finncl disclose eport reort rquired by the etliics in gonmnt … · 2019-07-26 · ·i i ·· - ..1...

14
:!.. ·r--·% lf ·�- -- __________ _ IPORT A POSmON NA OF ORGON PAT A T 0 \ .. •i - {:-¾ -/- -0-- þ ° "8:·, Reprt Reuired by the Etllics · A0-10 FINACI DISCLOSU RPORT in Govmet Act of198. Re.110 Cend Ye 2003 (5 U.C app. §§ 101-lll) 1. Peson R:orng (t name, Firt name, Middle initial) DLI, SUSA J 4. Title (Atcle: Il Judges indicat ative o seior sts; maistrat judg:s indica fl- or par:-tme) US DIST J-AC 7. Chabe; or Ofc Addrs US CUT HOUSE STH FLOR ROM 829 CINCINA1 omo 45202 2. Co o Orgiztion 3. D ofRepor US SOUTRN DISTC OF OHIO 6/18/0 s. RerTe (cec apropria tpe) 6. Rg Pxo Q Nomo Date lfl/3 Q Int @Anu 0 Fia t 121/3 - 8. On te basis ofte infonation cntined in this Rep and any modifications png therto, i is, i m opinion, in cmpliac w applicable law ad rgulaons. Rvieing Ofc Dat NOTES: The illscto acmayg t f m b fllowed. Cole al pa, chekng te NON bx fr eah pa ' you hav no reporle blno. Sig on la pa. I. POSDJONS. (ReJng individi only; se p. 9-13 of f intcton) !l NONE - (o rorle poiiitions.) l. I. AGEMS. (Re individua o se pp. 1416 offtin iction) w NO - (orlea::i.) I. U) n r - - n- c:. i-!i( ('/> . .. :r - = = .; c: N . ) - .. 0 .: ; y·11 0 f7 n 0

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Page 1: FINNCL DISCLOSE EPORT Reort Rquired by the Etliics in Gonmnt … · 2019-07-26 · ·I I ·· - ..1 - SOURCE 1. GROSS INCOE SO.CEPPE TN · FNNCAL DISCLOSURE EPORT Nme of n Rpoting

:!... ·r-:---· l'.;f

·��--------�----�----r-------�----------------------+--------

__________ _

IMPORT ANT

POSmON NAME OF ORGAN1ZATION/ENTITY

PARTIES AND TERMS

0

\ ... •i

--

{./)::- - -.,. - --

""- :·,

Report Required by the Etlliics ·A0-10 FINANCIAL DISCLOSURE REPORT in Government Act of1978.Rev.112004

Calendar Year 2003 (5 U.S.C. app. §§ 101-lll)

1. Person Ri:poirting (Last name, First name, Middle initial)

DLOIT, SUSAN J

4. Title (Article: Ill Judges indicate active or senior status; magistrate judg:es indicate full- or par:t-time)

US DIST JUDGE-ACTIVE

7. Chamben; or Office Address

US COURT HOUSE

STH FLOOR ROOM 829

CINCINNA1rI omo 45202

2. Court or Organization 3. Date of Report

US SOUTHERN DISTRJCT OF OHIO 6/18/04

s. ReportType (check appropriate type) 6. Reporting P od

Q Nomination, Date lfl/03

Q Initial @Annual 0 Final to

12/31/03 -

8. On the basis of the infonnation contained in this Report and any modifications pertaining thereto, it is, in my opinion, in compliance with applicable laws and regulations.

Reviewing Officer Date

NOTES: The illlstructions accompanying this form must be followed. Complete all parts, checking the NONE box fur each part 'WhcR you have no reportable bllfonnation. Sign on last page.

I. POSDJONS. (ReJ>. ng individUiil only; see pp. 9-13 of filing instructions)

!ill NONE - (No reportable poiiitions.)

l.

II. AGREEMENTS. (Reporting individual on1y; see pp. 14-16 offiting instructions)

NONE, - (Norcportableagn:c:menis.)

I.

