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Judicial Watch • 55258 Bonus

55258 Bonus

55258 Bonus

Page 1: 55258 Bonus

Category:General

Number of Pages:4

Date Created:June 7, 2013

Date Uploaded to the Library:February 20, 2014

Tags:55258, Bonus, obtained, FOIA


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Standard Fonn 
Rev 7191 NOTIFICATION PERSONNEL ACTION 
5-C. Code 5-D. Legal Authority 
5-E. Code 5-F. Legal Authority FROM: Position Title and.Number 
DEPUTY CHIEF OPERA TING OFFICER 
PD: ES2264 Position: 00126583 

8.Pay Plan 9.0cc. 10.Grd/Lvl I.Step/Rate 12.Tot. Salary 13.Pay Basis 0340 $179,700.0 2A. Basic Pay 12B. Locality Adj. 12C. Adj. Basic Pay 12D. Other Pay 
$179,700.00 $179,700.00 
14. Name and Location Position's Organization 
Centers for Medicare Medicaid Services 
OFFICE THE ADMINISTRATOR 

WOODLAWN USA 
23. Veterans Preference I-None 3-10 PoinVDisability 5-10 Point/Other 2-5 Point 4-10 Point/Com cnsablc 6-10 Point/Com cnsablc/30% 
Basic+ tion Service Comp. Dote (Leavc) 
03-31-1974 Social Security Number Date Birth Effective Dote  
09-25-2011  
6-A. Code  6-B. Nature Action  

6-C. Code 6-D. Legal Authority 
6-E. Code 6-F. Legal Authority 
15. TO: Position Title and Number 
DEPUTY CHIEF OPERATING OFFICER PD: ES2264 Position: 00126583 
16.Pny Plan 17.0cc. 18.Grd/Lvl 19.Stcp/Ratc 20.Tot. Salary/Award 21.Pay Basis 0340 $179,700.00 
20A. Basic Pay 20B. Locality Adj. 20C. Adj. Basic Pay 20D. Other Pny 
$179,700.00 $179,700.00 
22. Name and Location Position's Organi:zation 
Centers for Medicare Medicaid Services OFFICE THE ADMINISTRATOR 
WOODLAWN USA cable 
36. Appropriation Code 37. Bargaining Unit Status 
25997001 8888 
(City-County-State Overseas Location) 
40. Agency Doto 41. 
45. Remarks 
46. Em1>loyiilg Department Agency Department HHS  Centers for Medicare Medicaid Services 
47. Agency Code 48. Personnel Office 49. Approval Date 
PAR Number: 
50. Signature/Authentication and Title Approving Official 
SMALL,D OUGLAS 
Director, Client Service Center 

Editions Prior 7/91 Are Not Usable After 6/30/93 -Employee Copy 
Standard Form 
Rcv.7/91
U.S. office rcrsnnnel l111nagcmcnt 	NOTIFICATION PERSONNEL ACTION 
.FPM Supp. 296-33, Suhch. Name (Last, First, Middle) Social Security Number Dote Birth
SNYDER,ANNA 	I0-01-2011
(b)(6) 
FIRST ACTION 	SECOND ACTION 
5-A. Code 5-8. Nature Action 	6-A. Code 6-8. Nature Action 
827 Retention Incentive 30-SEP-2012 
5-C. Code 5-D. Legal Authority 	6-C. Code 6-D. Legal Authority
---
6-E

VPN U.S.C. 5754(d)(3)(A) 
-----
----
5-F. Legal Authority
--
Code
5-E. Code 
6-F. Legal Authority 
 FROM: Position Tille and Number 	15. TO: Position Title umber 
DEPUTY CHIEF OPERAT ING OFFICER PD:ES2264 Position:00126583 
8.Pny Pinn Occ. Code Grade/Le' Step/Rate Totnl Salary Pny Bnsis 16. PA)' Plan Occ. Code 18. GJ'alle/Lenl 20. Total Salnry/Award Pay Bnsis 

