charles a pannell financial disclosure report for 2009

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8/3/2019 Charles A Pannell Financial Disclosure Report for 2009

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~ ,~OlO [ FINANCIAL DISCLOSURE REPORT R e p o r t R e q u i r e d b y t h e E t h ic a "in Government Act of 1978

~ev , l /~ow [ FOR CALENDAR YEAR 2009

P e r s o n R e p o r t i n g ( l a s t n a m e , f i r a t , m i d d l e i n i t i a l ) 2. Cour t or Organizat ion 3 . D a t e o f R e p o r t

Pannel l , Charles A. D i s t r i ct C o u r t -N . D . o f G e o rg i a 04/22/2010

4 . Ti t le (Ar t i c ie [II ju dg e s in d ica te ac t ive o r s e n io r s t a tu S;S o . R e po r t T ype (c h e c k a ppro pr ia te type ) 6 . Rep!,r tio g P e r io dmagis t ra te judges in dica te fu l l - o r par t - t ime)

[] Nomination, Dat e 0 1 / 0 ! / 2 0 0 9

U.S.District Judge (active) [] Initial ~l~ A ....I [] Fir, al

to

12/ 3 [ , . "2009

5h. [] AmendedReport

7. Chambers or el’flee Address 8 . O n t h e b a s i s o f t h e i n f o r m a t i o n c o n t a i n e d i n t h i s R e p o r t a n d a n ymo d i f i c a t i o n s p e r | a i n l n g t he r e t o , i t i s , i n my o p i n i o n , i n e n m p l i n n c e

2367 U. S. Courthouse w i t h a p p f i ca h l e l a w ~ a n d r e g u l a t i o n s .

75 Spring Street, S.W.

Atlanta, Georgia 30303-3309R e v i e w i n g O f f i c e r Date

LzffPORTANT NO TES: The instructions accompanying this form must be followed. Com plete all parts,

checking the NONE box for each part where you have no reportable information. Sign on last page.

1 . P O S I T I O N S . C ~ e ,o ,, in ~ individual only; see pp. 9-I3 of filing ina’truction~)

[~ N O N E (No reportable positions.)

POSITION N A M E O F O R G A N I Z A T IO N / EN T I Ty

1 . Co-Executor Estate No. 1

2. O pera to r Farm #!

3. Power of Attorney Trust No. 1

1 1. A G ~ E M E N T S . meporang individuat onO; see pp. 14-16 offili,,g instructions.)i .

~" ~

~ N O N E (No reportable agreements.)

D A T E PART1ES AND TE~IS

l,

8/3/2019 Charles A Pannell Financial Disclosure Report for 2009

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’INANCIAL DISCLO SURE REPO RT ~’.,.e of P .....Reporting Dal e af Report

P a g e 2 o f 9 P a . . ~ ll , C ~ a r l ~ s a .

I lL N O N - IN V E S T M E N T I N C O M E . (Reporting individuala,,d,p ..... ~ seepp. 17-24 of filing im’trucKons.)

A. Filer’s N o n - In v e s t m e n t I n c o m e

NONE ~qo reportable non-investment income.)

DA~ S O U R C E A ~ T Y P E(yours, not spouse’s)

1 . 2 0 0 9 Association of County Commissioners of Georgia Pension Trot $1 , 3 4 7 . 72

2. 2009 Georgia Judicial Retirement System $90,733.20

3 .

4.

B . S p o u s e ’ s N o n - I n v e s t m e n t I n c o m e - if you were married during any portion of the reporting year, complete thin section~

(Dollar amount not required except for honor.~ria.)

---] N O N E ( N o reportable non-investment income.)

D A T E SOURCE AND TYPE

1 . 2 0 0 9 Teachers Retirement System of Georgia

2.

3.

4.

IV . R E I M B U R S E M E N T S ...... . ..... io., tod~i.~..~ooa..., .., ./, , . . . . .tlncludes th~ se 1o spous~ and dependent children; see pp. -~ -- 7 off!,ing natruclior~’.)

[-~ NONE (No reportable reimbursements.)

SOURCE D A T ES LO C A T IO N PURPOSE ITEMS PAID OR PROVIDED

1.

3.

4.

5.

8/3/2019 Charles A Pannell Financial Disclosure Report for 2009

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F~NANCIAL DISCLO SURE REPO RT t Name of Persof~ Reporting Date of Report

Page 3 of 9 P a n n e l t , C h a r l e s A . 04/22/20t0

V . G I F T S . a n ,z ~ a ,, thos , to ~ , . . . .. . . a depende~ children; s e e p p . 2 8 - 3 1 of fUing instructio~.)