U) nr--r,n-

c.:::.:>

i-!i("j ('.°'/> .. :r-

-. = = ..:;;:-

c:::

N .c

)> -..

0 .:::;,

;:o ·11

0 f 71

n1 0

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·I I · · -L- .....1 -

SOURCE

1.

GROSS INCOME

SOUR.CEANPTYPE

DESCRIPTION

· FINANC)[AL DISCLOSURE REPORT Name of Person Reporting ate 01rReport

DIDIT. SUSAN J 6/18/04 _

ill. NON-INVESTMENT INCOME. (Reporting individual and spouse; sec pp. 11.24 of:tiling instruction s)

A. Filer',s Non-Investment facome

M NONE · (Noreportablenon·il vesbnentincome.)

AND TYPE

{yours, not spouse's)

B. Spouse's: Non-Investment Income -(lfyou were married during any portion of the reporting year. please complete this section. (dollar amount not required ccpt fur honoraria)

NONE (No reportable non-i11vestment income.) ·

1.

N. RED�BURSEMENTS transportation, lodging, food, entertainment. -

(Includes those to spouse B111d dc:pendent children. See p p. 25-27 of instructions.)

NONE (No such rep<>rtablie reimbursements.)·

1.

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r-·'""""'-DLOTI'.

DESCRIPTION

,_.,_

VALUE CODE

- FINANCIAL DISCLOSURE REPORT

SUSAN I 6118104 • .

V. GIFTS.. (Includes those to bl>Ouse and dependent children. See pp. 28-31 of instructions.)

NONE (No such reportabk gift.i.) -

I.

VI. LIABULITIES. (Includes those ofspouse and dependent children. See pp. 32-34 of instructions.)

li2I NONE (No reportable liabi:litics.) -

1.

Page 4: FINNCL DISCLOSE EPORT Reort Rquired by the Etliics in Gonmnt … · 2019-07-26 · ·I I ·· - ..1 - SOURCE 1. GROSS INCOE SO.CEPPE TN · FNNCAL DISCLOSURE EPORT Nme of n Rpoting

I �---------· ·-----------------'--------------------------·-----------------------'----·-

from sclosure

(3) (4)

---·---------i-------;--------t-----t------ti--------1------+----1-----1------------1

e/GainCodes: I

---

----

FINANCIAL DISCLOSURE REPORT Name of Person Reporting

(l) (2)

(if priviite n:demption)

Date of Report Page 1 of 9 DLOIT, SUSAN] 6118/04 -

VU. JNVESTMENTS and. TRUSTS - income, value, transca!ions (includes those of the spouse and dependent children. See pp. 34-57 of filing instructions.)

B. c. D. Income during Gross Ya!ue at end of Transactions during n:porting pericd

Dcs.cription of Assets reportiD!J: period reporting period(including trust assets)

not exempt (2) (1) (I) (2) (S)

Plac: •()Cf after each asset cate11111t Value Value Type (e.g.Amount Type (e.g. Date: Value Gain Identity offrom prior disclosure buy, sell, Code l div. rent. or Code2 Melhod Month- Code2 Code! buyer/seller

transacticm) (A-H) int.) (J-P) Codc3

(Q-W) Day (J-P) (A·H)merger,

0 NONE

1.

..... (No reportable Income, U&c:ts, or transactions)

2.

3.

6.

7.

8.

9.

10.

11.

12.

13.

14.

16.

17.

18.

