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____________ _ Dute ____ _
NAIV!E OF ORGANTZATIOC\'/ENfJTY
PARTIES AND TERMS
L'i
. -.
l .::.. T{tlc (,<\f'JcJe Hl Judcres inCico.tc active or ser.:o status; ;
rnagistr:ite judges indic:te fu11# or pal't·time}
CfRCUJT JUDGE, SEN10RSTATUS
7. Chambers or Qffi;;e Address
JOHN JOS MOAKLEY US COURTHOUSE
I COURTHOUSE WAY, SUITE 6720
BOSTON, MA 022H)
Calendar.,{eo.r 2003
j '2. Court o: C>rgmtiz::i.tion
U.S. COURT OF APPEALS
5. ReportTypc (check appropriat.;; type)
Q F!ml
Re na·i !{:\!£luir�«.! by t! ;; £thir:s ht GQvcr!nncnt ;\ct ol 1978 (5 U.S.C. onp. i ;01-ll!)
I ' 3. DateofR;::pon:
4126/2004
6. Reporting Period
1/l.12003
lo 12131/2'303
8. On the basis o:' the information cr>ntained in this Repcrt and any modificatior.s pertaining frlereto, it is, in my opinion, in co:-11p:iznce
with ap?Hcable 1a'WS and regulations.
Revie\\ing Officer
NPORTANT NOTES: The instructionsaccom?anyiog t1is: :orm must be followed. Complete all parts. chec:..ing the NONE box fut ea.ch part where you have no reportable infotr.n1tion. Sign on last page,·
L POSITIONS. (Reporting individca: o::ly; see pp. 9-13 of filing instructi<ms)
=:J NOJ'{E - (Ne ;eportnble positions.)
POSITION
!. Overseer USS Constitution Museum, Boston, MA
2. Cour.cil Member Massa busetts Historical Society, Boston1 MA
l. Tnist No. 2
Il. AGREEIVIBNTS. (R<porting individual only; see pp. 14-16 offilir.g instructions)
Iii'! NONE - (Noreportabkagreements.)
I.
C)----::
.-, ·,.1 . " 'j
:,-··:)
. -- "
SOURCE INCOME
SOURCE AND TYPE
DESCRJPJlQN
L
N::n:c oC P"°rsc-n Report ng
CA)..1PBELL, LE'/IN H
A. Filer's No11-Investment Tncom
liZJ NONE (No reportable non-investtc,ent income.)
AND TYFE GROSS (ycurs, not spouse's)
B. Spouse's Non-Investment Income- (If you were married during any portioo of the reportingr..ar, please complete this se;:;tion. (doUar amount not required except for honoraria)
NONE (No repo::tab!e non-in'\feStmeut lncome.)
IV. REIMBURSEMENTS transpocta:ion, lodgir.g, food, cnteruinmenc-
(Includes those to spouse and dcp-endent children. See pp. 25 2.7 of instructions.)
NONE (No such repcrta!i!c reimbursements.)·
SOURCE
!.
Gw l
SOURCE DESCRIP'l10N
CREDITOR
l
CODJ;l
- (r'.fo such repor.11bie gifts.)
CAMPBELL. LSV!N H
'\l. S. ;1nch.1dcs those 10 spous aTJd dependent children. See pp. 28-3 l 1.1f instructions.)
NO:\"'"E
!.
VL IJABILITIES. (Includes those oospouse and depe:ident children. See pp. 32-34 ofinstructi°""'}
ll2I NONE (Norepornih!eliabilities.)-
DESCRil'TlON V AilJE
l.
4.
7.
I
A D
]
"- I
I {1) (2) (I)
I (2) {:)
(2} (" (4) (5) I o,
"'
-
I
'
I
I
c D E '
Ih)()t cxempc from <lisclcsi..."2
:FiNANCIAL DISCLOSURE RE?ORT Nmn< ,)1'7-..:rsvn RcpaiLing
Ct\i\-fPBE:::_.L. LEVIN H l'itge 1 of10
A. n. c. ln.:ori:e Gu.ring Gross vnJac ;itci:dof T:nr.sactic:u du<lllg reporting period
De;;oriptbn of As ts rcpodn5p1.:'riod reporting period (iuc:urling !rust ;;ssecs)
Piare noo .. after ev.c!:l .!!'...'>et cxencpt
frotn prior disclosure
DNONE (No repc:uible ineome, ass':!S. ortran.roctic113)
!. Trust #t
2. -Coca-Coia
J. KErr..erson Electric
-Hewlett Packard
s. -Hubbel lnc.