NO NE (No reportable g~s.)

SO URCE DESCRIPTIO N VALUE

1 .

2.

3.

4.

5.

V I. LIAB ILITIES. ~z,~,a,~ ~ o~, o/~ ...... u a ~ , a ~ . , ~ h ~ a , , .; ~ , ~ ~ . ~ - ~ o y ~ , ~ ~ , . . . .. ~ o , , ~ . )

~ N O N E (No reportable liabilities.)

C~DITO R DgSC~PTIO N VALUE CO DE

!.

2.

3.

4.

5.

8/3/2019 Charles A Pannell Financial Disclosure Report for 2009

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N a m e o [ P e r s o n R e p o r t i n g D a t e o f R e p o r tFINANCIAL DISCLO S URE REPO RT

P a n n e 1 , C h a r l e s A .age 4 of 9 [ 1 ) 4 / 2 2 / 2 0 1 1 )

VII. INVESTMENTS and TRUSTS - i ..... e , v . ~ . . , , . . . . . . i o . s a n . t ~ a e . ~ , o . , e o ~ . ~ o ~ . ~ a ~ . . a . .~ ~ , ~ , i l a . , ~ ; ~ ~ . ~ 4 - ~ o o z ~ t ~ . x i ~ . , ., ,. ~ . ~ )

~ N O N E (No reportable income, assets, or transactions.)

A . B. C. D .D e s c r i p t io n o f A s s e t s income du~ag

,G r o s s v a l u e a ~ e n d T r a n s a c ti o n s d u r i n g r e p o s i n g p e r i o d

( i n c h l d i n g t r u s t a s s e t s ) : : reposing per iod [ ofr~o~ing per iod

P l a c e " ( X ) " a f t e r e a c h a s s e t A m o u n l " F ) ~ e ( e . g . , Valu e Va lu e T y p e ( e . g ., Date [ Value Gain I d e n t i t y o f

e x e m p t f r o m p r i o r d i s c l o s u re / C ~ e I d i e . , r e n t , C ~e 2 M e th o d buy, sell, m~d~l Code 2 C ~ e I b u y e r ! s e l l e r] ~ A - H ) o r i n t . ) ( J - P ) C o d e 3 ~demption) ~ ( J - P ) ( A - H ) ( i f p r i v a t e

~ ( Q - W )~ t r a n s a c t i o n )

1 . Timberland, McDufi ie County, Georgia , ! /3 N o n e N WInterest

~ R e n t a l Pro pe ~ # 1 , Mu ~a y C o u n W, G e o rg i a A Rent K W

3 . E s t a t e # 1

i 4 -F a rm # I Mu r ra y C o u n t y , G e o rg i a C Rent O W See Not e

5. - First Nat ional Bank (Savings Accounts and C Interest M TC D s )

6. - C oh ut t a B ank A c c oum A Interest J T

8.- STI A Div id end J T

9. - S o ve re ig n Ba n k I n su re d C a sh Ac c o u n t A Interest S o l d 0 I/31/09 J See Note

1 0 . -D i sc o ver Ba n k I n su re d C a sh Ac c o u n t A Interest Sotd 01 / 31 / 09 J See Note

1 1 . -G o l dma n S a c hs , I n su re d C a sh Ac c t . A Interest B u y 01 / 31 / 09 J See Not e

1 2 . A Interest J T S o l d 4/13 /09 J A(part)

1 3 . - Ame r i c a n F u n ds G ro w t h F u n d o f Ame r i c a A Div id end J TA G T H X

1 4 . IRA #2

1 5 . - STI A Div id end J T

1 6 . - S o ve re i g n Ba n k I n su re d C ~h Ac c o u n tA Interest J T See Note

1 7 . B r ok er age A c c oun t

(S ee C oh tm ns C ) a nd D 3) N =$2 50 .0 0I - 550 0.0 00 O =$500,~1 - $1,~,0~ PI ~$I,000,001 - $5,0~,0~ P2 =$5.~0.~1 - $25.000.~0

Va l ue Me ~ od C ode s Q = A ppra i~l R =C o st (Re a l Esta te O n ly) S = A sse ssme n t T = C a s h M ~ k e t(See Colu~ C2) U -B~k Value V = O th e r W ~ E s thna t e d

