I AO.HI

Rev. l/2004 (5 U.S.C. app. §f 101·11 I)

4 . Tit le (Article Ill J udges indie4te active or senior 1tatus mnglstn1tcjudgcs ind i cate full· or p4u1 rimc)

U.S. Court of Appeal s , DC Cir .

$ . Report'fype (check approprille type)

3. Dar. afRq>ort

<4n8/200S

6 . R<porting Paiod

111/2004

lO 1 213112004

Ptett)n .. 1

gOfficer ___ ------ Date. ____ _

·JI.., . IMPORTANT NOTES: The in1truct ion1 accompenying this form mu.st be fo lloW<d. Complete all perts, chccldna the NONE box for each pan where you have no reportab le informati on . Sign on J ut page.

o

NAME OF ORGANIZA1JON!Elfi

Camqio Foundadon for the Advancemmt of Tcochlng

H istorical Soc:icty for the District of Columb ia Circuft

o o

o

PARTIES AND TERMS

0 <fl

CT>

..,.,

FINANCIAL DISCLOSURE REPORT

FOR CALENDAR YEAR 2004

ReponRequlr<d by the Ethics

in Gonrnmeat Art of 1971

1. Pcnon Reporting (1..ast nam::, F"int name, Middle lnilial)

Tatel, O.vid S

U.S. Circuit Judge (Aotive)

2. Court orOrpnizaliao

0 '"'"'"'"'°" Date

Qlnitiol QFWJ

&. Oa the basis of the information contained in this Report and ny modifialioosper1ainina-. it Ir. in myOpinion.in compliance with opplic:ablc laws alld "'gulatlons.3818 U.S. Courthouse

333 ConstiQltion Ave., NW

Wuhln....,, DC 20001

L POSmONS. (Reponinc in<lividualon1r....pp. 9-13 offllins inmicllons}

0 NONE . tNorqatabiepco;rionLJ

I. Director

0

"'Tl r-

0 fT1 ..,.,

2. Direct r

: ::le -- :::0

:-...., fTio-cnZ ("')

!'..};;ozn AGREEl\1ENTS. (Rcportinchldlvidual only; see pp. t<1-16 r11ttns mstt\ICd nsJ c:>

fTl -m2 N

tD NONE · (N rcponabloaarocmcnts.) o> <-0

::le m -

c::> c I.

l

SOURCE AND 1XP£ GROSS INCOME Qan.noc...,.,.\J

SOURCE ANp mE

2004

o

Menlo Parle, CA

college's commencemen t odclms. .

o

... · ·····--- -·· --

FINANCIAL DISCLOSURE REPORT NameofP=>nReponing Dale ofRcpon

412812005 Tall:!, David S

fil NON-INVESTMENTINCOME. (RQortingindividuaJandspouse; seew. 11-24otmins ;ns11Ucti0'1S)

A. Filer's Non-Investment Income

Ii!! NONE - (No rcporub enon-investment income.)

I.

B. Spouse's Non-Investment Income· (If you-. married during any ponion ofthe rcpo<Ung ;,ar, please eomple!e thissection. Dollar amount not requital except for bonorviL)

D NONE - (Norcponablenon-invcs1ment income.)

.·

I. Self-Employed (education comultant)

IV. REIMBURSEMENTS -tnnsponarion. lodaing,food. enltt1llinmcn<

(Includathose to spouse and dcpmdent chilc!ml. See pp. 25-27 or instructions.)

D NONE - (Nosueh?OpO<Ublereimbwsements.)

I.

SOURCE

camcglc foundation for the AdvancementofTeaching. Menl Pu1<. CA

PESCIWIJON

3118·22 -Airfare. hotel, meals, md cabs fo•rl••and me to attaidBoard of Din:ctors meeting.

2. Macalcs1':r College, SL Paul, MN S/14-16-Airfare, m1tal car, meals, and cabs forme(accompanied by - to deliver the

3. Carnegie Foundation for the Advanccmc:nt ofTcae-hing, 7129-30 -Airfare, rental car, meals, parkingfor me md-to attend Excc:utive Menlo Pu1', CA C l'TU'llittce and Board Meetings.

. Carnegie Foundation for the AdvancementofTeaching. 10/8-9-AirUre, hotd, meals, taxi for me and-IO anend the National Academy of Education Annual Mcetina.