6. ..Merck& Co.
-Quiinhy Country
il. -Schlumberger Ltd.
9. -Scudder lntmed Taxi Amt Free CL S Fund (Mot Fund) See VIII
IO. ...Scudder Tax Exempt Cash Inst. Shares (lviutual Fund)
11. -Vanguard International Growth Portfolio {Mutual Fund)
12. �Thne Warner (fonnerlyknown as AOL Tir.1e Wainer)
13. us Treas. Notes 6.25% VO?
14. -Trave:°"' Ins. Recd. Anrulily
15. from deceased father's ins.
16. P:rovider,tMutual Lifeins.
17. Recd. Annuity from deceased
18. fiather's lns. I
Arnvunt Type (e.g. V:t!l.'.e Vulne Type (e.g. Dute: Vnbe Gain Identity cf Code 1 diY. rem. or Codel Methud buy sd1, :--1onth Code2 C:::dc buycrisclie; (A ·fl) inl) {J-P) Ccde3 merge-r, Day (J-P) (A- (ii?rivate
(Q-Wj redcmptWn) trnn nttioo)
E Divldendf.mt Pl T
.
lf'.oornei(;zi11 Cn1ks: =Si,00'.iorl ss = ::::,or•1-s2,son ""s:.,5:J:1-S5.00C> ""'S5,DOl.Sl.5,f)\,(I ""$15,00!-S5L00£
V;hut C\.Jo:le::
i
I
I (1) (2)
7yjre
i
(1) (2) (1) (1) {3) (4)
I
l
I
-------
(5)
I
I
------------
(e.g,
(ifpriv�ue
Fii{AXClAL DISCLOSliRE REPORT
?:age 2 of 10 CA?.lFBEL . LEVIN H
'I'll. 1NVEST:\1IBi'lTS :md TRUSTS
A. " c. D.I Inccmc dttriug Gross v;.ih.le at ei:d nf Tr-,uma-cticms duri:1g porting period
De.script ion QfAssets reporting p.."'l'iml repmting period I (i11cluding L."US as.sets} Jfnot e:<:eJnpt fi'om Q1scfosw.'e
Typ� (e.g.Pl:ire "(X;'• after cu ch i.!SSet exempt Date:va::.ie ValueAr<c<.mt Vnh)e G iu identity of buy. sen, fmm-i:riordisdosw\: Cudc2 i'ffcthod f.>ionth -Cede I div. Corte2 Code buyerlsellcr
lr:l.nsaction)
rent or
CodeJ mt:-gcr, Day(A-f!j fril) (J-P) (J-l') (A· redemption}(Q-W) H\
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
19.
30.
3 l.
32.
33.
34.
35.
16..
Union Cen:rn.1 Li:'e lns. Recd.
annuity from deceased father's
ins.
-AnCnver, MA 5.7(J!A. 11106
.
- .l\.bbott Lllboratories
wFe<leta1 'Kationsl f.1ortgage Association
-lntel Ccrp.
-J.P. Morgan O,ase & Co.
-Microsoft Corp.
-Cisco Systems. Inc.
:rempleton BnNri;ing Markets Fund (Mutual Fund)
us Treas. Notes 6.()G/ti 8/09
-Agilent Technologies ln.c.
·Tra.1.s0Ct%1:n Sedco Forex Jnc.
-Johnson & Johnson
..Pepsico, fuc.
Sunguard Data Systems
..A,Jcoa
Total Sale 112 J c
Buy 112 J
1110,mt>'Gai:< Codes: A = Si,00(1 or kss = Sl,DO!-S2,50Cl = ,50;..,::5.oon ::: =s- .oo·:.:SJ:i,on::
'.:S:wCohwtt<;;Bi fir,:J;).;) f =S5i),001 $10l\DC::,· G = S!f)iJ,OOJ-Slf:!J0,0\l } Hl ""s:.c;:>:.Jit;;..',:,,ooc.:.n:.D �_: ,,.. i..: w-' m::i:; 55,0�)iJ,:;0:1
-<' 'I '•"
i
I
)1.