A =$1,QOOjlrless B = $1,00J-$2;500 c = $2,501-$5,000 D = $5,001-$15,000 E = $15,001-$50,000

(See ColunmsBI and.D4) F sso,om-s100,ooo G = SIOO,OOJ-Sl,000,000 HI .. SI,OOO;OOl .S5,000,000 H2 = More ti1an $5,000,DOO

! 2. Value Codes:: $15,000 or less K = $15,001-SSO.OOO L =S50,001-Sl0ll,OOO M = S100,00l-$2SCJ,OOO

(See Columns Cl and 03) N = $250,000.$500,000 0 = $500,001-S1,000,000 Pl = Si,000,001-S5,000,000 P2 S5,000,001-:>25,000,000

P3 $25,CWO.OOl·liS0,000,000 P4 = $More than $50,000,000

3. Valtit Method Codes Q Appraisal R = Cost (Real Estate Only) S = Assessment T Cash/M.arket

(See Coiumn C2) U Bo>0k V;alue \I Other Vi =Estimated

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_______ ,

(2)

[l fu'c-;,;;.iQ;ri;c;1es;

---

----

--

(4) (l) . (I)

(S)

FINANCiAL DISCLOSUJlE REPORT Name of Person Reporting Date of Report

?age2 ol[9 DLOTI, SUSAN J 6/18104

VII. INVESTMENTS and TRUSTS - income. value, transcations (includes !hose of the spouse and dependent children. See pp. 34-S7 of filing instructions.)

A.' B. c. D. Income during Gross value at end of Transactions during reporting periocl Description of Assets reporting· period reporting period

{includingtrust assets) (1) (2) (2) rsclosure

Identity of l'laCI' "{X)" after eadt asset lWl!npl Type (e.g. Amount Type (e.g. Value Value Date: Value Gainfivm priordisdosure Code l div. rent. or Code2 Method buy,sel Month· Code2 Code I buyer/seller

(A·H) int.) (J-P} Code3 merger, Day (1-P) (A-H) (if private redemption){Q-W) transactio11)

27.

28.

29.

30.

31.

32.

33.

34.

35.

36.

----·--- ___,,____

== =A $1,00D cir less B = Sl.OIU .$2,SOO C "'$2.,SOl-$5,000 D S5,001 -Sl5,000 E $15,001-SSO,OOO

(See Columns Bl andD4) F $50,001'·$ 00,-t>OO G Ht .. sa.000,001-ss,000,1100 H2 =Mme than S!i,000,000 S!OO,OOl·Si,000,-0.00= =

2. Value Codes: = $15,000 or less K =$15,001-$50,000 L =$50,001-$100,000 M $100,001-$250,000

(See Columns Ci and D3) N = S250,000-S500,000 0 = SSOO,OOI•Sl,000,000 Pl = $1,000,00!-$5;000,000 P2 e $5 ,000,00! ·$25,000,000

P'.\ = S25,000,00J-S50,000,000 P4 =$More liian $50,000.000

3. Value Method C ,des Q =Appraisal R =Cos! (Real E.s1ate Only) S Ass t T =Cash/Market

t5.ec Column C2,1 U Book V u W = fa1imatetl

I

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I I of j

Page ______ , , ______ .._ __ n_LOTI __ _su_s_AN_J ______________ .-l _ _ ._6,

----

----

----

F

lJ

B.

v

(3) (4) Gain

osurc (5)

-----

FINANCIAL DISCLO:SUJRE REPORT Name of Person Reporting Date 3of9

VII. INVESTMENTS aitid TRUSTS - income. value, ll'allscalioas (mcludes those of the spouse and dependent children. See pp. 34-57 of filing instructions.}

c. 0.Income during Gross value at end of Transactions daring pi:OO:IJ:>esc:ription of Assets reporting period reporting period (inclillling lrUst assets)

I notexempt(I) (2) (I) (2) (I)

Place "(X)" after each asseil exe!i I Type (e.g. (2)Amount Type (e.g. Value Value Date: Value Identity of fi'om prior disclosure Codc 1 div. :rent or Codc2 Method buy, sell, Month- Code2 Codel buyer/s ller (A-H) int.} Q-P) Code3 merger, Day (J-P) (A-H) (if private

redemption)(Q-W) transaction)

41.

42,

43.

44.

4S.

46.

47.

48.

49.

so.

SI.

S2.