25.00 o;.,
12A. Basic Pay Locality Adj. 2C. Adj. Basic Pay Other Pay 20A. Basic Pay 208. Locality Adj. 20C. Adj. Bnsic l'A)' Other Pay 
14. Name and Location Position's Organization 	22. Name and Loention _of Position's Organization 
Centers for Medicare Medicaid Services OFFICE THE ADMINISTRATOR 
WOODLAWN USA  
EMPLOYEE DAT  
23. Veterans Preference Tenure  25. Agen9 Use  26. Veterans Preference for RIF  
 1-None2-!'-Point 27. FEGLI  J-10-Point!Dlsnhllit 10-Point/Compen.nhlc  ,;'ii-lf)-Pninl/Othcr 6-IO-Point/Compcnublc/301%  .O-None -Conditional -Pcrunent J-lndclinitc 28. Annuitant Indicator 29. Pav Rate Determinant  
Basic+ Option 30. Retirement Plan 31. Service Comp. Date (Leave) 03-31-1974  Not App licabl 32. Work Schedule  Regular Rate 33. Part-Time Hours Per Biweeklv Pay Period  
POSITION DATA  
34. Position Occupied  35. FLSA Category  36. Appropriation Code  37. Bargaining Unit Status  
-CompctltivcScnicr 2-Excepted Scnicc 38. Duty Station Code -SES Gcnernl .i-SES Cnrrrr Rescncd  E-EcmptN -Nonrxcmpt 25997001 39. Duty Station (City -County -State Overseas Location)  8888 
USA ---- 
WOODLAWN Baltimore
241698005 
40. Agency Data 41. 
--- 
..-. 
- 
45. Remarks
Approved the CMS Principal Deputy Administrator 09-21-2011. 
46. Employing Department Agency 	50. Signature/Authentication nnd Tille Approving Official 
Department HHS -Centers for Medicare Services SMALL,DOUGLAS 
47. Agency Code 	48. Personnel Office 49. Approval Date Director, Client Service Center HE70 4222 10-05-2011 
5-Part50-316 Editions Prior 7/91 Are Not Usable After 6/30/93 NSN 7540-01-333-6238 
Standard Form 
Re,. 7/91 
NOTIFICATION PERSONNEL ACTION 
U.S.Otfice Personnel Management 
FPJ1 Supp 296-33 Subch Name (Last, First, Middle) Social Security Number Date Birth Effective Date 
SNYDER,ANNA 
(b)(6) 
FIRST ACTION SECOND ACTION 
5-A. Code 5-B. Nature Action 6-A. Code 6-B. Nature Action 
SES Performance Award 
5-C. Code 5-D. Legal Authoriry 6-C. Code 6-D. Legal Authorily 
VWK U.S.C. 5384. SES performance award. 

5-E. Code 5-F. Legal Authority 
-6-E. Code 6-F. Legal Authorily FROM: Position Title and Number 15. TO: Position Title and Number 
DEPUTY CHIEF OPERAT ING OFFICER PD:ES2264 Position:00126583 Pay Plan Occ. Code Grade01 LStep Total Salari Pay Basis 16. P11y Plan Occ. Code 18. Grade Level Rate 20. Total Salary/Award Pay Bosis 
$10,333.00 
l2A. Basic Pa)' 128. Locality Adj. 12C.Adj. Basic Pay Other Pay 20A. Basic Pay 208. Locality Adj. 20C. Adj. DRsic Pay 20ll. Other Pai 

14. Name and Location Position's Organization 22. Name and Location Position's Organization 
Centers for Medicare Medicaid Services OFFICE THE ADMINISTRATOR 
WOODLAWN USA 
EMPLOYEE DAT 
23. Preference -'""' J-10-Po;otmhhBBv2--Point -10--Point/Comprnuhlc 27. FEGLI  -lf)-Point/Othcr6-10-Point/Compcnahlc/30%  24. Tenure 2-Cnnditionnl 1-Pcrm:incnl J-lnddinitc 28. Annuitant Indicator  26. Veterans t>rcference for RIF 29. Pav Rate Determinant  
Basic +Option  Not Applicable  Regular Rate  
30. Retirement Plan  31. Service Comp. Date (Leave) 03-31-1974  32. Work Schedule  33. Part-Time Hours Per BiweeklyPay Period  
POSITION DATA  
34. Position Occupied 1-CnmpctithcScnkc -Eucplcd Scrricc 38. Du!)' Station Code  J-SES G