8/3/2019 Charles A Pannell Financial Disclosure Report for 2009

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FfNANCLAL DISCLO SURE REPO RT , ~ . . . . . . r v . . . . . . ~ e p o r r l . g ~ , ~ o ~ R e 0 n r t

Page 5 of 9 P ~ . n ~ . . C h a r l e s A . ~ / 2 2 1 2 0 1 0

V I I . I ~ E S T M E N T S a n d T R U S T S - i . . .. ~ , v a t . . .. . .. . .. . t i o n s anetudes tlmse o[sp ....... d dependent children; ~ee p p . 3 4 - 6 0 O l d ’ l i n g in~truction&)

N O N E (No reportable income, assets, or transactions.)

A. B. ~ C. D .D e s c r i p t i o n o f A s s e t s Income during G r o s s v a l u e a t e n d T~nsac t ions dur ing m~ing pedM

( including ~st ass~s) reposing p~iod of reposing periM

(~) (2) ( I ) ( 2 ) ) (2) ] (3) ] 14) (5)

P l a c e " ( X ) " a R ~ r e a c h a s s e t Amoum T ~ e ( e . g . , V a l u e V a l u ~ Type .g., D a t e ~ V a l u e [ G a i n l d c n t i ~ o fe x e m p t f r o m p r i o r d i s c l o s u r e C o d e I d~v., r~nLo d e 2 b l e t h o d buy, sell,m ~ , ’ d ¢ , % ~ C o d g 2 ~ C o d g 1 b u y e r / s e l l e r

(Q-W~~ t r a n s a c t i o n )

1 8 . - S yn o vu s , C o mmo n S t o c k ( SN V ) A Div id end J T Buy Q ua~ er l J

1 9 . -T SY S A Div id end K T

2 0 . - ST1 - Mon ey Market (SEI.3CX) A Div id end J T

2 f. Bro ke ra g e Ac c o u n t # 2

2 2 . - American Funds - Investment Company of A Div id end K TAme r i c a

2 3 . - A~I c f i c a n F u n ds - G ro w t h F u n d o f A Div id end K TA mer i c a

2 4 , - Am er ican Fund s - Sm al l Cap Wo rl d Fund A Div id end J T

2 5 . - American F~tnds - New World Fund A Divideu d J T

2 6 . - Am er ican Fund s - EU P AC A Div id end J T

2 7 . -Ame r i c a n F u n ds Bo n d F u n d o f Ame r i c a C Div id end L T

2 8 . B r ok er age A c c oun t #3

2 9 . -FDRXX A Div id end J T S o ld 8/18/09 K(part)

3 0 . -Money Market , Fideli ty investments A Interest K T

3 1 . R o t h I R A # l

3 2 . -LSI N o n e J T

3 3 . Roth IRA #2 A Interest J T

3 4 . Farm #2, Murray Coun ty, Georgia, l imited None L Winterest

I. Income Gain Cod~ s: A = $ 1, 000 o r l e s s B = $ 1, 001 - $ 2 , 500 C =$2,501 - $ 5,00~3 D = $ 5, 001 - $ 15 , 0~ ] E =$15,001 - ~ 50,000(S C ol um ns B I a nd D 4) F = $ 50, 001 - $ 100 , 000 G =$ I0 0,0 01 - $1 ,0 00 .0 00 H I =$1 ,0 0(),0 0I - $5,0 00 ,0 00 H 2 =Mo re th an $5,0 00 ,0 00

2 . V a l u e C o d e s J = $ 15, 000 o r l e s s K =$1 5,0 O I - $50 ,0 0 0 L ~$50 ,0 ~ 1 - $1 0 0 ,0 0 0 M =$100.001 - $250,00(2

(SColaal/ i s C I and D3) N ~ $ 250, 001 - 5500 , 000 O ~$50 0,O 0 1 - $1 ,~.9,0 00 P l ~$1 ,0 00 ,0 0 t - $5,0 00 ,0 00 P 2 ~$5,0 00 ,0 01 - $2 5,0 D0 ,0 00

P 3 = $ 25, 000 , 001 - $ 50, 000 , 000 P 4 = More t ha n 150 . 000 , 000

3 . Va lu e Me th o d C o de s Q ~A ppr~isn l R. =Cos¢ (B.e :~l Estate Only) S ~ A sse ssme n t T = C a s h Market( S ¢ c C o l u n u ~ C 2 ) U = B o o k V a l u e V = O th e r W =Estimated

8/3/2019 Charles A Pannell Financial Disclosure Report for 2009

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FJfNANCIAL DISCLO SURE REPO RT [ ~ . . . . . . r P e r s o . R e p e r , i . g O . ,e o ~ R c p o , ’ t

Page 6 of 9I Pannd l , C h a r l e s A.

