HHRG-118-GO12-TTF-ElizondoL-20241113.pdf

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. Oversight and Accountatilty “Commie: —— TO ere : Subcommittee: Cybersecurity, Information Technology and Government Innovation ee 1ingi2024 lee a ee Hearing Date: Hearing Subject | ! aera and Accountability of Unidenified Anomalous Phenomena | bic haln ee . at 3) ee, : ae Luis Daniel Elizondo Witness Name: Position/Title: Former Departmen…

Se) ist any federal grants or r contracts (including subgrants or subcontract) related t to the ‘hearing’ 8. Ir clude the source e and amount of each grant o or reontract.. gas ee Please li list any contracts, , grants, or . paymients originating with a foreign government and related: ‘6. Cbg ‘the hearin s subj e 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 at each contract Ban eee peloes get RPT LS peg STE Please complete the following fields. If necessary, attach additio…

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 made part of the hearing record. 11/10/24 | False Statements Certification | i | { i i Witness signature Date Oversight and Accountability 11/13/2024 Government Transparency and Accountability of Unidentified Anomalous Phenomena Programs i nmnihaveithar ashame SACRA AeEnAneT AANA rath ARON ASIIN neem mmnenine id