1 1. Income/Gain Codes: A = $1,00D cir less B = Sl,001-$2,500 C = $2,SO!-SS,000 D =S5,00J-S15,000 E = $15,001-$50,000

(See Columns Bl andD4) = SSO.OO J.. $ l OG,.000 G = SlOO,OOl-Sl,000,000 HI =$1,000,001-$5,000,000 H2 =More than $5,000,000

2. Value Codes: = Sl5,000 m· less K s15,001-$50,000 L = $50,001-SWO,OOO M s100,001-rno,ooo

(See Cohunns Cl and 03) N - 5;:!;50,00IJ..$500,000 0 = $S00,001-Sl,OOO,OOO PI = $1,000,001-$5,000,000 P2 = S5,000,00l-$25,000.000

P3 = S2S,00ll.,OOJ-S:50,000,000 P4 = SMcre than sso,noo,ooo 3. Value Method Codes Q Appraisal R = Cos: {Real Estate Only) S = Assessment T = Cmm.IMarket

(5'1:".:. Column C2} = Book Value Other w = Estimated-- ------ - ·-

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-------(

(2) (2) (4}

Gain

:-----·�-------------+-------i----------1------+------+------+------+------+-----1-----------1

Date of Report

(I)

Type (e.g.

67.

FINANCIAL DISCLOSURE REPORT Name of Person Reporting

Page 4 of9 DLOTT, SUSAN J 6/18/04 -VII. INVESTMENTS ailld TRUSTS - inc:ome, value, transcations (Includes those of the spouse and dependent children. See pp. 34-S7 of filing instructions.)

B. c. D. lncame during Gross val11e 11t end of Transactions during RpOrting period

I>esc:ription of Assets repprting period reporting period (inclwding trust assets)

(I) (2) (I) (S)

Place '(X)" after each assetl CXfll11pt Amount Type (e.g. Value Value div. rent.or

Dm: Valiie Identity of from 1priar disclosura Code2 Method buy, sell, Month -Codel Code2 Code l buyer/sillier

(J·P) Code3 merger, Day(A-H) int.) (J-P) (A-H) (if private transaction)redemptioo)(Q-W)

55.

56.

57.

58.

59.

60.

61. .

62.

63.

64.

65.

66.

68.

69.

70.

71.

72.

I. Income!Gain Croes: (See Collllllm: Bl and D4)

2. Value Codes:

(See Columns CJ and 03)

S. Valut Method Code:;

A = Sl,11)00 or less F = SSC',001-$100,000

J = SI S,000 or less

N = s:'.!50,000-$SO!l.OOO

F':t = $25,000,00il-S:50,000,000

Q = ApJiraisa!

U =Boe>\: Value

'B G

K

·o

R

v

= Sl,001-$2,SOO = SJOO,OOJ-$1,000;000

=$15.001 -$50,000

S500,00l-Sl,OOO,OOO

=Cost (Real Ei.iate Only)

=Otne:

C = S2,S01-SS',OOO

HI = $!,OOO;OOJ-$5,000,000

L = $50,001-$100,000

Pl = $1,000,001..S5,000,000

P4 = $More than S50,0DO.OOfJ

S =Assessment

w =Estimated

D = S5,00l-Sl5,DOO

H2 =More than $5,000,000

M =SI00,001-$250,000

P2 = $5,000,0!ll-$25,000.000

T Cash/Market

E c Sl5,00l-S50,000

Page 8: FINNCL DISCLOSE EPORT Reort Rquired by the Etliics in Gonmnt … · 2019-07-26 · ·I I ·· - ..1 - SOURCE 1. GROSS INCOE SO.CEPPE TN · FNNCAL DISCLOSURE EPORT Nme of n Rpoting

·I - , - ..... ...J.. ,�����_J

I

u v

c.

(2) (3) (4) (S)

----------------· ----------------------------

,

------

FINAN( IAL DISCLOSURE REPORT Name of Person Reporting

73.

75.

77.

reporting period

(2) (I)

Gross value at end of

Date of Report J>,age 5 of 9 DLOIT. SUSAN J 6/X&/04 -

vn. INVESTMENTS and 1RUSTS -income, value, lraDscalions(mcludes lhose oflhe spouse and dependent children. See pp. 34-57 offiliog instructions.)