40.
'
(1) (2)
•
I
(I) (2} (I) ('.'.) (3j
I K
' J
J
'
(4) (5) G:iin
I m
.
- .
I
I
Pl 00 s:.flillHl:;;.]-.::,J.lD:':J;(li)
F'INANCJAL :lEPO?:f Daoc af Report ?;:tge 3 nf 1-0 C,-\!i<IPSELL LEVIN H 4!26/2004
n.A.
Description of Assets (i:ncludi'lg trmlt asset;)
Place "(X}" afterfY.l;:h !!SS'! exempt from prior disclosure
38. -Anada:'ko Petroleum
139. -Avery Dennison
-BJ's \Vholesale Club
41. -Bank of A.m..'"fica
42. -Cardinal Health
43. ..Citigroup
44. -Constellation Brands
45. ·Exxon Mobil
46. First Data
- ...
48, -Lowe's
49. Marsh & McLenna.i.
50. -Medtronic
51. -Prologis
52. Public Storage, Inc.
• 53. -Roy.al Dutch Petroleum
54. ...SBC Cornm::nicalions
lnccrne during teponiug pcrioJ
AmocJTI r,,,., (e.g. Code l div. reuL or (A·HJ int)
'
c.GroNJ v.:.;<.l.c aten• of Itt";JOftir,g p doC '
D.Tt1tnsl\ ions du.""ing re;::c::ta1g p¢ricd
lr';ior exempt •iommsclosurc
Va:ue Vulue Type (e.g. D.:i : Value C<ide2 ;.,tethod buy, stU. {onth - C00c2 (J·P) Code :'.l merger, Day (J-P}
(Q·W) redcm;:t:on)
Buy 6130
Buy l/2 J
Buy 112
Buy 1/2
Buy 112 1
Buy 112 J
Buy 6130 K
Bu-y 112 J
Buy :12 J
BU)' l/2 J
Buy 6130 K
Buy 112 J
Buy 6130 K
Buy 112 J
Buy 112 J
Buy !12 J
Buy 6130 K
Buy 6/JO K
Identity of Code buyer!st:l!zr
IA· (ifprivcte transaction)
'
I t
D = s:,CC;t-S1,50D C =$25'.J -S:i.OQ!:: D ""S ,0111-S.15,0HO G =S:DC-,001-$1,000,D-DO P.l ""tt,OJGJ:o:-s:,000.000 H2 =!vloro ban$<,oo;:,ono
K ""S :,001-.150,D:JL
P.i =· :-L ,._,'IT; tl::m S5l\ c1:;,u::-,, P:! $SJ1;}'_•,t:: 1 - . . .{){ (•/' ·:;
'
1" u
(2) [t) \2) (2)
l
!
i h i
72.
---------···------
I
'
-----
la, (5}
m
! j
. .
I !
I
·· ..,,, '
·----····------------ -..
�::"" Type (e.g,
(J-P)
ff not ::xempt frof!1 di;:;dos'JJ:'C
Ifll'L�'ICIAL DISCL.OSUP..E _f�EP(}R1" ''""" .:1 of
Y::l. INVEST:WEl'lTS m1d TilUSTS
A. "· c. D. Income darr.g Gross v.alue aten<.i of Tmn."1ctforn <le.ring rcpmi:hlg perilxt Ce::cription cf A:BCl'> re;;or:l:1g :icrioJ.
(including rxst a:ue!sl r ;xir1ir4f period
(l) (1)
huy, sdl, nwrg:i:r,redemption)
Co<lc 2 J C:1'JePlace "(X}" after each nssetexenwt from i;::ior-dlsdo:mrc
t\n-.ormt Type (¢ g, \':dr..e Vn!ue div. runt.. N" Code2
""'" Month-Day
J:dei:1:it;.• of MethodCode l
in'..) Cotfo3(A-H) bnycr!scller(ifprivntettnnsaction)
(J P) J 1 {A« (Q·W)
55. -Staples Buy 1:2
56, Sysco Buy !/'.!
