sharon l blackburn financial disclosure report for 2009

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  • 8/3/2019 Sharon L Blackburn Financial Disclosure Report for 2009

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    A n 1 o [ FINANCIAL DISCLOSURE REPORT R , , p o r t R e q u i r e d b y t h e E t h ic sin Government Act o f 1978Re~. ~ /2010 J FOR CALENDAR ~AR 2009

    1. Person R eporting (last name. first, middle initial) L Court or Organization 3. Date of Report

    Blackbttm, Sharon L. U.S. District Court - ND/AL 05/15/2010

    4. Title (Article II1 judges indicate ach\e or senior status; ~a. Reporl Type (check app ropriate type) 6. Reporting P~ iodmagistrate judges indicate full- or pan-time)[] Nommauon, Date 0 1 / 0 112 0 0 9

    ChiefU.S. District.Judge [] Initial [] Am:ual [] Final to12/31/20095b. ~ Amended Report

    "7. Chambers or Office Address g. On the basis of the information contained in this Report ~ad an)"modifications perlaining thereto, il is, in my opinion, in ~ompliance882 Hugo Black US Courthouse with applicable laws ~nd regulations.1729 5th Avenue NorthBinningham, AL 35203 Revi~.,,ing Olfi~er Dale

    IMPO RTA NT NO TES: The ins t roc t ions accompanying th is fo rm m ust be fo l lowed . Com plete a ll par ts ,checking the NONE box for each part where you have no reportable inform ation. Sign on last page.

    I . P O S I T I O N S . : ~ , ~ o , , ~ # indi~ia~at o , , ty; s e e p p . ~ - I . I o f 1 7 t i . g irtslrttclionl.)[-"--] N O N E (No reportable positions.)

    POSITION NAME OF ORGANIZATION/ENTITYI. Board o f Directors Leadership B irmingham2. Trustee (See Scction V III The J. Craig and Page T. Smith Scholarship Foundation, Inc.3. T~stee (See Section VIII The Robert Meyer Fou~qdadon4. Advisoq, Board of Directors Community Grief Support Service5. Advisory B o a r d Laps for CF Orgranization Foundation

    1 1 . A G R E E M E N T S . ~,o~,i,,: individual on& ..... vs. 14-16 offiling l . . . . . . t i , , . . ~ )~ NONE (No reporcable agreements.)

    DATE PARTIES AND TEt~S co ~I . ~

    2. ~

  • 8/3/2019 Sharon L Blackburn Financial Disclosure Report for 2009

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    FINANCIAL DISCLOSURE REPORT r~ ....~ersoa Repor,ing hate of Repor~Page 2 of 6 ~ a e k b u r . . S h ~ r o n L . 0 5 / ~ 5 n 0 ~ o

    Il l. NON-INVESTM ENT INCOM E. cRr;o,~.xA. Fliers Non-Investment Income

    N O N E (No reportable non-investment income.)D A T E SOURCE AND TyPE I N CO M E(yours, not spouses)

    1.

    2.

    3.

    4.

    B . S p o u s e s NOB -I i Ives tm ent ! ncome - lf ),ou were married during any portion of the reporting year, complete this stctio~(Oot lar amount not requirrd except for honorar ia. )~ N O N E (No reportable non-investment income.)

    DATE ~URCE AND TYtEI.

    2.

    3.4.

    IV. REIMBURSEMENTS ....... v . . . . . i , , . , r o a x i , g . / , , , a . . . . . . . ,, i . . . . , .(I t~, :ludes t kose to Wouse ~ tndt t epen, len t 7h Idre " , ee pp 2 J 2 7 cJ f i l t g t t ~ ~t I

    N O N E (No reportable reimbursements.)~ ~ I,OCATION PURPOSE ITEM~ PAID OR PROVIDED

    I.2.3

    5.

  • 8/3/2019 Sharon L Blackburn Financial Disclosure Report for 2009

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    FINANCIAL DISCLOSURE REPORT ~ .... r P e r s o , ~ , p o , , i . ~ t , ~ , , o r a , p o r tPage 3 of 6 m ~ c k b u r n . S h a r o n L . 0 5 , 1 5 / 2 0 1 0

    ~. ~.~! riO. (Includes rho,t u, .W ...... d dependent children; se PI. 23-31 of f!ling imuuctions.)