A. B. D. lnoome during Transactions during reporting pericxl

Dc!icriplion of Assets !(including trust assets) repor0n$period

(l) (I) (2)

!Place "(X)" after each llSSllt exeirnpt Amount Type (e.g. Value Value Type (e.g. Dale: Identity ofValue Gainllfom prior disclosme Code2 Method! buy, sell, Monlh -Codel div. renl or Code2 Code 1 buyer/seller (A-H) int.} (J-P) Code3 merger, Day (J-P) (A-H) (if priVlitc

redemption)(Q-W) tnmsactimt)

74.

76.

78.

79.

80.

81.

82.

84.

85.

86.

87.

88.

89.

90.

=I . lncome/Gair1 Codes'. A = $! ,000 ur less B = Sl,-001·$2,SGO c = $2.50:1-$5,-000 D = SS.001-$15,000 E S!S,001-$50,000

(See Colwnris RI andD4) F sso.om -uoo,ooo G = $100,00l"Sl,OOO;OOO R1 =$!,000,001·$5,000,000 H2 = More than SS,000,000=

2. Value Codes: = S 15 ,0!10 or !es.• K = S!S.OO!·SS0.000 L =SS0,001·$100,000 M =$100,00J-$250.000

(See ColUllUlts Cl and D3) N $2.50,000-$500,000 0 = $500,001-S!,OOO,OOO Pl Sl,OOO,OOl-S5,000,000 P2 =£5,000,00i·S25,00u,OOO = . =

P:i. s2s,ooo.001 :so,ooo,ooo P4 = SMore than $50,000,000=

= = =3. Valile Method Cttcles Q Apprnis1il R Cost (Real Eslllte Only) S Assessmen1 T = Cl!Sl1l1'1larke1

(See Coluum C21 Boal; Villue Other w Estimated ----·-- ·-------- -- ·---·---- -- -------- ---·------·---------

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______ ,

lnci�ain

FINANCIAL DISCLOSURE REPORT Page 6 of9

VII. INVESTMENTS and. TRUSTS - income, value, transcatians (meludes those oftbe spouse and dependent children. See pp. 34-57 of filing instructiions.)

A.

Description of Assets (includingtrust assets)

Phu:41 •(X)" after each asset ex1=mpt from prior disclosure

91.

92.

93.

94.

95.

96.

97.'

98.

99.

100.

101.

102.

103.

104.

105.

"106.

107.

108.

i ---1 Codes: A =Sl,000 ar less B = $1,001-$2,.500 c = U,501-$5,000 D = SS.OOl-S!S,000 E = SJS,001-$50,000

: (See Columns Bl andD4) F = SSO,OOl·SlOO;OOO G = SJOO,OOJ-Sl,000,000 HI = Sl,000,001-$5,000;DOO H2 =More than $5,000,000

2. Value Codes: s1s,oon or less K = $15.001-$50.000 L = S50,001-SJOO,OOO M Si100,001-S250,000

(See Columns Cl aodD3) N = Sfl,OO!i-$.500,00CI 0 = ssoo,001-Sl,OOO,OOO Pl = Sl,000,00J-SS,OOO,noo P2 = S5,000,00l-S25,000,000

PJ = S25,000,0GJ-S50,000,000 P4 = $More tban SS0,000.000

3. Vaiue Method Code' Q Apprnisal R =Cos! (Real Estate Only} S =Assessment T = C'.asl1r'Market

\See Column C) U = Bm1k Valu V =Otiier W = Es:irnated

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�����-

(2) (3) (4) osure

(5)

--

tcpOrting period

(l)

Type (e.g.

FINANClAL DISCLOSURE REPORT

fl.age 7 of9

VII. INVESTMENTS and TRUSTS - income, value, transcations (includes those of the spouse and dependent children. See pp. 34.57 of filing insttw::!ic1ns.)

