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POSITION NAME Of ORQANIZATION/ENTITY
PARTIES AND TERMS
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AOJO FINANCIAL DISCLOSURE REPORT Report Required by the Ethics in Government Act of1978Rev.112010 FOR CALENDAR YEAR 2009 (5 U.S.C. app. §§ 101-11I)
I. Person Reporting (last name, first, middle initial) l. Court or Organization 3. Date orReport
DUBOIS, JANE. U.S.0.C.• E.O., PA 08/1212010
4. Tiiie (Article III judges indicate active or senior status; Sa. Report Type (check appropriate type} 6. Reporting Period magistrate judges indicate full- or part-lime)
Nomination, Date 01/01/2009DJUDGE, U.S.D.C. D D toInitial Annual Final
12131/2009Sb. D Amended Report
7. Chambers or Office Address 8. On the hatls or the information contained lo this Report and any m001ficatio11s pertaining thereto, it lo, In my opinion, lo compliance with appli,.ble laws and regulations. 12613 U.S. COURTHOUSE
601 MARKET STREET PHILADELPHIA, PA 19106
Reviewing Officer Date
IMPORT ANT NOTES: The instructions accompanying this form must be followed. Complete all parts, checking the NONE box for each part where you have no reportable blformation. Sign on last page.
I. POSITIONS, (Reporting individual only; ••e pp. 9-IJ of filing ln•lrucdoM.)
[ZJ NONE (No reportable positions.)
I.
2. c::.> C:3
-··-,,,.? ..;"i···:·''i3.
c;·) ; ,.,.., 4. ";.
5. ;::,\ ( : ·
l,- fi1 0
("')rq
II. AGREEMENTS. (Reporting Individual only; m pp. 1./-16 of filing lnstructlonJ.)
[ZJ NONE (No reportable agreements.)
I.
2.
3.
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SOURCE AND TYPE
SOURCE AND TYPE
SOURCE
4.
LOCATION PURPOSE
INCOME
ITEMS PAlD QR PROVIDED
2.
2.
..
FINANCIAL DISCLOSURE REPORT
Page 2of8
N•me of Person Reporting
DUBOIS, JANE.
Date of Rtport
08/12/2010
III. NON-INVESTMENT INCOME. (Reporting lndlvid11a1 and spouse: Sl!e pp. 17-24 offlllng lnstrucdons.)
A. Filer's Non-Investment Income
[Z] NONE (No reportable non-investment income.)
(yours, not spouse's)
I.
2.
3.
4.
B. Spouse's Non-Investment Income • lfyou "'"'" murled during any portion of the reporting yur, complete th;s sect/(]n.
(Dollar amount not required except for honoraria.)
NONE (No reportable non-investment income.) [l]
1.
3.
4.
IV. REIMBURSEMENTS - transportation. lodging.food, entert11lnment
(Includes those to spouse and depende111 children; see pp. 25-}7 of filing instructlnns.)
[{] NONE (No reportable reimbursements.)
I.
3.
5.
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SOURCE DESCRIPTION
CREDITOR DESCRIPTION
VALUE
VALUE CODE
Name or Person Reporting Date of Report FINANCIAL DISCLOSURE REPORT
Page 3 of8 DUBOIS, JAN E. 08/12/2010
V• GIFTS, (lncluus thoseto spouseand deptndent children; see pp. 2B-'JI of filing lnstrucllons.)
[{] NONE (No reportable gifts.)
I.
2.
3.
4.
5.
VI. LIABILITIES. (Includes those ofspouse and dependenJ chl/dren; Jet pp. 32-33 ofjiUng instructluns.)
[{] NONE (No reportable liabilities.)
I.
2.
3.
4.
5.
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A. I !
I i
i
--
t (I)
Codc3 (Q-W)
(2)
I
C'""'
1
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!
I I
FINANCIAL DISCLOSURE REPORT
Page4 of8
Name of Peno11 Reportln&
DUBOIS, JAN E.
Date or Repon
08112no10
VIl. INVESTMENTS and TRUSTS -111co•, "''"· 1ri11Uactto111 <t11c1,,da tttou of spoin, """ ' "'""' cttu11re11; "'PP. J4-u offlllnr lllSlr•cdmu.J
D NONE (No reportable income, assets, or transactions.)
B. c. Description of Assets Income during Gross value at end (including trust asscta) reporting period of reporting period
Place •(X)• after c.cb asscl
exempt ftom prior disclosure
lO. General Electric Co.