51. -Vodafo:ie Buy 6/30'
58, "Wells Fargo Buy Il2
59. -Simon Property Group Buy 112
60. Total Sale 1/9
61. -Medco Eealth Spinoff 8/21
62, Total Sale 9122
63, -Nation\vidt: .lns: Rec'd. Annuity payments (X)
64. Trust#2
65. -Scudder Tax-Exempt Cash lnst'l Shares
I 66. south Carolina 43% 4/03
i 67. -liS Treas. Notes 5.7!% 8103
68. -'CS Trea, Notes 4.25% 11/03
69. -US Treas. Notes 4.75% 2,\14
170, -US Treas. Notes 5.875% 2104 and 1:1os
! ! • -US Treas, Notes 6.5% I 0106
us Treas. Notes 6.25% 2107
G Int. & Divi. P2 T
Maturity 411
Matu;ity 8il5
Total Gift lil4
J
K
J
J
J A
See VIll
J c
M B
L SeeVIU
0 Boston Symphony
l) "'S:l,1X'c!4'.:',50lt G ""$lDD,001-$1,0fJ0,fK1G
: - \'r.:u;; Cctlc:: K "' l 5,0(1 J $50,00D (· ... :r.sGD,(JOt·SLOV\"; .. ,,
---·-·-------
'
75.
! I
I UI (2)
int)
'
'
(l) (2) I (l) {2) {3!
Mcilvx!
L
L
K
(4) (5)
l fl\
. -
D
i l l
I
'
I
c.
Narr of Person ].eporri1\G Da1.0: efReport. C.A.f.1P!3EI.[., LEVIl'f H 41161 004
n. D.
lr:romed . Gross value at encl cf Dcsuipifon ;Jf :\sscls ;cporting pctiod repcrting period
(includbg tr.ist nssets}
A.
T:ans;ictirnis during reportinz perie<i
lfuot exJ:cif:t :him disc'..::s.4"0
Place "(.'{)"after euch ;:ssct exe:npi frurnprior disclosure
73. -Oill-ette
74. Pepsico
-Penigo
76. Procter & Gamble
77. -Er.xonM-obil
78. Schlumberger
79. ·Ar.;ericP.r. !nterr.ational Group
80. -Berkshire Hathaway
81. -(;.nnbridge B"'corp
82. -CitigrorJp
83. FiftyAssociates
84. -Travelers Property Casualty Corp. Class A
85. -Travelers Property Casualty Corp. Class B
86. -Abbott Laboratnries
87. -Aventis
88. ,.Jol:,.nsan & Johson
! 89.
190.
Amount r,,,, (•g.Code 1 div. R:!!t. 07
(A-HJ
Value VnJue 1""" (e.g. '.:>a!e: VaineCode2 buy, sel },fonth- C(ide 2 (l-P) Code:3 mer get, Day (J-P)"
(Q-W) redemption)
Partial Gift 3112
Parml Gift 1/14 M
Partial Gift 1114
Partial G:ft 1114 M
Llquidatio lQ/24 J n
Total Gift 1114 )
Total Gift 1114
Partial Gift 6126 K
Pnrti.al Sale llflg K
?artial Gift 1114 M
Purtial Gift 10/7 K
Gain tclcutity of Code beycr!selict
(A- (if private transaction)
BostonSymphony
BostonSymphony
BostonSymphony
Boston Symphony
see vnr
Bos:on Symphony
Boston Symphony
Cambridge Family Services
E
Bosron Symphony
\Vlnsor Schoo!
I
I l
IJ ... :;1,:::11,.$2,:50{; C ,,. S1,50l-S5.D00 G = s1oc,uo:.sto:10,&1c
L "" $5D.G\1: .s1r:::. ":; : lv: "'Si0',;_u l·.?25(i,0\1C: l't S'..0iY:.::J; S5/Jdttfo'.:'.'. !12 ""'S:,QOU.(l'.';.::::.001'\it:¥f ·p4 . Sh ..rr :J1m1 S ::.o:;:;_fJ0J
'""· ·:n::·
I
I (1) (2) {!) (1) 0)
(?) (l) (4) (5)
91. I K
D
94. J
l K
i
.fu:el
c
'
����-
(J.P) tr.lll5;tCtion)
197.
J !OS.