A. B. c. D. Income during Transactions during reporting period

Description of Assets reporting period Gross value at end of

(iaicluding trust assets) not exempt om{l) (2) (2) (1)

Place "(X)" after each asset exeu:ipt Date:Amount Type (e.g. Value Value Value Gam .Identity of Code2 Code! buyerlsenc:r6'cm1 prior disclosuR: buy, sell, Codel div. rent. or Code2 Method Month·

int) (J-P) Code3 merger, Day(A·H} (J.P) (A·H) (if private redemption){Q-W) tnmsacti0111)

109.

llO.

111.

112.

113.

ll4.

115.

116.

117.

118.

119.

120.

121.

122.

123.

124.

125.

126.

r--- ------1 l. Income/Gain Codc:s:

(See Colwnns Bl 1md 04)

2. ValueCodes:

(See Columns Cl :and D3)

3 Value Method Codes

{. ee Column C )

A = S!,000 or less

F = SS0,))01-l;IOO,OOO

=SI5,000 c.r less

N s2so.ooo ..ssoo,ooo

PJ = S25,000,001-S5-0,000,000

Q Appraisal

V Book Value

B "'SL,001-$2,500 C = S2,SOJ-S5,000 D = S5.00!-Sl5,000 E = SIS,OO!·SS0,000

G = Sl00,001-Sl,000,-000

K SlS,OOJ.$50,00Ct

0 = $500,001-Sl,OOO,OOO

HI =SJ ,000,001-$5,000,000 H2 =More than $5,000,000

L = $50,001-tlOO,OOO M SJ00,001-$250,000

Pl = Sl,000,001-$5,000,000 P2 S5,0!l0,00l-$25,000,000

P4 =$More than $50,000,000

R Cost (Real Estate Only) S Assessmeir.

V Other W Estimated -- · ·------------·-

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_______ ,

..----�·--------- ----------,r--------:-----,.----------.--------------------------------.

(1) (2)

Codc2

sc:lo.<me (2) (3) (4) (S)

r·-l.fu�Gai;(; :s:

reporting period

FINAN IAL DISCLOSURE REPORT Name of Person Reporting :Page 8of9 DLOIT, SUSAN J

VIl. JNVESTMENTS aio.d TRUSTS - income, value, transcations (includes those of the spouse and dependent cluldren.. See pp. 34-57 offiling instructfons.)

A. B. c. D.

Description of Assets (inclt11ding trust assets)

lncoml during reporting period

Gross value at end of Transa<:tions during reporting period

127.

Place "(X)" after each assell e."<CJ111pt from :prior disclosme

Amount Code I (A-H)

Type (e.g. div. rent. or

int)

(l)

Value

(J-P)

(2)

Value Method Code3 (Q-W)

(1)

Type (e.g. buy, sell, merger,redemption)

Date: Month-Day

Value Code2 (I-P)

Gain Code I (A·H)

Identity of buyer/selller (if priYBti:: transaction)

128.

129.

130.

131.

132.

133.

134.

135.

136.

137 ..

138.

139.

140.

141.

142.

143.

144.

! ---A-=swioo or Jess

(See Colmnns Bl and D4) F = $50,,001-laOO,OOO

2. Value Code.s: = $15,000 Cl!' ltess (See Coltmms Cl ,md D3) N = $250,000.·S'.100,000

3 . Value Method Codes (See Coiumn (:::!)

P3 = $25,000,001-$50,000,000

Q = Appraisal U =Book Value

B

G K 0

R V

= $1,00l-$2,500

= $100.00l"Sl,000,000

=SJ 5,00!-SSO,OOO = SS00,001-$1,000,000

= Cost (Real Estate On!y) =Other

C =$2,501-$5,000

HI = $1,000,001-$5,000,000

L = $50,00J.S>IOO,OOO Pl = $1,00D,O(lJ-$5,000,000

P4 =$More than $50,000.000 S = Assessmem W =Estimated

D =SS,OOl-SIS,000

H2 = More than S:S,OO!l.000 M = $100,001-$250,000 P2 = $5,000,001-$25,000,000

T = Cash/Market

E =Sl5;00l-S50,000

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--- ---------------------------------------...... ---------------------------------------------- ----------------1

isclosim:

(2) (3) (4) (S)

--·--i-iiiiiiiii iiiiiiiiiil•--·-1-iiiiiiiiliiiiilliiiiiiiiliiiilii•ll 155. i

(l)

(1-P)

154.