    NONE (V o reportable g~s.)SOURCE DES Q~T! ON ~

    1 .2.

    3.4.5.

    V I. LIAB ILITIES . a ,, a .,~ ..~ NONE ~o reportable liabilities.)

    CREDITOR DESCRIPTION1. Citibank V isa Credit Card23.4.

    5.

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    FINANCIAL D ISC LO SU R E R EPO R T ] N .... r P ..... a , p o r t i o gPage 4 of 6I Blackburn, Sharon L.

    05/15/2010

    N O N E (No reportable income, ~sets, or transactions.)Description of As~s ! I n c o m e d u r i n g G ro s s v a l u e a t e m d J T r a n s a c t io ~ d u r i n g ~ e p o m n g(including t~st asse~) ~ reining period o f r e p o s i n g p e r i o d

    P l a c e " (X ) " a f t . . . . . h .... t /A ..... j Type (e.g, e T ~ e (e g., D a t e Value ]Gaia / Idcntiq ofC o d e ~ ~ Code Ix e m p t f lo r a p r i o r d i ~ l o ~ u r / Code I ] d i v . , ~ e n t ,~A-H) [ o r i n t . ) )2 b u y , s e l l , *~vd~ ~ b u y e r / s e l l e rr e d c m p l i o n ) (l P)" ~ (~ ~ ~ ( f f p r i v z l c~ -I Bha~ Fed Employees Credit Union Acct. A Interest J T

    2. IRA - F ed. Kemper Life Ins. Fixed Annuity A Inlercs! J T3. IRA - SunA merica Flexible Premium A In!crest J TAnnuity4. IRA - Fidelity & G uar. Life Ins. Fixed A Intcres! J TAnnuity5. First American Bank Account A Interest K T

    6. Non-producing mini royalty int Esc and A Royalty J TConecuh Co, AI

    I0.

    II .1 2 .

    1 3 .

    14.

    1 5 .

    1 6 .

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    Ia m e o f P e r s o n R e p o r t i n g D a t e o f R e p o r tF IN A N C IA L DISCLOSURE R E P O R T! Blackbu rn, Sharon L.

    05/15 /2010age 5 of 6VIII. ADDITIONAL INFORM ATION OR EX PLANATION S. a,,,/i,-.,,po,, of Report.)

    I am a Trustee. in two organizations listed in Section I. One award s scholarships to high school students; one awards g rants Io civic or charitable orgamz:mon.~. 1am not involved in the management of the assets of either Foundalion.

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    !FI NANCI AL DI SCL O SURE RE PO R T [ Name ot F ..... R , p o r t i n g D a , , o f R e p o t !Page 6 of 6

    I I B l a c k b u r n , S h a r o n L . 0 5 / 1 5 / 2 0 1 0IX . CERTIFICATION.

    I ce:~ify that all informalion given above (iuclnding information pertaining to my spouse and minor or dependent c hildren, if any) isaccurate, true, and complete to the bes t of my knowledge a nd belief, and that any information not reported was w ithheld becanse it me t applicable statutoryprovisions permitting non-dlsclosure.I further certily that earned income from outside employm ent and honoraria and the acceptance of gifts which have been reported are incompliance with the provisions of 5 U.S .C. app. 501 et. seq., 5 U .S.C. 7353, and Judicial Conference regulations.

    Signature_

    N O TE : AN ~" IN DIV IDUAL W HO K N O UV IN GLY AN D W lLFULLY FALS IF IE S O R F AILS TO F ILE T i l lS RE P O RT M AY B E S U I I JE CT TO CIV ILAND CIL1!~IINAL SANCTIONS (5 U .S.C. app. 104)

    FILING INSTRU CTIONSM ail signed original and 3 additional copies to:

    Comm ittee on F inancial DisclosureA dministrative Office of the United S tates CourtsSu ite 2-301One Columbus Circ le , N.E .Washington, D.C. 2054-4