S. Spciiccr Foundation, Chicago, n. I 0/27-31 -Airfuc. meals;, W<is for me and_.,atlald the Franlc BixbyLecture and dinner.

.. taiio1.,1L

FINANCIAL DISCLOSURE REPORT NamcorP<rson Reponioa

Tard. OlvldS

IV. REIMBURS TS - nuponalioo. lodgina. food.en

(lnc!Udcsthose to SJlOUSC and dq>mdcnt child,,,.. See pp. 25·21 ofinswcdons.)

0 NONE - (No such reportable imbursements.)

SOURCE DESCRIPTION

6. Uniwnil)t ofCaliromia. BcrMky, CA 4116-20-AirfJwc, meals, rc>tal -.IUil fat me(accoo1....,riedby-IOl*lldPorc in me law acl'aootl moot cowt program.

.·

.·

CREDITOR I.

VAWECODE

Name of Ptrson Reportina

Ta l. David S

v: GIFI'S.

VL LlABilII'IES. (Includesthose df spousc and dependentchiklml. See pp. 32-34 of instructions.)

1!21 NONE - (Norqiortableliabilirics.)

.· DESCR!YITON

Oa ofRfpon

'41281200S

;

FINANCIAL DISCLOSURE REPORT .

.

(lnclodco lho$0 tospouscand dq>endentchildn:n. See pp. 28-Jl of instructions.)

ll!J NONE (Nosuchrcponablegifl.s.)-

SO!JRCE DESCRlfT!QN

l.

..

Name o f Person RtpOrting

Tatel, David S °""'or R<;>on

412812005

- V1I. INVESTMENTS and TRUSTS - ""'°""· va1 ... """' ''""" (ioc 1..i .. "'°''or <ht ,,,. .... nd dcpcodcnt ebi1c1,.., s.e w. 3<-s1 or filiD: msoucri ons. J

B. c. o.

ttpOrtillg period Jq>Qrting period

( I) (l) (I) (l) ( I ) u noc acrrc> l 1rom dlSClosure

(l) (3) (< ) 1)pe 1)pe (t.g. Date: vw. Gain

boy,..U, M°""'· Codcl Code I int.) """"' (J-l') (Mi) (

Rdcniption)

(No tepOtUble l n co . &Sitts, or tr.l'nS4 e tions)

I. Chevy Cha se S.. k lnla<SI K T

2. S EI Daily Income Prime Obligation Cl. B D ividen d L T

3. Eva'Ctt Wash Wtt & Swr Rev d id 811180 8.5% B lntc:cst Redeemed 7/1 } A

4 . Michigan St Hosp Oetteil Med Cl1 dUI 1211193 4.8% 8 lntercsl Redeemed 8/15 K A

5. Muyland Hhh & Hglr Ed l Fae Audi U. MD Med A Interest Redeemed 2123 K

6. Muyland SI Depl Tf>nsn Cons Tranm Rev dtd B lni=st K T / /

7. MD SI Ts p lll Au Spl Oblig BWI Ind Arj>I dtd 8 ln<mst Redeemed 711 K

8. Cborl es Cnty MD Cons PublmplOO dtd 2/IS/96 lnt=st L T

9 . Honolulu Hawaii cny & Cnty did 911196 6% B lnt=st K

10. Starbucks Corp. No ne K T

1 1. Siandanl & Poo11 Midcap 400 Dividend L T

12. Federal Realty lnvestm"11 Trust 8 Dividend L T

13. Avalonbay Communities B Dividend K T

14. NASDAQ JOO Trust Ser I None Sold 7'23 } A

Poore Brothers. Inc. None } T

16. SL J oe Company A Dividend K T

17. Archstonc--S mith TNst c Dividend L T

18. New Germany fund . Dividend K T

A B c 0 s

(See Colwm C2) U •Book V:al...c v 'Yo' - Esrinmed

FINANCIAL DISCLOSURE REPORT

Page 1 of5

A.

Descripciofl of AS$� Juc:ome during Gross v1tue at end of Trans;actiom during rcpo.rtiri& period

(inc hading trust asscu)

Place "(X)" atl<o' ta<h""'.,....,. (S)

- (t.g. Valgc Vlloc Identity of from prior dist-lcsurc Code I div. rent. or Codc2 """°" b1;1)'Cdscllcr (I\ ·II) (J.P) Code) Day tlpriw:.c

(Q-W) D'lllSICtioo)

DNONE

A

A

A 111193 5.3%

9 lS 94 5%

A 10/15194 5.7%

B 5%

T

A

15.

