .o=<8: 8 .,..
I Creditors (NIII11.e and Address) Type of llablllty lnCUiljl!d Rate applicable ;; ;;;
.:
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"--ples Ji;FirnDistrlctBank,Washln<>tnn,DC , Mortvaveonrentalnrnnertv,Delaware '- '- 8_% I-2Syrs. __
JohnJones Promtssorynote 19991 10% ondemand )( ..:
11 United Bank I Mortgage on commercial rental property I 20o4 I I
20
yrs .. )
Mondovi, WI Lake Elmo, MN I . ' . .. : . .J .
lz 1 eustnessLoan 1 zoo$ I I
10
yrs 1 .j 1,. :';lxr:
. Eau Cla11'9, WI I 1-.::. .I .. .. . -.:
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*This category applies only if the liability is solely that of the filer's spouse or dependent children. If tlie liability is that of the filer or a joint liability of the fller
with the spouse or dependent children, mark the other higher categories. as appropriate.
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Part II: Agreements or Arrangements
Report your agreements or arrangements for: (1) continuing participation in an
employee benefit plan (e.g. pension, 4011<, deferred compensation); (2) continua-
tidn of payment by a former employer (induding severance payments); (3) leaves
of and (4) future employment. See instructions regarding the report-
ing qf negotiations for any of these arrangements or benefits. None (gl
Example
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Status and Terms of any Agr
T
Pursuant to partnership agreement, will receive lump sum payment of capital account & partnership share
calculated on service performed through 1/00.
.-......... .
Parties Date
Doe jones & Smith, Hometown, State 7/85
OGE Fonn 278 (Rev. 09/201 0)
S ClF.R. Part 2634
U.S. Offic;e of Government Ethics
ReiJortlng lndMdual's Name I
Page Number
Bachmann, Michele M.
SCHE1 PULED
7 of 7
I
P
1
artl: Positions Held Outside U.S. Government
I
Report 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, , fraternal, or political entities and those solely of an honorary
trustee, general partner, proprietor, representative, employee, or consultant of natu
re. I None 0
any corporation, firm, partnership, or other business enterprise or any non-profit
OrganiZation (N11me and Address) TvDe ofOiianizatlon Position Held From (Mo., rr.) To (Mo..Yr.)

Assn. of Rock Collectors, NY, NY Noll1'l'Ofited\ICill:lon _____ President 6/92 Present

Examples --------------------
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Doe jones & Smith, Hometown, State Law firm
I
Partner 7/85
1
Bachmann COnic Property, LLC Real Estate lnvesbne t
I
Member
Lake Elmo, MN Vic:e-President/Secretery
09/2004 Present
2
Bachmann Farm Family Umited Partnership Farm Partnership
I
Limited Partner
Independence, WI
01/2001 Present
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Part II: Compensation in Excess of $5,000 Paid by
One Source Do not complete part _if you are an
J Incumbent, Term1Dation F1ler, or Vice
Report sources of more than $5,000 compensation received by you or your non- rganization when Presidential or Presidential Candidate.
bUsiness affiliation for services provided directly by you during any one year of you ectl}f provided the
the reporting period. This indudes the names of clients and customers of any serv ces gederating a fee or payment of more than $5,000. You
corporation, firm, partnership, or other business enterprise, or any other neec not the U.S. Government as a source. None D
Source (Name 11nd Address)
I
Brief Description of Duties
1 ; IZ jones & Smith, Hometown, State Legal services
Examples --------------------
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. Metro University (dient of Doe Jones & Smith), Moneytown. State !.ega! services In co
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