( ~ / 2 2 / 2 0 1 0

V I I. I N V E ST M E N T S a n d T R U ST S - i . ~o . .... t . ~ , , . . . . . . . a o . . (Includes those of spouse and dependent c h i l d r e n ; s e e p p . 3 4 - 6 0 of filing instructio.s.)

N O N E (No reportable income, assets, or transactions.)

A, B . c. D .D e s c f i p t io a o f A s s e ts I n c o m e d u r in g G r o s s v a l u e a t e ~ d T r a n s a c ti o n s d u ~ n g ~ e p o ~ t n g p e d o d( i n c l u d i n g t r u s t a s s e t s ) reposing period of reporting ~ri~

, 0) } (2) O) (2) (t) it) : (3)P l a c e " ( X ) " a ~ e r e a c h a s s e t ~ A m o u n t T y p e ( e .g . , Value Value T)~e (e.g., D a t e ] V a l u e G a i n I d e n t i t y o f

e x e m p t f r o m p r i o r d i s c l o s u re C o d e 1 d i v . . r e n t , C o d e 2 M e f lm d buy, sell ~:d&~ Cede 2 C o d e I buyer/seller( A - H )

, o r i ~ u . ) ( J - P ) C o d e 3 r e d e m p t i o n )i ( J ’ P )

: (A-H) ( i f p r i v a t e

( Q - W )~ ~

t r a n s a c t i o n )

3 5 . T r u s t # 1

3 6 . -F ir s t N a t i o n a l Ba n k ( C D s) D Interest N T

3 7 . -Suntrust Bank (money market and A Interest K Tchecking)

3 8 . -H o u se , F u l to n C o u n t y , G e o rg i a N o n e O W

3 9 . -Employee’s Retiremem of G eorgia N o n e S c e N o l e

40 . -Farm #2, Nlurray County, Georgia par t ial C Rent K Wownership

4 1 . -Timberland, Murray County, Georgia N o n e K W

4 2 . -Socia l Securi ty N o n e See Not e

4 3 . - C oh ut t a C h ec k i ng A c c t A Interest J T

4 , 1 . Rollover IRA

4 5 . -Premier MMKT Fds 11 A Interest S o l d 10/ t9/09 J

4 6 . -JP Morgan U S Gov. IvlMKT Ir is . A Interest J T B u y 10/19/09 J

47. -TR Price Growth Stk PRGFX A Div id end K T

48. -Am. Beacon Lrg C up .&,kDEX A Div id end K T

49. -Bra n dyw i n e Bl u e F D BL UE X A Div id end J T

5 0 .-Ar t i sa n F D s, S ma l l C a p AR TV X A Div id end J T

5 1 . -All iance Bernste in Int l Value ABIYX A Div id end J T

[ I n co me G a in C o d e s : A ~ $1 , 0 0 0 o r Jess B =$1 ,0 0 1 - $2 .50 0 C =$2 ,50 1 - $5,0 ~0 D = $ 5. 001 - $ 15 , 000 E = $ 15, 00 t - $50,000

( S e e C o l tu rms B 1 a n d D 4 ) F =$50 ,0 0 1 - $ t0 0 .0 0 0 1 3 =$1 0 0 ,0 0 1 - $1 ,0 0 0 ,0 0 0 H l = $1 ,0 0 0 ,0 0 1 - $5,0 0 0,0 0 0 H2 =More than $ 5.000 ,0#Kt2 . V a l u e C o d e s J ’ =$1 5 ,0 0 0 o r l~s K =$1 5,0 0 1 - $50 ,0 0 0 L =$50 ,0 0 1 - $1 0 0 ,0 0 0 M = $ |00 , 0q l - $ 250 , 000

{See Colu~nns C 1 and D3) N =$2 50 ,0 01 - $50 0 ,0 0 0 O =$50 0,0 01 - $1 ,0 0 0,0 0 0 P l = I ; 1 , 000 , 001 - $ 5 , 000 , 000 P2 =$5,K10,001 - $25,000,000