A

I. lnoomdGaitl Codes: •Sl,OOOorkss •Sl,001-S2,SOO • S"...SOl-SS,000 • SS.001.SIS,000 -S15,00l-l50,000

(Sec Coluims Bl and 04) f • SS0,001-SIOO,OOO G • SIOO,OOl·Sl,000,000 Hl • Sl,000,001.SS,000,000 K2 -More tbn SS,000,000

2. Value Codes: J •SJ).('#) orlei$ K • SIS,001.SSO,OOO L •SS0,001.SIOO,OOO M • Sl00,001-S2S0. 000

(See Colwnns Cl and 03) N ... s:2SO,OOO-$SOO.(l00 0 • SS00,001.Sl,000,000 Pl = S1,000,001-S5,000.000 P2 -ss.ooo,001.12s,ooo.ooo

P3 • S.2.5,000.001...$50.000,000 N .., $Mt.JR thil<, SS0,000,000

J. v�rue >.iC'lhOO Cedes Q -"""""81 R •Cos1(Real Estiltc Otlly) s -A.$$e$smefll T -Ca:Jh.'Ma'kec

•Olber

Name of Pcnon Reporti ng Tatel, David S

Date of Repon

41281200S

Vll. INVESTMENTS and TRUSTS - ""- · va1.., .......ooas l...,,,.,. _ of1tc spo,... w t c.iUlllml. s.. pp. 34-Sl or ;."""""°"'·) -

A. B. c. D. J noonz dffl G ross val ue at end of

r poriod period

(I) (l) ( I) (l) ll) ll DOl ""'4>< •dlsdoNe (l ) ( l ) (4)

Type (e.g. v .... O.te: Value Ga it! t..y, sell. eoo. z Codel

mt.) ""'*"· Day CJ·P) (A-II) Of private )

1 9. !shar es MSC! Si ngapore (Fr.. ) Index Fund Dividend

20. Calvert Group Tax·Fr<e Money Maricet Fund A Dividend J T

21. Harl'onl Cnty M D 4-25% l/lS/09 B Interest K T

22. Canada-Oov' t 3. S % due 611/04 B lntcn:sl Redeemed 611 L D

23. Ameri o an Cenoury G'!>O•I Gold Fund A Dividend K T Adell. 112 J

2.4. Seeltem23 Addi. 6117 }

2S. !SHARES Ru.,.U 2 000 Dividend K T

26. !SHARES S&.P Europe 3SO Dividend L T

27. Gold Bank CD 1.6% due SIM14 A Interest Redoemed 516 A

2S. New Zealand Govt. 6.5% due 211SIOS c lnlere$1 L T

29. I S HARES l.chrmn 1-3yr Treasury Bond B Dividend L T P artial Sale 1126 K

30. !SHARES MSC ! Spain Dividend K T

31. T. Ro.., Pri<e New Asia Fund 139 Divi dend K T Adell . 1211 6 J u

32. istw<s Nasdaq Bio<eoh Index None K T Buy 7123 K

U.S. T1<asury Bill due 1127/0S None K T Buy 7129 K

34. U.S. Treasury Bin due 4128/0S None L T Buy 1111 L

JS. Moraan S1>nlcy M TN Var-Q>n due 2101111 B lntcn:st L T Buy 212 K

36. UK T....,ury 6.7S% d ue 1 1126104 c Interest Buy 3/11 L

A B c D E .

(Sec Colomn Cl ) u • Sook VaJix v • Otha w • F..sti:natcd

FIN,ANCJ.P.>.L DISCLOSURE REPORT

Page2 ofS

Dcscriptian or Asscu Trmsacrions duriaa rcport:Stg period (ioctudin.g trust ustts)

Pltu'"(X)" after each asset c� (S) - Value 'l)pc (<.J, Jdtetiryorfrom prior discbtn: Code I div. ttnL or Codo2 M.-.hod Mol1th- bu)'Cdscllc.T(A_,I) (S.P) Codd

(Q-W) ml<rrc>lion) tr1t1saction

A J T

Pur<h.

Puroh.

A

B

K

A

A

A P rch.

33.

