That's gotta be quite old. Bill looks like shit now.
That should prompt at least a partial reveal on the CIA before the elections. (I vote for the media). Those candidates will all be BTFO when it happens.
Prove it. Post the original. Looks genuine to me, maybe with a bit of red added.
And while we're on the topic, note that he is a lot more bald now than in the image from the plane.
Here they are looking not nearly so youthful at the inauguration. The plane image is a slide, IMHO.
It can be used to contest a patent if the prior art was known (or should have been uncovered), but was not disclosed, when the patent application was filed.
You forgot to include the timestamp in your image. Date?