I

4. T"1c (Article m Judges indieate active ouclli or status; magisU-ote judges indicate full· 0< part.Qme)

2. Court or Organizati on '

Court of Appeals. 2d Circuit

6 . R.porUng Period

1/1/04

1 2131/04

7. Ownbcn or Offi oo Address

___ -------- Date _ _ __ _

·· -. .:... .;... . , . " :_-...,._;., ,.. . - -- \O !itr'ii:i 1 iDSlr""i«u• •""4)'ioc , r; · it', * : :-w- mi:'?:.f! t ;-::r:-r--;- · -·- · ;.· :"" -·-... --- .· · · .... . ., , _ · ·· · ..... . ·:-- :-"' . . .. ,, . ___ .... ... .,. .''·.:rk0¥"..:K.r:::e :7·:,;. Yri

l'OSJTION TION!EN1T!X

....... ., ....

0

! ,,

"

I :; :.-;

r :

. ..,

,.. . ' ;--r , ..

I .

·"

> .. ' ' . . , 9 ..• '-.· r"-.." \.>

·- -·-········ · ····· ··-·-··-···· ·-.. ··-·. ·- .--··-···

FINANCIAL DISCLOSURE REPORT Rtport R.quirtd by tho Elhf

SO!JRCE ANPillE

Spouse's rcquit

I.

IV. REIMBURSEMENTS-.,.,_;oa.1odging.tood.ent.nainmem.

(Includes-IOopowc: ltld dcpendcnl children. See pp. lS-27 ofim!Ndioos.)

li2I NONE - (Nosucbreportabler

SO!JRCE p£SCR!mON

CREDITOR pESCRIPTION J.

FINANCIAL DISCLOSURE REPORT NameofPcnon Report;,,g

JACOBS, DENNIS

Date oFRoport

412$/0S

VALlJECODE

V. GIFTS. (lncludcstbosctospouseanc1depcnd

i1i NONE (Nosudutporublegills.) -

I.

VI. LIABILITIES. (lndudcstboscofspOUOO llllddepeodmtc:bildron. Seepp. 32-34 ofimtructiaos.J

!i1I NONE (No rq>o

... B.

poriod (I ) (2)

.

- 'fypo div. red. or mt.)

(No reportable ;......., """ '" """"'°'"''

I . Muni Sood; NY GO Ser B U>ltd Tu 8/IS/13 c -

2. Muni Band: NYC Ser F UIT Boole Eo!ry Did 311 195 B [ lllO'Cst

3 . Muni Bood: New Yorlc NY Sa E FGIC 11121196 c -

4. Muni Bond: New Yori: NY Ser B Bod< Eo!ry UnltAI c -T

s. Muni Band: New YOik, NY Rlifs-Ser AfSA-Ol c -

6. Muni Bood: New Yori: City Ser H GIO Boole Enby D -

7. Muni Bond: New Yori< State Twy Aulh S.c. Hwy It B !Jd-Bnlg811.W

a . Muni Bond; New Yorlc City Ser L G/O MBIA Wd c Jataat 6110/97

9 . Muni Bood: Nc:w Yodt NYScrD FO!C 11/IS/97 c Intmst

1 0 . Mum Bood:NcwYodt NYScr L-MBIA-IBC6/10/97 B ·-

11. Muni Bond: Loog Island Pwr Au Elcc Sys Gen Rv·A B I_,,..

12. Muni Bond: Loag lslml Pwr Au Elo: sys R

n

EN 4

... 0.

(met-� .... ..... s) (I) (2)

"""""" Type Coded

U.. J

II. Muni 8ond: N ew Yorlt ST TWY AUTH SVC CRTC 8 -REV RFDG F911/97

19. Muni Bood: New Yodc ST URB DEV CRP J.lV-B- c lntcresl

20. Muni &ad: U NY PM Au Eb: Sys Gm Rv OTO D intcresl

21. Muni Bond: G=wich NY Ceat Scb Du.I Rfdg OTO c lnlcresl

22. Muni 8ood: N Y StTwy Autb Hwy .t; Brdg Rfdg Ser c lat=st

23. Muni 8ood: NY St TWY Aulh Hwy .t; Bnlg !Wg Ser c lnlcrcst

24. Muni Bood: NY St Twy Auth Hwy .t; Brdg Rfdg Ser D lotacst

25. Muni 8ood: NYS Twy Alltb Svc Coot Rev !Wg OTO c 1.....,,.

26 . Muni Bond: NYS TWY Autb Hwy .t; Brdg TR Fd Ser B ID!acst

27. MuniBood:NYStUDC Corr & YoodtFacsSvc a hm

Name of Persan Reporting JACOBS, DENNI S

Dat e cf Report

4125/05

•

A B. c. D.

""""""' pofAste1J. --.. GtoSS value .:. cod of • -...-.. ........ p

Name of Pmon Reporting O. te of Report

A.

54. - Bood: Fed! Homo Lo Bt I I/JS/I I

SS. , Bond: Fed! Home Lo BtsGlbl BD 9116113

56. TIM-CREF

S7. • CREF Stock Acoouat

SI.

•

B. c. D.

._,;,. period ........ period

(I) (2) (I) (2) (I) il not exempt

(2) (3) (4) (S} - r,,,., c Dote: Volue Code l div. rmt. « Monlh- Code2 Codel

C.. ) (W) °" (A-H} ,.,, lea)

o

None L T

V -Othc:'

FINANCIAL DISCLOSURE REPORT

1Page 4 of 4 JACOBS, DENNIS 412SAl5

DosaipOooor.........(includdlg"""......)

Pl6CC "(X'f aft.ct ceeb usietexempt .&om prior cli$dOM"C

1""""' during Groas vaJgc at c:od oC • T-duriog pcriod

Value Valoe T>J>C ( a.;. ldem-ityofCode2 Metbod buy, sell, """""'°"(of

(A .fl) Code3 """""'· pr;... (Q-W) -....ion)

Buy L

I. J.ncomclG8m Code$: A =SJ,OOOortcss

(See Colurms BI Cld D

FINANCIAL DISCLOSURE REPORT NomeofP

NameofPmon Reporting

JACOBS. DENNIS

IX. CERTIFICATION.

Icertify that all infocmation given above (including infonnation pertaining to my spouse and minor or dependent children, if any) is accurate, true, and complete to the best of my knowledge and belief, and that any information not reported was withheld becauseit met applicable statutoryprovisions Pt;nnitting non-disclosure.

I further certifythat earned income from outside employment and bonoraria and the acceptance of gifts which have been reported are in compliance with the provisions ofS U.S.C. § SOI et. seq., S U.S.C. § 1353, and Judicial Conterence fCltU]ations.

NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WU.FULLY FALSIFIES OR FAILS TO FILE nns REPORT MA y BE SUBJECT 10 CIVIL AND CRIMJNAL SANCTIONS (S U.S.C. app. § I 04)

FILING INSTRUCTIONS

Mail signed original and 3 additional copies to:

eonlmitteeon F"maneial Disclosure Administrative Office of the United States Coorts

Suite 2-301

One Columbus Circle,N.£. Washington, D.C. 20544

FINANCIAL DISCWSURE REPORT .

-

Dolcof Rcpcrt

412S/OS