I, lncomd(jaj11 Codes: -s1.coo or Jess • $1,001-$2,500 •SZ.SOJ-Sl,000 • 15,00l·SIS,000 • Sll,001 $$0.000

(S.. Col_,s Bl end 04) F •SJ0,00 l .SI 00,000 () • $100,001.$1,000.000 HI • s1.ooo,001.ss.ooo.ooo l!2 • M<n-Sl.000,000

2. Value Codes: J - SJS,000 or less J( • SlS,001.SlO,OOO L • SlQ,001.$ l 00,000 M • SIOO,OOl·SZS0,000

(Sor: Cohm1t11 Cl and Dl) N siso.ooo.ssoo.ooo 0 • ssoo.001 .s1.ooo.ooo Pl • Sl,000,00l·Sl,000,000 P2 • Sl,000,001-S2l,OOO,OOO

Pl • $25,000.001-SS0,000,000 P4 •$More I.ban s·so,ooo.ocxi

J, v i...: Mctbod Codes Q •A,pjX'Oisal R • C... (Real Es�" 0.ly) s • As$eSSl'ncU T •CasWM1rkct

Name o f Pei,oo Reponing

Tatd, David S

A.

37. Sec ltem36

38. Si"°"lified EmplO)'Oe Pension Plan (SEP-IRA)

39. See hem38

<!(), -Adams Express Co.

41. -SE! Daily Income Prime Obi Cl B

42. -St Joe Compa11y

43. -!SHARES S&P Europe 350

44. -New Zealand Govt 6.5% d ue 2/ISIOS

45. - ISKARES MSC! Sp<jn

46. Individual R.etirtmcnt Account

47. Sec ltem46

48. -S E! Daily lnoomc Prime Obi Cl B

4 9. -Avalonbay Communities Inc.

so. -Royce Value 'flus Inc.

S I. -Adams Exp,,.. Co.

52. -Aberdeen Australia Equiry F und, trn: .

SJ. -SWldanl &: Poor.i M idcap 400

S4. -Cohen & Steers To tal Return Rca)ty Fun d, I nc.

1. IDCOlnCfGai o Codes: A 8

F

B.

,_,..,. period

(I) (2)

- r,,.. Code I div . raic. or (A -IQ inc.)

A Dividend

B lnlcrcst

E Dividend

E lntercst

.

c

c.

'"""''" period

(I)

Codc2 (J·P)

Pl

(2) '

Codel

T

T

. . . .

I>.

Date of Ropon

412812005

(I) If not ltOlltl discJo.swoe (2) (3) (<) (5)

v.iue Ga b Code2 Code I

"""*"· Doy (l.p) (A-Ii) red ) tnRAC!ion)

Redocmcd 11126 L B

Addi. 1 2130 l

Addi. 1 2130 l

Sold 7128 K

I> E

• A=ssmc ..

( See Co,_. Cl) u - Boole v ' • Other V..' • futimlltcd

FIN,ANCJ.P.U, DlSCLOSUlU: REPORT

Page3 ofS

Dcsaii>•ion o("""' (ircludift&tnast wees)

Pbcie '"ocr afttr eadl Uset o;� &om prior disclosin

•Si ,000 ot Jess

(S.. Co,.,_ Bl Mid D<) • SSO,OOl·SI00,000 G

2. Valix Codes: • SlS,OOOorlcsl K

(S.. Colo""" Cl U>d 03) N -S'.lS0,000-$500,000 0

looomt dl.ritig

(e.g.

-s1,001.n..soo

•SI 00,001.Sl,OOO.OOO

•SIS,001-$50.000

=S500.00l.Sl ,000.000

Gnus value at end o(

Va111e

L

va1 .. �<c1hod

(Q.W)

•SUll·Sl.000

HI -s1.ooo,001.si,ooo,ooo

\, • $50,001..SIOO,OOO

Pl • Sl,000,00l·SS,000,000

Tran.actions dwi.n1 n::pordng period

T)I>< (c, .. o.i.: lclenri!y o( buy. sell. Mollllh· bu-"""1JcT

fifprivaie

Putch.

Pim:h.

A

•Sl.OOl•SIS,000 -SIS,001-S!O.OOO

}Q • More than SS,000,000

M • SI00,001-$2SO,OOO

Y2 -$5, 000,00l·Sl:S. OOO, OOO

l".l -m.000,001.sio,ooo,ooo P4 •$Mort tlwi SS0,000,000

J. Va!uc Method Codes Q •A.,..n.J R • Co<t (Ile.I Estate Only) s T •Cash.iMart.'<'l

N ame of Pmon Reporting

Tate l , David S Date of Report

4128 /200S

VU. INVESTMENTS and TRUSTS - "''"""· "'"" .. ,......,. Cine\""" • ..... . ro., ,...., •n<l<!tpc11den1Chi.m... s.. \)\>. l4-S7 or m.1 i )

SS.