B. D.A. c.
Ibc;o:ne ti:uing G:oss,\'aleei:t end of Trnnsactions: d:tring reporting period Des::ripticn of Ass:eu rc- on-lng perio<l rcpc;oing pcnod
{indnlli::::g tru.s il:S2CLs) ff001 cxen:ipt trom disdos1Jre
Amoi.mt Tyre Value V<llue T;';le (e.g. Place "(Xt after each asset el\ernpt Thlte: Value Garn Jd<::mtlty nf (<'.g. buy, seH, Meathfrom prior dix iosurc Code l Civ. rc<i:. or Cocte Z Mclh::itl Code buyer/sellerCode2
Cod : rr&rg•!i'. Day(A->ij foL) (J-P) l (A· (if private (Q·V./ rcdc tion) m
Partial Gift 12131 WGBH
92. -Pfizer
93.
95.
96.
Partial Sale
Partial Gift
Partial Gift
Partial Gift
Merger
!0127 L
1/14
12131
M Best.on Syn phony
V/GBH
4117
Sea Education Ass'n.
See vrr:
Total Delfv See'\tlllPhanr.acia 4117
198. Aut:lmatic Data Processing
i 99 -Oenera1 EitX:tric
100. -Servicemaster
rn1. -JM
Hl2. -Cisco Systems
103. -Hevwlett Pacb.rd
104.
105. icroooft
106. Alcoa
107. -Vodafone
Panial Gift
Toal Gift
Partial Gift
3/12
l/14
1114
L Boston
Symphony
M Boston Symphony
M Boston Syrup bony
Total 01ft v.:ir.sor School 10/7 J
D = Sl,00! $2..50D G = SlilJ,001 $1_.'JflG,t-OO
·-:11,11,: --- - --- -------·--
A•
'
I (2) (1) I c:)
'
(2)
l I
I
I
I
(3) (4) Gain
HI
E
I
(5) (1)
N.::m of Pers;1r1 Rq1<-1rt!ng
Page 7of10 C . .lJ,,tPBEiL, LEWYiN H J120:::;;;04
B. c. D. Im:ome during Gro:B -;aluc at enJ of Tnw.;:;;c:::::,,·, Jurffig reptui.!ug perfod
Descriptfan tlf Ar:;:eb: n:portillg pcriotl r-vortirg penctt (including !;\'-!St n!>Sets;
Ifut•tcr.cl'l t from rlisclosurc (:)
Pince ''{X)" after ea.:;b nss.et ex t V>tlue Value (e.:;. n,..,, Amount Trpe {e.g. Value Identity of from priITT disclosure Cotlo2 Metiio:i S<lll. NiomhCOOJ: 1 dIY. rent ox coo. 2 Code bu.vcr.·sdlc;::
orerger,(A-H) inl.) (J-P) COCe3 Daj• (J-P) 1 !A- {if private (QW) n:<wmpOOit) tr:3.nsacfion}
O!>. -S & Co Spedal Equities Fund
110, ...S & Co Technolr;;gy- North American 1gmt
11. -S &Co Health Science Fwid
112. -S & Co International
113. Stor.ey Brook Parn1 rship
114. -Shering-Plough
115.
116.
11 i. Bank Account. Sovereign Bank
ll&. Trust #3
119. -Pepsico
120. -Procter & Gamble
121. ..Merck
122. -Pfizer
123. -Pharmacia
I !24. -Johnson & Johnson
12$. *Ag11cnt
126. -Intel
A Ir.cerest K T
G Int &Divi. P3 T
Buy 5121
Buy 6119
Partial Sale !0/24
Partial Sale 5112
Mergor 4116
Tollll 4116 Deliv.
I
I
M
L
K
M G
- -
.
See vrr.:
.
See Vlll
See Vlll
A "'SJ,CHX1orles.-;; B ""$1,001 S:.'..:5DC C = s::,;01- 5J)i)f1 D = S5,(/\H •.)J5,D0G
,��C<" Ctitrnnns E at:.i ;:;.;:; F '""550_'.::; ,-:ClOO,ODO C ""-$llJQ,0\,Jw$LG:::J/tJ(; .lll = $'./•02.t .:fl-S5,00!J,\\OO . H2 = i.,.lorn that: $5.0 :>,f::!s
l
1 140.
1141. I
(2)
I
i
'
(i) (2) (l) Hnot
;2:) (3)
I
915
{4)
l rn
G
!
(5)
. .