58. Home Dep<>t Inc. (5) IRA
59. Intel Corp. (5) IRA
69. Merck & Co. (5) (42) IRA
80. Emerson Electric Co. (9)
88. South Jersey Ind. Inc. (9)
94. Wachovia Bank (10)
99. NCR Corporation (SI)
I 02. CitiGroup (5) IRA
125. Citigroup(9X35)
134. Oracle Corp. (5) IRA
137. Cisco Sys Inc. (5) IRA
139. Visteon Corp. '9)(36)
141. Zimmer Hldgs. Inc. (38)
142. Zimmer Hldgs. Inc. (38)
145. IL HLTH FAS-A BE (07-01·10)
I 52. Pfizer, Inc. (S) IRA
I. ldCOmc O.U. Codct:
(Sec Column• Bl and 04) 2. v.1ua Codes
(See Columu Cl and OJ)
A-il,OOOorleto
F -SS0.001 • Sl00,000
J •SIS,OOOorlen N -i2!10,()01 - SS00,000
(I) Amount Code I (A-H)
D
B
B
c
B
A
A
A
A
A
B
B
). V1lue M<lhod Cock1
(See Column C2)
PJ -Jll.000,001 - sso.000.000 Q Appnisal U •Book Vllue
(2) (I) Type (e.g., Value div., rent, Codc2
or int) (J-P}
Dividend M
Dividend L
Dividend K
Dividend L
Dividend L
Dividend K
Intereat J
None J
Dividend J
Dividend J
Dividend L
None M
None J
None J
None J
Interest K
Dividend K
B-Sl.001. S2j00
0 •SI00,001 · $1,000,000
K. •Sl.'1,001 • S.'10,000
o-ssoo.001. s1.ooo,ooo
R -C°" (Reol Eslal< Only) v -Oh«
(2) Value Typc(e.g.,
Method buy, sel redemption}
T
T
T
T
T
T
T
T
T
T
T
T
T
T
T
T
T
C -S2.j()I • U,000 Ill -Sl,000.001 • $5,000,000 L •$50.001 • S 100,000 Pl •$1,000,001 • $5,000,000 P4 •Mon: Ihm $50,000.000 S "'Assessment W'"'Estimatcd
0. Transactions during JqJOrting period
(3) (4) Dale Value Gain
mrnldd/yy COO<> ( -P) (A-fl)
D -S.'1.001 • $15.000
!12 •More than S.'1,000,000 M -Sl00,001 • S250,000
Pl •S.'1,000,001 • 123,000,000
T>Cash Marltct
(S) Identity of bu er/seller (ifprivate
transacfon)
E •$1.1,001- S.'10,000
i
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Codc3
Name of PenoD Reporting Date of ReportFINANCIAL DISCLOSURE REPORT
Page 5of8 DUBOIS, JAN E. 08/1212010
VII. INVESTMENTS and TRUSTS - lncolft.. "''*' INM4cdoM (lnclllda tllrn, of spollSe """dependent chUdl'O; ue p,.. 34-60 offllU.. lnstrMdlotu.J
D NONE (No reportable income, assets, or transactions.)
A. B. Description of Assets Income during
(including trust assets) reporting period
(2) Place "(X)" after each asset Type(e.g.,
Code Iexempt from prior disclosute div., rent,I
c. D. Gross value at end T tiona during n:porting period of rqiorting period
(2) (4)(I) (2) (I) (3) (5) Value Value Type(e.g., Date GainValue Identity of
Code I Codc2 Method buy, sel Codc2 buyer/sellermm/ddlyy.i (A-H) ! or inL) (J-P) redemption) (J·P) (A·H) (if private
tranSaclion)(Q-W)
153. Templeton Foreign Fund C (6) A Dividend L T
159. Medco Health Solutions, Inc. (5)(42) IRA
None K T
161.ISharcs MSCIJapan Index Fund · (6} IRA
A Dividend K T
162. !shares MSC! EAFE Fund (6)1RA B Dividend L T
163. Allscripts Healthcare Shs Inc . . (6) !RA
None K T Sold (part)