S6.

S1.

S S .

S9.

60.

61.

62.

6J.

64.

6S.

66.

61.

68.

69.

70.

71.

72.

"'·

c

-franklin Capit11I Growth Fund

-Franklin Equity ln<ome Fund

-!shares MSCI Canada Index Fund. Inc.

-T. Rowe Price Growth & Income Fund, lnc.

-T . Rowe Price Equity Income Fund, Inc.

-T. Rowe Price Small Cap Stook Fund

-T. Rowe Price tntcmational S tock Fund

-Third A venue Value Fund, Inc .

-C atellus Dcvelopmenl Corp.

-SLJoeCo.

-Imperial Oil Lui.

-FFCB 3.SS% S/25/04

-Provicl<nt Bk CD 2.4% 11/29/04

-Canada Oovt. 3.S% due 611/04

-American Cenlll!y Global Qold Fund

See Item 69

-Health Cue Select SPDR

- FHLMC MTN J . 25% due 11/IS/09

A

0

S

(S.. ColWM C2 ) u - Boole V:al1ar

rqxirtina period

(I ) (l)

......... T)P" c .. c. div. ttnt. or

8

(v • Ol h cr

c. D.

.......... pe riod

( I ) (2 ) (I) u-not cxctnpl mm1 disclo$ure

(3) (') CS) Dole Value (i&in

Method buy, IC Q, M- - eo.i.2 Code l _ ....... C odcl -· (Ml)

_....,

Sold 1113 L E

Redeemed Sl2S L

Redeemed l l /29 L A

Redeemed 611 L c

Addi. 112

Addl 6111 Pureh

c 0 E

2

W • £stim1l1ed

FlN.N'{Cl.AL DlSCLOSURE REl'ORT

Page 4 ofS

Description or As$Ct$ (ia luding trust assds)

Pbe.e "'(X)• after ac:h u:set cuo:pl from prior di:Slckts:W'C

I. JncomcJOain Codes: • Sl.«XJ orteu

(S.. Columns BI aod 4) F • sso.001-s100.ooo

l. ValueCodes: l -srs.ooo orlcs::s.

( .. coiu....,Cl "'d 03) N -S2S0.000-SS00.(l06 PJ c ns. 000,001..s:so. ooo,ooo

J.Value MC'lhod COOcs Q •Appni¥

8. Income during

Code I(A·tQ irJ.)

•Sl,001-S2,SOO

G • SIOO,OOl-St,000,000

K = SIS,001-SS0,000 0 = SS00,001-Sl,000,000

R • Cott RCllJ E:sc.i:e Only)

Groatval\IC..end or Tr.asacboas dwing reportm, period

(2) Varue v .... T;pe (c,g. Identity of eo.i.2 (l·P) .,,, (l·P) (ifprivai.

(Q·W) ..........,

A

l Pureh.

l

• Sl.SOl·SS,000 • SS,001-SIS,OOO •SIS.001-SS0.000 Ht -s1.ooo.oc:n.ss,ooo.ooo HZ •Mort 11Mn SS,000,000

L • sso,001..s100.ooo M • SI00,001.sllO,OOO

Pl • Sl, OOO,OOt-sl,000, 000 n - ss.ooo,0014 s,ooo.ooo

PU • SMono riwl SS0,000,000

s • N'Scssmcrn T -C.S�'Mid:cl

Name of Person Roportin g

Tatel, David S

-

a.

'"""'""' pe riod

(I ) (2)

Amo ... ,,,,. eCode I d iv. mlL or

(A·H) Cu.)