.
i
(e.g,
c.xanpt fr0m <fo;;;ior.;:re
(:·Pl
;;., B. c. ncome ;:hiring Gross vaiue ;;r i!mi of Trru1s.ru;t\om during; tic::ling period
Descriptbn cf :'l·ssels rep<ming pc:ri!ld rep.,wt::tg 1:<riod {including :rus:i; assets}
(l)
Type (e.g.Place "(X)" .::.f!:er each asset exernp:: Oatc:Value Va]ill} Typ.-Amount Value G:ib Id ntity-.::f' buy, sell, frorn :ier dl los.ure Method klcnth -Cndi:2Codcl div, re:i:, C" Co:ie2 C:Jde buye;treller
CodeJ merger, Day rcdemp!ion)(Q-W)
(A·J.n int.) {;-?) (A· (if private tra!JSflctfon)
'" -Automati>) DJ'bl Processi11g .... , ,
128, -He-.\'1ett Packard
l29. ·IBM
130. -Microsoft
131. ..Cisco
132. -Ocnc:al Electric
133. ..Cbevroa JeXR.,"O
134. -Schiurnberger
135. .Citigroup
136. -Federal National Mort e Association
137. -Amerk:an 1.'1ternational Group
138. -?,,,la..-rsh & McLennan
139.
-Berkshire Hathaway
-Westborough, MA 2.5%1 5/03
!42. -Brookline MA 33% 5/04
!43. Rockland, MA 5,0% 7/04
!44. ..Lynr., MA \Vtr. & Sw . 3Al!4 6/(}5
Buy 919 L
Partial Sale 6111 !v1
Buy 5/12 N
Buy 5112 M
Buy M
Buy 5112 M
B:Jy 915 M
Maturity 5123 N SeeVIll
1. i.1,:c;n<!"Gii.LCodc;· A =Sl,00'.>DTlcn E $l,00t·S2.5JV C =S2,5CrJ• .'.J5.0JC· D re'.;S,OOJ-�:15,DD-ll =
=,:;,.,; C:ilu:nm:Bl and!J.:) F :SC.\1:i-SlD2,00 ' Hl -" l;WO.Cl;:,-:<;.000-tJ\K'. H:: f',{on:tlum $5.0Q!J,\:JZl =
i
ll.
.
(l) ('.!) l (0 (2) (:!) (l) (4) (S)
(A
A
I
.
i
-----·---·---·
I
c. D. !ncvme ..'htring Gross v-ui\1e t c1:d of Traru::.trtions d;:ring :cpon:ing period
A.
Descripti:.:n of Asset.>. n.11vr-;fog perlo<l v::xiiting period I (including tru. t ussets.}
IJ'aot cxcmpo fromdisclostur; I ll)
I Place "{X}" ntkre:::.eh cuet exempt V.<:ie:; Velue T)'l'e (c. Dme:Amount Type (e.g. Value Gain Tdcnl.ity -0f frotn prior tl.isck:sure COOc l crv. :t'm.or Code2 Method buy, :;ell, ::Vlonth- Code b-i1ycr'IScTicrCode2
merger,(J-P) Code3 Day (J.P) 1 (ifp;it>::<te:(A ·'1) int.) reC::m;ition) 11\ ;,ransacti::m)(Q-W)
145. -MA BayTransp.Auth.5.25o/u3106
Full call 9126 ll46. -Mass. St. Hlt. 6.4% 7!06
147. -Stooghinn, MA 4.3% 2iUI
. .
148. -Mass St. Tpk. 5.13 ,t,, 1/09
149. -Mass. St. Hit. 4.5%7109
150, -North Andover, &<1A 4.5% 1/10
15 l. -Fidelity Inst. Tax Ex. Cash Port
Buy 5112152, -CVS Corp. M
Buy 10117 N153. -Illinois Tool Weilt..s, Inc.
'
Buy 10117154. News Corporation LTD. ADR N
Buy 10/30155. -Columbia High Yield Mutual Fund (,
Spinoff 8125 J156. ·Me<lco Heal!h see vrn
Total Sale 10117 J D157.
.
(,158. IRA A Int. Div. r See Vlll
-Scudder Orow".h & Income Fund159.
I 160. Scudder Large Company \talue
161. *Scudder Money .ivfkt. lnst'l She;'cS
Partial Sale 12122 J162. "'Scudder income Fund A
·-·------··· ······- ····----·--·--·-----
.