09118109 K D
165. Morgan Stanley Banlc (47) A lntc st K T
166. Royal Dutch Shell PLC(43) B Dividend K T
167. Norwin School Dist 5625 B Interest K T
168. Pottsville Hosp. BE 5200 B Interest Redeemed. 11/16/09 K A
170. Noble Intl Ltd. (9)
171. Royal Dutch Shell PLC(9)(44) c
None
Dividend L T
Sold 04101109 J
173. BOP Morgan Stanley Bank (48) A Interest L T
174. Blackrock World Invest Trust (6)(55) IRA
B Dividend K T
176. New York Community Bancorp, Inc. (5) IRA
178. Whole Foods Markets, Inc. (S) IRA
B Dividend
None
L
K
T
T
180. Archer Daniels Midland (5) IRA
182. Nuvccn Global VLE Opport Fund
A
B
Dividend
Dividend K T
Sold 02/26/09 L
1
I. locomo Gaia Coda.
(See Columns Bl ood 04)
2. Valur: Coda
(See Columns Cl and 03)
i J. Value M<1bod Codes
(See Cnluom C2) L- -·-··· · --
A -$1,000 °' lca
F •SS0,001 • SI00,000
I •SIS,000 orlm
N •S2l0,00I • $500,000
PJ •$25,000,001 - Sl0.000,000
Q•Appraiul U •Book Value
B -Sl,001 • S2.S00
G ""100,001 • Sl,000,000
K. •SIS,001 • Sl0,000
0-$500,001 • Sl,000,000
R -Cot! {R<.t F.sU1' Only)
v "°1h<r
c -12.501 - Sl.000
HI •Sl,000,001. ss.000.000
L •Sl<l.001 • S 100,000
PI uSI ,000,001 - $,,000,000
P4 =More lhao S.I0,000,000
S •Aucumcnl
w •Estimoted
D -U.001. SIS.000 E =SIS,001 • SS0.000
H2 =Mono dan SS,000,000
M -SI 00,001 • S2SO,OOO
P2 •SS,000,001 • $;13,000.000
T<uhMarl:ct
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Name of Penon Reportln1 Date of ReportFINANCIAL DISCLOSURE REPORT
Page 6 of8 DUBOIS, JAN E. 08/12/2010
VII. INVESTMENTS and TRUSTS-1nco111tt,wtw,,,.,,ns,,.,.,ns<tnt111t1a11111uofspo,,uanddqNnditn1ch1111rtn;1ttepp.J-1-4001J111n811Utr11ttU1M.J
NONE (No reportable income, assets, or transactions.) D A.
Description of Assets (including trust 11SSCts)
Place "(X)" after each asset exempt from prior discl0$Ul'C
183. Eaton Van Tax MNGD GLBL (9)
184. Morgan Stanley Bank (9) ( 46)
185. Nuveen Global VLE Opport Fund (9)
···--
B. Income during
reporting period (I)
Amount Code I (A·H)
B
A
B
(2) Type(e.g., div rent,
orint.)
Dividend
Interest
Dividend
c. Gros& value al end
of reporting period (I)
Value Code2 (J-P)
J
K
K
(2) Value
Mclhod Codc3 (Q-W)
T
T
T
D. Transactions during reporting period
(I) Typc(c.g., buy, sci
mlcmption}
(2) Date
mm/ddlyy
(3)Value
Code2 (J-P)
(4)Gain
Codcl (A-1-1)
(S) Identity of buyer/seller (if private
uansacrion)
186. Morgan Stanley Banlc A Interest M T
188. Walgreen Co (5) IRA B Dividend L T
' · 189. Starbucks Corp. Washington (5) IRA None K T
191. MS Emerging Mkts Domestic Debt (9) B Dividend K T
192. Discover Financial Services (49} : A Dividend J T
193. AT&T (SO) c Dividend L T
194. Teradata (SI) None J T
196. The Financial Set Sect Spdr. FD (5) IRA
A Dividend K T
197. Manitek Intl Inc. Com . (53) None T
198. Sirius XM Radio, Inc. (5) IRA (54) None J T
199. !shares DJ US Real Estate Index A Dividend K T Buy 11/09/09 K (S)(IRA)
200. B.lackrock Real Asset Equity (6) IRA B Dividend K T Buy 07/08/09 K
Sold 09/18/09 J c (part)
201. Blackrock GLBL OPP EQ TR (6) (55) B Dividend K T IRA·
! I. looomc Clain Codes: (Stt Cohm1111BlilDd04)
2. Value Coda
(S.C Col11D1D1 CI ilDd Ol)
l Value M<thod Codes (See Column C2)
A•Sl.OOOorku F •SS0,001 • SI00,000 J •S".ooo°' lcu N o$130,00I - SS00,000 PJ -SlS,000,001 • sso.000.000
Q•Appnisal
U •Book Value
B-Sl,001-$2)00
0 =$100,001 • $1,000,000
K -$1J.001 • SS0,000 O •S500,00I • Sl,000,000
R -Coll (Real Only) v -Qtl>a
C -Sl,SOI • U.000
HI =Sl.000,001 • U,000.000
L •$50.001. $100,000
Pl -$1,000.00I • $5,000,000 P4 =Mon:Iba sso.000.000
S•A......,,..,,
W ""'E11inwted
o -u.001 - m.ooo H2 =MOR ,.,.., SS,000,000 M-S100.001. ruo.ooo n ..ss.000.001 • us.000.000
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r gro Pennsylvani! n d B nd s 17(M )f llwere
lt"ti'C'Jl\'t presenlly owns!IJ s
inmm±;ilIRA
•• Trust ofwhichfH jis co-trusteeand incomebeneficiary.
r for.
s
166)) for.