73. -!SHARES L<hman 1 - 3 yr . Tr<asury Sood

74. -Sec Item 73

75. -Beal Bani: CD 1.65% due 12129/04

76. - New Zealand Govt. 6.5% due 211 S/05

77 . -Morgan Stanley MTN var.cpn 211 /t I

78. -iShares S&PfTopi x 15-0 In dex Fuiid

79. -UK Trasury 6.75% 1 1 /26.1l4

80. See Item 79

81. -U.S. Tl<OSU!)' BOl 8126/04

82. See lrern 81

&3. -Wempncn Realty lnvcmn Fund

8 4 . -Lehman Bro< Bank CD 2.2S% 6/23/0S

8.S. -U .S. Treasury Bill 1/27/05

86. -U.S. ncuury Bill z.cpn 5126/0S

87. -U .S . Tr<asUry Bill 6/JO/OS

88. Life Insuranco- Massac husetts Mutual Ufc Insurance Nooe

89. Rcn1al property, Rappahannock County , VA (812196 D Rall ,

" D

-

(Se< Column C2i u • Book V ahk- v •Olber

c. G nlSS value It Pd: of tq>OltU1g po riod

(I) (:?) (I)

) redemption)

PvUal S•lc

· Partial Sa le

Rcdccmcd

Purchase

PUTChase

P\lrchue

Redeeme d

Pun:huc

Redeemed

Purchase

Purchase

Purchase

Purdlase

Purchase

M T

R

D.

(2)

1129

3116

12129

3110

3/IS

11126

S/28

8126

613

6/23

1130

11126

12131

II' not · IIDlll

(J) (4 ) Valw Gain

Ccde2 Code I (J-P) (A-H)

L

K

L A

K

K

K A

K

K A

1

L

K

M

M

(S)

(i f private:

c D E

V.' c Esrirmt c d

Dale of Report FINANCIAL DISCLOSURE REPORT

Page S ofS 412812005

A. loco di:rins T during R1)0rting pttiod Description or Asstts

(includiaJW$tassets)

Pllce: a.lkr_ead! assci ( .g. ttom prior diK:losCR

$86 600)

Va.lgc Val"' Type (e.g. Code2 M<d>od buy.sen. (1-P Ccdcl ""'10'·

( W)

L

°'"' M0111h· Day

212

A

A

L

lcla>tilyor buya/sclicf

tr1nsacdon)

I. Jncome/Oain Codes: •$1,000 « liess -$1,001-$2_.500 •S2.SOl-SS,000 • SS,001-SU, OOO -s1s.001-sso,ooo

(Sec Cotum.. 81 aod D4) F •U0,001-SIOO,OOO Ci • SIOO,OOl..Sl,000,000 HI • Sl.000,001-SS.000.000 H2 •Mott tbati $5,000, 000

2. Va!..c Cocks: I •SlS,OOOorlea K •$15,001-SS0,000 I,, •SS0.001-SI00,000 M • SI00,001..$250,000

(Sec Culwuns Cl IDd 03) N -$250,000-SSOO,OOO 0 • SSOO,OOl..Sl,000,000 Pl • $J,000,001·S5,000,000 ri - s.s,000,001.ru,ooo.ooo

P3 • S2S,000,001 $50,000,000 N •SMo.. tbao SS0,000,000

). V:altic l\itthod Codcl Q •App-aisll R •Cesa (Real Eswe Coty} s -NscssmcUI T ...Cash/Market

VIJJ. ADDmONALINFORMATION OR EXPLANATIONS Ondlca .. ..,.orRepon.>

FINANCIAL DISCLOSURE REPORT Namoo{Pcr.;on Rej>orting

T•tel, David S

Daie of Report

412812005

Date_S;;:.+..;,h:...::tJ+f"°-b _,.,£'-.---

FINANCIAL DISCLOSURE REPORT ofPtnOt\ l\tporting

Tatel, David S

Daie of Report

412812005

IX. CERTIFICATION.

I certifythat all infonnation given above (including information pertaining to my spouse and minor or dependent children, if any) is accurate, !rue, and complete to the best ofmy knowledge andbelief, and that any infonnation not reported was withheld because it met applicable statutory provisioos permitting non-disclosure.

I further certify that earnedincome from outside employmentand honoraria and the acceptance of gifts which have been reported are in compliance with the provisions of 5 U.S.C. § 50 I et seq., 5 U.S.C. § 7353, and Judicial Conference regulations.

NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILFULLY FALSIFIES OR FAILS TO FILE TIDS REPORT MAY BE SUBJECT TO CIVIL AND CRIMINAL SANCTIONS (S U.S.C. app. § I 04)

FILING INSTRUCTIONS

Mail signed original and 3 additional copies to: Co�ttee on Financial Disclosure

Admlnistrative Office of the United States CowtS

Suite 2-301

One Columbus Ci.n:le, N.E.

Washington, D.C. 20544