FINANCIAL DISCLOSURE REPORT Name of Person Reporting Date orReport

Page9 of9 DLOIT, SUSAN J 6/18/04

vn. INVESTMENTS and TRUSTS - income, value, transcations {includes thoseofthe spouse and dependent childrell.. See pp. 34-57 offiling instruclions.)

A. B. c. D. Income during Gross value at end of Transactions during reporting period

Description of Assets reporting period rcportmgperiod(including trust assets) I not exempt from (I) (2) (I} (2)

PllW4' •pq• aftcr each asset exclllapt Amount Type (e.g. Value Value Type (e.g. Date: Value Gain Identityolf'div. rent. or buyer/sellerfrompriordisdosure Code2 Method buy, sell, Month-Code I Code2 Code 1

(A-H} int.) (1-P) Code3 merger, Day {A-H) (if private redemption)(Q-W) b:iinsaction)

146.

147.

149.

151.

152.

153.

156.

157.

158.

159.

160.

161.

162.

I. Income/Gain Codes; (See Columns Bl andD4)

2. Value Codes:

(See Columns Cl 1md D3)

:i. Vlliue Method Cocb

(Set Column C2)

A = S l,OUll or le.'lS

F = sso,001 s100,ooo

J = S.15,00() or less

N = l>2SO,OOC $500,000

PJ = $25,000,00J-$50.000,000

Q Appraisai

LT B:iolc Value

B G

K

0

R

\'

= $1,001-$2,500 = SJOO,OOl-Sl,000,00ll .

= $15,001-SSOPOIJ

= SS00,00!-.$1,000,000 .

=Cos! (Rezl Esuite Only)

= Otiier

C = $2,501-$5,-000

HI c $!,000,00JcS:S,OOO,ODO

L = $50,001-SIOO,OOO

Pl = Sl,000,001-$5,000,000

P4 =$More t!taii $50.000,000

S = Assi;ssmenl

D = $5,001-$15,000

H2 =More than $5,000,000

M $100,00!·SZSO,OOO

P2 S5,000,00!-$25,000,000

T Cwih/Mari;e!

E = $15,001-SSO,OOO

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I - 1- FINANC'IAL DISCl,OSURE REPORT . · Name of Person Reporting

.• DLOTT, SUSAN J

Vlll. ADDITIONAL Il\TF'ORMATION OR EXPLANATIONS QndicatepartofReport.)

6/18/04- .

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Q Dare '1

NameofPcrsonReporting

6/18/04

Date of Rep<!_rt.,. ·FINMifCIAL DISCLOSURE REPORT·

DLOTI, SUSAN J

IX. CERTIFICATION.

I certify tlilat all information. ;given above (including infoi:mation pertaining to my spouse and minor or dependent children,, if any) is acctmLte, true, and complete to the best of my knowledge and belief, and that any information not reported was withheld because it met applicable statutory provisions pennitting non-disclosure.

I furthc:r c:ertify that earned income from outside employment and honoraria and the acceptance of gifts which have been reported are ·in compliance with the provisions of 5 U.S.C. § 501 el seq., 5 U.S.C. § 7353, and Judicial Conference regulations.

0- :i oo;tsignature_ .

NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILFULLY FALSIFIES OR FAILS TO FILE THIS REPORT MAY BE SUBJECT TO CIVIL AND CRIMINAL SANCTIONS {5 U.S.C. app. § 104)

FILING INSTRUCTIONS

Mail signed original and 3 additional copies to:

Committee on Financial Disclosure

Administrative Office of the United States Courts

Suite 2-301

One Columbus Circle, N.E.

Washington, D.C. 20544