P 3 ~$2 5,0 0 0 ,0 0 1 - $50 ,0 0 0 ,0 0 0 P 4 =Mo re th a n $50 ,0 0 0 ,0 0 03, V~lu’~ g’ lcthod Codes Q ~Appraisa l 1~ =Cost (Real 5st~te Oe, ly) S = A sse ssme n t T = C a s h Ma rk e t

I .Scc Colunw, C2) U = B o o k \ ’ a lu ~ V = O th e r W = Es t ima te d

8/3/2019 Charles A Pannell Financial Disclosure Report for 2009

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F~NANCIAL DISCLOSURE REPORT N ~ , t t ~ o | ’ e e ~ $ o ~ a ~ p o ~ U ~ g O ~ t e o t ’ a ~ p o ~ t

P a g e 7 o f 9 Pann+ll, C h a r |+ s A , 0 4 / 2 2 ] 2 0 1 0

V I I . I N V E S T M E N T S a n d T R U S T S - i ......... t ........... ,ion, (Includes those o f ~’p ...... d depende m children; se e pp. 34- 60 of filing instructions.)

N O N E (No reportable income, assets, or transactions.)

A. B. C. D ,D e s c r i p t io n o f A s s e ts I n c o m e d u r i n g G r o s s v a l u e ~ t e n d T r a n ~ c t i o n s d u r i n g r e p o r t in g p e r i o d

( including ~t asse ts) ~ reposing per iod of r~oaing ~fiod

Place’(X)" after ~ch asset I A . . . . t [ r ~e (e .g . , Valu e Va lu e T y p e ( e . g ., Date ] Vah,e ] Gain [dentiw ofe x e m p t f r o m p r i o r d is c l o s ~ e I Code I ~ d i v . , r e n t , C ~e 2 ] M e t ho d buy, sell, m ~ .’d~ ¢~ Cod e 2 ’ ; C~ e I b u v e r / ~ e l l e r

[ (A-H) ] o r i r a . ) ( J - P ) ~ C od e3 r e d e m p t i o n ) I (J-P) ~(A-H) ( i f p r i v a t e’ ( Q - W ) ’ t r a n s a c t i o n )

5 2 . -Metro West FDs Bond Fund MWLIX A Div id end J T

5 3 . -Loomis Sayles St . Income High Yield Bond A Div id end J TNEFZX

5 4 . -Ma i n s t a y Fu n ds H i g h Yi e l d Bo n d MH YI X A Div id end 3 T

5 5 . -V angua rd Fixed Incom e SEC Fd GNMA A Div id end J TVFIIX

5 6 . -Ba ro n A sse t FD G ro w t h BG R F X N o n e J T

5 7 . -D o dg e & C o x I n c . FD D O D I X B Div id end K T

5 8 . -O ppe n he i me rD V L P MKTS O D V YX A Div id end J T

5 9 . - Art isan FDs, Mid Cap ARTQX A Div id end J T

6 0 . -All izanz FDs, Mid Cap PMGIX N o n e J T

6 1 . Wa c ho vi a S a vi n g s Ac c o u n t A Interest J T

6 2 . F i rs t N a l i o n a l Ba n k, Ac c o u n t s C he c kin g a n d A Interest K TMoney Market

6 3 . Corn Trust Fed. C . U (formerly Murray A interest J TCounty Fed. C .U.)

6 4 . Cohutta Bank Checking and MMKT A Interest l T

65. As s oc ia ted Cred i t U n ion Money Mark e t A Interest K T (’)pen 08i25/09 J

I . I n co me G a in Codes : A =$1,000 or less El =SI,0 0 1 - $2 ,50 0 C ~$2 ,50 1 - $5,0 0 0 D ~$5,0 0 1 - $1 5,0 0 0 E =$1 5,0 0 1 - $50 ,0 0 0(See Ccluffms B I and D4) F =$50 ,0 0 ! - $ I0 0 ,0 0 0 G -$1 0 0 ,0 0 1 - $1 ,0 0 0 ,0 00 H I =$1 ,0 0 0 ,0 0 ] - $5,0 0 0 ,0 0 0 H 2 = M o r e ~ h an $5 ,0 0 0 , 0 0 0

2 . V a l u e C o d e s J =$15.000 or te~s K = $ 15, 001 - $ 50 , 000 L = $ 50, 00 t - $ 100 , 000 M ~ $ I00 , 001 - $ 250 , 0~ O( S e e C o l mr tn s C 1 an d D 3 ) N =$2 50 ,0 01 - $50 0 ,0 0 0 O ~$50 0 ,0 0 1 - $1 ,0 O 0,0 0 0 P I =$1,~00,00 t - $5.1)06,000 P 2 = $5 , 0 0 0 , 0 0 ! - $2 5 , 0 ~ 0 .0 0 0