! '
I I
{l) (2)
A
I f
(l)
l 2)
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Fli'lANCLAL DJ.SCLOSURE :REPORT
1il ()f lll
l.NvESTlVffiNTS and TRUSTS
A.
Desr.riplim1 o:'AsS<:ts (lncludi:lg trust tlSSCtS)
Pim>: "(X)" after each ru.o>et exe;-:upt trom prior disclo&UJ'C
163. -Bank Acct, Cambridge Trust Com y (X)
n. focotue durlng
r.:porti:ng r.eriod
Amounl T;'Pt (e.g. Ced(! t dlv. rem. or (A·H) in<.)
Interest
c.. Gross vn ne at end cf 1 re;iortlng p<!riml
VJii:e Value Cvdlil2 t 1ctlli0d (J.P) C-Ode3
(Q-W)
E T
1'ype (e.g.buy,setl, merger, tedcr:iptio )
4/261::004
D. Tmnsrwtioos during re c:t¥g f)er:od
: not cxec1pt ihn1\ discirisurt;:
Dute: Value Go-in ldentit<; af f...for: h • Code2 Code buyeri5 :\c;Day (J-P) ! (A- (if private
"' tnru:ric:ion)
See VIII
:l .S: ,Otl S'.L:51J[1
G Sl f.Ji.',Gl'.tl ..$: LOD0,CiX!
Q
I
96-97: Pha.rmareia merged into Pfizer. As a res:.::t of this merger, Phannacia shares in trust v.:ere c!elivered, and ?fizer she.res were received in return,
116. Scheriog-Piough sold at a Toss,
122-123: Phmrulcia m:rge into Pfizer (see comment& 96-97 above)..
14 l. No gain or loss on maturity of this bond.
l 56. !Y!edco splnuff; See note 61 above.
158. 'This IRA, which had a value as of 12/3 :I03 of S50,890.27, was inadvertently left off prior financial disclosure reports. The IRA is and has been
I '.\2me of Person Rcp:o::frng
CAMPBELL. LEVIN a
Date of Itcpori:
ADDITIONAL ll"'FOR.'WA 'I'lON OR E,"\:PLAl'fA TIONS
4126/2004
9. Sct<dder Inte:rr.etl:ate Ta.x/AlvIT Fri:-::: CL S Fund: This is the ne:;.v ';1.ame of the n:".::"J.al fund fnrmerly known as the Scudder Medium Tem1 Iviunlc!nal
Bo;:d Fund. Tee n roechange occurred on l 0/31/03. ·
61. S'f.ar-es -0f 'ledco lfealth v;ere received as a result of t.1.e spinoff of that corporation from Merck.
67, Loss incurred on maturity of this bond.
83. This j)artner.ship liquidated in 2003. TrJst #2 received a fin:i.1: distribution from the partnership as part o the liqujdation.
invested sclely in Scudder mutual funds.
163. This is the first year that this account has had ass:ets above the reporting fr.reshhold.
Nore: Alt stocks listed on this report are' common.
I"\:. CERTIFICATION.
I certify th.at ai! informati.011 given above (including infr:rm tia!l ?ertainlng to my spouse and minor or dependent chHdren, if any) is accurate, hue and complet
· c to the best of my 1a!Jv-.:ledge z.r:..d belief, and that any inforrnation not reported was withheld
because it niet applicable statutory provisions pe:m:rittlng n-Jn-di'iclosure.
I furt!le:: certify that earned income from outside em;iloyment and houoraria aud the acceptance of gifts wbich have been reported are in compliance with the provisions of 5 U.S.C. § 501 et. seq., 5 U.S.C. § 7353, and Judicial Conference regulations.
Signature
BE SUBJECT TO CIVIL Mu CRIMJNAL SANCTIONS (5 u.s.c. app. § 104) NOTE: ANY INDIVIDUAL \\'HO fu.'!OV\11NGLY AND W!LFULL Y FALSIFIES ORF AILS TO FILE THIS REPORT MAY
FILlNG INSTRUCTIONS
Mail signed original and 3 additional copies to;
Committee on Financial Disclosure
Ad:rn.inlstrative Office ofthe United States Comts
Suite 2-301
One Columbus Circle , N.E. Washi'lgton, D.C. 20544