171'. shares
r
shares for:'fjl
Name of Penon Reporting Dote of Report FINANCIAL DISCLOSURE REPORT
Page 7 of8 DUBOIS, JAN E. 08/1212010
VIII. ADDITIONAL INFORMATION OR EXPLANATIONS. (lndical Pflrlo/Rqwrt)
(I) (Line 2) Originally included 14 separate purchases of units of Pennsylvania Insured Municipal Bond Trusts for the years 1987 through 1991. Ten of the 14 groups of units in the Municipal Bond Trusts were sold in 1993 at a loss. Purchases of Pennsylvania Insured Municipal Bond Trusts in 1992 are separately listed on lines 34 th ough 37, 40 and 41, in 1993 on line 45, and in 1994 on line 5 5. The figures on line 2 are for the four remaining of units in Municipal Bond Trusts· Municipal Trust 54 , 55M , 68M , and I 17M. All units of series 68M.and series I sold on January 31, 1995, at a loss. unit of senes 54M.
(5) (Lines 58,59,64,69, 102, 106, 120, l32, 134, 136, 137, 151, 152, 176, 177, 178, 179, 180, 188, 189, J96, 198, 199)Securities in anlRAAccount with Morgan Stanley.
(6)(Lines 65, 66, 123, 131, 161, 162, 163, 174, 200, 201) Securities Account with Morgan Stanley.
(9)(Lines 80, 88, 125, 138, 139, 170, 171, 183, 184, 185, 191, 192)Securities in
(10) (Line 94) Checking Account • First Union changed name to Wachovia.
(35) (Line 125) •sha es of Associates First Cap CP A exchanged shares Citigroup.
(36) (Line 139) Spin-off from Ford Motor Company.
(38) (Lines 141and 142) Spin-off from Bristol Myer -Squibb Company.
(42) (Line 159) Stock dividend distributed to Merck & Co Shareholders (Line 69).
(43) (Line shares of Royal Dutch Pete 2B exchanged shares of Royal Dutch Shell PLC.
(44) (Line of Royal Dutch Pete 2B exchanged for.shares of Royal Dutch Shell PLC.
(46) (Line 185) Conversion from Active Assets Acco unt to Bank Deposit Pogram ("BDP") ·Morgan Stanley Bank.
(47) (Line 165) Conversion from Active Assets Account to Bank Deposit Program ("BDP") ·Morgan Stanley Bank.
(48) (Line 173) Conversion from Active Assets Account to Bank Deposit Program ("BOP") - Morgan Stanley Bank.
(49) (Line 192) Stock dividend distributed by Morgan Stanley.
(50) (Line 193) AT&T acquired Bell South Corp.
(51) (Lines 99 and 194) Stock dividend distributed by NCR.
(52) (Line 195) Discover Bank name changed to Morgan Stanley Trust Bank
(5 3) (Lines 190 and 197) Ver-Tek Int'! Corp., changed its name to Manitek Int'! Inc. Com.
(54) (Lines 179 and 198) XM Satellite Radio Hldg. C L A· changed its name to Sirius XM Radio , Inc.
shares of Blackrock Global Opportunity Equity Trust stock. (55) (Lines 174 and 201) Exchanged of Blackrock World Invest Trust stock
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FINANCIAL DISCLOSURE REPORT
Page 8 of8
Name of Penon Reporting
DUBOIS, JAN E.
Dale of Report
08/12/2010
IX. CERTIFICATION.
I certify that all Information given above (Including Information pertaining to my spouse and minor or dependent chUdren, If any) Is accurate, true, and complete to the best or my knowledge and belief, and that any Information not reported was withheld because it met applicable statutory provisions permitting non-disclosure.
I further certify that earned Income from outside employment and honorarla and the acceptance of gifts which have been reported are In compliance with the provisions or S U .S.C. app. § 501 et. seq., 5 U .S.C. § 7353, and Judicial Conference regulations.
NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILFULLY FALSIFIES OR FAILS TO FILE THIS REPORT MAY BE SUBJECT TO CIVIL AND CRIMINAL SANCTIONS (S 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