P 3 = $2 5 , 0 ~ 3 0 ,0 0 1 . $5 0 , 0 0 0 , 0 0 0 P 4 ~ More t ha n $ 50 , 000 , 000

3. Value M~th~xl Codes Q =Appraisal R =(~st (Real Esta le Only) S ~ A s s e ~ t ne e t t T = C a s h Ma rk e t( S e e C o l u mn C 2 ) U ~ B o o k V a l u e V ~ Ot he r W =E~timat¢d

8/3/2019 Charles A Pannell Financial Disclosure Report for 2009

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FI~NANCIAL DISCLO SURE REPO RT Name ol" Person Reporting Date of Report

Page 8 of 9 Pannell, Charles A. 0 , ~ . ~ ¢ ~ ’ ~ ~ t 0

VIII. AD DIT IONA L INFORMATION O R EXPLANA TIONS. an~i~.~t~ p~r, o z R ~ p o ~ , . ~

Part [ . Posi t ions: Fur ther c lar i f icat ion to Answer 2 "Operator" ,

This is a one-man opera t ion on esta te #I property, I have had ca t t le . During this report ing period, [ kept horsez and cut hay on sha res with a third part5’ . Sold myshare to P leasant Val ley Farms, less than $2,500.00

Part [[I . Agreements: [ am leaving this blank since part I l l discloses the payments for prior sta te service . There is no con trol of investments

Part VII . INVESTMENTS AND TRUSTS

Line 4: Dtu’ing 2009 money was expe~ded for reforesta t ion, Georgia Forestry Commission paid a port ion of the expense,Lines 10, 1 I , and 12: This has been an insured cash a ccount which LPL Financia l ~noves around t’or bet ter ra tes without my specific approval . 1 am taking steps toeliminate th is problem on future repor ts .

Line 17: This is an insured cash acco unt which LPL Financia l uses for cash in this IRA.Lines 40 and 4 3: This is f ixed re t i rement income. I have control by power o!’a t tomey. No value past the death of the beneficia&. (Per instrnct ion VII, Para . C .Income, page 45.)

8/3/2019 Charles A Pannell Financial Disclosure Report for 2009

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F~[N ANCIAL DISCLO SURE REPO RT ~ , m e o f P e r s o n R e p o r t i n g D a t e o f R e p o r t

Page 9 of 9 P . ~ u n e , , C h a r l e s A . 0 4 / 2 2 / 2 0 1 0

IX. CERTIFICATIO N.

I ce r t i fy tha t a l l i n fo rm a t ion g iv en abov e ( inc l ud ing in fo rm a t ion p e r t a in ing to m y s p ous e and m inor o r d ep end en t ch i l d ren , i f any ) i s

accura te , t rue , and com p l e te to the bes t o f m y know l ed ge an d be l ie f, and tha t any in fo rm a t ion n o t rep or ted w as w i thhe l d becaus e i t m e t ap p licabl e s t a tu to ryp rov is ions p e rm i t t ing non-d is c l os ure .

I fu r the r ce r t i fy tha t ea rned incom e f rom ou ts id e em p l oy m ent and honora r i a and the accep tance o f g i f t s w hich hav e been rep or ted a re incom p l iance w i th the p rov is ions o f 5 U .S .C . ap p . § 501 e t . s eq . , 5 U .S .C . § 7 353, and J ud ic ia l Confe rence reg u l a t ions .

N O T E : A N Y I N D I V I D U A L ~ , V H O K N O W I N G L Y A N D W I L FU L L Y F A L SI FI ES O R F A I LS T O F IL E T H I S R EP O R T M A Y B E S U B J EC T T O C I V I L, 4~ ND C R IMINAL SAN CT IO NS (5 [ / .S .C . ap p . § 104)

F IL I’ N G I N S T R U C T I O N S

M a i l s i g n e d o r i g i n a l a n d 3 a d d i t i o n a l c o p i e s t o :

C o m m i t t e e o n F i n a n c i a ! D i s c l o s u r eA d m i n i s t r a t iv e O f f i c e o f t h e U n i t e d S t a t e s C o u r t sS u i t e 2 - 3 0 lO n e C o l u m b u s C i r c l e , N . E .W a s h i n g t o n , D . C . 2 0 5 4 4

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